Committee Meeting Information

September 27 - 28, 2007

Central Wyoming Counseling Center

Casper, Wyoming

 

Committee Members Present

Senator Pat Aullman, Co-chairman

Representative Keith Gingery, Co-chairman

Senator Ken Decaria

Senator Ray Peterson

Representative Timothy Hallinan

Representative Jerry Iekel

Representative Jack Landon

Representative Jane Warren

 

Committee Members Absent

Senator Bob Fecht

Senator Rae Lynn Job

Senator Wayne Johnson

Representative Patrick Goggles

 

Legislative Service Office Staff

John Rivera, Senior Staff Attorney

Joy N. Hill, Associate Research Analyst

 

Others Present at Meeting

Please refer to Appendix 1 to review the Committee Sign-in Sheet
for a list of other individuals who attended the meeting.

 


Executive Summary

The Committee met for two days in Casper.  The Committee heard testimony on reports that were due to the Committee, including on the mental health needs of returning veterans, the Wyoming State Hospital facilities study and the advanced practice nursing program.  The Committee considered and voted on draft legislation requested at the previous meeting and directed that legislation be drafted to address the mental health needs of returning veterans.  The latter bill will be considered by mail ballot since the Committee will not be meeting again this interim.

 

Call To Order (September 27, 2007)

 

Chairman Aullman called the meeting to order at 12:08 p.m.  The following sections summarize the Committee proceedings by topic.  Please refer to Appendix 2 to review the Committee Meeting Agenda.

 

 

Approval of Minutes

Upon obtaining a quorum, the minutes of the July 12-13, 2007 meeting were approved.

 

Senator Aullman discussed a meeting she attended in Chicago where the development of the brain was discussed.  The brains of young people are not fully developed until their mid-20s; therefore, those young people do not fully understand consequences.  If they do not consume alcohol or substances by their mid-20s, those individuals are unlikely to become addicted to substances.  Representative Iekel, who also attended the meeting, said that there is a need to focus on adolescents to make the biggest impact on substance abuse prevention.

 

 

Reports

 

Returning Veterans’ Mental Health Needs

Senator Mike Massie made brief introductory comments, then turned the discussion over to Ms. Mary Flanderka, Wyoming Department of Health (WDH) and other members of the task force that participated in the study of the needs of veterans and families of those who served in Iraq and Afghanistan.  The report the Committee was provided today (Appendix 3)  contains the findings and recommendations of that study. 

 

Mr. Larry Barttelbort, Executive Director, Wyoming Veterans' Commission, explained the report.  It is necessary to provide returning troops with resources as early as possible, before they are veterans.  The federal government is stretched to meet needs, but it is gearing up to meet the need.  In Wyoming,  the Veterans Administration (VA) medical centers have hired in excess of 25 mental health professionals to meet the demand.  Veterans are eligible for 2 years of free mental health and medical services after they retire.  There is an effort being made to increase that time period to 5 years.  There are adequate mental health resources if we can get the veterans connected and make sure they get to the appointments.

 

Colonel Sheppard, Wyoming Army National Guard, discussed the demand for the services and the demobilization process. Returning reservists are eligible for a free physical, but they generally won't ask for it.  Soldiers desire to get home as quickly as possible and they don’t discuss whether they are okay, and won't often deal with their emotional and mental needs because it may delay the return home.  Soldiers do not necessarily take good care of themselves.  It is also difficult for family members who say they need help.  The state should help soldiers and their families pay for getting care, travel, childcare, and other quality of life issues.

 

Mr. Jim Whipps, said that in earlier wars, troops had time to acclimate to civilian life because their return was by ship which allowed time to adjust to leaving the battlefield.  Troops returning from more recent conflicts are quickly demobilized from the battlefield to civilian life and the adjustment is very difficult.  There is a stigma attached to anyone who might express the need for mental health counseling while in a demobilization unit, which is often viewed as personal weakness among soldiers who want to be perceived as strong and invincible.  Such persons need intensive one-on-one advocacy to overcome the stigma.

