1 MENTAL HEALTH & RECOVERY SERVICES (MHRS) BOARD Serving Coshocton, Guernsey, Morgan, Muskingum, Noble & Perry Counties 1205 Newark Road – Zanesville, OH, 43701 OFFICIAL MINUTES

(Regular Board Meeting, May 11, 2017) Advanced Science & Technology Center – Zane State College – Zanesville, Ohio

I. BOARD NOTIFICATION & COMPLIANCE WITH SUNSHINE LAW:

On May 1, 2017, board members, contract organization directors, service area news media, county

boards of commissioners, and state legislators were notified the Board of Directors would meet in

regular session on Thursday, May 11, 2017, at Zane State College’s Advanced Science &

Technology Center (Rooms 208 and 210) on Newark Road in Zanesville — with the schedule of

activities to include: 6:00 p.m., meeting of Finance/Audit Committee; 6:00 p.m., meeting of

Partners Workgroup; and 7:00 p.m., regular board meeting.

II. CALL TO ORDER: President Pro-Tem Dr. Dan Scheerer called the regular board meeting to order at

6:55 p.m.

III. ROLL CALL:

Board members present:

➢ Lana Carney (Perry County)

➢ Diane Danaher (Noble County)

➢ William Johnson (Coshocton County)

➢ Kathy Kehl (Muskingum County)

➢ Dee Kinsel (Perry County)

➢ Pamela Kirst (Muskingum County)

➢ Jeff LeCocq (Muskingum County)

➢ Jim McVey (Coshocton County)

➢ Dan Scheerer, M.D. (Muskingum County)

➢ Bev Steinbrecher (Morgan County)

Board members excused:

➢ Kelly Lynch, Board President (Guernsey County)

➢ Desireaux Smock, Board Vice President (Muskingum County)

➢ The Honorable Eric Martin (Muskingum County)

➢ Joyce Thompson (Guernsey County)

There being ten (10) board members present, a quorum was constituted and official business was

transacted.

Staff present:

➢ Misty Cromwell, Associate Director

➢ Ralph Beegan, Network Systems Coordinator

➢ Roger Birch, Youth & Family Services Coordinator

➢ Melanie Smith, Fiscal Operations Director

➢ Linda Hand, Administrative Coordinator

Dr. Scheerer noted that MHRS Board Executive Director Vickie Hare was excused from this board

meeting, so that she could receive an “Honorary Associates Degree” that was being bestowed upon her

by Zane State College.

2 IV. INTRODUCTION OF GUESTS: No guests were present.

V. AGENDA: Dr. Scheerer noted there were no changes to the pre-mailed agenda. JIM McVEY

MOVED THAT THE BOARD APPROVE THE AGENDA FOR THE MAY 11, 2017, BOARD

MEETING AS MAILED. THE MOTION WAS SECONDED BY PAMELA KIRST AND

UNANIMOUSLY APPROVED.

VI. REVIEW OF MEETING MINUTES:

PAMELA KIRST MOVED THAT THE BOARD APPROVE THE MINUTES OF THE APRIL 13,

2017, MEETING AS SUBMITTED. THE MOTION WAS SECONDED BY DEE KINSEL AND A

ROLL CALL VOTE WAS TAKEN AS FOLLOWS: LANA CARNEY, YEA; DIANE DANAHER,

YEA; WILLIAM JOHNSON, YEA; KATHY KEHL, ABSTAIN; DEE KINSEL, YEA; PAMELA

KIRST, YEA; JEFF LeCOCQ, YEA; JIM McVEY, YEA; AND BEV STEINBRECHER, YEA. THE

MOTION WAS APPROVED RECEIVING EIGHT (8) POSITIVE VOTES AND ONE (1)

ABSTENTION.

VII. EXECUTIVE DIRECTOR’S REPORT: Associate Director Misty Cromwell reviewed Director

Hare’s Board Report that was sent to board members on May 4, 2017, and is included as a part of the

minutes (Exhibit A). The following items were highlighted:

►Guernsey County Recovery House: The recovery house of Alcohol & Drug Services of Guernsey

County is slated for opening in June of 2017. It was noted that the Ohio Department of Mental Health

& Addiction Services (OhioMHAS) is very pleased with the manner in which the capital project is

progressing.

►Behavioral Health Redesign: Even though a possible 6-month delay in BH Redesign

implementation has been proposed by the Ohio House of Representatives, Director Hare is urging the

network’s contract service providers “to be ready to roll” on July 1, 2017. The state is currently

planning another regional readiness training (BH Redesign ‘401’) to be offered to service providers.

