February, 1999 HILL COUNTRY COMMUNITY MHMR CENTER OVERVIEW • Hill Country Community MHMR Center began operation on September 1, 1997. • We serve persons in 19 counties which include Bandera, Blanco, Comal, Edwards, Gillespie, Hays, Kendall, Kerr, Kimble, Kinney, Llano, Mason, Medina, Menard, Real, Schleicher, Sutton, Uvalde and Val Verde. • The population of these counties is 391,530. • Our largest cities are Del Rio (33,271), San Marcos (31,048), New Braunfels (30,402), Kerrville (19,134), and Uvalde (15,529). • On a monthly average, we serve: 1,810 Adults with Mental Illness; 388 children and adolescents with Mental Illness; 524 persons with Mental Retardation; and 208 families and children through our Early Childhood Intervention Program. • We have 670 employees. • Our FY99 budget is $24.5 million. • There are 10 Mental Health Centers; 8 Centers for persons with Mental Retardation; and 10 Early Childhood Intervention Centers . HILL COUNTRY COMMUNITY MHMR CENTER MISSION Together we will support and assist people to lead lives of dignity. VALUES • We are responsible first and foremost to the people we serve. • We treat all people with respect and dignity. • We foster an environment of integrity and trust. • Responsible and creative use of resources allows us to provide the most effective and efficient services possible. • We value personal uniqueness, and acknowledge that people share needs, rights, desires, and capabilities. • We understand our responsibility to educate people and maximize learning opportunities. • With information and support, people have the opportunity to make informed personal choices and become more self-reliant. • We recognize the importance of, and foster, family involvement in people's lives. • We operate in partnership with the community, appreciating its uniqueness and strength. • We strive for excellence, using continuous quality improvement. • Quality is linked to customer satisfaction -both ultimately measured by our ability to meet the individual requirements of people we serve. b~ G a ~ ~~ ~~ a ~ rc ~.~~~ ~~~~ ~3 <~ ;~2 ~~~2 ~~ ~~ ~a i N (~ S UU v ~ ~~n ~~~ ~m ~~f ~m fF~ ~~ • ~' ~~~ t ~~i ~ E ~ g c38 ~~ ~~ ~ .. ~ ~ ~ ~~ ~ rc a ~~ ~ a ~ m g~ ~~~ K 0 a .~ ~e ~~ Y3~~ `~ aY ~~~~~~ ~> ~~ ~ ~ ~~d~c7 ~~ ~ . ~ ~+ £ m ~ a~ ~~ o = W ~. ~~~~~ ~ ~~ .~ ~~~ p ~a ~~~g C~ LL W W g V ~ ~ ~ s ~ g f j~ 1~ f 3~[ E T ~. ~~ ~ ~ ~ 11.1 ~ • ~ ~ • ~ ~~y y ~ ~ 3 ~ ~ ~. ~ ~~~~~d~~~~W~ ~S ~ !~ ~~~ ~° 4 ~ . F ~ ~ ~~ ~~~ ~ ~~~~ ~~ ~I~~~II~ F S~€~~~~~ b~k~~d~gi v~ a 0 M 0 HILL COUNTRY COMMUNITY MHMR CENTER WORKPLACE PRINCIPLES RESPECT • We will treat one another with respect and dignity. • We will routinely recognize and support each others work. • All employees will be treated fairly and equitably. Policies and guidelines will be consistently applied. ACCOUNTABILITY • We will be accountable for our actions. • We will view mistakes as opportunities for learning. COMMUNICATION • Communication will be complete, open, and honest. • Information will be shared in a timely manner with all appropriate people. • We will listen to each other in order to promote new ideas, respect, understanding, and improved communication. COOPERATION /TEAM WORK • We will be supportive of each other and will utilize each other's strengths. • We will view meeting our Mission and Values as a team effort. DECISION MAKING /PROBLEM SOLVING • We will make decisions and solve problems at the most direct level. • We will work together to solve problems and address issues. When a problem or issue arises, we will address it with the appropriate person(s). • We will focus on problem solving and not on the assignment of blame. INDIVIDUAL GROWTH AND DEVELOPMENT • We will promote individual growth and development. • We will share and celebrate successes. • We will recognize the importance of a balance between personal and professional needs and demands. HILL COUNTRY COMMUNITY MHMR CENTER SINGLE PORTAL AUTHORITY (SPA) The FY98 Performance Contract with the Texas Department of Mental Health and Mental Retardation (TDMHMR) required that Community Centers apply for designation as their service area's Single Portal Authority. Single Portal Authority (SPA) is defined in the Texas Administrative Code as, "a mental health authority which has been designated by the board (TDMHIVIIZ Board of Trustees) to serve as the agency with responsibility for coordinating and facilitating the delivery of mental health services to court committed persons in