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<title>Attention Residential Service Providers for Youth, Residential Providers for Individuals with Intellectual Disabilities or Autism, and Stakeholders</title>
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<p class="MsoNormal">Best,<o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal">Sarah<o:p></o:p></p>
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<p class="MsoNormal"><span style="font-size:12.0pt"><o:p> </o:p></span></p>
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<div style="border:none;border-top:solid #E1E1E1 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal"><b>From:</b> Maine Office of Child and Family Services <meocfs@subscriptions.maine.gov>
<br>
<b>Sent:</b> Tuesday, September 5, 2023 4:03 PM<br>
<b>To:</b> Ferguson, Sarah (DOE) <Sarah.Ferguson@maine.gov><br>
<b>Subject:</b> Attention Residential Service Providers for Youth, Residential Providers for Individuals with Intellectual Disabilities or Autism, and Stakeholders<o:p></o:p></p>
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<p style="margin:0in"><span style="mso-bookmark:gd_top"><strong><span style="font-size:14.0pt">Attention Residential Service Providers for Youth, Residential Providers for Individuals with Intellectual Disabilities or Autism, and Stakeholders:</span></strong></span><span style="mso-bookmark:gd_top"><span style="font-family:"Times New Roman",serif"> </span><o:p></o:p></span></p>
<p style="margin:0in"><span style="mso-bookmark:gd_top"><span style="font-family:"Times New Roman",serif"> </span><o:p></o:p></span></p>
<p style="margin:0in"><span style="mso-bookmark:gd_top"><span style="font-family:"Times New Roman",serif">In the recent legislative session, Representative Graham sponsored and the Health and Human Services Committee unanimously passed<u>
</u>LD 1003, <em>”An Act to Increase Access to Behavioral Health Services for Children and Individuals with Intellectual Disabilities or Autism”.</em> The Governor signed this bill into law as Resolves 2023, Ch. 60, which directs the Department to establish
a stakeholder group in order to develop a “so-called No Eject, No Reject” proposal for residential services for youth and individuals with intellectual disabilities or autism. </span><o:p></o:p></span></p>
<p style="margin:0in"><span style="mso-bookmark:gd_top"><span style="font-family:"Times New Roman",serif"> </span><o:p></o:p></span></p>
<p style="margin:0in"><span style="mso-bookmark:gd_top"><span style="font-family:"Times New Roman",serif">In accordance with this Resolve, stakeholders have been identified to participate in the stakeholder group charged with informing the development of the
No Eject, No Reject proposal. Following the development of the proposal, the Department will report the recommendations, including the proposal and any steps necessary to implement the proposal, to the Health and Human Services Committee in January 2024. </span><o:p></o:p></span></p>
<p style="margin:0in"><span style="mso-bookmark:gd_top"><span style="font-family:"Times New Roman",serif"> </span><o:p></o:p></span></p>
<p style="margin:0in"><span style="mso-bookmark:gd_top"><span style="font-family:"Times New Roman",serif">Under the Resolves, the stakeholder group is working to help the Department achieve the goal of the Resolve, including developing a plan for a No Eject,
No Reject proposal that requires residential providers of behavioral health services for youth and individuals with intellectual disabilities or autism to receive written approval from the Department for the following: </span><o:p></o:p></span></p>
<p style="margin:0in"><span style="mso-bookmark:gd_top"><span style="font-family:"Times New Roman",serif"> </span><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:1.25in;text-indent:-.25in;mso-list:l0 level1 lfo1">
<span style="mso-bookmark:gd_top"><![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Times New Roman",serif">Termination of services to an individual; </span></span><span style="mso-bookmark:gd_top">
<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:1.25in;text-indent:-.25in;mso-list:l0 level1 lfo1">