►Meet ‘N Greets: MHRS Board-sponsored Meet ‘N Greets have been held in each service area

county. The goal of these events was to provide an opportunity for employees of Allwell Behavioral

Health Services and the six alcohol/drug recovery contract organizations to better know each other and

learn more about services offered in the network.

►Annual Suicide Awareness Banquet: (Summarized in “Board Meeting Highlights” attached to the

minutes.)

►Client Graduation: (Summarized in “Board Meeting Highlights” attached to the minutes.)

►Adam-Amanda Mental Health Rehab Center: NAMI Ohio is hosting a groundbreaking ceremony

for the Adam-Amanda Mental Health Rehab Center at 11:00 a.m. on Saturday, May 20, at 7990 Dairy

Lane in Athens. This 16-bed facility will give people leaving the Athens State Hospital time to

stabilize under supervised care before re-entering the community.

►Project DAWN: Through Project DAWN initiatives at service area Health Departments (partially

funded by the MHRS Board), 191 Naloxone kits have been dispensed to family and friends with three

reported reversals, and 54 kits have been dispensed to first responders with 19 reported reversals.

Misty Cromwell shared a recent success story, noting that one individual whose overdose was

reversed with Naloxone is now in treatment, on Vivitrol, and working to stay clean.

►Allwell Merger Update: ▪The organization is making improvements to their communications with

clients and families in areas where services are now being offered at different sites. ▪Facility

expansion renovations are underway at the Allwell site in Perry County on Commerce Drive in New

Lexington – with the project to be completed by December of 2017. ▪The construction of a new

3 Allwell service site in Coshocton will not begin until the summer of 2018.

►Medicaid Rule Will Expand Mental Health Care: (Summarized in “Board Meeting Highlights”

attached to the minutes.)

►21st Century Cures Federal Grant: Misty Cromwell announced that the MHRS Board just received

word from OhioMHAS that the organization’s 21st Century Cures Federal Grant has been approved in

the amount of $140,000. These funds will be passed on to the Guernsey County Health Department

and the Muskingum County Health Department for embedding two maternal health nurse navigators to

assist addicted pregnant women with receiving needed care and treatment.

VIII. FINANCE/AUDIT COMMITTEE REPORT: (Dan Scheerer, M.D., Chair)

1. Ratification of Accounts Payable Dated April 17, 2017: (Exhibit B)

Committee Recommendation: William Johnson moved that the Finance/Audit Committee recommend to the

full Board ratification of the Executive Director’s action to approve an accounts payable on April 17, 2017.

The motion was seconded by Jim McVey and unanimously approved.

WILLIAM JOHNSON MOVED THAT THE BOARD ADOPT THE

RECOMMENDATION OF THE FINANCE/AUDIT COMMITTEE TO RATIFY THE

ACTION OF THE EXECUTIVE DIRECTOR TO APPROVE AN ACCOUNTS

PAYABLE ON APRIL 17, 2017. THE MOTION WAS SECONDED BY JEFF

LeCOCQ.

Dr. Scheerer guided a thorough review of the accounts payable that included:

►FUNDING FOR IN-NETWORK PROVIDERS OF MENTAL HEALTH AND

ALCOHOL/DRUG RECOVERY SERVICES — ($905,238.96) – Includes $460,000

payment to Allwell Behavioral Health Services for assistance in paying a small percentage

of merger expenses (as approved at the MHRS Board’s April 13, 2017, board meeting).

►MHRS BOARD OPERATING EXPENSES — ($4,330.95)

Clarification of Specific Payments:

▪Staples Credit Plan ($944.25) – For printer toners, copy paper, and miscellaneous office supplies.

▪Supplies for Service Area Meet ‘N Greets ($404.42) – Perry County meeting - $365.00 to Dodson’s on Broadway; Guernsey County meeting - $39.42 to Wal-Mart.

A ROLL CALL VOTE WAS THEN TAKEN ON THE ABOVE MOTION AS

FOLLOWS: LANA CARNEY, YEA; DIANE DANAHER, YEA; WILLIAM

JOHNSON, YEA; KATHY KEHL, YEA; DEE KINSEL, YEA; PAMELA KIRST, YEA;

JEFF LeCOCQ, YEA; JIM McVEY, YEA; AND BEV STEINBRECHER, YEA. THE

MOTION WAS UNANIMOUSLY APPROVED RECEIVING NINE (9) POSITIVE

VOTES.

2. Ratification of Accounts Payable Dated April 24, 2017: (Exhibit C)

Committee Recommendation: Jim McVey moved that the Finance/Audit Committee recommend to the full

Board ratification of the action of the Executive Director to approve an accounts payable on April 24, 2017.

