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HomeMy WebLinkAboutHuman Services Board - Agenda - 9/26/2024K:Agendas & Minutes/DHS Board/Agendas 2024 FROM: Elizabeth Skulan, Director DATE: September 18, 2024 RE: MEETING NOTICE The Bayfield County Department of Human Services Board will hold the regular monthly meeting on Thursday September 26, 2024, at 4:00 p.m. An in person and remote meeting will originate from the Emergency Operations Center (EOC) of the Bayfield County Courthouse Annex, Washburn, Wisconsin. Remote participation is available via Microsoft Teams or by phone using the information below. Microsoft Teams Need help? Join the meeting now Meeting ID: 216 730 867 070 Passcode: FgR4Lt Dial in by phone +1 715-318-2087,,912501064# United States, Eau Claire Find a local number Phone conference ID: 912 501 064# For organizers: Meeting options | Reset dial-in PIN ________________________________________________________________________________ To join on your computer or mobile app, please ‘Control, Click’ the link below or left click and choose ‘Open Hyperlink” to connect. Notice is hereby given, in the event the standing committee does not have a quorum, the County Board Chair or Vice Chair may act as an ex officio member (County ordinance, Chapter 3, section 2-3-1(c). Department of Human Services 117 East Fifth Street P.O. Box 100 Washburn, WI 54891 - 0100 Telephone (715) 373 - (715 Fax 6144 - )373 - 6130 Email: baycodhs@bayfieldcounty.wi.gov K:Agendas & Minutes/DHS Board/Agendas 2024 Any person wishing to attend who, because of a disability, requires special accommodation, should contact the Department of Human Services at 715-373-6144, at least 24 hours before the scheduled meeting time, so appropriate arrangements can be made. The agenda: Approval of the August 15, Meeting Minutes; Recommendation to make Appointment to the Human Services Board; Transportation Coordination Committee Appointments; Family Services/Behavioral Health Advisory Committee Appointment; 2025 Proposed Meeting Date; Department Section Reports; Department Updates; Monthly Financial and Training Reports; Informational Items; and other business that may come before the Board. c: County Board Chair County Board of Supervisors Post (bulletin boards and website) e-mailed: DES Ashland Health Department DCS, Rhinelander New Day Shelter Greater Wisconsin Agency on Aging Resources, Inc. Daily Press Department of Human Services 117 East Fifth Street P.O. Box 100 Washburn, WI 54891-0100 Telephone (715) 373-6144 Fax (715-)373-6130 Email: baycodhs@bayfieldcounty.wi.gov BAYFIELD COUNTY DEPARTMENT OF HUMAN SERVICES BOARD MEETING SEPTEMBER 26, 2024 James Crandall - Chair Marty Milanowski -Vice Chair Mary Dougherty Susan Rosa Madelaine Rekemeyer Vacant-Citizen Member Lona Schmidt Stephanie Defoe-Haskins Patrick Irvine RE: September 26, 2024, Department of Human Services Board Meeting, Notice is hereby given, in the event the standing committee does not have a quorum, the County Board Chair or Vice Chair may act as an ex officio member (County ordinance, Chapter 3, section 2-3-1(c). Dear Committee Members: Please be advised that the monthly meeting of the Bayfield County Department of Human Services Board meeting will be held on Thursday, September 26, 2024, at 4:00 p.m. Remote connectivity is available. The meeting will originate from the Emergency Operations Center (EOC) of the Bayfield County Courthouse Annex, Washburn, Wisconsin. Remote participation is available via Microsoft Teams or by phone using the information listed on the next page. Microsoft Teams Need help? Join the meeting now Meeting ID: 216 730 867 070 Passcode: FgR4Lt Dial in by phone +1 715-318-2087,,912501064# United States, Eau Claire Find a local number Phone conference ID: 912 501 064# For organizers: Meeting options | Reset dial-in PIN _____________________________________________________________________________ Join on your computer, mobile app or room device To join on your computer or mobile app, please ‘Control, Click’ the link below or left click and choose ‘Open Hyperlink” to connect. Any person wishing to attend who, because of a disability, requires special accommodations, should contact the Department of Human Services at 715 -373-6144 at least 24 hours before the scheduled meeting time, so appropriate arrangement can be made. The agenda for this meeting is as follows: AGENDA 1. Call to Order 2. Welcome and Introductions 3. Discussion and Possible Action – Review and approval of the August 15, Meeting Minutes 4. Opportunity for Public Comment (Limit 3 minutes please.) 5. Program Presentation, Steve Budnick, Northern Income Maintenance Consortium (NIMC) Administrator, Overview of Consortium Operations and Outcomes of the “Unwinding” of the Public Health Emergency Policies 6. Monthly Reports A. Financial B. Training 7. Discussion and Possible Action – Proposal for Recommendation to the Full County Board to Appoint Teri Hanson as Citizen Member from the Cable Area to the Human Services Board. 8. Discussion and Possible Action – Consider Proposed Committee Recommendations to Appoint Shari Nutt, Alice Evenson, Carla Becker, Perry Campbell, and Jake Benson to the Transportation Coordination Committee (TCC). 