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MENTAL HEALTH AND RECOVERY SERVICES BOARD OF SENECA, SANDUSKY AND WYANDOT COUNTIES

The regularly scheduled meeting of the Mental Health and Recovery Services Board of Seneca, Sandusky and Wyandot Counties was held on Thursday, June 29, 2017 in the Nancy A. Cochran Conference Room. Board Members Present: Dee Frankart, Kellee Hoover, Celinda Scherger, Jimmie Young, Pamela McLaurin, Helen Shinn, Tony Paulus, Karen Van Horn, Barbara Sharp, Marc Glotzbecker and Rudy Letzring Board Members Absent: Pat Del Turco Board Staff Present: Mircea Handru, Robin Reaves and Nancy Steyer CALL TO ORDER Celinda Scherger, Chairperson, called the June 29, 2017 meeting of the Mental Health and Recovery Services Board of Seneca, Sandusky and Wyandot Counties to order at 4:31 p.m. INTRODUCTION OF GUESTS Tim Wise – Firelands Counseling and Recovery Services; Dr. Michelle Clinger – Firelands Counseling and Recovery Services; Dave Riegel – Community Member: woodworker from Bellevue; and Jeannie Weber – Corporate Anointing Ministries. PRESENTATION OF MINUTES MOTION:

1 To approve the May 25, 2017 minutes of the Mental Health and Recovery Services Board of Seneca, Sandusky and Wyandot Counties.

Motion Made By: Karen Van Horn Seconded: Dee Frankart COMMITTEE REPORTS Administrative Committee The Administrative Committee met on Monday, June 19, 2017 in the Nancy A. Cochran Conference Room. The meeting was called to order at 4:30 p.m. The Administrative Committee discussed the FY2018 SPF Grant contracts. This is the second year of the SPF Federal grant for Seneca County. The providers for this grant include Firelands Counseling and Recovery Services, Seneca County Family and Children First Council, Tiffin City Schools, Seneca East Local Schools and Hopewell Loudon Local Schools. The purpose of this grant is to engage community stakeholders to select evidence-based programs, practices, policies and strategies to address the prevention of prescription drug abuse for students’ 9-12 grade. MOTION:

2 To authorize the Executive Director to enter into a contract with Seneca County Family and Children First Council, for SPF Grant services for Fiscal Year 2018 in an amount not to exceed $3,000, contingent upon availability of funds.

Motion Made By: Tony Paulus Seconded: Rudy Letzring

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MOTION: 3

To authorize the Executive Director to enter into a contract with Tiffin City Schools, for SPF Grant services for Fiscal Year 2018 in an amount not to exceed $3,000, contingent upon availability of funds.

Motion Made By: Barbara Sharp Seconded: Helen Shinn MOTION:

4 To authorize the Executive Director to enter into a contract with Seneca East Local Schools, for SPF Grant services for Fiscal Year 2018 in an amount not to exceed $3,000, contingent upon availability of funds.

Motion Made By: Rudy Letzring Seconded: Karen Van Horn MOTION:

5 To authorize the Executive Director to enter into a contract with Hopewell-Loudon Local Schools, for SPF Grant services for Fiscal Year 2018 in an amount not to exceed $3,000, contingent upon availability of funds.

Motion Made By: Pamela McLaurin Seconded: Tony Paulus The Administrative Committee turned its attention to the Ohio Department of Public Safety Federal Fiscal Year 2017 onsite monitoring visit conducted on June 6, 2017 for the Ohio Traffic Safety Office- Seneca County Safe Communities. This audit was part of OMB Chapter 2, CFR Part 200, Uniform Administrative Requirements for sub-recipient monitoring. The audit was clean, with no findings or corrections needed. A copy of the report will be posted on the Board’s website. MOTION:

6 Motion to authorize the Executive Director to distribute copies of the Federal Fiscal Year 2017 Ohio Department of Public Safety onsite monitoring report to the Ohio Auditor of State, Director of the Ohio Department of Mental Health and Addictions Services, the offices of County Auditors in Seneca, Sandusky and Wyandot Counties; and the Ohio Department of Transportation National Highway Traffic Safety Administration.

