The Virginia Department for Aging and Rehabilitative Services

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Meeting Minutes

Virginia Brain Injury Council

Virginia Brain Injury Council meeting minutes 4/25/08 FINAL
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Virginia Brain Injury Council Meeting
Meeting Minutes FINAL
April 25, 2008

Members Present:

Theresa Ashberry Family member
Helen Butler, RN Brain Injury Services of SWVA
Tia Campbell, RN, BSN, NCSN Virginia Department of Education
Lisa Garver Brain Injury Services, Inc.
Patricia Goodall Virginia Department of Rehabilitative Services
Victoria Harding Lakeview Healthcare
Anne McDonnell, MPA, OTR/L Brain Injury Association of Virginia
Terry Miles Survivor
Carole Norton, Ph.D. Professional
Mark Salisbury Family member
Micah Sherman Survivor
Gerald Showalter, Ph.D. Woodrow Wilson Rehabilitation Center
GiGi Szelesta Family member
Jenny Toth Brain Injury Association of America
Alan Towne, MD, MPH Virginia Commonwealth University
Kelli Williams, MPH, OTR/L Professional
*Leigh Wion Alliance of Brain Injury Service Providers
*Proxy for Jason Young

Members Absent:

Paul Aravich, Ph.D. Eastern Virginia Medical School
Scott Bender, Ph.D. University of Virginia Health System
Nancy Bullock, RN Virginia Department of Health
Katherine Lawson Virginia Board for People with Disabilities
Michelle Nichols McGuire Veterans Administration Medical Center
Russell Payne Virginia Department of Mental Health, Mental Retardation & Substance Abuse Services
Paul Sharp, RN, NREMT-P Virginia Department of Health
Julie Triplett Virginia Office of Protection and Advocacy

DRS Staff:

Kristie Chamberlain Virginia Department of Rehabilitative Services
Commissioner James Rothrock Virginia Department of Rehabilitative Services

Laura Anglin Phoenix Star Clubhouse
Colonel William Bograkos, D.O., FACOEP U.S. Army Community Health Care Organization
Karen Brown Brain Injury Services, Inc.
Mary-Margaret Cash Virginia Department of Rehabilitative Services
Jennifer Clarke Brain Injury Association of Virginia
Kelly Hickcok Resources for Independent Living

Lissa Hopprich Roanoke
Dwayne Yapp Roanoke
Lorraine Justice Brain Injury Association of Virginia
Gail Merridew Nonprofit Consulting Federal Grant Evaluation
Pam Sherman Family member
Elizabeth Smith, J.D. Department of Rehabilitative Services
John Szelesta Family member
Colonel Theresa Taylor, R.N. U.S. Army Community Health Care Organization
Juanita Thornton Phoenix Star Clubhouse


The Virginia Brain Injury Council meeting was called to order at 1:08 p.m. by Anne McDonnell, Chair. Council members and guests and visitors introduced themselves.

Approval of Minutes

Minutes of the January 25, 2008 meeting were distributed and reviewed. Terry Miles made a motion to accept the minutes; Carole Norton seconded. The motion passed unanimously.

Approval of Agenda

The April 25, 2008 agenda was distributed and reviewed. Terry Miles made a motion to accept the agenda as prepared; Kelli Williams seconded. The motion passed unanimously.

Public Comment:

No public comment was given during the Public Comment period.

Remarks from the Department of Rehabilitative Services (DRS) Commissioner: Commissioner Jim Rothrock provided the following updates, announcements and suggestions:

1) The Commissioner welcomed new members of the Council.
2) The Commissioner discussed the recent General Assembly session noting the state’s economy is in a recession creating less revenue than budgeted. DRS made budget adjustments accordingly; however, funding for brain injury continues to grow. The FY ‘09 and ‘10 budgets for brain injury services received an additional $200,000 and $400,000, respectively. As of July 1, 2008, total funding for brain injury will be $3.4 million, $3.6 by July 1, 2009 and $3.8 by July 1, 2010. The Commissioner asked for the Council’s recommendation on how to allocate the additional funds. He suggested the Council appoint a committee of members to look at the issue and make a recommendation to the full Council on the best way to distribute funds. It should be voted on and presented to the Commissioner as soon as possible, to allow for new contracts to be written and signed by July 1, 2008. He stated he wanted to add additional case service funds to the existing nine partner providers of brain injury services.

The Wounded Warrior bill passed by the General Assembly and signed into law effective July 1, 2008, requires the Virginia Department of Veterans Services (DVS) as the lead agency, the Department of Mental Health, Mental Retardation and Substance Abuse Services (DMHMRSAS) and the Department of Rehabilitative Services (DRS) to work together to develop a plan for the coordination of services for returning soldiers and veterans experiencing brain injury and mental health issues.

Budget language passed into law requires the Public Safety Director to look at the prevalence of brain injury in correctional facilities throughout Virginia.

3) The Commissioner commended the Council’s efforts to codify the Council but cautioned them to consider the strengths and challenges of this approach. He was glad that Elizabeth Smith, Director of DRS Policy & Planning, would be at the meeting to provide information and guidance to members on the various aspects of codification of boards and councils in Virginia.


Educational Topic: ARNGUS—United States Army, Community Based Health Care Organization

Anne McDonnell introduced William L. Bograkos, DO, FACOEP, Colonel, MC, FS. Dr. Bograkos provided an overview of operational concepts in public health and behavioral health employed by the military including the addition of two new echelons of care: Warrior Transition and Community Based Health Care. He further described the case management component of the new system.

$200,000 Budget Amendment for Brain Injury Services Allocation

Leigh Wion, Vice Chair of the Virginia Alliance of Brain Injury Service Providers (aka the “Alliance”), presented a recommendation for allocating the aforementioned additional funds approved by the General Assembly for brain injury services for FY ’09 and FY ‘10. The Alliance’s recommendations include distributing the funds among the current state-funded providers according to a percentage formula based on longevity, location, and need.

Anne McDonnell, Chair opened the meeting to public comment on proposed allocation of new funds for brain injury services. Teresa Ashberry expressed an interest in job training, assisted living, transportation, direct services funds, and a brain injury Medicaid Waiver, particularly in rural parts of the state such as hers. Terry Miles expressed an interest in starting services in Greenville County where he lives, because right now there are no brain injury services in that area. Lissa Hopprich from Roanoke expressed an interest in establishing congregate housing for people with brain injury, as she felt that there was a strong need for residential services.

The Chair appointed a committee – the VBIC “Appropriations Committee” - to study the Alliance document, consider other issues, and make a recommendation by the end of May to the full Council on how best to allocate the new funds. Committee members who volunteered were Lisa Garver, Teresa Ashberry, Jason Young, Carole Norton, Jenny Toth, Mark Salisbury, and Terry Miles. As Chair, Anne McDonnell is “ex officio” on the committee. Anne announced the ad hoc committee will elect a committee chair during the fi