its local service area." Designation as Single Portal Authority requires that the Mental Health Authority (MHA) provide or contract for an appropriate array of services, serves its priority population, and be in compliance with the Performance Contract with TDMHMR. At the September, 1997 Board Meeting, the Hill Country Community NIHIVIIZ Center (CMHIVIRC) Board of Trustees authorized Hill Country CMHMRC staff to apply for designation as the Single Portal Authority in accordance with the requirements set forth by TDNiTIl~IlZ in the FY98 Performance Contract. Hill Country C1VII=IlVIRC submitted an application and letters of endorsement from the County Judges from the 19 county service area for designation as the Single Portal Authority. In January, 1999, the TDNIHIVIIZ Board granted Hill Country CMHMRC the designation of Single Portal Authority for the 19 county service area (Bandera, Blanco, Comal, Edwards, Gillespie, Hays, Kendall, Kerr, Kimble, Kinney, Llano, Mason, Medina, Menard, Real, Schleicher, Sutton, Uvalde and Val Verde Counties). This designation gives Hill Country CMHMRC the ability to screen and authorize all commitments to state facilities. The purpose of the screening is to ensure that appropriate evaluation has taken place and to determine whether less restrictive alternatives to hospitalization would meet the person's needs. W W I~-1 W F-~1 M~ O ![~ V1 ~O V MCI 0 c O • ~ c N ~ Z Q C w 'C ~i ~J U_ L:7 'u° ~_ o U '~ cn W u M ~ 'b O O ~ ~ ~• w .. 3 ~ `'~ N U .O U ~ .,~ ~~ W~~b ~ V ~°, 4 ~ ~ ~ .p ~ '~ ~ o ~ ~ ~;xx M • ~ ~ N ~ ~ ~ a~ c ~ a • ~ ' 1 ' Z y n ~• .q e ~ c,~ '"'~ ~o • c ~ ~~ ~ ~' "' ~ o ~ y ~ m < ~~ ~ ~~ ~ 0~ ~D A Z ,-•a 0 u C ~ ~ ~ v o~ ~ Q ~ .-1 .] F~j ~ ' -7 ~ v~ ,"'., ~ rt yM N • ' u o ~ v ~_ ~ Z `v ~u ~ o • ' cn 0 ~ c~ rx V r7 Ni HILL COUNTRY COMMUNITY MHMR CENTER OVERVIEW OF SERVICES KERR COUNTY MENTAL HEALTH ERVICES * 24-hour emergency screening and rapid crisis stabilization services, including mobile crisis intervention, crisis walk-in and crisis support; * Crisis stabilization and psychiatric hospital services. Kerrville State Hospital provides inpatient crisis stabilization services. Crisis respite services are available through licensed personal care and licensed group homes with which Hill Country SOCS contracts; * Community-based assessments, treatment planning, diagnosis and evaluation; * Medication-relatedservices,includingmedicationclinics,laboratorymonitoring,medicationeducation,mental health maintenance education, and the provision of medication; * Service Coordination services; * Child and adolescent services, including problem focused supportive counseling, medication-related services, in-home intervention services, collaboration with other child serving agencies and crisis resolution services; * In Home and Family support services; * Counseling services, both individual and group. Time limited, problem focused counseling groups provide information to clients about their illnesses, strategies for symptom management and supportive counseling; * Transportation services that prevent lack of transportation from being a barrier to services; * Supported housing; * Community based contract residential programs offer an array of housing, residential, and respite services to meet clients' needs for a stable living environment; * Information, referral and coordination with other community providers ensures that clients have the necessary supports to address a variety of needs beyond mental health problems; * Community education on mental health issues that increases public awareness of the nature, extent and available treatment of mental illness; * Day programming services in a supportive and structured environment which promote the transition to community reintegration through independent living skills training, peer support, symptom management training and related activities; * Supported employment services and related problems. * Assertive Community Treatment Team. MENTAL RETARDATION SERVICES * Information, screening and referral services; * Crisis support and crisis intervention; * Eligibility determination; * Service coordination and case management services; * Respite services; * Early Childhood Intervention Services for children ages 0 to 3 with developmental delays; * Residential services (6 homes and 1 apartment); * In Home and Family Support that provides individuals and families funds to purchase goods and services; * Vocational Services /Supported Employment /Retirement and Community Training. HOMESPUN EARLY CHILDHOOD INTERVENTION SERVICES (for children ages 0 to 3 with developmental delays) * Home visits * Occupational Therapy * Physical Therapy * Speech Therapy * Inclusion in Community Setting * Transitioning to Other Services * Case Management Services * Community Awareness WHAT IS MENTAL ILLNESS? What is Mental Illness? Mental illness is a term for a group of disorders that cause severe disturbances in thinking, feeling and relating to other individuals. Persons with mental disorders are diagnosed as having a major thought disorder, mood or a personality disorder. Persons with a thought disorder do not think in a logical or rational manner. They may blend fantasy with external realities or hallucinate (for example, hear voices). Persons with a mood disorder find that their moods do not fit their situations or remain within normal limits. They may become extremely excited or extremely depressed. Persons with severe personality disorders display behaviors that deviate strongly from accepted social norms. They often have inflexible patterns of thinking. Can Mental Illness be cured? How long does Mental Illness last? in some cases, a person may have a single episode of mental illness and have no ongoing symptoms that interfere with daily living. Other persons have periodic bouts of mental illness. Some have long-term problems. Typically, however, persons with severe mental illness must control their symptoms with medication. With supports matched to individual needs, most persons with mental illness live successfully in their own homes and communities. Who gets Mental Illness? What causes Mental Illness? Mental illness may strike any person at any time, regardless of gender, sex, race, ethnicity, age, or income level. The four major known causes of mental illness are biochemical imbalances, genetic conditions, medical or physical conditions, and environmental factors. Who is the "Priority Population"? Texas Law requires that services be offered to those most in need and that state dollars be used only for services provided to the "priority population". Priority Population for mental health services consists of: Children and adolescents under the age of 18 with a diagnosis of mental illness who exhibit severe emotional or social disabilities that aze life-threatening or require prolonged intervention. Adults who have severe and persistent mental illness such as schizophrenia, major depression, manic-depressive disorder, bi-polaz disorder or other severely disabling mental disorders that require crisis resolution or ongoing and long-term support and treatment. Hill Country CMHIVIRC - 4/20/99 WHAT IS MENTAL RETARDATION? What is Mental Retardation? Persons with mental retardation have a disability caused by a mental or physical impairment that occurred before age 18 and that results in less-than-average intellectual functioning. Can Mental Retardation be cured? How long does it last? Persons with mental retardation have alife-long disability. At present, no medical procedures or medications can eliminate mental retardation. The quality of life can be enhanced with training and support, however, and many persons with mental retardation live independently with assistance. How severe is Mental Retardation? Mental retardation may be mild, moderate, severe, or profound. About 85 percent of all persons with mental retardation have mild retardation and can function independently in the community with minimal support. Eleven percent of persons with mental retardation have moderate retardation and may need more training to master skills necessary for daily living, such as paying bills, shopping, and other routine tasks. Four percent of persons with mental retardation have severe or profound retardation and need constant support. Such individuals often have other disabilities in addition to mental retardation and require ongoing daily assistance for the rest of their lives. Who gets Mental Retardation? What causes it? Mental retardation is found in men and women of all races, ethnicities, and economic conditions. Among the causes of mental retardation are genetic irregularities such as the chromosomal abnormality that causes Down Syndrome; environmental factors such as malnutrition or inadequate medical care; problems during pregnancy, such as drug or alcohol abuse by the mother, inadequate prenatal care or illness of the mother; problems at birth, such as premature