 

Senator Massie said the Iraq and Afghanistan conflicts are producing more head injuries than injuries to other parts of the body, so post-traumatic stress syndrome (PSTD) and traumatic brain injury (TBI) are major problems that have to be addressed for returning troops.  The VA, nationally, isn't prepared to deal with the problem.  There are still too few clinicians to provide the services necessary and those persons aren't trained to deal with the problems they are seeing in returning troops.  In addition to the recommendations of the task force contained on page 4, Appendix 3, Senator Massie asked:  the WDH to convene a group to establish standards for  clinicians and for the treatment of PSTD and TBI; the state to provide funding for services if the VA is short-staffed or unable to provide necessary services for returning troops; that the time period for screenings of returning troops be expanded to 5 years; and, that assistance for family members of returning troops should be paid for by the state to address the quality of life issues described by the task force.

 

Mr. John Huckman, Commander, VFW of Wyoming,  provided a written statement (appendix 4) in lieu of testifying on the needs of veterans and their families.

 

Senator Decaria and Representative Hallinan agreed that the state should provide help, but the federal government should be reminded that this is a federal responsibility.

 

Mr. Jim Whipps described his experiences returning from the Middle East. He has been involved with this issue directly and how important this issue is.  It is not necessarily a “friendly” process due to the compressed time to demobilize.  If a soldier admits the need for counseling, he will be held in the demobilization unit until he gets a chance to see a doctor.  Some soldiers are scared they would be kicked out of the military, or their career damaged if they admit to having a problem.  Not all returning troops in Wyoming have an accessible VA medical center close by, which can prevent them from seeking assistance. 

 

Wyoming State Hospital Facilities

Dr. Brent Sherard, Director, WDH, advised that Dr. Pablo Hernandez, Superintendent, Wyoming State Hospital (WSH) , will be retiring November 2, 2007.  The WDH is working on transition plan

 

The Committee commended Dr. Hernandez for his hard work on behalf of the WSH and mental health services throughout the state.

 

Dr. Hernandez described his work in Wyoming.  He explained the WSH facilities study, required by 2006 HB 91.  The Department of Administration & Information (DA&I) was charged with conducting an analysis of the WSH facility.  Dr. Hernandez wanted the study to address adult acute care, forensic, geropsychiatric and adolescent services.  DA&I only conducted an analysis of the old WSH campus.  The study indicates that the heating, ventilation and air conditioning systems have to be redone, as well as the mechanical, electrical and plumbing systems, at an estimated cost of $60 million (see Appendix 5).  The report did not address repairs for the rest of the WSH infrastructure, which have a projected life of 15-20 years.  He explained that new buildings will be needed in the future, with a projected life of 50-60 years.  He hopes a process is developed to review the facility's and community services' needs in 5 year increments.  The WSH has good success recruiting professional staff, but has not been able to recruit line staff as effectively because of competition from the energy industry. With respect to expanding geropsychiatric care throughout the state, Dr. Hernandez has been informed that nursing homes do not have the expertise, knowledge or staff to serve geropsychiatric patients.  It may be possible to serve some elderly patients at the Wyoming State Training School (WSTS).  Once beds become open at WSTS, they will be filled quickly.  Wyoming has an aging population and those people will need a higher quality of care and long term planning.  Dr. Hernandez stated that his biggest accomplishment at WSH has been to close the adolescent unit and ensuring that adolescents receive treatment closer to their homes.

 

Representative Gingery asked 3 questions.  He has heard from other legislators who are emphatic that there is enough capacity at Basin to treat elderly patients with mental illness if the facility could hire trained staff to work there.  He asked if that was a possibility.  He also questioned the WSH facilities study, which he believed was supposed to address creating new capacity by building new structures on vacant land on the campus, not to address rehabilitation of the old buildings.  He asked what happened to that idea.  Many Committee members agreed that the WSH facilities report did not address the possibility of creating a new infrastructure which they wanted addressed.  Representative Gingery was also concerned during the tour of WSH that there was no air conditioning in the building housing forensic patients and it was very hot in the building.  He asked if air conditioning could be installed there. 

