HUMAN SERVICES
COMMITTEE
Monday, April 10, 2023
- 10:30 AM
JoePete, Chairman
Charles Harrington, Vice-Chairman
Vice-Chairman Harrington called this Human
Services Meeting to order at 10:30 am with the following Supervisors in
attendance: Clayton Barber, Robin DeLoria, Stephanie DeZalia, Derek Doty, Shaun
Gillilland, Charles Harrington, Roy Holzer, Kenneth Hughes, Noel Merrihew,
James Monty, Thomas Scozzafava, Davina Winemiller, Margaret Wood and Mark
Wright. Steve McNally, Matt Stanley, Ike Tyler and Joe
Pete Wilson were excused.
Department
Heads present: Linda Beers, James
Dougan, Judy Garrison and Terri Morse.
Krissy Leerkes was excused.
News
media: Sun news, Alana Penny.
Also
present: Arriana Patraw, North Country
Healthy Heart Network
HARRINGTON:
I will call this Human Services Committee to order please. First up is
Angie Allen from the Department of Social Services. She’s in the bathroom? Okay, well we will go back to her. Is Terri Morse in the building? Yes, Terri Morse, Mental Health come on down.
MORSE:
Good morning. I don’t know about you but this morning I heard Megan all
referred to the weather but it wasn’t, did you all wake up this morning and
feel like, spring is here. So
beautiful. Okay so I only have one
little resolution but I’d like to give you some updates. I wanted to bring to your attention the law
enforcement mental health referral system is really going strong and I want you
all to know that this collaboration between law enforcement across all of Essex
County so it’s New York State Troopers, it’s the Sheriff’s Deputies, it’s
Ticonderoga PD, Lake Placid PD and Saranac Lake PD along with Essex County
Mental Health, the Mental Health Association in Essex County over in Westport
on the flats across the street from the Health Center and also St. Joe’s are
working together to address those individuals that law enforcement come into
contact with that may be showing some sign of a behavioral health issue and behavioral
health being substance abuse or mental health and while it’s not a crisis
response situation we’re doing follow up and we are learning so much about our
community. There are unfortunately more people that need services that we were
aware of that were accessing services and some individuals with some
significant concerns. So, you should
know, that this opportunity and this response is in your communities and is
helping us get services to those individuals faster and more effectively and we
have a really cool story that I shared with you about a situation where we
learned of an individual that was probably behaviorally health challenged so
mental health and substance use so we did outreach to their home and we had
contact with the mother and the father and they both shared with us that they
were so pleased to know that somebody in the community cared enough about their
family member because we gave the parents Narcan kits which are those reversal
opioid overdose reversal kits which they were very pleased about and then we
actually did another follow up and we were able to interface with the
individual and she relayed to us that like, wow, I really had a tough moment at
that time but it’s nice to know that I can reach out to you if I need more
help. It was the experience for her, the
OD was an experience for her that was eye opening but the fact that we did
follow up was helpful to her to know. So I wanted to just share with you that
story about how the LEMHRS program is how we refer to it has been beneficial to
the community, Essex County community and the LEMHRS program is in about five
other counties in New York State because of what we started here in Essex
county as a collaborative.
I just wanted to share with you that we have a
new staff member for counseling services that’s coming on board in May. We do
have some adjustments in our psychiatric services going on right now but I wanted
to let you know there will be continuity in the services and we will not be
missing a step.
And then I have one resolution that is a board
member that’s joining our team which is Krissy Leerkes. It’s at the bottom of my report so at the
Community Services Board level we have Krissy Leerkes joining the board for a
term effective March 8, 2023 to December 31, 2025 and she’s also going to be a
member of the Mental Health subcommittee for March 8, 2023 to December 31,
2026.
RESOLUTION
APPOINTING KRISSY LEERKES AS A MEMBER OF THE ESSEX COUNTY COMMUNITY SERVICES
BOARD FOR A TERM EFFECTIVE MARCH 8, 2023 – DECEMBER 31, 2025 AND AS A MEMBER TO
THE MENTAL HEALTH SUBCOMMITTEE FOR A TERM EFFECTIVE MARCH 8, 2023 – DECEMBER
31, 2026. Hughes, Wood
HARRINGTON:
Questions, concerns? There being
none, all those in favor, opposed – carried.
MORSE: That concludes my report.
HARRINGTON: Thank you. We’ll now return to Angie Allen, Department
of Social Services. Good morning Angie.
