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HomeMy WebLinkAboutAgenda 12-04-23; 4-a - Presentation from the Orange County Consumer and Family Advisory Committee 1 ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: December 4, 2023 Action Agenda Item No. 4-a SUBJECT: Presentation from the Orange County Consumer and Family Advisory Committee DEPARTMENT: County Manager ATTACHMENT(S): INFORMATION CONTACT: Alliance Health Consumer and Family Advisory Committee Annual Report for Travis Myren, 919-245-2308 FY 2023 PURPOSE: To receive a presentation from Carol Conway, Co-Chair of the Orange County Consumer and Family Advisory Council. BACKGROUND: State legislation mandates that Alliance Health and each of North Carolina's other behavioral health managed care organizations support and collaborate with an advisory group of individuals and their family members. These groups are called Consumer and Family Advisory Committees (CFAC's). Each county in Alliance Health's service area has its own CFAC. Orange County's CFAC meets on the fourth Tuesday of every month. State law charges each CFAC with the following responsibilities: • Review, comment on, and monitor the implementation of the contract deliverables between area authorities and NCDHHS, • Identify service gaps and underserved populations, • Make recommendations regarding the service array and monitor the development of additional services, • Review and comment on the area authority budget, • Develop a collaborative and working relationship with the area authority's member advisory committees to obtain input related to service delivery and system change issues, and • Submit to the State Consumer and Family Advisory Committee findings and recommendations regarding ways to improve the delivery of mental health, intellectual and developmental disabilities, substance use disorder, and traumatic brain injury services, including statewide issues. 2 The attached Annual Report for FY 2023 describes the Orange County CFAC's goals and accomplishments. FINANCIAL IMPACT: There is no financial impact with receiving this presentation. SOCIAL JUSTICE IMPACT: The following Orange County Social Justice Goals are applicable to this item: • GOAL: FOSTER A COMMUNITY CULTURE THAT REJECTS OPPRESSION AND INEQUITY The fair treatment and meaningful involvement of all people regardless of race or color; religious or philosophical beliefs; sex, gender or sexual orientation; national origin or ethnic background; age; military service; disability; and familial, residential or economic status. • GOAL: ENSURE ECONOMIC SELF-SUFFICIENCY The creation and preservation of infrastructure, policies, programs and funding necessary for residents to provide shelter, food, clothing and medical care for themselves and their dependents. • GOAL: CREATE A SAFE COMMUNITY The reduction of risks from vehicle/traffic accidents, childhood and senior injuries, gang activity, substance abuse and domestic violence. • GOAL: ENABLE FULL CIVIC PARTICIPATION Ensure that Orange County residents are able to engage government through voting and volunteering by eliminating disparities in participation and barriers to participation. ENVIRONMENTAL IMPACT: There is no Orange County Environmental Responsibility Goal impact associated with the presentation. RECOMMENDATION(S): The Manager recommends that the Board receive the presentation and provide any comments or questions. 3 1 - . Almiance - - Health r N Y OUR VISION Alliance CFAC promotes a community-based support system that seeks to have each person reach his or her full potential. This committee of i individuals and family members gives voice to the STATE STATUE CHARGES CFAC interests and opinions of WITH THE FOLLOWING RESPONSIBILITIES: persons with needs related to mental health, developmental • Review, comment on, and monitor the implementation of the contract disabilities, and substance use. deliverables between area authorities and NCDHHS It embraces the dignity of all • Identify service gaps and underserved populations residents in our communities • Make recommendations regarding the service array and monitor the so that each person may development of additional services achieve his or her highest level • Review and comment on the area authority budget of responsibility in the • Develop a collaborative and working relationship with the area authorities community. member advisory committees to obtain input related to service delivery and It promotes the empowerment system change issues of individuals and the active • Submit to the State Consumer and Family Advisory Committee findings and involvement of family recommendations regarding ways to improve the delivery of mental health, members. intellectual and developmental disabilities, substance use disorder, and traumatic brain injury services, including statewide issues q j� EXECUTIVE SUMMARY Dr. Michael McGuire t Alliance CFAC Chair The Alliance Consumer and Family about TP operations, preparedness, meetings to provide updates as the Advisory Committee and its six local and launch. TP launch was delayed to FY24. county subcommittees met throughout FY2023 with a hybrid In November Alliance held Members of Alliance's Provider format providing options for in-person town hall meetings in each Network team also began providing in-person or virtual attendance. The of its six counties as well as a virtual regular updates at Steering subcommittees in Mecklenburg and town hall. CFAC co-facilitated these Committee meetings regarding new Orange counties met for the full meetings along with Alliance's services and new facilities opening fiscal year, their first with Alliance. executive leadership