Meetings and Minutes

2016 WUMH Meeting Dates

  • February 12
  • May 13
  • August 12
  • November 4

Time: 9:00 - 11:00 am (unless otherwise noted)
Location: Wisconsin Women’s Health Foundation in Madison (WISLine available)


WUMH Meeting Minutes

Present: Sue Cochran, Suzette Urbashich, Peggy Helm-Quest, Kim Hein-Beardsley, Cara Hansen, Lalena Lampe, Linda Larson Schlitz, Theresa Grove, M.J. Erschen, Joe Scharenbroch, Chelsea Stover

Announcements:

  • Shel announced that the Prevent Suicide Wisconsin (PSW) conference will be held on April 27 at the Holiday Inn, Stevens Point. Two pre-conference events will be held on April 26 – Assessing and Managing Suicide Risk training and QPR Training of Trainers. More info at www.preventsuidewi.org.

  • Lalena announced that proposals for the Mental Health and Substance Abuse conference are now being accepted. Contact her for more information: lalena.lampe@wisconsin.gov.

  • Suzette announced that WISE is having a graphic recorder training and there are a few spots open. Contact her for more information: SUrbashich@rogershospital.org

Fetal Alcohol Syndrome (FASD)
  • A new grassroots group was formed that will focus on adolescents with FASD transitioning to adult services and adults with FASD. Their work includes identifying needs, current services available, outcomes, challenges and developing strategies. They met in January to develop a mission statement, set goals, etc. Additional information can be found at http://www.orchidsfasdservices.org. They will be meeting again on April 15. Contact Peggy for additional information at Peggy.HelmQuest@dhs.wisconsin.gov.
  • The Wisconsin Women’s Health Foundation (WWHF) offers a perinatal program for mothers called My Baby and Me. One of its focus areas is the prevention of FASD. In 2013 they introduced a screening program and in 2015 they introduced a referral component. Some of the work they do includes educating health care providers to address FASD and implement screenings for all pregnant women and women of child bearing age. WWHF can provide referral information by phone. A brochure and fact sheet are being developed. For more information contact Chelsea Stover at cstover@wwhf.org.
Emergency Room Initiative
  • A Summit was held by Agnesian Healthcare in Fond du Lac. • Debbie Rueber and nurses from Kenosha attended the Agnesian Summit and are interested in holding one in their area in June or July.
  • Shel and Sue McKenzie participated in a webinar about a program called AnchorED that utilizes peer support in the ER for people who have presented with an opiate overdose. Safe Communities Dane County (Cheryl Wittke) has received a grant to replicate the program on weekends.
WISE
  • WISE shared a handout called “Speaking of Recovery in the Context of Suicide”. This was created based on feedback from WISE members looking for some language around this topic. WISE also shared a handout with the contact information for the Health Care Coordinators. Both handouts can be found on the WISE website: www.wisewisconsin.org.
Current Activities in Suicide Prevention and Maternal Child Mental Health
  • The PSW conference will be held on April 27 in Stevens Point.
  • The second Zero Suicide Academy will be held on June 1 in Eau Claire.
  • The Maternal and Child Health local health departments now have a Learning Community on Adolescent Suicide Prevention. They will be working on QPR and coalition development.
  • There are two QPR Training of Trainers scheduled – one in Milwaukee in March4 and one as a pre-conference event on April 26. WPP
  • Supervisor training modules have been developed and are being piloted with three employers. It has been difficult to find employers and the group is looking for more. The grant ends in April but they are looking into an extension.
  • Linda is doing a workplace training on Feb. 24. She may have employers who may be interested in piloting the modules. Linda piloted some of the original workplace training. She has retired from the DWD and is now doing independent training.
Maternal and Child Health Perinatal Modules on Post-Partum Depression  
Present: Peggy Helm-Quest, Theresa Grove, Cara Hansen, Sue Cochran, Suzette Urbashich, Tommi Thompson, Joe Shanbrook, MJ Erschen Presenters: Beth Herman, Julie Halverson, Anna Silberg, Kate McCoy, Leah Ludlum, Dawn Zak

Safe Schools Healthy Students (Beth Herman)
• Beth and her research colleague presented to WUMH about the Safe Schools Healthy Students program at a previous meeting.
• The Bullying Prevention initiative is one element of that larger project. The goal of this initiative is to provide resources to implement comprehensive approach to bullying prevention.
• Handout – Bullying Prevention Program Assessment Tool
• 31 middle schools will participate. 16 schools in the experimental group will be starting immediately and will complete the tool. The control group schools will start in the fall of 2017.
• The tool will be used as a way to see things are currently in place and what is missing.
• The group has been on hiatus for summer and will be starting up again in September.
• Peggy will get list of the schools participating and share it with the group. 

