UNADOPTED MINUTES
Mental Health Board
Wednesday, May 13, 2009
City Hall, Room 278
San Francisco, CA
BOARD MEMBERS PRESENT: James L. McGhee, Chair; Jagruti Shukla, MD, MPH, Vice- Chair; M. Lara Siazon Arguelles; Bridgett Brown; LaVaughn Kellum King; Susan McIntyre; Tom Purvis (by telephone); Njoroge Tho-Biaz, M.A; Hale E. Thompson; Lisa Williams; Errol Wishom; and Virginia Wright.
BOARD MEMBERS ON LEAVE: James Shaye Keys, Secretary, Officer Kelly Dunn, and Mary Ann Jones, PhD.
BOARD MEMBERS ON ABSENT:
OTHERS PRESENT: Robert Cabaj, MD., Director of Community Behavior Health Services (CBHS); Aaron Chapman, MD., Medical Director of CBHS; Helynna Brooke (MHB Executive Director); Loy M. Proffitt (MHB Administrator); Florence Fee, JD., No Health without Mental Health (NHMH); Roger Kat, Caduceus Outreach Services; W. Yu; Laura Barber; Janet Brown; and Ray S. Hellmann, National Alliance on Mental Illness (NAMI).
CALL TO ORDER
The meeting was called to order at 6:43 PM.
Dr. Shukla: I would like to first welcome our new board member, Susan McIntyre, who was just appointed to a consumer seat by Supervisor Sean Elsbernd. Later in the meeting we will ask you to briefly introduce yourself.
ROLL CALL
Mr. Proffitt called the roll.
AGENDA CHANGES
No agenda changes were made.
ITEM 1.0 DIRECTORS REPORT
1.1 Discussion regarding Community Behavioral Health Services Department Report, a report on the activities and operations of Community Behavioral Health Services, including budget, planning, policy, and programs and services.
Dr. Shukla: Dr. Bob Cabaj, the Director of Community Behavioral Health Services (CBHS) will give the Director s report and then follow that with the Mental Health Services Act Updates.
Dr. Cabaj: The San Francisco Health Commission was very pleased with the MHSA outcomes at our recent meeting. Mr. Keys who is on the Mental Health Board of San Francisco attended the meeting and was also pleased with the outcomes.
CBHS, which oversees the behavioral health services at the Walden House, was awarded a $3.8 M grant for the Integrated Services for Mentally Ill Parolees Project by the California Department of Corrections and Rehabilitation. The project is for three years and for a total of 45 Walden House clients who would benefit from non-recidivism through intensive case management, skills training, advocacy and recovery support.
Without closing down behavioral health services for older adults, CBHS has reorganized and redistributed resources in staffing and programs for the older-adult population. For monolingual older adults who speak Cantonese or Spanish, the redistribution of staffing with language skills enables these older adults in the Central City, Tenderloin, South of Market, Chinatown-Northbeach, Bayview/Southeast sector, and Sunset areas of the city to have access to behavioral health. The Southeast Mission Geriatric Services (SEMG) program will be relocated to the OMI CBHS Clinic at 1701 Ocean Avenue; so Outer Mission and Bayview Hunters Point older adults can have access to behavior health care.
For adults suffering from severe mental illness and who want to work in nursing, carpentry, hospitality, or as an administrative assistant, the Citywide Case Management (CWCM) Supported Employment Team can offer them Competitive Employment in the Community, Stipend Employment in the Community, Stipends at the Center, Volunteering, and Education/Training Programs. These programs also do outreach to business establishments, so that these adults can obtain competitive employment placements
The California Department of Mental Health has been pleased with a number of programs or proposals that we recently submitted for funding support. Besides approving the Capital Facilities Component Plan on May 5, 2009, they approved the Prevention and Early Intervention (PEI), and the Workforce Development, Education and Training (WDET) plans. In other words, DPH has committed to fund these plans. Our next step in the process is request for proposals (RFP) for these plans, and RFP s should be out sometime in the middle of June 2009.
Mr. Purvis: Was there any money from the stimulus package allocated for mental health programs?
Dr. Cabaj: We have to apply for the money just like any other programs.
1.2 Public Comment
No public comments.