team. Overall, in Alliance counties. the meetings were well-attended. I was pleased to serve as CFAC CFAC members continued to attend Steering Committee chair during Alliance also invited CFAC to be conferences pertinent to their roles FY23, and Marie Dodson served as part of internal workgroups related to as advocates. During the year co-chair. Dave Curro continued to TP operations, including a new CFAC received system updates serve as the CFAC representative on integrated care workgroup around from our state partners at the the Alliance Board of Directors. development of training materials for Division of MH/DD/SAS, members on management of Community Engagement and In September CFAC held a well- behavioral health and physical health Empowerment team, and provided attended annual retreat at Alliance's conditions. Two members of CFAC feedback as appropriate. home office. Most members volunteered to join this workgroup. participated in-person, although a Members also served on other Alliance CFAC has gone through handful opted for virtual attendance. internal committees, including in the some "growing pains," expected areas of quality management and the given shifts related to NC Medicaid Topics of discussion included an member experience. Transformation, addition of new overview of CFAC requirements and counties, efforts to adhere to CFAC responsibilities by a state CEO Rob Robinson and members of statutory requirements, and changes representative, an overview of his leadership team attended Steering in leadership. Robert's Rules of Order, and an Committee meetings frequently to update on Tailored Plan(TP) provide updates regarding the TP What remains clear is CFAC preparedness. Time was also devoted and to answer questions and address members' unwavering commitment to development of goals and concerns. The executive leadership to serve as advocates for members strategies for the year ahead. A key team will continue to prioritize and recipients whose services are focus throughout the year was attendance at Steering Committee managed and coordinated by keeping CFAC members informed Alliance Health. v Cumberland County CFAC Summary '- -- _ Mon a ys The Cumberland CFAC subcommittee As FY23 ends the committee anticipates Chair Felishia worked this year to be as impactful as open seats as some members have McPherson possible despite the challenges of reached the end of their terms, and we NAMI-NC Advocacy of COVID and safety issues. However, the issued a call to recruitment for the the Year Award and was group remained committed to being a Cumberland CFAC. We remained elected NAMI PLC chair. voice for the community and pushing dedicated and focused by keeping up She attended • forward into the new day-to-day life in attendance via the subcommittee 23, the One • the community. meetings and virtual representation at In RecoveryConference, Steering Committee meetings. Local and the Cumberland We spread awareness in the outlying members Dr. Michael McGuire and County Homeless areas of Cumberland County as well as Shirley Francis were elected chair and Hunger Stand Down. the metropolitan area via individual secretary respectively of the Steering members and provided education in the Committee. Co-chair ' ' community about CFAC. We were able attended the Homeless to share information with various other Needs and gaps continued to be a part and Hunger Stand Down organizations that members belong to of the discussion and the subcommittee and participated about CFAC, Alliance, and changes submitted our ideas and concerns. Community Clothes that may affect the public. We helped Members were always brainstorming Giveaway, the Women educate the inner city of Fayetteville by ways to bridge the gap of needed Conversation Memorial collaborating with Cumberland County information and resources for those in Walk, the Mental Health Community Collaborative and other need. A goal was identifying resources Walk, and the One in community organizations to fulfil our for therapeutic foster youth in the Recovery conference. goal and statutory requirements. population we serve as well as supporting them in decreasing trauma Other in This has continued to be somewhat and the amount of moves with the Steerinmembers �' � challenging as many CFAC members community. Committee meetings and in a variety are continuing to acclimate themselves of events, including: to in-person events,while making sure We continued to express our concerns that our personal health and wellness about the impact state cuts and NAMIWalks and that of our loved ones remained a Medicaid transformation is and will State CFAC priority. However, the committee has have on the community, and will Cumberland continued to foster relationships within continue to show our support for the conferences the community and with each other in community and each other by Homeless and Hunger the committee. participating in other organizations' events, spreading their vital information Stand Down to the public. Feedingthe Homeless CommunityNAMICHL Annual lll�. IL Durham County CFAC Summary �.. Throughout the year, the Durham Various CFAC members attended the CFAC subcommittee discussed Durham NC Med Assist event and adjustments to the Tailored Plan and NAMI Walk. Medicaid expansion. Alliance staff joined Durham CFAC meetings to Durham CFAC hosted a variety of discuss pharmacy benefits, Crisis speakers to provide education to pass Intervention Training, System of Care onto the community. Speakers included (SOC), Durham Network of Care, the NC Senator Mike Woodard, and Durham Community Collaborative, and representatives from the Autism Society community inclusion planning of NC and UNC Advocacy and meetings. Inclusion with UNC Medicine (I/DD and Neurodevelopmental Disorders). To improve internal functions, the Durham subcommittee reviewed its by-laws and charter, engaged in ongoing discussion about a transition to in-person or hybrid meetings, added two new members, and encouraged more members to join the State CFAC and Alliance CFAC Steering Committee meetings. Concerns were raised about the �� r increase in gun violence in the community and the importance of supporting youth, and discussions were held around the development of a c Youth Advisory Committee. Regina Mays and Charlitta Burruss attended the i2i conference, and CFAC participated in the State Legislative Day and state legislative breakfast. Tammy Shaw attended the One Community in Recovery Conference. 