Survey on Childcare Providers on Expulsion – Marginalizing (Kate McCoy - OCMH)
• Provided an overview of research that has been done on childcare and expulsion. The national data was alarming. Expulsion of children ages 0-5 was 3x more prevalent than school age expulsion. The data is important because it is predictive of other adverse childhood outcomes.
• WI is ahead of the curve on this. An initial survey was conducted in 2010. They are now interested in doing an update of the survey and dig deeper to target interventions.
• A new survey was created and is in the testing phase with a roll out in October.
• This will look at general prevalence as well as subgroups (i.e. racial disparities, disability status, language, etc.)
• Some findings: Home-based childcare providers are more likely to expel; attitude is not predictive; years in the field was predictive (e.g. more years in the field are less likely to expel).
• Someone from the Inclusion Workgroup is participating in this group.
• Peggy suggested that Birth to 3 providers and family stories should be included. Kate will reach out to these groups.
• An information brief or report will be written upon completion of the project. 

WI Opiate Initiative (Peggy Helm-Quest)
• Public Health has received a new CDC grant which hasn’t been fully announced yet.
• Peggy will send a report following the meeting.
• Some new data was eye opening. 97 of 100 poisonings were drug induced.
• The Maternal Child Health group will also look at opiate/drug overdose deaths within their programs. Will have update at another meeting.
• We will be hearing more about this. 

School Mindful Initiative (Julie Halverson - MCW, Anna Silberg – Growing Minds)
• Julie from MCW presented on her work with Jackson County.
• A handout of slides was sent out prior to the meeting.
• Jackson County is a rural county that includes Black River Falls and the Ho Chunk Nation with a high rate of suicide.
• This is a 3-year project that is just getting underway. The start date was July.
• Goals - 1) Integrate a public health approach to youth suicide prevention, 2) Align systems to improve resiliency, 3) Lasting change in norms about mental health and suicide.
• Plans - 1) Create a referral network to mindfulness training for youth and their families, 2) Train facilitators across systems, 3) Develop a social marketing campaign.
• Anna from Growing Minds presented about their organization.
• Growing Minds will act in an advisory role in the Jackson County project. They teach mindfulness, primarily at Milwaukee Public Schools to students grades K-12 and to teachers.
• They have developed their own curriculum based on neuroscience of mindfulness.
• They also work out in the community but specialize in youth and schools.
• Anna indicated that “mindfulness” is a buzz word right now and many people are getting on the bandwagon so it is very important to be careful of who is chosen to be instructors for children. It is important to work with organizations that have instructors with a  personal practice and have the appropriate certifications.
• The goal of the Jackson County project is preventing suicide from primary prevention level focusing on grades K-8.
• MJ suggested that mindfulness could be incorporated into the WUMH ER project for staff and patients. ER’s are currently  experiencing long wait times, overcrowding and high staff turnover which creates a very stressful environment. 

WI Perinatal Depression Task Force (Peggy Helm-Quest)
• Shel Gross and Peggy met with Katie Gillespie regarding the Maternal Child Mental Health Perinatal Depression Task Force about how to create infrastructure and continue with the work.
• Tommi indicated that the current status of this group is similar to what happened with WUMH at one point. There is a lot of good work occurring, but their needs to be someone to anchor it. They need funding, a work plan, a coordinator, etc.. The WWHF would be interested in finding out how they could help since it is aligned with the work they do throughout the state.
• Peggy will send out an email asking who would like to be on a committee to have more in depth conversation about what this might look like and how to develop stronger infrastructure. Child Psychiatry Access Line (Leah Ludlum)
• The goal of the Line is to support Primary Care Physicians, assist in diagnosis, provide triage assessment and referral as well as provide physician education to increase the PCPs competency in this area.
• The Line is not an emergency line. It is available Monday-Friday 8am-5pm (no holidays).
• Northern Region: 31 clinics on board and 102 providers.
• Milwaukee County: 24 clinics on board and 145 providers.
• There is currently not enough funding at this time to roll this out statewide. Advocacy for additional funding will be needed.
• The workgroup is doing some additional strategic planning. Fond du Lac ER Summit (Peggy Helm-Quest)
• Peggy is working with Fond du Lac county on this. They are looking at a date in November. 

WPP Workplace Grant (Dawn Zak)
• Two companies are currently finishing up their baseline surveys. Two other companies have committed. The deadline for companies to participate is September 11.
• The Supervisor Modules are ready to go.

MCH Block Grant Priorities (Peggy Helm-Quest)
• Held for next meeting.


 
Present: Shel Gross, Peggy Helm-Quest, Theresa Grove, Cara Hansen, Julianne Dwyer, Theresa Grove, Lalena Lampe, Ellie Jarvie, Megan Skemp, Sharon Warden, Julie Whitehorse, Sue Cochran, Suzette Urbashich, Mary Jean Erschen

Identification of Co-chair
• Shel Gross, Directory of Public Policy for MHA of Wisconsin, will be the WUMH co-chair with Peggy Helm-Quest of DHS.

