13:06:28 From Tim Nesbitt (he/him) OHA : I will be here Vitalis! 13:06:55 From Kelli Taylor (They / Them) : Welcome, Tim! 13:09:36 From Kelli Bosak LCSW (she/her) : Present! 13:09:45 From Kelli Bosak LCSW (she/her) : Sorry my microphone may not be working on a new computer 13:11:55 From Melinda Del Rio (she/her/ella) : Just fyi- I’ll be off camera today. Sick & not feeling well today but wanted to still be here today. 13:12:10 From Kelli Bosak LCSW (she/her) : Approve (still having microphone issues) 13:14:03 From BBonser : I approve 13:14:31 From Jen Allen (she-her) : Should we ask our two new attendees to introduce themselves? :) 13:14:45 From Kelli Taylor (They / Them) : Thank you Lindy! I will make sure that is reflected ☺️ 13:16:05 From Jen Allen (she-her) : Welcome Dr. Tara and Shari!! So glad you're with us 13:16:23 From Tony Lai (he/him) : Welcome to you both 13:16:24 From Cheryl Cohen : Welcome to the workgroup! 13:16:30 From Kelli Bosak LCSW (she/her) : Welcome!! 13:16:51 From Tim Nesbitt (he/him) OHA : Welcome and thank you! 13:17:13 From Dr. Tara Sanderson (she/her) : Thank you all! Honored to be here. 13:17:36 From Shari Selander : Thank you, excited to be apart of this work group. 13:18:04 From Jenn Inman : If Vitalis could lean into his microphone a bit my ears would be so much happier :) 13:18:42 From Kelli Bosak LCSW (she/her) : Thanks, Jenn, that suggestion would help me too 13:20:26 From Chris Bouneff, NAMI OR : I am on the steering committee for the HB 4092 workgroup that is being referenced. I'd be happy to keep the group updated on our work as it progresses. 13:20:47 From Tim Nesbitt (he/him) OHA : That sounds fantastic Chris! 13:21:27 From Kelli Bosak LCSW (she/her) : Thank you Cheryl and Chris, that's great information to know. 13:22:17 From Cheryl Cohen : That is great to hear you are on the Steering Committee, Chris. 13:25:36 From Melinda Del Rio (she/her/ella) : CADC III is a Masters level 13:28:18 From Melinda Del Rio (she/her/ella) : Oops, sent it off early. I do know ICD (integrated co-occurring services) is new to Oregon. There are a lot of barriers billing wise. But with ICD, there are trainings that have to be completed to be considered an ICD provider. I could see that being a possibility. Maybe include David Corse in that discussion? Also worry of just all the fees with certifications/ licensures and barriers that could cause. 13:29:47 From Melinda Del Rio (she/her/ella) : ICD: Integrated co-occurring disorders 13:32:08 From Kelli Taylor (They / Them) : Apologies for not expanding the acronyms! BH: Behavioral Health, CMHP: Community Mental Health Program/Provider, CLSS: Culturally/Linguistically Specific Services 13:32:37 From Tony Lai (he/him) : Thank you Kelli! 13:35:20 From Tim Nesbitt (he/him) OHA : Thank you Tony. That is a great idea! 13:36:55 From Jenn Inman : CMHP = Community Mental Health Program (one per county, mix of private and county based) 13:36:55 From Tim Nesbitt (he/him) OHA : Thank you Melinda for your comment. I just saw that. 13:39:11 From Tim Nesbitt (he/him) OHA : Electronic Health Record (EHR) 13:40:20 From Melinda Del Rio (she/her/ella) : Completely agree with your comments Shari 13:40:34 From Shari Selander : Great suggestion Anthony, then all of the required reports could flow the same and truly be comparing variables the same. 13:41:46 From Anthony Cordaro : yes..and you can easily build template to easily document stuff along build in trigger words etc to easily mine for outcomes etc etc... 13:42:12 From Tony Lai (he/him) : I will lower my hand. I second Diane's AI comment 13:42:33 From Shari Selander : Funding Formulas are used and not the actual cost. Great comment Diane. 13:43:17 From Melinda Del Rio (she/her/ella) : AI would be great 13:43:31 From Anthony Cordaro : FYI - Kaiser is starting to pilot some of the IA for helping document so provider can focus on just talking / examining patient.. I haven't tried it myself but heard positive from my mh colleagues though not a complete solution. 