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10. Old Business A. CCMHB FY2021 Draft Budget* (pages 11-27) Decision Memorandum with draft FY2021 CCMHB and C/LA budgets attached is included in the packet; action is requested. Additional CCDDB budget documents are included for information only.

B. UIUC Evaluation Capacity Proposal* (pages 28-33) Decision Memorandum with UIUC Evaluation Capacity Proposal - Year 6 included in the packet. Action is requested.

C. 2-1-1 Information and Referral* (pages 34-35) Decision Memorandum on increase in annual 2-1-1 shared cost with United Way along with copy of the new contract between UW and service provider are included in the packet with supporting documents. Action is requested.

D. Anti-Stigma Film Virtual Event 2020 (pages 36-37) Briefing Memorandum with update on possible 2020 and 2021 anti-stigma activities is include for information.

E. Schedules & Allocation Process Timeline (pages 38-41) Updated copies of CCMHB and CCDDB meeting schedules and CCMHB allocation timeline are included in the packet.

11. CCDDB Information

12. Approval of CCMHB Minutes* (pages 42-46) Minutes from the June 17, 2020 meeting are included in the packet. Action is requested.

13. Staff Reports Written staff reports from Kim Bowdry (pages 41-51 ), Mark Driscoll (pages 52-53), Stephanie Howard-Gallo (pages 54-55), and Shandra Summerville (pages 56-103) are included in the packet.

14. Board to Board Reports

15. Expenditure List* (pages 104-105) Copy of the Expenditure List is included in the packet. Action to accept the list and place on file is requested.

16. Board Announcements

17. Adjournment

*Board action Instructions for participating in Zoom Conference Bridge for CCMHB Meeting July 15, 2020 at 5:45 p.m.

You will need a computer with a microphone and speakers to join the Zoom Conference Bridge; if you want your face broadcast you wilt need a webcam.

Go to Join Zoom Meeting https://us02web.zoom.us/j/87945354242 Meeting ID: 879 4535 4242

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When the meeting opens, choose to join with or without video. (Joining without video doesn't impact your participation in the meeting, it just turns off YOUR video camera so your face is not seen. Joining without video will also use less bandwidth and will make the meeting experience smoother). Join with computer audio.

Once you are in the meeting, click on "participants" at the bottom of the screen. Once you've clicked on participants you should see a list of participants with an option to "Raise Hand" at the bottom of the participants screen. If you wish to speak, click "raise hand" and the Chair will call on you to speak.

If you are not a member of the CCMHB or a staff person, please sign in by writing your name and any agencyaffiliation In the Chat area. This, like the recording of the meeting itself, is a public document. There are agenda items for Public Participation and for Agency Input, and we will monitor the 'raised hands' during those times.

If you have called in, please speak up during these portionsof the meeting if you would /Ike to make a contribution. If you have called in and therefore do not have access to the chat, there will be an opportunity for you to share your 'sign-in' information. If your name is not displayed in the participant list, we might ask that you change it, especially if many people join the call.

Members of the public should not write questions or comments in the Chat area, unless otherwise prompted by the Board, who may choose to record questions and answers there. CHAMPAIGN COUNTY DEVELOPMENTAL DISABILITIES BOARD CHAMPAIGN COUNTY C MENTAL HEALTH BOARD BRIEFING MEMORANDUM

DATE: July 15, 2020 TO: Members, Champaign County Mental Health Board (CCMHB) FROM: Shandra Summerville, Cultural and Linguistic Competence Coordinator SUBJECT: Mental Health First Aid Trainings Background: Mental Health First Aid is a course that is designed to identify and understand signs and symptoms to provide the initial support for a person that is experiencing mental health challenges and/or challenges with substance use disorders. In 2015, under a partnership with the Regional Office of Education, funding was awarded for Project Aware Illinois from the Substance Abuse Mental Health Administration (SAMHA) to begin training individuals from Champaign County to become Youth Mental Health First Aid Instructors. This was a community strategy that would begin to address the stigma of mental illness for adults that are serving youth at school, at day camps, and in neighborhoods.

In 2018, there was an increased report of famers, older adults, and rural area residents that were dying by suicide. There was a member of the CCMHB that wanted to learn about ways that support could be offered to older adults living in rural areas. There were coordinated efforts by Carle and OSF to begin train additional instructors in Mental Health First Aid for Adults. In addition the School of Social Work Education Community Leaming Lab and an Agricultural course in Collaborative Leadership at the University of Illinois at Urbana-Champaign, Mental Health First Aid was recommended as part of the community response to address stigma around mental illness.

In April 2019, I became an instructor for Mental Health First Aid for Adults specialized in the Public Safety Module. I have dual certification for Adult and Youth Mental Health First Aid, specialized in Public Safety and virtual and blended learning certification. I have trained 55 people over the past year in Mental Health First Aid and we have an opportunity to build additional capacity to have teens to become mental health first aiders.

For Future Consideration: Since the impact of COVID-19, there was a clear indication that mental health services for rural residents, under-resourced communities, and young people would have to be innovative, flexible, and non-traditional. Although Mental Health First Aid is not a treatment model, it is an initial response to provide support to someone that has signs and symptoms of mental health challenge until the appropriate professional help becomes available. Mental Health First Aid for Adults and Adults Assisting Youth has gone to a virtual platform, as well as blended learning for both an in­ person and self-paced course. I will be certified to deliver classes virtually as well as the blended learning options. These options will create more opportunity to build Mental Health First Aid in our community.

I have had some initial conversation with Donna Kaufman from Regional Office of Education about creating a site for teen Mental Health First Aid. This in-person training teaches high school students about common mental health challenges and what they can do to support their own mental health and help a friend who is struggling. It is equipping young people with the knowledge and skills they need to foster their own wellness and to support each other. The new instructor training was not made available until after June 15. As we consider to look at the investment for Mental Health First Aid, I believe that it is an opportunity to offer virtual classes and partnering to invest in a teen Mental Health First Aid site at a local school or after school program with teens.

Number of Anticipated Trainings:

CCMHB will offer a minimum of 6 (3 Adult & 3 Youth) courses annually with up to 20 participants. If the number of participants is over 20 people that class must be taught in person with a co-instructor. If there is a need to host more than six courses, my staff time will be adjusted to accommodate additional courses.

teen Mental Health First Aid must have site a coordinator that will be on site at a school or an afterschool program. It is hard to determine the amount of trainings that will be anticipated. The number of trainings will depend on the number of young people that are available to take the training and the staff time to provide instruction and support for the youth.

Costs:

To maintain the virtual learning certification, I must pay $150.00 annually.

The Virtual Leaming and Blended Leaming Courses-Each seat is $28.95 that will include all the notes and the manual for every participant. The seats will be paid for in advance and participants must confirm their attendance before the seat is paid for by CCMHB.

CCMHB has purchased manuals ($18.95) under the former curriculum that can be used with a crosswalk document with the updated information. The manuals will be for classes that will be taught in person with recommended precautions for in person meetings. When classes are offered in person, there will be a maximum of 10 participants. The average cost covered by CCMHB about $45.00 for each participant for materials and snacks. CHAMPAIGN COUNTY MENTAL HEALTH BOARD

CHAMPAIGN COUNTY BOARD FOR CARE AND TREATMENT OF PERSONS WITH A DEVELOPMENTAL DISABILITY

BRIEFING MEMORANDUM

TO: Members, Champaign County Mental Health Board FROM: Mark Driscoll, Associate Director DATE: July 15, 2020 RE: Contract Amendment Report

The Funding Guidelines include a section on contract amendments. The section gives the Executive Director authority to review and act on amendments, the Board President and the Executive Director discretion to bring amendments to the Board for action, while further stipulating certain requests must have Board approval. Regardless of the process applied to moving forward with an amendment, the Board is to be informed of all contract amendments.

Amendments have been issued to twenty PY20 contracts granted extended terms by the Board last November. The amendments add language on the impact of COVID-19 pandemic as a Special Provision to each contract (All new PY21 contracts also include the language).

"This contract shall be subject to realignment, reconfiguration, or redirection in scope of services, financial presentation, and/or contract maximum, as deemed necessary by the Board to respond to the COVID-19 pandemic or other declared natural or man-made disasters."

The amended language was approved by the Board at the May 20, 2020 meeting. Amended contracts are:

CCRPC- Community Services "Justice Diversion Program" CCRPC - Community Services "Youth Assessment Center (YAC)" Champaign Co. CAC "Children's Advocacy Center" CSCNCC "Resource Connection" Crisis Nursery "Beyond Blue Champaign County" DREAAM House "DREAAM" Don Moyer Boys and Girls Club "C-U CHANGE" Don Moyer Boys and Girls Club "Community Coalition Summer Initiatives" Don Moyer Boys and Girls Club "Youth and Family Services" ECIRMAC (Refugee Center) "Family Support & Strengthening" Family Service "Counseling" Family Service "Self-Help Center " Family Service "Senior Counseling & Advocacy" First Followers "Peer Mentoring for Re-entry" Mahomet Area Youth Club "BLAST" RACES "Sexual Violence Prevention Education" Rosecrance Central Illinois "Fresh Start" Rosecrance Central Illinois "Prevention Services" ,h\

BROOKENS ADMINISTRATIVE CENTER • 1776 E. ~GTO N STREET • URBANA, ILLINOIS 61 802

PHONE (217) 367-5703 • FAX (2 17) 367-574 1 Rosecrance Central Illinois "Specialty Courts" Urbana Neighborhood Connections "Community Study Center"

Another set of amendments have also been completed. The PY20 Promise Healthcare Mental Health Services and Wellness contracts have been amended to extend the contract end date to September 30, 2020. The extension enables the agency to receive payments th at were suspended once the overdue audit has been submitted. During the period payments have been held, Promise Healthcare has continued to deliver contracted services.

Four programs involving three agencies were issued contracts with pro-rated award amounts. The four PY21 contracts each include a special provision pro-rating the contract amount until the proposed new staff position(s) are filled. Reference to this special provision was included in the recommendation section of the Decision Memorandum for PY21 Funding.

The amount of each contract was adjusted based on the amount of CCMHB funds supporting each new position not currently filled. Prior to issuing the contract, the three agencies were notified of the amount of the pro-rated contract(s) and that once the new positions were filled the contracts would be amended based on the start date of the new staff. The three agencies/four programs were:

Cunningham Children's Home - Families Stronger Together program Promise Healthcare - Mental Health Services with Promise Promise Healthcare - Wellness RACES- Counseling

Cunningham Children's Home was able to fill two new positions in the Families Stronger Together program prior to the start of the PY21 contract year. As a result, the first two pages of the contract were reissued with new contract maximums equal to the original award. Since the contract now reflects the full award, no amendment will be required to the contract.

For Promise Healthcare amendments will be necessary at a later date. Once the Board has been notified the new positions have been filled and start date of the new hired staff provided, their contracts will be amended and the contract maximum adjusted to account for the period the positions were vacant.

For RACES,the new therapist position is expected to take some time to fill. Because virtually the entire CCCMHB contract supports personnel costs associated with the new position, the question of holding the contract until the position was filled was posed to RACES,whose executive director agreed. The RACEScontract will be issued at a later date. However, the contract also carries a Special Provision making the contract contingent on an award of funds from the Illinois Attorney General. The agency recently learned they would not be receiving the funds from the Illinois Attorney General's office and has proposed an alternate source. Please see the RACES Counseling Contract Decision Memorandum for more information. CHAMPAIGN COUNTY DEVELOPMENTAL DISABILITIES BOARD CHAMPAIGN COUNTY C MENTAL HEALTH BOARD

DECISION MEMORANDUM

DATE: July 15, 2020 TO: Members, Champaign County Mental Health Board (CCMHB) FROM: Lynn Canfield and Mark Driscoll SUBJECT: RACES Counseling Contract Background:

During the PY2 l allocation cycle, RACES submitted a new proposal to fund a therapist position within the agency's counseling program. Currently the agency has four therapists on staff. The proposal sought new funding from the CCMHB and the Illinois Attorney General to add a fifth fulltime therapist to meet increased demand for services.

Funding from the CCMHB accounts for two thirds of costs associated with the new position. The balance would be paid by the Attorney General funds. However, RACES does not have an existing contractual relationship with the Illinois Attorney General. Making the viability of the new therapist position contingent not only on the award of CCMHB funds but also by the Attorney General. Staff recommended and the Board approved making CCMHB funds contingent on the award of the Attorney General funds.

RACES was informed of that grant condition as well as the contract being pro-rated based on the start date of the therapist. On July I, 2020, RACES notified the Board the Attorney General would not be allocating funds to support the new therapist position. However, RACES has identified other funds, Victims of Crime Act (VOCA), to fill the void. The VOCA is an existing source of support for the counseling program and RACES has been approved to use more VOCA funds for this purpose but that staff time would not be dedicated to serving residents of Champaign County.

A copy of the e-mail from Adelaide Aime, RACES Executive Director, on not receiving the Attorney General funds and proposed substitution ofVOCA funds is attached. Budget Impact:

The shift in source of supporting funds for adding the therapist position is budget neutral for the Board. Note the contract is also subject to pro-rating based on the start date of the yet to be hired new therapist. Personnel costs account for 97% of the expenses to be paid by the CCMHB. Because virtually the entire award is allocated to personnel. In prior communications, Ms. Aime has stated it may take as long as six months to fill the position. With her consent, the decision was made to hold the contract until the position is filled and then adjust the amount of the award. Decision Section:

Options before the board include approving the substitution of VOCA funds, denying the request and withdrawing the award, or deferring consideration of the request.

Motion: Move to approve RACES request to substitute VOCA funds for the Illinois Attorney General funds as the balance of funds necessary to establish the therapist position.

Approved - --- Denied ---- Modified --- - Additional Information Needed /0.A.

CHAMPAIGN COUNTY DEVELOPMENTAL DISABILITIESBOARD CHAMPAIGN COUNTY C MENTAL HEALTH BOARD DECISION MEMORANDUM

DATE: July 15, 2020 TO: Members, Champaign County Mental Health Board (CCMHB) FROM: Lynn Canfield, Executive Director SUBJECT: FY2021 Champaign County CCMHB and CILA Budget Submissions

Overview: This memorandum presents revised budget information for the Champaign County Mental Health Board (CCMHB), Champaign County Developmental Disabilities Board (CCDDB), and CII...A Facilities Funds for County Fiscal Year 2021 (January 1 through December 31, 2021 ), for approval by the Board. These budgets may be revised with advice from the County Executive and Deputy Director of Finance, incorporating newer revenue and cost estimates, and submitted for information to the Champaign County Board in August. Final budgets will be presented during their appropriations process in November.

Attached are draft proposed 2021 CCMHB, CCDDB, and CILA Fund Budgets, with background details including comparisons of proposed 2021, 2020, and actual revenues and expenditures for fiscal years 2014 through 2019. Also attached is the Intergovernmental Agreement between the CCMHB and CCDDB, defining cost sharing and CILA ownership, among other arrangements. The CILA Fund Budget is under joint authority of the Boards. Highlights: • Property tax revenues based on 3.8% (MHB) and 3.3% (DDB) growth over 2020. • Projected 2021 property tax revenue based on a lower 2020 amount than originally budgeted, due to return of reserved hospital revenue amounts (both boards) • Miscellaneous revenue includes excess revenue returned by agencies (both boards) • Fund balances contain small amounts to be paid in relation to the hospital tax ruling, but these amounts are no longer reserved (may be returned during 2020) • Majority of Expo Coordinator contracts are charged to Expo expense line, with 25% of one charged to Public Relations for other projects. Prior to 2020, these had been charged to Professional Services, and Expo revenues and expenses were combined with other revenue and Public Relations costs, respectively (CCMHB budget) • Presumes both Boards will participate in the UIUC Evaluation Capacity Project, shared as other costs, with 57.85%/42.15% split (CCMHB budget) • CCMHB does not transfer an amount to the CILA fund in 2021, due to paying off the mortgage~ CCDDB continues to transfer $50,000 per year (CILA budget) • No mortgage principal or interest expense (CILA budget)

(!}) Revisions of June 17 Drafts: • Recalculation of projected costs of staff benefits, using budget guidance from the County. Some benefits contracts have not been finalized, so these may change again. • Recalculation of expenses for office rental and for computer services, to conform with practices of the County Auditor's Office. • Recalculation of CCDDB share of total administrative costs. • Updates in CILA budget, based on actual 2020 expenditures. • Further detail in narrative descriptions in background documents, as information becomes available.

Decision Section:

Motion to approve the attached 2021 CCMHB Budget, with anticipated revenues and expenditures of $5,799,576. Approved - --- Denied ---- Modified ---- Additional Information Needed Motion to approve the attached 2021 CILA Fund Budget, with anticipated revenues and expenditures of$72,000. Payment to this fund is consistent with the terms of the Intergovernmental Agreement between the CCDDB and CCMHB, and full approval is contingent on CCDDB action. __ _ Approved --- Denied --- Modified --- Additional Information Needed Draft 2021 CCMHB Budget LINE BUDGETED EXPENDITURES ITEM

511.02 Appointed Offlcllll $103,625 LINE BUDGETED REVENUE ITEM 511.03 ~larFTE $333,402 J 311.24 Property Taxes, Current $5,275,577 511.05 Te~Salarln& Wagee $5,040 511.()9 Ovartime W.IIN 313.24 Back Property Taxes $1,000 $1,000 513.01 FtCA $34,093 314.10 Mobile Home Tax $4,000 513.02 IMRF $30,617 315.10 $3,000 Payment in Lieu of Taxes 513.04 W-Comp $2,908

336.23 CCDDB Revenue $384,999 513.05 Unemp~ $1,398 361. 10 Investment Interest $33,000 513.06 Health/Life Insurance $68,658 513.20 Empl.- Dewlopment/Aecagnltlon $200 363. 10 Gifts & Donations $3,000 Penannel Total $580,941 363.12 Expo Revenue $15,000 522.01 Printing $700 369.90 Other Miscellaneous Revenue $80,000 522.02 Office Supplies $4,200

TOTAL REVENUE $5,799,576 522.03 Books/Periodicals $4,000

522.04 Copier Supplies $1,000

522.06 Postage/UPS/Fed Ex $700

522.44 Equipment Under $6000 $7,000

Commodities 1btal $17,600

533.01 Audit & Accounting Senrlces $11,000 533.07 Profeaional Services $140,000

533.12 Travel $2,000

533.18 Non•mployee training $12,000

533.20 lnsur11nce $19,000

533.29 Computer Services $8,000

533.33 Telephone $1,000

533.42 Equipment Maintenance $500

533.50 Office Rental $26,780

533.51 Equipment Rental $800

533.70 Legal Notices/Ads $200

533,72 Department Operating $300

533.84 Business Meal&IExpense $150

533.85 Photocopy Services $4,000

533.89 Public Relations $13,000

533.92 Contributions & Grants $4,879,375

533.93 Dues & Licenses $20,000 533.95 Conferences/'l'raining $8,000

533.96 diaAbillty Resource Expo $48,000

534.37 Finance Charges/Bank Feas $30

534.70 BR>OkensRepair $100

Semoes1btal $5, 194,235

lnterfund Transfer, CCDDB (Sha,e of Expo and $6,800 some of Other Misc Aev, loan In 2019} 511,11 lnterfund Transfer, CILA Fund lnterlund »ansfanr row $8,800

TOTAL EXPENSES* $5,799,578 Draft 2021 CCDDB Budget

LINE rTEM BUDGETED REVENUE 311 .19 Property Taxes, Cumtnt $4,308,511 313.19 Back Property Taxes $2,000 314.10 Mobile Home Tax $3,000 315.10 Payment in Lieu of Taxes $2,000 361.10 Investment Interest $11,000 371 .90 lntarfund Transfer (Expo and some Other Misc Rav) $6,800 from MHFuncl 369.90 Other Miscellaneous Revenue $8,000

TOTAL REVENUE $4,341,311

LINE ITEM BUDGETED EXPENDITURES

533.07 Professional Services (42.15% of an adjusted set of $384,999 CCMHB Admin Expenses) 533.92 Contributions & Grants $3,906,312 571.11 lmerfund Transfer, CILAFund $50,000

TOTAL EXPENSES $4,341,311 Draft 2021 CILA Fund Budget

.__.__LINE ITEM ______BUDGETED REVENUE .....______.... 361.10 Investment Interest $4,000 371.54 From CCDDB 108 $50,000 371.90 From CCMHB Fund 090

362.15 Rents $18,000 TOTAL REVENUE $72,000

LINE ITEM BUDGETED EXPENDITURES

522.44 Equipment Less than $6,000 (includes a designated gift -----$24,600 for the benefit of one individual, accessed at family request, with balance of $13,256.25 as of June 4, 2020)

533.07 Professlonal Services (property management) $8,000 533.20 Insurance $2,400 533.28 Utilities $964 534.36 CILA Project BuDding Repair/Maintenance $14,000 534.37 Finance Charges (bank fees per statement) $36 534.58 Landscaping Service/Maintenance $8,000 544.22 Building Improvements $14,000 TOTAL EXPENSES $72,000 Background for 2021 CCMHB Budget, with 2020 Adjusted Budget and Earlier Actuals