birth or low birth weight; and problems after birth, such as accidents involving a blow to the head or a childhood illness such as measles. Who is the "Priority Population"? • People with a diagnosis of Mental Retardation according to the Texas Health and Safety Code. • People with a diagnosis of Autism or Pervasive Developmental Disorder. • People with developmental disabilities who are eligible for the Omnibus Reconciliation Act of 1987 COBRA) services. • Children, ages birth to three, who are eligible for Early Childhood Intervention Services. Hill Country CMI-IlVIRC - 4/20/99 PART IV ORGANIZATION PLAN A. ORGANIZATIONAL STRUCTURE: BOARD OF TRUSTEES A Boazd of Trustees will be appointed by the governing bodies of Bandera, Blanco, Comal, Edwards, Gillespie, Hays, Kendall, Kerr, Kimble, Kinney, Llano, Mason, Medina, Menard, Real, Schleicher, Sutton, Uvalde and Val Verde Counties for the purpose of operating a community mental health and mental retardation center (CMHMRC). A CMHMRC is an agency of the State, a governmental unit, and a unit of local government as defined and specified by Chapters 101 and 102, Civil Practice and Remedy Code, and a local government as defined by Section 3, the Inter-local Cooperation Act (Article 4413 (32C), Vernon's Texas Civil Statutes. In order to ensure equitable representation, the following method was used for the appointment of the Hill Country Community MHIVIR Center's Board of Trustees. Each of the four most populous counties were allocated one member. The combined population of these four counties was then subtracted from a total population of all nineteen counties. The remainder was divided by five, the maximum number of Boazd of Trustee memberships available. This brought the total members to nine, the maximum number allowable by statute. This average population was then used to configure the remaining fifteen counties. In addition to population, these groupings were determined by natural affiliation and contiguous borders. The groupings ranged from combinations of six counties to one county. The Hill Country Community MHMR Center's Board of Trustees shall be composed of nine (9) members. One member of the Boazd shall be appointed from the following counties: 1) Edwards Kimble Mason Menard Schleicher Sutton One member of the Board shall be appointed from the following counties: 2) Kinney Real Uvalde One member of the Board shall be appointed from the following counties: 3) Blanco Gillespie Llano One member of the Board shall be appointed from the following counties: 4) Bandera Kendall One member of the Board shall be appointed from each of the following counties: 5) Val Verde 6) Medina 7) Kerr 8) Hays 9) Comal A member must be a qualified voter and maintain primary residence in the region to be served by the centers. Validity of eligibility is the responsibility of the appointing entity. Charter Board -The appointing authorities shall designate four members to serve one (1) year terms and shall designate the remaining members to serve two (2) year terms. Subsequent Boards -Appointments made to the Board of Trustees will be for a period of two (2) years, with the exception that appointments made to fill unexpired terms will be for the remainder of the unexpired term. 2 I~IQTICF~41~ YA('AN IF, Subsequent Boards - At least one (1) month prior to the next meeting of the Hill Country Community MHMR Center's Board of Trustees, at which Board of Trustees members will be appointed, each sponsoring entity will post notice of such vacancy in their Courthouse and will post a brief notice in the legal notice section of their local newspaper if there is a newspaper published in the County. Eligibility requirements will be included in the notice. Application for Board of Trustees membership may be made by any eligible individual to a member of the sponsoring entity. Applications may be verbal or written. Documentation of all applications will be maintained by the receiving sponsoring entity for one year. All applications will be considered when Board of Trustees appointments are made. 1. The appropriate County Judge(s) [and/or Commissioners' Court(s)] will review all applications from that county or region for membership on the Board of Trustees and will select the appointee. 