7 ,. Johnston County CFAC Summary FY23 was a year of challenges and Peer Support Specialists who were Our members participated in a triumphs. We were coming out of a able to direct people to mobile care number of community events, global pandemic, hindering our and local providers, greatly reducing including: ability to get out in the community inpatient hospitalization and saving School Health Advisory Council and hold in-person meetings, but we the hospital the expense of treating (SHAC) Backpack Buddies, where eventually came out of that cocoon indigent people. There was a back packs were loaded with school of human isolation, put our doubts workshop on medications for opioid supplies and sanitary items aside, and got back to work. use disorder(MOUD) and the use of Narcan during an overdose. We were Johnston County Education Forced isolation had the benefit of able to secure a case of Narcan to Appreciation event cohosted by making one learn how to bring back to the county to SHAC communicate virtually and our distribute. Volunteer fair sponsored by UNC members quickly grasped the Johnston Health concept. We learned new The Tailored Plan and its impact on communication skills and drew on our population was discussed during Fall vaccine festival the strength of our group of all subcommittee meetings. For the NC Medicaid behavioral health dedicated CFAC members. most part, our membership believed stakeholder engagement webinar The Tailored Plan concept is a sound hosted by DHHS Several members attended the two- one but we had concerns about the Sponsor of awards and recognition day Spring i2i Conference in June ongoing lack of providers in breakfast as a May Mental Health where we learned about the plans of Johnston County, a rural area except Awareness project the Department of Health and for the western part of the county Human Services (DHSS) to organize that attracts commuters working, One Community in Recovery a Tailored Plan to combine physical shopping, and seeing doctors in the Conference in Greensboro, which and mental health services. It was Raleigh-Durham area. has evolved to focus less on interesting to see specific data and substance use and to include all how it will be implemented. Several of us met regularly with our kinds of recovery from chronic County Board of Commissioners, mental health conditions We visited some interesting who express the same concern. State CFAC Legislative Day workshops, especially for those of us They have stated our county is not who are Certified Peer Support economically attractive for the larger NC Disability Rights Conference Specialists. The Medical Director provider groups to relocate or open A showing of Unmet, a from Baptist Hospital in Winston- an office within our borders. We all documentary portraying the lives of Salem described their triage program hope with Johnston County being the several people with intellectual and in the emergency department for fastest growing county in the state, developmental disabilities those suffering with a mental health this situation will eventually change Smithfield Ham and Yam Festival, crisis. He told us it was staffed by for the better. which we plan to make an annual occurrence Mecklenburg Count CFAC Summary -MIM f -. .,� The Mecklenburg subcommittee participated in the monthly meetings experienced many exciting changes in for the Mecklenburg County FY23. The beginning of the year Behavioral Health Strategic Plan focused on recruitment and organizing (BHSP) to solicit input from both the group in our first full year as service providers and the community Alliance Mecklenburg CFAC. We at-large. The purpose of this currently have 12 members who bring a engagement is to assess the behavioral wealth of knowledge and understanding health needs of the community to about our members and their needs. enhance the impact, coordination and Linda Campbell was elected chair and alignment of Mecklenburg County's Michael Flood co-chair, and we thank behavioral health services and our outgoing chair Ruth Reynolds and contracts. Linda Campbell and Lois co-chair Randy Sperling for helping Stickell also participated in the BHSP start our local CFAC. Community Meetings as advocates for This was an important year to spread their family members. awareness about the Tailored Plan and In June, Mecklenburg CFAC hosted an the launch dates and for understanding event at Charlotte Mecklenburg the gaps and needs of our community Schools to discuss B3 services and and specific ways to advocate. upcoming 19151 waiver services. Participants learned about B3 services, Our members represented CFAC at how their children are eligible, and the monthly State CFAC meetings, i2i and One Community in Recovery pending transition from the 1915(b)(3) conferences, the Alliance Human Rights waiver to the 1915(1)waiver. Speakers Committee, the Mecklenburg