1 00:00:03,020 --> 00:00:09,340 All right, we are at 530, so I will call the meeting to order. 2 00:00:12,480 --> 00:00:27,140 First up, we have members present, we have myself. Ron Johnson is here, Don Trook, Renee Lyon, Scott Leonard, Scott Brown is online, Dr. Brightenbach. 3 00:00:27,140 --> 00:00:29,660 I, she, let me know that she's not going to be here. 4 00:00:29,780 --> 00:00:30,840 Okay, thank you. 5 00:00:30,960 --> 00:00:31,700 Thank you. 6 00:00:32,160 --> 00:00:35,420 And Dr. Baxa, and carried on, said, thank you. 7 00:00:36,760 --> 00:00:37,060 All right. 8 00:00:38,040 --> 00:00:41,220 Then we have certification of open meeting laws, Matt. 9 00:00:42,020 --> 00:00:42,360 Okay. 10 00:00:43,360 --> 00:00:45,880 And first up, we have a public comment period. 11 00:00:45,920 --> 00:00:48,820 Members of the public will have a 15 minute block of time 12 00:00:48,820 --> 00:00:51,120 to comment on today's agenda items. 13 00:00:51,140 --> 00:00:53,680 Members of the public may be present in person, 14 00:00:54,060 --> 00:00:56,320 or call in to make such comments to comment. 15 00:00:56,320 --> 00:01:02,320 by telephone, please call 7-1-5-5-3-8-1-8-9-4. 16 00:01:03,400 --> 00:01:09,820 Public comment may be extended or curtailed that the discretion of the presiding committee board chair or vice chair if the chair is unavailable. 17 00:01:10,440 --> 00:01:13,280 And after advisement by the committee board. 18 00:01:14,280 --> 00:01:14,520 All right. 19 00:01:16,040 --> 00:01:18,660 Then we have the adoption of the agenda. 20 00:01:19,060 --> 00:01:21,040 Everybody has the agenda, I'm assuming. 21 00:01:22,440 --> 00:01:23,020 Second. 22 00:01:25,420 --> 00:01:28,260 Motion by Ron, seconded by Don, was it Don? 23 00:01:29,000 --> 00:01:32,040 To approve the agenda, and favor say aye. 24 00:01:33,800 --> 00:01:35,620 Those opposed same sign. 25 00:01:36,100 --> 00:01:40,940 Then you also have a new packet, the minutes from August 10th for approval. 26 00:01:42,560 --> 00:01:44,260 I would move to approve those minutes. 27 00:01:46,540 --> 00:01:55,420 I'll second. Motion by Renee seconded by Dawn to approve the August 10th Health and Human Services meeting all in favor say aye. 28 00:01:55,420 --> 00:01:58,280 All right. Those opposed the same sign. 29 00:01:59,060 --> 00:02:06,000 All right. Next item of business is our program spotlight the community support program. 30 00:02:06,000 --> 00:02:16,040 Jamie Kurtz. Hello. I'm here with the community support program team or CSP program. 31 00:02:16,820 --> 00:02:23,240 For the county and I will let them take it over. They did print out some brochures for 32 00:02:23,240 --> 00:02:29,140 everyone so they'll be handing those out and sorry they're kind of, that's kind of my fault. 33 00:02:29,300 --> 00:02:32,380 You have to like flip it over and print it right. 34 00:02:34,840 --> 00:02:36,580 But I'll let them take it over and they'll 35 00:02:36,580 --> 00:02:45,880 talk about what they do, maybe each position does, and then what the program does, and we'll 36 00:02:45,880 --> 00:02:52,760 go from there. I don't know if Lisa wants to start the RN registered nurse of our program? 37 00:02:58,920 --> 00:03:08,620 Yeah, so, on Lisa, I'm the CSB nurse, then we have Jessica, she's the social worker, and 38 00:03:08,620 --> 00:03:16,720 a little bit about the community support program. It's designated to meet the needs of our chronic 39 00:03:16,720 --> 00:03:19,860 and persistent mentally ill clients in our community. 40 00:03:22,100 --> 00:03:24,820 We have clients that all different, you know, 41 00:03:24,900 --> 00:03:35,280 ages 18 to, oh, sorry, sorry, sorry, from, you know, 18 all the way up to elder, 42 00:03:35,280 --> 00:03:44,140 our elderly population, we, our clients are referred to us from long-term care agencies, 43 00:03:44,380 --> 00:03:50,640 such as, you know, like, inclusive, my choice. We get referrals from the hospitals, 44 00:04:06,860 --> 00:04:06,860 from 45 00:04:06,860 --> 00:04:15,300 a screen is done to determine eligibility within our program. And then once they're in our program, 46 00:04:15,880 --> 00:04:24,140 we, as a nurse, I do a lot of the medication management. I pick up their meds from the pharmacy. 47 00:04:24,960 --> 00:04:35,440 I educate them on the medications that they're on, set them up in planners, whether that be, you know, 48 00:04:35,440 --> 00:04:40,940 with on a daily basis via phone just to do like a mental health check in, make sure they took 49 00:04:40,940 --> 00:04:48,080 their medications and then a lot of collaboration with psychiatrists and you know medical providers 50 00:04:49,120 --> 00:04:55,280 to just kind of meet them where they're at and help with any of you know like a point in needs 51 00:04:55,280 --> 00:05:01,060 or just understanding of any of their medical diagnosis or psychiatric diagnosis. 52 00:05:04,700 --> 00:05:11,400 could I just ask before we move on what what is how do you screen and what's the criteria to always that where we're going next? 53 00:05:13,680 --> 00:05:20,500 Well, we so it's not really a screen-in or screen-out process. Once we receive a referral, 54 00:05:21,180 --> 00:05:25,880 we discuss it as a team. So Jamie is part of our team and then it's the three of us. 55 00:05:26,280 --> 00:05:30,980 And then Dr. Percy, who's a psychiatrist from Temple County Health Care Center. 56 00:05:30,980 --> 00:05:33,620 And then also, we have a clinical coordinator 57 00:05:33,620 --> 00:05:35,820 who was from Lutheran Social Services. 58 00:05:36,440 --> 00:05:40,840 So we kind of screen them and then the processes 59 00:05:40,840 --> 00:05:43,660 that they, the functional screen is completed. 60 00:05:44,200 --> 00:05:47,020 So that tells us if they're eligible or not. 61 00:05:47,300 --> 00:05:48,900 For CSP, you don't necessarily, 62 00:05:49,700 --> 00:05:52,740 the screen doesn't necessarily have to be done, 63 00:05:52,880 --> 00:05:55,880 but it's just more of something that's done 64 00:05:55,880 --> 00:05:59,360 throughout this state, just as best practice to verify 65 00:05:59,360 --> 00:06:00,940 that they're actually eligible. 66 00:06:02,980 --> 00:06:10,140 We meet with the clients several times also. It is a voluntary 67 00:06:10,140 --> 00:06:16,880 program in last area on a chapter 51 or a commitment. Then they can be court ordered to be 68 00:06:16,880 --> 00:06:23,020 in the program. So otherwise it's voluntary for them. 69 00:06:31,560 --> 00:06:33,660 Again, just because our social worker 70 00:06:33,660 --> 00:07:02,540 And she does a lot of appointments to and takes people to and from places and sometimes just clients want to get out of the house and they just need a ride. Maybe they don't have transportation and they're they're homebound and so she'll they all kind of do that but Jessica does a lot of the paperwork and the annual reviews six month reviews different things like that and goes over all that paperwork work with them. 71 00:07:04,550 --> 00:07:05,670 And then we have Ronda. 72 00:07:07,490 --> 00:07:09,670 I do a lot of the transportation, 73 00:07:10,190 --> 00:07:12,850 taking them to appointments or taking them shopping. 74 00:07:15,190 --> 00:07:17,830 Sometimes I go in appointments with them, 75 00:07:17,910 --> 00:07:19,810 and sometimes they just don't want you to. 76 00:07:21,310 --> 00:07:25,210 I do a lot of the gathering of paperwork for the reviews. 77 00:07:41,280 --> 00:07:42,200 So 78 00:07:45,460 --> 00:07:53,600 this program is just for those that are chronically have a chronic mental illness. 79 00:07:54,700 --> 00:07:57,820 So that's where your referrals come in. 80 00:07:57,820 --> 00:08:06,600 Yeah, okay. So is Dr. Pursing on contract then with the county to provide those services for a certain number of hours or just based on 81 00:08:08,520 --> 00:08:18,960 Yeah, we talked about that on the front end and we could we could do more, but we thought I think we have two out two two days a month for two hours each 82 00:08:18,960 --> 00:08:23,180 Correct, and I think it's like the second and fourth Friday days or something like that 83 00:08:24,120 --> 00:08:27,800 Where we the whole team meets basically four hours and right four hours 84 00:08:27,800 --> 00:08:32,800 them on right now. We said if we need to increase that we can, so this is a state reimbursed 85 00:08:32,800 --> 00:08:38,760 program to a certain extent, and then there's a portion of Levy in there, but yeah, for the 86 00:08:38,760 --> 00:08:43,920 most part, the vast majority of this service is state reimburs. How long has Dr. Percy been in 87 00:08:43,920 --> 00:08:50,880 that role? We just, he was doing it informally for us for a period of time, and it was, 88 00:08:50,880 --> 00:08:56,020 and obviously he has to prioritize, you know, and I think it was mostly because he was the psychiatrist 89 00:08:56,020 --> 00:09:02,880 for many of the folks that we serve. And so we thought, you know, it makes more sense. We can 90 00:09:02,880 --> 00:09:07,640 get reimbursement. The healthcare center can get money for his time then as well so that he's not 91 00:09:07,640 --> 00:09:13,500 having to do it in an informal basis. So, so we created the contract was it last year? 92 00:09:13,620 --> 00:09:19,220 I thought it was, was it last year or 23? Or late? No, it was. It might have been late 24. 