2. If the Board appointment will represent a region composed of more than one county, that appointment will be approved by consensus of the involved County Judges. If a consensus cannot be reached, the applicant will be approved by simple majority vote. 3. When an applicant is approved, the recommending Judge will notify the appointed individual with a letter of appointment which includes the following: a. the effective date of the appointment; b. a general description of duties; and c. a description of training requirements. REAPpQINTM~NT Board members may be reappointed. TBAIlYING At the time of appointment, each Board of Trustees member will be given written notice of training requirements and must agree to such requirements: 1. Each year all members will attend (4) hours of training provided by professional staff members of the CMHMRC. 2. Prior to assuming office, each Board member will attend a four (4) hour training session provided by the Center's professional staff which includes information relating to the following: a. the enabling legislation which created CMHMRCs; b. the programs the CMHMRC operates; c. the CMHMRCs budget for the fiscal year; d. the results of the most recent formal audit of the CMHMRC; e. the Open Meeting Law and Open Records Law (Vernon's Civil Statutes Articles 6252-17 and 6252-17a); f. Any ethics policies adopted by the center. Not withstanding eligibility gained by meeting criteria in the previous section titled "Eligibility", an individual becomes ineligible for Board of Trustees membership if he/she or any person related to a prospective member within the second degree of affinity, third degree of consanguinity or an immediate in-law: 1. Owns or controls, directly or indirectly, more than 10% interest in a business entity or other organization receiving funds from the CMHMRC by contract or other method. 2. Uses or receives a substantial amount of tangible goods or funds from the CMHMRC other than: compensation or reimbursement authorized by law for Board of Trustees membership, attendance, or expenses relevant to meetings, training sessions, conferences, and other Board activities and services to the CMHMRC; or b. as a consumer or as a family member of a person receiving services from the CMHMRC. 4 PROHIBI~D A~_TLYLTIES Members of the Board of Trustees may not: 1. Refer for services a client or patient to a business entity owned or controlled by a member of the Board of Trustees, unless the business entity is the only business that provides the needed services within the jurisdiction of the Hill Country Community MHMR Center; 2. Use Hill Country Community MHMR Center in the conduct of a business entity owned or controlled by that member; 3. Solicit, acc.,pt, or agree to accept from another person or business entity a benefit in return for the member's decision, opinion, recommendation, vote, or other exercise of discretion as a local public official or for a violation of a duty imposed by law; 4. Receive any benefit for the referral of a client or patient to Hill Country Community MHMR Center or to another business entity. 5. Appoint, vote for, or confirm the appointment of a person to a paid office or position with Hill Country Community MHMR Center if the person is related to a member of the Board of Trustees by affinity within the second degree or by consanguinity within the third degree. 6. Solicit or receive a political contribution from a supplier or contractor with Hill Country Community MHMR Center. After the beginning of each fiscal year, the Board of Trustees will elect the following from its members: Chairperson -This individual will convene, moderate and end each meeting of the Board of Trustees; create and assign members to subcommittees; call special meetings of the Board when necessary; and sign minutes of meetings. 2. Vice-Chairperson -This individual will assume the duties of the Chairperson in his/her absence. 5 Secretary -This individual will oversee records of Board of Trustee member's training; oversee timely and proper notice of regular and special meetings of the Board of Trustees; oversee the distribution of minutes of meetings and agendas; and sign minutes of meetings. Individuals appointed to the Board of Trustees become local government officials by virtue of such appointment and, as such, are subject to requirements of Chapter 171, Local Government Code. The Board of Trustees will have special meetings as called by the Chairperson. All meetings of the Board of Trustees will be open to the public to the extent required and in accordance with the general law of this State requiring meetings of governmental bodies to be open to the