Monthly Director s Report
May 13, 2009
1. CDCR Grant Awarded to CBHS. Community Behavioral Health Services (CBHS) was awarded the California Department of Corrections and Rehabilitation (CDCR) Integrated Services for Mentally Ill Parolees project. The program is a collaborative effort between CBHS and Walden House, a community based organization. Both organizations have extensive experience both with serving the mentally ill and specifically with the mentally ill offender population. The program is designed to provide intensive case management, skills training, advocacy and recovery support to parolees managing significant reentry challenges including mental illness, addiction, homelessness, poverty, institutionalized patterns of behavior, and poor social support. The program services are arrayed in order to help clients avoid re-incarceration and the need for emergency services; meet survival needs; create and maintain a foundation for wellness and recovery; and have a better quality of life. CDCR has asked the collaboration to service an additional 20 clients, thus extending the contract to serve a total of 45 clients annually, for three years. The contract award is in the total amount of $3.8 million.
2. CBHS Older-Adult Services Reorganization. Because of the steadily increasing demand for older-adult behavioral health services, including in particular among monolingual older-adults in under-covered areas, and the impact of prior, current and proposed budget reductions which has reduced older-adult staffing significantly in the last two years alone, Community Behavioral Health Services (CBHS) is reorganizing some of its civil service staffing/programs serving the older-adults to better address the needs of this population.
The Southeast Mission Geriatric Services (SEMG) program will be relocated to the OMI CBHS Clinic at 1701 Ocean Ave., in order for the OMI Clinic to provide infrastructure support for the small SEMG program. The relocation of the SEMG program into OMI will ensure sufficient availability of officer-on-duty, client outreach, crisis response, and staffing for client reception for this older-adult program. At their new OMI location, this team will continue to have a dedicated caseload of older-adult clients, and will function as a distinct older adult multidisciplinary team. The move also allows the SEMG program to be more centrally located to the clients they serve in their catchment area, many of whom live in the Outer Mission and Bayview Hunters Point neighborhoods. This move will be implemented with ample time of at least three months for clients to be prepared and transitioned.
CBHS is also redistributing older-adult staff with linguistic proficiencies to allow for improved access for monolingual Cantonese speaking and Spanish-speaking older-adult clients. This includes bolstering older-adult linguistic capacity via adult clinicians with language skills taking older-adult clients. Through staff reassignments, CBHS plans to have Cantonese-speaking older adult capability in the Central City, Tenderloin, South of Market, Chinatown Northbeach, Bayview/southeast sector, and Sunset areas of the city (all areas covered by our civil-service mental health clinics for older-adults), as well as Spanish-speaking older-adult capability at Central City Older Adults (CCOA), OMI, and Mission Mental Health civil-service CBHS clinics.
This reorganization of the older-adult services will be led by Charles Rivera, newly appointed Director for the CBHS Older Adult System of Care. Charles comes to us with over 20 years of working with older adults - as a director of older adult residential treatment programs with Progress Foundation, former director of both the CCOA and SEMG clinics, and most recently, the director of Laguna Honda Hospital s older adult outpatient programs. Recently, Charles was instrumental in successfully transitioning the LHH outpatient programs from a 30 year old auxiliary site to a newly refurbished facility within the hospital - accomplished with no interruption in services to patients. Charles takes over from Tom Mesa as Older-Adult Director. Tom's extensive expertise in behavioral health programming and agency organizational development is now much-needed in the newly-formed DPH Community Programs contract development and compliance office. His work in leading the older-adult system is very much appreciated. Thank you Tom!, and welcome Charles.
CBHS is committed to maintain a distinct and dedicated Older Adult System of Care, and to address the growing behavioral health service needs of older-adults. New policies will be implemented soon in the adult CBHS system to help the older-adult staff take care of the front end volume of new older-adult client referrals, including adult programs holding on to their clients who turn 60, assisting in older-adult crisis call requests, and in adult programs also taking older-adult client referrals (as they are actually already doing) with the provision of consultation from the specialty older-adult clinicians as needed. It is our hope at CBHS that the above initiatives will provide much-needed back-up for the older-adult system in this time of service cutbacks when there is yet no room for outlays of additional behavioral health resources toward the growing aging population.
