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Deputy Corporation Counsel Jennifer Rose explained the statutory difference between chapter 971, which arises during criminal competency proceedings, and chapter 51, the civil mental‑health commitment statute. She said a criminal competency finding and a civil determination of incapacity are separate legal processes and the statutes have distinct notice and confidentiality requirements. County officials said they were prohibited from discussing details of individual cases for privacy reasons.

Administrators said they have implemented immediate operational changes. The department reported adding a special legal‑status chart flag in its electronic health record to mark Chapter 51 cases that resulted from Chapter 971 conversions, tightening internal timelines for renewal packet submission, and moving to require routine reviews and multiple checks so the cases are not reliant on a single staff person.

Milwaukee County Administrator for Behavioral Health Services Mike Lapin told the committee the department has begun developing a formal policy and training module to ensure staff understand the steps and timelines for Chapter 51 renewals following conversions from Chapter 971. The department said it will use the county’s learning management system (HealthStream) to deploy required trainings and will audit compliance on a regular schedule.

The Milwaukee County Mental Health Board met earlier the same day and directed the department to perform a “deep‑dive” review of the case and the department’s Chapter 51 policies and procedures; the board asked for a report to the board’s quality committee at the September meeting. County counsel said the board passed a resolution calling for next steps; the transcript did not include a resolution number.

Supervisors asked whether the missed notice was an isolated incident and whether there were similar failures in other cases. County officials said they reviewed their records and found the department had followed notice requirements in multiple other Chapter 51 conversions; the mental health board requested a fuller historical review as part of the deep‑dive. Officials said they believe the event to be an outlier but agreed to pursue a comprehensive review.

Committee members suggested the county welcome outside audits if supervisors or other oversight bodies request them; DHHS said it would cooperate. Officials said they will coordinate with Corporation Counsel and the District Attorney’s Office on procedural clarifications and said they would provide updated policies and the results of the board‑ordered review to supervisors in September.

","mediaType","Video","parentTitle","Milwaukee County - Committee on Health Equity, Human Needs and Strategic Planning on 2025-07-10 3:00 PM - HYBRID MEETINGThis meeting will be held in Room 203-R, and will be live-streamed on the County Legislative Information Center: https://milwaukeecounty.legistar.com/Cal - Jul 10, 2025","oneSentenceSummary","County behavioral‑health officials told a County Board committee Thursday they have added electronic flags, tightened timelines and will provide targeted staff training after a conversion from a criminal competency proceeding (Wis. Stat. ch. 971) to a civil Chapter 51 commitment that county lawyers say lacked required notice to prosecutors and counsel.","taxTitle","Milwaukee County, Wisconsin","taxId",2736,"location","headline","","shortSummary",{"_33":76,"_35":36,"_37":38,"_39":77,"_41":78,"_43":79,"_45":80,"_47":81,"_49":82,"_51":83,"_53":84,"_55":56,"_57":58,"_59":85,"_61":62,"_63":64,"_65":86,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6655804,"Milwaukee Healthcare Partnership outlines community health needs, coordination priorities ahead of budget season",4270,155000,4425000,"/Search/View?dp=1&key=5365563-e8fd74c9ed7b7f144b23cf497f407775&start=155&end=4425","https://assets.pipeline.soar.com/5365563-e8fd74c9ed7b7f144b23cf497f407775/thumbnail_155000.jpg","/articles/6655804/Milwaukee-County/Wisconsin/Milwaukee-Healthcare-Partnership-outlines-community-health-needs-coordination-priorities-ahead-of-budget-season","https://secure.pipeline.soar.com/6655804-7e377b3added28221b49a6191de18f4d/orig.mp4?Expires=1773573799&Signature=O6mcvBeHwr--wM3qn019b6NcxrdYmWT~D~1tdU7EuMZHoxS55qnHr3YQq13SLzX-1Hpz1OD0Azmi-89jpcwLx~YFaiRRq0iAUKOdnEa7pdzFdxIIglv4RPFUE2dJX-W3NjJ~IIM2-P~4FPBx0v8qq2BfHr-3o9VrUhGxXMjRVliZR3zT~32oQpOhc2EQxIjYtg81P6ldFBrXXDzRA3eD~rtPqKh-da09PEuIE0K~kV2tNB3Ifl6pdsRKSxMI4QWVMuKtctNkHrMabIaShpaUk6jZ2Y8L7x3Y9CwayUrcY5MEERJFUauHdEVHROpZZkc86EWnE0g33PU2~1QisFxX-A__&Key-Pair-Id=KUT5TJCACFTXG","Milwaukee Healthcare Partnership leaders told the County Board committee on Thursday they are using the partnership’s most recent Community Health Needs Assessment and an annual strategic snapshot to align the work of hospitals, federally qualified health centers, county and city public health agencies and community partners.