2021 BUDGETED REVENUE 2020 ADJUSTED 2019 2018 2017 2018 2015 2014 -~- BUDGET ACTUAL ACTUAL ACTUAL ACTIJAL ACTUAL ACTUAL Property Taxes, Currant $5,275,577 $5,082,444 $4,813,596 $4,611 ,577 $4,415,651 $4,246,055 $4,161,439 $4,037,720 Back Property Taxes $1,000 $1,000 $6,489 $494 $2,731 $2,486 $2,861 $1 ,612 Mobile Home Tax $4,000 $4,000 $4,062 $3,909 $3,766 $3,903 $3,995 $3,861 Payment in Lieu of Taxes I $3,000 $3,000 $2,604 $3,406 $3,201 $2,970 $2,869 $2,859 ; CCDDB Revenue $384,999 $392,598 St:i9,1t!) $310,783 $287,697 $377,695 $330,637 $337,536 Investment Interest $33,000 $33,000 $45,950 $41,816 $18,473 $3,493 $1,385 $1,015

II $3,000 $5,000 $4,706 @) Gift & Donalk>~ Expo Revenue (were combined) $15,000 $14,000 $14,275 $21,613 $5,225 $18,822 $26,221 $28,192 Other Miscellaneous Revenue $80,000 $50,000 $129,028 $29,955 $117,195 $21,340 $67,599 $8.5,719 TOTAL REVENUE $5,799,576 $5,585,042 $5.429,887 $5,Cl23,555 $4,853,939 $4,676,784 $4,597,006 $4,498,$14

2021 BUDGETED EXPENDITURES (SEE PAGE 5 FDR 2020 ADJUSTED 2019 2018 2017 2016 2015 2014 DETAILS) BUDGET ACTUAL ACTUAL ACTUAL ACTUAL ACTUAL ACTUAL ~ ~ -- .... Personnel I $580,941 - $588,351 $519,678-- $522,073 $449,220 ssn,s48 $500,890 $532,909 (urrienta/fed) Commodities $17,600 $19,000 $11,147 $10,049 $6,263 $7,998 $11,237 $9,282 Selvices (not Contrib & Grants) $314,860 $344,080 $286,385 $404,059 $432,828 $410,157 $382,870 $375,735 Contributions & Grants $4,879,375 $4,625,463 $3,993,283 $3,648,168 $3,593,418 $3,428,015 $3,335,718 $3,673,966 lnterfund Expenditures $6,800 $6,500 $406,505 $56,779 $57,288 $60,673 $0 $0 Interest on Tax Case $1,648 TOTAL EXPENSES $5,799,576 $5,585,042 SS,21 S.1198 $4,641,148 $4,089,797 $4,484,391 $4,232,715 $4,591,892

4 Additional Information about Expenses (Proposed 2021 versus Adjusted Budget 2020)

Personnel 2021 v 2020 Services (not Contributions and Grants) lnterfund Expenditures 2021 v 2020 "- PERSONNEL ------2021 2020 lsERvices ------2021 2020- -INTERFUND TRANSFERS 2021 21120 ' - .. ------u~ Appointed Official $103,625 $103,625 Audit& Accounting $11.000 $11,000 CCDDB Share of Expo and 1$6 ,800 -$6,500 some of MHB Misc Revenue RagularFTE $333,402 $326,512 Professional Selvices* $140,000 $140,000 Payment to CILA Fund $0 $0 Temporary Wage/Sal $5,040 $5,040 Travel $2,000 $3,500 l lnt-ton Tax case $1,648 Overtime Wages $1,000 $1,000 Non-employee conference** '. $12,000 $12,000 $6,800 58,148 FICA $34,093 $33,368 Insurance $19,000 $19,000 IMRF $30,617 $31,885 Computer Services $8,000 $6,000 "Professional Services: • legal counsel, website maintenance, human resource W-COrnp $2,908 $2,815 Telephone $1 ,000 $2,000 services. shredding, graphic design, language access Unemployment $1,398 $1 ,864 Equipment Maintenance $500 $500 services, acoessible document creation, website ADA consultant, Independent audit rwl- and other CPA Health/Ufe Insurance $68,658 $81,942 Office Rental $26,780 $26,000 I consultation, independent reviews of applications, 21 1/ I i I $200 $300 Equipment Rental I $800 $900 Path through United Way, UIUC Evaluation Project. • Previously included Expo Coordinators, but now the $580,941 $588,351 Legal Notices/Ads $200 $300 cost of these contracts Is split with Expo. ~~-- Department Operating $300 $400 ..Non Employee Contarenc:es/Tralnlngs Business Meals/Expense $150 $250 • Continues Mental Health First Aid trainings and monthly trainings for service providers. with expenses Photocopy Services $4,000 $4,000 Commodities 2021 v 2020 for presenters, materials, refreshments, promotion, Public Relations- $13,000 $28,000 suppHes. This category also includes expenses related COMMODmES 2021 2020 to board members attending conferences and trainings. Ouesll..icenses $21,000 $20,000 -Publlc Relations (Community Awm.nesa) and Printing - $700 $ 1,000 l ConfenlnoeslTraining $8,000 $11,000 dlsAblllty Resource Expo: Office Supplies $4.200 $4,100 • Ebertfest (2021 event paid in 2020, not shared with disAbility Resource Expo- $48,000 $58,000 CCDDB), community education/awareness, some Books/Periodicals $4,000 $4,100 Finance Charges/Bank Fees $30 $30 consultant support. Copier Supplies $1,000 $1,000 • Expo line was added mid-year2018 to capture 2019 Brookens Repair $100 $200 Expo expenses: consultant time is charged here (could Postage/UPS/Fed Ex $700 $800 $314,860 $344,080 be under Professional Services.) Equipment Under $5000 $7,000 $8,000

$17,600 $19,000

5 Additional Information about Services

Approval of 2021 Budgets does not obligate the Boards to all expenditures described: most consultant/service contracts ara developed by Executive Director with Boa!rJ officers and, for larger amounts or unusual circumstances, full board review and approval; estimates ara based on previous years.

SERVICES 2021 2020 Professional $140,000 Approximately $79,000 UI Evaluation, if expanded to include CCOOB. $21,330 to $140,000 $78,792 (PY20 amount) UI Evaluation shared with CCOOB. Approx $18,066 Unned Services• Un~ed Way for 211/Path. $500 human resources services (AAIM). $3,000 IT way for 211/Path (Increased mid-year). $500 human 113SOurces (AAIM). $3,000 IT sel'llices (BPC). $1,000 Ed McManus. $1,500 website accessibWfy testing (Falling servioes (BPC). $1,500 website accessibilfy testing (Falling Leal). $1,000 Ed McManus Lea~. $15,000 Online appfication/reportlng systems (EMK). $2000 maintenance of Consutting. $14,000 online applicatiorll'reporting systems (EMK). $1800 maintenance Expo, AIR, and resource guide. Also includes: language access and other accessible of Expo and AJR sites + possible new resource directory. Also includes: graphic document production; graphic design; shredding services; independent reviewers; design; shredding services; independent reviewer: CPA consult; legal counsel. (Expo/ CPA consultant/18',,iews; legal counsel. (Expo/Special Projects CMSllftant oosts are Special Projects consultant costs are oo longer charged to this line but instead split split between this line, Pl.i)Jic Relations, and disABIUTY Resouroe Expo, per project.) between Public Relations and Expo, according to projects and subject to change.) Public $13,000 PAID IN 2020 -$15,000 Ebettfest fflm sponso,shp, offsft byAlliarlce,-nberdues and other $28,000 $20,000 Eberlfest fllm sponsorship, offs« bY Mance mem/Jerdues andotllerccrttribvtkinsof Relations- oonlrllJutlons of$3k-$5k/yesr. $2,000 estimated for other comm1111ty eYents. $2,000 anti· $3k-$5irlyear. $2,000 estimated for other comm111ity ewnts. $2,000 anti-stigma art she:W

~ CCMH8 1.. ,,,.,,, Estimated CCMHB peymen1S to egerdes from Jenuery 1 to June 30, 2021, es suthorized In $4,625,463 Actual CCMHB ~sto agendas from Jaruiry 1 to June 30, 2020, as authorized in Mey Contribution May 2020, plus 1/2 r:I estirretad FY21 annual allooetion amount, with agency contract 2019, plus payments euthotlzed in Mey 2020, to be made from June thraugh Oeoember 2020. s&Grants maximums to be authorized by July I, 2021. (/oolUdlJs WI BmOll'lt equal ttJ Wllic/paled hosp/ta/ prope,tytair,-iue=Slq

CCDDB I $3,906,312 Estimated CCOOB peymtrl!s to agencies from January I 10 June 30, 2021, es authorized in $3,762,511 Actual ccooa paymentS tc agencies from January 1 to June 30, 2020, as eu1halzed In Mey Contribution May 2020, plus 1/2 r:I estirretad FY21 enruil allocation amount, with agency contract 2019, plus peyments euthonzed in May 2020, to be made from June through Oeoembtr 2020. a & Grants maximums 10 be authoriZed by Jliy 1, 2021. (/oolUdlJs WI amount equal ta Wltlcipa/ed hosp/ta p,opetty 111K rwenue = $,c;I

Dues/ $20,000 $850 national trade.assooation (N,QCBHOO), $16,000 state trade association (ACMHAI), and $21,000 $950 national 1rede essoaation (NAC8HOOJ, $3,000 AAJM (peld f1lf¥'/ three years), $16,000 Licensee smeller amounts HlJ'Tlllll Services Council, Arc of Ia1no1s, any,_ membership, e.g., CSHA. state trade association (PCMJ-W), end smeller amounts for Humen Services Council, Arc of NCBH, NO.OD, ot slmller. l1nois, possib4e ,_membeo'shlps , e .g., CBH,\ NCBH, NADO, or slmlar.

Conferences $8,000 $1000 registration for NACo Md NACBHOO Leglslatille end Policy Co"'-"<:es (may be offset $11,000 $1000 registration for NACo end NACBHOO Leglslatille end Poley Conferences (may be offset /Training by ACMHAI). $350 for NACo Annual Meeting. Costs ot !1'8"81 (plus lodging and food) tor staff by ACMHAI). $350 for NACo Amual Meeting. Costs of tT8ll9I (plus lodging and food) for Slaff tor lot NACBHOO end NACo meetings. Costs r:I traYel (plus lodging and ~ lot staff for NACBHOD and NACo meetings. Costs of travel (plus lodging and food) for staff for ACMHAI ACMHAI ~ .Costs of ona other oonferenca/training tor staff members, Fedelatlon of meetings. Costs r:I one Olhar conferenc&'treining tor staff members, Federation r:I Femllles, Arc Femmes, Arc r:I L, NADD, or similar. Kaleldoscope, Inc. training end certiffcallon. rJ IL, NAOO a similar. MHFA 1raner certlffcetlon.

Registration, costs of travel, lodgng, and food tor board membets to anend Netlonel or Stata $12,000 Registration, costs ottravel, lodging, food for board members at1end Natiorel State Non- I $12,000 end to a Employee Association meetings and other conferences or trainings <:I Interest. Also cherged here are tha Assocletion meetngs and othar oo"'8rances or trainings <:I Interest. Also charged here are tha Conferences costs assoclstud with Mental Health First Akl trainings and tranlr~ tor non-employees (e.g., costs associated with Me111al HNth First Aid trenngs end trainings for non-employees (e.g., / Trainings- case managers, other servloe prC1Jlders, s18kaholders), which can Include prasentars, rental, case manageis, othar service prC1Jlders, s18keholders), which can Include presenters, rental, refreshments, mlllerials, promotion. Unknown whether In pe,-son ot virtual, or Impact on cost. refreshments, materials, promotion. While travel Is unlikely in 2020, virtual MHFA end CM trainings are oonsldemd.

Unexpected Unl

6 Calculation of the CCDDB Administrative Share ("Professional Services'1

Adjuatments: 2021 2020 2021 2020 CCMHB Cont7tbutJons& Grants $4,879,375 1 $4,625,463 CCOOBShare CCOOBShare U/ EVllluatlon Capeclty Project Total Elcpendltures less Adjustmen1s $813401 931431 Adjuslltd Expanclltu,-x 42,15% $384,1198 Ebettfest 81111-stlQma tl1m and-nts 20000 $392,588 Monttly Total for CCODB Admln $32,083 Payment to CILA fund $32,717 CCDDB Share ofDonst/ons & Misc Rev 6800 6500 MHB lnhH8st on Tax case 1648 At th& end of th& Fiscal ~ actval sq,enses a,a updated, some 1&118nu&s (e.g., Adjustments Total: $4,888,175 $4,1153,811 CCMHB TotaJ E,cpendllures: $5,799,576 $5,585,042 Expo) ar& shated, and adjustments are made to the CCDDB cummt year share. Total Expenditures Jess Adjustments: $81 3,401 ~ .M31_

Background for 2021 CCDDB Budget, with 2020 Adjusted Budget and Earlier Actuals

• n 2021 BUDGETED REVENUES--- 2020 ADJ BUDGET 2019 ACTUAL 2018 ACTUAL 2017 ACTUAL 2016 ACTUAL 2015 ACTIJAL 2014 ACTUAL -- l - --·------~---l Property Taxes, Current $4,308,511 $4,170,872 $3,982,668 $3,846,413 $3,684,009 $3,595,174 $3,545,446 $3,501,362

Back Property Taxes $2,000 $2,000 $5,369 $411 $2,278 $2,105 $2,437 $1,398 Mobile Home Tax I $3,000 $3,000 $3,361 $3,261 $3,142 $3,~5 $3,404 $3,348 Payment In Lieu of Taxes $2,000 $2,000 $2,154 $2,841 $2,671 $2,515 $2,445 $2,479 I ~ Investment lnterast $11,000 $11,000 $27,096 $24,062 $ 10,883 $2,318 $1,488 $812 Gifts & Donations (transfer from MHB) $6,800 $8,000 $106,500 $6,779 $7,288 $10,673 $0 $0

Other Mfscellaneous Revenue $8,000 $9,800 $8,955 $6,408 $14,432 $0 $0 $11,825

TOTAL REVENUE $4,341,311 $4,206,472 $4,136,110 $3,89q175 $3,724,703 $3,616,091 $3,565,220 $3,521,224

2021 BUDGETED- EXPENDrrURES- 2020 ADJ BUDGET 2019ACnJAL 2018ACTUAL 2017 ACTUAL 2016 ACTUAL 2015 ACTUAL 2014 ACTUAL ~ --- ..:, - --Professional Services (42.15% of r- $384,999 $392,598 $308,175 - $310,783- $287,697 $379,405 $330,637 $337,536 some CCMHB expenses, as above) I (understaffed)

Contributions & Grants $3,906,312 $3,762,511 $3,445,272 $3,250,768 $3,287,911 $3,206,369 $3,069, 122 $3,224,172

lnterfund Transfer, CILA Fund $50,000 $50,000 $50,000 $50,000 $50,000 $50,000 $50,000 $0

lnterfund Transfer, MH FW\d $100,000 (Repayment of loan)

Interest on Tax Case I $1,363 TOTAL EXPENSES $4,341,311 $4,206,472 53,904,447 53,611,551 $3,337,911 $3,635,794 $3,449,759 $3,561,71)8

7

ongoing, ongoing,

County. County.

programs programs

integrated integrated

WHEREAS, WHEREAS, INTERGOVERNMENTAL INTERGOVERNMENTAL

administrative administrative

NOW, NOW,

WHEREAS, WHEREAS,

and and

same same

overlapping overlapping

consent consent

developmental developmental

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seq.) seq.)

Care Care

WHEREAS, WHEREAS,

WHEREAS, WHEREAS,

Champaign Champaign

Mental Mental evaluate evaluate

be be THIS THIS "Mental "Mental

"Developmental "Developmental

and and

Treatment Treatment

Developmental Developmental

2016 2016

INTERGOVERNMENTAL INTERGOVERNMENTAL

WHEREAS, WHEREAS,

responsible responsible

developmental developmental

financial financial

for for

INTERGOVERNMENTAL INTERGOVERNMENTAL

administrative administrative

by by

to to

Health Health

of of

THEREFORE, THEREFORE,

Health Health

and and

Persons Persons

fund fund

cooperative cooperative

mental mental

and and

planning planning

the the

Board Board

County; County;

responsibilities responsibilities

the the

the the

of of

the the

the the

the the

obligations obligations

between between

services; services;

costs, costs,

services services

disability disability

disability; disability;

Act, Act,

Disabilities Disabilities

Champaign Champaign

for for

Mental Mental

Board") Board")

Developmental Developmental

health, health,

Persons Persons

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members members

with with

Parties Parties

are are

Disabilities Disabilities

disabilities disabilities

the the

structure structure

405 405

process process

maximize maximize

effort effort

appointed appointed

the the

Developmental Developmental

INTERGOVERNMENTAL INTERGOVERNMENTAL

programs programs

Health Health

and and

staffing staffing

associated associated

ILCS ILCS

substance substance

AGREEMENT AGREEMENT

and and

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it it

AGREEMENT AGREEMENT

Board

Champaign Champaign

agree agree

pertaining pertaining

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with with

that that

of of

facilities facilities

to to

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is is

for for

the the

Board Board

20 20

AGREEMENT AGREEMENT

Board"). Board").

available available

maximize maximize

the the

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and and

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by by

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Both Both will will

and and

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the the

/ /

a a

Champaign Champaign

WITNESS WITNESS

Board Board

with with

abuse, abuse,

the the Section Section

Mental Mental

operation operation

has has

for for

to to

services services

benefit benefit

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parties parties

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County County

and and

is is

planning, planning,

and and

to to

agreement agreement

Chair Chair

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funding funding

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a a

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and and

entered entered

an an

delineate delineate

services; services;

statutory statutory

and and

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shared shared

0.1 0.1

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funding funding

ETH ETH

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understand understand

is is

care care

people people

in in

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of of

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AGREEMENT AGREEMENT

Champaign Champaign

County County parties parties

developmental developmental

et.seq.) et.seq.)

Act, Act,

for for

the the

disabilities disabilities

such such funding, funding,

into into the the

and and

has has

administrative administrative

Board Board

responsibility responsibility

available available

respective respective

direct direct

with with

Champaign Champaign

of of

55 55

in in

Mental Mental

Health Health

have have

into into

a a

treatment treatment

Disability Disability

and and

to to

order order

ILCS ILCS

Board Board

hereby hereby

statutory statutory

monitoring, monitoring,

the the disabilities disabilities

this this

services, services,

and and

County; County;

plan, plan,

agree agree

Disabilities Disabilities

committed committed

and and

for for

Health Health

structure structure

Board Board

105 105

to to

roles, roles,

16

disability disability

parties parties

direct direct

the the

for for

assure assure

County County

th th

fund

(Illinois (Illinois

of of

structure structure

behavioral behavioral

as as

enter enter

/ /

authority authority

day day

(hereinafter (hereinafter

Section Section

persons persons

and and

the the

(hereinafter (hereinafter

Board Board

responsibilities, responsibilities,

Developmental Developmental

follows: follows:

in in

and and

, ,

mental mental

of of

monitor, monitor,

to to

Board Board

will will

an an

Champaign Champaign

Community Community

services services

Board Board

assure assure

that that

March, March,

Care Care

evaluating evaluating

share share

into into

that that

efficient, efficient,

and and

0

(County (County

reduce reduce

with with

health health

.

health health

01 01

have have

shall shall

with with

this this

and and

and and

the the

this this

the the

an an

the the

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et. et.

in in a a The Parties Agree to the Following Arrangements for a Shared Executive Director and Joint Programs: 1. The chief administrative employee shall serve in a dual (i.e., shared) capacity as Executive Director of the Mental Health Board as well as Executive Director of the Developmental Disabilities Board.

2. The terms and conditions of the Executive Director's employment shall be delineated in an employment contract with both the Developmental Disabilities Board and the Mental Health Board as Parties to the agreement.

3. Each Board shall complete a separate annual performance evaluation of the Executive Director. If either Board rates the Executive Director as "less than satisfactory," a Joint Personnel Committee comprising two (2) officers of the Mental Health Board and two (2) officers of the Developmental Disabilities Board shall be convened to assess the situation and formulate recommendations. A recommendation of termination by the Joint Personnel Committee, or any other action proposed, shall require ratification by each Board by majority vote. The Joint Personnel Committee shall have no other function.

An annual performance review conference with the Executive Director shall be convened by the Presidents of the two Boards. This conference shall be used to provide feedback about performance and discuss goals and objectives for the coming year.