93 00:09:19,220 --> 00:09:21,860 or maybe it was late 24 or 94 00:09:21,860 --> 00:09:22,660 five or never, right? 95 00:09:22,660 --> 00:09:26,900 Yeah, it hasn't been much over a year, I don't think so. 96 00:09:27,880 --> 00:09:29,140 But yeah, it hasn't been terribly long, 97 00:09:29,240 --> 00:09:31,160 but we thought, let's Jerry and I talked. 98 00:09:32,160 --> 00:09:33,960 And so let's make this a formal agreement. 99 00:09:34,440 --> 00:09:35,940 We can tweak the hours if we need to, 100 00:09:36,080 --> 00:09:38,940 but this seems to, I think our frequency and the amount of time 101 00:09:38,940 --> 00:09:40,120 seems to be working well. 102 00:09:40,420 --> 00:09:42,920 I was just gonna also say the clients 103 00:09:42,920 --> 00:09:46,000 that we have an RCSP program, 104 00:09:46,000 --> 00:09:53,300 they I think it's all but one see him as a psychiatrist so it's nice they see him at West 105 00:09:53,300 --> 00:09:59,180 Central behavioral health clinics so we don't have to you know like the four hours that we're using 106 00:09:59,180 --> 00:10:07,080 every month is for direct staffing with with all of us they go and see him at the clinic there and then 107 00:10:07,080 --> 00:10:11,860 if we have any issues it's nice that we can just you know usually you can just give him a call or 108 00:10:11,860 --> 00:10:16,360 can shoot him an email and if he's with a different county he can give me a call if we have 109 00:10:16,360 --> 00:10:21,340 a client in crisis and so yeah it's been really nice to be able to have that extra staffing 110 00:10:21,340 --> 00:10:25,960 with them and yeah I have a reason yeah yeah I was just curious because we had just talked about 111 00:10:25,960 --> 00:10:30,360 this actually on at the health center where we were like that depressing had had to 112 00:10:30,360 --> 00:10:35,860 spoke into us about all of the services that he provides including services to other counties so 113 00:10:35,860 --> 00:10:42,200 this I was I never asked them at the time like what kind of volume he was or time spent 114 00:10:42,200 --> 00:10:48,020 so I was just curious but then just one last question from my and what is volume capacity or 115 00:10:48,020 --> 00:10:53,900 client capacity for this group is there like a limit of number of people you can have and serve 116 00:10:54,300 --> 00:11:05,180 so for DHS 63 it's 20 20 people in the program we can have more but then we 117 00:11:05,860 --> 00:11:12,420 have to add more staff. And we do have one person that is trained to come on board. Let's say we 118 00:11:12,420 --> 00:11:18,080 had five or ten more people referrals came through when they were pretty significant. We could pull 119 00:11:18,080 --> 00:11:25,380 that cross-trained person to pick some of that up and to help with that. How does one graduate from the 120 00:11:25,380 --> 00:11:31,340 program. Do they ever? Like, I mean, what's the Evan flow of intake and output? 121 00:11:32,660 --> 00:11:40,760 Do you want me to talk about that? Okay. So in CSP at various, some folks choose to 122 00:11:40,760 --> 00:11:45,720 just leave the program. They feel that they don't need it anymore. They maybe they 123 00:11:45,720 --> 00:11:48,820 have other supports that can help them or they've gotten to the point where they 124 00:11:48,820 --> 00:11:55,160 can take their own meds. They can go to their own appointments. And some people are 125 00:11:55,160 --> 00:12:03,540 it forever. We like to try to teach them and get them as independent as they can because 126 00:12:03,540 --> 00:12:08,200 of course, you know, nobody really wants someone in a program forever because you want them 127 00:12:08,200 --> 00:12:14,460 to be able to live independently and do their own thing without anybody coming into their lives 128 00:12:14,460 --> 00:12:19,240 and knowing their business. But some people really depend on us and really like to have that 129 00:12:19,240 --> 00:12:21,320 because they don't have any other family. 130 00:12:21,980 --> 00:12:25,280 And again, a lot of that transportation issues 131 00:12:25,280 --> 00:12:27,980 to or being able to get to the grocery store 132 00:12:27,980 --> 00:12:29,980 and they like the company. 133 00:12:30,180 --> 00:12:32,360 There's a gentleman that we have in the program right now 134 00:12:33,620 --> 00:12:37,140 that he doesn't get out much, but he gets a ride. 135 00:12:37,400 --> 00:12:40,760 Just goes around just once a ride, once a week. 136 00:12:42,080 --> 00:12:43,860 And during that time, then the staff 137 00:12:43,860 --> 00:12:45,880 is assessing his mental health, 138 00:12:45,980 --> 00:12:47,920 assessing if there's any addiction issues, 139 00:12:47,920 --> 00:12:52,980 assessing if there is any maybe physical issues because this person does have physical 140 00:12:52,980 --> 00:12:59,120 issues or they able to walk or they struggling, have they fall in. So during that ride, 141 00:12:59,320 --> 00:13:04,240 they can kind of assess that stuff too. But yeah, they usually, it's either, they don't typically 142 00:13:04,240 --> 00:13:11,280 graduate, they either say, no, I don't need it anymore, or we kind of talk to them and be like, 143 00:13:11,280 --> 00:13:15,380 you know, you're doing really good. Is this something you would want to try on your own 144 00:13:15,380 --> 00:13:20,880 and still maybe keep in touch see how goals because you can always come back in and out into the program. 145 00:13:21,640 --> 00:13:27,420 I think that there's a contrast between that. So get folks with severe and persistent mental illness here. 146 00:13:27,420 --> 00:13:33,120 And then our CCS program is more of a recovery based program. So that's that's where not that we wouldn't 147 00:13:33,120 --> 00:13:39,460 try and build independent of both programs. But that's intended to be a shorter term program, you know. 148 00:13:40,500 --> 00:14:09,160 Do you, does your department or does the state do any quantification or statistics as to how your programs going and how many from maybe whether they're presented to you by the courts or some sort of other crisis do you put that data together or posted with the state? 149 00:14:09,460 --> 00:14:18,140 Well, I'll be honest, I just became supervisor for the program, so I'm kind of learning to and learning kind of all the ins and outs with the state. 150 00:14:18,600 --> 00:14:24,240 I do know that they have reviewers that come in every couple years and go through everything. 151 00:14:25,860 --> 00:14:36,180 It's one of the most extensive audits or whatever you call that I've seen and they go through everything. 152 00:14:36,180 --> 00:14:42,620 now I haven't found anything that necessarily is statistical so far in my role that doesn't 153 00:14:42,620 --> 00:14:47,600 mean it's not there. I'm just kind of learning, but I would think the state does keep track 154 00:14:47,600 --> 00:14:53,480 of some numbers of some type, and when I do find that, if that exists, I'd be more in happy to share 155 00:14:53,480 --> 00:14:59,980 about. I think on my end what I think it would be nice to see would 156 00:15:00,000 --> 00:15:29,980 It would be data that supports the success of the program, right? I'm sure it's successful. There's no doubt in my mind that it's successful. So there is likely already data that's collected on the state side to show the success of the program, or they probably wouldn't continue to partially fund it, right? But locally even knowing what those numbers are and the, I guess I would think like probably avoided mental health admissions would be something that you would probably want to track or that type of thing. 157 00:15:30,000 --> 00:15:34,880 Um, but I get where you're coming from that you're new to it and still trying to figure it out. 158 00:15:35,520 --> 00:15:40,320 So yeah, we we do also send out surveys to the clients. 159 00:15:40,840 --> 00:15:45,480 Um, that's annually, I think, when did we do that and we do it in October? 160 00:15:46,600 --> 00:15:47,780 I'm going to say it in the water. 161 00:15:49,300 --> 00:15:50,500 Yeah, do in our July. 162 00:15:50,820 --> 00:15:52,760 Oh, okay, yeah, do in our July. 163 00:15:52,920 --> 00:15:55,920 Not October, but we send those out to the clients. 164 00:15:55,920 --> 00:16:15,260 So of course we can't guarantee that we're going to get any back, you know, just with the population that we're working with, sometimes that can be difficult. But we have gotten a few back in the recent years with some feedback regarding, you know, us as workers and the program in general. 165 00:16:17,960 --> 00:16:36,180 And I will say if I can share just, I think it's a great big success story that I've seen so far in this person was on a commitment for a little bit very short time, but the hospitals and ambulances and law enforcement, 166 00:16:36,180 --> 00:16:41,960 everybody you were calling us constantly about this person who keeps going into the hospital. 