13:45:14 From Anthony Cordaro : have to step away for 1-2 min 13:45:17 From Melinda Del Rio (she/her/ella) : It is absolutely accurate the fee for service reimbursement has not caught up with inflation. It’s quite scary how much working professionals are truly struggling to stay afloat which impacts providers being able to show up and do the work, leading to burnout a lot easier. 13:47:04 From Melinda Del Rio (she/her/ella) : Absolutely Jenn, agree! Like all those ideas. 13:47:18 From Tony Lai (he/him) : is there a loan repayment program for pre-licensed providers? or just licensed providers? 13:49:48 From BBonser : I think it should be all Tony 13:50:16 From Tim Nesbitt (he/him) OHA : We have one Tony 13:50:33 From Tony Lai (he/him) : Tim, can you provide the link please? 13:51:10 From Diane Benavides Wille (she/her/hers) : In 2005 the legislature passed SB31 which grants a tax credit to Emergency Medical Service Providers. It is scheduled to sunset at the end of next year. A similar tax credit should be extended to Behavioral Health providers - could help with both retention and recruitment. 13:51:14 From Tim Nesbitt (he/him) OHA : https://www.oregon.gov/oha/hsd/amh/pages/loan-repayment.aspx 13:53:16 From BBonser : Tim that has not been available for the last two years 13:53:25 From BBonser : I check every day 13:53:57 From Jenn Inman : Thanks Tim - love to have more $$ in the OHA managed loan repayment so new applicants can take advantage - especially for the non-licensed folks who can't qualify for NHSC or other loan repayment options 13:53:58 From Tim Nesbitt (he/him) OHA : It exists and we are waiting on more funding. 13:54:19 From Tim Nesbitt (he/him) OHA : We put $16M out and we could use a lot more! 13:54:24 From Anthony Cordaro : regarding loan repayment - it seems the loan repayment program via state of Oregon is funding year to year...ie. no insurance it will be available more than just 1 year... 13:54:49 From Anthony Cordaro : could we get the state fund the program for say 5 to 10 year etc... 13:54:51 From Jenn Inman : Loan repayment for those who work in the field too - not just NHSC clinic based load repayment. And repayment prior to licensure to keep moving folks forward. 13:54:56 From Kelli Bosak LCSW (she/her) : The federal programs are typically only for fully-licensed providers and the agency has to meet criteria (National Health Service Corps, specifically) 13:55:33 From BBonser : what about growing mental health and addiction counselors within their local communities 13:55:40 From BBonser : with distance education 13:56:31 From Lorie DeCarvalho, she/her/hers : Re: the Oregon Office of Rural Health tax credit for providers and adding BH-- I reached out to State Representative Goodwin to discuss this and advocate for it. It would probably be good if more of us reached out to demonstrate value and buy in. 13:57:30 From Clark Hazel (they/he) : Do you have a template we could use to email Representative Goodwin? 13:58:16 From Lorie DeCarvalho, she/her/hers : I don't have a template. I just emailed her. She sits on the Aviva Health Board of Directors as well, and I've interacted with her a number of times. But I'd be happy to send my email to Tim, who can send it out, if that would help? 13:58:40 From Clark Hazel (they/he) : That would be rad! Thank you for sharing this avenue with us 13:58:52 From Lorie DeCarvalho, she/her/hers : Okay. Will do, Clark! 13:59:32 From Cheryl Cohen : So maybe the recommendation to the legislature from this group about loan repayment is that the legislature adequately fund it. 14:00:41 From Clark Hazel (they/he) : The service hours are a huge barrier especially 30 hours, I would say 20 hours should be considered full time 14:06:40 From Tim Nesbitt (he/him) OHA : Thank you Lori about discussing communication with Rep. Goodwin. I am happy to assist. 14:06:53 From Lorie DeCarvalho, she/her/hers : My pleasure, Tim. 14:08:01 From Clark Hazel (they/he) : Are consultations/supervision something that could be billable for insurance? Or is there a billing code that could be used Is that something we could propose? 14:08:18 From Jenn Inman : haven't found a way to bill for consult yet 14:08:28 From Dr. Tara Sanderson (she/her) : I love that Clark. That is a great recommendation. 14:09:28 From Cheryl Cohen : Recommendation: Align requirements between the Oregon Board of SW and the Oregon Board of Licensed Professional Counselors and Therapists. 