4. Process for selection of a new shared Executive Director: At such time as it becomes necessary to fill the shared position of Executive Director for the Mental Health Board and the Developmental Disabilities Board, the search and decision process shall include the following steps and processes.

a. The Mental Health Board and the Developmental Disabilities Board shall develop and agree upon selection criteria and job description for the shared Executive Director position. If necessary, a separate document delineating the search process shall be developed and agreed upon by each Board. b. The Presidents of the two Boards, with the advice and consent of the two Boards, shall appoint a Search Committee to manage the search and selection process for the shared Executive Director using the job description and selection criteria. c. The Search Committee shall report, in advance, a general schedule for the search process, any advertising content to be used, shall request budget support for the search process, and shall keep the two Boards informed about activities and progress associated with the search with regular reports at each Board meeting during the search schedule. d. Ultimately, finalists for the shared Executive Director position will be determined by majority vote of the Search Committee and forwarded to the two Boards.

The The

Parties Parties

7

8. 8.

6

5. 5.

f. f.

e. e.

. .

. .

allocation, allocation, The The

regular regular appropriate appropriate

42

staff staff paid paid

costs costs

administrative administrative

Developmental Developmental shall shall

fund fund Developmental Developmental The The

The The

or or

address address

the the services services

There There disabilities disabilities

of of

meetings meetings

and and

Presidents Presidents

Executive Executive

that that

termination termination

beginning. beginning. time time

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agreement, agreement,

the the amendment amendment

majority majority Executive Executive schedule schedule

decision decision

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.

decreases decreases

administrative administrative

15% 15%

within within

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split split

organization organization

the the

two two

effort effort

by by

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in in

to to

Executive Executive

to to

a a

be be

shall shall

subsequent subsequent

meetings meetings

the the

the the

a a shared shared

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for for

using using

Boards Boards

for for

any any

of of

45 45

about about

vote vote

specific specific

to to

Director Director or or

to to

services, services,

in in

paid paid

shall shall

Mental Mental

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Director Director

be be

each each

the the

administrative administrative Health Health

or or

If If

cost cost

then then

the the

days days

other other

determine determine

of of

predicated predicated

part part

other other

the the

the the

costs costs

amendment amendment

ongoing ongoing

Disabilities Disabilities

this this

of of

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Director Director

finalists, finalists,

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Developmental Developmental

do do

services, services,

Following Following

of of

between between

report report

through through

Board. Board.

the the

two two

sharing sharing

later later

(c) (c)

FY12 FY12

of of

mutually mutually

Health Health

shall shall

each each

Board Board Health

years. years.

Disabilities Disabilities

Board Board not not

Champaign Champaign

agreement agreement

items items

to to

is is

to to

the the

two two

above, above,

Boards Boards

coord

so so

date date

no no

the the

communication communication

Disabilities Disabilities

on on

be be

on on

meet meet

amount amount

shall shall

then then

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planned planned

to to

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elect, elect,

the the

shall shall

pertinent pertinent

costs costs

Board

the the

Director Director adjustments, adjustments,

of of

longer longer

salary salary the the

the the

Board Board

agreed agreed

paid paid

Financial Financial

or or

i

discuss discuss

nate nate

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this this

do do

with with

the the

be be

Presidents Presidents

Board

to to

shall shall

percentage percentage

County County

discussion discussion

provide provide

this this

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for for Mental Mental

on on

of of

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not not

This This

by by

start start

chosen chosen

may may

regarding regarding

agreement agreement

Search Search

To To

two two

cost cost

time time

viable viable

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the the

Board Board

$529

approach approach

this this

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to to

is is

commence. commence.

shall shall

. .

coordination coordination

so so

both both

the the

simplify simplify

On On

Commitments: Commitments:

percentage percentage

the the

Boards Boards

elect elect

Presidents Presidents

no no

split split

the the transfer transfer

Government Government

of of between between

date date

elect, elect,

purpose. purpose.

funding funding

,

852 852

at at

Health Health

based based

of of

from from

be be

to to

and and

two two

Committee Committee

the the

search search completion completion

longer longer

of of

and and

operations operations

joint joint

between between

least least

to to

the the

Board Board

review review

of of

considered considered

shall shall

as as

shall shall

increase increase

this this

matters, matters,

may may

Mental Mental

start start

the the

among among

Boards Boards

execution execution

their their

Mental Mental

any any

for for

a a

the the

projects projects

on on

a a

of of

again again

Board Board

shall shall

is is

viable viable

of of

base base

commence. commence.

be be

quarterly quarterly

share share

process process

elect elect

the the

developmental developmental

the the

funding funding

makes makes

based based

Mental Mental

actions actions the the

the the

time time

share share

is is

determined determined

of of

Health Health all all

the the

or or

of of

be be

do do

status status

Health Health

search search

from from

with with

to to

unable unable

to to

the the Mental Mental

Boards. Boards.

and and

decrease decrease and and

of of

administrative administrative

with with

fund/account. fund/account.

either either

considered considered

final final

imply imply

studies, studies,

on on

not not

it it

extend extend

for for

Health Health

this this

of of

basis, basis,

of of annual annual

the the search, search,

taken taken

cumbersome cumbersome

activities, activities,

of of

Board Board

the the

a a

Board Board

the the

developmental developmental

again again

termination termination

administrative administrative candidates candidates

reach reach

to to

agreement agreement

time time

Health Health

that that

the the

beginning. beginning.

Board

Subsequent Subsequent

through through

process process

the the

the the

come come

disabilities disabilities

Board Board

remainder remainder

in in

at at

increases increases

pro pro

provision provision

a a

study study

from from and and

from from

and and

the the

to to

regular regular

shared shared

. .

shared shared

mutual mutual

search search

and and

Board Board

costs costs

imply imply

rata rata

The The

levy levy

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to to

and and

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the the

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for for

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by by

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or or

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Entirety Entirety

Governing Governing

Miscellaneous Miscellaneous

15

14. 14.

13. 13.

12

11. 11.

10. 10.

9. 9.

. .

. .

of of

agreements, agreements,

thereto thereto

agreement agreement Mental Mental

This This

obligations, obligations,

the the

Disabilities Disabilities any any

conditions conditions This This

incorporated incorporated

Champaign Champaign

of of

of of

a a

terminate terminate

Executive Executive

quarterly quarterly

regulations. regulations.

rights, rights,

Nothing Nothing

allocation. allocation. rights, rights,

shared shared

excluded excluded

and and

are are

Mental Mental

assure assure

review review

In In

Boards. Boards.

Developmental Developmental

This This

This This

All All

decision decision

Agreement: Agreement:

the the

Law: Law:

either either

preparation preparation

State State

common common

current current

Agreement Agreement

Respect Respect

Agreement Agreement

and and

agreement agreement

agreement agreement

termination termination

Provisions: Provisions: and and

the the

or or

the the

equally equally

exist exist

Health Health

Health Health

contained contained

of of Presidents Presidents

from from

Board, Board,

the the

Director Director

responsibilities responsibilities

include, include, These

in in

to to

Board Board

proposed proposed

other other

share share

all all

County County Illinois

between between

understandings, understandings,

and and

whether whether

between between

relation relation

terminate terminate

herein herein

agreement agreement

for for

programs programs

(i.e., (i.e.,

for for

between between

Board Board

other other

Disabilities Disabilities

shall shall

Board Board

stigma stigma

can can embodies embodies

may may

future future

or or

both both

on on

in in

and and

. .

the the

position position

herein herein

Budget Budget

backed backed

paragraph paragraph

Meeting Meeting

in in

the the

administrative administrative

be be

by by

to to

written written

be be

separation separation

the the

be be

annual annual

the the

boards. boards.

or or

the the

understandings, understandings,

the the

directed directed

amended amended

and and

"jointly "jointly

intended intended

the the

subject subject

the the

reference. reference.

interpreted, interpreted,

at at

terminated terminated

serves serves

but but

to to

as as

as as

parties parties and and

Mental Mental

out out

all all

event event

Intergovernmental Intergovernmental

the the

Board Board

subject subject

Boards Boards

or or

or or

or or

the the

are are

the the

described described

set set budget budget

(@ (@

representations

(8) (8)

of) of)

Administrative Administrative

fiscal fiscal

by by

President's President's

sponsored sponsored

oral, oral,

to to

matters matters

agreements, agreements,

to to

shall shall

not not

to to

at at

Developmental Developmental

of of

above above the the

out out

either either

except except

people people

Developmental Developmental

costs costs

with with

Health Health

limit, limit,

unless unless

This This

any any

address address

matters matters

year year

by by

construed, construed,

limited limited disagreement disagreement

express express

process, process,

shared shared

be be

in in

first first

in in

hereof hereof

of of

the the

time time

is is

of of

alter, alter,

obligations, obligations,

coordinated coordinated

applicable applicable

(January (January

with with

Agreement Agreement

as as

Paragraph Paragraph

the the

applied applied

Meeting, Meeting,

programs programs

the the

each each

Board Board

to

providing providing

advice advice

hereof, hereof,

cost cost

discrimination, discrimination,

based based

expressly expressly

, ,

costs costs

Agreement, Agreement,

, ,

or or

oral oral

two two

disabilities. disabilities.

or or

the the

Mental Mental

various various

and and

obligations, obligations,

and and

Board Board

implied, implied,

amend amend

pool. pool.

Disabilities Disabilities

Boards. Boards.

Executive Executive

only only

1 1

or or

and and Disabilities Disabilities

about about

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This Addendum to Intergovernmental Agreement is entered into this 17th day of September, 2014, by and between the Champaign County Mental Health Board ("MHB") and the Champaign County Board for the Care and Treatment of Persons with a Developmental Disability ("DOB").

Whereas, MHB and DOB entered into an Intergovernmental Agreement dated June 30, 2012 ("Agreement").

Whereas, MHB and DOB desire to amend the Agreement by providing for the sharing of costs related to the acquisition of residences to be used to provide Community Integrated Living Arrangement Services ("CILA").

Now, therefore, MHB and DOB hereby agree as follows:

1. MHB shall acquire residences in Champaign County to be leased to a CILA provider to provide housing to residents in Champaign County that qualify for GILA services.

2. MHB shall acquire such residences with financing provided by one or more local banks.

3. MHB and DOB agree that for so long as a residence is owned by MHB and used to provide CILA services to residents of Champaign County, each party shall be responsible for one-half of all costs associated with the acquisition of such residences, the debt payments associated with such residences, the maintenance costs of such residences and the costs associated with any disposition of a residence.

4. MHB and DOB agree that once a residence is no longer to be used to provide CILA services, MHB shall enter into a listing agreement with a realtor in an attempt to sell such residence. The parties agree that the proceeds, net of all selling expenses, from the sale of such residence shall be distributed equally to MHB and DOB.

In witness whereof, the parties have executed this Addendum as of the date first written above.

For the Champaign County Board for the Care and Treatment of Persons with a Developmental Disability

For the Champaign County Mental Health Board ADDENDUM TO INTERGOVERNMENTAL AGREEMENT

.✓.::n . This Addendum to Intergovernmental Agreement is entered into this ~Y of 11,~~ "'~ 2019, by and between the Champaign County Mental Health Board ("MHB") ~ the Champaign County Board for the Care and Treatment of Persons with a Developmental Disability ("DOB") and replaces the agreements outlined in the addendum dated September 17, 2014.

Whereas, MHB and DOB entered into an Intergovernmental Agreement dated June 30, 2012 and revised March 16, 2016 ("Agreement") and amended September 17, 2014,and

Whereas, MHB and DOB desire to amend the Agreement by providing for the sharing of costs related to the acquisition, maintenance, and disposition of residences to be used to provide Community Integrated Living Arrangement ("CILA") Services,

Now, therefore, MHB and DOB hereby agree as follows:

1. MHB will pay the remaining mortgage balance (interest and principal) which allowed for acquisition of residences in Champaign County to be leased to a CILA provider to provide housing to residents in Champaign County that qualify for CILA services.

2. By this action, as of May, 2019, the MHB will have contributed a total of $500,000, and the DOB $300,000, to the project.

3. MHB and DOB agree that for so long as a residence is owned by MHB and used to provide CILA services to residents of Champaign County, each party shall be responsible for one-half of all costs associated with the acquisition of such residences, the debt payments associated with such residences, the maintenance costs of such residences and the costs associated with any disposition of a residence. A. Prior to the contributions of the DOB becoming equal to those of the MHB, if expenses related to the CILA fund exceed the amount available in the annual budget, the DOB will transfer the additional amount to the CILA fund, reducing the remaining DOB obligation. B. After the contributions of each Board have become equal, the CILA fund will continue to receive equal contributions from each board, by annual interfund transfers, for ongoing expenses associated with the properties. This annual amount will be based on most recently completed fiscal year actual expenses plus 10%. C. If expenses related to the properties exceed the amount available in annual CILA fund budget, a request to transfer from CILA fund balance may be made. If fund balance is insufficient or transfer not possible, the Boards may agree to contribute equally to the fund as needed. ..

4. MHB and DDB agree that once a residence is no longer to be used to provide CILA services, MHB shall enter into a listing agreement with a realtor in an attemptto sell such residence. The parties agree that the proceeds, net of all selling expenses, from the sale of such residence shall be distributed equally to MHB and DOB. A If the homes are sold prior to such time as the total DDB contribution has become equal to that of the MHB, revenue from sale of the homes will be adjusted to balance them, after which, any reserve in the .CILA fund will be split equally between the two Boards, as interfund transfers from the CILA fund to each of the MHB fund and DDB fund. B. If the homes are sold after the contributions have become equal, the current balance of the CILA fund and proceeds from the sale of the homes will be split equally between the two boards, per the original agreement.

In witness whereof, the parties have executed this Addendum as of the date first written above.

For the Champaign County Board for the Care and Treatment of Persons with a Developmental Disability 't}tJuCL~ For the Champaign County Mental Health Board ::2""'' /0 -B.

CHAMPAIGN COUNTY DEVELOPMENTAL DISABILITIES BOARD CHAMPAIGN COUNTY C MENTAL HEALTH BOARD DECISION MEMORANDUM DATE: July 15, 2020 TO: Members, Champaign County Mental Health Board (CCMHB) FROM: Lynn Canfield, Mark Driscoll, and Kim Bowdry SUBJECT: University of Illinois "Building Evaluation Capacity: Year 6" Proposal Background:

For the last five years, the CCMHB has contracted with the University of Illinois to build evaluation capacity of funded programs. The initial proposal was the result of meetings with evaluators, staff, and Board representatives. This same group meets annually in June as the Program Evaluation Committee to review past performance and agency engagement and to gauge interest in continuing the project. CCMHB representatives are Dr. Moore and Dr. Rappaport. Staff participating are Lynn Canfield, Mark Driscoll, and Kim Bowdry. The consultants are Dr. Nicole Allen and Dr. Mark Aber, who have worked with funded agencies for many years and are familiar with the mission and work of the Boards. Last year, Dr. Gingold, a member of the CCDDB Board at the time, also participated in the meeting.

On June 24, 2020, the Committee met virtually via Zoom to discuss the proposal and renewal of the contract. Due to short notice, only members of the CCMHB were able join the meeting. Dr. Allen and Dr. Aber discussed positive experiences working with agencies the past year including the DDB funded programs. In addition to implementing the approved work plan, the evaluation team, as part of a self-evaluation exercise, surveyed agencies on their experiences working with the evaluation team in the past or present to inform future engagement. One outcome of the exercise, and reflected in the proposal, is a need to strengthen the back-end partnership with targeted programs by providing additional support on data collection and analysis and how to use these results to inform change in program services.

The evaluation team presents an annual report on the outcome of work with funded programs to the Board and to funded agencies each year. The presentation to the Mental Health Board is scheduled for the September 23, 2020 meeting. Part of the presentation is expected to include a summary of the program evaluation team's self-evaluation exercise. The evaluators and agencies with PY20 targeted programs will present at the August 25, 2020 meeting of the Mental Health and Developmental Disabilities Agencies Council (MHDDAC).

Throughout the last year, a representative of the evaluation team has periodically attended meetings of the MHDDAC to report on activities and services available to CCMHB/CCDDB funded programs. A brief update on how evaluation technical assistance has continued through remot; access during the COVID-19 shelter at home order was made by the evaluation team at the May MHDDAC meeting. Last year as initial discussion of renewing the contract was starting, the CCDDB expressed interest in the evaluation project. The CCDDB had not participated in the past, limiting access to program evaluation support services to CCMHB-funded programs. CCDDB participation has increased the number of targeted programs with the expressed intent of serving DDB funded programs, along with opening access to logic model workshops, consultation bank, and online resource repository to CCDDB funded programs.

A copy of the University of Illinois "Building Evaluation Capacity: Year 6" Proposal for Program Year 2021 is attached. Budget Impact:

The first year the CCMHB contracted for evaluation support was for an assessment of evaluation requirements and agency reports. Building off that assessment, years 2-5 focused on developing evaluation capacity within programs, including targeted intensive support to a small set of programs each year as well as quarterly follow-up with previously assisted targeted programs. Other services include supporting any CCMHB funded program through what is known as the "consultation bank" where a program can request technical assistance, holding Logic Model workshops, and building an online resource of documents and other evaluation related materials developed with supported agencies. In year five, targeted programs increased to five with two earmarked for CCDDB funded programs.

Renewal is recommended, to continue the progress achieved by prior targeted programs, to engage new programs with intensive evaluation technical assistance, and to offer consultation and other supports to all CCMHB and CCDDB funded programs and to the Boards. The proposed cost is $80,198 and includes services to CCDDB programs. CCDDB participation offsets the total contract amount by $33,803 for a final cost to the Board of $46,395.

Contingent on continued participation by the CCDDB, staff recommends the Board approve the contract proposal. Under the Intergovernmental Agreement, CCDDB participation would equal the agreed upon administrative cost rate of 42.15%. Decision Section:

Motion: Move to accept the University of Illinois Capacity Building Evaluation: Year 6 Proposal, and authorize the Executive Director to enter into a contract with the University of Illinois at a cost of $80,198, contingent upon the Champaign County Developmental Disabilities Board participation offsetting the contract amount by $33,803.

Approved - -- - Denied ---- Modified --- - Additional Information Needed July 1, 2020 ILLINOIS

SPONSORED PROGRAMS ADMINISTRATION 1901 S First St , Suite A. MC· 68S Champaign, IL 61820·7406

Proposal Approval Letter

The Board of Trustees of the University of Illinois ("Illinois") endorses this proposal for Dr. Nicole Allen entitled "A Proposal to Build Evaluation Capacity for Programs" and submitted to Champaign Co (IL) Mental Health Board. The period of performance for this project is 07/01/2020 through 06/30/2021, and the total requested amount is $80,198. The internal proposal transmittal number ts 10218.

This proposal has been reviewed and approved by the appropriate official of the University of Illinois and certified to its accuracy and completeness. The appropriate programmatic and administrative personnel at Illinois approve this proposal submission, and our organization will actively participate in the project in accordance with the agreed upon terms.

Human Subjects: Yes Assurance #: 00008584 Vertebrate Animals: No Assurance#: A3118-01

Illinois is registered in the System for Award Management (SAM), and offers the following information and assurances:

Legal Name: Board of Trustees of the University of Illinois DUNS Number: 04-154-4081 EIN: 37-6000511 Place of Performance: Henry Administration Building 506 S Wright Street Urbana, IL 61801-3620 Congressional District: IL-013

Additional institutional information, including institutional rates and assurances, are available in the FOP Expanded Clearinghouse.

If awarded or if there are questions of a non-technical nature, please notify:

Robin Beach, Director, Pre-Award [email protected] Sponsored Programs Administration 1901 S First Street, Suite A Champaign, IL 61820-7406

Illinois reserves the right to negotiate the terms, conditions and provisions included in any agreement prior to acceptance.

Sincerely,

UNIVERSITY OF tLLINOIS AT URBANA•CHAMPAIGN v. 2020-05-07 217.333.2187 • go.illinols.edu/sponsoredprograms A Proposal to Build Evaluation Capacity for Programs Funded by the Champaign County Community Mental Health Board (CCMHB) Year 6, FY 2021

Abstract

The aim of this effort is to continue to build evaluation capacity for programs funded by the Champaign County Mental Health Board (CCMHB). In Year 6, we propose to continue to implement the recommendations and specific plans identified via Year l assessment of current evaluation activities and priorities and to build upon previous effort. Specifically, we will provide evaluation support to CCMHB funded agencies, work closely with agencies identified for intensive partnership to develop evaluation activities, and provide training/workshops on the development of logic models. However, in addition, in the coming year we wish to intensify partnerships with previously targeted programs to encourage greater data usage and translation.

Proposal and Deliverables

Statement of Purpose: The aim of this effort is to continue to build evaluation capacity for programs funded by the Champaign County Mental Health (CCMHB) and Developmental Disabilities Board (CCDDB). In Year 6, we propose to continue to implement the recommendations and specific plans identified via Year 1 assessment of current evaluation activities and priorities and to build upon our previous efforts over the last few years. In particular, we aim to intensify partnerships with previously targeted programs to encourage greater data usage and translation.

