HEALTH AND HUMAN SERVICES COMMITTEE MEETING

MONDAY, NOVEMBER 4, 2019

9: 00 A.M.

MINUTES

MEMBERS PRESENT: Commissioners Jeanne Pearl-Wright, Rob Piercefield, Matthew

Bowen, Joseph Brehler, Lisa Deavers, Blake Mulder and BarbaraRogers

ALSO PRESENT: Commissioner Augustine; Tammy Lemmer, Harriett Dean, ColetteScrimger and John Fuentes

The November 4, 2019 regular meeting of the Health and Human Services Committee was calledto order at 9: 00 a.m. by Chairperson Pearl-Wright.

The Pledge of Allegiance was given by all.

Commissioner Rogers moved to approve the agenda, as presented. Commissioner Deavers

seconded. Motion carried.

Commissioner Rogers moved to approve the minutes of the October 7, 2019 meeting, aspresented. Commissioner Devers seconded. Motion carried.

Tammy Lemmer, Tri-County Office on Aging, was present to provide the agency' s semi-annualreport. Updates were provided on programming and participation, advocacy efforts and elderabuse prevention and awareness community forums. Updates were also provided on Meals-on-

Wheels volunteer recruitment, reduction in program waitlists and upcoming agency fundraisingevents. Discussion held.

Harriett Dean, Truancy Intervention Program Coordinator for Eaton RESA was present todiscuss the 2018- 2019 school year outcomes report. School referrals to the program experienced

an approximate 50 percent reduction in unexcused absences post intervention. Approximately 63percent of the referrals were facilitated without court involvement. Discussion held.

Colette Scrimger, Barry-Eaton District Health Department, was present to provide an update onthe Eaton Behavioral Health program and services. It was reported that the Board of Health

voted to terminate the agency' s contract with Mid-State Health Network and cease the programoperations effective November 4, 2019. The decision was made primarily due to ongoing

funding uncertainty which resulted in the loss of all clinical staff. Discussion held. Ms.

Scrimger reported that the Health Department is committed to working with Mid-State HealthNetwork while an alternative provider is identified to ensure those receiving services experienceas little disruption to services as possible. Further discussion held.

It was reported that additional applicants for those interested in appointment to the CommunityMental Health Board were received. The individuals will be invited to attend the December

regular meeting to discuss their interest with the committee.

Chairperson Pearl- Wright adjourned the meeting at 10: 34 a.m.

The next regularly scheduled meeting of the Health and Human Services Committee will be heldon Monday, December 2, 2019, at 9: 00 a.m. in the Board of Commissioners Room of theCourthouse, located at 1045 Independence Boulevard, Charlotte, MI 48813.

J-4 e Pearl- Wright, Chairperson I

2

Tri-County Office on Aging Semi-Annual Report November 2019

General TCOA update: TCOA submitted the proposed Multi-Year Plan (MYP) for 2020-2022 to local units of government in June and it was approved by the Commission on Aging in September. Thank you to the Board of Commissioners for your active approval of the MYP. There was mixed news on the State Budget for FY 2020, with flat funding for Aging and Adult Services Agency but an increase in funding for the MI Choice Waiver Program with an increase in authorized “slots” (people served.). Distribution of those funds has not yet commenced, so there has been no immediate onboarding of new clients, but TCOA has job postings to hire two new Care Managers, one Registered Nurse and one Social Worker. TCOA staff continue to participate in several multi-disciplinary groups, including the Eaton County Substance Abuse Advisory Group, Oral Health Coalition, and Human Services Collaborative. TCOA held an Elder Abuse Expo at the Eaton Area Senior Center on June 27, featuring Sheriff Reich and Prosecuting Attorney Douglas Lloyd. Staff and volunteers also participated in local community events, including a presentation for the Charlotte Lions Club, a health fair at AL!VE, a senior fair at Eaton Area Senior Center, and a volunteer fair in Delta Township. Crisis Services for the Elderly: The CSE program provides limited assistance for non-medical emergencies, such as utility shut off notices and prescription drug issues, for older adults 60 and older in the tri-county area 24 hours a day, seven days a week. In Fiscal Year (FY) 2019, TCOA received 84 total calls from Eaton County residents, with 47 of those receiving financial assistance. Reasons for being ineligible include not meeting the age requirement, already having received support this fiscal year, or needs that exceed what TCOA has available, because we can only pay up to the final $200 of a bill. Evidence-based Workshops: TCOA provides several evidence-based programs to help older adults and their caregivers maintain their health and wellness. Workshops are held in the community and taught by trained lay leaders. In addition to Diabetes Personal Action Toward Health (D-PATH), Chronic Pain PATH, and A Matter of Balance (MOB), TCOA also offers Creating Confident Caregivers and Powerful Tools for Caregivers. TCOA is grateful to the community partners who have hosted workshops at their locations, including, Delta Township Public Library, AL!VE, Eaton Rapids Medical Center, St Gerard’s Catholic Church, and Delta 39’ers Enrichment Center. In FY ’19, TCOA conducted the following workshops in locations across the tri-county area: nine Matter of Balance (MOB) workshops with 119 program enrollees and 101 program completers, nine Chronic Pain PATH workshops with 87 program enrollees and 56 program completers, and nine D-PATH workshops with 109 program enrollees and 80 program completers A total of eight of these workshops were held at Eaton County locations, with 105 enrollees and 91 completers from the county.

