HomeMy WebLinkAboutMINUTES - 01251994 - 1.23 J
TO: BOARD OF SUPERVISORS s----L
Contra
FROM: Phil Batchelor, County Administrator a Cost
o� S l
Januar 19 1994County
'
r+. _ ,.Tv
DATE: y r�rrq couK�i c
SUBJECT: ENDORSEMENT OF APPLICANT FOR THE NAPA STATE HOSPITAL
ADVISORY BOARD
SPECIFIC REOUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATION:
ENDORSE the application of Patricia Kathleen (Kathy) Simpson for
appointment by the Governor to the Napa State Hospital Advisory
Board and DIRECT the County Administrator to advise the State
Department of Mental . Health and the Governor' s Appointments .
Secretary of the Board's endorsement.
BACKGROUND:
Napa State Hospital has an Advisory Board of eight members . The
members of the Advisory Board are appointed by the Governor. The
Advisory Board includes two relatives of current or former state
hospital patients, three representatives of professional
disciplines serving the mentally disordered, two members of the
general public who have demonstrated an interest in services to the
mentally disordered, and one former state .mental hospital patient.
In order to be considered for appointment, an individual ' s
application must be endorsed by the Board of Supervisors in the
county where the individual lives . All applications must be
received by the State Department of Mental Health by Monday,
January 31, 1994 .
Patricia Kathleen (Kathy) Simpson, a resident of Danville, is
applying for one of the ."relative" seats on the Napa State Hospital
Advisory Board. A copy of her application is attached. The
Executive Committee of the Mental Health Commission. has met and
considered Ms . Simpson's application and recommends that the Board
of Supervisors endorse Ms. Simpson' s application.
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S): -
-
ACTIONOFBOARDON Januar—y 25,-1994 APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT.THIS IS A TRUE
UNANIMOUS(ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. 9 G
ATTESTED
0
Contact: IL BATCHELOR.CLERK OF THE BOARD OF
cc: See Page 2 SUPERVISORS AND COUNTY ADMINISTRATOR
BY � 01
''DEPUTY
-2-
It is recommended that the Board of Supervisors endorse Ms.
Simpson's application and direct this office to insure that the
State Department of Mental Health and the Governor's Appointments
Secretary are advised of the Board' s endorsement in a timely
manner.
cc: County Administrator
Health Services Director
Mental Health Director
State Department of Mental Health (Via CAO)
Governor' s Appointments Secretary (Via CAO)
Contra Phil Batchelor
The Board of Supervisors Cierk of the Board
and
County Administration BuildingCOSta County Administrator
651 Pine St., Room 106 (510)W-2371
Martinez, California 94553 County
Tom Powers,1st District
Jeff Smith,2nd District
L
Gayle Bishop,3rd District °^
r '
Sunne Wright MCPeak 4th District 5
Tom Torlakson,5th District
rT'9 COU H'�
ORIGINAL VIA FEDERAL EXPRESS
January 25, 1994
Nora A. Romero,' Chief
Office of Community and Consumer Relations
State Department of Mental Health
16009th Street, Room 151
Sacramento, CA 95814
Dear Ms. Romero:
The Contra Costa County Board of Supervisors is pleased to endorse
the application of Patricia Kathleen (Kathy) Simpson for membership
on the Napa State Hospital Advisory Board. Enclosed is Ms.
Simpson's original application and a certified copy of the Board
Order documenting the action taken by the Board of Supervisors on
January 25, 1994 .
V y t o rs,
T M POWERS, CHAIRMAN
Attachment
cc: Charles S. Poochigian, Appointments Secretary
Office of the Governor of California
State Capitol - First Floor
Sacramento, CA 95814'
Patricia Kathleen (Kathy) Simpson
89.7 Dolphin Court
Danville, CA 94526
Patricia Rosenberg, Assistant to
Supervisor Gayle Bishop
OFFICE OF GOVERNOR PETE WILSON APPLICATION FORM
�rX
I. Mrs. Patricia Kathleen (Kathy) Simpson
First Middle Last
2. Position(s) Sought: (list in order of preference)
I) Napa State Hospital Advisory Board - Relative Representative
2)
3)
4)
5)