9. Discussion and Possible Action – Consider Proposed Committee Recommendation to Appoint Lona Schmidt to the Family Services/Behavioral Health Advisory Committee. 10. Human Services Department Updates – Elizabeth Skulan, District Attorney Kimberly Lawton 11. 2025 Proposed Meeting Dates 12. Other (Informational Items) A. Email from District Attorney Kimberly Lawton regarding Behavioral Health and Community Programs Section Manager Tom Croteau 13. Future Meetings A. October 24, 2024 B. November/December Meeting, Tuesday, December 3, 2024, will begin with a holiday potluck at 3:30 with the meeting immediately following. C. January 23, 2025 14. Discussion and Possible Action - Motion or Chair’s Statement to Adjourn Thank you and have a safe trip home! Sincerely, Elizabeth A. Skulan Elizabeth A. Skulan, Director c: Mr. Mark Abeles Allison, County Administrator Bayfield County Board of Supervisors Bayfield County Department of Human Services Board Bayfield County Department of Human Services Managers Lynn Divine, Bayfield County Clerk Email to: Other Interested Parties Requesting K/agendas & minutes/DHS Board/agendas K: agendas & minutes/DHS Board/agendas/agenda narrative DEPARTMENT OF HUMAN SERVICES (DHS) BOARD MEETING September 26, 2024 4:00 PM AGENDA NARRATIVE 7. Recommendation to the Full County Board to Appoint Teri Hanson as Cable Area Citizen Member to the Human Services Board – Teri’s application is attached. She is interested in serving as a citizen member to the Human Services Board. The appointment must be recommended to the County Board for approval. 8. Committee Appointments to the Transportation Coordination Committee (TCC) – The Committee has recommended the appointments of Shari Nutt, Alice Evenson, Carla Becker, Perry Campbell, and Jack Benson to the Committee. Applications are included in the packet for everyone except Jake Benson. His position as the new Bayfield County Highway Commissioner makes him uniquely qualified for the TCC and an application was deemed unnecessary by the County Administrator. 9. Committee Appointment to the Family Services/Behavioral Health Advisory Committee – The Committee has recommended Lona’s appointment to the Committee. Lona has acted as the chair of this committee for some time. 10. Human Services Department Updates – The DA has requested this to be a standing item on the agenda and will be at the meeting to provide her input. 11. 2025 Proposed Meeting Dates – Proposed meeting date for 2025 are included in the packet. Department of Human Services 117 East Fifth Street P.O. Box 100 Washburn, WI 54891-0100 Telephone (715) 373-6144 Fax (715-)373-6130 Email: baycodhs@bayfieldcounty.wi.gov BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING County Board Room & Virtual August 15, 2024 K:\Agendas and Minutes\DHS Board\Minutes\2024 DHS Board Minutes\2024-08-15_BCDHS_Board_meeting_minutes -DRAFT.docx 1 Board Members Present: James Crandall, Sue Rosa, Lona Schmidt, Marty Milanowski, Mary Dougherty, Patrick Irvine Board Members Absent: Madeline Rekemeyer, Stephanie Defoe-Haskins Others Present: Elizabeth Skulan, Mary Anich, Stephanie Eder, Tom Croteau, Carrie Linder, Sarah Traaholt, Kelly Westlund (virtual), Kimberly Lawton, Mark Ables- Allison, Kris Kavajecz, Diane Foris, Joy Ratkowski, Dawn Bard, Lisa Green, Jan Tuominen, Betty Stafford, Gifty Cook, Heidi Kontny, Jean Engel Call to Order and Introductions Crandall called the meeting to order at 1:33 p.m. Introductions were made. Opportunity for Public Comment (Limit 3 minutes please) Diane Foris, board member and accountant for HEC Hooves of Joy, expressed concern about non- contract renewal. Foris reported it took several months to find an auditor out of Duluth and on December 29, 2023, the 2022 audit was submitted. Foris noted significant changes were made to improve the accounting practices of the business. Foris noted HEC Hooves of Joy, Inc. is in complete compliance with the county contract; is passionate about helping people with disabilities; and wants to contract with Bayfield County again. Dawn Bard, parent, spoke about the family’s personal experience with HEC Hooves of Joy. Bard noted the program gave them consistency and was able to help their family come together. Bard noted there was not a lot of transition time after learning the service would end and the location of other services increased travel time significantly. Bard noted how important HEC Hooves of Joy service has been in her family’s life. Gifty Cook spoke of her love for horses and riding. She reported Hooves of Joy helped her achieve her goals. She noted HEC Hooves of Joy made participants feel special with special decorations on holidsya and their birthdays which helped create a bond with the provider. Betty Stafford, who has volunteered for HEC Hooves of Joy since the program opened, spoke about her personal experience with the provider who serves her adult disabled son. Stafford reported seeing children flourish while working at Hooves of Joy. Janice Tuominen submitted a letter in June to the Human Services Board in support of HEC