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HomeMy WebLinkAboutMINUTES - 05242005 - C22 Contra TO: BOARD OF SUPERVISORS - �' -=��;• Costa FROM: Supervisor Federal D. Glover �� ��-=�-� Countyp SrA DATE: May 24, 2005 covZ. SUBJECT: APPOINT LISA HONEGGER AS THE DISTRICT V CONSUMER REPRESENTATIVE TO THE MENTAL HEALTH COMMISSION SPECIFIC REQUEST(S)OR RECOMMENDATION(S)AND JUSTIFICATION RECOMMENDED ACTION: Appoint the following individual to the District V Consumer seat on the Mental Health Commission for a term to end June 30, 2008. Lisa Honegger 4019 Boulder Drive Antioch, California 94509 00 CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOM NDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON APPROVED AS RECOMMENDED: V OT R: VOTE F SUPERVISORS: y UNANIMOUS(ABSENT AYES: NOES: I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF AN ACTION TAKEN AND ENTERED ON THE MINUTES OF THE ABSENT: ABSTAIN: BOARD OF SUPERVISORS ON THE DATE SHOWN. ATTESTED cc: Karen Shuler,Executive Assistant—Mental Health Commission JOHN SWEN CLK OF THE BOARD OFSUPERVI RS AND COUNTY ADMINISTRATOR ke Z } BY -- D PUTY 1 1340 Arnold Drive, Suite 200 CC;\-%-!TRA COSTA Martinez. California MENTAL HEALTH 94553 Ph(925)957-5149 COMMISSION Fax(925)957-5156 - CONTRA COSTA HEALTH SERVICES CONTRA COSTA COUNTY MENTAL HEALTH CO11UMSSION APPLICATION FORM complete lete the following and return with the companion form to: . p Mental Health Commission ATTN-. Executive Assistant 1340 Arnold Drive, Suite 200 Martinez, CA 94553 oe NAME: /-.., I _'�>el' ,�YL ADDRESS: 22 CITY/ZIP: A �?-h 9. -7--4 PHONE. 1 Describey our experience and knowledge with the Mental Health System. G� Ito 4 7 .T: 7L/,ee:-; 2} who is the Supervisor from your District? _ 3 List the community board(s)and/or volunteer a tiv�ties in w ch you have be en } involved: 1. f 5. C111 2. . 3. AIA 414i 419 rL ,S 7. OF 4. 8. The Mental Health Commission has a dual misssion: First,to influence Iuence the County's Mental Health System to ensure the delivery of quality services which are effective,efficient,culturally relevant and responsive to the needs and desires of the clients it serves with dignity and respect;and, Second;to be the advocate with the Board of Supervisors,the Mental Health Division,and the community on behalf of all Contra Costa residents who are in need of mental health services. r,. 4} How many hours per month are you able to participate in Mental Health Commission activities? (Note: Mental Health Commission requires a minimum of 10 hours per month). '0 0 A C)0 0 reel 5) Are you able to attend late afternoon meetings? {Note: Mental Health Commission Meetings are held from 4:30 to 6:30 p.m) YES__ NO 6) The Law requires representation from the following groups. Please check those which apply. (Note: Asper the Mental Health Commission Bylaws, no member of the Commission or his or her spouse shall be a full-or part-time employee of a County,mental health service, an employee of the State Department of Mental Health, or an employee or a paid member of the governing body of a Bronzan- McCourquodale contract agency). 1. � Consumer. past or current, of mental health services. 2. Parent of a past or current consumer of mental health services. 3. Spouse of a past or current consumer of mental health services. 4. Si6lins of a past or current consumer of mental health services. 5. Adult Child of a past or current consumer of mental health services. -V' 6. K�Te about, and interest in, mental health services. 7) What do you believe you can/will contribute to the Mental Health Commission? -71 St � <2 01 2a=W i n rv\al te��j t IIA&Z2645. C'o n'/7/UI 0 A JP Appform.doc J Y is CONTRA COSTA COUNTY ADVISORY BOARDS,COMMISSIONS OR COMM ES APPUCK"ON FORM Name of advisory board applying for. s _ fo5 U �- y Application Form must be typed or hand printed. r i Name of Applicant: Date: --- �' t SQAq10 Horne Address.