Specifically, we propose the following activities and deliverables.

l. Continue to Create a Leaming Organization among Funded Agencies and the CCMHB/CCDDB a. Prepare new "targeted" agencies to share information at MHDDAC meetings once/year by Summer, 2021 (as schedules allow). The actual presentation will occur in the July or August following the end of the fiscal year at the MHDDAC meeting

2. Continue to Support the Development of Theory of Change Logic Models. a. Offer 2 logic modeling workshops to support funded programs in model development in Fall 2020 b. Schedule and announce logic model training dates with 30 days advance notice c. Provide follow-up support to targeted agencies who submit a model to the team for review (and to agencies who choose to develop the model using "hours" from the consultation bank) 3. Choose three Programs for Targeted Evaluation Development in Consultation (up to two CCMHB and one CCDDB) a. Work in collaboration with up to three funded programs to develop evaluation plans and support them in the implementation of those plans (e.g., instrument development, data gathering, data reporting) b. The goal would be to guide an evaluation plan and process that can be implemented and sustained by the program in subsequent years

4. Choose three Programs for Targeted Evaluation Data Usage in Consultation (up to two CCMHB and one CCDDB) a. Work in collaboration with up to three funded programs to support ongoing evaluation implementation (e.g., data collection, data usage, data translation). b. The goal would be to emphasize translating evaluation findings to inform program activities and facilitate usage of evaluation data to make informed programmatic decisions.

5. Invite follow-up with all previously targeted agencies via the Consultation Bank. This could include (depending on agency need): a. Reviewing evaluation implementation progress b. Revising and refining logic models c. Reviewing gathered data and developing processes to analyze and present data internally and externally

6. Continue the Evaluation Consultation Bank with Agencies Who Have not Had Targeted Partnerships a. Offer a bank of consultation hours for use by funded programs b. Funded programs would request hours based on specific tasks i. Developing an evaluation focus ii. Completing a logic model iii. Developing and sustaining evaluation activities (particularly in targeted agencies) iv. Reporting data

7. Continue to Build a "Buffet" of Tools a. Maintain and expand a Google drive or other web-based repository for measures developed with and/or for funded programs

8. Offer two workshops with CCMHB/CCDDB funded agencies regarding data usage fundamentals including, for example: a. Data storage (setting up excel, confidential storage, identity keys) b. Basic analysis (shareware, means, standard deviations, change over time) c. Conceptualizing process and outcome evaluation questions based on the theory of change logic model d. Applying evaluation findings to inform programmatic decision-making 9. Meet with CCMHB/CCDDB members as requested to provide infonnation on, for example: a. The varied uses of evaluation b. Logic modeling process c. CCMHB/CCDDB goals and priorities with regard to evaluation d. Instantiating evaluation practices for the CCMHB and the boards' funded programs

Budget and Justification

Nicole Allen (.50 mo) and Mark Aber (I mo) (14,255 x 36.93%% benefits). Ors. Nicole Allen and Mark Aber would co-lead these evaluation activities. Both would reserve time throughout the year and intensively during a summer month (most likely May 15th to June 15th) to execute project deliverables.

Two Research Assistants- 11 mos ($49,278- I Imo 50%fte x 8.34%% benefits). A research assistant would assist in all facets of project execution which would but not be limited to supporting evaluation planning, workshop development, and collaboration/funded program partnership.

Indirect Costs (10% of Total Direct Costs $72,907) = $7,291

GRAND TOTAL $80,198 CHAMPAIGN COUNTY DEVELOPMENTAL DISABILITIES BOARD CHAMPAIGN COUNTY C MENTAL HEALTH BOARD DECISION MEMORANDUM

DATE: July 15, 2020 TO: Members, Champaign County Mental Health Board (CCMHB) FROM: Lynn Canfield, Executive Director SUBJECT: 211 Information and Referral Background: The purpose of this memorandum is to seek approval for renewal of CCDDB and Champaign County Mental Health Board (CCMHB) involvement with the United Way of Champaign County (UWCC) in support of the 211 information and referral call service provided by PATH. This includes an increase in the annual total cost, which is split by the boards, along with a revised memorandum of understanding.

Also attached is a copy of the contract between PATH and United Way for the upcoming contract year, with total cost of $42,660. If approved, the CCMHB and CCDDB would pay $21,330 combined, with cost to the CCDDB of $8,991 and cost to the CCMHB $12,339. Under this MOU, this cost sharing would continue, with annual changes up to the new maximum amount.

CCMHB/CCDDB staff meet as needed with UWCC staff on many issues related to this project, especially as we learn from providers and community members about their use of this and other information and referral services. Agencies update PATH about programs, contacts, and capacities in order to ensure best 211 service to residents of the County. 211 is a project of National United Way and meets Alliance of Information and Referral Systems standards. We will continue to explore the possibility of partnership with the National Suicide Prevention Lifeline and online resource enhancements currently being designed by the UIUC Community Data Clinic. Decision Section: Motion to authorize the Executive Director to enter into an updated Memorandum of Understanding with the United Way of Champaign County for 211 service: Approved ---- Denied -- - - Modified ---- Additional Information Needed Motion to approve the annual total cost of$21,330 to be shared with the CCDDB as described and subject to future adjustment per the terms of the new Memorandum of Understanding: Approved Denied ----____ Modified Additional Jnformatio~

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. . _ _ /o,D CHAMPAIGN COUNTY DEVELOPMENTAL DISABILITIES BOARD CHAMPAIGN COUNTY C MENTAL HEALTH BOARD BRIEFING MEMORANDUM

DATE: July 15. 2020 TO: Members, Champaign County Mental Health Board (CCMHB) FROM: Lynn Canfield. Shandra Summerville SUBJECT: Anti-Stigma Films through 's Virtual Festivals 2020 Background:

The purpose of this memorandum is to provide the Board with an update on our partnership with the Alliance for Inclusion and Respect (AIR) for sponsorship of an anti-stigma film during the Roger Ebert's Film Festival's smaller scale 2020 virtual events. AIR involvement with this high­ profile annual festival event has been central to our anti-stigma efforts over many years. with a sponsored film and the festival's support for related community activities. AIR builds on the festival's momentum for year-round activities. Preparations for the 2020 festival, art shows, and promotions were underway when the event was cancelled due to COVID-19. The movie "A Most Beautiful Thing" had been selected. with themes of trauma. community violence, innovative approaches to youth engagement. and resilience. It may not be available for the 2021 festival, so the organizers suggested, and the CCMHB approved during their June meeting, that an alternative film be offered in 2021, with 2020 sponsorship payment applied. For AIR engagement with the festival and filmmakers of "A Most Beautiful Thing" during summer 2020, the Board also approved support of an online event, pending coordination and promotion of as much AIR and community participation as possible. See https://www.amostbeautifulthing.com/. Update on 2020 Activities:

June 25: The festival invited AIR members and their networks to participate in a free online screening of the documentary "No Small Matter" which had been a contender for 2020 sponsorship and focuses on early childhood - https://www.nosmallmatter.com/ Prior to the film itself, this virtual event featured a children's activity. introduced the film, which was followed by an Ebertfest panel discussion. Depending on success of this event, the festival may explore future discussions with people associated with this film and our local experts.

Mid to Late July 2020: At the time of this writing, the plan begins with 50 Eggs, the studio and distributor of "A Most Beautiful Thing," providing us a Vimeo link to the film. to be shared with the Ebertfest audience and AIR members, pending licensing issues and practical considerations. They could use the code to view the film from a Monday through Wednesday. On Thursday of that week, community and AIR members will participate in a discussion with filmmakers, likely moderated by or Eric Pierson. Virtual meetings of the filmmakers and local youth will happen that Friday. On behalf of the film, participants would include Mary Mazzio, Alvin Ross, and Arshay Cooper, whose bios are below. Youth and leadership would be invited from (ii) DREAAM House, Goal Getters, Paign to Peace, or other Coalition groups and other youth serving groups.

Bios of potential panelists from the film: ALVIN ROSS lives in Chicago where he owns and operates MOVE MASTERS, one of the top ranked moving companies in the city. Alvin makes a point of hiring ex-felons and others who have difficulty finding employment in the traditional job economy. Like other members of the Manley Rowing Team, Alvin learned entrepreneurship skills as part of the rowing program. Alvin has two children.

ARSHAY COOPER is a Benjamin Franklin award-winning author, a Golden Oar recipient for his contributions to the sport of rowing, a motivational speaker, and an activist, particularly around issues of accessibility for low-income young people. He is currently based in New York City. Arshay grew up on the West Side of Chicago, witnessing family and friends become products of their environment. But a chance encounter changed Arshay's life. In 1997, he joined ( and later became captain of) the first African American high school rowing team at Manley High School, an experience which catapulted Arshay out of the West Side. He dedicated two years of his life to AmeriCorps, focusing on diversity and inclusion, and soon thereafter attended Le Cordon Bleu, becoming a personal chef for hotels and professional athletes. After years of working in the food service industry, Arshay returned to his true passion, working with young people. He coached rowing at the Chicago Urban Youth Rowing Club and worked as the youth program director for the Victory Outreach's Midwest/Gulf Coast region, recruiting young people of color to the sport. Arshay has also started several rowing programs for low-income children across the country, including The East Side Indoor Rowing afterschool program for New York City 7th to 12th graders. A Most Beautiful Thing is based on his memoir, Suga Water, which Flatiron will republish in July 2020 under the new title A Most Beautiful Thing. Seeking to share his experience, Arshay now travels the country speaking at events and venues far and wide, from prisons to colleges to professional sports teams.

MARY MAZZIO, an award-winning documentary film director, Olympic athlete, and former law firm partner, is Founder and CEO of 50 Eggs, Inc., an independent film production company dedicated to making socially impactful films. Mary wrote, directed, and produced the highly-acclaimed films, Underwater Dreams, TEN9EJGHT, The Apple Pushers, A Hero/or Daisy, Contrarian, Apple Pie, and Lemonade Stories. Her newest documentary film, I AM JANE DOE, narrated by Academy Award nominee, , opened in select cities with AMC Theatres in 2017 and is now on Netflix. The film catalyzed (on a bipartisan basis) legislation signed by the President in 2018. She is currently Filmmaker-in-Residence at Babson College.

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CHAMPAIGN COUNTY DEVELOPMENTAL DISABILITIESBOARD CHAMPAIGN COUNTY MENTAL HEALTHBOARD CCMHB 2020-2021 Meeting Schedule

First Wednesday after the third Monday of each month at 5:45 p.m. Lyle Shields Room, Brookens Administrative Center 1776 E. Washington St., Urbana, IL (unless noted otherwise)

July 15, 2020-Zoom meeting (off cycle) at https://us02web.zoom.us/i/87945354242 September 23, 2020 September 30, 2020 - study session (tentative, ending by 6: 30PM) October 21, 2020 October 28, 2020 - study session November 18, 2020 December 16, 2020 (tentative) January 20, 2021 January 27, 2021- study session February 17, 2021 February 24, 2021-study session March 17, 2021 March 24, 2021- study session (tentative) April 21, 2021 April 28, 2021- study session May 12, 2021-study session May 19, 2021 June 23, 2021 July 21, 2021

*This schedule is subject to change due to u:eH~ circumstances. Please call the CCMHB-CCDDB of) all meetings. DRAFT July 2020 to December 2021 Meeting Schedule with Subiect and Allocation Timeline, moving into PY2022 Process

The schedule provides dates and subject matter of meetings of the Champaign County Mental Health Board through June 2021. The subjects are not exclusive to any given meeting, as other matters requiring Board review or action may also be addressed or may replace the subject listed. Study sessions may be scheduled with potential dates listed; topics will be based on issues raised at meetings, brought by staff, or in conjunction with the Champaign County Developmental Disabilities Board. Included are tentative dates for steps in the funding allocation process for Program Year 2022 (July 1, 2021 - June 30, 2022) and deadlines related to PY2021 agency contracts. 2020-2021 meetings are scheduled to begin at 5:45PM; these may be confirmed by contacting Board staff.

7/15/20 Regular Board Meeting, Zoom online (offcycle) Approve FY202 l Draft Budgets

8128/20 Agency PY2020 4th Quarter Reports, CLCP Progress Reports, and Annual Performance Measures reports due

09/23/20 Regular Board Meeting

09/30/20 Study Session (tentative, end by 6:30PM)

10/21/20 Regular Board Meeting Draft Three Year Plan 2019-2021 with 2021 Objectives Release Draft Program Year 2022 Allocation Criteria

10/28/20 Study Session (tentative)

10128/20 Agency Independent Audits, Reviews, or Compilations Due

10130/20 Agency PY2021 First Quarter Reports Due

11/18/20 Regular Board Meeting Approve Three Year Plan with FY2021 Objectives Allocation Decision Support - PY22 Allocation Criteria

12111120 Public Notice to be published on or before this date, giving at least 2I-day notice of application period.

12/16/20 Regular Board Meeting (tentative)

01/04121 Online System opens for Agency Registration an Applications for PY2022

1/20/21 Regular Board Meeting: Election of Officers

1/27/21 ·d-Year Program Presentations 1/29/21 Agency PY2l 2nd Q Reports and CLC Progress Reports due

2112121 Agency deadline for submission of applicationsfor PY2022 funding. Online system will not accept forms after 4: 30PM

2116/21 List of Requestsfor PY2022 Funding assembled

2/17/21 Regular Board Meeting Discussion of Board Members' Review of Proposals; Mid-year updates on new agency programs

2/24/21 Study Session: Mid-Year Program Presentations

3/17/21 Regular Board Meeting FY2020 Annual Report (includes performance data from agencies for PY20)

3/24/21 Study Session (tentative)

4/ 14121 Program summaries released to Board, copies posted online with CCMHB April 21, 2021 meeting agenda

4/21/21 Regular Board Meeting Program Summaries Review and Discussion

4/28/21 Study Session Program Summaries Review and Discussion

4/30/21 Agency PY2021 3rd Quarter Reports due

5/5/21 Allocation recommendations released to Board, copies posted online with CCMHB meeting agenda

5/12/21 Study Session: Allocation Recommendations

5/19/21 Regular Board Meeting: Allocation Decisions; Authorize Contracts for PY2022

6/23/21 Regular Board Meeting

6123/21 PY2022 Contracts Completed

7/21/21 Regular Board Meeting

8/27121 Agency PY2021 ,4thQ Reports, CLC Progress Reports, and Annual Per~asure Reports due CHAMPAIGN COUNTY DEVELOPMENTAL DISABILITIESBOARD CHAMPAIGN COUNTY MENTALHEALTH BOARD CCDDB 2020-2021 Meeting Schedule

Board Meetings 8:00AM except where noted Brookens Administrative Building 1776 East Washington Street, Urbana, IL

July 15, 2020 - Zoom meeting https:// us02\ycb.zoom. us/j/ 87028164506 (3:30 PM) - off rycle,different time August 19, 2020 - Lyle Shields Room (8AM) - tentative September 23, 2020 - Lyle Shields Room (8AM) October 21, 2020- John Dimit Conference Room (8AM) November 18, 2020 - John Dimit Conference Room (8AM) December 16, 2020 - Lyle Shields Room (8AM) - tentative January 20, 2021 - Lyle Shields Room (8AM) February 17, 2021 - Lyle Shields Room (8AM) March 17, 2021 -Lyle Shields Room (8AM) April 21, 2021 - Lyle Shields Room (8AM) May 19, 2021 - Lyle Shields Room (8AM) June 23, 2021 - Lyle Shields Room (8AM) July 21, 2021-Lyle Shields Room (8AM)

'This schedule is subject to change due to unforeseen circumstances. Please call the CCMHB/CCDDB o.iice to con.inn all meetings. @ CHAMPAIGN COUNTY MENTAL HEALTH BOARD BOARD MEETING

Minutes-June 17, 2020

TJ,is Meeting Was Held Remotely.

5:45 p.m.

MEMBERS PRESENT: Susan Fowler, Thom Moore, Joseph Omo-Osagie, Elaine Palencia, Kyle Patterson, Julian Rappaport, Jane Sprandel, Jon Paul Youakim

MEMBERS EXCUSED: Kathleen Wirth-Couch

STAFF PRESENT: Kim Bowdry, Lynn Canfield, Mark Driscoll, Stephanie Howard­ Gallo, Shandra Summerville

OTHERS PRESENT: Nicole Sikora, DSC; Alison Meaner, NAMI; Gail Raney, Rosecrance, Inc. Laura Lindsey, Courage Connection

CALL TO ORDER:

Mr. Joe Omo-Osagie called the meeting to order at 5:45 p.m.

ROLL CALL:

Roll call was taken and a quorum was present.

CITIZEN INPUT/ PUBLIC PARTICIPATION:

None.

APPROVAL OF AGENDA:

The agenda was in the Board packet. Board members approved the document.

PRESIDENT'S COMMENTS:

Mr. Omo- Osagie spoke regarding recent Black Lives Matter events in the community.

Page 1 of 5 Board/Board Minutes 6/17/20 EXECUTIVE DIRECTOR'S COMMENTS:

Ms. Canfield reviewed the agenda.

NEW BUSINESS:

Impact of COVID-19 Discussion: A Briefing Memorandum with agency updates on operation of funded services during COVID- 19 pandemic was included in the Board packet.

Anti-Stigma Film -Ebertfest 2021: A Decision Memorandum on sponsorship of films at the 2021 Ebertfest and a 2020 virtual event was included in the packet. The purpose of the memorandum was to seek approval, in partnership with the Alliance for Inclusion and Respect (AIR), of sponsorship of an anti-stigma film at the 2021 Roger Ebert's Film Festival and for a smaller scale virtual festival event during 2020.

Preparations for the 2020 festival, art shows, and promotions were well along when the event was cancelled to slow the spread of COVID-19. The movie "A Most Beautiful Thing" had been selected, with themes of trauma, community violence, innovative approaches to youth engagement, and resilience: https://www.amostbeautifulthing.com/the-film/. Due to rights issues, the festival organizer cannot guarantee this movie will be available for showing during the 2021 festival dates. They suggest an alternative film to be offered in 2021, with 2020 sponsorship payment applied directly to that showing. In addition, there remains a possibility for AIR to meaningfully engage with the festival and filmmakers of "A Most Beautiful Thing" during 2020, taking online as many features of AIR collaboration as possible. Ebertfest will work on an online showing of this movie, together with online engagements between filmmakers and Champaign County organizers and participants. The cost for sponsorship is $5,000 to make AIR the dedicated sponsor of this 2020 virtual event.

The cost for our sponsorship had been lowered to $15,000. This amount was approved for 2020, and the payment issued. Members of AIR had contributed a total of $3,475 toward participation ($1,980 more was pledged but not received). Upon cancellation of the 2020 festival, all chose prepayment for 2021 over refunds, provided the CCMHB approves involvement in 2021 . This means that there will be no charge for involvement during 2021, if the Board approves. The cost of sponsorship for the virtual innovation during 2020 is $5,000, to be included in the Public Relations line of approved budget.

MOTION: Dr. Fowler moved to approve sponsorship of an anti­ stigma film in Roger Ebert's Film Festival 2021, with 2020 payment applied so that no payment will be due in 2021. Mr. Patterson seconded. A voice vote was taken and the motion passed.

MOTION: Dr. Fowler moved to approve sponsorship of an anti­ stigma film to be shown online as a virtual Ebertfest event during 2020, for an additional 2020 ex enditure of $5,000. Ms. Palencia

Page 2 of 5 Board/Board Minutes 6/17/20 seconded the motion. A roll call vote was taken and the motion passed unanimously.

DisABILITY Resource Expo Update: A Briefing Memorandum was included for information only, along with an attachment on Whova, a virtual platform for conferencing. Ms. Canfield, Ms. Summerville, and Ms. Sprandel provided additional information from recent Expo steering committee meetings.

CILA Facilities Project Update: A Briefing Memorandum offered some history and an update, with an attached 2019 financial report and an update from the service provider, IAG.

2-1-1 Information and Referral: A Briefing Memorandum presented history of CCMHB and CCDDB collaboration with the United Way of Champaign County providing mutual support of the 211 call service provided by PATH. The initial MOU and other attachments were included in the Board packet.

Regional Health Plan Partnership: For information only, a Briefing Memorandum on the collaborative effort toward community needs assessment, health plan, and initial agreement was included in the Board packet.

UIUC Evaluation Project: A Briefing Memorandum summarizing the history of the program evaluation project and list of targeted programs was included in the Board packet for information only.

Draft CCMHB and CILA FY2021 Budgets: A Briefing Memorandum and drafts budgets with background information and intergovernmental agreement between the CCMHB and CCDDB were included in the packet for information only.

AGENCY INFORMATION:

None.

OLD BUSINESS:

Carle Foundation Property Tax Interest: An update on budget amendments, along with a copy of County Board Memorandum with further details was included in the Board packet for information only.

Schedules & Allocation Process Timeline: Updated copies of CCMHB and CCDDB meeting schedules and CCMHB allocation timeline were included in the packet.

