PAIMI Council Meeting Minutes Via zoom November 19, 2024 Call to Order The meeting was called to order by Vice Chair Ibrahim at 11:03 am. Attendance Present: Veronica Ibrahim, Christina Agle, Michelle Derdowski, Jennifer Gorman, Joelle Gurnoe-Adams, Sharon Storch, Mora Wilkevicz Absent: Sue Franklin, Fiona Hert, Renee Kimball-Rouse, James Rye, Charles Scott, Trina Tocco Staff: Michelle Roberts, Michele Brand, Theresa Diebolt, Kyle Williams, Simon Zagata, Kris Keranen Guests: Emily Henderson, McCall Hamilton Jacqueline Cuevas, DRM Board member Teddy Dorsette III, DRM Board member Carmen and Karrie Jo, interpreters Approval of the minutes Minutes of the April 23, 2024, meeting were approved through emails and Chair Ibrahim commented on it being a very good meeting. Aleria Wilson, Director of Public Policy, was a guest speaker sharing issues she is interested in and held a question and answer session. PAIMI financial update Michele Brand explained the PAC expenses from FY2024 and the FY2025 budget as they were shared online with expenditures being on target. Grievance update Theresa Diebolt gave the grievance update. There is a correction, there were four (not five as stated during the meeting) grievance packets requested since the last meeting on April 23, 2024, one being PAIMI eligible, two PAIR eligible and one CAP eligible. One PAIR grievance was filed and was responded to and resolved by Simon Zagata, Director of the CAIR Team. Public Comment There were no public comments. Legislative update Emily Henderson spoke about the election going into the 103rd legislature with Republicans having the majority in the House with 58 seats and Democrats holding 52 seats. With a very close Democratic led Senate and a Democratic Governor, it will an interesting year working on policy initiatives. Emily mentioned Senator Michael Webber, out of Rochester Hills, and Senator Rick Outman, from Six Lakes area, introduced a package of two bills, SB1048 and SB1049, to make changes to the state’s Recipient Rights Advisory Committee and changes to how individuals in voluntary hospitalized psychiatric facilities receive their written notice of their rights. While these bills may not move until after the first of the year, we are hopeful for the start of greater reform for individuals and their rights in Michigan’s behavioral health system. Discussion was held and Emily volunteered to give a presentation on how to testify at a hearing at a future PAC meeting. Emily further discussed some bills involving guardianship and conservatorship in Michigan that would provide some financial protection to vulnerable adults and elderly adults. She mentioned some other bills we are watching however they will have to be reintroduced after the first of the year if they do not pass through the House before December 31, 2024. Approval of the Agenda The agenda was presented for approval. Chair Ibrahim asked for a motion to approve the agenda and took a vote. Christina Agle MOVED to approve the agenda and Mora Wilkevicz seconded it. A vote was taken. AYES: all NAYS: none Motion carried. Nominations for Vice Chair Sharon Storch was nominated for Vice Chair for the PAIMI Advisory Council. Veronica Ibrahim MOVED to approve the nomination of Sharon Storch for Vice Chair and Mora Wilkevicz seconded it. A vote was taken. AYES: all NAYS: none Motion carried. Litigation update Kyle Williams began with giving a brief explanation and an update on the children’s class action stating they have a settlement and will need to obtain court approval of the settlement agreement prior to notices being sent out publicly. Kyle encourages everyone to visit the Bureau of Children’s Coordinated Health Policy site and sign up for their quarterly newsletter at: https://www.michigan.gov/mdhhs/keep-mi-healthy/mentalhealth/mentalhealth/childrenandfamilies. The most recent programs and updates will be included in the newsletters. Kyle mentioned the investigation into Network 180, which is displayed at the top of our website, and is the Community Mental Health Service Program for Kent County in Michigan. We have an investigation into the failure to provide a number of services including therapy, community living supports and respite support services for families and individual consumers in that area. Education update Kris Keranen shared an update on things her team is working on including holding the Department of Education accountable in ensuring all kids get what they are entitled to. Through state complaints, the department would find schools out of compliance time after time and DRM filed a lawsuit that would allow the state to end the cycle. They are also working on issues with push-out which involves kids getting uninvited to attend school due to their behavior. They see a lot of kids in facilities or foster care with poor education outcomes and are working on getting representation for them. The team also works on behalf of kids in post-secondary transition or when they are preparing to finish high school. Kris talked about calls regarding a lot of kids with anxiety and that schools don’t do well at identifying it as a disability. They get calls regarding threats kids are making and getting kicked out of school. A new trend this year is kids requesting special education and receiving 504 plans instead. CAIR Team update Simon Zagata discussed the written notice of rights as previously mentioned and the CAIR Team is investigating Stonecrest, Pontiac General and Harbor Oaks hospitals for providing inappropriate involuntary mental health treatment and there are related patient rights violations. They are also working on illegitimate certifications and evaluations by psychiatrists as well as billing clients for services not being provided. The team has been working with Senator Webber and they are assisting clients in navigating the system. Simon updated PAC members on the documentary film project that will show what inpatient psychiatric hospitalization is like and show why community-based services are so important. Stories will be shared to increase knowledge of what services are available. They have found film makers from Michigan State University and plan to start interviewing and filming in January. PAIMI Advisory Council Program Performance Report (ACR/PPR) Michelle Roberts reminded everyone the annual report is required by our federal funder, SAMHSA (Substance Abuse & Mental Health Service Administration), and is due in December. The ACR is the Council’s report which is part of the PPR which is the entire agency’s report. She discussed some of the sections and gave information to help the PAC answer questions on the ACR. There are a few sections left to be completed before it can be submitted. Old Business 1. Council membership. We are currently in compliance and there will be one member, Trina Tocco, terming out in February 2025. 2. Conferences/trainings/initiatives. Members were reminded to let Theresa know when they attend any events where DRM or the PAIMI Council is mentioned. 3. Contact information – members can check the PAIMI portal to ensure their contact information is correct and let Theresa know of any changes. New Business 1. Annual forms. Members were reminded to complete their annual forms and get them to Theresa by November 27, 2024. 2. Conferences/trainings/initiatives – nothing was discussed. 3. Topics/interests to be discussed at future meetings. It was mentioned and asked if Emily Henderson would give a presentation on testifying at a hearing. Adjourn Vice Chair Ibrahim adjourned the meeting at 12:55 pm and moved into executive session. Exec session was adjourned at 1:09 pm. * The next scheduled meeting is January 21, 2025. * Meeting minutes prepared by Theresa Diebolt, Executive Assistant. 2 2