Western Service Area Authority (WSAA) Board Meeting Tuesday, April 24, 2018 • 10:00 a.m. to 1:00 p.m.

Western Montana Mental Health Center 1321 Wyoming St., Room 102, Missoula, Montana ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

PRESENT: (Board Members – for quorum): Sylvia Carollo (📞 by phone), Monique Casbeer (📞 by phone), Rick Hartz, Tricia Herman (📞 by phone), Claire Leonard (📞 by phone), Tim Myers, Denelle Pappier, Dawn Sandberg, Douglas Schimmel, Pete Snyder, Geri Stewart, Stacey Wheeler.

(Board Advisors from AMDD): Vicky Varichak (Members/ Guests): Heidi Whyte (Sunburst),

Convened at 10:10 a.m. – Tele-conference call initiated through poly-com. A. Welcome / Introductions / Announcements — Stacey Wheeler, Chairperson 1. Pete Snyder: QPR Trainings upcoming. Healthy Foundations project (ACES-related for neonatal families) through Watson Children’s Center. http://watsonchildrensshelter/.

2. Tyler: EMT course for first responders; specialty focus track on dementia/psychiatric issues. Begins mid-May (information distributed).

3. Monique: Saturday, May 12 (1:00 to 5:00pm): Bev and Karen will present a "Family & Friends" seminar at St. Paul’s Lutheran Church, 202 Brooks St. Missoula. Register at: https://www.nami.org/Find-Support/NAMI-Programs/NAMI-Family-Friends/.

B. Guest Speakers: NAMI’s In Our Own Voices presentation. Darin Webster, Vice-President of NAMI Board of Directors; 406-540-2457. IOOV presentations available for free to any group that wants to learn what it’s like to have a mental health diagnosis. Divided into five sections, told as narrative by volunteers who are persons with lived experience. Could be any length from 20-60 minutes. Contact Jack Shifflet, Programs Coordinator, 406-543-6211; jackshifflett@hotmail.com/. Darin presented his history of early life before he had a diagnosis and understood what Bipolar meant. He felt manipulated by the military, who knew how to take advantage of his manic episodes. Later, on medications, he felt many adverse effects initially, but stable now. Has had to determine his own coping skills: some common (e.g., sleep cycles - hopefully sleep at night!; depression), others not so common with everyone (e.g., with his diabetes, he could not take prescribed Latuda due to dangerous interactions). He journals his meals & medications, etc. to determine his “sweet spot” of control. He needs to keep busy, in order to stay focused; journals and writes; goes to gym daily, etc. Hopes & Dreams: participating in NAMI IOOV has been life-changing experience; now he has goals for the future. He’s been published four times (textbooks, and novel). New NAMI courses (all free): Managing Your Life (every Weds. at St. Paul’s); newly-funded by small grant that can assist clients with emergencies (e.g., help with rental applications, etc.)

C. Secretary’s Report — Denelle Pappier MOTION: Rick/Pete. To approve March 27, 2018 board minutes as read. PASS.

D. Treasurer’s Report — Tim Myers (406-532-9719; tmyers@wmmhc.org) Newly-appointed and needs direction of what we want from him in Treasurer’s position. He’ll contact WMMHC department head to help his review of our past financial statements.

E. Webmaster Report — Tricia Herman Will bring camera next month to take pictures of Directors to post. Should also have personal biography to post (needn’t be long or too personal). Costs: our server $167.88; domain renewal for 3 years $60.51; due by June to Ang deHaan. Tricia keeps “updating” our website (wsaa-montana.com) so that it comes up higher in browser search lists.

F. AMDD Report — CPO Vicky Varichak Still seeking some MHOAC representatives; 3 meeting dates are set in 2018; next up is May 23, in Helena; others by WebEx; contact is Mindi Askelson 406-444-3929; maskelson@mt.gov/. Our nomination of Claire Leonard seems it will be approved and AMDD has her contact information to invite her to the

scheduled meetings (in person or by phone). PSS – RFP issued to provide Certified Behavior Health PSS across Montana. AMDD seeking proposals to employ, support, and supervise positions to provide non-clinical assistance and wellness recovery support of SDMI, SUD, and Co-Occ. individuals. Due Mid-May, to begin July 1st. AMDD Medicaid Services Provider Manual is finalized and adopted into state law. Updated definitions and requirements for SDMI/SUD services and reimbursement. Addiction Recovery Team RFP – To work with family members of individuals with SUD. Opioid Grant – Joycelyn Ware, mt.gov (Financial Services Division). Completed first of 2-year grant focussed on promoting medication-assisted treatment for those with Opioid Use Disorder.