Update on Emergency Room Efforts
• Shel provided a handout – “Current Initiatives with the Potential to Address Behavioral Health Care in Emergency Rooms” which includes projects, goals, opportunities and leads.
• Background information – Looked at stigma within the health care field. An event/Summit was previously held at Rogers Memorial Hospital which confirmed a number of opportunities:
o Potential to replicate this event and create dialogue at a local level
o Promote utilization of Peers in ER settings
o Development of consumer-informing materials
o Development of provider education
• A WUMH sub-group was formed to focus on these issues and opportunities:
o Zero Suicide initiative
o Peer Run Respite (All three centers will open in March.)
o Hospital Engagement Network (Will include mental health in QI.)
o Facilitated Dialogue
o Local Health Departments (FDL would like to move forward with community
dialogue)
o Complex Care (high utilizers of the ER) Initiative and State Innovation Grant
(Medicaid initiatives)
o Peer Link (GEP and Optum Health)
• All of this is encouraging that there will be more emphasis on mental health issues.
• If anyone learns of others opportunities to make connections, please bring this to our
attention.

Health Department Updates
• 14-15 local Health Departments are part of an online learning community. Shel was the
presenter at the last meeting.
• FDL has a number of mental health-related initiatives going on and would like to move
forward with a community dialogue.

WISE Update
• Suzette provided two handouts – “WISE Discussion on Use of Specific Words as We Convey
the Overall Message” and “WISE Expanded Proposal”
• This issue of language has been front and center in WISE discussions. There has been discussion around how to use language rather than the language itself, i.e. words means different things to different people/groups, and how to address the issue of language. In trainings we need to acknowledge the language we are using and determine what is most appropriate for that group.
• This is not only discussed by WISE but all over including at the world stigma conference and by SAMHSA (regarding use of the word ‘stigma’)
• The Speaker’s Task Force has again identified stigma reduction as a priority area. WISE will be meeting with some members of the new Mental Health Reform committee next week to share the current proposal and are working on being added to the full committee meeting agenda.

Bullying Initiative Discussion
• Peggy has been asked to serve on a DPI workgroup. The person taking lead on this initiative will be invited to speak at the May WUMH meeting.
• DPI is looking to create an assessment tool to document school-wide bullying prevention programs. The tool will look at whether a school has the necessary components in place, if they need improvement or if they do not have components in place at all.
• The group is currently working on definitions (CDC and stopbullying.com have somewhat different definitions) and looking at language (i.e. use of words such as bullying victim, perpetrator, etc.)
• Peggy will keep up updated.

Other Announcements
• Shel and Megan from Grant County will connect regarding other suicide prevention groups Grant County may want to connect with.
• Shel brought cards for the Hopeline texting service. This was developed by the Center for Suicide Awareness in Kaukauna. They also have posters and other materials on theirwebsite. This is a pre-crisis support service. The following is the website:
http://suicidepreventionandresourcecenter.org/hopeline/
Attendees: Peggy Helm-Quest, Shel Gross, Julianne Dwyer, Julie Whitehorse, Kit Kirchensteiner, Suzette Urbasich, Rebecca Cohen (phone), William Parke-Sutherland, Kris FreundlichRather than the usual WUMH planned issue/ project agenda, following introductions, the group engaged in open-ended dialogue on the history, role of WUMH, and future direction of WI United for Mental Health.
  • Steering committee meetings are open to all who receive WUMH correspondence; there is not a ‘set’ steering committee group. We need to make that clear in correspondence.
  • Cara will be asked to Doodle / reschedule the November 14 steering committee meeting as many people have a schedule conflict with that date.
  • WUMH operates as a collaborative partnership. There is no one designated leader, rather several individuals from several organizations have stepped up to provide joint leadership for the work of WUMH and serve on an Executive Committee for WUMH.
  • WUMH has been very successful in the past in eliciting grants, partnering in research efforts, providing educational opportunities to key audiences, developing information material, providing a vibrant website and e newsletter.
  • Current WUMH activities include: website, newsletter, improving care in the emergency room setting for persons with mental illness, improved workplace mental health, increased partnerships for stigma reduction.
  • WUMH continues its focus on doing things that nobody else is doing and partnering with other efforts to reduce mental illness stigma. We seek out partners and available opportunities (e.g. grants, areas of high public / political interest, etc.) and work to fill in gaps in reducing stigma.
A possible future WUMH focus area emerged – bullying.
  • This topic may become a priority in DHS-Division of Public Health, Disability Rights WI (DRW) finds that bullying is a huge issue and that schools often don’t handle this effectively, DHS – Division of Mental Health and Substance Abuse Services (DMHSAS) (Julianne) is involved with a Safe School Healthy Students grant in which bulling is a component and will be implemented in three state school districts (Racine, Beloit and Menominee). A person is being hired by DPI to be housed in DHS to work on this grant.
  • Next year, WISE though Rogers inHealth, will be exploring the issue of youth disclosure and adult response. They hope to participate in a national survey on this subject. There is need for teachers to know / practice effective strategies for emotional / social support.
  • A website was recommended be looked at by WUMH members: Kids Matter website from Australia.
  • At the next WUMH Steering Committee meeting, the potential role / gaps that WUMH might fill on bullying will be discussed.
Kris Freundlich, DHS, has been an active WUMH partner since the inception of WUMH and will be retiring shortly. The group needs to give further consideration to:
  • Having somebody fill in for the tasks that Kris performed for WUMH (May be feasible through the new DMHSAS grant for suicide prevention as stigma reduction efforts are likely to be a key component of the state suicide prevention strategy.)
  • Strengthening the number of regular, active WUMH partners (Executive committee).
Next agenda items identified:
  • Regular reports (e.g. ER – MH, workplace-Partnership program grant)
  • Brainstorming on the current research on known best practice for reducing stigma and systemic oppression plus reaching critical target audiences – what is the most important thing that WUMH can do.
  • Possibility of bullying as a WUMH priority – meaningful role for WUMH
  • WUMH capacity
 