167 00:16:42,240 --> 00:16:47,720 And I mean, it would be a couple of times a week. And they have that right. You know, they can go 168 00:16:47,720 --> 00:16:54,860 in the hospital as many times as they want. The person didn't want services. Just felt this place was safe. 169 00:16:55,600 --> 00:17:01,600 Could take a little break from the family. Since that person has been and then I've been going on 170 00:17:01,600 --> 00:17:10,000 quite some time years. And since they have come into our program here, boy, I would say 171 00:17:11,720 --> 00:17:16,320 it could hospitalizations if I had to put a number out there by like 95 percent. 172 00:17:17,840 --> 00:17:25,400 It's huge. What these folks have done with this person and the family, not only just that person 173 00:17:25,400 --> 00:17:30,960 who still struggles and they still have to work with them and try to keep them out of the hospital, 174 00:17:32,940 --> 00:17:45,600 I, they had asked me to sit down at a meeting recently with the family because the person was coming out of a facility and I was able to watch them work with the significant other. 175 00:17:46,140 --> 00:18:00,880 The sun was there and the sun is younger, but no is enough about what's going on and the sun was there and the support and the plan that everybody put into place, but when I first had the person on a commitment I couldn't keep the person out of the hospital. 176 00:18:00,880 --> 00:18:09,040 Usually, I'm the person that would put people in the hospital if they weren't doing well, but I was trying to get the person out in this is the team 177 00:18:09,040 --> 00:18:13,380 The program that was able to do that and it was a huge change. 178 00:18:13,700 --> 00:18:16,840 It took a little bit and working with male hospital, 179 00:18:16,840 --> 00:18:20,880 Gundersen because the person kind of floated around a bit too 180 00:18:20,880 --> 00:18:29,180 And not only does the person have a severe and persistent mental illness, they also have an intellectual disability on top of that. 181 00:18:29,180 --> 00:18:36,660 So, that made it even harder, but this program did really well with that person and others, 182 00:18:36,700 --> 00:18:42,480 but that's the one that just really sticks out to me because I can confidently say it has 183 00:18:42,480 --> 00:18:48,100 me like 95% improvement with this person. 184 00:18:49,300 --> 00:18:55,020 So, and actually calling in wanting to go places, wanting to go to Walmart, wanting to go, 185 00:18:55,020 --> 00:19:02,420 grocery shopping or not isolating because that's what the person would do. 186 00:19:07,700 --> 00:19:09,480 Any other questions? 187 00:19:14,110 --> 00:19:15,150 Yeah, thank you. 188 00:19:15,170 --> 00:19:15,670 Thank you. 189 00:19:15,850 --> 00:19:17,150 Much success to your program. 190 00:19:19,750 --> 00:19:20,350 All right. 191 00:19:21,270 --> 00:19:22,690 We will move on. 192 00:19:23,290 --> 00:19:25,790 Public health and DHS 140 review. 193 00:19:27,690 --> 00:19:30,750 I do not have a whole 10 minutes to talk about it. 194 00:19:32,670 --> 00:19:34,470 I just made sure I gave you plenty of time. 195 00:19:34,470 --> 00:19:35,630 That's all. 196 00:19:41,200 --> 00:19:47,700 Yeah, so Public Health Unit, we have successfully completed the DHS State 140 review. 197 00:19:48,980 --> 00:19:52,160 And the review was August the 12th. 198 00:19:52,580 --> 00:19:55,920 Renee and Jay has stayed the whole time there. 199 00:19:56,120 --> 00:19:58,520 Which is really grateful for that support. 200 00:19:58,760 --> 00:19:59,580 Yeah, thank you Renee. 201 00:20:00,420 --> 00:20:01,760 Thank you for being there. 202 00:20:01,880 --> 00:20:02,920 It was a honor to be there. 203 00:20:03,620 --> 00:20:04,240 Yeah. 204 00:20:05,000 --> 00:20:05,920 That I was there. 205 00:20:13,030 --> 00:20:14,170 Sorry Scott. 206 00:20:14,830 --> 00:20:24,270 And in times I leave you all, I really enjoyed being there. I was grateful for having been invited and I learned a lot. 207 00:20:24,390 --> 00:20:33,350 It was a whole three-hour long, so it was good though. I think it was really an opportunity for us to see where we still, 208 00:20:33,770 --> 00:20:38,270 where our highlights we tell the state about it and also where we still have gaps and we can improve on. 209 00:20:38,270 --> 00:20:44,070 So, everyone who participated in our staff, they did really great also talking about their 210 00:20:44,070 --> 00:20:45,530 position and programs. 211 00:20:46,090 --> 00:20:52,150 And the state has confirmed that we will be re-certified as a level 2 health department. 212 00:20:52,990 --> 00:20:56,230 They're still writing the official report and then it has to go to the state health 213 00:20:56,230 --> 00:20:57,530 officer for signatures. 214 00:20:57,750 --> 00:21:01,050 So, we may get that hopefully by the next board meeting, I could share the report with 215 00:21:01,050 --> 00:21:01,550 the board. 216 00:21:04,070 --> 00:21:05,450 Great job, you guys. 217 00:21:05,450 --> 00:21:07,450 Hi, and her team have done excellent. 218 00:21:09,270 --> 00:21:09,530 Yeah. 219 00:21:09,530 --> 00:21:10,310 Congratulations, everyone. 220 00:21:11,050 --> 00:21:11,830 Thank you. 221 00:21:12,510 --> 00:21:14,210 You know, if I could comment on it all, 222 00:21:14,370 --> 00:21:17,190 everyone was so at ease, 223 00:21:17,390 --> 00:21:19,990 then eager to talk about their program. 224 00:21:20,310 --> 00:21:25,070 It was very, very, very great. 225 00:21:26,210 --> 00:21:28,150 Well, I'm glad we looked like that because we were all patting. 226 00:21:29,690 --> 00:21:30,330 No. 227 00:21:31,030 --> 00:21:33,150 And you worked interactively. 228 00:21:33,150 --> 00:21:40,850 you shared and I think you weren't cooperatively was great. Thank you. Yeah, I think it depends 229 00:21:40,850 --> 00:21:49,750 through what type of state inspector you get and some of them it's if you even crack a smile. 230 00:21:50,110 --> 00:21:53,910 Nope, there's another tick. So good job, though, you guys. 231 00:21:58,470 --> 00:22:00,150 Were there any recommendations for improvement? 232 00:22:01,050 --> 00:22:06,130 I haven't really seen the report, but I do believe when we talked about quality improvement. 233 00:22:06,130 --> 00:22:20,090 There was a bit of, they were saying, hey, this is a difficult area for a lot of health departments because, you know, we have such high turnover, a lot of times we're spending time changing, training new staff is looking at programs and trying to improve the quality. 234 00:22:20,870 --> 00:22:25,530 So I think that's some, I think we may see some writings in that and I think that's pretty common. 235 00:22:26,950 --> 00:22:29,970 And yeah, hopefully we've been here long term, we'll get some... 236 00:22:33,400 --> 00:22:43,440 That's a recommendation that's probably provided to every health unit out there for quality improvement and those types of things, but that's a great goal to have and to work on. 237 00:22:44,600 --> 00:22:46,460 And you're going to be here for 20 more years, right? 238 00:22:46,500 --> 00:22:47,020 At least. 239 00:22:47,180 --> 00:22:47,680 Okay, good. 240 00:22:52,380 --> 00:22:54,180 Anything else for Kai? 241 00:22:55,560 --> 00:22:56,640 All right. Thank you, Kai. 242 00:23:10,740 --> 00:23:13,200 I don't know if you need it closer to your mic. 243 00:23:15,990 --> 00:23:17,970 I have that problem every which was that better? 244 00:23:18,170 --> 00:23:18,450 Yeah. 245 00:23:19,890 --> 00:23:20,270 Okay. 246 00:23:21,070 --> 00:23:23,050 I had a bad plan around in my bedroom. 247 00:23:23,850 --> 00:23:24,870 And when that happens, 248 00:23:25,610 --> 00:23:30,550 now the recommendation is that if you don't touch the beds 249 00:23:30,550 --> 00:23:34,550 And you don't know whether you are meeting or not, 250 00:23:34,770 --> 00:23:37,930 you go through the procedure with the seven shots. 251 00:23:38,830 --> 00:23:42,070 And I started with Diane, she gave me lots of good information, 252 00:23:43,110 --> 00:23:46,670 ended up going to go to Mayo ER in the cross 253 00:23:46,670 --> 00:23:49,990 for the first four shots, and then there are three more. 254 00:23:50,070 --> 00:23:55,090 The others, I'm in first two, and then the last one, I'm fighting. 255 00:23:55,890 --> 00:24:00,530 So I just thank Kyle for sending me in the right direction. 256 00:24:02,210 --> 00:24:09,430 didn't know when I called the nursery, I just meant they don't have the first four shots 257 00:24:09,430 --> 00:24:17,270 at the clinic. So you have to do ER from that. And the nurse that provided the shots to me said 258 00:24:17,270 --> 00:24:23,430 that she thought there was some sort of a mating of the mass or something, but she had a family 259 00:24:23,430 --> 00:24:29,250 of five that came in and had to get shots and several other people. So it was kind of a run on 260 00:24:29,250 --> 00:24:31,450 and shots during the last few weeks. 261 00:24:32,450 --> 00:24:35,090 So, thank you, Confer, help it me out. 262 00:24:37,880 --> 00:24:38,680 Very good. 263 00:24:39,240 --> 00:24:42,160 Thank you, Scott, for letting me know what end of happening 264 00:24:42,900 --> 00:24:44,680 because we didn't have the bad. 265 00:24:44,780 --> 00:24:46,360 We didn't have a specimen to ship. 266 00:24:46,560 --> 00:24:48,160 And then I was like, 267 00:24:48,260 --> 00:24:50,340 well, there's not a visible bite. 268 00:24:50,680 --> 00:24:52,320 Either, so I'd just recommend it, Scott, 269 00:24:52,500 --> 00:24:54,460 would go talk to his doctor. 