HomeMy WebLinkAbout1989-05-15-HSC-min.pdf Minutes Human Services Committee 5/ 15/89
Present from Human Services Committee Renee Cochin
and Bob Cushman, Co-Chairmen; Dick Dougherty;
Seymour Mandel ; Harvey Lowell ; Sheila Martin;
Ann Irving; Leonora Feeney; from School
Department Philip J Geiger, Superintendent,
and Peter Burke, Director of Guidance ; from
Lexington Citizens with Special Needs Marion
Shepp and Judith Gottleib (present during
presentation of request) ; from RePlace
Roberta Black, Suzanne Larsen, and Bill
Blout; and Steve Saran, Human Services
Coordinator
1 Marion Shepp read a memorandum addressed to the Human
Services Committee entitled "Request to become a
subcommittee of the Human Services Committee" and
copies were distributed to the members It was agreed
to discuss the request at the next meeting
2 The Minutes of the meeting of 4/24 were revised as
follows
The Minutes were unclear on whether there was a dearth
of special needs resources inside or outside of the
(I ) school system The lack was seen as outside of the
schools
As to the discussion on RePlace, $ 15, 000, not $ 10, 000,
was needed to fund an additional half-time worker
The Trustees had not been contacted for funding (page
4, last paragraph) This was something Dick Dougherty
could pursue once a proposal was prepared
On page 5, paragraph I , the present outreach worker has
been 80% at $ 18, 000, not full time On page 5,
paragraph 2, Renee objected to the Committee being
pressured into making a decision on a school
counseling program On page 5, next to last paragraph
the Committee agreed to advise Renee floor "of" (not
"or" ) Town Meeting
The Minutes of the meeting of 5/ 1 were corrected as
follows
Terry Gent felt it was sufficient for the Town Manager
to conduct oversight of the "Council on Aging", not
"RePlace"
3 Steve Baran announced that the Mass Department of
Mental Health/Retardation had abandoned its plans to
set up a community residence at 1963 Mass Ave due to
Minutes, Human Services Committee, 5/ 15/89 Page 2
zoning restrictions on parking in favor of a site at
282 Bedford Street where the same number of residents
could be accomodated
4 Dick Dougherty saw outcome of reallocation of RePlace
positions to be 30% counseling, 20% in peer counseling
program ( to be combined with drop in) and 50% for
MassCapp A 0 5 FTE position would be in the schools
while outreach would be reduced as a result of the
deficit The total FTEs ' would be 4 3 Next year' s
reporting would show allocations according to what was
school -based and what was not school -based The real
issue was to find out from the school whether there
would be enough counseling in view of the concern about
drugs and other problems Funding had initially been
mentioned by the Superintendent in February
Dr Geiger clarified that there was no money in his
written proposal The schools' mission was not all -
encompassing nor was school personnel trained to do
counseling on problems not school -related The schools
could provide the kids and the space while Replace,
which had the expertise as well as funding from the
(7) Town, could continue to provide services in the
schools The School Department had considered hiring a
lower paid employee to replace a counselor now in the
system, but ended by looking at the problem in a
different way
Renee Cochin asked Dr Geiger what were his objectives
He said drug counseling would be a mainstay Also, a
conviction about a school -based progorm would have to
be built among the entire staff The program should be
aimed at "mainstream" students and not be seen as an
"alternate" It should be available to parents, beyond
normal hours Parents would not have to be informed
through the program in the same way that was the case
for the school The latter was an obligation as had
been clarified with the school ' s attorney, Mike
Chandler
Dick Dougherty asked about crisis counseling Dr
Geiger said there had been a choice bettween dropping
one of seven guidance counselors or dropping a crisis
counselor in view of the census in the high school
having been reduced by 140 students Since the schools
already had psychologists (2 45 FTE) and social workers
( I FTE in special needs ) , one of them, or a guidance
counselor, could be diverted in the event of a crisis
situation
Minutes, Human Services Committee, 5/ 15/89 Page 3
Renee asked if this plan would meet the needs both of
the kids and of the faculty Dr Geiger replied that
drug and alcohol problems would be referred to a
therapeutic agency; other problems would be referred to
a clinican who could give treatment and services for
non-academic problems outside of the school day
Moreover, it was up to the school counselors to improve
the environment, not make sick kids better or champion
problem kids as a cause Existing counselors in the
school should concentrate on ecological counseling,
helping teachers deal with aberrant behavior whether on
the part of the teacher or the student
Renee asked about the future role for RePlace Dr
Geiger saw RePlace as being consumed by the need to
deal with referrals Were they to become overwhelmed,
that would be another problem Once parents became
involved, reimbursement could be through a third party
Bill Blout explained that RePlace was not presently
licensed as a mental health clinic, but there was the
possibility of becoming a satellite of another agency
in order to collect insurance
(J) Peter Burke questioned there being two sets of rules
around confidentiality with Suzanne Larsen asking how a
guidance counselor might become involved around a drug
problem if a RePlace counselor were the first to hear
about the problem Dr Geiger did not think there
would be any problem, legal or otherwise, since the
school was only providing space
Renee Cochin said that without a contract the
relationship between RePlace and the School Department
would only be based on good will Bill Blout said a
contract could be negotiated, but he was pessimistic
about the question of money
Bill outlined the mix of services he saw in the coming
year for RePlace outreach, MassCapp, crisis
intervention, 766 counseling and peer information
Next year there would be 0 4 FTEs for Mass Capp in the
elementary school as well as 20 trained volunteers