Attendees: Shel Gross, Peggy Helm-Quest, Kris Freundlich, Lalena Lampe, Sue Cochran, Suzette Urbashich, Kit Kerschensteiner, Cara HansenWPP Grant Update
  • The project is a little behind due to staff changes and transitions at MHA.
  • Employers wanted to conduct surveys before moving forward.
  • There is a meeting next Tuesday. The group will look at the survey results and see what the results tell us about where we should focus.
  • Findings: 1) There are different concerns for managers and employees. The employees are seeing mental health issues as a larger concern than managers. 2) People don’t see diagnostic categories such as schizophrenia or bipolar disorder as salient, but they see depression, anxiety, trauma, and stress as salient. Everyone saw stress and anxiety as salient. Depression and trauma were seen as salient by employees. 3) Both see training for managers as most important. 4) Managers see most important training as managing conflict, conversations about performance, managing emotional distress of employees, HIPPA/ADA and creating mental health-friendly workplaces. Employees saw communication issues, workplace relationship, the art of happy living, supporting co-workers and finding resources as most important.
  • When creating these trainings, we will make them more appealing through use of video, and shorter (8-10 minutes) nicely packaged modules and. We already have a lot of the content. We will just improve upon its presentation.
  • DHS is working on some workplace mental health education including offering Mental Health First Aid training to employees.
  • Employers are looking to us for what to do to improve workplace mental health.
Emergency Departments
  • The group is actively meeting. We haven’t gotten far with the local roundtables yet.
  • Sue is doing a great job looking at research. We have beefed up this section on the website.
  • There is a meeting coming up to talk about use of Peer Specialists in EDs.
  • Lalena reported on the work she is doing with Peer Specialists. Neither Lalena nor Sue C. have found research on any formal programs being implemented yet.
  • There was a review of the goals and outcomes of the ED Summit held last year for those not familiar.
  • The Milwaukee MHTF will not have emergency departments as the topic of their Summit, although it was considered. However, the Milwaukee Health Care Partnership has an initiative focused on coordination in the ED and may be interested in learning more about use of peers.
  • NAMI film (15 min. and 45 min. versions) was viewed and received mixed reviews from the Recovery Task Force and others. The long version is somewhat better but raised sufficient concerns that may limit its utility.
Other Key Linkages
  • Speaker's Task Force: Suzette reported on the status of the stigma bill (see below).
WISE and Status of Stigma Bill (Suzette)
  • Met with Sandy Pasch in January to develop some legislative language for this bill. WISE came up with a proposal which Sandy took back to the Speaker’s Task Force. Her office came back to say they don’t think the whole proposal will fly and asked for it to be pared back. The proposal was rewritten with $125K proposal for next year.
  • Have been in touch with Mary Panzer who found out that the window for this is not closed. WISE drafted a letter to show that stigma reduction is the missing piece in the recent bills passed. The letter showed support from the 30 members of WISE.
  • Other topics came up and took precedence over this bill so it has languished a bit.
  • The letter will be sent out through the WUMH and Recovery Task Force listserv.
  • Shel will check for a bill number before we send out the letter.
  • Suzette will follow up with contacting Leah Vukmir
  • Shel will send something to Cara and Lalena to send out to the two listservs.
Communication Vehicles
  • WUMH Website Update: 5 people replied to survey. People like current news. Theresa suggested that since other newsletters provide this type of information, we could also link to other organizations newsletters. We could do more on our focus areas
  • Shel suggested can we combine that and use the Suicide Prevention newsletter as a template.
  • Theresa will send the survey out again.
Materials Update
  • 1-page handout: Made a couple small changes which brought it down to 1 page. We will change Partner Organizations to Steering Committee Organizations and move up the DHS divisions.
  • 8-pager: Last updated 9/12. Still have a large supply. Our small group will look it over one last time. Cara will send it out with the minutes and ask people to get any last updates to us within 2 weeks.
Other
  • State Suicide Prevention Strategy will be out soon. • The Healthiest Wisconsin 2020 baseline and disparities report is recently out – can be found on-line. It has a chapter on mental health.
 
