|Minutes Not Final Until Approved By LGAC
Local Government Advisory Committee
Room 473, Human Services Building, Salem
Minutes-June 14, 2002
Lennie Bjornsen, DHS Assistant Director, Continuous System Improvement
Ben Boswell, Wallowa County Board of Commissioners
Larry Cole,League of Oregon Cities
Joe Corsiglia, Columbia County Board of Commissioners
Jean Cowan, Lincoln County Board of Commissioners
Barry Donenfeld, Mid Willamette Valley Senior Services
Vic Falgout , Douglas County Juvenile Department
Irene Fischer-Davidson, Clackamas County Human Services
Linda Fleming, Conference of Local Health Officials
Ramona Foley, DHS Assistant Director, Children, Adults and Families
David Foster, Oregon Housing and Community Services
Gordon Fultz, Association of Oregon Counties
Robert Furlow, Douglas County Health and Human Services
Donnie Griffin, DHS Deputy Director
Lisa Joyce, DHS Legislative and Intergovernmental Relations Manager, Directors Office
Barry Kast, DHS Assistant Director, Health Services
Sue Kupillas, Jackson County Board of Commissioners
Lydia Lissman, DHS Assistant Director, Seniors and People with Disabilities
Elizabeth Lopez, DHS Administrator, Employment and Financial Services, Seniors and People with Disabilities
Bobby Mink, DHS Director
Linda Modrell, Benton County Board of Commissioners
Mike Morgan, Jefferson County Administrative Officer
Gillian Nicolaides, Douglas County Commission on Children and Families
Madeline Olson, DHS Office of Mental Health and Addiction Services, Health Services
Ann Peltier, Conference of Local Health Officials
Alicia Philpot, Governors Office
Bill Wagner, Cascades West Council of Governments
Doug Wilson, DHS Assistant Director, Finance and Policy Analysis
Minutes: Dena Comer, DHSDirectors Office Administration and Staff to LGAC
Meeting called to order by Jean Cowan, Co-Chair. Roundtable introductions were made. Minutes of the May 10 meeting were approved, with a minor change to the wording on page three, paragraph five.
Budget Development & Local Infrastructure
Cowan reported that at its spring conference, the Association of Oregon Counties (AOC) ratified its commitment to advancing public and mental health with the establishment of three task forces, addressing: 1) Crisis and prevention, and access to mental health and drug treatment in jails; 2) Local capacity of public health and outcome measurements; and 3) The role of counties and policy development with key partners. Discussion at todays meeting should include these topics, in addition to addressing the DHS budget packages.
AOC Actions Regarding Public Health and Mental Health
Infrastructure Policy Packages: Report from State and Local Leads
Handout #1: May 24 Memo, from Lisa Joyce to LGAC Members
Handout #2: Local Government Infrastructure Proposals
Cowan reported that time did not allow for the development of a budget task force, as was the initial goal (Handout #1). Instead, four task groups have been developed to address community partnership and infrastructure issues.
Bobby Mink explained that the four groups will address county infrastructure across Oregon, and include: 1) Mental Health (MH) and Addiction Related Services;
2) Developmental Disabilities (DD) Services; 3) Area Agencies on Aging; and 4) Public Health (PH) programs. Representatives from local communities and state staff met and developed proposals for improving the current infrastructure. It is hoped that infrastructure funding can be secured in the next legislative session.
Doug Wilson distributed a document listing the infrastructure proposals, resulting from a meeting on June 12 between DHS and its local partners (Handout #2). The intent was to identify existing gaps between state and federal rules, regulations, and law, and our current level of funding, and to determine what can be done about them. Wilson followed with a detailed overview of the handout.
Addressing the DD task group, Lydia Lissman acknowledged the critical issue of administrative costs, and has been discussing this with local partners. Service is delivered through the case management system, however there are no current staffing standards; this may be reason for the gap.
Group discussion included clarification of terms used in the document, an explanation of federal funding by Barry Kast, and the need for quantifying funding needs within the counties.
Robert Furlow commended DHS staff for listening to local partners, and for their willingness to assist in the delivery of these systems.