270 00:24:55,400 --> 00:24:55,400 So, 271 00:25:00,310 --> 00:25:00,570 great. 272 00:25:00,690 --> 00:25:01,810 All right, thank you, Kay. 273 00:25:01,810 --> 00:25:08,430 I said one more thing I did forgot about, this guy mentioned that didn't have the bat. 274 00:25:08,990 --> 00:25:15,170 If you can catch the bat, put it in a coffee can and get it to, I don't know, I don't 275 00:25:15,170 --> 00:25:19,790 think our humans are saying here does it, but they said the humans are saying it across 276 00:25:19,790 --> 00:25:25,490 county, and then they said it to Madison, and they checked that they would use the nice 277 00:25:25,490 --> 00:25:31,090 it, said it to Madison, and if I had gotten the bat, I probably wouldn't be taking the 278 00:25:31,090 --> 00:25:33,910 unless it comes back that we've had babies. 279 00:25:34,850 --> 00:25:36,210 So, now I'll be quiet. 280 00:25:37,530 --> 00:25:40,190 No, thank you, Scott, for sharing that. 281 00:25:42,540 --> 00:25:44,380 All right, any other questions for Kai? 282 00:25:46,930 --> 00:25:48,670 All right, thank you. 283 00:25:49,250 --> 00:25:54,230 We will move on to the update of the Tremple County case. 284 00:25:54,890 --> 00:26:01,150 Yes, so I was asked to provide an update on Tremple County case 25 CV-191. 285 00:26:01,150 --> 00:26:08,130 Victoria Purison versus Trimble Oak County, back on June 17, the court did find for the 286 00:26:08,130 --> 00:26:12,670 county through what's called the summary judgment motion. So at this point, basically, 287 00:26:12,870 --> 00:26:19,410 the case is done. We are not concerned about an appeal at this point, so everything should be closed. 288 00:26:21,830 --> 00:26:24,670 Good. Good outcome. Thank you. Thank you. 289 00:26:28,680 --> 00:26:31,920 All right. There isn't anything else you have that 290 00:26:31,920 --> 00:26:40,140 you tell us about the case because we're not in closed session. I'm assuming that I want to keep it kept in place. 291 00:26:40,640 --> 00:26:43,920 Yeah, yep. Okay. Thank you. 292 00:26:45,100 --> 00:26:49,220 All right. Next up we have Jay for the his director's report. 293 00:26:52,470 --> 00:26:53,390 All right. 294 00:26:54,490 --> 00:26:58,030 So we've got a few new folks, few new hiders. 295 00:26:58,730 --> 00:27:05,370 One is Jaden Sucle, she's our new program aid, and we actually have this time able to hire her 296 00:27:05,370 --> 00:27:10,870 with some overlap before Peggy retired. So Peggy could kind of show her some things and some 297 00:27:10,870 --> 00:27:16,470 other folks could as well before Peggy's last day. Peggy's last day was this last Friday and we had a nice 298 00:27:16,470 --> 00:27:21,830 outgoing way of party for her. So that was like I say I always say that's the only time I want to see 299 00:27:21,830 --> 00:27:23,610 somebody of our department is when they get to retire. 300 00:27:25,490 --> 00:27:33,270 And then we also had Kristen Fry, she was our records custodian before and she applied 301 00:27:33,270 --> 00:27:38,210 to become, when Tina was promoted to the fiscal manager, Kristen applied for the provider 302 00:27:38,210 --> 00:27:42,730 network developer in contracting specialist position, so she went from records custodian 303 00:27:42,730 --> 00:27:48,210 to that position, so position change internally, but she's technically newly hired into that 304 00:27:48,210 --> 00:27:53,950 position. So then conversely, that creates a vacancy with the records 305 00:27:53,950 --> 00:27:58,550 custodian position, which we are either in the process of posting or 306 00:27:58,550 --> 00:28:02,850 actually I think we already did post and we've got some applicants. We just 307 00:28:02,850 --> 00:28:08,950 were proceeding through the hiring process for that. We still have two ongoing 308 00:28:08,950 --> 00:28:15,370 social worker case worker positions in child welfare and that's a unit that 309 00:28:15,370 --> 00:28:22,730 struggled since before I got here to stay fully staffed. It's just the nature of the 310 00:28:22,730 --> 00:28:26,310 and the intensity of the work is really challenging sometimes so. 311 00:28:26,490 --> 00:28:31,510 How do curiosity do you partner with any of the area universities or text schools to like 312 00:28:31,510 --> 00:28:36,490 do internships or anything to try to get people in? Yeah and that's one of the ways we've actually 313 00:28:36,490 --> 00:28:43,390 gotten I bet like at least three or four of our staff. Unfortunately some of them 314 00:28:43,390 --> 00:28:49,450 If we could get them to stay past a year, but it's always circumstances, you know, so it's, 315 00:28:49,450 --> 00:28:55,090 oh, I'm going back for my masters or I'm moving to a different, you know, county, or something like that. 316 00:28:55,310 --> 00:29:03,810 And so, or sometimes it is the way, you know, and I mean, that's just kind of the being between two larger counties like lacrosse and 317 00:29:03,810 --> 00:29:07,370 player and even some further west. 318 00:29:07,530 --> 00:29:08,610 I mean, it's kind of challenging. 319 00:29:08,770 --> 00:29:10,810 But yeah, we have had some a number of interns 320 00:29:10,810 --> 00:29:15,450 from both Winona State and UWO Clare and actually 321 00:29:15,450 --> 00:29:18,230 one of the professors at UWO Clare. 322 00:29:18,370 --> 00:29:19,930 We had contracted with her for a little while 323 00:29:19,930 --> 00:29:22,330 to help us get caught up on some reports internally. 324 00:29:23,090 --> 00:29:25,390 She used to work in the field, and she was a supervisor 325 00:29:25,390 --> 00:29:26,590 and child welfare as well. 326 00:29:27,770 --> 00:29:31,550 So she has helped us at times, too, as an advocate, 327 00:29:32,350 --> 00:29:37,150 And as her students give her some feedback on, you know, hey, what's it like to work for 328 00:29:37,150 --> 00:29:37,710 Trump, lo County? 329 00:29:38,150 --> 00:29:47,770 That's been a good pipeline, a pipeline is a little interesting word, but to help us get staff hired 330 00:29:47,770 --> 00:29:54,930 in those positions, so yeah, we're talking about different methods for retention and things 331 00:29:54,930 --> 00:29:55,490 like that. 332 00:29:56,190 --> 00:29:59,970 It's always challenging, I think, you have some units that are always... 333 00:30:00,000 --> 00:30:07,800 Police staffed and some, especially with the more intense services like child protection, that it's more challenging. 334 00:30:08,060 --> 00:30:16,660 And I think it's still holds true. I know I've heard the staff a few years ago where the average tenure of a child welfare worker in the state of Wisconsin is two years. 335 00:30:17,540 --> 00:30:18,180 So. 336 00:30:19,260 --> 00:30:19,940 May I ask? 337 00:30:20,380 --> 00:30:20,460 Yeah. 338 00:30:20,460 --> 00:30:22,060 Do they sometimes rotate? 339 00:30:22,340 --> 00:30:24,700 Based on such matter then? 340 00:30:25,180 --> 00:30:26,480 Like, for instance. 341 00:30:29,680 --> 00:30:31,080 I was trying to address my team. 342 00:30:33,160 --> 00:30:43,000 Is it difficult for a department to then change what's the right word? 343 00:30:43,660 --> 00:30:44,740 Specialties, focuses. 344 00:30:44,740 --> 00:30:47,080 It's, oh, sure I see what you're saying. 345 00:30:47,120 --> 00:30:54,360 Like, do we see chips, sexual assault, do they sometimes rotate them around, or not? 346 00:30:54,560 --> 00:30:56,740 I'm just wondering, I don't even know what to say when it's only two years. 347 00:30:56,920 --> 00:31:03,280 So, right, I know, so it's, it's, I think we've tried different models. 348 00:31:03,880 --> 00:31:10,060 And some counties will say, they'll split them apart and actually we do this as well. 349 00:31:10,280 --> 00:31:13,840 So we've got investigators, which they're called our initial assessment workers. 350 00:31:13,840 --> 00:31:19,380 So when a report comes in, then they're the ones who will screen it. 351 00:31:20,040 --> 00:31:23,320 And the worker who takes the access worker who takes the report, 352 00:31:23,560 --> 00:31:29,540 screens it, then talks with the supervisor and then the whole team kind of consults on whether 353 00:31:29,540 --> 00:31:31,260 it's going to be a screen in or out. 354 00:31:31,540 --> 00:31:35,900 If it's a screen in, what level of intensity and what level of response time. 355 00:31:37,120 --> 00:31:40,980 So that's, and then they go out and they investigate the initial assessment workers. 356 00:31:42,380 --> 00:31:44,920 So they kind of think of them as like the detectives or whatever. 357 00:31:45,100 --> 00:31:48,540 I mean, they really are very similar to when law enforcement does investigations. 358 00:31:49,120 --> 00:31:52,580 And in fact, they are together a lot of times. 359 00:31:52,800 --> 00:31:59,020 They'll take long enforcement with them, especially if it's some kind of a situation where they don't know what kind of environment they're going into or anything like that. 360 00:31:59,700 --> 00:32:00,880 So that's the initial assessment. 361 00:32:01,280 --> 00:32:03,260 Then we have what we call the ongoing workers. 