County included representatives from Crisis Collaborative,NAMI, and Poder NCDHHS, and over 30 parents and y Esperanza. We received updates from community stakeholders participated. the NCDHHS Community Engagement Mecklenburg CFAC identified several Team on important legislative dates, gaps and needs and took the initiative community meetings, and advocacy to work with NCDHHS to create an opportunities, and received regular informational flyer for an identified updates from Alliance Health's gap, the Registry of Unmet Needs. management and staff on changes to Tailored Plan launch dates, provider 4 updates, and changes in services. ' Alan McDonald and Michael Flood 9 Orange County CFAC Summary The Orange County CFAC FY23 included advocacy efforts that Scope of Influence subcommittee (OC-CFAC) is now in were specific, measurable, achievable, Ongoing • • •cacy • its second year as part of the Alliance relevant, and timely, following the support • members • Health service area. The group (SMART) planning method. recipients • the register continued its endeavors to implement of unmetneeds systems advocacy planning to support, Among our accomplishments: inary assist, and advocate for those within • CFAC members attended a Justice • • • their communities. United community event to learn Resource Trauma Network, more about their advocacy efforts for va OC-CFAC has taken a proactive • Club • P the marginalized populations in approach toward advocacy by Orange County. networking and collaborating with � Goalsur • CFAC members heard from a . •• _ • , stakeholders and service providers representative of El Futuro of Durham • _, , • employment across Orange County. With many County representative,who shared options for members • members and recipients needing and answered questions pertaining to recipientswho are going assistance and support, OC-CFAC the service gaps identified in the • transitional identified specific areas where service - Hispanic population and their plan to phases, from crisis to gaps are present as they relate to the Hispanic population, including a lack return to the Orange County stabilization • community again. maintenance, with of trained bi-lingual care staff and translators throughout behavioral and • OC-CFAC chair Carol Conway specific focuson physical health, and in the judicial worked tirelessly with many IDD/behaviora system. organizations, stakeholders, and populations Alliance Health to plan an event As the Orange County OC-CFAC also recognized and targeting IDD community members, CFAC identified service gaps within the IDD/ supporters, and allies for October subcommitteecontinues to grow and behavioral health population related to 2023 with numerous well-known build its membership, employment and housing. We leaders within the community. State make a recognized the many challenges officials will speak and take part in positivedifference and change in marginalized individuals face in their panel discussions at the event. communities. OC- CFAC has a unique . We networked and collaborated with •accomplishedcommunity,ur with and experiential perspective when the Orange County System of Care continued advocacy , implementing advocacy efforts, and an committee to support and co-sponsor support through understanding that positive change is a our Be Well community event in May. • , , , process, sometimes slow and painful, " but a process nonetheless. • We have added at least four newcollaboration members to the committee this year. various stakeholdersand service providers p10 Wake Countyik- „g, q a: CFAC Summaryall Z., ®... Wake CFAC subcommittee members The group also received trainings attended several events throughout the throughout the year during their year. Chair Alicia Jones and co-chair monthly subcommittee meetings. These Nancy Johns participated in the NAMI trainings included the Wake County conference in October, and several Opioid Settlement,provided by Denise members attended the NC One in Foreman, Wake Assistant County Recovery Conference in March. Manager, and a joint training with Johnston CFAC led by Anna Ward that For Legislative Day, Ben Smith included information and education on represented Wake CFAC and the Carolina Institute for participated in the day's events. Developmental Disabilities' Mission. Also, the group received a training on In April, the group supported Brooks the Duke University Thriving in Avenue Church's Spring Carnival for Transition program. special needs children and their families, and provided CFAC information to all the attendees of the event. In June, several members attended the i2i Conference in Raleigh. Annette Smith continues her advocacy work by focusing on the need for direct support professionals and changes to ensure continuity of care. She also began serving on the State CFAC on July 1, 2023. Nancy Johns keeps the group updated on NAMI initiatives and events and continues her advocacy by participating on the new asthma education planning committee. 11 A MESSAGE FROM DAVE CURRO Alliance Health Board Member CFAC Liaison, Durham County As part of the Consumer and Family people with mental illness, intellectual/ Advisory Committee, I feel my developmental disabilities, substance concerns are heard and acted upon by use disorder, and traumatic brain injury. the Alliance Health leadership. It is a place of learning and discovery. CFAC is where you don't just ask A place to give back to the community questions, but have a conversation we all live in. about services for you or your loved ones. It gives you a sense that you are contributing in a meaningful way while learning about the lived experiences of t. Alliance Health