Anne Christensen, executive director of the Milwaukee Healthcare Partnership, and Shakira LaGrant McLean, executive director of the Milwaukee County Department of Health and Human Services (DHHS), described findings from the 2024 assessment that was released in 2025 and summarized the partnership’s priorities: coverage and access, care coordination and community health.

The needs assessment identified violence, mental health and substance use as the top interconnected community health issues; chronic disease and maternal and child health were also highlighted. Presenters noted persistent life‑expectancy gaps between neighborhoods, differences in emergency department use for preventable conditions, and demographic disparities in emergency visits for mental‑health and substance‑use needs.

Christensen described several partnership programs meant to reduce those gaps. They include the Milwaukee Enrollment Network (a coverage outreach effort run “backbone” style with Covering Wisconsin), a specialty‑care coordination program that connects uninsured patients to specialty appointments across health systems and safety‑net clinics, and an ED‑to‑FQHC referral model that helps people presenting to emergency departments establish care at federally qualified health centers. The partnership also supports a Housing‑is‑Health pathway that refers people experiencing homelessness into Milwaukee County’s coordinated entry system.

Christensen told the committee the partnership maintains a shared community investment pool of about $2,000,000 contributed by member health systems to seed initiatives; the partnership also is participating in a mental‑health improvement fund administered through United Way. The presentation described outreach approaches (surveys, key informant interviews, focus groups) and pointed committee members to the Health Compass Milwaukee data portal for ZIP‑level indicators.

County DHHS and partnership leaders discussed enrollment and coverage numbers at a high level: the countywide uninsured rate was reported in the presentation at about 7.3 percent; the presenter cited recent Marketplace enrollment for the county at roughly 51,000 people. The presenter said Medicaid and Marketplace numbers are being tracked closely as state and federal policy changes may affect coverage in the coming months.

Supervisors asked about funding for partnership work, how the health systems coordinate charity care and whether community voice is being included beyond the three‑year assessment cycle. Christensen said the partnership’s operating funds come primarily from member dues and the shared community investment fund; federal grants were not part of the current operating budget, she said. She told supervisors the partnership intentionally used multiple methods to collect community input and said the partner organizations — hospitals, FQHCs and community groups — hold the primary mechanisms for ongoing resident engagement.

Supervisors also raised public‑health concerns including infectious‑disease readiness, oral health for children, and behavioral‑health capacity. Christensen said there were no known measles cases in Wisconsin at the time of the presentation and that the partnership and county were planning for outbreak response. On behavioral health, presenters described convening inpatient and emergency‑department providers in an attempt to improve referral pathways and reduce bottlenecks; they cited examples where protocols developed with Children’s Wisconsin and the Mental Health Emergency Center have clarified ED workflows for youth.

The item was presented as informational; the committee did not take formal action. Committee members suggested continued coordination and asked staff to return with any follow‑ups as the partnership and county evaluate impacts and track enrollment and service metrics going into budget season.

