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Page 1 of 17 Minutes of the Meeting of the Board of Directors Monday, September 1 Tuesday, September 2, 2014 Washington, D.C. Monday, September 1, 2014 Board Members Present Joyce Burland Lacey Berumen Carol Caruso Janet Edelman Dana Foglesong Victoria Gonzalez Linda Jensen Gary Mihelish Ron Morton Ralph Nelson Jim Payne Marilyn Ricci Gloria Walker Mike Weaver Board Members Absent Kym Bolado 1 Staff Present Mary Giliberti Lynn Borton David Levy Susan Gaffney Ron Honberg Katrina Gay Sue Medford Others Present Kenny Allred, Veterans and Military Council Chair Sandra Caron, Consumer Council Chair Kate Mattias, Executive Directors Council Chair Dorothy Hendrickson, State Presidents Council Chair Adrienne Kennedy, Board Candidate 2 Call to Order The Chair called the regular meeting of the NAMI Board of Directors to order on Monday, September 1, 2014 at 7:03 p.m. in the Congressional Room of Washington Marriott Wardman Park Hotel, 2660 Woodley Road, N.W., Washington, DC 20008. A quorum was declared present. The meeting s agenda was approved by affirmation. Consent Agenda The Chair asked if there were any additions, deletions or questions regarding the proposed Consent Agenda included in the binder. Upon motion by Carol Caruso, seconded by Linda Jensen, the following items were approved. 1. Minutes, NAMI Board of Directors meeting, June 6-9, 2014 1 Absent with prior notice. 2 Board candidates were invited and attended various parts of meeting.

Page 2 of 17 2. Minutes, NAMI Board of Directors executive committee meeting, August 12, 2014 3. Quarterly Reports contained in Tab 3 (Quarterly Reports) of the Board binder: a. Executive Director s Report b. Council Reports 4. Committee Reports & Committee Reports of Conference Calls President s Report Interim Board president and Chair Jim Payne provided a brief report on his activities during the last quarter. Among the highlights addressed were: Strategic Plan process and re-chartering. Executive Director s Report Mary Giliberti, executive director, provided her regular quarterly report and the NAMI Dashboard. Among the highlights addressed were: NAMI s cash position, sources of revenue, expenses, convention, media, NAMI signature programs, re-chartering and re-affiliation, MAC, CFE, NAMI Walks, Policy, IT updates, and Strategic Drivers. A copy of her full report is on file in the NAMI office. At 8:30 p.m. the Board moved into executive session. Review of Board Members Conflict of Interest Statement and Six Month Review of Executive Director Upon motion by Marilyn Ricci, seconded by Dana Foglesong and approved by the Board, the Board moved into executive session to review the conflict of interest disclosures of all members and hold related discussion; updates were noted. The Board also discussed the six month review of NAMI s Executive Director. The Board recessed for the evening at 9:00 p.m.

Page 3 of 17 Minutes of the Meeting of the Board of Directors Monday, September1 Tuesday, September 2, 2014 Washington, D.C. Tuesday, September 2, 2014 Board Members Present Joyce Burland Lacey Berumen Carol Caruso Janet Edelman Dana Foglesong Victoria Gonzalez Linda Jensen Gary Mihelish Ron Morton Ralph Nelson Jim Payne Marilyn Ricci Gloria Walker Mike Weaver Board Members Absent Kym Bolado 3 Staff Present Mary Giliberti Lynn Borton David Levy Susan Gaffney Sue Medford Katrina Gay Ann Nagle Alex Gant Others Present Kenny Allred, Veterans and Military Council Chair Sandra Caron, Consumer Council Chair Kate Mattias, Executive Directors Council Chair Dorothy Hendrickson, State Presidents Council Chair Jim Hayes, Board Candidate 4 Adrienne Kennedy, Board Candidate 4 Jon Hockman Gary Hudspeth The Board convened at 9:06 a.m. in the Delaware A Room of Washington Marriott Wardman Park Hotel, 2660 Woodley Road, N.W., Washington, DC 20008 with a quorum present. Convention Briefing Convention orientation and materials were provided by Ann Nagle. Ann reported the Convention has 1,525 pre-registrants, with another 200 onsite registrants expected. Board members were given schedules, moderator assignments, and other resources in preparation for the convention and annual meeting. 3 Absent with prior notice. 4 Board candidates were invited and attended various parts of meeting.