ALLEN: Good morning you guys are fast this
morning. I like it. Spring is in the air. It keeps me on my toes, yes. So good morning just a first a couple things
before we take a look at the report I want to say thank you for all that
supported the DSS team in regards to the pinwheels that came out. It was lovely seeing everyone there as you
saw in the paper the last couple of years it has been just Mr. Mascarenas and I
even though invitations were extended to DSS I think it really speaks to the relationships
that we are building and the support and moral that we are building with the
staff for them to join us. So, I really
want to extend an appreciation for that. So, thank you. At that same time it’s not just DSS that has
to deal with child abuse prevention we have agency partners I would also like
to thank such as public health, mental health, probation, ACAP, Families First,
you name it, we work with them and so I think that even though DSS was
highlighted there was a lot of agency
partners that we couldn’t do this without so I just wanted to put that on the
record that we need agency partners, we need town supervisors, we need everyone
in the community to really take a community look at child abuse prevention and
so with that, a huge thank you across Essex County from Essex County DSS.
Number two, we had a long standing, Christy
Petro from the Town of Moriah is actually retiring on April 28 with 34 of years
in the Child Support Unit right, wow. So
just wanted to make sure that is put out there as well. Thirty-four years is a lot of knowledge and
commitment. She’s delightful. She’s been a great leader and the Child Support
Unit will be losing a lot of experience but I have faith in the staff that have
undergone training the last couple of years so it should be a smooth
transition.
In terms of my report. Any questions?
SCOZZAFAVA:
I would move a resolution of appreciation to Christy Petro.
RESOLUTION
OF CONGRATULATIONS AND APPRECIATION TO CHRISTY PETRO UPON HER RETIREMENT FROM
ESSEX COUNTY DEPARTMENT OF SOCIAL SERVICES.
Scozzafava, unanimous
HARRINGTON:
Any other questions for social services?
SCOZZAFAVA: I have one. Looking at your report on temporary
assistance, 19 people have been referred, 8 clients have been found to be
employable and 14 have been referred for substance abuse evaluations what
happens after the evaluation?
ALLEN:
So there is some qualifications for OTDA which is the Office of
Temporary and Disability Assistance right?
To where individuals if they are recommended for counseling services for
rehabilitative services are recommend to go. Currently the State is actually in
kind of a paradigm shift because before individuals would be sanctioned meaning
that they wouldn’t qualify for services their children would for food stamps
and temporary assistance but the adults themselves wouldn’t so let’s say an
adult was homeless and they did not go through the St. Joe’s evaluation or St.
Joe’s recommended services and the adult did not follow through and became
homeless there would be a sanction to where we would be forced by hand not to
serve them. Again, we can serve children
so if there was a family of four DSS would pay for the children but the adults
would be expected to pay for themselves but there’s paradigm shift here
right? So it is nothing that is concrete
at this time but kind of coming down the pike because I think the State is
recognizing the need to take another look at alcohol and drug abuse, the
physical addiction, the emotional addiction and the impact it has on families
so they are relooking at the whole concept of sanctioning because if someone
can’t meet their bare minimal needs they’re not going to be able to become
sober right? So the State is doing a paradigm shift to really do a look at
being more proactive and coming up with more of a carrot verses a consequence
because again, without basic needs being met children are not going to be
healthy, the parents are not going to be healthy and when they are down in the
dumps they are going to use it’s just kind of a cycle unfortunately right? And
I know that there is others that can speak to that more than I can but from my
experience that’s what we see so that is the consequence currently is the
sanctioning with 45 days they can reapply but hopefully in the future there’s
some different thoughts coming down the pike.
SCOZZAFAVA: Thank you.
HARRINGTON: Any other questions?
HUGHES:
Sorry, I should have asked this earlier regarding the TANF, the
temporary assistance heating equipment clean and tune it says 13 pending I
guess my question is what’s the timeline it takes something from pending to
complete?
ALLEN:
So that kind of depends right? So
there’s actually a timeline in which recipients need to have all their
paperwork in right? So once that happens, so that timeline, people usually get
about 30 days to get all their paperwork in and then from there there is a
review process, so there is that process.
Unfortunately what we do see though is traditionally all those letters
have been sent out to the home owner’s right and yet, we have a lot of
individuals who cannot read. So, where
something should take 30 to 60 days it often takes longer and because it is a
Governmental program things can stop and you need to reapply so if I don’t get
my paperwork to you in a certain amount of time then you can pull my
application and I need to reapply a week later so the system is broken. What we
find in children and adult services is when we know that one of our clients is
actually applying we have somebody go to the home and I think Krissy Leerkes
does this as well, don’t quote me, you can ask her but we recognize that this
is all by letter, this is all by mail, snail mail which no one uses anymore.