Page 3 of 5 Board/Board Minutes 6/17/20 CCDDB Information: The CCDDB met earlier in the day.

Approval of CCMHB Minutes Minutes from May 20, 2020 meeting are included in the Board packet.

MOTION: Dr. Moore moved to approved the CCMHB minutes from May 20, 2020 as presented. Dr. Rappaport seconded the motion. A voice vote was taken and the motion passed unanimously.

Staff Reports Staff reports were deferred, with exception of a FY20 first quarter financial report from Chris Wilson.

Board to Board Reports: Elaine Palencia attended a Community Coalition march, along with Dr. Moore and Mr. Patterson.

Board Announcements:

Other Business - Closed Session:

MOTION: At 7 p.m., Dr. Fowler moved to enter into closed session pursuant to 5 ILCS 120/2 ( c) 21 to consider the minutes of meetings lawfully closed under this Act, whether for purposes of approval by the body of the minutes or semi-annual review of the minutes as mandated by Section 2.06, and that the following individuals remain present: members of the Champaign County Mental Health Board and Operations and Compliance Coordinator, Stephanie Howard­ Gallo. Mr. Patterson seconded the motion. A roll call was taken and all members voted aye.

Board members returned to open session at 7:05 p.m. with a roll call vote.

MOTION: Dr. Rappaport moved to approve the minutes of June 22, 2016 closed session, open the minutes to the public, and destroy the recording. Dr. Y ouakim seconded the motion. A roll call vote was taken and the motion passed unanimously.

MOTION: Mr. Omo-Osagie moved to approve the minutes of July 12, 2016 closed session, open the minutes to the public, and destroy the recording. Ms. Sprandel seconded the motion. A roll call vote was taken and the motion passed unanimously.

MOTION: Dr. Moore moved to approve the minutes of August 15, 2016 closed session, open the minutes to the public, and destroy the

Page 4 of 5 &£) Board/Board Minutes 6/17/20 recording. Dr. Youakim seconded the motion. A voice vote was taken and the motion passed unanimously.

MOTION: Ms. Sprandel moved to approve the minutes of August 17, 2016 closed session, open the minutes to the public, and destroy the recording. Dr. Youakim seconded the motion. A voice vote was taken and the motion passed unanimously.

MOTION: Ms. Palencia moved to approve the minutes of August 18, 2016 closed session, open the minutes to the public, and destroy the recording. Mr. Patterson seconded the motion. A voice vote was taken and the motion passed unanimously.

MOTION: Dr. Fowler moved to approve the minutes of September 21, 2016 closed session, open the minutes to the public, and destroy the recording. Ms. Sprandel seconded the motion. A voice vote was taken and the motion passed unanimously.

MOTION: Dr. Youakim moved to approve the minutes of November 16, 2016 closed session, open the minutes to the public, and destroy the recording. Ms. Sprandel seconded the motion. A voice vote was taken and the motion passed unanimously.

ADJOURNMENT:

The meeting adjourned at 7: 10 p.m.

Respectfully Submitted by: Stephanie Howard-Gallo CCMHB/CCDDB Staff

*Minutes are in draft form and are subject to CCMHB approval.

Page 5 of 5 Board/Board Minutes 6/17 /20 Kim Bowdry, Associate Director for Intellectual & Developmental Disabilities Staff Report- July 2020

CCDDB: During March, April, May, and June a significant portion of time was spent working on Program Summaries, recommendations for funding, creating special provisions for each of the contracts, and then developing contracts. PY20 3rd Quarter reports were also reviewed during this time.

New claims were developed for the online reporting system for use during PY21. I created the claims options in the online reporting system and created the I st Quarter programs for agency reporting. Service claims are reported as With Person Served or On Behalf of Person Served. Contacts with TPCs will be entered as hours, rather than quarter hours in previous years. The place option has also changed to 'On Site' (any agency building) or 'Off Site' (community or the participants' home).

I worked with the agencies and the software developer to make necessary changes to any Excel files used for data entry. I also created cheat sheets for the new service and place options and shared those with agency staff.

In late June, two contract orientation meetings were held with CU Autism Network, this is the only newly funded CCDDB program for PY21. Contract negotiations were completed via email with DSC regarding the Community First contract. The agency rejected the original benchmarks in the contract due to concerns related to the pandemic. Decreased benchmarks were created and were also rejected due to service concerns related to Covid-19. At the time of this writing, a Zoom meeting has been scheduled to discuss the benchmarks.

CCDDB Mini-Grant: Mini-grant purchases were initially slowed due to the pandemic. Several more purchases have been made during recent months. I continue to have difficulty reaching some of the Mini-Grant recipients to confirm their items to be purchased. I also created the Mini-Grant Survey using Survey Monkey and mailed out paper copies of the survey to the Mini-Grant recipients with no email address on file.

Learning Opportunities: Due to the Covid-19 pandemic, in-person learning opportunities were put on hold. I am currently planning virtual presentations and have reached out to presenters. All library reservations for in­ person events were canceled through the end of the year, due to the pandemic and access to the library.

MHDDAC: I participated in the monthly meetings of the MHDDAC, as well as the Special Meetings that were held over the past few months.

NACBHDD: I participated in monthly I/DD committee calls. The NACBHDD Summer Board Meeting is scheduled for late July 20-22, 2020. This will be a virtual event.

ACMHAI: I participated in the ACMHAI I/DD committee calls. I also participated in an ACMHAI Town Hall meeting held in April and an additional webinar hosted by the ACMHAI Children's Behavioral Health Committee.

Disability Resource Expo: I participated in multiple Expo Steering Committee meetings. I also participated in a webinar, exploring online platforms for use for a possible virtual Expo. I participated in the Abilities Expo virtual event to gain knowledge on the accessibility of the platform used for the event.

I have also participated in multiple Zoom meetings with the Expo Consultants and U of I Students who are working on behalf of the Expo to create short videos. The Students are reaching out to Expo exhibitors to create short 'faces and places' videos about the services the agency offers and the staff person someone might encounter on an initial visit. @ Other activities: I participated in nearly 100 webinars, including several hosted by The Arc of Illinois and IDHS-DDD, topics included closures due to Covid-19 and looking at safely reopening.

I also participated in a Zoom meeting with Community Choices' members. This was a check-in to create connections with the Community Choices members and people in the community. I was asked questions by the members and we had a great conversation.

I participated in the LEAP sponsored Griffin-Hammis Customized Employment webinar on June 8-11, 2020.

I also participated in multiple Zoom meetings with the United Way, Cunningham Township, the CCMHB, Path, Anita Chan, and other students from UIUC to continue the discussion of a pilot app or a responsive website using enhanced data from the 2-1-1 PATH website resource list.

I participated in a Program Evaluation Committee meeting with the UIUC Program Evaluation Team.

I participated in the Local Interagency Council meeting, held virtually.

Prioritization of Urgency of Needs for Services {PUNS) Summary Reports: 1,247 PUNS selection letters were mailed out by the Illinois Department of Human Services Division of Developmental Disabilities {IDHS­ DDD) in late August. 33 PUNS Selection letters were mailed to people in Champaign County.

21 of 33 people have received an award letter Home Based Services (HBS). 1 person has been awarded CILA funding. The remaining people are working with CCRPC ISC to complete the PAS process, 5 want HBS funding, 2 want CILA with a specific provider/geographic location, 2 want Family CILA, 1 was denied eligibility & plans to appeal, and 1 moved out of the area.

From Allison Stark on June 16, 2020: "The Division is in the process of preparing PUNS selection letters to be sent out. We expect to send out around 1,589 PUNS selection letters the week of July 13. Most of the individuals who will receive selection letters previously received early notification letters in December 2019. We are currently working with the ISC agencies to finalize the list of individuals that will be included in this selection."

23 people from Champaign County will be receiving a PUNS selection letter.

Updated "PUNS Summary by County and Selection Detail for Champaign County" and the "Division of Developmental Disabilities Prioritization of Urgency of Needs for Services (PUNS) Summary of Total and Active PUNS by Zip Code" reports are attached. IDHS posted updated versions on June 8, 2020. These documents detail the number of Champaign County residents enrolled in the PUNS database. Page 16 of 193 Division of Developmental Disabilities Prioritization of Urgency of Needs for Services (PUNS) I Summary By County and Selection Detall J1.1ne oa, 2020 County: Champaign

Reason for PUNS or PUNS Update 937 New 38 Annual Update 317 Change of Category {Seeking Service or Planning for Services) 19 Change of Service Needs (more or less) - unchanged category (Seeking Service or Planning for Services) 17 Person is fully served or is not requesting any supports within the next five (5) years 233 Moved to another state, dose PUNS 24 Person withdraws, dose PUNS 26 Deceased 18 Individual Stayed in ICF/0D 1 Individual Moved to ICFIDD 2 Individual Detennined Clinically Ineligible 6 Unable to locate 53 Submitted in error 2 Other, close PUNS 181 CHANGE OF CATEGORY (Seeking Service or Planning for Services) 422 PLANNING FOR SERVICES 145 EXISTING SUPPORTS ANDSERVICES 381 Respite Supports (24 Hour) 9 Respite Supports (<24 hour) 13 Behavioral SUpports (indudes behavioral intervention, therapy and counseling) 153 Physical Therapy 47 Occupational Therapy 101 Speech Therapy 127 Education 181 Assiswe Technology 49 Homemaker/Chote Services 5 Adaptions to Home or Vehicle 4 Personal Support under a Home-Based Program, Which Could Be Funded By Developmental Disabilites, 40 Division of Rehabilitation Services or Department on Aging (can indude habilitation. personal care, respite, retirement supports, budgeting, etc.) Medical Equipment/Supplies 33 Nursing Services in the Home, Provided lntermittentty 5 Other Individual Supports 167 TRANPORTATION 415 Transpo,tatiot, (indude trip/mileage reimbursement) 109 Other Transportation Service 281 Senior Adult Day Services 1 Developmental Training 82 "Regular Work./Sheltered Employment 64 Supported Employment 85 Vocational and Educational Programs Funded By the Division of Rehabilitation Services 62 Other Day Supports (e.g. volunteering, community experience) 24 RESIDENTtAL SUPPORTS 80 Community Integrated Living Arrangement (CILAVFamily 3 COmmunlty Integrated Living Arrangement (CILA)/lntermittent 4 Community Integrated Living Arrangement (CILA)/Host Family 1 Community Integrated Living Arrangement (CILA)/24 Hour 31 Intermediate care Facilities for People with Developmental Disabilities (ICF/0O) 16 or Fewer People 1 Intermediate care Facilities for People with Developmental ~isabir · (ICF/OO) 17 or More People 2 Skilled Nursing Facility/Pediatrics (SNF/PEO) ~ /e:1 5 Supported Living Arrangement '7 / _ 6 Page 17 of 193 Division of Developmental Disabilities Prioritization of Urgency of Needs for Services (PUNS) Summary By County and Selection Detail June oa, 2020

Community Living Facility 1 Shelter Care/Board Home 1 NusingHome 2 Children's Residential Services 4 Child careInstitutions (lnduding Residential Schools) 9 Other Residential Support (induding homeless shelters) 12 SUPPORTS NEEDED 389 Personal Support (lndudes habilitation, personal care and intennittent respite services) 342 Respite Supports (24 hours or greater) 19 Behavioral Supports (indudes behavioral intervention. therapy and counseling) 148 Physical Therapy 42 Occupational Therapy 73 Speech Therapy 84 Assistive Tedmology 47 Adaptations to Home or Vehicle 18 Nursing Services in the Home, Provided lntennittentty 5 Other lndMdual Supports 78 TRANSPORTATIONNEEDED 344 Transportation (indude trip/mileage reimbursement) 282 Other Transportation Service 315 VOCATIONALOR OTHER STRUCTURED ACTIVITIES 266 Support to work at home (e.g., self employment or earning at home) 4 Support to work in the community 236 Support to engage in wor1tlactivities in a disability setting 88 Attendance at activity center for seniors 2 RESIDENTIAL SUPPORTS NEEDED 110 Out-of-home residential services with less than 24-hour supports 55 Out-of-home residential services with 24-hour suppo,ts 63

Total PUNS: 56,883

http://www.dhs.state.il.us/OneNetLibrary/27897/documents/DD%20Reports/PUNS/PUNS sum "QyCowll and Selection Detail.pdf Division of Developmental Disabilities Prioritization of Urgency of Needs for Services (PUNS) Summary of Total and Active PUNS by Zip Code Updated 06/08/20

Zip Code Active PUNS Total PUNS 60949 Ludlow 1 3 61801 Urbana 29 82 61802 Urbana 62 124 61815 Bondville {PO Box) 1 1 61816 Broadlands 2 3 61820 Champaign 45 91 61821 Champaign 73 183 61822 Champaign 55 106 61826 Champaign 0 1 61840 Dewey 0 2 61843 Fisher 8 12 61845 Foosland 1 1 61847 Gifford 1 1 61849 Homer 0 5 61851 Ivesdale 1 2 61852 Longview 1 1 61853 Mahomet 32 69 61859 Ogden 4 13 61862 Penfield 1 2 61863 Pesotum 1 2 61864 Philo 3 11 61866 Rantoul 27 86 61871 Royal (PO Box) -- no data 61872 Sadorus 2 2 61873 St. Joseph 14 26 . •\ 61874 Savoy . 9 16 61875 Seymour 2 3 61877 Sidney 4 10 61878 Thomasboro 0 2 61880 Tolono 8 26 Total 387 886

http:llwww.dhs.state.ll.us/OneNetUbnry/27897/documents/DD%20Reports/PUNS/PUNS Sum by Zip-Code.pelf Mark Driscoll Associate Director for Mental Health & Substance Abuse Services Staff Report-July 15, 2020 Board Meeting

Summary of Activity

PY21 Contracts: Since the Board made the allocation decisions in May, the primary focus has been on managing the process to ensure contracts were executed prior to the start of the new contract year. While I have primary responsibility for the mental health and substance use disorder contracts, it requires a team effort to complete the various steps in the process.

A spreadsheet is created to track multiple points in the contracting phase including brief notes on any special provisions required or other unique aspects of the award that need to be considered. This year such notes referenced whether the contract required the award to be pro-rated due to new but vacant staff positions, a mid-year report was required, or the program was considered for an extended two year term. Columns track when contracts are issued and then returned, and whether a contract requires only a signature or if revisions to the application are needed. Revisions may involve changes or corrections to the Cultural and Linguistic Competence Plan, scope of work, or budget.

Drafting the contracts is fairly straightforward but does require some advance work. Special provisions can be somewhat involved as they can vary from contract to contract or be appropriate for a certain set of contracts but not others. There is also consideration of retaining special provisions from the prior contract year. Elements of the provisions are included in the Allocation Decision Memorandum so the intent is defined and full text may be drafted but not finalized. The Special Provisions are compiled and then referenced back to individual contracts. They are then inserted into the respective contract as each contract has the standard information added to the boilerplate. All contracts were completed and mailed out no later than June 5.

Communication with agencies occurs throughout the contract phase. Initially, this is to inform agencies of any required revisions, supplemented with copies of the program summaries with notes on what changes or corrections are needed highlighted. Access to the online system is provided and program applications forms reopened. All revisions and signed contracts were th expected to be completed and returned by June 24 •

Since the revision notices, various agencies have been in contact regarding the required adjustments to submitted application forms. Technical assistance and clarification was provided throughout the process. The CU Autism network, a new agency funded through the CCDDB, had two contract orientation meetings; one to provide an overview of the contract requirements and a follow-up meeting to answer additional questions primarily about financial management. I participated while the meetings were led by Kim Bowdry. No such meetings were held with CCMHB agencies as the two new contracts awarded were with existing agencies.

Champaign County Head Start did contact me and other members of the team about the amount of the award for the Early Childhood Mental Health Services contract. CCHS made an error in the amount requested versus the amount expensed in the application. This discrepancy was noted in the program summary but not specifically addressed by CCHS during the allocation review process. The contract award matched the amount requested and required revisions to the @) personnel and expense forms. The end result is that while the application proposed adding a new fourth social skills coach position, the award will only support the existing three coach positions. Considering budget constraints, it is unlikely an increase would have been recommended supporting the fourth position. The new contract does carry a special provision requiring the agency to demonstrate it has pursued other funding to expand support for the program as the CCMHB is currently the sole source of support.

Separate communications were also sent to agencies recommended for multi-year contracts and to those with new staff positions that required the award be pro-rated based on the new vacant positions. Of the eleven programs offered a multi-year contract, only Mahomet Area Youth Club declined the opportunity for its Members Matter program. Four programs were notified the contract award would be pro-rated. Of the four, one filled the new positions prior to the start of the contract year and had the contract amount restored to the full award. For more information on the pro-rated contracts please see the amendment report and the RACES Counseling Contract Decision Memorandum included in the Board packet under New Business.

The set of PY20 contracts with terms extended through the end of PY2 l also required attention during the contracting phase. Just as some PY21 awards required revisions to the original application, all the PY20 extended contracts needed to update the PY20 applications for PY2 l. All were reminded of this requirement with a detailed e-mail. The PY20 applications were cloned over to PY21 to aid them in the process. And technical assistance provided on request. This set of contracts also were issued amendments to add the COVID contract language as a special provision. For more details, see the Amendment Report in the B_oard packet.

Program Evaluation Committee: Following a meeting with the Program Evaluation Committee, a draft proposal has been received from the University of Illinois Program Evaluation Team. A Decision Memorandum with proposed scope of work and budget is included in the Board packet.

Criminal Justice - Mental Health: The CIT Steering Committee met via ZOOM for the first time since March. While some time was allotted for agency updates, the majority of the meeting was spent reviewing data on CIT contacts for the :first half of 2020 and getting a progress report on the One Door Crisis Response Initiative. Based on my notes, a few highlights from the data include of 842 CIT contacts by law enforcement, 5% resulted in arrest with another 1% getting a notice to appear and 82 individuals have had five or more contacts and account for 23% of all contacts. Regarding progress on One Door, planning has been impacted by the pandemic but the principals have started to talk again. Target d~te for opening has been pushed back to early 2021.

The Reentry Council will reconvene on July 8 via ZOOM. Updates from participating agencies and stakeholders will likely be the focus. The Council last met in early March.

Other Activity:

• Continued participation in various meetings including the Mental Health Developmental Disabilities Agencies Council, the United Way Community Impact Committee, the Council of Service Providers to the Homeless, and the Rantoul Service Providers Group. • Viewed a number of webinars on wide range of topics. I am currently in the midst of a three part series on Mental Health Care for Farming and Rural Communities. The series has placed an emphasis on understanding the unique cultural aspects of farm communities. Stephanie Howard-Gallo Operations and Compliance Coordinator Staff Report - July 2020 Board Meeting

SUMMARY OF ACTIVITY:

Audits: As previously reported, Promise Healthcare (CCMHB funded) did not submit an audit by their extended due date. Payments continue to be withheld.

Compliance: 3rd Quarter financial and program reports for all funded programs were due at the end of April. A funding suspension letter was sent to UP Center for not submitting reports; however, they quickly resolved the compliance issue.

Community Awareness/ Anti-Stigma Efforts/ Alliance for Inclusion and Respect (AIR): A Facebook page promotes AIR's mission, members, artists, events, and news articles of interest. I am one of the administrators of the page.

International Galleries at Lincoln Square in Urbana has hosted AIR artists free of charge for well over a year. This was stopped during COVID-19 and we are discussing when to resume safely.

Contracts: Following the Board's allocation decisions at the May Board meeting, contracts were drafted for close to programs whose term begins July 1, 2020. A spreadsheet developed by Mark Driscoll and Kim Bowdry tracks the processing of contracts. The spreadsheet indicates which contracts require negotiations, special provisions, revised CLC plans, and if revised program and/ or budget forms must be submitted. I track the date the contract is issued and date that it is returned .

I sent out contracts with an "award" letter. The award letter indicates the amount of money allocated to the program and if negotiation or revised forms are necessary . A copy of the "Contract Process and Information Sheet" is included with the award letter and contracts. The sheet provides a summary of the process and key dates, notes on revised plan requirements, refers to potential special provisions, and a reminder to read the contract. Once the contracts are signed and returned, copies are provided to the Financial Manager (Chris Wilson) and the Champaign County Auditor before payments can be issued . Contracts returned after the deadline will usually result in delayed payments. Completing the contract process is time consummg. It's a group effort among staff members. There were several agencies that returned contracts after the deadline, which has resulted in delayed payments.

Records and Data Retention: Master files are being set up for the new contract year beginning July 1. Paper files are kept on contracts, funding applications, audits, board minutes, site visit reports, program/financial reports, and any correspondence being sent or received. Generally, we keep 10 years of paper files in the master file room.

DisABILITY Expo: I am attending Steering Committee meetings.

Thrivent Financial's grant(s) for the purchase of snacks and water could not be used at the in-person event we had planned for March. Because the refreshments had already been purchased, they were donated to two organizations involved with service to the Champaign County public. Lynn and I delivered the boxes of refreshments to Urbana Neighborhood Connections and the Cunningham Township Office. Both organizations were very thankful for the food items and water.