3. Supported Employment Team. Getting Competitive Jobs for Clients. An innovative employment program within the UC Citywide Case Management -Forensic Program has been working with adults suffering from severe mental illness who want to work. The CWCM Supported Employment Team offers a menu approach to a wide variety of work options from which consumers may choose, including: Competitive Employment in the Community, Stipended Employment in the Community, Stipends at the Center, Volunteering, and Education/Training Programs. The program has been very successful in outreaching to businesses and establishments to obtain competitive employment placements in the community for clients, including the following jobs/positions: nurse, dishwasher, environmental custodian, event staffers at the Convention Center, In Home Support Services (IHSS) Worker, musician, commercial painter, poll watcher, supermarket bagger, valet parker, carpenter, concierge, and more. In the Stipended Employment in the Community option, CWCM approached employers and recommended their clients to work at those businesses, with CWCM paying for the client's stipend for two months. At the end of this trial-employment period, the business makes the decision on whether or not to hire the client. With the economy in a recession and the rate of unemployment rising, the ability to use stipends with community employers has been particularly effective. An employer is much more likely to give clients a chance for employment because the stipend program offers no financial risk for them for two months. Examples of stipended positions that have been created by CWCM in the community include: preparation cook for a South of Market restaurant, custodian at a parking garage, assistant at a large chain bookstore, assistant at an art gallery, volunteer at St Anthony s Kitchen, administrative assistant at KQED, and more. Congratulations to the UC CWCM Supported Employment Team on truly making a difference in clients' lives!
4. San FranciscoChildren System of Care Nomination of Therapeutic Drumming Practice at Instituto De La Raza. The University of South Florida, through a grant funded by SAMHSA, selected the Therapeutic Drumming Practice at Instituto Familiar De La Raza (IFR) as a model to study an evaluate its efficacy as a Community Defined Evidence Practice. The Therapeutic Drumming is one in six national models being considered for this honorable status. If the approach is found to meet the criteria of Community Defined Evidence Practice, it will be listed in the national directory of SAMHSA, as a culturally appropriate, community defined evidence intervention and clinical practice.
The Therapeutic Drumming was developed by Sal Núñez, PhD, a psychologist at IFR, full-time faculty member at City College of San Francisco, and founder of Healthy Drumming©. Initially, the practice was designed to engage at risk youth in the Mission District in positive community building, cultural affirmation, and age appropriate intervention. The model is rooted in indigenous medicine which integrates ancestral wisdom, plant medicine; sensory-motor, ecology of space, sound, and spirit to facilitate a holistic healing process. It also blends conventional and traditional principles, and has evolved into a theoretical model, comprised of scientific, empirical, and clinical applications. Since its inception ten years ago, the practice has expanded to include a weekly drumming group for youth (Thursdays from 5:00PM - 7:00PM), a monthly healing circle for violence prevention workers in the Mission District, and a quarterly community drumming circle for all. The drumming practice is also integrated into community celebrations and used to facilitate trauma recovery debriefing events. For additional information please contact Dr. Sal Núñez at 415-823-6437 or Dr. Estela Garcia, Executive Director of IFR at 415-229-0550.
5. Mental Health Service Act (MHSA) Update
HEALTH COMMISSION RECEIVES FIRST MHSA UPDATE
Dr. Robert Cabaj and Dr. Alice Gleghorn addressed the May 5 meeting of the Health Commission, giving them an overview of the current status of MHSA programs and services. The Commission appeared quite pleased with the outcomes data and would like for us to report regularly with MHSA updates and include them in future local planning and approval processes. They would also like to see future resolutions to the Board of Supervisors include notification to the Health Commission. We were commended for doing a great job.
CAPITAL FACILITIES COMPONENT PLAN APPROVED
The Department of Mental Health approved the Capital Facilities Component Plan proposal on May 5, 2009. Separate from the Component Pan are individual project proposals, which outline the purpose and description of the project and the amount of funds requested. The first project proposal is the renovation of the Silver Avenue Family Health Center, to add more space for integrating behavioral and primary care staff at this site. The proposal was posted on the web-site for public review and comment through May 10, 2009. Any comments will be incorporated in the proposal and the revised version will be submitted to DMH very shortly.
CMHDA CHANGES POSITION ON PROPOSITION 1E FROM NEUTRAL TO OPPOSED
The California Mental Health Directors Association has issued a statement recording its opposition to Proposition 1E on the May 19 Special Election, moving away from its previously-held neutral position. Citing the impact that the proposed diversion of MHSA funds would have on the more than 600,000 mental health consumers served in all 58 counties and the many thousands who still remain unserved, the CMHDA maintains that a $460 million diversion of funding will severely reduce counties ability to serve the people in our communities with serious mental illnesses who turn to county mental health programs when no other assistance is available. Because of funding through the MHSA, counties are providing effective mental health and support services in our communities, and diverting people with mental health needs from much more costly consequences, at the same time realizing significant savings for taxpayers. The CMHDA also points out that during this time when all health and human service programs are being sharply reduced, MHSA provides one of the few flexible funding streams available to counties to meet the needs of their most severely mentally ill local residents. For more information regarding the impact of Proposition 1E, feel free to contact CMHDA through Patricia Ryan at (916) 558-3477.