 

Dr. Sherard responded to the first question by stating that WDH oversees 5 institutions. The State Building Commission has been approached to consider a full facilities study of those 5 institutions.  But studying the needs at all those institutions would take several years and significant amounts of money.  The most pressing concern is the WSH and the backlog of Title 25 cases. To relieve those pressures, WDH is exploring moving geropsychiatric patients to the WSTS.  On the Basin issue, Dr. Sherard would like to see the Retirement Center handle these clients. The problem with that idea is that it is difficult to recruit psychiatric staff  in Basin.  Ms. Dianne Baird-Hudson, Superintendent of the WSTS, stated she is creating a nursing staff pool with the goal of moving them around to the various institutions to meet needs. 

 

Dr. Hernandez said he has tried unsuccessfully to develop staffing in the Basin area.  Regarding Representative Gingery's second question, Dr. Hernandez would like to see new facilities being built with a greater life expectancy that could be achieved by rehabilitating existing buildings. He presented both ideas to the architects working with A&I, but the architects only explored the rehabilitation of the existing infrastructure.  If he were going to stay with the WSH, he would try to identify what else could be done with the money proposed by A&I, instead of repairing old buildings.  The air conditioning in Johnson building has been bid out and WSH will have a system installed.  Big Horn and Goshen Halls will be reopened October 1st

 

Dr. Sherard advised that WDH  continues to struggle with the Centers for Medicare and Medicaid (CMS) with respect to Medicaid reimbursement rates increased in 07SF76.  CMS still has not approved the rate increases authorized by the Legislature.  The Medicaid program is a 50/50 partnership with the state.  He believes the WDH is making headway, but still have not received approval.  In the meantime, the WDH is paying the state portion of the increase, but not the federal portion until CMS approval is obtained.

 

University of Wyoming Advanced Psychiatric Nursing Program.

Mr. Rick Miller, University of Wyoming Government, Community & Legal Affairs Vice-President,  provided an update on this program.  Six persons are able to get support through the program at $10,000 per semester and $2500 per summer.  These students are not traditional students. They are people who have already gotten a nursing degree.  He introduced Ms. Dana Murphy-Parker, who is a faculty member in the program.  This program is one part of the overall health care provider system and is very important to the state.

 

Ms. Murphy-Parker advised that there are 6 students in the program who will graduate in December. Five  of the 6 are advanced practice nurses in another specialty.  Four to 5 students will start their clinical programs in the Spring and Summer of next year.  The program has admitted 9 new students who started this Fall.  The program has divided the state into six areas and the students will be going to community mental health centers in those various areas.

 

Representative Warren asked if the program will be included in the UW ongoing budget request, or does this Committee need to add it in its appropriation bill.  Ms. Susan McCabe advised the UW section 167 budget request includes a request for funding to continue the program.

 

Ms. Miller reiterated that the program is included in the budget request to sustain this program at current levels.   He also discussed the provision in 06HB91 that required UW to create a psychiatric residency rotation program (see Appendix 6).  The UW College of Health Sciences worked with Wyoming Behavioral Institute and the University of Washington School of Medicine to establish the program. The current standard budget presented to the Governor will include a request in the amount previously appropriated for the program.  Dr. Seymour, who was the first participant in the program described how the rotations worked.  The rotation seemed to fit well with other rotations the residents are required to complete.  She came from Washington to do this rotation. 

 

Environmental Care Centers for Persons with Alzheimer's Disease

Ms. Mary Hein, Director, Alzheimer’s Wyoming, described the background of her program, which exists to provide support to caregivers of dementia-afflicted individuals.  There are over 8,100 Alzheimer's patients in the state, about 70% of whom are being cared for at home.  During advanced stages of Alzheimer's it is difficult on caregivers who strive to meet the needs of their family member with Alzheimer's.  Respite care can significantly improve the quality of the caregiver’s life.  She distributed a handout relating to “Greenhouse” care center concept (Appendix 7) to make life easier for Alzheimer's patients.  She invited Committee members to attend an October 3rd meeting with Senator Enzi at the UW outreach services building in Casper.  She would like to see more geriatric trained staff, and thanked the Legislature for providing funding for in-home health care providers.  She would also like to see more publicity about the value of those who give care in their homes and would like the Committee to be proactive in getting a health trust fund established with tobacco settlement fund dollars or other monies.