Attendees: Peggy Helm Quest, Julianne Dwyer, Annabelle Potvin, Patty Branton, Tommi Thompson, Kris Freundlich, Suzette Urbashich, Cara Hansen, Sue Cochran, Millie Jones, Theresa Grove

Emergency Department Summit


• Will be having 1 or 2 round tables within this grant period. They will be similar to the original Summit, but more locally focused.
• Will be working on development of best practice protocols for ER’s, i.e. a sort of checklist for them to follow.
• Working on development of materials to conduct training for EDs. Shel had the idea to make the video used at the original Summit as a quasi stand-alone piece that could be used in dialogues and training. They are working on an introductory piece for the video.
• Jefferson County is interested in doing a Summit. We don’t have a date yet. If they hold it by Sept. 30 there can be funds for consumer reimbursement, etc. Shel wants to attend the Jefferson County event and may facilitate.
• Matthew Stanford from the WI Hospital Association is working with a consortium in another part of the state. He will see if we can get something going with them, possibly before the end of September also.
• It is important that these initial events are evaluated so we can create a standard approach. Need to work on defining outcomes.
• There is still a lot of interest in this area and people who are willing to get involved.
• Shel is going to contact the ER Physician Association. Mary Jean from the Nurses Association says nurses are hungry for more info and learning on this topic.

Next year’s strategic plan and budget


• We started working on a workplan to have ready for the next grant. We found out yesterday we will lose Federal Block Grant funding (for all anti-stigma activities). The current grant expires Sept. 30, 2013.
• The first items up for cuts were those that are not federal or state requirements, which included WUMH as well as the DHOH group.
• The workplan included expanding on current activities: i.e. website, newsletter, WPP, ED, partnerships, operations, etc.
• Does WUMH die?
• We already have a great deal of in-kind support from partners. Much more than monetary support. Next federal fiscal year’s grant request would have been about $14K.
• The coordinator is largest piece of budget, but this is a critical piece to keep the group on track as well as the newsletter and website.
• Ideas? Consider soliciting on website for support? Can we dedicate time to grant writing or fund development? Membership fee? Ask members for suggestions and/or support including in-kind such as administrative assistance.
• Kris will convene an Executive Committee meeting very soon. Peggy asked if there are other MH items in the block grant that we could leverage. Could we find a MSW intern?
• Send any other ideas to Patty and / or Peggy.

Newsletters, past topics, brainstorm topics

• Suggestion to change newsletter to bimonthly or quarterly. It takes longer to write than we have budgeted.
• Idea that Theresa will develop: Send out a short survey to subscribers to ask about their preference for frequency, how to make it better and how valuable it is for them.
• There was also an idea to use the website as a repository for the ED Summit group’s communications/information. Theresa has started working on it.
• Newsletters: It would be helpful to get outside ideas for topics from outside the group. We could ask for ideas in the survey that Theresa is developing.
• Ideas: DHOH, disparities, siblings, children’s mental health, new suicide prevention plan, mental health and substance abuse parity, ACA.
• For September: Caregivers of someone with Alzheimer’s or dementia. For October: National Disability Employment Awareness Month.
• Website: Theresa will send an mail to the whole group with a deadline date, possible in November, asking to individually review the website and provide her with feedback.
• Possible improvement idea: Keep things on website for a limited amount of time. Rotate things. Look at Google Analytics to get a sense of what people are looking at. Keep those things up on an on-going basis but rotate other things.

Wisconsin Partnership Program (WPP)


• DHS is one of the grant’s business partners. They have a small internal workgroup to work on making the department more mental health-friendly. Martina attended their meeting to talk about the WPP grant and its expectations. This was helpful. DHS HR and EAP will be more involved.
• Shel and the evaluator are following the same process meeting with the other business partners, i.e. who can provide data, etc.

2014 Steering Committee Dates

We will continue on regardless of budget issues. Steering Committee meetings will continue to be held at the WWHF from 9-11:00. Executive Committee meetings will be held at 1 W. Wilson.
• Friday, Feb. 21(Executive Committee Friday, Feb. 7)
• Friday, May 9 (Exec. Committee Friday, April 25)
• Friday, Aug. 15 (Exec. Committee Friday, Aug 1)
• Friday, Nov. 14 (Exec. Committee Friday, Oct. 31)

Other Information

The NAMI Walk will be held on October 6 in Madison.
Present: Shel Gross, Julie Whitehorse, Kris Freundlich, Patty Branton, Alice Pauser, Theresa Grove, Mike Meulemans, Nikita Sessler, Suzette Urbashich, Sue Cochran, Cara Hansen, Trish Vandre

Governor’s Mental Health Budget Proposal/New Speaker’s Task Force on Mental Health (Shel Gross)
•$29M budget proposal which includes some of the priorities of the Mental Health Council- includes forensic assessment for criminal justice; state funding for Comprehensive Community Services (CCS); increased funding for coordinated service teams for children; start up for peer run respite; office of children’s mental health; in home services for children and their families. A topic of concern is what will happen with county MA match dollars previously spend on mental health services.
•This is great news. Theresa will be sending this information out via the WUMH newsletter and post on the website. Theresa would also like to receive any written items that people put together about our efforts for the website.
•Kris will draft a letter to the legislators on the Speaker’s Task Force for signature by our Co-Chairs to inform them about WUMH and the efforts we have undertaken in the past and currently.
•People should send Kris any feedback on an updated strategic plan.