<span style="mso-bookmark:gd_top"><![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Times New Roman",serif">Executing a discharge plan; or </span></span><span style="mso-bookmark:gd_top">
<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;margin-left:1.25in;text-indent:-.25in;mso-list:l0 level1 lfo1">
<span style="mso-bookmark:gd_top"><![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Times New Roman",serif">Declining a referral of an individual when a bed is available.<span style="color:black"> </span></span></span><span style="mso-bookmark:gd_top">
<o:p></o:p></span></p>
<p style="margin:0in"><span style="mso-bookmark:gd_top"><span style="font-family:"Times New Roman",serif"> </span><o:p></o:p></span></p>
<p style="margin:0in"><span style="mso-bookmark:gd_top"><span style="font-family:"Times New Roman",serif;color:black">T</span></span><span style="mso-bookmark:gd_top"><span style="font-family:"Times New Roman",serif">o accomplish this charge, the Department
will be facilitating a series of stakeholder sessions, which will involve a commitment by all parties involved. The first session shall be held in person as follows: </span><o:p></o:p></span></p>
<p style="margin:0in"><span style="mso-bookmark:gd_top"><span style="font-family:"Times New Roman",serif"> </span><o:p></o:p></span></p>
<p style="margin:0in"><span style="mso-bookmark:gd_top"><strong>Where:</strong></span><span style="mso-bookmark:gd_top"><span style="font-family:"Times New Roman",serif"> </span><o:p></o:p></span></p>
<p style="margin:0in"><span style="mso-bookmark:gd_top"><span style="font-family:"Times New Roman",serif">OCFS Central Office, </span><o:p></o:p></span></p>
<p style="margin:0in"><span style="mso-bookmark:gd_top"><span style="font-family:"Times New Roman",serif">2 Anthony Ave, Augusta </span><o:p></o:p></span></p>
<p style="margin:0in"><span style="mso-bookmark:gd_top"> <o:p></o:p></span></p>
<p style="margin:0in"><span style="mso-bookmark:gd_top"><strong>When:</strong></span><span style="mso-bookmark:gd_top"><span style="font-family:"Times New Roman",serif"> </span><o:p></o:p></span></p>
<p style="margin:0in"><span style="mso-bookmark:gd_top"><span style="font-family:"Times New Roman",serif">September 7</span></span><span style="mso-bookmark:gd_top"><sup><span style="font-size:8.5pt;font-family:"Times New Roman",serif">th</span></sup></span><span style="mso-bookmark:gd_top"><span style="font-family:"Times New Roman",serif">
3:00-4:30 pm </span><o:p></o:p></span></p>
<p style="margin:0in"><span style="mso-bookmark:gd_top"><span style="font-family:"Times New Roman",serif"> </span><o:p></o:p></span></p>
<p style="margin:0in"><span style="mso-bookmark:gd_top"><span style="font-family:"Times New Roman",serif">To Support the intent of the Resolves, the following stakeholders have been invited to participate: </span><o:p></o:p></span></p>
<p style="margin:0in"><span style="mso-bookmark:gd_top"><span style="font-family:"Times New Roman",serif"> </span><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:103.5pt;text-indent:-.25in;mso-list:l3 level1 lfo2">
<span style="mso-bookmark:gd_top"><![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Times New Roman",serif">Residential Providers:</span></span><span style="mso-bookmark:gd_top">
<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:139.5pt;text-indent:-.25in;mso-list:l3 level1 lfo2">
<span style="mso-bookmark:gd_top"><![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Times New Roman",serif">Justin Gifford – Child and Family Network </span></span><span style="mso-bookmark:gd_top">
<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:139.5pt;text-indent:-.25in;mso-list:l3 level1 lfo2">
<span style="mso-bookmark:gd_top"><![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Times New Roman",serif">Malory Shaughnessy – Alliance of Mental Health and Addiction Services </span></span><span style="mso-bookmark:gd_top">
<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:139.5pt;text-indent:-.25in;mso-list:l3 level1 lfo2">
<span style="mso-bookmark:gd_top"><![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Times New Roman",serif">Misty Marston – Spurwink </span></span><span style="mso-bookmark:gd_top">
<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:139.5pt;text-indent:-.25in;mso-list:l3 level1 lfo2">