 

Chairman Aullman asked whether Alzheimer's Disease is classified as a mental or physical ailment.  Dr. Sherard said Alzheimer's is more likely reimbursed under medicaid as a physical rather than as a mental health ailment, but the disease affects both aspects of a person so afflicted.  Representative Iekel described Alzheimer's as an organic brain syndrome not subject to a  psychiatric diagnosis.  Dr. Hernandez said the disease is also manifested in younger adults.  Ms. Hein said the greatest risk factor is age and the population in Wyoming is aging quickly.  Other diagnoses accompany the diagnosis of Alzheimer's.  The state needs to do better planning than is currently happening.

 

Photovoice technology

Ms. Peggy Nikkel, UPLIFT, provided a presentation on the Wyoming SAGE Photovoice Project.  She introduced Mr. Kent Becker, who is the Project Director.  The purpose of the Project is to gain input from adolescents and families who are engaged in the mental health system.

 

Mr. Becker described photovoice and presented an explanation of the Project (see Appendix 8).  By providing young people with an opportunity to express themselves through photography and their explanations of their photographs, the Project is able to gain significant insight into the personalities of the participants.  The Project is completing its first year and will begin its presentation phase soon, which can include a social marketing campaign to increase education and awareness.  There will be products available on the Internet, including books, displays and other products.

 

Senator Peterson suggested this concept could be used to help the veterans get their mental health needs met. 

 

Proposed Draft Legislation

 

08LSO-0098.W1, Costs for emergency detentions - limitations

Rep. Gingery explained the purpose and intent of the bill.

 

After the explanation of the bill and discussion, Senator Decaria moved, seconded by Representative Iekel, for the Committee to sponsor the bill.  After consideration of a proposed amendment which failed, the motion carried on a roll call vote of 5 ayes, 3 nays and 4 excused.  Senators Aullman, Decaria and Peterson, and Representatives Gingery and Landon voted aye.  Representatives Hallinan, Iekel and Warren voted nay.  Senators Fecht, Job and Johnson, and Representative Goggles were excused.

 

Representative Landon asked staff to research and provide to the Committee before the session begins what types of medical care governmental entities are required to provide to persons who are detained in a jail or prison.

 

The Committee recessed at  5:15 p.m.  p.m.

 

 

Call To Order (September 28, 2007)

Chairman Gingery called the meeting to order at 8:36 a.m.  The following sections summarize the Committee proceedings by topic.  Please refer to Appendix 2 to review the Committee Meeting Agenda.

 

 

Proposed Draft Legislation

 

08LSO-0099.W1, Not guilty by reason of insanity evaluations

Chairman Gingery explained the purpose and intent of the bill and the process that he believes was being used by judges, who were often asking for both competency and not guilty by reason of mental illness (called either NGMIs or 7-11s) evaluations, whether or not both were necessary.  The competency evaluations are simpler to do, the NGMI evaluations are more difficult.  After comments from public defenders, Chairman Gingery believes this bill may not be necessary.  Rather than amending the law, it may be more useful to submit a letter to the district court judges explaining the change in the law that was made in 2006 and ask the courts to update their forms to reflect that change.  The bill died for lack of a motion.

 

Dr. Sherard offered that it might be more effective if a combined letter from the Committee and the WDH is submitted to the courts.

 

08LSO-0044.W2, Psychologist licensure

Representative Warren explained the bill, including clarification about who will be covered under the act.  Dr. Mark Watt explained the act was originally drafted using the South Carolina and the 1993 model act proposed by the American Psychological Association.  The model act is currently under review and appears consistent with the legislation being considered by the Committee.