The motion was seconded by Dee Kinsel and unanimously approved.

JIM McVEY MOVED THAT THE BOARD ADOPT THE RECOMMENDATION OF

THE FINANCE/AUDIT COMMITTEE TO RATIFY THE ACTION OF THE

EXECUTIVE DIRECTOR TO APPROVE AN ACCOUNTS PAYABLE ON APRIL 24,

4 2017. THE MOTION WAS SECONDED BY DEE KINSEL.

It was noted this accounts payable was for the payment of May 2017 health insurance

premiums for MHRS Board employees in the amount of $6,895.83.

A ROLL CALL VOTE WAS THEN TAKEN ON THE ABOVE MOTION AS

FOLLOWS: LANA CARNEY, YEA; DIANE DANAHER, YEA; WILLIAM

JOHNSON, YEA; KATHY KEHL, YEA; DEE KINSEL, YEA; PAMELA KIRST, YEA;

JEFF LeCOCQ, YEA; JIM McVEY, YEA; AND BEV STEINBRECHER, YEA. THE

MOTION WAS UNANIMOUSLY APPROVED RECEIVING NINE (9) POSITIVE

VOTES.

3. Ratification of Accounts Payable Dated May 1, 2017: (Exhibit D)

Committee Recommendation: Jim McVey moved that the Finance/Audit Committee recommend to the full

Board ratification of the action of the Executive Director to approve an accounts payable on May 1, 2017.

The motion was seconded by William Johnson and unanimously approved.

JIM McVEY MOVED THAT THE BOARD ADOPT THE RECOMMENDATION OF

THE FINANCE/AUDIT COMMITTEE TO RATIFY THE ACTION OF THE

EXECUTIVE DIRECTOR TO APPROVE AN ACCOUNTS PAYABLE ON MAY 1,

2017. THE MOTION WAS SECONDED BY JEFF LeCOCQ.

The review of payments included:

►FUNDING FOR IN-NETWORK PROVIDERS OF MENTAL HEALTH &

ALCOHOL/DRUG RECOVERY SERVICES – ($357,643.76)

►OUT-OF-NETWORK MENTAL HEALTH CRISIS SERVICES AT NEW

HORIZONS IN LANCASTER, OHIO – ($293.26)

A ROLL CALL VOTE WAS THEN TAKEN ON THE ABOVE MOTION AS

FOLLOWS: LANA CARNEY, YEA; DIANE DANAHER, YEA; WILLIAM

JOHNSON, YEA; KATHY KEHL, YEA; DEE KINSEL, YEA; PAMELA KIRST, YEA;

JEFF LeCOCQ, YEA; JIM McVEY, YEA; AND BEV STEINBRECHER, YEA. THE

MOTION WAS UNANIMOUSLY APPROVED RECEIVING NINE (9) POSITIVE

VOTES.

4. Ratification of Accounts Payable Dated May 8, 2017: (Exhibit E)

Committee Recommendation: William Johnson moved that the Finance/Audit Committee recommend to the

full Board ratification of the action of the Executive Director to approve an accounts payable on May 8,

2017. The motion was seconded by Jim McVey and unanimously approved.

WILLIAM JOHNSON MOVED THAT THE BOARD ADOPT THE

RECOMMENDATION OF THE FINANCE/AUDIT COMMITTEE TO RATIFY THE

ACTION OF THE EXECUTIVE DIRECTOR TO APPROVE AN ACCOUNTS

PAYABLE ON MAY 8, 2017. THE MOTION WAS SECONDED BY BEV

STEINBRECHER.

The review of payments included:

►PAYMENT OF $2,500.00 TO CONSULTANT DAVID GROVE FOR

PROVIDING AN I-FAST TRAINING ASSOCIATED WITH THE MHRS

BOARD’S STRONG FAMILIES – SAFE COMMUNITIES GRANT.

►MHRS BOARD OPERATING EXPENSES – ($22,495.31)

5 Clarification of Specific Payments:

▪ BELMONT-HARRISON-MONROE MHRS BOARD – ($10,926.96) – Payment for use of 1 bed at Liberty Manor for the months of January, February and March of 2017.

▪ HOUSE OF HOPE CONSUMER DROP-IN CENTER IN MARIETTA – ($600.00) – Our MHRS Board’s share of meal/facility expenses related to the 17th Annual Local Recovery Summit to be held at the Hallowed Hills Conference Center in Zanesville on August 4, 2017.

▪ RICHLAND COUNTY MHRS BOARD – ($6,027.50) – Support services provided related to the GOSH billing system.