Page 4 of 17 New NAMI Website Katrina Gay, National Director of Communications, made a presentation on the New NAMI Website. She talked about target audiences and strategies behind many new features. Council Reports Chairs of the advisory councils reported on their activities and areas of interest/concern. Sandra Caron reported for the Consumer Council; Kenny Allred reported for the Veterans and Military Council; Kate Mattias reported for the Executive Directors Council; and Dorothy Hendrickson, reported for the State Presidents Council. Copies of Councils full reports are on file in the NAMI office. Strategic Planning Approval The Board reviewed the draft 2015-2017 NAMI Strategic Plan Framework and accompanying narrative. Discussions included clarifying that a focus on youth extended NAMI s reach across the lifespan; adding those who are homeless to priority underserved populations; and final edits to the plan narrative. APPROVE THE STRATEGIC PLAN, AS AMENDED. Motion 01-09/02/2014 MARILYN RICCI MOVED, LACEY BERUMEN SECONDED. MOTION APPROVED; FOURTEEN MEMBERS PRESENT. Marilyn Ricci moved, seconded by Ralph Nelson to go into executive session for the discussion on next step in Strategic Plan with facilitator Jon Hockman, Council Chairs and staff present. Next Step in Strategic Planning The discussion on defining success and identifying outcomes was facilitated by Jon Hockman. The Board will continue to refine implementation planning and measurement throughout the term of the plan. At 12:48 p.m., the Board recessed for lunch and reconvened in regular session at 1:22 p.m. for action items. Governance Committee Committee Recommendations for Board Action The following motions were made by the Governance Committee:

Page 5 of 17 ADOPT ADVISORY COUNCIL REQUEST TRACKER. Motion 02-09/02/2014 COMMITTEE MOTION, NO SECONDED REQUIRED. MOTION APPROVED; THIRTEEN MEMBERS PRESENT. RE-CHARTER NAMI DC, WITHOUT CONDITIONS. Motion 03-09/02/2014 COMMITTEE MOTION, NO SECONDED REQUIRED. MOTION APPROVED; THIRTEEN MEMBERS PRESENT. Motion 04-09/02/2014 ACCEPT RECOMMENDATIONS MADE BY GOVERNANCE COMMITTEE S WORKGROUP ON THE NVMC BOARD SEAT REQUEST. [TEXT ATTACHED] COMMITTEE MOTION, NO SECONDED REQUIRED. MOTION APPROVED; THIRTEEN MEMBERS PRESENT. Policy Committee The following motion was made by the Policy Committee: Motion 05-09/02/2014 APPROVE THE PROPOSED LANGUAGE ON PUBLIC POLICY PLATFORM NEW SECTION 8.2.4 HOSPITAL STANDARDS FOR SECOND READ AND FINAL ADOPTION. [TEXT ATTACHED] COMMITTEE MOTION, NO SECONDED REQUIRED. MOTION APPROVED; THIRTEEN MEMBERS PRESENT. After a brief break, upon motion by Marilyn Ricci moved, seconded by Carol Caruso, the Board moved into executive session for review of Board self-assessment. Before going in to executive session, the Board recognized and expressed appreciation for outgoing Council Chairs: Kenny Allred, Dorothy Hendrickson and Kate Mattias.

Page 6 of 17 Board Self-Assessment and Reflection Governance Committee chair Jim Payne and Personnel Committee chair Marilyn Ricci briefly reviewed the Board s self-assessment survey results and led a discussion of implications for future Board meetings and operations. Nominating Committee Report Committee chair Carol Caruso presented the following slate of officers for the 2014 2015 NAMI Board: o President: Jim Payne o 1 st Vice President: Ralph Nelson o 2 nd Vice President: Marilyn Ricci o Treasurer: Gary Mihelish o Secretary: Dana Foglesong Upon motion by Carol Caruso, seconded by Lacey Berumen, the Board came out of executive session at 4:05 p.m. After a brief break, the Board reconvened at 4:15 p.m. Recognition of Outgoing Board Members The Board recognized and expressed appreciation for departing member Kym Bolado. Board members whose terms are expiring but who are seeking re-election included: Janet Edelman, Ron Morton and Marilyn Ricci, each of whom was invited to reflect on their Board tenure There being no further business, the meeting was adjourned at 4:30 p.m. Respectfully submitted, Marilyn Ricci, Secretary Jim Payne, Interim President NAMI Board of Directors 2013-2014 NAMI Board of Directors 2013-2014 Approved by the Board of Directors on November 14, 2014

Page 7 of 17 Attachments Motion 01-09/02/2014

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Motion 02-09/02/2014 Minutes of the September 1-2, 2014 Page 14 of 17