There is the online application and they are pushing for electronic
applications but still and we have a population that cannot read so when
there’s a deadline and they can’t read that there is a deadline they are kind
of left in the lurch so we at children services and adult services when we know
we facilitate those applications so we’ll drop it off, we’ll pick them up and
drop them back off in the building, we’ll have staff there that can read them,
read the instructions and read the requirements. If we know that there is a timeline coming up
because we don’t want foster care we will be calling the home, going to the
home and seeing what we can facilitate.
HUGHES:
I’m glad to know that the broken system that you just spoke about has
opportunities for improvement. That’s great. Thank you.
ALLEN: Any other questions?
HARRINGTON: With there being none, thank you
Angie. Next up, Public Health Linda
Beers.
BEERS:
Good morning everybody. I’m
fighting laryngitis so bear with me. I’m
going to go over my resolutions first.
The first resolution is to accept funds for NYSACHO. It is a small mini grant we wrote for $3,000
and we were awarded it to include ticks and sunburn kind of initiatives during
the summer. So we wrote this mini grant
and they funded us and it is a request to accept and apply for the money.
RESOLUTION
AUTHORIZING THE ESSEX COUNTY HEALTH DEPARTMENT TO APPLY FOR AND ACCEPT A MINI
GRANT IN THE AMOUNT OF $3,000.00, FROM THE NEW YORK STATE ASSOCIATION OF COUNTY
HEALTH OFFICIALS TO SUPPORT CLIMATE AND HEALTH ADAPTION INITIATIVES AND FURTHER
AUTHORIZING A BUDGET AMENDMENT FOR THE SAME.
Hughes, Doty
HARRINGTON:
Questions or concerns? There
being none, all in favor, opposed – carried.
BEERS:
The next resolution #2, is moving money forward. It’s from the Certified Home Health
Agency. It’s recruitment and retention
monies that was left in the 2022, budget and we are moving it forward to 2023
in the amount of $25,663.35.
RESOLUTION
AUTHORIZING A BUDGET AMENDMENT IN THE PUBLIC HEALTH DEPARTMENT INCREASING
REVENUES AND APPROPRIATIONS IN THE AMOUNT OF $25,663.35, UNEXPENDED 2022
RECRUITMENT AND RETENTION FUNDS. Doty,
Scozzafava
HARRINGTON:
Questions or concerns? There
being none, all in favor, opposed – carried.
BEERS:
The next one #3, just to give you an idea, remember DSRIP that was that
Medicaid reform we still have $846,168.56 in the 2022 budget, we’re moving it
forward to 2023. This is really the result of our certified home health agency
and reduction in hospitalizations because they do an amazing job.
RESOLUTION
AUTHORIZING A BUDGET AMENDMENT IN THE PUBLIC HEALTH DEPARTMENT INCREASING
REVENUES AND APPROPRIATIONS IN THE AMOUNT OF $846,168.56, UNEXPENDED 2022 DSRIP
FUNDS. Doty, Scozzafava
HARRINGTON:
Questions or concerns? There
being none, all in favor, opposed – carried.
BEERS:
Number four is we applied for the Adirondack Foundation for $5,000.00,
to do something called, Kinder Closet because you supported me in the Baby
Steps to Brighter Futures this Kinder Closet will be filled with items for baby
and moms so when we go out to every new born baby in Essex County’s home we’ll
be able to supply them with items that they choose from. We’ll have a wish list
and Adirondack Foundation granted us $5,000 for that closet.
RESOLUTION
AUTHORIZING
THE ESSEX COUNTY HEALTH DEPARTMENT TO
APPLY FOR AND ACCEPT A GRANT IN THE AMOUNT OF $5,000.00, FROM ADIRONDACK
FOUNDATION TO SUPPORT BABY STEPS TO BRIGHT FUTURES KINDER CLOSET AND FURTHER
AUTHORIZING A BUDGET AMENDMENT FOR THE SAME. Wood, Hughes
HARRINGTON:
Questions or concerns? There
being none, all in favor, opposed – carried.
BEERS:
The next resolution I’m really proud to ask you or tell you about and my
friend is here today Arriana Patraw. Arriana came here today from North Country
Healthy Heart Network to recognize Terri Morse.
The Essex County Health Department along with the North Country Healthy
Heart Department or Network is here to recognize Terri Morse and I’m just going
to read quickly the resolution and also commend Susan Allott on her phenomenal
job.