For caregivers, TCOA launched Powerful Tools for Caregivers, offering three workshops with 33 enrollees and 28 completers. TCOA also offered seven Creating Confident Caregiver sessions for caregivers of adults with Alzheimer’s Disease or other forms of dementia. In FY ’19, 69 people enrolled and 51 participants completed a session, with 9 enrollees from Eaton County. Medicare Medicaid Assistance Program (MMAP): The MMAP program assisted 2944 beneficiaries in fiscal year 2019, with 119 of them from Eaton County. The program focuses on Medicare, Medicaid, Supplemental Insurance, Long Term Care Insurance, Waste, Fraud and Abuse and Medicare Prescription Drug Coverage. Consultations and questions on fraud only are not included in these stats. Nutrition: TCOA’s Nutrition program prepared 453,293 meals for 2,100 separate Meals on Wheels clients last fiscal year. Meals on Wheels provides a hot, well-balanced meal delivered daily by friendly volunteers. 248 clients from Eaton County received 67,188 home delivered meals in FY ‘19. TCOA also served 5,156 meals to 117 clients at three congregate dining sites in Eaton County (Delta Township, Grand Ledge, and Sunfield). Currently Olivet has a senior dine card agreement at Lamplighter. Sunfield continues as a “scratch site,” meaning they prepare their own food onsite in partnership with TCOA. Nursing Facility Transitions (NFT): There were significant changes to the TCOA program this year, with community partners managing more clients. However, TCOA successfully transitioned 14 clients from a Nursing Facility back into the community setting of their choice in FY ‘19, with 4 clients residing in Eaton County. Waitlists: As of Sept 30, 2019, the Project Choices (Medicaid Waiver) wait list contains 63 people, with 45 from Eaton County. One year ago, it was at 109 total. As of the same date, the Case Coordination wait list (funded through MDHHS Aging and Adult Services and Older Americans Act dollars) contains 177 people, with 45 from Eaton County. One year ago, it was at 219 total. Volunteer Opportunities: Meals on Wheels continues to recruit new volunteers in all areas of the region, especially as some retirees prepare to travel south for the winter. Anyone interested in volunteering may call the Eaton County Meals on Wheels office at 517-541-2330. Recruitment yard signs are available for distribution. Events 34th Annual Dinner and Auction- Thursday, November 7, 2019 at Eagle Eye Banquet Center. 32nd Annual Meals on Wheels Golf Outing – June 9, 2020 at Forest Akers West in Lansing. Information on additional volunteer opportunities and sponsorship options for TCOA events are available by contacting Casey Cooper, Fundraising and Volunteer Specialist, at 517-887-1377. If you are interested in receiving monthly updates from TCOA regarding events, activities, and program opportunities, please subscribe to the email distribution list by visiting www.tcoa.org/contact and scroll to the bottom right.

Eaton RESA 1790 Packard Highway, Charlotte, Michigan 48813

517-541-8920 Fax - 517-543-4870 hdean@eatonresa.org

Harriett Dean, Eaton County Truancy Coordinator

EATON COUNTY TRUANCY INTERVENTION PROGRAM (TIP) 2018-19 School Year Outcomes

229 total Eaton County Students Served by TIP

Data for Elementary TIP students (73 students)

Grades K-4

45 school days prior to referral

45 school days post

TIP involvement

Percent Change

# of tardies 443 245 45% fewer

# of absences (days) 573 295 49% fewer

Data for Intermediate and Middle

School TIP students (25 students) Grades 5-8

45 school days prior to referral

45 school days post

TIP involvement

Percent Change

# of tardies (class periods) 141 151 1% increase

# of absences (class periods) 254 144 43% fewer

Data for High School TIP

students (9 students) Grades 9-12

45 school days prior to referral

45 school days post

TIP involvement

Percent Change

# of tardies (class periods) 76 92 2% increase

# of absences (class periods) 102 56 50% fewer

● 107 (47%) students are included in the data above. Reasons for exclusion in

reporting data: court involvement took over jurisdiction and data collection, moved out of county, inappropriate referral (too old, too young), referral came in too late and was carried over, Homeschooling or 504 initiated, Schools of Choice, transferred to online or blended learning, expelled, or hospitalized.