MHSA ADVISORY COMMITTEE MEETINGS:
We are currently in the process of recruiting new members to sit on the MHSA Advisory Committee. If you have a desire to showcase your own particular skills and participate with others as we collectively work to transform programs and services under the MHSA, please contact Kevin Ledbetter at kevin.ledbetter@sfdph.org, so that we may include you as we work to update the Committee roster.
The Mental Health Services Act Advisory Committee meets bi-monthly from 3-5 pm, alternating between advisory meetings and community forums. The next scheduled meetings are:
Wednesday, June 17, 2009 Thursday, August 20, 2009
Advisory Committee Community Forum
1380 Howard Street Location: TBD
San Francisco, CA 94103
Item 2.0 MENTAL HEALTH SERVICE ACT UPDATES AND PUBLIC HEARINGS
2.1 Updates
Dr. Shukla: There are no specific Mental Health Service Act updates this evening other than the items already mentioned by Dr. Cabaj.
Dr. Cabaj: I would like to keep the Mental Health Board of San Francisco abreast of the following. This Friday Mayor Gavin Newsom is expected to negotiate with Dr. Mitchell Katz along with the Health Commissioners on budget cuts. In spite of the pending cuts, CBHS is working hard not to eliminate behavioral health programs. We originally thought there would be a $100 M in shortfall or about 65% of the CBHS s total budget, but that gap may actually be narrowed down to less than that, according the recent discussions in CBHS. However, CBHS contractors are still needed to be informed of possible cuts in funding. I am hoping that we keep the essential core services and to have some flexibility to expand programs.
Dr. Shukla: I believe it is a shame to cut preventive care mental health programs!
Mr. Purvis: The National Alliance on Mental Illness has been meeting recently and has been concerning about the lack of publicity on cuts in mental health and substance abuse services.
Dr. Cabaj: I believe that both NAMI and MHB can collaborate together to call a press conference to bring about more public awareness on cuts in mental health and substance abuse programs.
2.2 Public comment
No public comments.
Item 3.0 PRESENTATIONS: COMMUNITY BEHAVIORAL HEALTH SERVICES MEDICAL DIRECTOR PRESENTATION BY AARON CHAPMAN, MD, MEDICAL DIRECTOR.
3.1 Presentations: Community Behavioral Health Services Medical Director Presentation by Aaron Chapman, MD, Medical Director
Dr. Shukla: Dr. Chapman has been with CBHS for 13 years and the medical director for four years with a brief sentence at San Quentin a while ago. He attended Medical School at Temple University, then did his residency for psychiatry at Stanford University.
Dr. Chapman: Thank you for having me. I am a psychiatrist by training with administrative functions. There are approximately 60 psychiatrists including several nurse practitioners who report to me directly. My clinical practice includes psychotropic medication management for patients with co-occurring mental and substance abuse disorders at Tom Waddell Health Center, which is a City and County primary care clinic.
The wellness of a person includes not only physical health but mental health as well. The overall health risks are greater for some people with co-occurrences or co-infections such as untreated mental illnesses, substance abuse and HIV/AIDS. Coordinating care for patients with medical and mental health needs is a part of the continuum of community behavior health services that address total patient wellness. My direct patient contacts are with adult and older adult populations.
During my 13 years with CBHS, I was on a brief hiatus with the California Department of Corrections at the San Quentin prison. Many people at San Quentin are recidivists with untreated mental health illness.
Now, I want to open up the presentation with questions about medical services.
Ms. Brown: Thank you for taking time out of your busy schedule to be here. Did you follow the behavioral health of inmates when they got out of the prison?
Dr. Chapman: The segmentation of the Criminal Justice system made it difficult to maintain continuity with patients. During the incarceration period, I was able to provide treatments. But when that patient is transferred to another unit, even if the transfer was in the same prison area, I was no longer that patient s psychiatrist. After the incarceration period, I was unable to keep track of them as the Parole Outpatient Clinics are a separate system.