","Milwaukee Healthcare Partnership and Milwaukee County Department of Health and Human Services briefed the Health Equity, Human Needs and Strategic Planning Committee Thursday on findings from a 2024 Community Health Needs Assessment and the partnership’s annual priorities as county leaders begin budget deliberations.",{"_33":88,"_35":36,"_37":38,"_39":89,"_41":90,"_43":91,"_45":92,"_47":93,"_49":94,"_51":95,"_53":96,"_55":56,"_57":58,"_59":97,"_61":62,"_63":64,"_65":98,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6655807,"Committee votes unanimously to lay over ADRC appointment until next meeting",50,101000,151000,"/Search/View?dp=1&key=5365563-e8fd74c9ed7b7f144b23cf497f407775&start=101&end=151","https://assets.pipeline.soar.com/5365563-e8fd74c9ed7b7f144b23cf497f407775/thumbnail_101000.jpg","/articles/6655807/Milwaukee-County/Wisconsin/Committee-votes-unanimously-to-lay-over-ADRC-appointment-until-next-meeting","https://secure.pipeline.soar.com/6655807-9bea87b33e4be282261867f6c356c019/orig.mp4?Expires=1773573799&Signature=MEWwvxd0iONbmi0~IRhRq~nRKN4Wuwz396jp3mNZqrJu2HoAQXhJn70NEU87yCqHRfaM17DDcTWlF8NvYaqCXEEvNnLJGRZZa13x9Kgf6MCLNh4vWOvelS1c1hxnQ3CoQv0AG8qk1eIXfAkZr34sL5jJDP3VdUp9EKSOFQekPAeYcFfK4jq~Mv9XwYvXnE6l4m6JG3dOie70hZQSGXADctCmPKqg5fTSSQAJ9FYWHMDAB7tXLuqUJewngQvaHOYlygKWuVnTCt0l44LMgUCR-tZQtQr72psXI9pJ2T~Nn4M8lOybF0DuNqrwRLx9FwDQzlj5o7yec9-cHO~uYVWfiA__&Key-Pair-Id=KUT5TJCACFTXG","The Health Equity, Human Needs and Strategic Planning Committee voted 4-0 Thursday to lay over consideration of the County Executive’s appointment of Andy Minster to the Aging and Disability Resource Center Governing Board.

The committee heard the item read into the record and then took a single procedural vote to postpone it until the next meeting. Supervisor Vincent moved to lay the item over; committee members Supervisor Gomez Tom, Supervisor Martin and the presiding chair recorded aye votes. No member voted no.

The item was described on the agenda as the County Executive’s appointment of Andy Minster to the ADRC Governing Board for a term ending Sept. 30, 2028. Committee members said the County Executive’s office had requested the item be scheduled later in the year and preferred it be considered during the September cycle. The action taken Thursday simply delayed formal consideration rather than approving or rejecting the appointment.

Because the committee’s action was a one-meeting layover, there were no committee directions to staff and no changes to the nomination. The appointment will return to the committee for consideration at the next scheduled meeting unless the County Executive formally withdraws or amends the nomination.

