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Meeting Minutes

Virginia Brain Injury Council

Virginia Brain Injury Council October, 2007 Minutes FINAL
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Virginia Brain Injury Council Meeting
Meeting Minutes
October 26, 2007
Prepared by Helen Butler, Secretary

Members Present:

Paul Aravich, Ph.D. Eastern Virginia Medical School
Scott Bender, Ph.D. University of Virginia Health System
Helen Butler, RN Brain Injury Services of SWVA
Tia Campbell, RN, BSN, NCSN Virginia Department of Education
Page Melton Family member
Carole Norton, Ph.D Professional
Susan Rudolph, RN The Arc of Greater Prince William
Micah Sherman Survivor
Darlene Cooper Woodrow Wilson Rehabilitation Center
*For Gerald Showalter
Kelli Williams Professional
Jason Young Alliance of Brain Injury Service Providers

Members Absent:

Marianna Abashian Brain Injury Association of America
Theresa Ashberry Family member
Nancy Bullock, RN Virginia Department of Health
Gary Chiaverotti Family member
Jeanette DuVal, LCSW Director of Juvenile Competency, Va. Dept. of Mental Health
Patti Goodall Virginia Department of Rehabilitative Services
Katherine Lawson Virginia Board for People with Disabilities
Anne McDonnell Brain Injury Association of Virginia
Michelle Nichols McGuire Veterans Administration Medical Center
Julie Triplett Virginia Office of Protection and Advocacy
Nadia Webb, Psy. D. Professional
Russell Payne Virginia Department of Mental Health, Mental Retardation & Substance Abuse Services
Paul Sharp, RN, NREMT-P Virginia Department of Health

Board Staff:

Kristie Chamberlain Virginia Department of Rehabilitative Services

Other Persons In Attendance:

Karen Brown Brain Injury Services, Inc.
Jennifer Clarke Brain Injury Association of Virginia
Anne Deaton, Ph.D. Consultant, TBI Action Plan
Tara Ostarly Neurological Rehabilitation Living Centers
Commissioner Jim Rothrock Virginia Department of Rehabilitative Services
Lynn Scott Brain Injury Association of Virginia
Leigh Wion High Street Clubhouse


The Virginia Brain Injury Council meeting was called to order at 1:07 p.m. by Susan Rudolph, Vice-Chair. Fellow Council members introduced themselves and then other persons in attendance.

Approval of Minutes

The July 27, 2007 meeting minutes were distributed and reviewed. Paul Aravich made a motion to approve the meeting minutes; Page Melton seconded. The motion carried unanimously.

Approval of Agenda

The October 26, 2007 agenda was distributed. Paul Aravich made a motion to approve the October 26, 2007 meeting agenda; Micah Sherman seconded. The motion carried unanimously.

Public Comment:

A public comment period was held, however there was no public comment.

Remarks from the DRS Commissioner

Commissioner Jim Rothrock provided the following updates, announcements and suggestions:

1) The Commissioner has been traveling around the state in observation of Disability Employment Awareness Month. He has participated in many locally organized events.
2) The current budget deficit of $600 million announced by Governor Kaine required every department in the Commonwealth to propose budget reductions of 5%, on average. The Commissioner commended the Governor and Secretary Tavenner for limiting the reductions proposed in the brain injury programs to one reduction. This reduction was the elimination of the contract DRS had with the Brain Injury Association of Virginia (BIAV) to administer the Brain Injury Registry. The Commissioner commented that even though the state budget was cut, funds from the Commonwealth Neurotrauma Initiative (CNI) Trust Fund were used, with approval by the CNI Board, to fund investigating how to make outreach services more effective. This contract is with BIAV and extends through June, 2009.
3) The Joint Legislative Audit and Review Commission team led by Eric Messick completed its study of brain injury in the Commonwealth and presented a report to the Commission. DRS is responding to the report by: 1) Working with BIAV to change the emphasis of the registry toward a focus on how to get direct services information to people with brain injury; 2) Locating resources to increase program evaluations of current brain injury programs; 3) Creating neurobehavioral interventions, emphasizing funding to programs at the local level to encourage intervention before the issues spiral out of control; 4) Encouraging the community to advocate for a brain injury waiver if that is what they feel is needed.
4) The Commissioner requested the Council provide to him more than one recommendation per open Council At-Large membership position. He would like to ensure diversity across the state is included in the selection process.

Paul Aravich thanked the Commissioner for keeping BIAV alive with funding from CNI. Paul recommended the Council be represented at Commission level hearings. Jim Rothrock commented that the Council should contact him to request a speaker at any Commission gathering and he would let the Council know if he thought it could be arranged.

Paul Aravich commended the Joint Legislative Audit and Review Commission (JLARC) team for their work.

Jason Young motioned that the Council write a letter of appreciation to the Governor and Secretary Tavenner thanking them for not cutting any brain injury funding during the 2007 budget cuts; Paul Aravich seconded. The motion carried unanimously.

Susan Rudolph strongly encouraged all Council members to read the JLARC report. Staff will email the report to council members as an attachment.


Brain Injury Association of Virginia (BIAV) In-Kind Contribution Sheet

Jennifer Clarke distributed copies of an in-kind donor form for Council members to complete and return to her for the federal grant. The form will track hours spent on council activities including travel (but no meals).

Legislative Agenda of the Virginia Alliance of Brain Injury Service Providers

Jason Young reported that Fran Rooker made an appointment with the Governor to discuss funding for brain injury services and invited Jason, Anne McDonnell and Tina Trudel to attend. Based on the results of this meeting, the recent recommendations of the Joint Legislative Audit and Review Commission (JLARC) report, the Alliance established the following legislative agenda:

1) Support what the Governor includes in his budget for brain injury services;
2) Seek funding to expand services throughout the Commonwealth, including but not limited to, expansion of the core footprint of services (Case Management, Regional Resource Coordination and Day Programs); increased funding of DRS controlled direct services programs such as Brain Injury Direct Services and Personal Assistance Services; funding for central information, referral and outreach services; increased funding for existing programs to address wait lists;
3) Pursue strategies to increase the number of neurobehavioral treatment beds in the Commonwealth, including but not limited to, establishing a brain injury waiver for Medicaid eligible survivors and General Funds for non-Medicaid eligible survivors;
4) Support for codification of the Council if that is the route the Council chooses to go.

Paul Aravich commended Fran Rooker on her willingness to engage the Governor on behalf of survivors, families and providers of brain injury services.