362 00:32:03,940 --> 00:32:06,680 And they're the ones who once the initial assessment is done, 363 00:32:06,680 --> 00:32:09,620 and this these folks are gonna stay with us, 364 00:32:09,740 --> 00:32:12,860 we've opened the case, then they take on the longer term case 365 00:32:12,860 --> 00:32:16,040 man, and by longer term it, it's not intended to be forever, 366 00:32:16,300 --> 00:32:19,140 it's just, that's the longer piece of, 367 00:32:19,300 --> 00:32:20,960 if children are removed, you know, 368 00:32:21,080 --> 00:32:24,440 how do they, is, is reunification of the family possible, 369 00:32:25,700 --> 00:32:28,440 or does, do other things need to happen before that could happen? 370 00:32:28,520 --> 00:32:30,600 Because that, that would be the ideal situation 371 00:32:30,600 --> 00:32:32,560 in any scenario where children are moved, 372 00:32:32,700 --> 00:32:34,480 or where we take temporary physical custody. 373 00:32:34,480 --> 00:32:39,080 So, but so we've got them separated that way as opposed. 374 00:32:39,140 --> 00:32:46,300 Some counties will do, you take the referral right from the beginning and you work that case all the way through. 375 00:32:46,820 --> 00:32:52,940 I will be wondering if the two is there any data that shows that turnover is better in one way or another? 376 00:32:53,980 --> 00:32:59,840 Not that I've seen, but typically we've been more, it's been more difficult to find initial assessment workers. 377 00:32:59,840 --> 00:33:05,000 Well, and I think I can see how the non-E-Pace actually because of the intensity. 378 00:33:05,160 --> 00:33:09,160 But now we're fully staffed in initial assessment and then we have two ongoing openings. 379 00:33:09,520 --> 00:33:15,400 So sure. Yeah. So it just sometimes it's like circumstances, but I mean, you know, 380 00:33:15,440 --> 00:33:17,280 there's all the different factors that play into that. 381 00:33:17,480 --> 00:33:22,940 But yeah, we're talking about different methods for attracting and retaining folks. 382 00:33:23,880 --> 00:33:26,000 Because I think we've done a lot of work. 383 00:33:26,000 --> 00:33:28,540 I mean, a lot of work on our environment 384 00:33:28,540 --> 00:33:31,300 and recognizing folks and that kind of thing. 385 00:33:32,280 --> 00:33:34,340 It's just, we're trying to figure out 386 00:33:34,340 --> 00:33:36,160 what are the main reasons that people are leaving 387 00:33:36,160 --> 00:33:38,560 and we're typically getting younger staff 388 00:33:38,560 --> 00:33:40,440 and so they're at the beginning of their career 389 00:33:41,940 --> 00:33:43,920 and many of them that have decided, 390 00:33:44,160 --> 00:33:45,480 I'm gonna go back for my master's now. 391 00:33:45,520 --> 00:33:46,280 I've got some experience, 392 00:33:46,400 --> 00:33:47,660 I'm gonna go back for my master's 393 00:33:47,660 --> 00:33:49,960 and then, or they're gonna go, you know, 394 00:33:50,400 --> 00:33:52,540 I've got some people, I'm gonna get my master's 395 00:33:52,540 --> 00:33:55,540 but not in social work, but in counseling. 396 00:33:55,540 --> 00:34:02,620 or something like that. So it's just, we've done a lot of digging and trying to figure out 397 00:34:02,620 --> 00:34:08,640 how can we do things differently? And we've tried to reach out to the internship sites as well, 398 00:34:08,720 --> 00:34:13,860 you know, the universities and the folks we know there and kind of pick their brains a little 399 00:34:13,860 --> 00:34:18,720 bit too. So if you have any ideas, we're willing to try a lot of different things. 400 00:34:19,000 --> 00:34:22,640 When I trust that you guys are probably looking at all of that, but I just feel like that's something 401 00:34:22,640 --> 00:34:26,580 that this group, you know, that's our purpose, right, brainstorm, right? Yeah, absolutely. 402 00:34:27,380 --> 00:34:35,380 But, you know, so like. So if you have ideas, yeah, for a moment. Well, I mean, I don't know 403 00:34:35,380 --> 00:34:39,580 that I have ideas, but I just replace this to look maybe or so you know what I mean? 404 00:34:39,860 --> 00:34:45,720 Would it help with satisfaction to have somebody who's able to partner with them anytime 405 00:34:45,720 --> 00:34:50,240 they go into a home? Like, I know I would feel really uncomfortable and it's one of the reasons why 406 00:34:50,240 --> 00:34:55,760 home health is difficult to staff because the environment can be very hostile and dangerous and 407 00:34:55,760 --> 00:35:00,320 all of those things so I can see where that could be very draining on a person and you 408 00:35:00,320 --> 00:35:05,140 know that so and I know a lot of times I take law enforcement but I would imagine they feel guilty 409 00:35:05,140 --> 00:35:10,320 and using somebody to go with them in these cases when they don't know like I can see that that 410 00:35:10,320 --> 00:35:15,940 would also be oh I shouldn't need to have to ask them for help but I don't know like so then 411 00:35:15,940 --> 00:35:22,340 think to myself is there's some sort of a technician position. I don't know what it would be. Security type 412 00:35:23,300 --> 00:35:30,200 position that would somehow be able to go on these cases. And I don't know what that would look like 413 00:35:30,200 --> 00:35:35,040 because I know there's multiple social workers out in the field at any given time. And so how would 414 00:35:35,040 --> 00:35:41,480 you do that? I don't pretend to know. No, it's a good thought. It's a good thought. And so there's 415 00:35:41,480 --> 00:35:48,680 different steps along the way because the hiring process is the very, very, very, very beginning. 416 00:35:49,480 --> 00:35:54,900 But once you get in, so there's in both of those types of positions, there's six months of 417 00:35:54,900 --> 00:35:59,700 training through the state that has to happen before they can even have more than half a case load, 418 00:36:01,080 --> 00:36:05,840 but in, and I, we've tried to get better with our onboarding processes to in a sign them like, 419 00:36:06,360 --> 00:36:10,260 I don't know if it's a formalized mentor or not, because we've got a lot of different 420 00:36:10,260 --> 00:36:15,340 experiences that they should see. And so we do send them out with different folks, 421 00:36:15,500 --> 00:36:19,440 you know, into the field and that kind of thing. And then somebody else will go with them as well. 422 00:36:21,060 --> 00:36:27,300 Law enforcement has been very good and very welcoming about saying, hey, if you don't know, 423 00:36:27,560 --> 00:36:33,460 or if you feel unsafe, or if there's a history that the department knows about, you know, 424 00:36:33,860 --> 00:36:39,400 don't be afraid to reach out and ask us to go with, you know, which is very much appreciated. 425 00:36:40,520 --> 00:36:44,260 So but we're trying to get better about like on that front and the onboarding process. 426 00:36:44,440 --> 00:36:50,940 What are, are there any gaps? Are we missing something? Do people, is that where the comfort level starts to come in or not? 427 00:36:53,000 --> 00:37:00,620 And then, um, another fun, I just, it just blew the coop, but, um, oh, we also have, well, what, 428 00:37:01,160 --> 00:37:05,720 what I just call a new staff with with Jay and Trisha, um, sounds like a variety show. 429 00:37:09,000 --> 00:37:11,900 But it could be, I suppose, 430 00:37:13,960 --> 00:37:20,700 but so we have anybody who's brand new and we don't make the supervisors come and sit with us or anything like that. 431 00:37:20,780 --> 00:37:29,480 But we want people to, well, A, we want them to meet us and say to put a face with the name, know that we can, anybody can come to us at any time. 432 00:37:32,680 --> 00:37:59,760 We want people to be able to talk to us, but also we want them to tell us, and we've got a list of questions in a script, and we go over your chart and hey, here's where you fit in, talk to tell us where you come from, tell us what your experience is, and now tell us, because people at that time have been here anywhere from a few days to a few months, and because we only have it every other month, and then they can tell us from wherever they are in the process. 433 00:38:00,560 --> 00:38:06,040 What did you like? What do you wish you had known? What would you recommend for us to do in the future? 434 00:38:06,540 --> 00:38:11,400 So we've got some basic questions like that where we get feedback and maybe it's too early on in the process. 435 00:38:11,600 --> 00:38:15,260 I don't know but like we're trying to figure out where is the sweet spot. 436 00:38:15,320 --> 00:38:18,220 And some people they can't make the first one that they are here for. 437 00:38:18,500 --> 00:38:20,660 And so they are here for three or four months or something like that. 438 00:38:21,920 --> 00:38:26,380 So we try to we're trying to mix it up and see you know what feedback we can get from people too. 439 00:38:26,380 --> 00:38:42,420 So, so I welcome anything, yeah, it's got Jay, do you have a training person then that goes out with the person the first time they get a call or do you have anybody who was cis so that they can ask questions and say how did you do it? 440 00:38:43,160 --> 00:38:49,440 You know, did we do it correctly, right? Is this a common occurrence? You know, just questions like that. 441 00:38:49,660 --> 00:38:55,660 Yeah, we do. We don't want to, we don't want to throw anybody into the fire and so I think we do it multiple times. 