Other: • Preparing meeting materials for CCMHB/CCDDB regular meetings and study sessions/ presentations. • Composing minutes from the meetings. • Attending meetings and study sessions for the CCDDB/CCMHB. • Attended two National Association of Counties (NACo) calls. • Virtually attended Community Coalition meetings and First Followers forum . • Participated in contract orientation with CU Autism Network (CCDDB funded). • Attended a MHDDAC meeting. 2020 July Staff Report- Shandra Summerville Cultural and Linguistic Competence Coordinator

Agency Cultural and Linguistic Competence (CLC)Technical Assistance, Monitoring, Support and Training for CCMHB/DDB Funded Agencies

COVID 19:

COVID-19{Aka-Coronavirus, "this Virus Thing", "The Rona", "The Virus") has changed how life is viewed about how life is viewed. Our community {the world) has experienced a level of change that no one would have anticipated that would impact how we would provide care to the most vulnerable people. There was flexibility and adjustment that had to be made quickly, as the CLC Coordinator there was a level of preparation that I did not know I would actually be ready for such a transition to working virtually versus, actually working at home during a pandemic. To say that this time has been hard, that is an understatement. With all of the training and support that I have provided to organizations on how to shift to be understanding of the most vulnerable communities, I was in a position to provide support to people that were once viewed as strong, become vulnerable to cultural shift that did not allow services to be provided in person. To say the least, work still had to go on, and late-night hours in the office are now, all from the very space that was once considered a place of peace and solitude.

This month's report will provide a snapshot of the CCMHB/DDB CLCJourney and resources to begin thinking about how we move forward to think about how to address racism as funder.

CLCCoordinator Direct Service Activities

Mental Health First Aid-

On June 15, 2020 there was an updated Mental Health First Aid Instructor Training. I am completing the virtual training and blended learning option. Once I have completed the instructor training, classes will be offered to members of our community.

Anti-Stigma Activities/Community Collaborations and Partnerships

Disability Resource Expo: I worked with the committee members to look at how to realize an opportunity to do a virtual Expo. We looked at several platforms and there was an issue with accessibility for people living with disabilities that would limit full participation in a virtual experience. The members of the committee will decide on what the next steps will be. I will no longer serve in the volunteer coordination role moving forward. I will provide support to Jim and Barb as needed as staff member of CCMHB/DDB.

AIR- Alliance for Inclusion and Respect: I met with Ebertfest representatives to discuss the opportunity of a virtual screening for the sponsored film.

1 I Page 2020 July Staff Report- Shandra Summerville Cultural and Linguistic Competence Coordinator C-HEARTSAfrican American Story Telling Project: I have been meeting with the C-Hearts Group to discuss the future direction and how our work will serve the community. I have also attached the article that was published to show how the Community Healing Framework was used in our community.

Snapshot of the CCMHB/DDB Journey of Cultural and Linguistic Competence

1999 2001 2002-2003 2003-2004 2005

Mental Health: A Mental Health: CCMHB hired Dr. Carl The First CLC Plans CCMHB Monitored Report of the Culture Race and Bell and local experts were submitted with CLC Plans for Surgeon General was Ethnicity: A Multicultural funding applications feedback to ensure released that talked Supplement to the Professional that culture was about the stigma of Report of the Consultants to assess represented in the receiving mental Surgeon General. To cultural competence services that were health treatment give a deeper of Human Services in provided. understanding to Champaign County. show there is a clear history and context of Minority Mental Health.

2006 2006-2009 2005-2009 2010 2010-2012 CCMHB begin to Effective Black System of Care CLCCoordinator promote community- Parenting was Values were position was created System of Care based services to offered by the U of I Family Driven in community-based Funded by SAMHSA, provide mental Psychology Youth Guided organization to CLCCoordinator health services to Department Cultural and provide technical Position was part of underserved youth Community Outreach Linguistic assistance and the CCMHB SOC that were targeted to Department funded Competence training to funded administrative team. address the mental by CCMHB introduced to organizations. health to include provide support to culture, race, and youth that were ethnicity overrepresented in child-serving systems

2 I Page 2020 July Staff Report- Shandra Summerville Cultural and Linguistic Competence Coordinator

2011 2012 2012 2013-Present 2014-Present

CCDDB required DDB/CCMHB Standardized CLC Enhanced National CCMHB/DDB funded agencies to co-funded position Template was CLAS Standards were Hired CLC submit CLC Plans of the CLC required for used to guide CLC Coordinator to Coordinator organizations to work in CCHMB/DDB monitor, provide show accountability Funded Agencies. training, and and involvement of leadership for the individuals Cultural Competence served, and Cultural Diversity

I realize this is only a snapshot of CLCJourney, and this is an opportunity to begin looking at your progress and decide how you want to continue to move forward. You should celebrate that as a decision maker CCMHB/DDB started a process to address the disparities and quality care of marginalized people and underrepresented communities. You can identify and what you value moving forward and how racism impacts the people that are receiving services in our community.

3 I Page 2020 July Staff Report- Shandra Summerville Cultural and Linguistic Competence Coordinator

Short Resource List to Start the Conversation About Racism as a Decision Maker As the CLC Coordinator, I am amazed about the wealth of perspective and reading lists that so many people have just passed along. As I continue to look at the value of cultural competence, I have realized that this journey I have been challenged to think beyond, my lived experience and appreciate the culture that every person brings. I have also learned that it is time to look at the foundation of why every culture is not appreciated or accepted. This list of some resources to begin to start the process of how we can begin to reset and see how cultural and linguistic competence will continue to impact the programs and the quality of care that we can provide to our most vulnerable communities.

Foundational Information- These are the resources that were used to begin to define our iourney of cultural competence. MENTAL HEALTH:Culture, Race, and Ethnicity A SUPPLEMENTTO MENTAL HEALTH:A REPORTOF THE SURGEONGENERAL https:ljdrum.lib.umd.edu/bitstream/handle/1903/22834/sma-01- 3613.pdf?seguence=l&isAllowed=y

National CLASStandards Fact Sheet https://thinkculturalhealth.hhs.gov/pdfs/NationalCLASStandardsFactSheet.pdf

News Articles Seven Ways Funders Can Support Racial Justice https://movementstrategy.org/seven-ways-funders-can-support-racial-justice/

"Long overdue": Lawmakers declare racism a public health emergency Black and Brown Americans are susceptible to higher rates of infant mortality, heart disease and even an advanced aging process https://www .theguardian.com/society/2020/jun/12/racism-public-health-black-brown­ coronavirus

Harvard Public Health Review Editorial Board. Racism is a public health problem. Harvard Public Health Review. Winter 2015;3. http://h arvard pub Iichealth review .org/h ph r-ed itorial-racism-is-a-pu bl ic-hea Ith-problem/

Why Racism, Not Race, Is a Risk Factor for Dying of COVID-19

4 I Page 2020 July Staff Report- Shandra Summerville Cultural and Linguistic Competence Coordinator https:ljwww.scientificamerican.com/article/why-racism-not-race-is-a-risk-factor-for-dying-of- covid-191/?fbcl id=lwAR2d KsngQPgbOrSlcmgVjwp Lfwt FR0BsZn Yxd IQStePqeglch RSOg3mwDA

Healing America: A Funder's Commitment to Racial Equity https://bjn9t21hlni2dhd5hvym711j-wpengine.netdna-ssl.com/wp-content/uploads/2016/12/RP­ Summer10-Christopher.pdf

Videos Unnatural Natural Causes: Is Inequality Making Us Sick https://www.pbs.org/unnaturalcauses/

The danger of a single story I Chimamanda Ngozi Adichie https :ljwww. youtu be .com/watch ?v=D9 I hs24 lzeg

Emancipation from Mental Slavery I Dr. Cheryl Tawede Grills https ://www .youtu be .com/watch ?v=kkXse THxusw

DREAMing and Designing Spaces of Hope in a "Hidden America" I Ruby Mendenhall I TEDxUIUC https://www .youtube.com/watch ?v=O8t-auPPFOo

Podcasts Julie Wurth. November 27, 2019. Campus Conversations. News-Gazette https://www.news-gazette.com/podcasts/campus-conversation-ui-professor-ruby-

mendenhall/audio 42e81376-1086-llea-89a0-9flff47e88a9.html ►

Listen to What They are Saying Learn to see through protesters' eyes with these podcasts https://www.nytimes.com/2020/06/06/arts/podcasts-about-race-and-racism.html

5 I Page (!') Check for up~

Article

Journal of Black Psychology 1-27 Community Healing © The Author(s) 2020 Article reuse guidelines: and Resistance sagepub.com/journals-permissions DOI: IO.I I 77/009S798420929468 Through Storytelling: A journals.sagepub.com/home/jbp Framework to Address ISAGE Racial Trauma in Africana Communities

Nkechinyelum A. Chioneso1G, Carla D. Hunter 2 G), Robyn L. Gobin2, Sharde McNeil Smith2CI!), Ruby Mendenhall2, and Helen A. Neville2

Abstract Racial trauma, an ongoing consequence of historical trauma, has deleterious effects on the well-being of Africana communities. The psychological literature primarily reflects individual processes in the relationship between racial trauma and healing. Going beyond individualistic approaches, we present a community healing framework informed by multidisciplinary scholarship: Community Healing and Resistance Through Storytelling (C-HeARTS).Three major components of the framework are delineated: (a) justice as both a condition of and an outcome of community healing; (b) culturally syntonic processes (i.e., storytelling and resistance) that direct the renarrating of trauma and act as conduits for transformation; and (c) psychological dimensions (i.e., connectedness, collective memory, and critical consciousness) that promote justice-informed outcomes. In the

1Florida A&M University, Tallahassee, FL, USA 1University of Illinois at Urbana-Champaign, Champaign, IL, USA

Corresponding Author: Nkechinyelum A. Chioneso, Department of Psychology, Florida A&M University, 50 I Orr Drive, Tallahassee, FL 32307, USA. Email: [email protected] 2 Journal of Black Psychology00(0)

C-HeARTS framework, community is advanced as an agent of change while centering justice and the important role of cultural practices to facilitate community healing. '

Keywords African Americans, community healing, justice, racial trauma, storytelling

Systems of oppression, rooted in historical trauma- massive violence with the intent to impair and/or kill a group of people that cumulatively manifests as chronic psychological wounding across surviving generations- undermine the well-being of Africana communities (Burkett, 2017; Karlsen et al., 2005; Pieterse et al., 2012; Reitz & Banerjee, 2007). An ongoing consequence of historical trauma is racial trauma, which has deleterious effects on its victims. Racial trauma is defined as real and perceived danger, threats, witnessing harm, or humiliating and shaming events to ethnoracial individuals similar to the self that may be sudden, beyond their control, and emotionally overwhelm­ ing (Comas-Diaz et al., 2019). Racial trauma may emerge in response to rac­ ism (e.g., racial discrimination and microaggressions) that evoke stress and trauma reactions (Anderson & Stevenson, 2019; Carter, 2007; Nadal, 2018; Pieterse et al., 2010); and may be recurring, systemic, and intergenerational (Comas-Diaz et al., 2019). Thus, racial trauma encompasses cumulative expe­ riences of racism and has detrimental effects on psychological well-being (Helms et al., 201 O; Williams et al., 2018). Among people of African ancestry living in the United States, racial trauma has contributed to poor physical health (Kaholokula, 2016; Kendall-Tackett, 2009) and psychological distress (Polanco-Roman et al., 2016). Additionally, the psychosocial impacts of racial trauma may include the devaluation of the self (Graham et al., 2016; Williams et al., 2018), erosion of family ties (Anderson & Stevenson, 2019), and weak­ ened community relationships (Riina et al., 2013). Increasing numbers of clinical models identify the impact of racial trauma on individual well-being and suggest personal healing strategies (e.g., Bryant­ Davis & Ocampo, 2006; Carter, 2007; Comas-Diaz, 2016). Both family and community-oriented scholarship that focus on racial trauma recognize not only the importance of personal healing strategies but also advocate for collective healing processes (Anderson et al., 2018; Chavez-Duenas et al., 2019; French et al., 2019). Taking community-oriented scholarship a step further, we recom­ mend partnering with communities in ways that focus on community strengths and address community challenges to restore a healthy balance within persons and among individuals (Grills et al., 2018; Myers et al., 2018; Some, 1993). Chioneso et al. 3

Thus, we propose a culturally syntonic community healing framework pertain­ ing to racial trauma that highlights justice-informed outcomes demonstrated in psychology and health literatures. In so doing, the Community Healing and Resistance Through Storytelling (C-HeARTS) framework is delineated. Our framework synthesizes the existing scholarship on racial trauma and healing strategies to reflect the multiple processes associated with community healing. To establish a common language within the racial trauma scholarship, com­ munity healing is first defined. Next, justice as a foundational concept is dis­ cussed before we elaborate on the roles of two proposed culturally syntonic mechanisms: storytelling and resistance. Finally, we review and synthesize the literature on trauma and healing to illustrate three psychological dimensions and accompanying collective interventions that together inform processes that promote community healing. Ultimately, our goal is to advance community as an agent of change while centering justice and the important role of cultural practices to facilitate community healing.

Community Healing Community and healing are often separate concepts in scholarly discourse, whereas community healing is rarely discussed in psychological literature. Although community has multiple meanings, community as locality (e.g., neighborhood) and community as a relational group without place restric­ tions (e.g., membership in a labor union) are two salient distinctions made in the social sciences (Bradford, 2017; Kloos et al., 2012). Irrespective of disci­ plinary lens, most concepts of community reflect a sense of connectedness­ through geography, shared history, culture, a sense of belonging, influence, the fulfillment of needs, and effective mediums of communication (Farwell & Cole, 2002; McMillan & Chavis, 1986). What is also emphasized here is that community is a collective change agent, a "unit of solution in society" through which people can proactively address trauma-related problems within their locality and relational groups (Checkoway, 1995, p. 3). Like the term community, healing is a positively described term that lacks an easily recognizable definition. Some healing definitions emphasize spiritu­ ality. In Latino ethnic psychology, healing and sabiduria are interlinked. Sabiduria is to perceive illness as a spiritual development opportunity that requires personal evolvement and connectedness with others (Comas-Diaz, 2006). While healing is more readily understood as physiological and behav­ ioral improvements, healing is often perceived as an individual journey toward wellness that involves the personal transcendence of suffering (Egnew, 2005). However, other definitions of healing rooted in trauma scholarship indicate that creating a collective memory is a key aspect of healing trauma that 4 Journal of Black Psychology00(0) involves transitioning an individual's private pain to the public domain (Puvimanasinghe & Price, 2016; Stepakoff et al., 2006). When personal heal­ ing is embedded within a communal framework, we argue that a greater trans­ formational process will be facilitated by a shared collective memory, which can help shift bodies, minds, and spirits from a status of suffering to repair and create opportunities to evolve (Myers, 2013; Some, 1993). Given the importance ascribed to the terms community and healing, the existence of community healing scholarship is a reasonable expectation. To date, a body of literature that promotes communal practices, and increasing critical consciousness has been unfolding for over 20 years within Indigenous (Brave Heart & DeBruyn, 1998; Duran et al., 2008; Kowanko et al., 2009; Warry, 1998) and African-centered scholarship (Akbar et al., 1980; Grills & Rowe, 1998; Kambon, 1992; Myers, 1993). Identifying links between preva­ lent psychosocial diseases (e.g., suicidality) among North American Indigenous peoples and macrostructures ( e.g., colonialism) resulted in the coining of the term "historical trauma" and the development of the Historical Trauma and Unresolved Grief (HTUG) Intervention for American Indians (Brave Heart, 2003; Brave Heart & DeBruyn, 1998). Using the HTUG model, Brave Heart and DeBruyn (l 998) described American Indian participants' community healing as occurring through facil­ itated communal grief rituals that incorporate traditional practices (e.g., sto­ rytelling) and involve extended kin networks. Engaging in these processes had a positive impact on participants' identity formation, a sense of belong­ ing, recognition of a shared history, and future survival of the group (Brave Heart & DeBruyn, 1998). A major outcome of their community healing engagement processes was the Takini Network, a Lakota Nation holocaust survivors' association that provides historical trauma training to human ser­ vice providers (Brave Heart & DeBruyn, 1998). Other structural-focused community healing approaches used by North American Indigenous com­ munities have included the following: (a) designing culturally appropriate health care initiatives such as the People Awakening Team, an Alaska Native people's project that records life stories in narrative format to identify protec­ tive variables that prevent alcohol abuse (Duran et al., 2008); and (b) restor­ ing cultural values, language, and traditions by establishing a Sagamok First Nation controlled school (Warry, 1998). From an African-centered perspective, healing is a community endeavor that involves maintaining a harmonious balance between the spiritual realm and physical world (Jackson-Lowman, 2004; Mariette, 2013; Some, 1993). This holistic perspective regards animate life forms and inanimate objects as divine sources of energy within an African metaphysical hierarchy: God, gods, spirits, ancestors, and then humans (Omonzejele, 2008). God is considered the Chioneso et al. 5 supreme source of healing from which all sources of healing are derived. Special deities (e.g., Osanyin and Agwu, Yoruba and Igbo deities, respectively) and spirits are guardians who guide the curative use of nature's vast healing energies (Opoku, 1978; Washington, 2010). (Re )establishing spiritual harmony with one's ancestors is a healing prerequisite that allows for access to special cures (Omonzejele, 2008). To meet human needs, the interdependency of a community creates opportunities to achieve what is difficult to achieve alone when the following commitments are upheld: unity, trust, openness, love and caring, uplifting elders who are the collective memory of the community, respect for nature's medicinal wisdom, and honoring the ancestors (Some, 1993). Cultural healing practices may include specific rituals, drumming, danc­ ing, singing, and storytelling (Monteiro & Wall, 2011; Some, 1993; Stepakoff et al., 2006). While African concepts of wellness generally characterize a per­ son's health status as a communal affair, it also characterizes human knowledge as limited: incapable of explaining all that exists on Earth and beyond (Fu-Kiau, 1991 ). Therefore, healing is predicated on the maintenance of positive relations between humans and the spiritual realm, nature, and among fellow human beings (Jackson-Lowman, 2004; Omonzejele, 2008; Opoku, 1978). Mental and physical pain represents a soul seeking realignment with the spiritual world, restoration of inner power, and the opportunity to grow (Fu-Kiau, 1991; Some, 1993). Operating from an African-centered world­ view, the Community Healing Network and the Association of Black Psychologists sought to heal soul wounds within Africana communities. They jointly developed Emotional Emancipation Circles (EECs) to expose historical trauma and overturn "the pernicious lies of Black inferiority [nar­ ratives that] fall under the broader rubric of racism" (Grills et al., 2016, p. 337). EECs are designed to be safe cultural spaces for people of African ancestry to share their stories and engage in critical community reflection through a facilitated group process. While engendering self-determination and cultural integrity, the sign of an effective EEC is the development of civi­ cally engaged participants organizing community actions that reduce sys­ temic violence in Africana communities (Grills et al., 2016). Racial trauma occurs within an oppressive sociopolitical context (Comas­ Diaz et al., 2019). Treatment models that promote a client's resistance strate­ gies (e.g., filing charges against racist perpetrators and lobbying for antiracist policies; Bryant-Davis & Ocampo, 2006); social action (e.g., framing racism as a form of ethnoviolence while advocating for racial equality; Comas-Diaz, 2016); and connections among individuals, families, and communities to their collective cultural strengths (Chavez-Duenas et al., 2019) highlight the impor­ tance of critical consciousness in the healing process. The need for clinical solutions is important but limited without community healing interventions 6 Journal of Black Psychology00(0)

Community

•Healing

Figure I. C-HeARTS framework. that develop collective critical discourse and actions to dismantle systems of oppression (Grills et al., 2016; Hartmann et al., 2019). Therefore, the com­ munity healing concept emphasizes collective responsibility and advances a critical consciousness that resists disempowennent using culturally restorative practices to enable self-determined realities, which should be understood as justice (Fanon, 2018; Mccaslin, 2005). Based on our review of community healing scholarship, we argue that community healing is a multilevel process that is composed of three compo­ nents as illustrated in Figure 1. First, at the core of community healing is jus­ tice; a guiding principle that is both a condition of and outcome of community healing (Myers et al., 2018; Prilleltensky, 2012). Second, culturally syntonic processes working in tandem, such as storytelling and resistance, may facili­ tate the renarrating of trauma and serve as motivating factors that bring behav­ iors into focus and ideas into action (Burkett, 2017; Harrell, 2015; Myers, 2013). Finally, community healing consists of three key psychological dimen­ sions: connectedness, collective memory, and critical consciousness. We inte­ grate these various perspectives to define community healing as an ongoing multilevel process whereby oppressed groups strengthen their connectedness and collective memory through culturally syntonic processes in ways that pro­ mote critical consciousness to achieve optimal states of justice. Chioneso et al. 7