Motion Made By: Helen Shinn Seconded: Jimmie Young The Administrative Committee discussed respite services. The Board received $30,269 for Fiscal Year 2017 for respite services, to provide short-term, temporary relief to the informal, unpaid caregiver of a person under the age of twenty-one in order to support and preserve the primary caregiving relationship. The Board entered into contracts with four different agencies for these services: Camp Nuhop, Firelands Counseling and Recovery Services, Seneca County Family and Children First Council and Wyandot County Family and Children First Council. Firelands Counseling and Recovery Services has not provided any respite services and are not planning to utilize any of their allocated funds. A letter from Firelands’ Vice-President to inform the Board was received on June 12, 2017. Firelands’ FY2017 contract amount was $4,000. The Board worked with Camp Nuhop to offer respite camps. Camp Nuhop served additional children from the Board’s district in FY2017, over-exceeding the contract amount. The Board Executive Director recommended to reconcile FY2017 respite funds with Camp Nuhop for uncompensated services, up to $4,000. MOTION:

7 To authorize the Executive Director to issue payment for uncompensated respite services to Camp Nuhop for Fiscal Year 2017 in the amount not to exceed $4,000 from Fund Account 8125, Line Item 8125-0703-5306.00 Contract Services: Client from state Fiscal Year 2017 allocations.

Motion Made By: Marc Glotzbecker Seconded: Dee Frankart The Administrative Committee reviewed a three year fiscal projection plan including Fiscal Years 2018, 2019 and 2020. This multi-year financial projection is to guide the Board’s decision making and provide an additional tool to measure the financial health of the Board. At the same time, it was understood that it is

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nearly impossible to make accurate predictions beyond twelve months as multiple changes are taking place at the state and federal levels every year. Many new grants could be available that the Board is not yet aware of. In addition, approval of levy funding is critical for the Board, which is seeking renewals in November, 2017 in Seneca and Wyandot Counties. The Committee also reviewed the previous year projections and actuals. This report shows strong financial accountability by the Board, conservative financial planning, and continuous success in obtaining various state and federal grants. After revision of the three year projection plan, the Administrative Committee concluded that the Board is financially stable and predicted no major financial concerns in the next few years. The Board staff had The Administrative Committee also acknowledge the importance of renewing the mental health and recovery levies in all three counties. Failure of any levy renewal could create a major financial burden.

MOTION:

8 To accept the three-year fiscal projection plan for Fiscal Year 2018, 2019 and 2020 of the Mental Health and Recovery Services Board of Seneca, Sandusky and Wyandot Counties.

Motion Made By: Dee Frankart Seconded: Rudy Letzring The Administrative Committee turned their attention to Calendar Year 2017 estimated resources. The Fiscal Year 2018 state and federal allocations are not yet completely finalized. The Board is projected to receive additional funding in a few fund accounts. In order to have these funds available for appropriations, an increase in anticipated level of Estimated Resources for Calendar Year 2017 is necessary. MOTION:

9 To adjust the Calendar Year 2017 Certification of Estimated Resources as follows: INCREASE Fund Account 8121, SPF Grant by $50,000.00 INCREASE Fund Account 8125, MH Block Grant by $74,257.00

Motion Made By: Jimmie Young Seconded: Tony Paulus The Administrative Committee reviewed Calendar Year 2017 budget adjustments required. The Board’s calendar year budget is based on a fairly even split between two fiscal years. Funds need to be appropriated for Fiscal Year 2018 contracts. Several fund accounts are involved including various line items such as: Salaries, Contract Services, Travel and Expenses, Other: Employee Insurance, Medicare and O. P.E.R.S.