442 00:38:55,660 --> 00:39:04,320 And they might even, and I haven't gone up with them, so I don't know exactly how that 443 00:39:04,320 --> 00:39:12,020 flow goes, but I know we've talked about having them go out, and the seasoned person will 444 00:39:12,020 --> 00:39:12,620 do it first. 445 00:39:13,100 --> 00:39:16,700 And you just shadow, and you shadow a couple of times, shadow different scenarios and that 446 00:39:16,700 --> 00:39:17,540 kind of thing. 447 00:39:18,820 --> 00:39:24,760 And then once that person is ready, and knows they've gone through their safety training, 448 00:39:24,760 --> 00:39:29,320 And if go on through a lot of that stuff, even if the six months isn't complete with their training cohort, 449 00:39:31,040 --> 00:39:32,760 then they can take it on. 450 00:39:32,780 --> 00:39:38,280 And then this person can kind of supplement if they're asked different questions or redirect the conversation a little bit. 451 00:39:39,380 --> 00:39:41,900 Then I think that probably happens a couple times as well. 452 00:39:42,700 --> 00:39:43,580 But those are the pieces. 453 00:39:43,580 --> 00:39:47,240 Those are exactly the pieces where I thought, is there anything we can strengthen there? 454 00:39:47,500 --> 00:39:52,640 Or can we change up that cadence a little bit or lengthen it a little bit? 455 00:39:52,640 --> 00:39:59,680 So we're asking a lot of different questions, so I appreciate that the thought because we're really trying to rack our brains. 456 00:40:00,560 --> 00:40:06,880 And so the other, as you have all that turnover, what I've talked with with not just child welfare, 457 00:40:07,140 --> 00:40:19,540 but like all the units is, how do we get people in and acclimated more quickly so that so that they can be productive and not that we're going to throw them out to the wolves? 458 00:40:20,020 --> 00:40:22,200 But how can we get them up and running faster? 459 00:40:23,000 --> 00:40:25,120 So that they know to ask better questions. 460 00:40:25,620 --> 00:40:28,660 They know to feel comfortable to ask for help, 461 00:40:28,980 --> 00:40:30,640 or to ask for law enforcement to go with, 462 00:40:31,400 --> 00:40:33,180 or that kind of thing too, or so. 463 00:40:33,340 --> 00:40:34,400 And I think that's key. 464 00:40:34,480 --> 00:40:36,320 I think that they have to feel comfortable. 465 00:40:36,380 --> 00:40:37,400 They don't feel comfortable. 466 00:40:37,840 --> 00:40:38,720 They're not going to stay. 467 00:40:39,580 --> 00:40:42,820 I mean, that to me is what I've seen throughout the years 468 00:40:42,820 --> 00:40:45,100 is if they aren't comfortable with the position, 469 00:40:45,300 --> 00:40:48,180 or they aren't comfortable with how the job works, 470 00:40:48,180 --> 00:40:50,180 They are not going to stay, right? 471 00:40:50,440 --> 00:40:50,640 Right. 472 00:40:50,820 --> 00:40:57,280 I just think a couple of things come to mind is when would you ever feel safe going out to a resident in that scenario? 473 00:40:57,280 --> 00:41:00,200 I don't know that I ever would because it's true. 474 00:41:01,680 --> 00:41:04,100 That's bottom of the barrel situation, right? 475 00:41:04,440 --> 00:41:05,300 Like things are not good. 476 00:41:05,460 --> 00:41:06,740 It's emotionally charged, right? 477 00:41:07,040 --> 00:41:15,400 So I just always feel like that's never going to be a scenario that I feel like I would feel completely safe going into without somebody else, you know, being with me. 478 00:41:15,460 --> 00:41:15,640 Right. 479 00:41:15,640 --> 00:41:19,000 number one. Maybe until you know the family a little bit better too, right? Yes, but 480 00:41:19,000 --> 00:41:23,500 initial, right, when you go all of the times or something, I think that that's, um, 481 00:41:24,120 --> 00:41:29,700 the, I just, yeah. And then my, I just, one other question, I've heard you say multiple 482 00:41:29,700 --> 00:41:34,120 times that staff leave to go back for their masters. Why can't they get their masters and 483 00:41:34,120 --> 00:41:42,280 stay? They could. Is what I'm getting. Yeah, I'm sorry for laughing. I know. But is there, 484 00:41:42,280 --> 00:41:45,800 But what I'm saying is, is there any professions do that? 485 00:41:46,460 --> 00:41:50,360 Is there reimbursement associated with obtaining your masters? 486 00:41:50,520 --> 00:41:51,360 Do we honor that? 487 00:41:51,620 --> 00:41:54,780 What is the reason they have to leave once they've obtained a masters? 488 00:41:55,620 --> 00:41:58,080 Yeah, we've actually, we've had one or two people say, 489 00:41:58,120 --> 00:42:02,480 you know, what I think I'm going to work because we don't have any reimbursement through our department. 490 00:42:02,540 --> 00:42:05,380 I mean, we've never done anything like that. 491 00:42:05,640 --> 00:42:06,000 Could we? 492 00:42:07,200 --> 00:42:10,520 I mean, you would retain knowledge and excellence. 493 00:42:10,520 --> 00:42:13,320 and it might be worth thinking about. 494 00:42:13,600 --> 00:42:19,960 Right, and that's, and we've talked about that internally, and I mean, we, if, if, if they're 495 00:42:19,960 --> 00:42:22,960 support for that, I mean, I'd love to see something like that. 496 00:42:23,040 --> 00:42:26,320 Wow, I mean, who wants to do more money, but, but you're spending more money by having 497 00:42:26,320 --> 00:42:28,280 continual turnover than you probably will be. 498 00:42:28,280 --> 00:42:28,720 I know. 499 00:42:28,900 --> 00:42:29,260 Turn over. 500 00:42:29,520 --> 00:42:29,980 I know. 501 00:42:29,980 --> 00:42:30,040 Turn over. 502 00:42:30,040 --> 00:42:36,540 If you utilize universities or where they're going to get their masters to partner 503 00:42:36,540 --> 00:42:38,900 with them to share and trust. 504 00:42:39,680 --> 00:42:44,300 Why we're giving them training and they're getting their degree. 505 00:42:45,200 --> 00:42:48,280 And so the university has a super grad, right? 506 00:42:48,500 --> 00:42:48,640 Right. 507 00:42:48,820 --> 00:42:52,360 Or could we say you can go down to a half-time position 508 00:42:52,360 --> 00:42:54,720 while you're working half-time on your reimbursement. 509 00:42:54,960 --> 00:42:55,380 We'll pay you. 510 00:42:55,620 --> 00:42:59,740 Like there's a number of credits you can still 511 00:42:59,740 --> 00:43:01,700 have health insurance, things like that. 512 00:43:02,960 --> 00:43:04,100 That might be worth it. 513 00:43:04,140 --> 00:43:05,560 The other thing I was going to say is, 514 00:43:05,560 --> 00:43:15,500 know that there's, there is so much more burnout with child welfare than with adult cases 515 00:43:15,500 --> 00:43:24,580 because it is so much more emotionally charged. So do you provide just regular intervals 516 00:43:24,580 --> 00:43:29,670 at which you do debriefings? How is that handled? Because I would think that if somebody's 517 00:43:29,670 --> 00:43:37,250 And that, and more often than not, most employees are going to request a debriefing. 518 00:43:37,750 --> 00:43:39,850 They're just going to go until they fall apart. 519 00:43:41,310 --> 00:43:49,730 So if you maybe that might help once you get an employee in that they have those debriefings 520 00:43:49,730 --> 00:43:58,010 or that they're allowed that on any given day, if they've had a bad morning case, that you 521 00:43:58,010 --> 00:44:04,770 just go home for the afternoon or somehow they have a break whether they're in office or home, 522 00:44:04,810 --> 00:44:12,030 life, whatever. I think it needs to be more personalized probably to the employee and what 523 00:44:12,570 --> 00:44:20,370 they consider. Yeah, I think and maybe being more intentional with that because we we kind of do 524 00:44:20,370 --> 00:44:25,810 it that team has all historically at least since I've been here has been really good about 525 00:44:25,810 --> 00:44:31,490 Like being supportive of each other and they they really because I think it's because you're in such an intense 526 00:44:31,490 --> 00:44:36,890 Well, you know, Scott. I mean, you know, law enforcement. I mean, it's the same thing. You're all you're all in this really intense 527 00:44:38,170 --> 00:44:46,170 Right and you support each other and right and I've seen it happen a lot naturally and I've kind of jumped in and said you should just go home for us 528 00:44:46,170 --> 00:44:48,710 I mean, and I think Trisha's done the same thing too, but it's 529 00:44:49,650 --> 00:44:54,210 Is it as intentional maybe as it could be and that's kind of that was what I was putting down here's more intentional 530 00:45:00,000 --> 00:45:06,980 Especially when you've had some kind of a pretty intense or a confrontational type of experience, you know. 531 00:45:07,260 --> 00:45:13,920 Even if it's where you earmarked one hour of debriefing with 532 00:45:16,100 --> 00:45:16,820 the psychiatrist. 533 00:45:18,280 --> 00:45:20,440 Or clergy, or I mean, I definitely... 534 00:45:20,440 --> 00:45:26,760 Well, we have, we always refer people, or don't always refer necessarily, but we give them, 535 00:45:26,980 --> 00:45:30,920 or remind them and give them the number to EAP for your free counseling sessions. 