14:10:18 From Jenn Inman : The backlogs in the boards is at an emergency level. 14:10:28 From Tim Nesbitt (he/him) OHA : So did I Shyra (supervise in CO). I never went through the difficult process in OR. 14:11:02 From Clark Hazel (they/he) : I just got board approved to supervise last week from the Oregon Board of Social Workers it took about 4 days. I had to call, email and share my qualifications via email 14:11:24 From Tim Nesbitt (he/him) OHA : All, we are getting to our break time. 14:11:32 From Jenn Inman : Wow Clark! We have someone who's been an LCSW for 20+ years and shes been waiting for 5 months! 14:11:35 From Clark Hazel (they/he) : https://www.oregon.gov/blsw/pages/supervision.aspx 14:11:56 From Clark Hazel (they/he) : That’s outrageous! 14:13:20 From Clark Hazel (they/he) : Great point 14:13:24 From Kelli Bosak LCSW (she/her) : Agreed, Jenn. 14:13:31 From Kelli Bosak LCSW (she/her) : True parity at all levels 14:37:26 From BBonser : Lorie can you put Rep Goodwin EMAIL in the chat 14:39:17 From Tim Nesbitt (he/him) OHA : https://visual-data.dhsoha.state.or.us/t/OHA/views/Oregonslicensedhealthcareworkforce/Demographicspractice?%3Aorigin=card_share_link&%3Aembed=y&%3AisGuestRedirectFromVizportal=y#1 14:39:27 From Tim Nesbitt (he/him) OHA : Link to the dashboard that Cheryl is speaking of 14:40:39 From Cheryl Cohen : That dashboard is so cool! 14:42:20 From BBonser : am a member of the Klamath Tribe. Despite my appearance, which might lead one to assume otherwise, I identify with my Indigenous heritage. Diversity encompasses more than just race and ethnicity; it encompasses a multitude of identities and backgrounds. 14:42:59 From BBonser : I am 14:43:05 From BBonser : sorry about the typo 14:43:37 From Tim Nesbitt (he/him) OHA : “Culturally and linguistically specific behavioral health services” means quality mental health, substance use, problem gambling, and other behavioral health prevention, treatment, and recovery supports and services that are designed specifically for a distinct minoritized cultural community, developed based on the languages used and cultural values of the distinct minoritized cultural community and designed to elevate their voices and experiences, and that have the aim of enhancing emotional safety, belonging, and a shared collective cultural experience for healing and recovery among the distinct cultural community served. 14:44:01 From Tim Nesbitt (he/him) OHA : Definition of CLSS used by the state. This is from the OAR (Oregon Administrative Rules) 14:47:28 From Shyra Merila (she/her) : I feel like I am taking up a lot of space so I will just add this here. At CBH we offer a People of Color Support Group which is facilitated by a DEI consultant, not CBH leadership. Folks can talk about their experiences within Clatsop County and agency in a safe and confidential space. 14:48:35 From Lorie DeCarvalho, she/her/hers : I emailed my email to Rep. Goodwin to Tim and asked him to forward that onto all of you. 14:48:50 From Clark Hazel (they/he) : Thank you! 14:49:04 From Lorie DeCarvalho, she/her/hers : My pleasure 14:51:24 From Jen Allen (she-her) : Anna Williams from Systems of Care Advisory Council, Vera Stoulil from Oregon Alliance for Excellence, Sara Foster from HECC were all present at that cross-agency meeting 14:52:09 From BBonser : It took the Oregon Board of Social Workers six months to process my CSWA application 14:52:18 From Jen Allen (she-her) : Anna Williams is leading a workgroup team to create recommendations for Child and Family BH workforce 14:53:24 From Jen Allen (she-her) : We will be supporting each other as applicable to align our recommendations with hopes that the more legislature hears the same recommendations the more (hopefully) willing they will be to act upon those recommendations 14:53:31 From Cheryl Cohen : Who charged that workgroup? 14:54:59 From Kelli Bosak LCSW (she/her) : I would be interested to hear about the outcomes that the Central Oregon BH Consortium has had on building and retaining BH workforce in Central Oregon. They are affiliated with their local workforce board. Adam Dickey is the Director. https://cobhc.org/