FISCAL YEARS ACTUAL FISCAL YEARS PROJECTED2016 2017 2018 2019 2016 2017

4,481,015.88$ 4,381,920.65$ 4,343,027.49$ 4,348,035.83$ 4,481,015.88$ 4,803,926.66$ (99,095.23)$ (38,893.16)$ 5,008.34$ -$ 422,006.01$

-2.26% -0.90% 0.12% 0.00% 9.63%

CALENDAR YEAR - CASH BALANCE ACTUAL CALENDAR YEAR - CASH BALANCE PROJECTED2016 2017 2018 2019 2016 2017

4,260,000.00$ 4,250,400.38$ 4,211,507.22$ 4,216,515.56$ 4,327,971.78$ 4,327,971.78$ 67,971.78$ 77,571.40$

1.60% 1.83%

2017 2018 2019 20204,803,926.66$ 4,539,020.66$ 4,541,753.00$ 4,313,628.00$

(264,906.00)$ 2,732.34$ (228,125.00)$ -5.84% 0.06% -5.29%

2017 2018 2019 20204,327,971.78$ 4,063,065.78$ 4,065,798.12$ 3,837,673.12$

June 2017 Board Meeting

June 2018 Board Meeting

FISCAL YEARS PROJECTED

CALENDAR YEAR - CASH BALANCE (PROJECTED)

FISCAL YEARS PROJECTED

CALENDAR YEAR - CASH BALANCE (PROJECTED)

June 2016 Board Meeeting

June 2017 Board Meeting

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MOTION: 10

To increase Supplement to Annual Appropriations as follows: Fund Account 8050, General Fund, Line Item, Contract Services ...................... $2,112,445.00 Fund Account 8121, SPF Grant, Line Item, Salaries.................................................... $10,700.00 Fund Account 8121, SPF Grant, Line Item, Contract Services ................................. $22,129.00 Fund Account 8121, SPF Grant, Line Item, Travel and Expenses .................................. $652.00 Fund Account 8121, SPF Grant, Line Item, Medicare ........................................................ $155.15 Fund Account 8121, SPF Grant, Line Item, O.P.E.R.S. ................................................... $2,568.00 Fund Account 8122, OTSO, Line Item, Contract Services ...........................................$1,500.00 Fund Account 8125, MH BG Base, Line Item, Salaries ................................................. $2,500.00 Fund Account 8125, MH BG Base, Line Item, Contract Services ............................ $83,458.00 Fund Account 8125, MH BG Base, Line Item, Other: Employee Insurance ..............$1,376.00 Fund Account 8125, MH BG Base, Line Item, Medicare ..................................................... $36.25 Fund Account 8125, MH BG Base, Line Item, O.P.E.R.S. ................................................. $600.00 Fund Account 8126, Indigent Driver, Line Item, Contract Services .........................$1,000.00 Fund Account 8130, AOD Per Capita, Line Item, Contract Services .................... .$59,492.57 Fund Account 8130, AOD Per Capita, Line Item, Other: Employee Insurance …….$11,588.90 Fund Account 8132, SAPT BG, Line Item, Contract Services ................................... $95,562.41 Fund Account 8133, Forensics, Line Item, Contract Services .................................... $2,722.00

Motion Made By: Karen Van Horn Seconded: Jimmie Young The Board is required to maintain an operating tax budget that includes financial projections to be adopted by July 15th of each year and submitted to the County Auditor by July 20th. The Administrative Committee was cautioned to accept the projections for Calendar Year 2018 with the understanding that the Fiscal Year 2018 (July 1, 2017 through June 30, 2018) state budget is not 100% finalized. The projected Calendar Year 2018 tax budget is attached to these minutes. Public comment is invited. The Administrative Committee recognizes that Expenses exceed Revenues. This has been the case for the past seven years; however, the actual amounts have not shown a deficit. This is a projected budget for Calendar Year 2018, and it is too soon to determine the cash carryover balance. Historically, the cash carryover has adequately offset surplus expenses resulting in a balanced budget. MOTION:

11 To accept the Projected Tax Budget for Calendar Year 2018 of the Mental Health and Recovery Services Board of Seneca, Sandusky and Wyandot Counties as attached.