Page 15 of 17 Motion 04-09/02/2014 Governance Committee Workgroup Report on NVMC Question Should NAMI bylaws be amended to provide an extra board member to be chosen by the NAMI Veterans and Military Council? Background NAMI members elect 15 members onto the NAMI board under a bylaws structure put in place by NAMI's founders and their successors. The bylaws provide for members annually to elect 5 board members who each serve 3-year terms. The bylaws provide that, overall, three quarters of the board members must have a lived experience with mental illness. In 1985, the bylaws were amended to provide further that the NAMI Consumer Council appoint an additional member to the board - a 16th member - to ensure that at least one board member is a consumer. In at least the past one and a half decades, the NAMI board has typically included a total of 3-4 members who self-identified as having lived experience of mental illness, with many serving as board officers including three as President. The NAMI board is advised by four advisory councils - the Consumer Council, the State Presidents Council, the Executive Directors Council, and the Veterans and Military Council. The NAMI board adopted a single set of Operating Procedures for operation of the four Councils, and Council chairs ordinarily discuss among themselves potential changes in these Procedures that might affect other Councils. NAMI pays for Council chairs to attend and participate in NAMI board meetings, and they closely participate in proposing and deliberating on NAMI policies. As of summer 2014, the NAMI board included several members who formerly served as a Council chair and two who are military veterans, all of whom were elected to the NAMI board in regular annual elections. From time to time, the NAMI board has been asked to consider proposing a bylaws change to add board seats for other Councils and interest areas. The board has consistently declined to support such a change. The existing elections process gives ample opportunity for an interested person to seek election by the NAMI membership. Each NAMI board member is obligated to represent the overall best interests of NAMI and its mission, regardless of any past experience with a particular Council or interest area. In 2013-2014, the Veterans and Military Council asked whether the NAMI board would propose a bylaws change to add a 17th board member seat for that Council. On the one hand, the request can be taken as a positive step in that it seems to reflect continued high energy and interest in the ultra important mission of support, education and advocacy for veterans and military. On the other hand, there are countervailing governance considerations as discussed elsewhere here. In 2014, after looking into the matter, the Executive Committee of the NAMI board, acting consistent with the NAMI board's past views about governance of NAMI, declined to

Page 16 of 17 recommend such a change. The Governance Committee of the NAMI board has been asked to look into the matter further. Recommendations The Governance Committee recommends: First, that the request of the Veterans and Military Council be viewed in effect as a request to propose a bylaws change to allow all three of the other NAMI Advisory Councils - i.e., also including the State Presidents Council and Executive Directors Council - to appoint members to the board. Second, that there not be such a bylaws change at this time. Such a bylaws change would have unintended adverse consequences. The three additional board members would not be elected by NAMI members in the annual democratic election process. The size of the NAMI board would expand from 16 to 19 members, with NAMI paying increased travel costs for the additional board members to attend quarterly board meetings. NAMI board meetings and deliberations would include not only Council-appointed board members, but also Council chairs. Interest groups similarly could seek a bylaws change to allow their group to appoint a board member (outside of the democratic elections conducted by the NAMI membership). Finally, as noted above, board members as of summer 2014 already include several former Council chairs and two military veterans, all of whom were elected by NAMI members in regular annual elections; and Finally, that the NAMI board ensure that it has received and acted on recommendations by the Veterans and Military Council as appropriate, and that it consider reestablishing a board member liaison to the Veterans and Military Council.

Page 17 of 17 Motion 05-09/02/2014 Policy Platform Revisions: 2 nd Read New Section 8.2.4 Hospital Standards September 2014 8.2 Hospital Standards Proposed additions: 8.2.4 People living with mental illness should have ready access to their natural supports while receiving hospital treatment. NAMI supports the increased availability of telephone access for individuals in their hospital rooms. As with any other ward in a hospital, psychiatric hospital rooms should have telephones in their rooms allowing private, confidential telephone conversations. This can avoid the frustration, for patients and family and friends of patients, of missed calls, long waits, busy signals and having to ask permission for access to a standard patient right. During group therapy or class activity time, these phones can be shut off from a central location so as not to disturb the therapeutic milieu. Patients have the right to send and receive mail. Because of technological advances, most people use email. Psychiatric hospitals should allow for access to email accounts for people who use email as a primary link to friends, family and other supports. Also because of our reliance on technology to store information we encourage access to cell phones so that individuals may locate their electronic address books for their contact numbers. A goal of the inpatient environment is to have an experience similar to that of their community. Most other hospital rooms provide televisions. NAMI believes that people who are hospitalized for mental health treatment should similarly have televisions in their rooms. In certain instances, it may be determined in person centered clinical meetings that unlimited access to phones, electronic communications, and/or television would be harmful for an individual. This should be considered on a case by case basis and not become a default action or used for punitive purposes. NAMI strongly encourages the expansion of visiting hours for family and friends in recognition of the long drives and difficulties experienced by family members and friends making visits to their loved ones. This supports the importance of encouraging family involvement in treatment whenever possible. (See NAMI s position on Family Involvement in Treatment, Section 3.7).