3. Driver's License#: V7031101 . 4. Date of Birth: 3-22-3 3
5. Social Security# 116-24-0904 6. Ethnicity: (opt.)
7. Sex: M _ X F 8. Name of spouse Wayne
9. Are you a registered voter? X Yes_No
County: Contra Costa
Please indicate party affiliation Republ i can
10. Major physical disabilities? Yes X No If any:
11. Residence 897 Dolphin Court
Address: Danville 94526
Danville Contra Costa CA. 94526
City County State Zip
Phone( 510 ) 820-2163
12. Business Title:
.Company:
Address
City County State Zip
Phone( ) FAX ( )
•1 r.�
13. Work Experience(Current to last 12 years)
EmployerTitle/Type of Business City/State From To
Date Date
14. Educational History:
College/Graduate School (Location) From To Degree Maior
Date Date
Columbia Univ. , School Gen. Studies 1954 No Psychology
S.U.N.Y. - Rockland 1968-69 No Human Services
15. Please list professional licenses and certificates.
Certificates Date Issued Date Issued
1) 3)
4)
16. List all current organizations and societies of which you are a member:
Organizations/Societies From
National Alliance for the Mentally Ill 1984
California Alliance for the Mentally Ill 1983 .
Alliance for the Mentally I11-Co. Co. Co. 1984
Alliance for the Mentally Ill-Napa State Hospital 1990
17. Many positions require the appointment of persons with special background, experience, etc. Please indicate below those
categories for which you may qualify. Please mark pall the category which specifically describes your current occupation,
employment or status.
_ Advanced Technology — Agriculture _ Attorney
_ Education _ Environment _ Financial Institution
Higher Education _ Insurance _ Labor
Law Enforcement Local Government X Health
Small Business Student Veteran
-2-
Is. _Yes X No Have you resided at your current residence less than 5 years? If yes, please,list all residences for the
past 5 years.
19. _Yes gNo Are you a citizen of a country other than the United States? If so, please list country.
20. _Yes XNo Have you ever been affiliated(as an officer, owner, director, trustee,partner, advisor or consultant)
with any institutions(corporations,firms, partnerships, business enterprises, non-profit organizations,
etc.)within the past five years which might present a potential conflict of interest or appearance of
conflict of interest with your requested appointment? If yes, please explain.
21. _Yes_XNo Do you own real property, personal property, or financial holdings which might present a potential
conflict of interest or appearance of conflict of interest with your requested appointment? If yes,
please explain.
22. _Yes XNo Have you ever been convicted of a violation of any federal, state, county or municipal law, regulation
or ordinance(including traffic violations for which a fine of$100.00 or more was imposed, this
includes driving under the influence of alcohol and/or drugs.)? If yes, please explain.
23. _Yes X No Are you currently under federal, state or local investigation for possible violation of a criminal law or
ordinance? If yes, please explain.
24. _Yes X No. Has a tax lien or other collection procedure ever been instituted against you by federal, state or local
authorities? If yes, please explain.
25. _Yes X No Have you ever been disciplined or cited for a breach of ethics or unprofessional conduct by or been
the the subject of a complaint to any court, administrative agency, professional association,
disciplinary committee, or other professional group? If yes, please explain.
26. _Yes XNo Have you ever been involved in civil litigation, or administrative or legislative proceedings of any
kind, either as plaintiff, defendant, respondent, witness or party in interest? If yes, please explain.
27. ,Yes X No Have you ever run for political office, served on a political committee, or been identified publicly
with a particular political organization, candidate or issue? If yes, please explain.
28. ,Yes X No Have you been publicly identified, in person or by organizational members, with a particularly
controversial national, state or local issue? If yes, please explain.
29. —Yes XNo Have you ever submitted oral or written views to any government authority or the news media, on
any particular controversial issue other than in an official government capacity? If yes, please
explain.
30. ,Yes XNo Have you ever written any particularly controversial books or articles. If yes, please explain.
31. _Yes XNo Have you ever had any association with any person or group or business venture which could be used,
even unfairly, to impugn or attack your character and qualifications for the requested appointment? If
yes, please explain.
32. _Yes_XNo Do you know anyone who might take any steps, overtly or covertly, to attack your appointment? If
yes, please explain.
33. _Yes XNo Is there anything in your background which if made known to the general public through your
appointment would cause an embarrassment to you and/or the administration? If yes, please explain.
34. `Yes XNo Are you presently on partial or full employment disability or retirement or have you applied for
same? If yes, please explain in full detail.
-3-
35. Pleise identify your state Senator and Assemblymember.
Senator D. Boatwriaht Assemblymember R. Rainey
36. Please explain why you wish to serve in Governor Wilson's administration.
I can make an important contribution to the State Hospital Advisory
Board . I have been extremely active at Napa State for the past 32 yrs . ,
serving as Co-Pres . of the Alliance for the Mentally Ill ( 1992-93 ) , cur-
rent AMI-NSH Bd. Mbr. , as member of the Research Advisory Cmte . , the
Therapeutic Milieu Cmte, the NSH Facilities Planning Cmte . I have and
will continue to make recommendations for. improved utilization of NSH
land and buildings at costs the counties can afford under Realignment .