Mink asked for ideas from the group, in answer to the question, "If you only had $30 million, what would you do?" There are several methods of presenting the issues to the Department of Administrative Services (DAS). Examples might be crafting one big package, or crafting one package around each of the issues, etc.
Gordon Fultz suggested a human services system component package, addressing both administrative system support and critical gaps, as a multi-biennium strategy.
Sue Kupillas replied that there are disadvantages to creating silos. As a group, planning and long-term goals must be system-wide, yet the language must be crisp with respect to what our goals are, and to our accountability. Work with the legislative system must ensure that the issues are compelling, and arent getting lost.
Linda Fleming asked if the issues might be framed to include the broader, community system of support, from children to seniors, including DD and other programs.
Furlow suggested grouping these issues into three different areas, in a "systems" approach, which suggests a multi-session solution, with the following caveat: If the economy improves, 10-20 percent of the money would be used to address the following three areas:
Further group discussion included remaining faithful to reorganization and the elimination of silos, and framing the package using language that illustrates support for the reorganization, versus a focus on prioritization. Care should be taken to not violate any directives or budget notes in the process. Ben Boswell presented a pie chart used by the Social Support Investment Work Group (SSIWG) reference as an example of how the package might be presented.
Alcohol and drug issues;
Development of an infrastructure to support systems at the local level, ensuring that the delivery source is adequately funded; and,
Structures around the bio-terrorism response, including communicable diseases, etc.
Mink explained that DHS cannot be successful in keeping abused kids healthy and safe, without help from everyone in the Department, as well as from local government; all systems must be adequate. Some of the weakest infrastructure areas exist in DD, MH and PH.
Toward the infrastructure issues, Cowan offered assistance from the existing AOC task forces, as well as suggested further discussion at future LGAC meetings. Mink reminded the group that the packages must be completed by the end of June.
Cowan replied that the initial work needed by the end of the month is completed, and she is comfortable with the Departments commitment to address the issues. She supported Furlows example, and suggested that discussion surrounding school-based health care should be included for the next legislative session.
Kupillas added her support for Furlows framework, as well, in that it ties all county services together clearly, and speaks to the philosophy of reorganization.
Boswell agreed to speak with DAS about their desire to create partnerships through budget development, as expressed by Theresa McHugh. He expressed his appreciation for DHS and the work being done with its partners.
Membership and Elections
Action: Mink agreed that DHS would build these concepts into its budget development, wherever possible. LGAC will continue this discussion at future meetings, and determine how they can be built into long-range plans.
Handout #3: LGAC Bylaws
Handout #4:LGAC Member Representation
According to LGAC bylaws (Handout #3), there is one vacant County Commissioner position, and the election of the chairs needs to be formalized. Lisa Joyce proposed the formation of a nominating committee to address the position issues, and that suggestions be prepared before the next meeting.
Action: Rather than forming a nominating committee, county commissioners will meet following todays meeting to discuss commissioner membership and Chair and Vice-Chair positions.
The group clarified the At-Large and Human Services Interest Groups membership (Handout #4).
Conference of Local Health Officials (CLHO) approved its bio-terrorism assurances, and Oregon has been awarded this funding. They expect to get grant revisions to their wards by the end of July, and to approve their communicable disease assurances at their next meeting.
Handout #5:June 7, 2002 Memo from Cindy Becker to DHS Cabinet, Deputies
Handout #6:April June Newspaper Clippings, of Interest to LGAC
No discussion of these handouts occurred. Copies of these documents were distributed to group members as informational only.
Future Agenda Items
Actual agenda is dependent upon a LGAC Executive Committee meeting.
Date: July 12, 2002
Time: 9:00AM - Noon
If you would like copies of the handouts, contact:
DHS Directors Office, 4th Floor
500 Summer Street NE, E-15
Salem, OR 97301-1097
Telephone: (503) 945-6843
Approved minutes are available on the LGAC web page: www.hr.state.or.us/lgac
Americans with Disabilities Act Notice: Do you have a physical or mental impairment that makes it hard for you to communicate? If so, you can get this document in Braille, computer disk, large print or oral presentation by contacting Jessica Ferge, Department of Human Services, Directors Office, (503) 945-6609, TTY (503) 947-5330.