536 00:45:30,920 --> 00:45:37,280 kind of thing because I think that's important too. I just know in trauma type scenarios are in health care, 537 00:45:37,480 --> 00:45:43,960 with trauma that debriefing has become very significant with an intentional schedule, 538 00:45:44,680 --> 00:45:49,380 debriefing after a meet trauma or, you know, that type of thing. And what else they have to 539 00:45:49,380 --> 00:45:54,640 being in health care for so many years is a new nurse. I maybe was sitting in the debriefings, 540 00:45:54,800 --> 00:45:59,980 but I would have never spoke up because I would have not felt comfortable doing that around my peers 541 00:45:59,980 --> 00:46:08,860 for fear of, you know, not not being considered good enough, maybe, or strong enough, or whatever. 542 00:46:09,520 --> 00:46:10,480 Or talk for whatever. 543 00:46:10,620 --> 00:46:11,400 Right, right, right. 544 00:46:11,420 --> 00:46:13,080 And I think that's a misconception too. 545 00:46:13,340 --> 00:46:17,900 Maybe, maybe less soul in child welfare, but I know a law enforcement. 546 00:46:18,140 --> 00:46:19,900 And probably is to accept an extent. 547 00:46:20,260 --> 00:46:23,140 But yeah, I mean, it's, well, it's not about being tough. 548 00:46:23,180 --> 00:46:29,260 It's about being able to take care of yourself and keep your mind set in a good place. 549 00:46:29,260 --> 00:46:36,280 But like Don says that's very difficult. It's difficult for law enforcement officers to go out there and say hey 550 00:46:36,280 --> 00:46:42,980 I need help because they're afraid that'll be reported if they go to EAP or whatever for assistance 551 00:46:42,980 --> 00:46:46,200 Oh my god, I'm gonna have a strike against me and you know 552 00:46:46,200 --> 00:46:52,640 I'm gonna lose my job maybe or whatever so they're more willing to keep it within themselves 553 00:46:52,640 --> 00:46:55,460 And not get the help that they probably should be getting 554 00:46:55,460 --> 00:47:03,820 Right, then what I see with the debriefings is it's usually led by somebody outside the department like like it. It doesn't have to be clergy, but that's what comes to mind clergy or 555 00:47:03,820 --> 00:47:15,120 A psychiatrist or whatever and then they'll perform activities that aren't like tell me about how everything went bad, but they'll do actual activities that bring that out 556 00:47:15,120 --> 00:47:18,640 In other ways, so it's not like you're saying oh my god 557 00:47:18,640 --> 00:47:23,520 I had this situation that was so terrible, but those things come around kind of 558 00:47:23,520 --> 00:47:26,980 naturally through the activities that those people develop. 559 00:47:27,420 --> 00:47:28,560 Yeah, that's a really good idea. 560 00:47:28,620 --> 00:47:33,340 I will say we do get together Monday morning and discuss kind of where cases are headed. 561 00:47:33,480 --> 00:47:38,560 I mean, it's not quite to the same of like sort of, you know, debriefing how you're processing 562 00:47:38,560 --> 00:47:43,220 and all that sort of thing, but I do think there's an element of that there when you're discussing 563 00:47:43,220 --> 00:47:48,820 where this case is going, where you're thinking about it, and they talk a lot. 564 00:47:48,920 --> 00:47:50,860 I mean, they're very collaborative in that process. 565 00:47:50,860 --> 00:47:55,080 And I'm not trying to suggest that the team's aren't supportive of a one-on-one, I just threw my history 566 00:47:55,080 --> 00:47:59,120 know that even if you are supportive of one another, it's still sometimes not enough. 567 00:47:59,300 --> 00:48:03,480 And whatever we can provide to give them that additional support is no harm, right? 568 00:48:03,560 --> 00:48:09,420 Yeah, I completely agree. And sometimes maybe we're so immersed in it that 569 00:48:09,420 --> 00:48:12,920 that we're not thinking of something that's obvious too. You know what I mean? So we all have blind spots. 570 00:48:15,220 --> 00:48:15,620 So... 571 00:48:15,620 --> 00:48:17,580 No, just a minute. Thank you. Yeah, appreciate that. 572 00:48:17,580 --> 00:48:20,820 the masters, then that really bothers me when somebody leaves to go get a master. 573 00:48:20,960 --> 00:48:21,520 I know. 574 00:48:21,600 --> 00:48:22,440 Thank you. 575 00:48:22,440 --> 00:48:26,020 We're with the social work with your masters because one time ago I used to work for 576 00:48:26,020 --> 00:48:29,320 social work masters program and the clinical hours. 577 00:48:29,580 --> 00:48:33,840 So I don't know if you're able to work with people going through that program, but the clinical 578 00:48:33,840 --> 00:48:35,720 hours that they have to do during the weekday. 579 00:48:35,820 --> 00:48:40,420 I know that was a barrier to a lot of the students staying in their employment at that time. 580 00:48:40,640 --> 00:48:45,040 Because there's weekend programs available for the classroom portion or online programs, but 581 00:48:45,040 --> 00:48:51,100 getting those clinical hours that in trying to navigate that, right? But I think you could get 582 00:48:51,100 --> 00:48:56,160 creative there. Why do you have to work Monday through Friday in CSP? Why couldn't there be 583 00:48:56,160 --> 00:48:59,880 potentially somebody work on a Saturday so they can do their clinicals on Wednesday or whatever 584 00:48:59,880 --> 00:49:04,660 it might be like, could we just look at that and see what opportunities are to get creative and 585 00:49:04,660 --> 00:49:11,420 try to attract that level of education and then longevity? Yeah. Yeah, it is possible. It's just 586 00:49:11,420 --> 00:49:16,800 We try to get around the logistics of the, well, I guess that's not even. 587 00:49:17,020 --> 00:49:23,360 And the two people that were in the position, now I'm probably going back four or five years 588 00:49:24,060 --> 00:49:28,020 that were in child welfare, they were here for a very long time. 589 00:49:28,380 --> 00:49:29,940 Mark was here for 29 years. 590 00:49:29,940 --> 00:49:30,260 Yes. 591 00:49:30,520 --> 00:49:32,840 Everybody kept telling him, I have no idea how you did that. 592 00:49:33,720 --> 00:49:33,800 Right. 593 00:49:33,800 --> 00:49:41,010 Yeah, but I think or maybe you even go back to him and pick his brain and say 594 00:49:42,620 --> 00:49:51,270 We know that you stayed in this for a very long time. What special characteristics or what types of things helped you 595 00:49:52,260 --> 00:49:54,080 To reach that 596 00:49:54,080 --> 00:49:59,200 It's actually he had a lot of conversation with Mark before he left because and people would pick his brain all the time 597 00:49:59,200 --> 00:50:02,130 and I think he was able to 598 00:50:02,810 --> 00:50:09,270 And I don't think everybody can do this, you know, but how do you do the best version of it you can? 599 00:50:10,290 --> 00:50:19,770 Where he was able to, there's a lot of people, they do this work because they're invested in it, you know? 600 00:50:20,850 --> 00:50:31,290 And so they get so frustrated and wrapped up in what they're doing, and if they can't do and can't resolve things the way they'd like to see it, 601 00:50:31,910 --> 00:50:34,470 It's hard to let go of that sometimes, you know what I mean? 602 00:50:34,610 --> 00:50:41,250 Especially if you've had personal experience, so it's, I think he was able to, not that 603 00:50:41,250 --> 00:50:49,290 he didn't care, quite the opposite, he really did, but he was able to say, probably wasn't 604 00:50:49,290 --> 00:50:49,610 easy. 605 00:50:50,370 --> 00:50:54,830 There's nothing more I can do here, I've done everything I can, this is the right decision. 606 00:50:55,450 --> 00:50:59,270 We've tried to give people the tools or, you know, that kind of thing. 607 00:50:59,850 --> 00:51:13,190 That's part of what I saw and a lot of people would, like you say, pick his brain, you know, for years too. So, but yeah, we couldn't, we could still, you know, see if he's got any other suggestions too, because 608 00:51:13,190 --> 00:51:19,550 Yeah, he's the only one I know of who was here such a, for such a long time in CPS, I'm sure there's probably other people. 609 00:51:20,130 --> 00:51:25,510 I'm trying to think of her name. There was a woman here that was here for quite a few years. 610 00:51:25,850 --> 00:51:31,610 Not near as long as Mark. She had longevity too. I want to say she's here like 15. 611 00:51:31,890 --> 00:51:35,870 Oh, okay. Maybe that was before I got it. 612 00:51:35,870 --> 00:51:38,870 It was before you started. Oh, it was okay. 613 00:51:39,290 --> 00:51:40,970 Oh, no. Why totally do you know? 614 00:51:44,310 --> 00:51:47,350 I'm sorry, Scott. I'm sorry. Scott still has another question. 615 00:51:47,350 --> 00:51:48,310 Yeah, and the same side. 616 00:51:48,310 --> 00:51:48,690 Yeah, go ahead. 617 00:51:49,310 --> 00:51:57,850 Does the state have any programs for reimbursement for the master's program if they could 618 00:51:57,850 --> 00:52:05,010 get credits for and have reduced amount of credits for the program, state sponsor, or state 619 00:52:05,010 --> 00:52:12,050 assisted, or they pay for credit versus three credits, or any type of reimbursement from 620 00:52:12,050 --> 00:52:14,490 the state in getting your master's? 621 00:52:14,570 --> 00:52:14,890 I don't know. 622 00:52:15,050 --> 00:52:15,710 That's a good question. 