Meeting minutes show the motion to lay over was offered by Supervisor Vincent and passed on a roll call of four ayes, zero noes. No second was recorded on the transcript and no public comment was offered on the nomination.","The Health Equity, Human Needs and Strategic Planning Committee voted 4-0 to postpone consideration of the County Executive's appointment of Andy Minster to the Aging and Disability Resource Center (ADRC) Governing Board until the committee's next meeting.",{"_33":100,"_35":36,"_37":38,"_39":101,"_41":102,"_43":103,"_45":104,"_47":105,"_49":106,"_51":107,"_53":108,"_55":56,"_57":58,"_59":109,"_61":62,"_63":64,"_65":110,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6655796,"County staff outline youth‑justice data limits and measures after Wisconsin Policy Forum report",304,4154000,4458000,"/Search/View?dp=1&key=5365563-e8fd74c9ed7b7f144b23cf497f407775&start=4154&end=4458","https://assets.pipeline.soar.com/5365563-e8fd74c9ed7b7f144b23cf497f407775/thumbnail_4154000.jpg","/articles/6655796/Milwaukee-County/Wisconsin/County-staff-outline-youthjustice-data-limits-and-measures-after-Wisconsin-Policy-Forum-report","https://secure.pipeline.soar.com/6655796-fa76430e7f580322ac77602f08b570fe/orig.mp4?Expires=1773573799&Signature=b0yK5Fj6-k~vuSFrcwINQXg7PdFewXYavfgAY4WrwMqUdHqE9PmCAvbw073bUP-b7Jx6Y-Wn4n~BOt6N16eFypbxPLcFic3jKYiPbRTmDO00WmWAxYT~6d~PcqylNGcDqZGDNnRp5t~z8WeXCGdjPDuXJzUEIGDrUNtV1~V-ezWtfZjp7L2n0ZvmK51VZi0dN1dmAZeTdPUNIhd-0YG~Ghz5pfVgdFGIjXOnMdAGJ6-u69oMxXuyLO06qyhWOkYd-1gHYq4MGJMVoU1xQ86X3YodelXDxImR0BZcGijDToMMtcLzaiULOhnsYimQhJ0BzDNmUeWgUf4wdWjJWCO0Bg__&Key-Pair-Id=KUT5TJCACFTXG","Milwaukee County Department of Health and Human Services staff briefed the Health Equity, Human Needs and Strategic Planning Committee on Thursday about the Wisconsin Policy Forum report “Youth Must Be Served” and county efforts to track youth‑justice outcomes beyond traditional recidivism measures.

Kelly Pefte, administrator for Children, Youth and Family Services at DHHS, told supervisors the county provided data to the Policy Forum and is working to expand local measurement to capture program‑level outcomes, connections to services and long‑term desistance from delinquent behavior.

Pefte said most youth served by the county’s juvenile justice system from 2022 through 2024 were male, identified as Black/African American (non‑Hispanic) and were typically aged 14 to 16. The department reported a youth recidivism rate of 17 percent for 2022–2024 under the county’s operational definition (a new referral that resulted in petition or adjudication). Pefte cautioned that recidivism is an imperfect single indicator: definitions vary across agencies and county records do not automatically include adult criminal records, so long‑term tracking currently requires manual records checks.

DHHS said it is developing program‑level indicators that include measures such as increases in self‑reported goal achievement, connections to pro‑social adults and community resources, and reductions in the severity of subsequent charges when referrals occur. Staff told the committee they are convening partners to identify what additional data are needed and how to build those measures into existing systems rather than relying on spreadsheets.

Supervisors raised concerns about built‑in bias in the juvenile system and asked whether the county is examining racial disparities that appear in referral and deferred‑prosecution data. DHHS staff acknowledged disparities in the system and said the department and partner agencies are seeking better data to analyze systemic bias and to measure outcomes such as desistance rather than only re‑arrest rates.

Pefte told the committee these data‑collection improvements will require technical work with the county’s information systems and collaboration with court and detention partners. Officials said they will pursue cross‑agency planning so the county can better demonstrate program impacts and track youth over time.

","Milwaukee County DHHS presented local data and described efforts to improve measurement of youth justice outcomes after the Wisconsin Policy Forum’s \"Youth Must Be Served\" report; staff emphasized recidivism limits and said they are developing metrics for desistance, pro‑social connections and program‑level outcomes.","actionData","errors"]

Article not found

County behavioral health officials outline fixes after missed notice in Chapter 971/51 conversion; mental health board orders deep dive

Milwaukee Healthcare Partnership outlines community health needs, coordination priorities ahead of budget season

Committee votes unanimously to lay over ADRC appointment until next meeting

County staff outline youth‑justice data limits and measures after Wisconsin Policy Forum report