Ms. King: How many primary care doctors do we have in the CBHS system? Do you have the figure?
Dr. Chapman: Primary care doctors are under the Community Health Network (CHN). Dr. Michael Drennan is the Director of Community Oriented Primary Care (COPC). He would be able to provide that information.
Ms. King: How do people access care if they do not qualify for the Healthy San Francisco program?
Dr. Chapman: Primary care services under Healthy San Francisco are administered under the CHN. It might be better for the Mental Health Board of San Francisco to invite Dr. Michael Drennan to talk about primary care.
But, let me give you an example on how mental health and primary care cross paths under Healthy San Francisco by talking about treatment for hepatitis virus C. The primary care, which is CHN, has jurisdiction over medical treatments.
During the treatment, both psychiatric and medical care providers coordinate with each other because of the use of Interferon, which is an FDA approved weekly injection, which can induce depression in people who never had depression. Thus the overall wellness of such a patient requires the intervention of both medical and behavioral health services.
Dr. Shukla: In the scenario of a mental health provider, whose funding is eliminated by the budget cuts, are there possible problems for a primary care doctor who may not have the skills to care for the patients in need of both types of services?
Dr. Chapman: Having been in CBHS for a long time, we do have programs and providers offering multiple services.
Mr. Purvis: What are the barriers to overcome cuts for behavioral health care?
Dr. Chapman: That is a good question that has many components.
Revenue is one component, for example. The State funding does not always provide payment for certain behavioral services. When I provide psychiatric care to Tom Waddell Health Center, which has many patients with co-occurring disorders, it is difficult to generate revenue for services.
Another component is how behavioral health systems provide direct patient care. Let us compare the patient-doctor visiting process between primary and behavioral health. In primary, a patient often is prescreened by a team of allied health care providers for vital statistics like blood pressure, heart rate, temperature, weight measurement. Then, the patient is escorted to an exam room to see a primary doctor. But in psychiatry, the prescreening process is not there.
Mr. Purvis: I am a member of National Alliance on Mental Illness (NAMI). Recently, reporters from the Chronicle have been coming to NAMI to write articles about the lack of public awareness about funding cuts for mental health. Do you have any suggestions on creating public awareness?
Dr. Chapman: The Mental Health Board of San Francisco and NAMI can co-sponsor a public forum to discuss the budget cuts.
Ms. Brown: How many psychiatrists work in the Southeast Sector?
Dr. Chapman: We have psychiatric contractors in the Bayview Hunters Point area. I have worked closely with Dr. Ramona Davis. But I do not know the exact figure. I recognize there is a shortage of psychiatrists.
Ms. King: Is there anything being done about the shortage of psychiatrists for the Southeast Sector?
Dr. Chapman: The scarcity is not because of lacking support per se. But it is more about finding psychiatrists and providers with culture competencies who are willing to work in the area. I suspect that many psychiatrists are concerned about their personal safety.
Ms. King: How do seniors in the Southeast Sector get behavioral health services because the area is still underserved?
Dr. Chapman: I understand the shortage for the Southeast Sector s seniors has not been rectified. I am very happy to have a one-on-one meeting to get involved in advocacy.
Ms. King: I live in the community and would like to extend an invitation for you to come to our next community meeting.
Dr. Chapman: I will make myself available to attend your community meeting. I will check my calendar and follow up with you tomorrow.
Mr. Tho-Biaz: I was a provider in Illinois and have seen a lot of health disparities in African Americans and Latinos in behavioral health. The stigma of mental illness is a big threat to discourage people from engaging in treatment. I have found that non-traditional ways like counseling at a ball-game can have a positive impact.
Dr. Chapman: Putting counselors on ball park benches or at a barber shop is thinking outside the box. In San Francisco we have tried to engage homeless people in behavior health treatments, and we have further to go.
For example, our quarterly Project Homeless Connect event serves as a central hub to connect homeless and disadvantaged people to services. Services include obtaining personal identification cards, to health and human services.
Mr. Thompson: Can you elaborate on how transgender people with mental health needs are being met?
Dr. Chapman: Both the Tom Waddell Health and the Mission-Castro clinics have specific programming for transgender patients. They can get medical care like hormone therapy as well as having access to psychiatrists and counselors for behavioral health.