Helping Eaton County students stay in school

● 145 (63%) referrals were facilitated by TIP without any court involvement ● 75 (33%) truancy petitions were issued through the Eaton County Prosecuting

Attorney and Juvenile Court. Of those filed: ● 39 (52%) were handled informally on an informal Consent

Calendar Diversion, successfully completing with no juvenile record.

● 36 (48%) cases moved to Formal Standard Probation, Home Intensive probation, Day Treatment, Community-Based Treatment, or Residential Treatment/Aftercare.

● 9 (4%) petitions were filed against parents for failure to comply with Michigan Compulsory Attendance law (parents are charged when the student is age 10 or under)

District

2013 - 14

2014 - 15

2015 - 16

2016 - 17

2017 - 18

2018 - 19

Elementary Intermediate (K-4)

Middle School (5-8)

High School/

Alternative (9-12)

Charlotte 40 69 62 58 31 50 29 10 11 Eaton Rapids/GCPA

42 40 37 64 28 36 9 9 18

Grand Ledge 53 82 66 120 62 66 26 26 14 Maple Valley 2 10 11 9 1 3 1 2 0 Potterville 13 13 4 17 8 0 0 0 0 Island City Academy

1 1 0 0 0 4 0 4 N/A

Waverly 27 39 30 68 31 31 9 16 6 Lansing 7 12 4 12 0 10 0 0 10 Other* 18 50 39 12 52 29 2 14 13

Total 203 316 280 372 213 229 76 81 72

*Other schools include Great Lakes Virtual Academy, Michigan Virtual Academy, Greyhound Central Performance Academy, Olivet Public Schools,

Lakewood Public Schools, Holt Public Schools, Relevant Academy, Michigan Connections Academy, and Nexus Academy, and St. Mary’s.

Helping Eaton County students stay in school

MENTAL HEALTH CODE (EXCERPT)Act 258 of 1974

330.1222 Board; composition; residence of members; exclusions; approval of contract;exception; size of board in excess of MCL 330.1212; compliance.Sec. 222. (1) The composition of a community mental health services board shall be representative of

providers of mental health services, recipients or primary consumers of mental health services, agencies andoccupations having a working involvement with mental health services, and the general public. At least 1/3 ofthe membership shall be primary consumers or family members, and of that 1/3 at least 1/2 of those membersshall be primary consumers. All board members shall be 18 years of age or older.

(2) Not more than 4 members of a board may be county commissioners, except that if a board represents 5or more counties, the number of county commissioners who may serve on the board may equal the number ofcounties represented on the board, and the total of 12 board memberships shall be increased by the number ofcounty commissioners serving on the board that exceeds 4. In addition to an increase in board membershipsrelated to the number of county commissioners serving on a board that represents 5 or more counties, boardmemberships may also be expanded to more than the total of 12 to ensure that each county is entitled to atleast 2 board memberships, which may include county commissioners from that county who are members ofthe board if the board represents 5 or more counties. Not more than 1/2 of the total board members may bestate, county, or local public officials. For purposes of this section, public officials are defined as individualsserving in an elected or appointed public office or employed more than 20 hours per week by an agency offederal, state, city, or local government.

(3) A board member shall have his or her primary place of residence in the county he or she represents.(4) An individual shall not be appointed to and shall not serve on a board if he or she is 1 or more of the

following:(a) Employed by the department or the community mental health services program.(b) A party to a contract with the community mental health services program or administering or benefiting

financially from a contract with the community mental health services program, except for a party to acontract between a community mental health services program and a regional entity or a separate legal or anadministrative entity created by 2 or more community mental health services programs under the urbancooperation act of 1967, 1967 (Ex Sess) PA 7, MCL 124.501 to 124.512, or under 1967 (Ex Sess) PA 8, MCL124.531 to 124.536.

(c) Serving in a policy-making position with an agency under contract with the community mental healthservices program, except for an individual serving in a policy-making position with a joint board orcommission established under 1967 (Ex Sess) PA 8, MCL 124.531 to 124.536, or a regional entity to providecommunity mental health services.

(5) If a board member is an employee or independent contractor in other than a policy-making positionwith an agency with which the board is considering entering into a contract, the contract shall not be approvedunless all of the following requirements are met:

(a) The board member shall promptly disclose his or her interest in the contract to the board.(b) The contract shall be approved by a vote of not less than 2/3 of the membership of the board in an open

meeting without the vote of the board member in question.(c) The official minutes of the meeting at which the contract is approved contains the details of the contract

including, but not limited to, names of all parties and the terms of the contract and the nature of the boardmember's interest in the contract.