 

After discussion of a proposed amendment, Dr. Watt explained the Act would become a "title" act rather than a "practice" act, if violations were tied to a person's use of the title "psychologist".  That would allow a person to practice psychology as long as the person did not use the title or represent that he is a psychologist.  The current wording regulates the practice, not the use of the title.  He wants the Act to protect the practice.  Ms. Veronica Skoranski, DA&I, stated that the Attorney General's Office has opined that an amendment such as was being discussed would move the Act from a practice act to a title act.  She provided examples of how this has currently played out in Wyoming. 

 

Mr. Rodger McDaniel, Deputy Director, WDH Mental Health and Substance Abuse Services Division, stated the bill now contains language at his request to exempt state employees from the Act while performing specified duties.

 

Representative Warren asked Ms. Skoranski if the potential move of the administrative duties of the Board of Psychology out of DA&I would result in cost shifting to other boards for whom DA&I performs similar administrative duties.  Ms. Skoranski replied that it would.  Chairman Gingery read a letter from the Attorney General opposing a proposal by the Board to hire it’s own secretary.  Dr. Watt advised that language was removed from the current bill after concerns were expressed by the Committee at the last meeting.

 

Chairman Gingery called for public testimony on the bill.  Dr. David Birney expressed concerns with language in the bill dealing with exemptions and the requirements of provisional licensure which would make it difficult for providers to attract new clinicians to the state.  Dr. Watt replied that it would not be necessary for them to get temporary licensure to work under supervision of Wyoming psychologists in the state.

 

Representative Iekel moved, seconded by Representative Warren, for the Committee to sponsor the bill.  After consideration of proposed amendments, the motion carried on a roll call vote of 9 ayes, 0 nays and 3 excused.  Senators Aullman, Decaria, Fecht and Peterson, and Representatives Gingery, Hallinan, Iekel, Landon and Warren voted aye.  Senators Job and Johnson, and Representative Goggles were excused.

 

The following amendments to the bill were adopted:

Page 9-line 8    After "section" insert "and when representing himself as a psychologist".

Page 9-lines 11 through 17      Delete entirely.

Page 17-line 9  After "person" insert "who is not licensed under this act".

Page 17-line 12            Reinsert stricken "or".

Page 17-line 14            After "(ii)" insert "Represent himself as a psychologist and".

 

08LSO-0043.W2, Mental Health Professions Practice Act – amendments

Representative Iekel, Dr. Birney and Ms. Skoranski presented and explained the bill.

 

Representative Hallinan moved, seconded by Senator Aullman, for the Committee to sponsor the bill.  After adoption of a proposed amendment, the motion carried on a roll call vote of 9 ayes, 0 nays and 3 excused.  Senators Aullman, Decaria, Fecht and Peterson, and Representatives Gingery, Hallinan, Iekel, Landon and Warren voted aye.  Senators Job and Johnson, and Representative Goggles were excused.

 

A motion was adopted to amend the bill on Page 6-line 15, after "therapy" strike "and" insert "or".

 

08LSO-0100.W2, Mental health and substance abuse appropriations

Ms. Day distributed Appendix 9, a report of the crisis stabilization facility operated by Peak Wellness Center, and proceeded to explain sections 1 through 4 of the bill.  Chairman Gingery suggested that the veterans assistance proposal presented on the first day of the meeting contained in Appendix 3, page 4, should be made into a separate bill that should be sent out to members to vote by mail.   He also suggested the proposal to add an appropriation for new geropsychiatric beds at WSH should be set aside until next year.  Both suggestions were agreed to by the Committee. In light of concerns expressed that the Budget Office was interpreting language in 07 Wyoming Session Laws, Chap. 216, Section 11(a), to prohibit start up costs from being used out of the appropriation to the Central Wyoming Counseling Center facility being built in Casper, Mr. Bob Peck, WDH Chief Fiscal Officer, and Mr. Rivera were directed to prepare an amendment to the bill being considered to allow start up costs from the appropriation approved last session.