Building a Mentally Healthy Workplace Partnership Program Grant  (Shel Gross)
•We had a Planning Grant and then received a 3 year Implementation Grant. Will be doing two things, 1) revamp the supervisor/manager training that had been created, i.e. create a more modular approach, and 2) employee education. We will be working with Rogers InHealth on video segments.
•We will be working directly with employers. We have some signed on and are currently looking for a few more. We want to have a total of about 10 employers representing a variety of types of employers.

Health Care Module
(Kris Freundlich, Peggy Helm Quest, Shel)
•Holding two dates in April for a Summit. We have invited representatives from Emergency Departments, mental health professionals, as well as people who have had personal experience.
•Creating a short introductory video featuring both patients and health care providers.
•The group has been meeting regularly and have honed in on a direction.
•The response from ER departments has been very positive.

Stigma Conversation Group
(Sue Cochran, Suzette Urbashich)
•Initial day-long meeting was held on November 2 in Milwaukee featuring Pat Corrigan’s research and brainstorming.
•A core group has been meeting since then and some subgroups have been formed.
•Action steps: map stigma efforts that are going on throughout the state, i.e. who is doing what and what is working; Sue McKenzie will be doing a trial with the Care Connection group in Waukesha using Corrigan’s workbook; develop goals and objectives of the group and prioritize; subgroup-youth group discussing doing focus groups around the state; evaluation subgroup- developing standards and tools to evaluate current programs; looking at California’s efforts; present this information to the non-choir group, i.e. those who don’t work in mental health field
•What is the natural integration of WUMH and the Stigma Conversation group, i.e. how do we work together, complement each other and how does the Stigma Conversation group identify itself? They will refer to it as a partner or member of WUMH. WUMH is the umbrella. Suzette will send some information about the April 19 event for non-mental health stakeholders and ask for invitation suggestions.
•Suzette will send the group: April 19 invitation chart, Pat Corrigan’s workbook, and handout of the hierarchy of disclosure.
•Suggestion: Present Corrigan’s program / research to broader audiences, especially those without knowledge of mental illnesses.
•We will also collaborate on how we can bring the youth voice to a number of different coalitions.

Other
•Peggy submitted the WUMH quarter report for the October through December quarter
•NAMI has a conference on April 26 – 27; Corrigan will keynote
•Shel mentioned that the Youth Suicide Grant may need an advisory board.
Present: Peggy Helm Quest, Patty Branton, Julie Whitehorse, Kris Fruendlich, Sue Cochran, Sue McKenzie, Cara Hansen, Julianne Dwyer, Shel Gross, Kit Kerschensteiner

Recognition of WUMH’s 10th Anniversary

Favorite memories of WUMH were shared

Update on Wisconsin Partnership Program (WPP) Grant

Since the last meeting in August, we completed the development grant. The final meeting was held in September where the Strategic Plan was reviewed.
Action steps: Create manager/supervisor training and training pieces for employees.

The group put together an implementation grant proposal for $150,000 over three years. We have employers who have already agreed to work with us on this. If we receive it work would start in April. We will be partnering with Rogers In Health on video pieces. One concern is to make sure the commitment of employer partners is deep, not just one HR person so we’ll need to solidify things with the employers. ICTAR could also be a potential funder (Institute of Transitional Research). The development grant exceeded Shel’s expectation. The partnerships were great with the Business Health Care group and the Alliance.

Update on Health Care Module


The group has been meeting and making good progress. Kris talked with Ed about the transcription. They will take the previous work that was done and come up with a small product, i.e. a 5-10 minute description of the problem, someone presenting at the ER, in video form. The group will be collaborating with ER personnel. Planning to have a summit where they will start a plan of how to proceed. This is moving along well and we have a clear, manageable focus.

Update from Rogers InHealth

Held a meeting last Friday in Milwaukee that was attended by 45 people. Featured Pat Corrigan and his research on what works to reduce stigma. Julianne and Sue attended.  Key point- The education/PSA approach isn’t effective. This idea created some resistance from the group. We actually need to marry the approaches of education and lived experience. Some next steps- Using story as strategy and training people on how to tell their story; collaborate and evaluate; repeat this program with non-choir and youth. Targeted local messages. Consistent, Credible, Contact.  The work of this group will inform our work (WUMH) for the health care module and possibly business. There will be collaboration between the groups.