� r Home Phone: 250-�S �. l � City,,Slate,Zip. Wgc�k Phone- t '7zl Business Address. F . `� ZG Cray,State,Tip. Signature: Persona rience Skills an6a6ats '' Education/Background: 1 C� r L©�14--k- X7 qi2- Occupation(for pay woric, not for pay work,ret'r'e�e,student or s' flar): �a� VO(C91 a � Community Activities: / D IVAJ :Special Interests: Information: -. 1 Fit corn et d apprica ' oard,657 Pine Street,Roo z,CA 94553 or F t 925) 35- 2 Members of some advisory bodies may be required to file annual Conflict of Interest Statements. 3 Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transportation. 4 Meetings may be held either in the evenings or during the day,usually once or twice a month. 5 Some boards assign members to subcommittees or work groups requiring additional time. Appointee AWNcat'ion 08/17101 CONTRA COSTA1340 Arnold Drive, Suite 200 f Y &# Martinez, California .MENTAL H EALTH 94553 Ph(925)957-5149 COMMISSION Fax(925)957-5156 CONTRA COSTA HEALTH SERVICES RECEIVED ' MAR 2 9 2005 Supervisor Federal Glover CLERK BOARD OF SUPERVISORS 315 East Leland Road CONTRA COSTA CO. Pittsburg, CA 94565 March 24, 2005 SUBJECT: RECOMMENDATION FOR APPOINTMENT TO VACANCY— MENTAL HEALTH COMMISSION Dear Supervisor Glover: The Mental Health Commission has received an application from Ms. Lisa.Honegger for the Consumer Commission vacancy in District V. The Commission carefully reviewed Ms. Honegger's application, and after interviewing her,the Commission feels that she best represents the needs of consumers in your district. I have attached a copy of her application for your review. The Mental Health Commission is recommending Ms. Lisa Honegger be appointed to fill the Consumer position in your district. She has been told your office will be calling her to set up an interview. If you have any further questions regarding Ms. Honegger's application, please don't hesitate to call. Respectfully, Scott Singley, Chair Contra Costa Mental Health Commission Enclosure cc: Ms. Donna Wigand, LCSW, Mental Health Director Clerk of the Board The Mental Health Commission has a dual misssion: First,to influence the County's Mental Health System to ensure the deliveryof quality services which are effective,efficient,culturally relevant and responsive to the needs and desires of the clients it serves with dignity and respect;and, Second,to be the advocate with the Board of Supervisors,the Mental Health Division,and the community on behalf of all Contra Costa residents who are in need of mental health services. 1 f CONTRA CC}STA COUNTY ADVISORY BOARDS,COMMISSIONS OR COMMIES APPUCATION FORM : Name of advisory board appty`cng for: L �► : .; Application Form trust be typed or band printed. Name of AppCtcant- Date: Nome Address.q0 �L Horne Phone.'� `r, S7ej City,State,Zip: Wgj�l Phone: 4. � x 16 Business Address .�2 �C� k-�?S-ct ""4City,State,Zip. �` 3Z9� Signature: 9 . "e"0 4co 1 '0050 Personarience,Skills an ests Education/Background: '. Cjq tV 1 '% IA4to-". - r) X7 rk, CZ >0AI inn a'A X-J/ �'--f Occupation(for pay work, not for -,,cq ateCCpaywork,ret'r`e,student ors' iia : Vo( /7 Olq Community Activities: IVA� 4 D WLaL 49 t :Special Interests: Information: Fil coca et d applica' oard,65'i Pine Street,Roo , CA 94553 or F t 925) 35- r 2 Members of some advisory bodies may be required to file annual Conflict of interest Statements. 3 Meetings of advisory bodies may be held in Martinez or in areas not accessible by public transpottafaon. 4 Meetings may be held either in the evenings of daring the clay,usually once or twice a month. 5 Some boards assign members to subcommittees or work groups requiring ad ionAit'"CEIVED Amointee Awacawn 08 17101 MAR 2.9 2005 . CLERK BOARD OF SUPERVISORS .. CONTRA COSTA CO. t