C-HeARTS Framework Justice If "justice is what love looks like in public" (West, 2014 ), then justice in the United States is obscure, at best, for significant numbers of African descent people (Alexander, 2012). When examining racial trauma within Africana communities, the meaning of mental health and well-being within an oppressive context cannot be ignored (Anderson & Stevenson, 2019; Myers & Speight, 2010). For example, with the overpolicing of predominately Africana communities, research indicates that a disproportionate number of Black women are incarcerated (approximately 19%) or under correctional surveillance and experience high rates of depression (Malcolme et al., 2019). Black males have greater dire encounters with the police (e.g., increased negative perceptions of their personhood) and are twice as likely to be killed by the police before the age of 21 years compared with their White male counterparts (Harris & Amutah-Onukagha, 2019). Thus, con­ ceptualized as a moral ideal in the C-HeARTS framework,justice is a com­ mitment to right interrelationships between the spiritual realm, nature, and among humans; it encompasses ethical behaviors such as seeking truth, harmony, balance, and reciprocity (Karenga, 2004). By centralizing justice as a guiding principle within healing, a communi­ ty's status will more profoundly shift from suffering to thriving whenjustice­ infonned outcomes are promoted at multiple psychosocial levels (Myers et al., 2018; Prilleltensky, 2012; Watts et al., 2011). Centralizing justice requires assessing, what Prilleltensky (2012) described as, objective well­ being (e.g., access to food, nonabusive relationships, adequate pay, and a clean environment) and subjective well-being (e.g., perceptions of life satis­ faction, emotional support, positive working climate, and freedom to express political opinions). Objective and subjective indicators of well-being occur within three spheres of life: (a) personal sphere (e.g., feeling safe and accepted; more access to social capital); (b) interpersonal sphere (e.g. , mak­ ing decisions; fair sharing of obligations and privileges); and (c) organiza­ tional sphere ( e.g., reward and effort are aligned; systems in place to promote fairness). When both indicators of well-being are promoted in each sphere of life, then realizing justice-informed outcomes are experienced at higher lev­ els of thriving (Prilleltensky, 2012). Centralizing justice will also call public attention to the fact that "soul wounds-the cumulative psychological wounds that result from historical traumatic experiences, such as coloniza­ tion, genocide, slavery, dislocation, and other related trauma"-· are as detri­ mental as bodily wounds (Comas-Diaz et al., 2019, p. 2). 8 Journal of Black Psychology00(0)

Equally important, justice is incomplete without embodying cultural integrity. For example, Moving to the Beat, a 4-year social action research project used hip hop as a language of social change to generate a "social therapeutic space" between youth in Sierra Leone and the United States seek­ ing positive collective identities that "encompasses the trauma, ideals, hopes and losses born of their common and differing histories" (Haaken et al., 2012, p. 64). Similarly, African American youth residing in violent and underre­ sourced neighborhoods reported that the development of urban dance cul­ hues (e.g., Krumping) cultivated sacred community healing spaces that allowed them to make statements, construct collective identities, elevate the importance of their lives, and reconnect to their spirit (Monteiro & Wall, 2011). In other words, achieving justice requires a community to proactively engage its cultural systems to experience justice as healing (Mccaslin, 2005).

Culturally Syntonic Processes:The Roles of Storytelling and Resistance Culturally syntonic processes in the C-HeARTS framework are understood to be "historical, socio-politically-situated, and organizing . .. patterns of being, believing, bonding, belonging, behaving, and becoming" that are evident, for example, in communication styles and healing practices among a group of people with shared identities or defining experiences (Harrell, 2015, p. 19). For a community to function optimally (i.e., justly), culturally syntonic pro­ cesses that involve storytelling and resistance will likely nurture community bonds (Banks-Wallace, 2002) and direct the development of a community action plan grounded in cultural wisdom (Armah, 2010; Mariette, 2013; Myers & Speight, 201 O; Woods, 2009). Thus, storytelling in tandem with resistance are proposed culturally syntonic processes deemed appropriate for Africana communities to support the renarrating of trauma and act as con­ duits for transformation (Denham, 2008).

Storytelling. Although not unique to Africana communities, storytelling is a rich oral tradition found to be an effective healing intervention (Brave Heart & DeBruyn, 1998; Bryant-Davis & Ocampo, 2006; Carter, 2007; Comas-Diaz, 2007). Narrative therapy and testimonio, as two examples, involve the process of sharing one's personal stories with others to facili­ tate reprocessing and reframing negative cognitions to positive cognitions (Comas-Diaz, 2016; Parks, 2007). A story is an umbrella term that includes a personal story (i.e., idiosyncratic cognitive representations of events) and a narrative (i.e., communal representations of commonly experienced events; Chioneso et al. 9

Mankowski & Rappaport, 2000). Two distinct narrative subtypes exist. A community narrative is a common story about the group itself in a particular setting, consisting of personal and paralleling stories among group mem­ bers; whereas a dominant cultural narrative is an overleamed (positive or negative) story communicated by major socializing institutions, often con­ trolled by powerful people in a society, that impact the identities, beliefs, and values of the populace (Mankowski & Rappaport, 2000). Increasingly, among racial trauma survivors, the legacy of historical trauma in presenting symptomology is being acknowledged (Comas-Diaz, 2016; Duran et al., 2008; Jernigan & Daniel, 2011). Storytelling not only facilitates an understanding of human behavior, it also functions as a tool for resisting oppression (Comas-Diaz, 2016; Denham, 2008), fostering healing (Sunwolf, 2005), and promoting spiritual communion (Banks­ Wallace, 1998; 2002). In community settings, storytelling has contributed to restoring cultural identities (Lawson-Te Aho, 20 I 4), building a sense of community (Mankowski & Rappaport, 2000), and serving as counterhege­ monic stories to refute negative stories about oppressed groups (Bell, 2003; Haaken et al., 2012). Therefore, as a response to racial trauma, sto­ rytelling approaches ( e.g., testimony therapy, sociotherapy, and digital sto­ rytelling) have been incorporated into treatment plans (Bryant-Davis & Ocampo, 2006; Carter, 2007; Comas-Diaz, 2007) and community healing practices (Grills et al., 2016).

Resistance. A critical understanding of the sociopolitical movements of Africana communities (e.g., antilynching, Pan African, and Black Power) reveals an ongoing struggle for community healing, whereby resistance cou­ pled with cultural tools and liberatory practices nurture organized collective demands for justice (Myers et al., 2018). Resistance is conceptualized as the dynamic interplay between self-determination and defiance. Self-determina­ tion is the process of choosing thoughts and behaviors that positively shapes one's destiny; it drives the fulfillment of human needs and is a desired end state (Bulhan, 1985). Historically through social movements, Africana com­ munities equated self-determination with freedom, and therefore pursued ideas and experiences that defied the status quo. Defiance allowed for inten­ tional planning to achieve more adaptive conditions that may ensure the real­ ization of (individual and collective) self-determined goals (Gordon, 2004). The review of the literature on culturally syntonic processes, considered together, has demonstrated that storytelling about and resistance to obstruc­ tive or destructive systems of oppression is a healthy response that cultivates opportunities for community healing (Burkett, 2017). 10 Journal of Black Psychology00(0)

Three PsychologicalDimensions The overview of the literature thus far highlights key factors necessary to promote community healing within the C-HeARTS framework. Synthesizing research on storytelling, resistance, and justice, we now demonstrate the specific ways that three psychological dimensions- connectedness, collec­ tive memory, and critical consciousness- may contribute to community healing processes. As summarized in Table 1, we propose that community healing is advanced when collective interventions and liberatory practices are used to promote justice-informed outcomes that can be assessed using objective and subjective indicators of well-being within three spheres of life (i.e., personal, interpersonal, and organizational). To lend credibility to our proposal, we review the literature on each psychological dimension emphasizing the role of storytelling and resistance in community healing. Then, we succinctly review relevant psychological and health related litera­ ture to provide suggested collective interventions and accompanying jus­ tice-informed outcomes.

Dimension f: Connectedness. A multidimensional concept consisting of mutual interdependence, a shared identity, and a sense of belonging, connect­ edness includes relationships between the mental, physical, emotional, and spiritual realms of people and their environments (Hill, 2006; Nobles, 1991; Schiele, 1996). A sense of connectedness may result in fostering a heightened sense of comfort or wellness, and reducing anxiety (Hagerty et al., 1993), while increasing access to social support and the ability to effectively engage in daily functioning among traumatized individuals (Stepakoff et al., 2006). Within a personal sphere of life, connectedness can be fostered through understanding, validating, and nurturing individual experiences. Storytell­ ing and resistance have been found to provide opportunities for tellers to self-reflect on their experiences, and witnesses to gain insight into their own lives when they understand how others have overcome similar challenges (East et al., 20 I 0). Listening attentively and avoiding judgmental feedback encourages the teller to halt self-rejecting thoughts and negative emotions, which serves to validate shared trauma (Comas-Diaz, 2016; Richters et al., 2008). Such validation nurtures connections with both the self and the col­ lective because there is a refocusing on the teller's strengths and redeemable qualities (Banks-Wallace, 1998). Given that promoting and maintaining con­ nectedness is vital for community healing (Schultz et al., 2016), we propose that collective interventions, such as testifying opportunities and facilitating group processes, help participants experience connectedness, thereby, mak­ ing justice-informed outcomes possible. Table I. C-HeARTS Framework: Psychological Dimensions, Culturally Syntonic Processes, Collective Intervention Examples, and Justice-Informed Outcomes.

Justice-informed outcomes Three psychological Collective dimensions and key intervention Objeaive indicators of Subjeaive indicators of components Culturally syntonic processes examples Spheres of life well-being well-being

Dimension I: Conneaedness Understand Storytelling promotes understanding, Testifying Personal Reduced symptoms of Feeling safe. accepted, validates shared trauma. and nurtures opportunities depression, more smiling, respected community bonds; while resistance less crying diminishes psychological states of Validate indifference. devaluation of the self Facilitated group More access to social Life satisfaction evaluations, and others, and ruptured community processes bonding and social capital perceived sense of Nurture ties. control

~ Dimension II: Colleaive memory Trust Storytelling promotes trust in the group Cocreate and share Interpersonal Exercise voice and choice, Feeling heard, sense of processes, recall of historical traumas products growth in relationship growth as person and and triumphs, and psychological unit, making decisions decolonization; while resistance Remember disrupts interpersonal distrust, Critical community Fair sharing of obligations Feeling valued and historical amnesia. and inaccurate reflection and privileges respected, not taken Decolonize personal stories and distorted for granted, free of community narratives. stereotypes Dimension Ill: Critical consciousness Empower Storytelling promotes personal New community Organizational Opportunities to express Feeling that reward and empowerment. collective organizing. narratives opinions, exercise effort are aligned, and advocacy for community needs; control, and to build and control and demands are while resistance helps reduce display strengths aligned, satisfaction with disempowering thought panerns, competency level inertia, and systemic inequities. Organize Critical community Policies, procedures, and Being treated with fairness action praaices chat respect and respect, perceiving Advocate all individuals equally, collaborato~ as fair and systems in place co equitable promote fairness 12 Journal of Black Psychology00(0)

Collective intervention examples and justice-informed outcomes. Testifying opportunities, like testimony therapy or "testimonio" invite survivors and community members to resist internalizing blame through first-person testi­ monio accounts. With the community bearing witness, first-person accounts include pre-trauma experiences that can provide emotional release, validate and document the storyteller's lived experience, and facilitate posttraumatic meaning making (Akinyela, 2005; Aron, 1992; Cienfuegos & Monelli, 1983). Testimonials in the form of collaborative poems that depicted trauma and memory cloths that connected recent history with personal tragedies enabled West African survivors of torture and civil war to step outside their pain and bear witness to an ethnopolitical phenomenon (Stepakoff et al., 2006). These public truth telling experiences contributed to reduced depression and trau­ matic stress, while it increased access to social bonding and social capital: objective indicators of well-being (Stepakoff et al., 2006). Testifying oppor­ tunities for war-affected Mayan children in Guatemala were designed as a creative workshop that encouraged participants to engage in cultural activi­ ties (e.g., making masks, weaving, and storytelling; Farwell & Cole, 2002). Subjective indicators of well-being were noted when the workshops not only helped children and their parents to better understand their collective trauma but also inspired their feelings of safety, acceptance, and respect in ways that allowed them to actively nurture their social bonds. The revolutionary psychiatrist Frantz Fanon recognized the link between oppression and mental health among colonized communities in Africa. He advocated for the use of sociotherapy, a communal healing strategy, to sup­ port social bonding and rebuilding communities among patients in psychiat­ ric institutions (Fanon, 2018). Sociotherapy is a facilitated group process that addresses mental health and well-being, and has been found to be particularly effective in the aftermath of war and political violence (Richters et al., 2008). Characterized as the "community acting as a doctor," sociotherapy groups are comprised of phases (e.g., safety, care, and respect) and guiding principles (e.g., democracy, nondirectivity, and a focus on reality) that inform core pro­ cedural rules (e.g., two-way communication, shared decision making, and collaborative leadership; Richters et al., 2008). In 2005, sociotherapy groups were implemented in Rwanda to address ethnopolitical trauma. Groups included 10 to 12 individuals who lived in the same community and met for 2 to 3 hours weekly at a local venue for approx­ imately 15 weeks, and each group was facilitated by trained group leaders, who were community residents (Richters et al., 2008). As social bonding and commitments to aid each other's well-being increased among participants, objective indicators of well-being were evident when participants gained greater access to social capital that could be leveraged for self and commu­ nity needs. In a subsequent study, subjective indicators of well-being were Chioneso et al. 13

demonstrated. Selected from 10 sociotherapy groups, 100 Rwandan partici­ pants completed presurveys and postsurveys, in addition to an 8-month fol­ low-up questionnaire, used to screen for common mental health disorders (Scholte et al., 2011). Compared with a demographically similar control group who did not participate in a sociotherapy intervention, experimental group participants reported better mental health; that is, greater perceived sense of control and higher levels of life satisfaction.

Dimension II: Collective memory. Collective memory, a group's shared understanding of the recent or distant past, is at the heart of psychological health (Zaromb et al., 2014). It aids in the healing process by unearthing the lived experiences of those whose histories have been hidden or erased from public record (Ainslie, 2013). Simultaneously, the exploration of a com­ munity's collective memory may limit the internalization of oppression by outlining how racial trauma is systemically embedded and institutionally per­ petuated (Burkett, 2017; Grills et al., 2016; Myers et al., 2018). To trust, remember, and decolonize minds help foster collective memory at the interpersonal sphere of life. Storytelling in a safe environment builds trust within group processes as community members resist interpersonal dis­ trust that is tied to denigrating dominant cultural narratives (Case & Hunter, 2012; Farwell & Cole, 2002). With greater trust, opportunities to resist the perpetuation of historical amnesia can develop, allowing personal stories and community narratives that highlight traumas and triumphs to be actively remembered (Comas-Diaz, 2016; Rappaport, 2000). By helping community members interrogate their potentially inaccurate personal stories and dis­ torted community narratives, storytelling and resistance may enhance their psychological decolonization process (Ainslie, 2013; Banks-Wallace, 1998; Comas-Diaz, 2016; Lawson-Te Aho, 2014). The goal is to promote move­ ment from internalized oppression and self-blame to restoring self-worth, reestablishing a sense of competency, and grieving what has been lost due to historical trauma (Bulhan, 1985; David & Okazaki, 2006; Lawson-Te Aho, 2014). Thus, we propose that cocreating and sharing products such as digital stories (Rolon-Dow, 2011 ), memory cloths (Stepakoff et al., 2006), docu­ mentary films (Haaken et al., 2012), and dramatizations (Farwell & Cole, 2002), and using these products to aid critical community reflection, support the construction of a collective memory that may challe_nge dominant cultural narratives and give voice to pursuing justice-informed outcomes.

Collective intervention examples and justice-informed outcomes. Interven­ tions that involve cocreating and sharing products, such as digital storytell­ ing methods, are integral to reaching populations traditionally underserved in health research. With digital storytelling approaches, participants have 14 journal of Black Psychology00(0) control over both the development and dissemination of their stories. They typically attend a group workshop to collaboratively tell a short story by learning how to produce a final (2- to 4-minute) digital product that incor­ porates multimedia (Briant et al., 2016). Briant et al. (2016), for example, interviewed Latinx cancer patients who created digital stories focused on cancer and found that their digital storytelling experience promoted the exer­ cise of voice and choice, objective indicators of well-being (Prilleltensky, 2012). This exercise subsequently contributed to growth in their interper­ sonal relationships with family members who gained a deeper understanding of cancer as an illness. The digital storytellers also experienced subjective indicators of well-being such as, a sense of growth as a person and feeling heard regarding their illness. Tellers' heightened subjective well-being con­ tributed to their ability to make more appropriate health-related decisions (e.g., eating healthier foods) with the support of their loved ones. Opportunities for critical community reflection are important for naming~ reengaging, and diminishing anger associated with historical trauma, and opening possibilities for developing a collective memory (Ainslie, 2013; Freire, 2000). An example of this can be found in relation to a long-standing historical trauma in a Texas community involving the "Sam Schwarz School," a segregated school for African American residents. The Sam Schwarz School was destroyed without the consent and despite the historical significance the school held for African American residents. Although the local school district had no official account of the school or its closing, decades later, a new build­ ing renamed the "Sam Schwarz Campus" was resurrected at the same site for students with academic/behavioral problems; and memories of positive com­ munity contributions were erased and became associated with deficiencies (Ainslie, 2013 ). Three interventions to promote community healing were developed: testimonial opportunities, a documentary film, and a public criti­ cal community reflection event. During the third intervention, African American alumni shared their educational successes and community narra­ tives with all community members as witnesses. Several subjective indica­ tors of well-being for the alumni emerged, such as feeling valued, not taken for granted, and disproving stereotypes. Important changes were also made by White school administrators that illustrated objective indicators of well­ being, primarily, a fair sharing of obligations and privileges. For example, the academic/behavioral problems program was removed from the Sam Schwarz Campus, and a permanent display of African American alumni photographs and memorabilia were erected at the school district's office (Ainslie, 2013 ). Through critical community reflection, dominant cultural narratives were interrogated, which prompted actions to construct a more authentic collective memory that increased the visibility and significance of African American history in the community's collective memory. Chioneso et al. 15

Dimension Ill: Critical consciousness. Referring to the social, political, and economic forces shaping lived experiences and community well-being, criti­ cal consciousness is a process predicated on a person's belief in their abil­ ity to engage in actions that will produce change (i.e., political efficacy; Freire, 2000). Emerging data support key tenets of critical consciousness among Africana communities (Hope & Jagers, 2014). Specifically, among youth of African ancestry, data suggest that civic related actions contribute to both youth development (Sherrod et al., 2010) and the development of their communities (Watts & Flanagan, 2007). Data also suggest that an activism­ oriented humanities curriculum that supports the development of particular character strengths ( e.g., critical thinking about racial oppression as interper­ sonal, institutional, and internalized oppression) foster critical consciousness among youth to challenge oppressive systems (Seider et al., 2017). The crux of critical consciousness, thus, demands increasing the abilities of commu­ nity members to address commonly identified concerns and taking action to challenge oppressive forces. At the organizational sphere of life, vast opportunities for individuals to empower themselves, organize, and advocate for community needs through storytelling and collective acts of resistance are essential to critical con­ sciousness. Telling counternarratives can empower storytellers because it creates occasions for them to name and debunk the larger dominant racial narrative, which is often hidden or denied. Additionally, storytellers are able to educate witnesses about an important social issue (Bell, 2016; Benmayor, 2008). Sharing stories using multimedia (e.g., flyers, web-videos, and biogs) may inform and galvanize others to organize. In the case of#BlackLivesMatter, people share video stories to stimulate critical awareness about long-standing state violence (e.g., police brutality) directed against people of African descent to encourage local communities to organize and demand changes (e.g., improve police-community relations, policies, and practices; Canella, 2017). Advocating for community needs can occur in multiple ways, whereby storytelling and resistance can reduce disempowering thought patterns, iner­ tia, and systemic inequities that exclude oppressed communities (Hoffman & Mitchell, 2016; Kimball et al., 2016). Eleven-year-old student activist Naomi Walder (2018), for example, advocated for females of African descent who are omitted in dominant cultural narratives about gun violence in the United States. At March for Our Lives (a student antigun violence demonstration held in Washington, DC, on March 24, 2018), she issued a call to action: "I represent the African American girls [and women who are victims of gun violence but] whose stories don't make the front page of every national news­ paper" because they "have been just numbers .... [H]elp me write the narra­ tive for this world to understand so that these girls and women are never forgotten" (Walder, 2018). Because storytelling and acts of resistance reveal (I) Check for updates

Article

Journal of Black Psychology 1-27 Community Healing © The Author(s) 2020 Article reuse guidelines: and Resistance sagepub.com/journals-permissions DOI: IO.l 177/0095798420929468 Through Storytelling: A journals.sagepub.com/home/jbp Framework to Address ($)SAGE Racial Trauma in Africana Communities

Nkechinyelum A. Chioneso1G, Carla D. Hunter 2 E), Robyn L. Gobin2, Sharde McNeil Smith2 f) , Ruby Mendenhall2, and Helen A. Neville2

Abstract Racial trauma, an ongoing consequence of historical trauma, has deleterious effects on the well-being of Africana communities. The psychological literature primarily reflects individual processes in the relationship between racial trauma and healing. Going beyond individualistic approaches, we present a community healing framework informed by multidisciplinary scholarship: Community Healing and Resistance Through Storytelling (C-HeARTS).Three major components of the framework are delineated: (a) justice as both a condition of and an outcome of community healing; (b) culturally syntonic processes (i.e., storytelling and resistance) that direct the renarrating of trauma and act as conduits for transformation; and (c) psychological dimensions (i.e., connectedness, collective memory, and critical consciousness) that promote justice-informed outcomes. In the

' Florida A&M University, Tallahassee, FL, USA 1University of Illinois at Urbana-Champaign, Champaign, IL, USA

Corresponding Author: Nkechinyelum A. Chioneso, Department of Psychology, Florida A&M University, 50 I Orr Drive, Tallahassee, FL 32307, USA. Email: [email protected] i-, Check for updates_,__J Article

Journal of Black Psychology 1-27 Community Healing © The Author(s) 2020 Article reuse guidelines: and Resistance sagepub.com/journals-permissions DOI: I0.l 177/0095798420929468 Through Storytelling: A jou rnals.sagepub.com/home/j bp Framework to Address ($)SAGE Racial Trauma in Africana Communities

Nkechinyelum A. Chioneso 1CD, Carla D. Hunter 2E), Robyn L. Gobin2, 2 Sharde McNeil Smith f,9, Ruby Mendenhall2, and Helen A. Neville2

Abstract Racial trauma, an ongoing consequence of historical trauma, has deleterious effects on the well-being of Africana communities. The psychological literature primarily reflects individual processes in the relationship between racial trauma and healing. Going beyond individualistic approaches, we present a community healing framework informed by multidisciplinary scholarship: Community Healing and Resistance Through Storytelling (C-HeARTS).Three major components of the framework are delineated: (a) justice as both a condition of and an outcome of community healing; (b) culturally syntonic processes (i.e., storytelling and resistance) that direct the renarrating of trauma and act as conduits for transformation; and (c) psychological dimensions (i.e., connectedness, collective memory, and critical consciousness) that promote justice-informed outcomes. In the

' Florida A&M University, Tallahassee, FL, USA 2University of Illinois at Urbana-Champaign, Champaign, IL, USA

Corresponding Author: Nkechinyelum A. Chioneso, Department of Psychology, Florida A&M University, SOI Orr Drive, Tallahassee, FL 32307, USA. Email: [email protected] 2 Journal of Black Psychology00(0)

C-HeARTS framework, community is advanced as an agent of change while centering justice and the important role of cultural practices to facilitate community healing.