A ROLL CALL VOTE WAS THEN TAKEN ON THE ABOVE MOTION AS

FOLLOWS: LANA CARNEY, YEA; DIANE DANAHER, YEA; WILLIAM

JOHNSON, YEA; KATHY KEHL, YEA; DEE KINSEL, YEA; PAMELA KIRST, YEA;

JEFF LeCOCQ, YEA; JIM McVEY, YEA; AND BEV STEINBRECHER, YEA. THE

MOTION WAS UNANIMOUSLY APPROVED RECEIVING NINE (9) POSITIVE

VOTES.

5. Calendar Year 2017 Revenue Adjustment:

Committee Recommendation: Dee Kinsel moved that the Finance Audit Committee recommend to the full

Board approval of the following CY 2017 revenue adjustments: Strong Families – Safe Communities Grant,

$70,000; and Other Reimbursement, $11,000. The motion was seconded by William Johnson and

unanimously approved.

DEE KINSEL MOVED THAT THE FULL BOARD ADOPT THE

RECOMMENDATION OF THE FINANCE/AUDIT COMMITTEE TO APPROVE THE

FOLLOWING CALENDAR YEAR 2017 REVENUE ADJUSTMENTS:

THE MOTION WAS SECONDED BY WILLIAM JOHNSON AND A ROLL CALL

VOTE WAS THEN TAKEN AS FOLLOWS: LANA CARNEY, YEA; DIANE

DANAHER, YEA; WILLIAM JOHNSON, YEA; KATHY KEHL, YEA; DEE KINSEL,

YEA; PAMELA KIRST, YEA; JEFF LeCOCQ, YEA; JIM McVEY, YEA; AND BEV

STEINBRECHER, YEA. THE MOTION WAS UNANIMOUSLY APPROVED

RECEIVING NINE (9) POSITIVE VOTES.

6. Calendar Year 2018 Budget for the MHRS Board’s Entire Network of Care:

(Exhibit F)

Dr. Scheerer noted that the Board’s review of this agenda item would be officially

considered an ‘open budget hearing’ (with legal notice of such hearing being published in

the Zanesville Times Recorder on April 30, 2017).

Committee Recommendation: Jim McVey moved that the Finance/Audit Committee recommend to the full

Board approval of the Calendar Year 2018 Budget for the MHRS Board’s Network of Care in the amount of

Revenue Code Description Amount

852-400-00020 Strong Families – Safe Communities

Grant

$70,000

852-700-00028 Other Reimbursement $11,000

6 $8,539,748. The motion was seconded by Dee Kinsel and unanimously approved.

JIM McVEY MOVED THAT THE BOARD ADOPT THE RECOMMENDATION OF

THE FINANCE/AUDIT COMMITTEE TO APPROVE THE MHRS BOARD’S

CALENDAR YEAR 2018 BUDGET FOR THE ENTIRE NETWORK OF CARE IN

THE AMOUNT OF $8,539,748. THE MOTION WAS SECONDED BY DEE KINSEL.

Chairman Scheerer noted that this budget is required by law and is prepared for the six

sets of County Commissioners and County Auditors in the MHRS Board’s service area. It

was explained that the expenditures in the budget combine the MHRS Board’s Calendar

Year 2018 Operating Budget with FY 2018 Contract Service Provider Allocations and

miscellaneous adjustments. Dr. Scheerer noted that the majority of the budget

($7,486,710) is for payments to contract organizations for the provision of mental illness

and addiction recovery treatment and support services. It was also pointed out there are

many unknowns, so revenue and expenses have been conservatively planned. Should the

state’s final biennial budget include any additional funding for mental health and

addiction services, the budget will be revised.

A ROLL CALL VOTE WAS THEN TAKEN ON THE ABOVE MOTION AS

FOLLOWS: LANA CARNEY, YEA; DIANE DANAHER, YEA; WILLIAM

JOHNSON, YEA; KATHY KEHL, YEA; DEE KINSEL, YEA; PAMELA KIRST, YEA;

JEFF LeCOCQ, YEA; JIM McVEY, YEA; AND BEV STEINBRECHER, YEA. THE

MOTION WAS UNANIMOUSLY APPROVED RECEIVING NINE (9) POSITIVE

VOTES.

IX. PARTNERS WORKGROUP: (Jeff LeCocq, Chair)

1. Service Area Statistics – Deaths by Suicide:

Chairman LeCocq reported that committee members had reviewed detailed information

(Exhibit G) regarding deaths by suicide in the six-county service area and the many

prevention/awareness efforts that are being implemented by local Suicide Prevention

Coalitions. (Summary of report is included in the “Board Meeting Highlights” attached to

the minutes.)