Bring Wisconsin Prevention Clearinghouse in to talk about their research. SAMHSA has a report on self-disclosure as well as work done in Australia. Sue
will send these reports to the group.
Present: Peggy Helm-Quest, Patty Branton, Sue Cochran, Kris Freundlich, Julianne Dwyer, Cara Hansen, Theresa Grove

WUMH 10th Anniversary
• What can we do to promote anti-stigma? How could include current partners and possible new partners?
• October includes MI Awareness Week, Disability Month, Medical Librarians Month, etc. so this would be a good time to celebrate our anniversary.
• Ideas for groups to connect with: Workforce Development Boards, veteran community, medical librarians.
• We will send a letter to the Medical Librarians Association from the co-chairs asking if they would like some of our resources to distribute during their
awareness month. Kris F. will create a draft of a letter.
• Theresa will take a stab at creating a timeline graphic highlighting WUMH’s outcomes for the website.
• Have key people give testimonials such as Sue Ann Thompson, former Lt. Gov. Barbara Lawton, Karen Timberlake, current Secretary of DHS Dennis Smith,
some of the employers we’ve worked with, WI Manufacturing and Commerce, Dr. Halverson, DWD Secretary, some key organizations like MHA and NAMI, Sinika Santala, Nino Amato. These will be posted on our website, in the newsletter, etc. We will send a request to these people asking: Why MH is important? Why is stigma reduction is important? Also ask them for a photo. Kris F. will create a draft of a letter. Patty will create a letter for Reggie.
• Send a letter to the Steering Committee members asking them what they have been doing related to MH and stigma reductions over these past10 years. Ask
them to send their reply to the webmaster email address. Highlights will be posted on the website. Kris F. will create a draft letter.
• Theresa will look into other activities occurring in October and send them to Cara who will forward them to the rest of the group. Patty will check with her group about their activities.
• We will promote our anniversary on the website during the whole 4th quarter.

Goals of Strategic Plan (handout)
• Improved MH in the Workplace (ongoing)
• Advance educational stigma busting strategies (ongoing)
• Expand number and diversity of partnerships (ongoing)
• Improve the capacity and effectiveness of WUMH (ongoing)
• 2012 Work Plan- We are working on everything that is on the plan.
• Need to discuss what will move forward into 2013.
• Goal 1: Met with Jon Morgan to get his reaction on the MH portion of the Workplace Wellness Toolkit. He was pleased with it and will review the updated version with revised links, which have all been checked and updated. We had been planning to compile a list of resources, but we used the Tookit in the focus groups and they really liked it so we decided not to duplicate the effort. This piece was incorporated into the grant. We will be adding new resources to it and will also look at the numbers/statistics to see if there is more recent information. Sue C. will check the numbers.

WPP Grant Status (handout)
• Shel and Martina attended a recent training session about the implementation grant.
• The current grant runs through September. So far all the deliverables have been completed on time including key informant interviews, focus groups, etc. As a result of these activities we identified appropriate areas to do further work:
o Supervisor/manager DVD: They liked the content but had suggestions for improvements such as an accompanying resource guide, shorten it up, vignettes, etc..
o They also really liked the mental health portion of the Workplace Toolkit. They liked the list of resources that it includes so we decided to use this as a foundation piece, update the current resources, and add new ones.
o They have concerns about legal issues, confidentiality, HIPAA, etc. and how to talk about these issues with employees. We need to provide some sort of guidance on what is OK, etc.
o Employers would like to know about ready made tools and resources.
• We received so much good information from this development grant that we decided to apply for the 3 year implementation grant to follow through on some of issues that were identified.

Products
• Our anniversary activities will create opportunities to distribute the workplace DVD and the 8-pager.
• DEI- 150 copies of 8-pager. Rebecca- 25 copies.
• Peggy will talk with Tommi about how much budget we have for printing the 8-pager. Cara will ask Julie about cost breakdown for quantities.

Budget Meeting Update

• Met with Julianne to discuss progress on the strategic plan. We are on time with everything but a little behind on the health care module because of all the information we have gathering. We want to take the time to talk with many people and create a quality product.
• The existing carry over block grant funds can be used from Oct. 1, 2012 to Sept. 30, 2013. We have a request in for $20,000 for WUMH, but we do not know that status of those funds. The Department of Health Services does expect a reduction in funding for the 2013 Mental Health Block Grant.
• Julianne will find out the timeline for new funds, if we need to submit anything else, and if a presentation to the WI Council on Mental Health would be beneficial. Julianne will send this information to Cara who will forward it to the Executive Committee.

DEI Report
• Waiting to get approval to be a Social Security Ticket to Work to become an Employment Network.

Peggy reported on a Trauma Informed Care meeting. We will keep in mind to connect TIC in our health care module as well as the Adverse Childhood Experience (ACE) study. Julianne will send the ACE study and a blurb to Cara.

Patty will resign as co-chair at the end of this year. We need to reinvigorate members who used to attend meetings and used to be more involved. This will be put on the next Exec. Committee agenda. Look at our list of members and identify what entities are on there, and which people should be at which meetings.
Present: Peggy Helm-Quest, Julianne Carbin, Alice Pauser, Patty Branton, Marilyn Duguid, Kris Freundlich, Cara Hansen, Sue Cochran. By phone: Suzette Urbashich, Sue McKenzie.