Dr Geiger said that the elementary school counselors
could coordinate the program
Bob Cushman noted that the Committee had earlier been
prepared to vote for additional funding for school -
based counseling with Dr Geiger wondering about
alternative funding sources including a Lexington
education foundation, United Way funding and third
party insurance Although RePlace is not a United Way
Minutes, Human Services Committee, 5/ 15/89 Page 4
agency, the United Way is obligated to honor the
donor' s wishes The School budget did not permit any
funding of a counseling program
Roberta Black expressed her concern about kids who did
not have severe problems, felt there should be
resources for them already in the system
Dr Geiger suggested reexamining the problem in July
following further discussions with his own staff and
the RePlace board and resolution of the drug and
alcoholism precedure
Bill made clear priorities for RePlace MassCapp,
crisis intervention and ongoing counseling in that
order Dr Geiger and Peter Burke expressed their
surprise and interest in Bill ' s emphasis on prevention
Later, after Dr Geiger and Peter Burke had left Renee
Cochin expressed her disappointment at the lack of
specifics and programmatic thinking coming from the
School Department Sheila and Dick thought the
discussion had been constructive since there seemed to
(—) be the need for an intermediary to bring the parties
together, Dr Geiger seemed to ,know what he wanted
while RePlace expressed priorities of which the School
Department had previously been unaware
5 Renee expressed concern about the Senior Health Monitor
"pre-bidders' " conference Steve clarified that the
discussions with potential providers had been purely
exploratory, and no RFP had been prepared Renee
suggested that this be on the agenda for the next
meeting
Respectfully Submitted,
Stephen Baran,
Human Services Coordinator
U
(
TO: Town of Lexington Human Services Committee
FROM. Marion Shepp and Martha Ziegler, Co-chairpersons,
Lexington Citizens with Special Needs Committee
RATE May 15 1989
SUBJECT' Request to become a subcommittee of the Human Services
Committee
The Lexington Citizens with Special Needs Committee requests that the
Lexington Human Services Committee initiate steps to inn-hide us as an
official subcommittee of the Human Services Committee This letter
outlines our reasons for this request They include the original
purpose and history of our committee our ongoing stability and growth,
our surnessful advocacy role for handicapped Lexington residents, and
our fulfillment of the Human Services policy of prevention and
amelioration of vulnerability for Lexington citizens.
Purpose and History
The Lexington Citizens with Special Needs Committee formed in 1985 as a
response to the Human Services 1984 Retarded Citizens needs assessment
The survey showed that 46 retarded citizens of Lexington needed housing
at that time Our group met during 1985-1986 to focus on obtaining
information about special needs housing The group riisharr M in 1986
) after several families found privately funded housing in Brookline.
Our present committee began meeting in Spring 1987 with the overall
objective of representing all mentally harriioapped citizens in
Lexington. Our committee is comprised of parents of high-functioning
mentally lharriicapped young adults I-clrviing those with mental
retardation. menta 111nass epilepsy arra other lifelong iiisabilities.
Our children require a range of appropriate community services. They
have all.eaperienc 1 rejection from the recreational, vocational, and.
social mainstream. Therefore, our goal is to address the needs of
housing first of all, but also vocational, recreational,
transportation, and social concerns. We applied for and received a
grant from the Human Services Committee for 1987-88 to allow us to
focus on the housing issue as our first concern.
Ongoing Growth aid Stability, etc.
Apprcminately five families attenrini our first meetings in 1987 We
now have twenty-six families on our list most of whom attend our
regular meetings and are active in our advocacy work. Our group has
grown by word of mouth because as an ad hoc committee, we do not have
time or resources to consistently inform Taxing= residents about our
work.
As a result of our committee's persistent advocacy with the state
(_) Department of Mental Health, the Area Director has made a commitment to
us to include our mentally ill young people in a residence that is
slated to open in Lexington this year We could never have arhievred
this success as individuals, but we have great strength as a group.
Implementation of Human Services Prevention Policies
The Lexington Human Services Committee policy holds that 'well-hPing
should be the ultimate end of all human service activities' The Town
policy emphasizes prevention rather than remediation. Our committee's
long-term objective for our family members is to give them an
integrated life within our town. Many of our children have been Viatica
in segregated, restrictive group care settings that do not recognize
their individual needs. Programs have been cut staff turnover has
been high; there is constant change in their routines and services
that has thwarted their development
We want to prevent our children from slipping t-nck into socially
unacceptable behavior We want to find ways to help them access and
participate in the mainstream as adults We want to help them break
the cycle of stereotype prejudice and rejection that surrounds adults
with dicahilities
Conclusion
We are a strong advocacy group We have had success with the
Department of Mental Health. At present we have several retarded
young people who need housing immediately through the Department of
Mental Retardation. We need support from the Town to achieve this
goal.
But also we want to support the Town through the Human Services
Committee by informing the Town about who we are, and sharing our
knowledge of service funding sources At this time when Lexington is
considering affordable housing needs, we want to participate actively
in the planning process. Also we would likes to bring more Lexington
families into our group through effective publicity for our activities.
We can cooperate with the Town to achieve our mutual aims.