Mr. Thompson: Many transgender males who became infected with HIV feel their care is inadequately handled with sensitivity. How well is CBHS integrating with HIV testing?
Dr. Chapman: The Ward 86 is an example of integrated HIV treatments and mental health. CBHS is well-integrated in a comprehensive continuum of HIV treatments but not necessarily in HIV testing.
Ms. McIntyre: I would like to comment that men often have difficulty engaging in behavior health treatments; The Drumming Circle is a good idea.
3.2 Public Comment:
Mr. Hellmann: He asked Dr. Chapman to elaborate on the Center for Special Problems.
Dr. Chapman: The Center for Special Problems is being moved or consolidated because the rental expense is cost prohibitive.
Mr. Katz: He was from Caduceus. He suggested that building renovation projects should be done by hiring youth so they learn trade skills. He expressed concerns that Caduceus may loose funding and that the program may be eliminated.
Dr. Shukla: Regarding the funding for Caduceus, please see Ms. Helynna Brooke who is the executive director of Mental Health Board and who can facilitate your concerns at our executive committee meeting.
Dr. Chapman: Thank you to the board and the public for your comments.
ITEM 4.0 ACTION ITEMS
4.1. Public comment
No public comments.
4.2. Resolutions
4.2. a PROPOSED RESOLUTION: Be it resolved that the minutes of the Mental Health Board meeting of April 08, 2009 be approved as submitted.
Resolution unanimously approved.
4.2 b PROPOSED RESOLUTION: Be it resolved that the Mental Health Board meeting the second Wednesday of the month for the month of August, dated August 12, 2009 will be canceled.
Resolution unanimously approved.
ITEM 5.0 REPORTS
Dr. Shukla: "Ms. Brooke will now give a brief report
5.1 Report from the Executive Director of the Mental Health Board.
Ms. Brooke: Tonight, Mr. Keys is being honored by the Mental Health Association (MHA), and Ms. McIntire was appointed by Supervisor Sean Elsbernd.
Program Reviews are coming up soon, and I have been setting up board member visits to various programs. In this budget cut period, I have found sometimes that a board member s passionate advocacy for a program in front of the San Francisco Board of Supervisors or the Health Commission has prevented that program s risk of losing funding.
5.2 Report of the Chair of the Board and the Executive Committee:
Mr. McGhee: I was very proud this evening of James Shaye Keys for receiving the award from the Mental Health Association.
Nearly half the board is planning on attending the CALMHB conference in San Jose June 19th through June 20th. If you haven t let Ms. Brooke know that you wish to attend, please do so this evening so you can be sure to have a reservation and a hotel room for the night. Your room and meals will be paid for.
5.3 Report by Members of the Board on Their Activities on Behalf of the Board.
Dr. Shukla: Again, I would like to welcome our new board member, Susan McIntyre and ask you to say a few words about yourself and what areas of advocacy for mental health services interests you the most.
Ms. McIntyre: My early experience of mental illness was having a dad with illnesses. I came to San Francisco when I was 21 years old to complete my education. I worked with HIV care and am passionate about reducing the stigma of mental illness. I am currently a research assistant as UCSF.
Ms. King: The Southeast Group Meeting is making great progress.
Ms. Brown: I will retire from the MHB after this month but will remain actively involved in the Police Crisis Intervention Training (PCIT).
Mr. Purvis: NAMI wants to work closely with the board and generate publicity and public awareness about mental health programs and funding cuts to programs.
Dr. Shukla: Mr. Purvis, do you have any ideas on how to go about getting the publicity?
Mr. Purvis: The Chronicle Newspaper has been interviewing NAMI to help generating more public awareness.
Mr. Thompson: This is my last board meeting because I will move to Minnesota for school; I was accepted into a PhD. Program in epidemiology in public health at the University of Minnesota.
5.4 New business - Suggestions for future agenda items to be referred to the Executive Committee.
Mr. Tho-Biaz suggested that we have a presentation about the Wellness Recovery model.
5.5 Public comment relevant to Item 3.0
Ms. Florence Fee: She is Founder and President of No Health Without Mental Health (NHMH). She provided the non-profit organization s web link as www.nhmh.org. She was quoted as saying Our mission is to demystify and humanize mental illness and remove the stigma that prevents those with mental disorders from seeking treatment and help.
ITEM 6.0 PUBLIC COMMENT
No public comments.
Adjournment
Meeting adjourned at 8:35 PM.