I shall continue to advocate for a better quality of life for all those
persons afflicted with serious and persistent mental illness, as the
mother of a lovely, highly intelligent son afflicted since childhood I
am well acquainted with thelife-long grief of relatives of hospital
residents . That is why I submit this application for a . seat on the NSH
Advisory Board . FOR FAIR BOARD APPOINTMENTS ONLY:
Do you or any members of your immediate family:
(a) _Yes No Own any interest in any enterprise which does or might do business with the Fair?
(b) _Yes_No Own any interest in any real property adjacent to or in proximity with the fairgrounds?
(c) _Yes_No Have any interests or associations which might present a conflict of interest?
_Yrs_No Are you presently serving as an elected city or county official?
AUTHORIZATION AND RELEASE
I understand that in connection with this application for appointment an extensive investigation of my personal and
business background will be conducted. I hereby authorize the release of any and all information pertaining to me or
businesses in which I participated, including information of a confidential or privileged nature in the possession of
government or private agencies or individuals. I hereby release all such agencies or individuals who furnish such
information from liability for damages which may result from furnishing the information requested.
Dace: January 4 , 1994 By: i
Applicant
-4-
Patricia K. Simpson (Kathy) 1/4/94
County Activities for the Mentally Ill
AMI-CC Member - 13 years
Served as Board Member & Chair, Housing Cmte.
in this capacity introduced Housing for Independent People (HIP)
to Deputy Director, Gail Bataille' which becam a working rela-
tionship culminating in Co. Co ' s first indepen�a using project.
Attended regular meetings with Dir. Stu McCullough on needs and
concerns of those with serious mental illness .
Campaigned at County level for Integrated Services System 1986-87 .
Met with most recent Dir. DMH - Pat Roach, advocating for Integrated
Services Agency within County and Client Centered System and lower
cost care and offered assistance with DMH budget to help .lower cost .
Co. Co. Mental Health Coalition-regular meetings 1992-93..
Napa State Hospital Activities (NSH)
Co-President, AMI-NSH ( 1992-93 ) - Board Member since 1991
Member, Research Advisory Cmte. , since 1990, monthly meetings with
oversight of NSH Research Programs
Member, 1991-93 , Therapeutic Milieu Cmte . (semi-monthly mtgs . ) sub-
mitted input to revise system C NSH, to lower cost care, gave
info on "How To" ( Integrated Services Center) - now implemented
Participant C three day Facilities Planning Session (all Exec . Staff )
advocated for revision of care to Client Centered program now in
effect in two open units .
State Activities
Lobbied and testified on Legislative measures affecting person with
mental illness on behalf of CAMI to both improve quality of life for
persons with serious mental illness and educate the legislators re-
garding neurobiological disorders
Presently working on two Bills before this Legislature.
I ask the Contra Costa Board of Supervisor ' s unanimous consent for
their approval for a Relative Representative to the NSH Advisory Bd . ,
because I am well aware of what programs are working well and which
need restructuring or discontinuance. I am very forthright in my
advocacy for persons with serious and persistent mental illness and
my involvement through the years has taught me to speak out loudly
and clearly and not to fear anyone at any level . The cause is right
and just .
I thank you for your consideration and approval of my request .
Kathy Simpson
897 Dolphin Court
Danville,_ ca 94526?
STATE OF CALIFORNIA—HEALTH AND WELFARE AGENCY PETE WILSON, Governor
DEPARTMENT OF MENTAL HEALTH
1600 - 9TH STREET
SACRAMENTO, CA 95814
(916) 654-2309
December 1, 1993
DMH INFORMATION NOTICE NO.: 93-18
TO: LOCAL MENTAL HEALTH DIRECTORS
SUBJECT: GUBERNATORIAL APPOINTMENTS TO STATE HOSPITAL
ADVISORY BOARDS
EXPIRES: January 31, 1994
The Department of Mental Health is assisting the Governor's Office in the identification
and recruitment of qualified persons who are interested in an appointment tor a State
Hospital Advisory Board. Applications must be received at ,DMH by Monday:
January 31, 1994. We appreciate your interest in serving and/or your assistance in
identifying other individuals who might be interested in serving.
There are five State Hospitals providing care and treatment for individuals with mental
illness. They are Atascadero, Camarillo, Metropolitan, Napa and Patton State
Hospitals. (Camarillo also serves persons who are developmentally disabled and
has a separate Advisory Board.) Each hospital has an Advisory Board, which is
statutorily mandated by the authority of Welfare and Institutions Code, Sections 4200-
4203. The purpose of these boards is to advise the Department of Mental Health and
the Legislature on the conduct of the State Hospitals and their coordination with
community mental health programs.
