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McHenry County staff report mixed Q1 outcomes; auditors find no recoupment as wait list remains over 100
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Summary
At a Committee of the Whole meeting, ethics and compliance staff presented FY26 Q1 outcome and audit results, noting program strengths, increased naloxone distribution and a 124-person wait list with an average wait exceeding 107 days; staff said they will follow up with providers to clarify measurements.
Amy, ethics and compliance staff for the McHenry County Mental Health Board, told the Committee of the Whole that audits of nine providers during the first quarter produced recommendations but no recoupment of funds and that one audit report remains pending. "There were 9 providers audited, including 2 brand new providers," Amy said, adding that eight reports are finalized and one is outstanding.
Amy highlighted several positive metrics: consumer experience-survey response rates exceeded the board's goal (94% vs. a 93% target), opioid‑settlement-funded programs were meeting knowledge and resiliency measures and there were no wait lists in those specific programs during Q1. She also reported that naloxone distribution had increased compared with the prior fiscal year and that suicide deaths “appear to be down,” while noting final counts are pending.
At the same time, Amy said several measures did not meet targets. She flagged problems in prescriber capacity and utilization under the access grant, and said one general wait‑time goal — set at 16 days — measured at 21 days in the quarter. "The wait time...we're at 21 days," Amy said, adding the board will continue to monitor those areas.
Board members pressed staff for context. Amanda, a staff member leading outcomes reporting work, said the large county wait‑time figure is skewed by developmental day‑program waits that can stretch for years because of state resource limits; she proposed isolating those outliers to get a clearer picture of clinical access. "If we take out the outlier, what are we looking at?" Amanda asked, suggesting staff will present refined data at a later meeting.
Jimmy, a board member and local chaplain, described recent overdoses in the county to emphasize the real‑world consequences behind the numbers. "We had just 2 overdoses in the county...1 is on life support right now," he said.
The board directed staff to continue conversations with providers to better understand whether low scores reflect service shortfalls or measurement issues and to return with more detailed information at a future meeting.