 

Representative Landon moved, seconded by Representative Warren, for the Committee to sponsor the bill.  After consideration of proposed amendments, the motion carried on a roll call vote of 8 ayes, 0 nays and 4 excused.  Senators Aullman, Fecht and Peterson, and Representatives Gingery, Hallinan, Iekel, Landon and Warren voted aye.  Senators Decaria, Job and Johnson, and Representative Goggles were excused.

 

The following amendments to the bill were adopted:

Page 2-line 20   Delete "following"; delete ":' insert "and the Wind River Indian Reservation selected, based upon recommendations of the epidemiological work group.".

Page 2-line 22   Delete.

Page 3-lines 1 through 21        Delete entirely.

Page 4-line 1    Delete "of the counties".

Page 4-line 2     Delete the line through "section" insert "county and from the Wind River Indian Reservation".

Page 4-line 4     After "a county" insert "or the Wind River Indian Reservation"; after "the county" insert "or the Wind River Indian Reservation".

Page 4-line 21   Delete "only".

Page 5-line 1     After "beds" insert "and the reasonable start up costs related to those beds".

Page 8-line 18   Delete "fiscal year" insert "biennium".

Page 8-line 19   Delete "2009" insert "2010.  This appropriation shall be included in the agency's standard budget request for the biennium beginning July 1, 2010".

Page 8-line 22   Delete "social services".

Page 9-After line 2 Insert a new section amending 07 Wyoming Session Laws, Chap. 216, Section 11(a), to allow the appropriation contained therein to be used for start up costs, using language similar to the amendment on Page 5-line 1.  This new section of the bill should be made effective immediately upon completion of all acts necessary for a bill to become law, while leaving the effective date for the rest of the bill as July 1, 2008.

Page 9-line 7     Delete "thirty thousand dollars ($30,000.00)" insert "sixty thousand dollars ($60,000.00)".

 

08LSO-0131.W3, Alcohol taxes to treat substance abuse.

Representative Warren presented the bill on behalf of Representative Rosie Berger who was unable to attend the meeting.

 

Mr. Tom Montoya, Department of Revenue, Liquor Division, distributed Appendix 10, containing updated revenue estimates for FY 2009 and 2010 from the collection of alcohol taxes, based on current excise taxes and proposed increases contained in the bill before the Committee.  The excise tax on alcohol products has not been increased since 1935.

 

Maggie Moran, a volunteer on Fremont County Alcohol Tax Taskforce, stated there was much support across the state to earmark the proposed alcohol tax increases for prevention.  She proposed 3 ideas:  increase all alcohol taxes to the national average; earmark money for prevention, treatment and law enforcement; and, allow local control of how to use that money.

 

The Committee was advised by a representative of the city of Riverton that the city has endorsed the concept of local option alcohol taxes by resolution and is in support of this bill. 

 

Mr. McDaniel stated that the Mental Health and Substance Abuse Services Division also supports an increase in alcohol taxes to pay for substance abuse prevention and treatment.  This type of tax would be in the nature of a user tax.  Eighty percent (80%) of the arrests in the Cheyenne newspaper's blotter brief are alcohol related.  He agrees with the concept of local option alcohol taxes also.

 

Ms. Nikkel expressed her support for the tax increase because she has seen the toll abuse takes on families with co-occurring conditions.  Passing up an opportunity that would provide an on-going source for treatment and prevention of substance abuse will only lead to more substance abuse in the state.

 

A Fremont County woman in recovery spoke in favor of the bill because it is a wonderful opportunity to make substance abusers pay for the treatment they need.

 

Mr. Mike Moser, Wyoming State Liquor Association,  provided a fact sheet on the Liquor Division's revenues and operations (Appendix 11).  He advised Wyoming is one of a few "control" states that control and distribute wines and spirits directly to retailers.  There is a 17.6% markup that the Division collects on the those products it sells to retailers.  The Division currently collects approximately $11 million per year in excise tax and profit markup that goes into the general fund.  Those monies currently collected could be earmarked for substance abuse prevention and treatment without the need to increases taxes as proposed by this bill.