(6) Subsection (5) does not apply to a board member who is an employee or independent contractor inother than a policy-making position with a joint board or commission established under 1967 (Ex Sess) PA 8,MCL 124.531 to 124.536, a separate legal or administrative entity established under the urban cooperation actof 1967, 1967 (Ex Sess) PA 7, MCL 124.501 to 124.512, a combination of municipal corporations joinedunder 1951 PA 35, MCL 124.1 to 124.13, or a regional entity to provide community mental health services.

(7) In order to meet the requirement under subsection (1) related to the appointment of primary consumersand family members without terminating the appointment of a board member serving on March 28, 1996, thesize of a board may exceed the size prescribed in section 212. A board that is different in size than thatprescribed in section 212 shall be brought into compliance within 3 years after the appointment of theadditional board members.

History: 1974, Act 258, Eff. Aug. 6, 1975;⎯Am. 1995, Act 290, Eff. Mar. 28, 1996;⎯Am. 2002, Act 596, Imd. Eff. Dec. 3, 2002;⎯Am. 2003, Act 278, Imd. Eff. Jan. 8, 2004.

Rendered Thursday, September 19, 2019 Page 1 Michigan Compiled Laws Complete Through PA 48 of 2019

© Legislative Council, State of Michigan Courtesy of www.legislature.mi.gov

EATON COUNTY

CITIZEN INVOLVEMENT APPLICATION

Last Name: Dyer First Name: Branden Middle Initial: J

Street Address:644 Forest St City/State/Zip: Charlotte MI 48813

Township: City of Charlotte

Home Phone: Business Phone:

Employer: VOA of Michigan

Years of Service: 2

Occupation: Nonprofit

Are You At Least 18 Years of Age: Yes([) No(I) Email: bdyer352@gmail.com

EDUCATION

School Name& Location Course From: Did You Degree or

Of School Of Study To: Graduate? Diploma

High

School 1) Charlotte General 2004-2008 Y Diploma

College 1) Olivet College

Accounting 2009-2014 Y Degree

2) Oakland UniversityManagment 2017 Y Certifacte

Other 1)

PREVIOUS PUBLIC SERVICE EXPERIENCE01

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Other Position:

REFERENCES

Name: Joni Risner

Phone Number: 517 983 9626 Occupation: United Way

Name: Gregg GuetschowPhone Number.

517- 543- 8852 Occupation: City Manager

Name Committee, Commission or Board Desired: Road Commission, or Mental Health Board, or Parks and Recreation Commission

List Special Skills and Qualifications( include avocations and special interests):

Current Elected Offical

Have you ever been convicted of an offense other than a traffic violation? Yes( 0) No( CJ)

Please be advised that all applicants may not be able to be appointed to a Board or Commission. If an appointment is not able to be made,the application will be held on file for four years. Thank you for your interest in Eaton County.

I certify that the above statements are true to the best of my knowledge.

Date: 9/ 30/ 19

Signatu '

RETURN APPLICATION TO: Eaton County Clerk' s ice, 1045 Independence Blvd., Charlotte, MI 48813

EATON COUNTY

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Street Address: T/!' City/ State/Zip:

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Name: 544 121/x" L rt,t.( 2-( C Phone Number: Cr/ 3 y C — c5' Z/ 2.—Occupation: D l G 77) 12 C WI, / lL

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I certify that the above statements are true to the best of my knowledge.

Date: CD 3 d -- ( 7 Signature: sj--1--- 1-"----64----.‘ zmax-'=`

RETURN APPLICATION TO: Eaton County Clerk' s Office, 1045 Independence Blvd., Charlotte, MI 48813

EATON COUNTY

CITIZEN INVOLVEMENT APPLICATION

Last Name: /)'\ 6)_._ First Name: ./ I/li r/ Middle Initial:U

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REFERENCE

Name: "1 kt(A 6/ A" Ack Phone Number: lip Occupation: Ail I/ // I/ .

Name: d L qr/er

Phone Number: Sinkr:—/ p • Occupation: f' 6-74 r, /71

Name Committee, Commission or Board Desired: _._ W ({/ 1," 10e 0 it +1-i , e CA # 'ate',

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Have you ever been convicted of an offense other than a traffic violation? Yes( Lld) No( 0)

Please be advised that all applicants may not be able to be appointed to a Board or Commission. If an appointment is not able to be made,the application will be held on file for four years. Thank you for your interest in Eaton County.

I certify that the above statements are true to the best of my knowledge.

6-- 30 -(Date: Signature: (? 1 ( 61714t 2.47. 4---1

RETURN APPLICATION TO: Eaton County Clerk' s Office, 1045 Independence Blvd., Charlotte, MI 48813