<span style="mso-bookmark:gd_top"><![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Times New Roman",serif">Greg Bowers – Day One </span></span><span style="mso-bookmark:gd_top">
<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:139.5pt;text-indent:-.25in;mso-list:l3 level1 lfo2">
<span style="mso-bookmark:gd_top"><![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Times New Roman",serif">Jennifer Putnam, Maine Association of Community Service Providers</span></span><span style="mso-bookmark:gd_top">
<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:103.5pt;text-indent:-.25in;mso-list:l2 level1 lfo3">
<span style="mso-bookmark:gd_top"><![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Times New Roman",serif">Advocate Organizations: </span></span><span style="mso-bookmark:gd_top">
<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:139.5pt;text-indent:-.25in;mso-list:l2 level1 lfo3">
<span style="mso-bookmark:gd_top"><![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Times New Roman",serif">Carrie Woodcock – Executive Director, Maine Parent Federation</span></span><span style="mso-bookmark:gd_top">
<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:139.5pt;text-indent:-.25in;mso-list:l2 level1 lfo3">
<span style="mso-bookmark:gd_top"><![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Times New Roman",serif">Nancy Cronin – Executive Director, Maine Developmental Disabilities Council </span></span><span style="mso-bookmark:gd_top">
<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:139.5pt;text-indent:-.25in;mso-list:l2 level1 lfo3">
<span style="mso-bookmark:gd_top"><![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Times New Roman",serif">Cathy Dionne – Executive Director, Autism Society of Maine </span></span><span style="mso-bookmark:gd_top">
<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:139.5pt;text-indent:-.25in;mso-list:l2 level1 lfo3">
<span style="mso-bookmark:gd_top"><![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Times New Roman",serif">Katrina Ringrose and Staci Converse – Disability Rights Maine</span></span><span style="mso-bookmark:gd_top"> <o:p></o:p></span></p>
<p style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:85.5pt">
<span style="mso-bookmark:gd_top"> <o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:103.5pt;text-indent:-.25in;mso-list:l1 level1 lfo4">
<span style="mso-bookmark:gd_top"><![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Times New Roman",serif">Hospital Organizations</span></span><span style="mso-bookmark:gd_top">
<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:139.5pt;text-indent:-.25in;mso-list:l1 level1 lfo4">
<span style="mso-bookmark:gd_top"><![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Times New Roman",serif">Katie Harris, Maine Health </span></span><span style="mso-bookmark:gd_top">
<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:139.5pt;text-indent:-.25in;mso-list:l1 level1 lfo4">
<span style="mso-bookmark:gd_top"><![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Times New Roman",serif">Lisa Harvey McPherson, Northern Light </span></span><span style="mso-bookmark:gd_top">
<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:139.5pt;text-indent:-.25in;mso-list:l1 level1 lfo4">
<span style="mso-bookmark:gd_top"><![if !supportLists]><span style="font-size:10.0pt;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Times New Roman",serif">David Winslow, Maine Hospital Association </span></span><span style="mso-bookmark:gd_top">
<o:p></o:p></span></p>
<p style="margin:0in"><span style="mso-bookmark:gd_top"><span style="font-family:"Times New Roman",serif">In addition to the above, the Department is exploring how best to bring consumer voice into this process development.” </span><o:p></o:p></span></p>
<p><span style="mso-bookmark:gd_top">Thank you,<o:p></o:p></span></p>
<p><span style="mso-bookmark:gd_top">-Dean<o:p></o:p></span></p>
<p><span style="mso-bookmark:gd_top"><span style="font-size:12.0pt;font-family:"Garamond",serif">Dean Bugaj, MBA<br>
<span style="color:#7F7F7F">Associate Director of Children’s Behavioral Health<br>
Office of Child and Family Services</span></span><o:p></o:p></span></p>
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