623 00:52:17,110 --> 00:52:19,090 just thrown it out there 624 00:52:22,290 --> 00:52:24,250 actually we're working I would think you're a 625 00:52:24,250 --> 00:52:28,390 being sent of from the state right to throw their hat into the ring if the 626 00:52:28,390 --> 00:52:29,890 person is working in 627 00:52:30,000 --> 00:52:36,300 Actively pursuing the educational as, you know, for their masters or whatever. Right? 628 00:52:37,200 --> 00:52:42,880 Yes, we're not the only county that is hurting for child welfare. Right. 629 00:52:43,260 --> 00:52:47,160 Well, if there's not, we could add the key for it. We sure could. 630 00:52:47,840 --> 00:52:49,000 All right. 631 00:52:52,340 --> 00:52:54,540 Thank you for the ideas. I appreciate that. 632 00:52:54,720 --> 00:52:55,740 What else do you have, Jay? 633 00:52:56,840 --> 00:53:01,100 Just a few things I'll buzz through here. We have, we finalized our position 634 00:53:01,100 --> 00:53:07,780 questioners for the wage study a couple weeks ago and then the review process and all that. So 635 00:53:07,780 --> 00:53:12,760 we got everything we needed to hopefully to a graph for them to do their analysis and everything. 636 00:53:13,040 --> 00:53:18,680 So that's having that in budgets and different things at the same time was challenging but we made 637 00:53:18,680 --> 00:53:26,400 it work. Well, budgets aren't done yet but we're working. Yeah. Yeah. Yeah, it's always over doing progress. 638 00:53:27,780 --> 00:53:40,260 And then we on August 17th, we posted the case management software RFP and we've had at least 10 vendors interested, so yeah. 639 00:53:43,760 --> 00:53:49,440 We're excited about what the end result. There's a lot of work right now, I'm not gonna lie to that. 640 00:53:51,000 --> 00:53:55,700 A lot of things we're going through right now, so, but yeah, that's going to be an excellent. 641 00:53:55,940 --> 00:53:59,580 I mean, we're all of our programs that don't have a state system. 642 00:54:00,100 --> 00:54:05,080 We intend for them to be in this system, so, and that will filling in claims and everything 643 00:54:05,080 --> 00:54:11,480 be integrated and it should create a lot of efficiencies for us, so we are very excited. 644 00:54:11,820 --> 00:54:17,740 Some of us more than others, there's a few of us who are really, really fired up for that. 645 00:54:18,940 --> 00:54:31,420 I talked about budget work, we've got one of the reasons that we're kind of struggling a little bit through our budget this year as we've got and not against them at all but we've got a new fiscal manager and new fiscal lead who haven't done our budget before. 646 00:54:32,300 --> 00:54:45,760 And they've been thrown into it and I didn't have the level of detail that we need as far as when you get down to the data entry piece and all of the different funding sources and revenue and what's collected on the front end versus what's the back end. 647 00:54:45,760 --> 00:54:48,940 I have a decent amount of overview knowledge. 648 00:54:49,220 --> 00:54:51,020 I just don't have the specific, 649 00:54:51,580 --> 00:54:55,460 why did we get this number here that I have a general idea, 650 00:54:55,980 --> 00:55:00,380 but anyway, so we're working hard on it 651 00:55:00,380 --> 00:55:03,220 and we should be done, I'm hoping by the end of this week, 652 00:55:04,320 --> 00:55:05,660 so for it to submit it. 653 00:55:06,720 --> 00:55:11,080 So, and then we'll have our review with Becky and go over those. 654 00:55:11,820 --> 00:55:21,060 We've had a few challenges, as we kind of go along the way with our new process in Tyler it's going to be so slick once we have it ironed out. 655 00:55:22,120 --> 00:55:31,100 I look forward the next year because this is going to be so much easier to do once we have everything kind of tweaked than the old process. 656 00:55:31,420 --> 00:55:34,340 It's not even going to be close. So, very happy to. 657 00:55:34,340 --> 00:55:37,740 That is very good to hear. Is it not good? 658 00:55:37,740 --> 00:55:44,180 it is. Well in our budget is still complex so I expected this year to be a mass. Because in some 659 00:55:44,180 --> 00:55:49,640 of the titles of the line items have changed and then I said we need to create like a chart of 660 00:55:49,640 --> 00:55:54,560 accounts so we say okay what goes in these revenue lines what goes in these expense lines just 661 00:55:54,560 --> 00:55:59,420 to get more organized and coordinated and we are going to start our budgets way early next year because 662 00:55:59,420 --> 00:56:06,220 we're not going to get caught in this crunch again. So. Right. Right. So yes. Good year. And then the other 663 00:56:06,220 --> 00:56:12,340 thing that I wanted to just talk about is we're talking with the the courts or the court 664 00:56:12,340 --> 00:56:18,880 and the DA's office about there's there's some state passed through reimbursement that we can 665 00:56:18,880 --> 00:56:25,000 court counsel has already worked with us on getting this some reimbursement for the for the court 666 00:56:25,000 --> 00:56:31,620 cases they take through the children's court and so court counsel does our minor guardianships 667 00:56:31,620 --> 00:56:33,500 and termination of parental rights. 668 00:56:33,900 --> 00:56:37,000 And then the DAs office does all the chips and chips 669 00:56:37,000 --> 00:56:39,620 and the truncies and all those kinds of things. 670 00:56:39,900 --> 00:56:42,560 And so both the court and the DAs office 671 00:56:42,560 --> 00:56:46,740 can also take advantage of this if they choose to get 672 00:56:46,740 --> 00:56:49,560 to pull this reimbursement down because the DAs office 673 00:56:49,560 --> 00:56:52,100 does a lot more children's cases than what Corp Council does. 674 00:56:52,260 --> 00:56:53,720 So there'd be a lot more money on the table 675 00:56:54,440 --> 00:56:58,760 that we could bring in instead of paying lovey for that. 676 00:56:58,760 --> 00:57:06,080 So, I think that's really important, and I don't think we've done, I don't, I think Corp Council did maybe last time, 677 00:57:06,580 --> 00:57:11,180 but I don't know if the days of the court have done that before, maybe they just didn't know, I don't know, 678 00:57:11,300 --> 00:57:17,560 but it's passed through money that we, they would give us the budget we'd submit it, and then it would just flow through, 679 00:57:17,740 --> 00:57:23,480 if they had just have to track their time that they spend on kids' cases. So, it's, it's, it's really, 680 00:57:24,300 --> 00:57:28,400 as a taxpayer in Trump locality. I like to see those kinds of things. 681 00:57:31,680 --> 00:57:33,040 Anything else on budgets? 682 00:57:35,120 --> 00:57:36,300 Rockin' along on those? 683 00:57:36,960 --> 00:57:40,240 I did want to tell you that we are having six times a year. 684 00:57:40,320 --> 00:57:42,520 We have our all-staff meetings, our departmental all-staff meetings. 685 00:57:42,660 --> 00:57:45,880 We have our next one this Thursday. They all fire me up. 686 00:57:46,220 --> 00:57:47,680 I think a lot of staff can fire up too. 687 00:57:48,580 --> 00:57:51,060 But we're going to probably use our November meeting 688 00:57:51,060 --> 00:57:53,240 to do some kind of a holiday gathering. 689 00:57:53,880 --> 00:57:55,960 So I'll let you know kind of what we decide to do. 690 00:57:56,780 --> 00:57:58,360 It's, it's always fun to do something different. 691 00:57:59,060 --> 00:58:01,760 And sometimes we've done like tailgate parties and things like that. 692 00:58:02,140 --> 00:58:04,040 Broughts out in the courtyard or something like that. 693 00:58:04,760 --> 00:58:08,660 So we're going to figure out something fun and something where we can recognize people 694 00:58:08,660 --> 00:58:13,300 and then give people a little bit of time to do some things where we kind of do some team building. 695 00:58:16,310 --> 00:58:21,190 So yeah, the last thing I have on my list is that the October meeting, 696 00:58:21,490 --> 00:58:22,410 I'm going to be gone for that. 697 00:58:22,410 --> 00:58:24,130 So Trisha is going to be standing in for me. 698 00:58:26,030 --> 00:58:34,670 We're going to be my younger one is in Ireland studying and so we're going to go visit her and then go to Scotland, so yeah. 699 00:58:36,270 --> 00:58:37,870 I got another suitcase. 700 00:58:40,500 --> 00:58:41,620 That's all I have. 701 00:58:42,040 --> 00:58:42,260 All right. 702 00:58:42,720 --> 00:58:45,860 I am going to close the public comment period. 703 00:58:46,420 --> 00:58:47,240 Let's be official. 704 00:58:49,220 --> 00:59:00,280 And like day set, our next meeting will be October 12th at 530, and I'm going to leave the meeting open. 705 00:59:00,560 --> 00:59:05,540 We'll all come back in here and adjourn the meeting after we take the tour. 706 00:59:06,960 --> 00:59:12,320 So, but if there's anybody that has already seen the Human Services Health Department, 707 00:59:12,320 --> 00:59:20,840 And they don't want their need of tour, feel free to adjourn yourself from the meeting.