public. A majority of the membership of the Board of Trustees will constitute a quorum for the transaction of business. Five (5) members constitute a majority of the Board of Trustees. Matters before the Board of Trustees will be decided by a simple majority vote of a quorum. The Board of Trustees will keep a record of its proceedings in accordance with the general law of this State that requires meetings of governmental bodies to be open to the public, and the record is open to inspection by the public in accordance with that law. The Chairperson of the Board of Trustees will approve written minutes of each meeting and sign the document. The Secretary of the Board of Trustees will sign the minutes and assure that copies are distributed to the Central Office of TDMHMR, each of the Board members, and to each County Judge in the Hill Country via U.S. Postal Service. R.E_Q li IRFD ILF.PBE~~IYTATIOIY In order to reflect the ethnic diversity of our service area and to assure consumer input, the 6 Charter Board of Trustees and each successive Board of Trustees will include one or more consumer of services or family member, and one or more or members of an ethnic minority. In order to assure appointing the most qualified individual to those positions, the County Judge(s) and/or the respective Commissioner's Court(s) will mutually agree upon appointment of the required members. A. Grounds for removal from the Board of Trustees are as follows: Violations of Chapter 171, Local Government Code. 2. Ineligibility for Board of Trustees appointment at the time of the appointment as defined by the section titled "Eligibility". 3. Failure to maintain eligibility requirements as defined by the section above entitled "Eligibility". 4. Failure to maintain an acceptable standard of attendance at meetings, demeanor, and contribution to the obligations of the Board of Trustees, as determined by a majority of the Board of Trustees. 5. Failure to execute the affidavit as specified in the section below titled "Affidavit". B. Procedure for removal from the Board of Trustees is as follows: Allegations of Board of Trustees member's conduct, unsuitability, or ineligibility will be accepted by the Chairperson, unless the Chairperson is the object of the allegation. In such case, the Vice-Chairperson will accept the allegation. 2. The Chairperson will appoint athree-member subcommittee to investigate the allegations, unless the Chairperson is the object of the allegation. In such case, the Vice-Chairperson will appoint the subcommittee. 3. The subcommittee will report its findings to the Board of Trustees in closed session within 45 days. 4. Following the subcommittee's report, the Chairperson will request a motion in response to the report. If the Chairperson is the object of the report, the Vice-Chairperson will request the motion. 7 5. In the event a majority of a quorum of the Board of Trustees vote(s) to recommend removal of the member in question, a letter recommending withdrawal of appointment signed by those members recommending removal will be sent to the County Judge(s) from the county or region which recommended the member for appointment. 6. The County Judge(s) from the county or region may appeal the removal decision within two weeks. The Board of Trustees would then hold a removal hearing involving the involved County Judge(s) and following this hearing would again, by a majority of a quorum, remove or retain the Board member. 7. Should the Board member be removed, the member will be notified imediately, in writing, by the County Judge(s) who made the original recommendation for appointment. 8. The Board of Trustees will not remove members except on grounds listed in these rules. 1. Members may resign from the Board of Trustees for any reason. 2. Resignations will be written and submitted to the appropriate County Judge or Judges with a copy to the Chairperson. 3. Resignations will not be rejected. 4. Resignations will be effective the date of the written notification. 1. Board of Trustees members may not be reimbursed for services performed for the Board of Trustees and the CMHMRC. 