On behalf
of the North Country Health Heart Network, the Essex County Health Depart is
honored to present this resolution of appreciation;
Working
with the North Country Healthy Heart Network since 2014 Essex County Mental
Health has been consistently has been committed to decreasing the adult smoking
rate in the county;
Terri
Morse has ensured outstanding leadership and guidance for promotion of nicotine
cessation in the behavioral health setting passing a comprehensive tobacco
dependence policy and by appointing Susan Allott as lead tobacco cessation
efforts;
Sue
Allott has become a trained tobacco treatment specialist;
Sue
Allott developed a tobacco cessation quality team that meets quarterly and the
tobacco cessation team reviews treatment performance, sets objectives and
consistently accomplishes more than they set out to;
Whereas,
the North Country Healthy Heart Network recognizes Essex County Mental Health
as a model for the North Country region for all health systems to follow;
Therefore,
Essex County Health Department commends this accomplishment and appreciates the
contributions from Essex County Mental Health so kudos to them.
RESOLUTION
OF APPRECIATION TO ESSEX COUNTY MENTAL HEALTH DEPARTMENT. Hughes,
Wood
HARRINGTON: All those in favor, opposed –
carried.
BEERS: So thank you for coming here today and
thank you for recognizing Terri and her team.
You have my report in front of you, I’m not
going to read it or go over it very much.
I want to talk to you that it is National Public Health Week that was
last week. There’s a banner hanging out there.
That was pretty exciting, we have a lot of interesting things on our
Facebook site.
Also, we did a joint exercise with rabies
clinic and a joint device that we bought a blow up kind of tent and we did a
drill with that as well during our recent rabies clinic drive thru clinic and
the rest is on there.
I sent out some of this, I sent it to
Shaun. I’m not sure you all saw this but
I did want to call your attention to in case anybody ever asks you the implication
of Canada’s legislation. That little graph with the bars talks about edibles
and this is from the Poison Control network that’s excluding New York City but
the rest of the state but you can see that the data shows our calls increased
six fold from four years ago on children and teens 19 years old and younger who
have consumed cannabis containing food products mostly edibles and you can see
that they are calling the poison control network because kiddos got in and ate
these things unknowingly so we’re really working hard to change that as we bring on the legalized
cannabis stores.
And then probably one of our biggest claims to
fame the Essex County Health rankings so kudos to all of you because you make
this all a success. Essex County moved
from 19th in the state to 15th in the state, people
really do look at those metrics when they are moving places and whatnot so in
all of New York State Essex County is the 15th highest ranking state
for health and a bunch of outcomes that made that all happen so obviously it is
a team effort and everybody’s efforts here today really contributed to the
success of that so that’s really wonderful.
And then my other thing I just want to really
tell you about please go on, Terri did a campaign you’ve seen it maybe with
lots of famous people in this room right now, Angie Allen doing a public
service announcement and why it’s great to work and live in Essex County. We
use the same firm to talk about vaccinations so I just call your attention,
there’s little blips in here and they are amazing they talk about it. So Julianna and Jason are from Lake Placid,
Dr. Michael Celotti is from Moriah, The Pulsifers are here in Etown, New York
and represent that area of Etown Lewis and Lissa Goldstein is from Keene and
Dr. Kristin Mack lives in Ticonderoga and each one of them has a short video
about why immunize not just Covid but any immunize so it was really a wonderful
campaign and I think Great Range did a wonderful job and then I will call out
and continue to call out our services Early Intervention and preschool. We have
13 children in Early Intervention, I’m sorry the graph shows how many children
are without services. We have 13 kids waiting in the hopper to be evaluated and
preschool those are the number of kids without services no provider and 18
waiting to be evaluated. Lucianna writes
this wonderful report and she does tell there is hope. Mountain Lake Services has hired a part time
speech pathologist and we’re hoping that will help with the burden.
And I really took a page out of Angie Allen’s
page, Mike always did, the Did you Know so I encourage you to read them because
they are pretty encouraging and then I will tell you about WIC. I will not read it to you but you can see the
amazing work that WIC does, March WIC metrics. The targeted case load in the
state is 700 we enrolled 652, that’s pretty close. That’s an amazing
accomplishment our WIC does an amazing job.
Just to give you an idea there’s 118 women in Essex County that are on
WIC, 112 children are infants and 372 children lots a lot of kids we represent
in WIC so we really do a great job doing that and Emily French was picked, who
works in our WIC department to be on the Association Capitol Hill Advocacy Day
and she spoke by zoom to the following representatives and really just
advocated for rural WIC dollars to stay here and what we can do about it and
then the last page is your Home Care Metrics and I think it trends
perfectly. One of the only probably the
only thing I would call out to is our case mix which would not ever been seen,
I don’t think I’ve shown it but this is the diversity, complexity and severity
of patient illness. This is how people get paid. You wouldn’t know that but when you go to the
Doctor’s office, if you’re really sick they make more money what we do in home
care. The sicker you are the higher the
reimbursement rate but I will tell you that nobody also wants an entire
caseload of only the sickest people and this is what you can see by the numbers
of our Certified Home Health Agency we’ve discussed this before and we’re not
the only certified home health agency and the other agency is getting the easy
folks and we’re getting the toughest ones.