Update on the Wisconsin Partnership Program Grant (Shel Gross):
We’ve completed the first year of the Wisconsin Partnership Program (WPP) Planning Grant- Improving Employer Mental Health Practices. There is a new RFP for an Implementation Grant. We will apply for the smaller of the two implementation grant options. The Letter of Intent will go out in June. They will then ask selected applicants to submit a grant. We would find out if we receive the grant at either Dec. 2012 or Jan. 2013. The new grant would begin April 2013.

The goal of this part of the meeting is for Shel and others working on the grant to share information about the findings from Year One of this project and obtain input from the group:

Handouts (attached in email with minutes):
o Grant Year One Summary
o WPP: Developing a Strategic Plan
o Attachment 2b: Highlights from the Employer Behavioral Health Practices Survey Conducted by the Alliance, BHCG and DHS.
o Attachment 4: Improving Employer Mental Health Practices Summary of Focus Groups

Worked with The Alliance and the Business Health Care Group on a survey of their members about current mental health practices and attitudes about mental health in the workplace. 155 people were surveyed. We compared the survey findings to the DHS survey.

Questions were related to the impact of mental health issues on the workplace, parity, insurance coverage, EAPs, and training. The highlights of the survey can be found in Attachment 2b.

Conducted key informant interviews with four employers.

Conducted two employer focus groups to further explore the issues that were identified in the survey and interviews. Highlights can be found in Attachment 4.

Questions were related to measurement of the impact of mental illness in their workplace, insurance coverage, benchmarks, training, and stigma.

The bolded items on Attachment 4, page 7 and 8, are those they felt we need to further develop.

We feel we can have the strongest traction with the following (attachment WPP Developing a Strategic Plan):
o Supervisor/Manager Training: Revising the current training/DVD, i.e. shorter segments, add video, and recruit some employers who will work with us on this.
o Look at HIPAA and ADA issues: Provide information and guidance about issues related to HIPPAA and the ADA, i.e. how to honor an employee’s concerns but still deal with the issue.
o Outreach/Communications Plan: Create and outreach and communications plan. Work with employers on this and ask them to use the tools and get their feedback. Look at Worksite Wellness Kit, continue to develop it and make people aware of it.

Ideas/thoughts from the group about the Strategic Plan:

We could partner with Rogers InHealth on revising the format of the training because they have expertise with using video, etc.. Suzette and Sue indicated that they would be interested in this partnership. We could also look at creating short video trainings for employees which the employees might be more likely to view. Include in the content the notion of strategic sharing, i.e. how does the employee want to talk about their mental illness and what do they want to talk about. How to share information but still protect themselves. For the employers, how do I communicate that this is a safe environment for people to talk about this?

Should we consider including schools as employers in this process?
Wisconsin Employment and Training Association (WETA) perform labor law clinics. Patty could probably arrange for us to present at their conference in October. They might be a good policy resource. WorkSource Wisconsin MHA Board Member is an employment attorney who may be able to help in some way. Give consideration to the 30 second training approach mentioned in the DEI update below

Consider how to best express confidence with the survey sample findings in the grant application
Consider how to overcome the fact that many employers do not know how to use/interpret employee mental health data.
DPH has developed ‘competencies’ with their own resources sheets. This may be a resource consideration. One consideration is improving the quality of EAPs.
Can we give employers defined benchmarks?
What are the pre-planning tasks? How do we start framing this out?

If anyone comes up with additional ideas, contact Shel.

Disability Employment Initiative (Patty Branton):

Wausau Kick Off Event: Shel and Patty presented. 26 people attended including Forward Services, the technical college, a large manufacturing company, the Job Center, attorneys and community agencies. It was a great event. Working with Prevent Suicide Marathon County and Debi Traeder on QPR
training for the Job Centers. Discussed doing other QPR trainings. 30 Second Trainings: Patty did one for each week of Mental Health Awareness
Month. She will forward the link to share with the group.

Mental Health Month:

Proclamation for Postpartum Depression Awareness Week which is May 13-19. Wednesday was the kick-off event in Madison for Children’s Mental Health Awareness. About 100 kids attended through a flash mob and dance. NAMI Conference was last week. NAMI training in June “Planning for the Future” for people who want to create financial plans for the care of their children. Access to Independence held a WRAP program and “How to Create a Stigma Free Workplace”. MHA held a fundraising event with an educational program about bipolar disorder.

Youth Mental Health Summit in Milwaukee: 60 youth from across the state attended. The topic was stigma. They asked the kids, What they would like to  be different? The kids brought their idea to the combined group: Increase youth capacity of leadership around mental health across the state.

Empowerment Days- One result was to continue to support WUMH.

Women’s Health Policy Summit- Alice is staffing the table from 7:30 to 1:00. Shel will pop in and out. Kris will be attending the conference and will fill in at the table. Will distribute DVD.

The Prevent Suicide Wisconsin Annual Conference was at the end of April.

Wisconsin Women’s Health Foundation Women Champions Luncheon.
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