Motion Made By: Tony Paulus Seconded: Barbara Sharp The Administrative Committee discussed the Executive Director’s annual evaluation. The discussion included the results from the evaluations received from the Board members. The Administrative Committee adjourned its June 19, 2017 meeting at 6:20 p.m. The next regularly scheduled meeting will be held Monday, August 21, 2017 beginning at 4:30 p.m. MOTION:

12 To approve the June 19, 2017 minutes of the Administrative Committee of the Mental Health and Recovery Services Board of Seneca, Sandusky and Wyandot Counties.

Motion Made By: Barbara Sharp Seconded: Karen Van Horn Program Committee The Program Committee met on Wednesday, June 21, 2017 in the Nancy A. Cochran Conference Room. The meeting was called to order at 4:32 p.m.

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The Program Committee discussed the Board officers’ duties, terms, and expectations. The Board shall select at the June Board meeting officers which shall include a Chairperson, a First Vice-Chairperson, a Second Vice-Chairperson and a Secretary. At the May meeting the Board formed a Nominating Committee to present a Slate of Officers for Fiscal Year 2018 at the June 29, 2017 meeting of the Mental Health and Recovery Services Board of Seneca, Sandusky and Wyandot Counties. MOTION:

13 To accept the Slate of Officers for Fiscal Year 2018 as follows:

Chairperson: Celinda Scherger First Vice Chairperson: Rudy Letzring Second Vice Chairperson: Kellee Hoover Secretary: Helen Shinn

Motion Made By: Rudy Letzring Seconded: Pamela McLaurin The Program Committee continued the discussion regarding two Sandusky County levy programs: outreach and support services for African American populations, and behavioral health services at Sandusky County Juvenile Detention Center. The Sisters Recovering and Planting the Seeds of Hope will provide outreach and support services for the African American population in Sandusky County. The services will include services specific to women and men support groups. The agency implemented all the required policies and procedures. The Executive Director shared the group’s passion and dedication regarding services for minority populations. The agency will be monitored closely, especially the first year. The funding for these services was already approved at the April committee meetings. The Sandusky County Juvenile Court has made the decision to hire their own LSW, as a full-time employee, effective July 1, 2017. The new employee will take over the duties of behavioral intervention and provide various groups and prevention services. The new employee’s services will be augmented by other program staff, as needed for groups and prevention services, from time to time. Firelands will continue services at the Juvenile Detention Center through June 30, 2017. The funding for these services was already approved at the April committee meetings. MOTION:

14 To authorize the Executive Director to enter into a contract with Sisters Recovering and Planting the Seeds of Hope for Outreach and Support Services in the amount not to exceed $15,000 for Fiscal Year 2018 using Sandusky County levy, contingent upon available funding.

Motion Made By: Pamela McLaurin Seconded: Helen Shinn MOTION:

15 To authorize the Executive Director to enter into a contract with Sandusky County Juvenile Court for Behavioral Health Services at the Juvenile Detention Center in the amount not to exceed $85,000 for Fiscal Year 2018 using Sandusky County levy, contingent upon available funding.

Motion Made By: Helen Shinn Seconded: Dee Frankart The Program Committee reviewed and discussed the Board’s Fiscal Year 2018 Ohio MHAS Community Plan. The Fiscal Year 2018 Ohio MHAS Community Plan is a continuation of the Fiscal Year 2017 plan. A few updates will be submitted to Ohio MHAS, including an update for ambulatory detox services that will be provided in the Board’s district by Rigel Recovery Services. The highest need and barriers included in the community plan include a shortage of behavioral health professionals in the Board’s district and a lack of mental health beds available in our region. MOTION:

16 To authorize the Executive Director to adopt and distribute copies of the Fiscal Year 2018 Community Plan to Ohio Department of Mental Health and Addiction Services.