2. Board of Trustees members may authorize for themselves mileage, per diem and other expenses relevant to meetings, training sessions, conferences, and other activities relevant to Board of Trustees activities and service to the CMHMRC. AEEID~YIT Not later than the date on which a member of the Board of Trustees takes office by appointment or reappointment and not later than the anniversary of that date, each member shall annual execute and file with the CMHMRC an read t is ocur Evans ~i-ter Casteel Comal unty Judge Mark Stroeher Gillespie County Judge ~~~~/ James W. Gooden Ke all Coun Judge Delbert Roberts Kir~jt le County Judge ~,lano County Judge r vid ontgomery Medina Co Ju ! / G.~. i igear Real County Jud ~~ , Carla Garner Sutton County Judge ~~ Kir nck al de County Judge affidavit knowledging that the member has .~ .. George E. ars Blanco County Judge Neville G. Smart, Jr. Edwards County Judge Eddy Ethe ge a s County Judge R bert Dens K rr County Judge ommy Searg Kinney County ud e Tommy Rear on n County Judge harles Chil ers Menard Count udge ~,,, _ _ r, Johnny F. nffin leiche Co ty Jud e William R. Mitchell Uvalde County Judge HILL COUNTRY COMMUNITY MENTAL HEALTH AND MENTAL RETARDATION CENTER FISCAL YEAR 1999 BOARD OF TRUSTEES MEETING SCHEDULE Meeting Date September 1, 1998 October 4-5,1998 November 10, 1998 December, 1998 January 5, 1999 February 2, 1999 March 2, 1999 Apri16, 1999 May 4, 1999 June 8, 1999 July 6, 1999 August 3, 1999 *Board Working Session Location Bandera Mason* Blanco No Meeting Scheduled Del Rio Fredericksburg Austin New Braunfels Uvalde Kerrville Hondo Llano All Board Meetings will be held from 10:30 a.m. to 3:00 p.m. unless otherwise noted. HILL COUNTRY COMMUNITY MHMR CENTER CITIZEN'S ADVISORY COMMITTEES CHARGE AND PURPOSE The Citizen's Advisory Committees will serve as: ~ A resource to the Board of Trustees of the Hill Country Community Mental Health Mental Retardation (MHMR) Center. ~ Will make recommendations to the Board of Trustees on the service delivery system in the following areas: • Planning; • Needs and Priorities for the Service Area and the Center; • Budget; • Contract Issues; and • Implementation of Plans and Contracts. Hill Country Community MHMR Center will have two Citizen's Advisory Committees -one for Mental Health and one for Mental Retardation. These Committees will meet and report to the Board of Trustees on a quarterly basis. HILL COUNTRY COMMUNITY MHMR CENTER MENTAL HEALTH CITIZEN'S ADVISORY COMMITTEE COUNTY(IES~ MEMBER LOCATION Medina Robert Kelley Hondo, Texas Comal Nancy Zarbock Chairperson KendalUBandera Janice Kelly Kinney, Real & Uvalde Blanco, Gillespie & Llano Kerr Hays Edwards, Kimble, Mason, Menard, Schleicher & Sutton Herb Senne Susan Stroeher Thomas Alexander Vice Chairperson Becky Rodriguez Tom Lindsey New Braunfels, Texas Bandera, Texas Brackettville, Texas Fredericksburg, Texas Kerrville, Texas San Marcos, Texas Junction, Texas Val Verde Regina Sanchez, R.N. Del Rio, Texas HILL COUNTRY COMMUNITY MHMR CENTER MENTAL RETARDATION CITIZEN'S ADVISORY COMMIT TEE COUNTY(IESI MEMBER LOCATION Medina Euwin Eason Devine, Texas Comal Joe Hickman Garden Ridge, Texas KendalUBandera Annette Henry Boerne, Texas Kinney, Real & Uvalde Jerry Chavez Uvalde, Texas Blanco, Gillespie & Llano Evelyn Rose Fredericksburg, Texas Kerr Mary Martin Kerrville, Texas Hays Charles Blankenship San Marcos, Texas Edwards, Kimble, Mason, Jean Jacoby Junction, Texas Menard, Schleicher & Sutton Val Verde Jesus Hernandez Del Rio, Texas /r y HILL COUNTRY COMMUNITY MHMR CENTER KERR COUNTY SERVICE SITES (as of 6/99) Mental Retardation Services Kerr County Special Opportunity Center 200 S. Lemos Kerrville, Texas 78028 Tel: (830) 896-4606 Fax: (830) 896-4146 Paula Paddock, Area Director Mental Health Services Kerr County Mental Health Clinic 511 McFarland Kerrville, Texas 78028 Tel: (830) 257-6553 Fax: (830) 896-4448 Suzanne Lindell, Area Director Early Childhood Intervention Services Kerr County Homespun 313 Leslie Drive Kerrville, Texas 78028 Tel: (830) 257-2277 Fax: (830) 257-2281 Residential Homes 229Mac Hollimon Kerrville, Texas 231 Mack Hollimon Kerrville, Texas 1412 Third Street Kerrville, Texas 1109 Nancy Beth Kerrville, Texas 715 Galbraith Kerrville, Texas 120 Cypress Falls Ingram, Texas #802 LaCasa Apt Kerrville, Texas HILL COUNTRY COMMUNITY MHMR CENTER BOARD OF TRUSTEES Member Coun Judge David Montgomery, Medina Chairman Mr. Richard Moore, Comal Vice Chairman Commissioner John Kight, Bandera Secretary/Treasurer Kendall Dr. Kim Graham Blanco Gillespie Llano Judge Tommy Reardon Edwards Kimble Mason Menard Schleicher Sutton Ms. Margie V. Moore Hays Dr. Sam Junkin Kerr Ms. Tammye Carpinteyro Kinney Real Uvalde Mr. Louy Younts Val Verde JAHISBOAItDBRD.wPD a w H z w 0 U a Fz D O U a a O .~ A O V a~ a~ H 0