All State-Hospital Advisory Boards are composed of eight members except Atascadero
which has seven. (Atascadero, because of its unique client population, does not have
a former patient representative). The board composition, to the extent feasible, should
consist of the following:
o Two relatives (parent, spouse, sibling or adult child) of current or former state
hospital patients;
o Three representatives of professional disciplines serving the mentally
disordered (but who are not employees of the State Hospital system);
o Two members of the general public who have demonstrated an interest in
services to the mentally disordered;
o One former state mental hospital patient (except at Atascadero).
DMH Information Notice No.: 93-18
Page 2
The term of appointment is for three years and no member may serve more than two
consecutive terms. Members do not receive compensation, but are reimbursed for
expenses incurred in attending board meetings. By statute, each board shall meet at
least quarterly but most meet 10-12 times per year.
INSTRUCTIONS FOR APPLICANTS INTERESTED IN ADVISORY BOARD
APPOINTMENTS
Please complete the attached Wilson Administration application for consideration for
appointment to a State Hospital Advisory Board (additional applications can be copied
as needed) and mail the original to Nora A. Romero, Chief, Office of-Community and
Consumer Relations, Department of Mental Health, 1600 9th Street, Room 151,
Sacramento, California 95814. Be sure to indicate the hospital board for which you
are applying and note the position in which you are interested (i.e., Napa State
Hospital Advisory Board - Relative Representative). Please note that Camarillo has
two distinct advisory boards, so if applying to this hospital, please list your choice as
"Camarillo State Hospital for the Mentally Disordered".
NOMINATIONS FROM COUNTY BOARD OF SUPERVISORS
Individuals are appointed by the Governor after receiving nominations submitted to
him by Boards of Supervisors of counties within each hospital's designated service
area. This must be a nomination of the full Board of Supervisors, not merely a letter or
recommendation from one board member. When contacting the Chair of the County
Board, request that your name be placed in nomination before the full Board of
Supervisors. The Board will in turn vote upon the item and submit the official
nomination to the Governor for consideration.
Occasionally staff members are not familiar with the procedure or not aware that the
Board of Supervisors need to submit nominations to the Governor. If staff have any
questions regarding the procedure, they can contact the Department of Mental Health
for clarification. A request to receive a nomination should not be declined simply
because another candidate has been nominated. There may, however, be other
reasons that a request is denied, since the statute does not mandate that Supervisorial
Boards nominate every person who requests nomination.
After the motion is approved by the board, the original "motion transmittal" or notice of
official action must be sent to Nora A. Romero at the aforementioned address.
Because of the unique patient population served by Atascadero, the Governor may
make direct appointments of individuals from throughout the State.
The Office of Community and Consumer Relations, within the Department of Mental
Health, serves as the intake point for all appointments relating to mental health.
Applications will be forwarded to the Governor's Appointment Unit. Please retain one
copy of the application for your records.
_DMH Information Notice No.: 93--18
Page 3
If you have any questions regarding this matter, please feel free to contact Nora A.
Romero, Chief, Community and Consumer Relations at (916) 654-2309.
STEPHE W. MAYBE , Ph.D
Director
Enclosure
cc: California Alliance for the Mentally III
California Association of Local Mental Health Boards and Commissions
California Mental Health Planning Council
California Network of Mental Health Clients
County Supervisors
E o
,a
XXWXVA
(:OX'F,RN(>U'S O141101( '14]
TO ALL PERSONS INTERESTED IN APPLYING FOR A POSITION
IN GOVERNOR PETE WILSON'S ADMINISTRATION
Recent correspondence received by the Governor's Office
indicates that you are interested in being considered for
appointment to a position in state government. Your interest
in serving the administration is appreciated.
Please complete and return the enclosed application form if
you desire to be considered. Enclosed for your information
is an index of the positions available to Governor Pete Wilson
for appointment.
Your compliance with the following special instructions in
completing the application form is appreciated:
1. The information requested should be typed in the
spaces provided on the application form. Please
accurately describe the position(s) sought. You
may explain your answers to particular questions
by use of attachments. The attachments should be
numbered according to the question asked;
2 . The application form must be completed in full.
You may augment the application form by attaching
your resume;
3 . Your completed application form and all attach-
ments thereto should be stapled together and
submitted to me at the address indicated below.
i cerely,
CHARLES S. POOCHIGIAN
Appointments Secretary
(:O\'I.:I:VI)t: I,I,: NVI1.,,O\ 0 'NAC :. NIK,NV VO. ( 'A1.1WO1,'NAA 95814 • COI 6) 445-2,841