Hooves of Joy. Tuominen has been a volunteer at HEC Hooves of Joy since May of 2023. Tuominen stated HEC Hooves of Joy, Inc. has the training and credentials to provide services. Tuominen wants to start a conversation about continuing services with Bayfield County. DRAFT: Subject to change at the next BCDHS Board meeting BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING County Board Room & Virtual August 15, 2024 K:\Agendas and Minutes\DHS Board\Minutes\2024 DHS Board Minutes\2024-08-15_BCDHS_Board_meeting_minutes -DRAFT.docx 2 Discussion and Possible Action – Review and approval of the June 27, 2024, meeting minutes. Motion by Milanowski, seconded by Schmidt to approve the June 27, 2024, meeting minutes. Motion passed. Program Presentation – Provider HEC Hooves of Joy, Inc. Lisa Green, Office Manager and participant at HEC Hooves of Joy, spoke of how the program was life changing for her. Green talked about the healing HEC Hooves of Joy’s offers. She noted adaptive horsemanship helps children with disabilities thrive, not just survive. Green introduced Joy Ratkowski, owner of HEC Hooves of Joy. Ratkowski referenced the Human Services mission and vision statements: “To Protect and Improve the Quality of Life” and “Building on a foundation of motivated and dedicated staff, providers, and adequate resources, the Department of Human Services will promote integrated services that are valued. This will be accomplished by partnering with individuals and a responsive and proactive community. What we do WILL make a difference!” Ratkowski stated that she wants her business to be part of that. Ratkowski spoke of wanting to reestablish a contract with Bayfield County. Testimony from a Special Education Teacher at the Ashland Middle School was provided along with documentation regarding HEC Hooves of Joy certifications and insurance through PATH International. Ratkowski stated other providers were not qualified or insured to provide equine services because only PATH International assures the highest safety standards and other equine providers are other providers are unable to secure liability insurance as evidenced by an email from the Leavitt Group of Colorado which states “For therapeutic riding risks I need to confirm you are either PATH or EAGALA certified…”, so are not insured. Ratkowski stated that she has over forty years of experience, two instructors are certified, they adhere to a code of ethics, licenses are renewed every two years, staff are trained in first aid and CPR, and the 2023 audit was complete. Rakowski noted that HEC Hooves of Joy wants to stay compliant and requests Bayfield County reconsider reinstating the for the Children’s Long-Term Services (CLTS) contract with HEC Hooves of Joy, Inc. Monthly Reports Monthly Financial and Training reports were reviewed and retained. Discussion and Possible Action – DHS Resolution 2024-04 Petition for Increase of Mental Health Funding in the State 2025-2027 Biennial Budget Resolution was presented. The resolution requests additional state General Purpose Revenue (GPR) to support county mandated mental health services including the local share of Medicaid for the Community Support Program (CSP), funding for individuals in CSP who do not qualify for Medicaid, and funding for Crisis Mental Health response and programs. Motion by, Milanowski seconded by Irvine, to approve Resolution 20240-04 as presented and forward the resolution to the full County Board for their consideration and approval. Motion passed. BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING County Board Room & Virtual August 15, 2024 K:\Agendas and Minutes\DHS Board\Minutes\2024 DHS Board Minutes\2024-08-15_BCDHS_Board_meeting_minutes -DRAFT.docx 3 Human Services Department Updates - Staffing, Systems, Challenges, Barriers, Opportunities – Elizabeth Skulan, District Attorney Kimberly Lawton Lawton spoke about concerns in staffing and turnover in Human Services, specifically related to Child Protective Services and Child Welfare(CPS/CW). Lawton notes that a Social Worker and Case Manager recently resigned which created a large gap and extra duties for remaining staff. Skulan and Anich noted that one Child Protective Services (CPS) Case Manager has been hired and starts August 26, 2024. However, they noted, there is extensive six-month new worker training for CPS and the new case manager will not work independently for some time. A Family Services staff member who has been out on FMLA will return later this week. The Family Specialist position is still vacant, as is one social worker/case manager position. Skulan noted that issues related to recruitment and retention, particularly in CPS/CW is not unique to Bayfield County. Counties statewide are having trouble recruiting and retaining employees. Skulan is meeting with the regional staff from the Wisconsin Department of Children and Families (DCF) every other week. They have made several suggestions that will assist Bayfield County in the short-term. Skulan reported Price County is taking access calls for most of the week through the end of October. This allows workers in Bayfield County more capacity to