So we continue to fight the fight and do a fabulous job and I really
believe our numbers show you that in our quality star metrics with the people
of Essex County and you guys supporting it.
That’s all I have.
HARRINGTON: Any questions for Linda?
DOTY: Linda, in North Elba in our community
development committee has started a data search if you will for determining the
demand for child care. Because you’re
involved with birth to 3 what entities can we go to for actual census
figures? You know not every mom goes to
Saranac Lake or they go to Plattsburgh for different reasons maybe even UVM is
there a way for the next couple of years to gauge what that birth rate really
is? Because birth to three is typically
the most expensive part of child care certainly getting school figures for in
school population is easy but this birth to three is proving a challenge for
us.
BEERS:
Well, as you know we are rolling up Baby Steps to Bright Futures and
Essex County Public Health Department will be in every home or at least be
aware of every single baby born in Essex County. New York State law gives us a tracker by law
I know every baby born in Essex County I have always had that but a caveat that
it won’t matter to you very much but it will matter to a lot of other people in
Ticonderoga and places on the border Moriah, we have a real struggle seeing
Vermont data so I will tell you anecdotally babies are born every year in Essex
County we know by zip code level data where they are so, and then your next
question was what health care facility do they go to or where were they born?
DOTY: Or
really just how do I pull in all the information?
BEERS:
So our community health assessment has a lot of that in there, I mean,
we are happy to help you do that. ACAP
also has data on probably the more school age, we would have it all on births.
DOTY:
And I have gotten that from ACAP.
BEERS:
They can show you the shortages but I have the data about where the
kiddos are. We’re really worked hard to
tighten that up and I just to speak on, we just met with Dr. Eppen who is new
CEO of UVM he was amazing and he has given us data with Dr. Wouter Rietsema and they are going to,
every time a baby is born in New York or Vermont they are going to give us an
alert so now in real time we know and can address and meet mom where she is at
and follow her home and get into the house early so we are really excited about
that. We are also meeting with AMC and we’re also meeting with CVPH and we’re
also meeting with Elizabethtown and Ticonderoga. It would be hard to capture
the Glens Falls ones so we’re not going to get those folks and Saranac Lake
will be covered by AMC.
DOTY: Okay.
BEERS: Folks going really outside that circle
we will get them anecdotally it takes about two weeks and then I know any baby
born in New York State, I’ll know in two to three weeks.
DOTY: Thanks Linda I will be calling you.
BEERS: I figured you would.
HARRINGTON: Angie Allen has a concern?
ALLEN:
Well, actually it’s just a statement, also the Day Care subsidy program
that we work with ACAP with actually the 100 children that is in our report, we
have all the information in terms of how old they are so if you would want a
break down regarding child care needs for the children that are through a
subsidy we can provide that to you and by zip code.
DOTY: Thanks Angie.
HARRINGTON:
Other questions for Linda this morning?
WINEMILLER:
Can you please tell me what the income guidelines for WIC is?
BEERS:
The income guidelines, you know what they change and they just changed
again so I’m happy to send out the link and tell you I don’t want to misquote
it. It’s a moving dial these days so
rather than misspeak I’m happy to send a link out when I get back to the office
and it will probably come from Krista Berger telling you the income guidelines
because it’s not one simply answer but I’ll give you the formulary and you can
figure that out. Is that good?
WINEMILLER:
Yes, thank you.
HARRINGTON: Anything else to come before Human
Services?
MORSE: I just elected to share with you an
update about St. Joseph’s you asked me months ago to provide an update. My update is that I will be providing you
with an update next month. They do have
a plan in place but they want to get that information out to their staff and
community services board before they bring it to this level. So next month I will have something for you.
HARRINGTON:
Thank you. Other concerns? Thank you Linda. Office for the Aging, Krissy Leerkes has filed
her report and is excused. Anything else
to come before Human Services this morning?
There being none, it is exactly 11:00 and we are adjourned.
As
there was no further discussion to come before this Human Services committee it
was adjourned at 11:00 a.m.
Respectfully submitted,
Judith Garrison, Clerk
Board of Supervisors