Keywords African Americans, community healing, justice, racial trauma, storytelling

Systems of oppression, rooted in historical trauma- massive violence with the intent to impair and/or kill a group of people that cumulatively manifests as chronic psychological wounding across surviving generations-undermine the well-being of Africana communities (Burkett, 2017; Karlsen et al., 2005; Pieterse et al., 2012; Reitz & Banerjee, 2007). An ongoing consequence of historical trauma is racial trauma, which has deleterious effects on its victims. Racial trauma is defined as real and perceived danger, threats, witnessing harm, or humiliating and shaming events to ethnoracial individuals similar to the self that may be sudden, beyond their control, and emotionally overwhelm­ ing (Comas-Diaz et al., 2019). Racial trauma may emerge in response to rac­ ism (e.g., racial discrimination and microaggressions) that evoke stress and trauma reactions (Anderson & Stevenson, 2019; Carter, 2007; Nadal, 2018; Pieterse et al., 2010); and may be recurring, systemic, and intergenerational (Comas-Diaz et al., 2019). Thus, racial trauma encompasses cumulative expe­ riences of racism and has detrimental effects on psychological well-being (Helms et al., 20 l O; Williams et al., 2018). Among people of African ancestry living in the United States, racial trauma has contributed to poor physical health (Kaholokula, 2016; Kendall-Tackett, 2009) and psychological distress (Polanco-Roman et al., 2016). Additionally, the psychosocial impacts of racial trauma may include the devaluation of the self (Graham et al., 2016; Williams et al., 2018), erosion of family ties (Anderson & Stevenson, 2019), and weak­ ened community relationships (Riina et al., 2013). Increasing numbers of clinical models identify the impact of racial trauma on individual well-being and suggest personal healing strategies (e.g., Bryant­ Davis & Ocampo, 2006; Carter, 2007; Comas-Diaz, 2016). Both family and community-oriented scholarship that focus on racial trauma recognize not only the importance of personal healing strategies but also advocate for collective healing processes (Anderson et al., 2018; Chavez-Duenas et al., 2019; French et al., 2019). Taking community-oriented scholarship a step further, we recom­ mend partnering with communities in ways that focus on community strengths and address community challenges to restore a healthy balance within persons and among individuals (Grills et al., 2018; Myers et al., 2018; Some, 1993). Chioneso et al. 3

Thus, we propose a culturally syntonic community healing framework pertain­ ing to racial trauma that highlights justice-informed outcomes demonstrated in psychology and health literatures. In so doing, the Community Healing and Resistance Through Storytelling (C-HeARTS) framework is delineated. Our framework synthesizes the existing scholarship on racial trauma and healing strategies to reflect the multiple processes associated with community healing. To establish a common language within the racial trauma scholarship, com­ munity healing is first defined. Next, justice as a foundational concept is dis­ cussed before we elaborate on the roles of two proposed culturally syntonic mechanisms: storytelling and resistance. Finally, we review and synthesize the literature on trauma and healing to illustrate three psychological dimensions and accompanying collective interventions that together inform processes that promote community healing. Ultimately, our goal is to advance community as an agent of change while centering justice and the important role of cultural practices to facilitate community healing.

Community Healing Community and healing are often separate concepts in scholarly discourse, whereas community healing is rarely discussed in psychological literature. Although community has multiple meanings, community as locality ( e.g., neighborhood) and community as a relational group without place restric­ tions (e.g., membership in a labor union) are two salient distinctions made in the social sciences (Bradford, 2017; Kloos et al., 2012). Irrespective of disci­ plinary lens, most concepts of community reflect a sense of connectedness­ through geography, shared history, culture, a sense of belonging, influence, the fulfillment of needs, and effective mediums of communication (Farwell & Cole, 2002; McMillan & Chavis, 1986). What is also emphasized here is that community is a collective change agent, a .. unit of solution in society" through which people can proactively address trauma-related problems within their locality and relational groups (Checkoway, 1995, p. 3). Like the term community, healing is a positively described term that lacks an easily recognizable definition. Some healing definitions emphasize spiritu­ ality. In Latino ethnic psychology, healing and sabidur{a are interlinked. Sabiduria is to perceive illness as a spiritual development opportunity that requires personal evolvement and connectedness with others (Comas-Diaz, 2006). While healing is more readily understood as physiological and behav­ ioral improvements, healing is often perceived as an individual journey toward wellness that involves the personal transcendence of suffering (Egnew, 2005). However, other definitions of healing rooted in trauma scholarship indicate that creating a collective memory is a key aspect of healing trauma that 4 Journal of Black Psychology00(0) involves transitioning an individual's private pain to the public domain (Puvimanasinghe & Price, 2016; Stepakoff et al., 2006). When personal heal­ ing is embedded within a communal framework, we argue that a greater trans­ formational process will be facilitated by a shared collective memory, which can help shift bodies, minds, and spirits from a status of suffering to repair and create opportunities to evolve (Myers, 2013; Some, 1993). Given the importance ascribed to the terms community and healing, the existence of community healing scholarship is a reasonable expectation. To date, a body of literature that promotes communal practices, and increasing critical consciousness has been unfolding for over 20 years within Indigenous (Brave Heart & DeBruyn, 1998; Duran et al., 2008; Kowanko et al., 2009; Warry, 1998) and African-centered scholarship (Akbar et al., 1980; Grills & Rowe, 1998; Kambon, 1992; Myers, 1993). Identifying links between preva­ lent psychosocial diseases (e.g., suicidality) among North American Indigenous peoples and macrostructures (e.g., colonialism) resulted in the coining of the term "historical trauma" and the development of the Historical Trauma and Unresolved Grief (HTUG) Intervention for American Indians (Brave Heart, 2003; Brave Heart & DeBruyn, 1998). Using the HTUG model, Brave Heart and DeBruyn (1998) described American Indian participants' community healing as occurring through facil­ itated communal grief rituals that incorporate traditional practices ( e.g., sto­ rytelling) and involve extended kin networks. Engaging in these processes had a positive impact on participants' identity formation, a sense of belong­ ing, recognition of a shared history, and future survival of the group (Brave Heart & DeBruyn, 1998). A major outcome of their community healing engagement processes was the Takini Network, a Lakota Nation holocaust survivors' association that provides historical trauma training to human ser­ vice providers (Brave Heart & DeBruyn, 1998). Other structural-focused community healing approaches used by North American Indigenous com­ munities have included the following: (a) designing culturally appropriate health care initiatives such as the People Awakening Team, an Alaska Native people's project that records life stories in narrative format to identify protec­ tive variables that prevent alcohol abuse (Duran et al., 2008); and (b) restor­ ing cultural values, language, and traditions by establishing a Sagamok First Nation controlled school (Warry, 1998). From an African-centered perspective, healing is a community endeavor that involves maintaining a harmonious balance between the spiritual realm and physical world (Jackson-Lowman, 2004; Mariette, 2013; Some, 1993). This holistic perspective regards animate life forms and inanimate objects as divine sources of energy within an African metaphysical hierarchy: God, gods, spirits, ancestors, and then humans (Omonzejele, 2008). God is considered the Chioneso et al. 5 supreme source of healing from which all sources of healing are derived. Special deities (e.g., Osanyin and Agwu, Yoruba and Igbo deities, respectively) and spirits are guardians who guide the curative use of nature's vast healing energies (Opoku, 1978; Washington, 2010). (Re)establishing spiritual harmony with one's ancestors is a healing prerequisite that allows for access to special cures (Omonzejele, 2008). To meet human needs, the interdependency of a community creates opportunities to achieve what is difficult to achieve alone when the following commitments are upheld: unity, trust, openness, love and caring, uplifting elders who are the collective memory of the community, respect for nature's medicinal wisdom, and honoring the ancestors (Some, 1993). Cultural healing practices may include specific rituals, drumming, danc­ ing, singing, and storytelling (Monteiro & Wall, 2011; Some, 1993; Stepakoff et al., 2006). While African concepts of wellness generally characterize a per­ son's health status as a communal affair, it also characterizes human knowledge as limited: incapable of explaining all that exists on Earth and beyond (Fu-Kiau, 199 I). Therefore, healing is predicated on the maintenance of positive relations between humans and the spiritual realm, nature, and among fellow human beings (Jackson-Lowman, 2004; Omonzejele, 2008; Opoku, 1978). Mental and physical pain represents a soul seeking realignment with the spiritual world, restoration of inner power, and the opportunity to grow (Fu-Kiau, 1991; Some, 1993). Operating from an African-centered world­ view, the Community Healing Network and the Association of Black Psychologists sought to heal soul wounds within Africana communities. They jointly developed Emotional Emancipation Circles (EECs) to expose historical trauma and overturn "the pernicious lies of Black inferiority [ nar­ ratives that] fall under the broader rubric of racism" (Grills et al., 2016, p. 337). EECs are designed to be safe cultural spaces for people of African ancestry to share their stories and engage in critical community reflection through a facilitated group process. While engendering self-determination and cultural integrity, the sign of an effective EEC is the development of civi­ cally engaged participants organizing community actions that reduce sys­ temic violence in Africana communities (Grills et al., 2016). Racial trauma occurs within an oppressive sociopolitical context (Comas­ Diaz et al., 2019). Treatment models that promote a client's resistance strate­ gies ( e.g., filing charges against racist perpetrators and lobbying for antiracist policies; Bryant-Davis & Ocampo, 2006); social action (e.g., framing racism as a form of ethnoviolence while advocating for racial equality; Comas-Diaz, 2016); and connections among individuals, families, and communities to their collective cultural strengths (Chavez-Duenas et al., 2019) highlight the impor­ tance of critical consciousness in the healing process. The need for clinical solutions is important but limited without community healing interventions 6 Journal of Black Psychology00(0)

Community

•Healing

Figure I. C-HeARTS framework. that develop collective critical discourse and actions to dismantle systems of oppression (Grills et al., 2016; Hartmann et al., 2019). Therefore, the com­ munity healing concept emphasizes collective responsibility and advances a critical consciousness that resists disempowennent using culturally restorative practices to enable self-determined realities, which should be understood as justice (Fanon, 2018; Mccaslin, 2005). Based on our review of community healing scholarship, we argue that community healing is a multilevel process that is composed of three compo­ nents as illustrated in Figure 1. First, at the core of community healing is jus­ tice; a guiding principle that is both a condition of and outcome of community healing (Myers et al., 2018; Prilleltensky, 2012). Second, culturally syntonic processes working in tandem, such as storytelling and resistance, may facili­ tate the renarrating of trauma and serve as motivating factors that bring behav­ iors into focus and ideas into action (Burkett, 2017; Harrell, 2015; Myers, 2013). Finally, community healing consists of three key psychological dimen­ sions: connectedness, collective memory, and critical consciousness. We inte­ grate these various perspectives to define community healing as an ongoing multilevel process whereby oppressed groups strengthen their connectedness and collective memory through culturally syntonic processes in ways that pro­ mote critical consciousness to achieve optimal states ofjustice.

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outcomes outcomes

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provide provide

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each each

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Journal Journal

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2016; 2016;

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2006

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health health

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2016), 2016),

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Richters Richters

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2006). 2006).

1993), 1993),

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to to to to Table I. C-HeARTS Framework: Psychological Dimensions, Culturally Syntonic Processes, Collective Intervention Examples, and Justice-Informed Outcomes.

Justice-informed outcomes Three psychological Collective dimensions and key intervention Objective indicators of Subjective indicators of components Culturally synconic processes examples Spheres of life well-being well-being Dimension I: Connectedness Understand Storytelling promotes understanding, T escifying Personal Reduced symptoms of Feeling safe, accepted, validates shared trauma. and nurtures opportunities depression, more smiling, respected community bonds; while resistance less crying diminishes psychological states of Validate indifference. devaluation of the self Facilitated group More access to social Life satisfaction evaluations, and others, and ruptured community processes bonding and social capital perceived sense of Nurture ties. control Dimension U: Collective memory Trust Storytelling ~ promotes trust in the group Cocreate and share Interpersonal Exercise voice and choice, Feeling heard, sense of processes, recall of historical traumas products growth in relationship growth as person and and triumphs. and psychological unit, making decisions decolonization: while resistance Remember disrupts interpersonal distrust. Critical community Fair sharing of obligations Feeling valued and historical amnesia, and inaccurate reflection and privileges respected, not taken Decolonize personal stories and distorted for granted, free of community narratives. stereotypes Dimension Ill: Critical consciousness Empower Storytelling promotes personal New community Organizational Opportunities to express Feeling that reward and empowerment. collective organizing, narratives opinions. exercise effort are aligned, and advocacy for community needs; control, and to build and control and demands are while resistance helps reduce display strengths aligned, satisfaction with disempowering thought patterns, competency level inertia, and systemic Organize inequities. Critical community Policies, procedures, and Being treated with fairness action practices that respect and respecc, perceiving Advocate all individuals equally, collaborators as fair and systems in place to equitable promote farmess

nity nity

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imately imately

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ties ties

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community community

12 12

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needs. needs.

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2005, 2005,

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EXPENDITURE APPROVAL LIST

6/05/20 PAGE 1

VENDOR VENDOR TRN B TR TRANS PO NO CHECK CHECK ACCOUNT NUMBER ACCOUNT DESCRIPTION ITEM DESCRIPTION EXPENDITURE NO NAME DTE N CD NO NUMBER DATE AMOUNT

*** FUND NO. 090 MENTAL HEALTH

*** DEPT NO. 053 MENTAL HEALTH BOARD

41 CHAMPAIGN COUNTY TREASURER HEALTH INSUR FND 620 5/13/2001 VR 620- 70 607895 5/15/20 090-053-513.06-00 EMPLOYEE HEALTH/LIFE INS MAY HI , LI & ADMIN 3,951.15 6/03/2004 VR 620- 80 608323 6/05/20 090-053-513.06-00 EMPLOYEE HEALTH/LIFE INS JUN-AUG LIFEWORKS 29. 70 VENDOR TOTAL 3,980.85 *

88 CHAMPAIGN COUNTY TREASURER I.M.R.F. FUND 088 5/13/2001 VR 88- 15 607899 5/15/20 090- 053- 513.02-00 IMRF - EMPLOYER COST IMRF 5/8 PR 1,148.05 5/28/2001 VR 88- 16 608226 5/29/20 090- 053- 513.02- 00 IMRF - EMPLOYER COST IMRF 5/22 PR 1,148.05 VENDOR TOTAL 2,296.10 *

CHAMPAIGN COUNTY TREASURER T & A ADVANCES 5/26/2001 VR 53· 159 608227 5/29/20 090-053-533 . 07- 00 PROFESSIONAL SERVICES TD 3464 MCMANUS 4/2 500.00 ~· VENDOR TOTAL 500. 00 * 176 CHAMPAIGN COUNTY TREASURER SELF-FUND INS FND476 5/28/ 2001 VR 119- 29 608229 5/29/ 20 090-053-513 . 04-00 WORKERS' COMPENSATION INSW/C 5/1, 8 , 22 PR 210.54 VENDOR TOTAL 210 . 54 *

188 CHAMPAIGN COUNTY TREASURER SOCIAL SECUR FUND188 5/13/2001 VR 188- 33 607903 5/15/20 090-053-513.01-00 SOCIAL SECURITY- EMPLOYER FICA 5/8 PR 1,201.44 5/28/2001 VR 188- 36 608231 5/29/20 090-053-513.01-00 SOCIAL SECURITY- EMPLOYER FICA 5/22 PR 1,201.47 VENDOR TOTAL 2,402.91 *

18430 CONSOLIDATED COMMUNICATIONS 5/19/2005 VR 28- 40 608080 5/22/20 090- 053- 533.33- 00 TELEPHONE SERVICE 21738437760 5/ 1 28.98 VENDOR TOTAL 28.98 *

27970 FREDERICK & HAGLE 5/19/2005 VR 53- 166 608096 5 / 22/ 20 090- 053- 533.07- 00 PROFESSIONAL SERVICES 2HR APR 5/4 440.00 VENDOR TOTAL 440.00 ~ CHAMPAIGN COUNTY

EXPENDITURE APPROVAL LIST

6/05/20 PAGE 2

VENDOR VENDOR TRN B TR TRANS PO NO CHECK CHECK ACCOUNT NUMBER ACCOUNT DESCRIPTION ITEM DESCRIPTION EXPENDITURE NO NAME DTE N CD NO NUMBER DATE AMOUNT

*** FUND NO. 090 MENTAL HEALTH

78888 VISA CARDMEMBER SERVICE - MENTAL HEALTH AC#4798510049573930 VR 5/28/2005 53- 167 608288 5/29/20 090-053-533.29-00 COMPUTER/INF TCH SERVICES3930 ADOBE 4/9 11 . 24- 5/28/2005 VR 53- 167 608288 5/29/20 090-053-533.98-00 DISABILITY EXPO 3930 EZ LOCK 4/9 2, 040. 00 5/28/2005 VR 53- 167 608288 5/29/20 090-053-533.93- 00 DUES AND LICENSES 3930 ARC OF IL 4 / 15 51.69 VENDOR TOTAL 2,080.45 *

81610 XEROX CORPORATION 5/ 28/2005 VR 53- 169 608297 5/29/20 090- 053-533.85-00 PHOTOCOPY SERVICES INV 230218511 2/8 285.89 VENDOR TOTAL 285.89 *

604568 CANFIELD, LYNN MENTAL HEALTH BOARD 5/28/2005 VR 53- 168 608301 5/29/20 090- 053-533.12-00 JOB-REQUIRED TRAVEL EXP 25 MILE 5 / 12-16 14.38 5/28/20 05 VR 53- 168 608301 5/29/20 090-053-522.02- 00 OFFICE SUPPLIES REIM MASKS 5/16 50.00 VENDOR TOTAL 64 . 38 * m MENTAL HEALTH BOARD DEPARTMENT TOTAL 12,290.10 * ~ MENTAL HEALTH FUND TOTAL 12,290 .10 *