Motion Made By: Kellee Hoover Seconded: Pamela McLaurin

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The Program Committee reviewed the Board’s Strategic Plan. The Executive Director highlighted the importance of receiving feedback from Board members when working on either strategic plans or other implementation plans. At the same time, the Executive Director reminded the members of their duties and how day to day duties, planning and responsibilities will continue to be the duties of the Board staff with monitoring and supervision from the Executive Director. The Executive Director recommended one change to the Board strategic plan, under Goal # 3. The direction of the goal will remain the same; however, the language regarding Life Enhancement Services of Ohio, LLC will change. Most of the goals and objectives were completed as listed in the strategic plan. The plan will continue to be the driving plan for the Board moving forward. The strategic plan will be reviewed again during the November committee meeting. MOTION:

17 Motion to make the following changes for the Board’s Strategic Plan, under Goal # 3. Remove: Collaborate with Life Enhancement Services of Ohio, LLC to assess current services and expand outreach of behavioral health services to minority populations in Sandusky County. Replace: Assess current services and expand outreach of behavioral health services to minority populations in Sandusky County. Remove: Expand outreach to minority populations in Fostoria (Seneca County) and Upper Sandusky (Wyandot County), copying the model initiated through Life Enhancement Services of Ohio, LLC. Replace: Expand outreach to minority populations in Fostoria (Seneca County) and Upper Sandusky (Wyandot County).

Motion Made By: Marc Glotzbecker Seconded: Jimmie Young The Program Committee discussed Ohio’s Medicaid changes to managed care. Moving into next year, the Medicaid portion of the behavioral health benefit will be moving under managed care. To help Boards better prepare for this move, OACBHA, the Executive Council and OACBHA Managed Care Committee are working hard to define and develop the ongoing working relationship between Boards and the managed care plans. The Boards agree to a one-time increase of dues by 10%, in order to bring a consultant to help Boards accomplish this work. The Executive Director anticipates further policy and program decisions around Medicaid and health care in general that will impact local Boards and how Boards continue to meet the needs of their communities based on state and federal changes to healthcare. Some other important next steps will include:

- Working to develop relationships and working protocols/agreements with the Managed Care plans across Ohio;

- Working with Ohio MHAS to implement continuum of care and waitlist requirements; - Working with Ohio MHAS and other state agencies in rolling out new programs funded through the

FY2018-2019 biennial budget. The Executive Director updated the Program Committee members on Bloom of Faith & Rehab, LLC. This is a facility planning to offer residential inpatient rehab addiction services for women in Bloomville. Services will include detox and rehabilitation services, along with counseling and therapy for patients and families. The facility is planning to open this summer. The agency is planning to accept both Medicaid clients as well as clients covered by private health insurance.

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The Executive Director updated the Program Committee members on the continuous efforts to plan and implement community wide education events on a regular basis, to cover addiction topics. A Fostoria work group was created and meets monthly. The first event is planned for January, 2018. Lutheran Social Services received Ohio Mental Health and Addiction Services certification to operate their Tiffin office. Lutheran Social Services is working to revamp their behavioral health services in Fremont, Tiffin, and Fostoria. Unfortunately, the shortage of qualified behavioral health professionals continues to be a challenge for the agency. The Grief and Loss support group in Fremont will begin in the month of July. The Program Committee adjourned its June 21, 2017 meeting at 5:30 p.m. The next meeting will be held Wednesday August 23, 2017. MOTION:

18 To approve the June 21, 2017 minutes of the Program Committee of the Mental Health and Recovery Services Board of Seneca, Sandusky and Wyandot Counties.

Motion Made By: Dee Frankart Seconded: Barbara Sharp OLD BUSINESS The Mental Health and Recovery Services Board had no old business to conduct. NEW BUSINESS The Mental Health and Recovery Services Board had no new business to conduct. EXECUTIVE SESSION MOTION:

19 To enter into Executive Session for the purpose of discussing the annual evaluation and any salary or benefits adjustment of the Executive Director. Roll call as indicated.

Motion Made By: Jimmie Young Seconded: Kellee Hoover Roll Call

Yes Jimmie Young Yes Rudy Letzring Yes Helen Shinn Yes Barbara Sharp Yes Tony Paulus Yes Celinda Scherger Absent Pat Del Turco Yes Dee Frankart Yes Kellee Hoover Yes Karen Van Horn Yes Pamela McLaurin Yes Marc Glotzbecker

The Board entered into Executive Session at 4:49 p.m. In accordance with the Ohio Sunshine Law no motion is necessary to adjourn from Executive Session. The Board Chairperson announced that the Board was reconvening its regular session of the meeting at 4:59 p.m. MOTION:

20 To grant the Executive Director a 3% increase in salary effective July 8, 2017, a $2,698.50 increase, for a total annual salary of $92,648.50.