work in the community as needed. Skulan is supervising the Children with Disabilities unit and Coordinated Service Team (CST) staff, so Anich can focus on CPS and youth justice. The Family Services supervisor is required to be on call 24/7/365, which presents additional challenges. Skulan has reached out to other counties to see if any will consider a shared service model for on-call response. Skulan noted that Human Resources is aggressively recruiting for qualified staff. In addition, DHS is seeking to improve the training and tools that are available to new CPS/CW. Staff have identified needing more information on legal terminology, timelines for court reports and other documentation, the Department’s expectations, Department and County policies and procedures. The Department is also considering how to correct or improvement agency culture. The Department hopes to connect new workers with more experienced mentors and provide concentrated trainings with experienced staff in larger counties. Skulan noted system issues are being addressed as they are identified. Lawton, Skulan, and Anich are meeting every other week to improve communication/relationships. Lawton and Anich both noted that the cases they see are more complex than those they have been in the past. More families - parents, children, or both - are struggling with a combination of substance abuse and mental health issues. Inadequate local resources contribute to the challenges faced by families and staff. Dougherty suggested Human Services staff need advocacy. She encouraged the board to think of ways to provide wrap around support to employees. Irvine questioned how Bayfield County can provide more resources. He wondered if there opportunities to open a facility in Bayfield County to meet needs that are only met in other parts of the state. Skulan noted that small, rural counties lack the numbers to compete with larger counties for funding such as state and federal infrastructure grants. The lack of adequate housing and staffing/workforce issues are exacerbated in smaller counties as well. BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING County Board Room & Virtual August 15, 2024 K:\Agendas and Minutes\DHS Board\Minutes\2024 DHS Board Minutes\2024-08-15_BCDHS_Board_meeting_minutes -DRAFT.docx 4 Mark Abeles-Allison thanked the District Attorney, DHS staff, and the DHS board for continuing the dialog and advocating for change/improvements. Abeles-Allison noted some of the challenges in recruitment and retention of employees include: the small, rural nature of the county; lack of housing; lack of a robust qualified workforce; and the county’s aging population which is growing while the total population is not. Abeles-Allison noted that where thirty qualified applicants used to apply for a position, now there might be two. Qualified staff are an essential need for Bayfield County to provide services to residents. Abeles-Allison introduced Kris Kavajecz, Human Resources. Kavajecz has compiled a county workgroup to focus on workforce issues. Members are employees of a variety of ages and come from many departments. The group has been brainstorming different topics including recruitment, retention, and how to collaborate with public and private entities to provide services. Kavajecz reports to the Personnel Committee on the workgroup’s progress. Kavajecz noted all employers seem to be dealing with similar issues. Abeles-Allison noted Bayfield County is committed to core basic service delivery, and it is time to be innovative. Abeles-Allison also noted that the DHS Board is critical to provide the broad oversight, and the support needed on these issues. Betty Stafford suggested Bayfield County consider leaning on volunteers. Discussion and Possible Action – Review and Approval of the 2025 DHS Budget. Skulan reviewed changes in line items comparing the 2024 DHS Budget to the 2025 DHS Budget. Motion by Dougherty, seconded by Milanowski; to approve proposed 2025 DHS Budget as presented and forward it on to County Administration and County Finance. Motion passed. Discussion and Possible Action – Approval of the 2023 DHS Annual Report Skulan noted corrections will be made to page five and duplications on the Department Goals and Accomplishments were removed. Abeles-Allison will present the report at the August County Board meeting. Motion by Milanowski, seconded by Schmidt, to approve the 2023 DHS Annual Report with the corrections as presented. Motion passed. Other (Informational Items)  July 1, 2024, email from the Northern Income Maintenance Consortium Resolution Coordinator, Shawna White, regarding Economic Support Services Specialist Aaron Kalmon BAYFIELD COUNTY HUMAN SERVICES BOARD MEETING County Board Room & Virtual August 15, 2024 K:\Agendas and Minutes\DHS Board\Minutes\2024 DHS Board Minutes\2024-08-15_BCDHS_Board_meeting_minutes -DRAFT.docx 5 Future Meetings  September 26, 2024  October 24, 2024  November/December Meeting, Tuesday, December 3, 2024, will begin with a holiday potluck at 3:45 with the meeting immediately following. Crandall adjourned the meeting at 3:06 p.m. Submitted by Sarah Traaholt, Clerk III