G. Local Advisory Council (LAC) Reports — LAC Representatives (Beaverhead Co., Flathead Co., Lake Co., Lincoln Co., Madison Co., Mineral Co., Missoula Co., Ravalli Co., Sanders Co., Silver Bow Co., Pintler: (Deer Lodge & Granite counties)

1. Beaverhead Co./Dillon (Rick) — April 29th Education Dept. at UM Western will conduct Resilience Screening and ACES training. May 7th: Madison Co. partners to present speaker by man who is the subject of “Walking Man” film in Dillon. May 9th: Dennis Mohawk VP of Western Interstate, to discuss shortage of service providers (have gathered info. by surveys of providers/consumers) and looking at what could be a local solution to need for MH Services in county. Local hospital, Barrett Hosp. is expanding with Tele-medicine consultation. “Howard Gaines Community Award” 2nd annual award to be given in September by Kay Gaines. BH Summit, 9/13,14 at UM Western: 3 speakers lined up.

2. Flathead Co./Kalispell (Susan) — Not present to report.

3. Lake Co./Polson (Douglas) — No attendance at last meeting. May reach out to Behavioral Health staff at St. Joseph Hospital to attend.

4. Lincoln Co./Libby (Chris) — Currently inactive.

5. Madison Co./Virginia City (Claire) — Meet 1st Monday of the month. Main efforts are working on the movie presentation (in Ennis for MHAM: “Walking Man”). Beginning integration of pilot program to try to decrease the number of people needing CIT team services, by creating a local, on-call list of “near-crisis” episodes of individuals. At movie, plan to distribute updated local resources list (since so many services in Dillon have been closed).

6. Mineral Co./Superior (Dawn) — They didn't have an April meeting.

7. Missoula Co./Missoula (Sylvia/David) — Not able to attend the April meeting.

8. Ravalli Co./Hamilton (Denelle) — Didn't have an April meeting; worked on grant application.

9. Sanders Co./Plains (Shelby/Vicky C.) — Not present to report.

10. Silver Bow Co./Butte (Tricia) — She did not attend yesterday’s meeting; had guest speaker and no other business was conducted.

11. ”Pintler” (Deer Lodge & Granite counties)/Anaconda (Charlotte) — Not present to report.

OLD BUSINESS:H. 1. WSAA Mini-Grants – Dates & details reminder: • Application Submission Friday, April 20, 2018, 5 p.m. • Determination to Award Funding Tuesday, May 22, 2018 By April deadline, the five applications for grant funds are submitted and complete. Application packets sent to Committee members for review and recommendations. (Awards are dependent upon determining the amount available for such funding; Treasurer Tim M. will send info when determined).

2. Missoula NAMI provided their list of Legislative Priorities; shared with directors. Also, letter from MT Peer Network to share with LACs to contact their legislators with concern about MH issues. Both letters were sent to WSAA Directors to review. Ask their LACs to discuss this list and these issues; and respond by May WSAA board meeting. Each community will have some variation on what’s important in their area; some are statewide needs, others will be unique to each community. Try to identify the LAC’s priority list of legislative priorities AND any suggested solutions.

NEW BUSINESS J. WSAA Annual Congress — Scheduled to be held at our regular June 26th board meeting. Requested that all LAC Reps. collect information on local issues and bring to that meeting to share (also, send to WSAA Secretary, especially if unable to attend). We’ll discuss and make our own list of Legislative Priorities at that meeting. Thereafter, AMDD is asking that all SAAs hold one annual, statewide Congress. July WSAA full board meeting will be canceled and the Executive Board will meet to coordinate the LAC reports into the required report to AMDD that is due August 1st. Final draft of AMDD Manual, that includes all services for consumers, is now available on their website.

Adjourned at 12:00 p.m. Next meeting: Tuesday, May 22, 2017, 10:00am-1:00pm (at WMMHC in Missoula) Submitted by: Denelle Pappier, WSAA Secretary 406-363-1311 / dpappier@aol.com

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ACRONYMS GLOSSARY:AMDD Addictions & Mental Disorders DivisionBH Behavioral HealthCBPRS Community-Based Psychiatric Rehabilitative Support CIT Crisis Intervention Team CM Case Management CLO Community Liaison Officer CPO Community Program Officer DPHHS Dept. of Public Health & Human ServicesFY Fiscal Year (July to June) LAC Local Advisory Council

LEA Law Enforcement Agency MCSD Msla Co. School DistrictMH Mental HealthMHAM Mental Health Awareness Month (May) MHC Mental Health CenterMHFA MH First Aid training MHOAC MH Oversight Advisory CouncilMI Mental Illness MOU Memo. of UnderstandingMSH Montana State Hospital NAMI National Alliance on Mental Illness

PACT Program for Assertive Community Treatment PSS Peer Support SpecialistPT Project Tomorrow RFP Request for ProposalsSAA Service Area Authority SDMI Severely-Disabling Mental IllnessSUD Substance Use DisorderTBD To be determined WMMHC Western Montana MHC WOC Winds of Change MHCWSAA Western Service Area Authority

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Committees for the WSAA:WSAA FY’18 Mini-Grants — CMTE: Denelle, Stacey, Brenda, Leah, Dawn, Geri By-Laws — CMTE: Denelle, Stacey, Sylvia Strategic Plan — CMTE: Courtney, Stacey, Monique, Doris, Pete Jails Formulary Investigation — CMTE: Dawn, Tyler, Geri, Rena ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~