Motion Made By: Karen Van Horn Seconded: Jimmie Young EXECUTIVE DIRECTOR REPORT The Executive Director thanked the members for their full support. The Executive Director also thanked the members for “talking with one voice” and truly believing in the mission of the Board. Last, the Executive

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Director thanked his staff for all of their hard work, exceptional professionalism and commitment to the Board. The Executive Director presented two documents which included information regarding the upcoming levy renewals in Seneca and Wyandot Counties. The first document detailed specific information about each levy, such as: services to be funded, levy cost, levy millage, and comparisons with other Northwest Ohio counties. The second document presented a few important items and will be used for general public education as well as mailing in specific precincts in each county. The Executive Director also shared the Board’s campaign plan for the November 2017 elections. The plan included:

- Levy signs in each county; - Radio talks in each county; - Three billboards for each county; - Mailings in specific precincts in each county; - Two short Facebook videos for each county; - Election candidates night (Seneca County) and coffee talk (Wyandot County); - Township Association meetings; - Civic groups or other group presentations; - Ten letters to the editor for each county.

The members discussed the option of asking voters for additional money in the future. This will be discussed in the upcoming years as a possible options. Also, members discussed the importance of highlighting the opioid epidemic in the local communities during our levy campaign. CHAIRPERSON REPORT The Chairperson thanked Barbara Sharp for her dedication to the Board and all of the countless hours she gave. Barb led by example by participating and engaging in community and state-wide trainings beyond the board member requirements. Barb’s leadership will be missed. The Chairperson welcomed Barb to stay in touch with the Board in the future. The Chairperson thanked David Riegel for his work on creating a flag pole for our Board conference room. The Board Chairperson welcomed the United States flag in the Nancy A. Cochran Conference Room. Dave is an electrician by trade and all things theatre by night and does woodworking as a hobby. He has been doing woodworking for about 15 years and he is self-taught. Dave loves to use reclaimed lumber in his projects. His specialty is turning. The Board hosted two suicide educational events in Seneca County. The Board received a lot of positive comments from community members and the turn-out to both events was great. The Board received an email from Kathy Oliver, the Director of the Seneca County Department of Job and Family Services. The Chairperson read the email. The Board also received a thank you letter from Sandusky County Family and Children First Council. The Chairperson read the letter. The Chairperson reminded member to read the OACBHA reading materials. Mark Glotzbecker received the floor to share information regarding Marijuana cultivation in the Village of Gibsonburg. Standard Wellness Company, LLC submitted their Tier I application to Ohio Department of

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Commerce on June 29, 2018. Standard Wellness shall receive an answer regarding their application by September 8, 2017. Marc shared information regarding the location, facility square feet, the Ohio licenses available, the operating budget, and other future projections for Standard Wellness. If approved, Standard Wellness shall be operating at full capacity by September 2018. The members asked to be informed on future developments at the upcoming committee meetings. Jeannie Weber thanked the Board for assistance with operational costs for the men and women recovery homes in Sandusky County. ADJOURNMENT MOTION:

21 To adjourn the June 29, 2017 meeting of the Mental Health and Recovery Services Board of Seneca, Sandusky and Wyandot Counties.

Motion Made By: Tony Paulus Seconded: Karen Van Horn The June 29, 2017 meeting of the Board adjourned at 5:44 p.m. The next regularly scheduled meeting of the Mental Health and Recover Services Board will be held Thursday, August 31, 2017. The Executive Director, in consultation with the Board Chairperson, may call a Board meeting with three business days’ notice by telephone if necessary.

Celinda Scherger, Chairperson

Helen Shinn, Secretary C:Office:Board Meetings:May 2017 Minutes

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