 

Senator Peterson moved, seconded by Representative Warren, for the Committee to sponsor the bill.  After consideration of proposed amendments, the motion carried on a roll call vote of 6 ayes, 3 nays and 3 excused.  Senators Aullman, Fecht and Peterson, and Representatives Hallinan, Iekel and Warren voted aye.  Senator Decaria (by proxy) and Representatives Gingery and Landon voted nay.  Senators Job and Johnson, and Representative Goggles were excused.

 

The following amendments to the bill were adopted:

Page 2-line 8     After "12-3-101" insert "(a) and"; after "(f)" insert "and all profits collected pursuant to W.S. 12-2-303, except as provided in W.S. 12-2-302(b)".

Page 2-line 12   After "assessment" insert ", prevention".

Page 2-line 22   Delete "alcoholic or".

Page 2-line 23   Delete ":".

Page 3-line 1     Delete "(i)".

Page 3-lines 4 through 10        Delete entirely.

 

 

 

Veterans' Assistance

Chairman Gingery advised the Committee would not meet again this interim and suggested a veterans' assistance bill could be drafted and submitted to the Committee for vote by mail ballot.  The Committee discussed which of the recommendations identified in Table 1 on Page 4 of Appendix 3 should be included in the bill draft.  After discussion, staff was directed to include all the recommendations listed in Table 1 and send the bill with a mail ballot to Committee members for their vote on whether or not to sponsor the bill in the 2008 Budget Session.

 

Representative Landon asked the LSO Research Division to research the expenditures made under legislation enacted within the last 2 years providing for assistance to families of veterans.

 

Meeting Adjournment

There being no further business, Chairman Gingery adjourned the meeting at 6:25  p.m.

 

Respectfully submitted,

 

 

 

 

Senator Pat Aullman, Cochairman                               Representative Keith Gingery, Cochairman

 


 

 

 

 

 

 

 

 


Appendix

 

Appendix Topic

 

Appendix Description

 

Appendix Provider

1

 

Committee Sign-In Sheet

 

Lists meeting attendees

 

Legislative Service Office

2

 

Committee Meeting Agenda

 

Provides an outline of the topics the Committee planned to address at meeting

 

Legislative Service Office

3

 

Report on Veterans' Mental Health Needs

 

Describes the mental health needs of veterans returning from conflicts in the report required by 2007 SF 76, and provides recommendations to address those needs

 

Wyoming Department of Health (WDH)

4

 

Written testimony in Support of  the Report on Veterans' Mental Health Needs

 

Provides written support of recommendations contained in the Report on Veterans' Mental Health Needs

 

John Huckman, Commander, VFW Department of Wyoming

5

 

Wyoming State Hospital Master Facility Plan Report

 

 

Describes the rehabilitation needs of existing buildings at the Wyoming State Hospital and costs associated with rehabilitation

 

Department of Administration and Information

6

 

University of Wyoming (UW) Psychiatric Residency Rotations Program

 

Describes the results and costs of implementation of the Psychiatric Residency Rotations Program by UW

 

University of Wyoming

7

 

"Greenhouse" living environment

 

Provides a architectural blueprint of how a facility for patients with Alzheimer's Disease could be built to enhance the lives of those patients

 

Mary Hein, Director, Alzheimer's Affiliation of Wyoming

8

 

Wyoming SAGE Photovoice Project

 

Describes the Wyoming SAGE Photovoice Project to engage trouble youth in discussion through the use of photography

 

Peggy Nikkel, Director, UPLIFT

9

 

Report of Crisis Respite Facility

 

Describes the success of a crisis respite program implemented by Peak Wellness Center

 

Dr. David Birney, Director, Peak Wellness Center

10

 

Spreadsheet Analysis of Alcohol Taxes

 

Provides an analysis of revenues collected on current and proposed increases for taxes on alcoholic beverages

 

Department of Revenue, Liquor Division

11

 

Information on Liquor Division

 

Describes operation and revenues of the Department of  Revenue, Liquor Division

 

Mike Moser, Wyoming State Liquor Association

 

 


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