ISLAND COUNTY BOARD OF HEALTH

MINUTES OF MEETING  -  AUGUST 9, 1999

 

The Island County Board of Health convened in Regular Session at  11:15  a.m., on August 9, 1999,  in the Island County Courthouse Annex, Coupeville, Wa., with  Board of Health Members present: Mike Shelton, Chairman; Wm. L. McDowell, Member; and William F. Thorn, Member.  Also present were:   Marshall Bronson, CHAB; Roger Case,  M.D.,  Health Officer; Tim McDonald, Health Services Director;   Keith Higman, Environmental Health  Director;   Carrie McLachlan, Public Health Coordinator; Jackie Henderson, Coordinator, Developmental Disabilities;  Mike Etzell,  Developmental Disabilities

 

CHAB UPDATE

Mr. Bronson reported from the  last CHAB meeting where  discussion  focused on Whidbey General’s development of a patient centered program to  deal with more patient activities, more interaction  between the patient and the Doctor as far as  making decisions,  and allowing more scientifically-supported activities within the hospital.    At the end of the meeting there was a unanimity in support of the  idea to improve the hospital through such things as art in the rooms, music, changing the  type of gowns, etc.  Next week’s  CHAB meeting will focus on the subject of early brain development.

 

Supporting People with Developmental Disabilities:

Yesterday - Today - Tomorrow

Jackie Henderson and Mike Etzell, provided the following hand-outs used in  today’s presentation:  

 

§        Services and Supports in Island County

§        Island County Developmental Disabilities Advisory Board

§        Background

§        People with Developmental Disabilities

§        Quotation from The Gift of Hospitality, by Mary O’Connell, 1988

§        Quotation from speech  by Eleanor Roosevelt to the United Nations in 1958

§        The Retarding Environment by Thomas Hopkins, Capitol People First, Sacramento, Ca., from

             a Presentation to the U. S. Civil Rights Commission, Quality  of Life Conference 4/30/88

§        The Declaration of Interdependence, Norman Kunc, 1995

§        A thank you note r  to Carrie Robinson, Member, Island County Developmental Disabilities Advisory Board      and   a person with DD,  from a student in Western Washington  University Evening Class

§        Announcement for October 2nd  Workshop:  Working Together Successfully; Collaborative        Negotiations      Skills 

§        Combination of 3 charts [laminated place-mat size copy]   “Working Together Successfully” 

 

Ms. Henderson provided some history about services for  people with DD, Island County, State-wide and Nationally.  Developmental disabilities is defined as people with mental retardation, cerebral palsy, epilepsy, autism or other neurological conditions similar to mental retardation.  Some identified causes of DD are  related to alcohol consumed during pregnancy, chromosomal anomalies, damage to central nervous system, genetics, birth trauma, injuries and environmental factors.  Approximately 1.8% of the population have a developmental disability, representing some 90,000 in Washington State.  The figures in Island County are: 

Under Age 3     45

3-18                            165

Over 18           125

Total                355.

 

Some of the services offered to developmental disabled citizens in  Island County include:  early childhood services;  employment services; community access services;  and person to person services. 

 

 

 

Additionally,  residential services are offered in Island County that are contracted for directly  by the State with agencies for about 35 people.  Philosophy is that knowledge is power, and the Island County DD program spends much of the millage money  for  training and education, for example, last  year jointly  sponsoring  a workshop on  autism for both parents and teachers.

 

A Robert Woods Johnson Foundation grant went to the State, and in turn awarded to two counties about two years’ ago,  Island County and Spokane County,  to find ways that individuals with DD and their families could have more say  in how the money on their behalf was actually spent.   Island County applied to the Division of Developmental Disabilities once the Foundation grant ran out to continue on with the program and  received $54,000, and notified of funding approval for the next two years.

 

The DD program provides information and referral services, and work with the schools.  Both Mrs. 

Henderson and Mr. Etzell sit on a number of State-wide committees, and spend a lot of  time supporting  individuals with DD and their families.  On any given day State-wide, there are 7,000 to 9,000 people  waiting for services and there is always a concern there is never enough money to go around to provide needed services.   Another concern has been that “systems”  tend to take over lives when in fact a system cannot meet  everyone’s needs, and finding through the years that although well intended there has been a disservice to people by creating a dependency on those systems.

 

Mike Etzell told the Board that since their last presentation February  this year, he and Mrs. Henderson

gave a presentation late June in Ellensberg  at a State-wide  conference, leading a panel discussion, including an individual with DD, a parent of an 18 year old person with DD, representatives from Island Employment, Service Alternatives, a Case Manager, and the Regional Manager from the Division of DD.  It was “standing room only” and the presentation went very well.  Later this month the County will be receiving a  notice about giving a presentation at a national conference December in Chicago around the same types of issues.   This  Spring, he taught diversity training for law enforcement students and has been asked to return to do further training after students  have had some ride-along experience. 

 

This Fall, DD staff have been asked by  teachers at the Oak Harbor High School   to  create and present a unit on self-advocacy  and speaking up for yourself to students who experience disabilities.  Folks with developmental disabilities who have come forward with a desire to give back to the community will be given  assistance to do so, through such things as  peer  mentoring for others with disabilities,  working closely with the Big Brothers/Big Sisters organization to make sure about including adults as well as children with disabilities as either big brothers and big sisters  or little brothers and little sisters.    A third negotiations  workshop will be held on October 2nd ““Working Together Successfully” .   Work is being done on designing a workshop for high school kids, disabled and non-disabled, which will

probably take place this Fall.   

 

Julie Shackleton, parent of a 4-year old with autism and mental retardation and who works at Toddler

Learning Center, participated in the  February mediation workshop, and attested to great benefits from what she learned in dealing with insurance and the things needed for her child.

 

Mrs. Henderson was pleased with Island County’s history having gone from the belief  that people with developmental disabilities needed to be institutionalized and segregated to now believing  people  with disabilities belong in the  communities, schools, churches,  work places, and neighborhoods.  It has taken years to really learn and act on the fact that people with developmental disabilities want and need the same  things we all need and want.  

 

There were two things of  importance Mrs. Henderson  stressed: 

 

1.     The need  to consider doing contracting perhaps a  little differently in Island County, keeping in mind what it is people want and need.   

2.     The  need to stay vigilant because there are those who still believe people with disabilities  need to be somewhere else.

 

Mr. McDonald told the Board that Mrs. Henderson for the last twenty years used her  quiet leadership using outcome as the way to focus the programs and he thought Island County  very fortunate to have her working here in this position.

 

            Meeting  adjourned at 12:10 p.m.   The next regular meeting is  scheduled for

            September 13, 1999,  beginning at   11:15 a.m.

                                                           

                                                            BOARD OF HEALTH

                                                            ISLAND COUNTY, WASHINGTON

                                                            Mike Shelton, Chairman 

                                                            Wm. L. McDowell, Member

                                                            William F. Thorn, Member