X. NOMINATING COMMITTEE REPORT: (Dee Kinsel, Chair)

This year’s Nominating Committee consisted of board members Dee Kinsel and Kathy Kehl. Dee

Kinsel presented the following slate of nominees to fill MHRS Board offices in FY 2018:

Board President: Pamela Kirst

Board Vice President: Jeff LeCocq

It was noted the election of officers will take place at the June 8th board meeting.

XI. OLD BUSINESS:

1. Quarterly Report – Strategic Plan: (Exhibit H)

Misty Cromwell provided an update regarding progress in implementing the

organization’s Strategic Plan. (A summary of this report is included in the “Board Meeting

Highlights” attached to the minutes.)

Board members expressed appreciation for the strategic plan updates, noting that such

7 reporting will ensure that the Plan remains a ‘live’ document that is guiding the work to

maintain/improve the system of care.

XII. NEW BUSINESS:

1. Required Resolution in Support of Capital Project — Evolution Residential Center

for Men:

JIM McVEY MOVED THAT THE BOARD APPROVE THE FOLLOWING

RESOLUTION:

THE MUSKINGUM AREA MENTAL HEALTH & RECOVERY SERVICES BOARD

HEREBY RESOLVES TO SUPPORT THE EVOLUTION RESIDENTIAL CENTER FOR

MEN CAPITAL PROJECT OF PERRY BEHAVIORAL HEALTH CHOICES — WITH AN

ASSURANCE TO SUPPORT APPLICANT’S PROGRAM CONSISTENT WITH THEIR

APPLICATION AND, IN ADDITION, TO ANNUALLY MONITOR THE PROGRAMS

AND OPERATIONS OF THE FACILITY TO ASSURE COMPLIANCE.

THE MOTION WAS SECONDED BY BEV STEINBRECHER.

Misty noted that OhioMHAS requires resolutions of MHRS Board support for any capital

funds that are awarded to contract service providers. This resolution of support is related

to an extra $50,000 that was awarded to Perry Behavioral Health Choices to assist with

getting the Evolution Residential Center for Men operational. All other capital expenses

on this project were covered by Perry Behavioral Health Choices.

A ROLL CALL VOTE WAS THEN TAKEN ON THE ABOVE MOTION AS

FOLLOWS: LANA CARNEY, YEA; DIANE DANAHER, YEA; WILLIAM

JOHNSON, YEA; KATHY KEHL, YEA; DEE KINSEL, YEA; PAMELA KIRST, YEA;

JEFF LeCOCQ, YEA; JIM McVEY, YEA; AND BEV STEINBRECHER, YEA. THE

MOTION WAS UNANIMOUSLY APPROVED RECEIVING NINE (9) POSITIVE

VOTES.

2. Next Meeting:

The MHRS Board’s Annual Meeting will be held on Thursday, June 8, 2017, at the

Rolling Plains United Methodist Church in Zanesville. No committee meetings will be

held that night. Dinner will be served at 6:30 p.m., followed at 7:00 p.m. by recognition

of departing board members and a special client-centered presentation about Recovery,

Advocacy and Empowerment, and regular board meeting at approximately 7:30 p.m.

Board members were asked to begin thinking about the summer meeting schedule. Board

members who would be unable to meet on July 13 or August 10, should let Linda Hand

know. The summer schedule will be planned based on the best availability for a quorum.

It was pointed out that, if it is possible to meet in both months, it would help to alleviate

extremely heavy agendas at subsequent meetings.

XIII. COMMENTS FOR THE GOOD OF THE ORDER:

▪ Coshocton’s Annual Youth Health Day: William Johnson reported on the extremely

successful Annual Youth Health Day that was held in Coshocton on May 11. Over 400

seventh graders were brought together to learn about suicide prevention, addiction

awareness and prevention, the dangers associated with bullying, sexting, and texting, and

the importance of summer safety habits.

8 ▪ Request for Advocacy: Board members were given a packet of information to assist in

advocating with:

1. Service area Ohio Senators regarding support for the ‘asks’ in the State’s Biennial

Budget to fund regional addiction withdrawal centers and mental health crisis

stabilization centers, as well as increased funds for community outpatient

treatment.

2. United States Senators Sherrod Brown and Rob Portman, asking them to consider

the needs of Ohioans suffering from severe mental illnesses and addictions as they

deliberate on the American Health Care Act.

XIV. ADJOURNMENT: The meeting adjourned at 8:20 p.m.

SUBMITTED BY: APPROVED BY:

_________________________________ ________________________________

Linda Hand, Administrative Coordinator Misty Cromwell, Associate Director

________________________________

Dan Scheerer, M.D., President Pro-Tem