Loading...
HomeMy WebLinkAbout101711_ra02 Regular Agenda JEFFERSON COUNTY PUBLIC HEALTH 615 Sheridan Street. Port Townsend' Washington' 98368 www.jeffersoncountypublichealth.org JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST TO: Board of County Commissioners Philip Morley, County Administrator FROM: Jean Baldwin, Director DATE: October 17, 2011 SUBJECT: Power Point Presentation on Mental Health and Substance Abuse Sales Tax Committee Recommendation, consideration of recommendations of Committee meeting on September 6, 2011 STATEMENT OF ISSUE: Jefferson County Ordinance# 09-1003-05 established the Mental Health/Chemical Dependency sales tax to increase services for mental health and chemical dependency treatment to Jefferson County citizens. The fund is managed by the County Administrator and Board of County Commissioners. The Mental Health/Substance Abuse Sales Tax Advisory Committee is appointed by the Commissioners to assist with providing recommendations on allocation of funds. ANALYSIS/STRATEGIC GOALS/PRO'S and CON'S: At the regular meeting of the Mental Health and Substance Abuse Sales Tax Committee on September 6, 2011, the Committee discussed the distribution of the 1/10'h of 1 % tax revenue for 2012. The County is faced with the reduction in tax revenue in this fund and a decrease in the carry-over in the Mental Health and Chemical Dependency fund. The advisory committee recommended funding for services as follows. Some services will have the 7.8% decrease and others will have a 30% decrease. The committee determined to decrease funding by 30% to Jefferson County Public Health for assessment and evaluation services and a 30% decrease in the therapeutic courts funds. 7.6% reductions were recommended for Administration of the fund, Nurse Family Partnership, and the Jefferson County Jail. Safe Harbor Recovery Center and Jefferson Mental Health Services will have reductions of 6% each. Jumping Mouse will also have a reduction of 6%. Since there was an overall reduction in funding available for 2012 the Committee recommended not adding any new programs, and not to contract with Dove House in 2012. The committee recommended an increase of $7,649 to Jefferson Mental Health for School Based Health services; for more Mental Health services at Blue Heron. COMMUNITY HEALTH DEVELOPMENTAL DISABILITIES MAl N (360) 385-9400 FAX: (360) 385-9401 PUBLIC HEALTH HEALTHIER COMMUNITY ENVIRONMENTAL HEALTH WATER QUALITY MAIN: (360) 385-9444 FAX: (360) 379-4487 Regular Agenda FISCAL IMPACT/COST BENEFIT ANALYSIS: Meets budget goals of County for 2012, and fiscal constraints for 2012. RECOMMENDATION: The Committee requests the acceptance of their recommendations based on the 2011-12 Budget for continued contracting with existing vendors and allocations as stated above. REVIEWED BY: /,--~, /, '\ _:>J G~~--,>) -', /- ( ,-.-... / (:/' / !~ Philip'-Morl~y,coJ~ty Adininistrator (0 (/3 /f( Date N o >-' N ;D ~ < >" m x "0 >-' W >-' m C => p- '" o :I: >-' o --- >-' o --- N o >-' >-' >-' N o en -0 ;; '....... ~ ~ W " W W N m 0 " CO 0 I ~--..j CO CO 0 m _en -" '-' 0 00 '-' '-' :'0 in N CO ~ 0 en ~ ~ c en ~ ~ N 0 m N N C 0 CO N 0 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 0 0 -<' o -< " ~ m X OU m 2 en ~ n en o -< ,0 ,-< " ~ i 2 -< m " ~ C; 2 " en < n en ,ou ~ " ro ~ ~ :-0 -il o i-l '" ~ ,;:: U; n m ~ ~ ", 2 , m, 0, C ~ " , c- , < ro " ~' , ~ '" ;:: U; n, ~ I ~ " 2 m o C V> 1"'0 " o ~ m en '!! ::0 i .:... l-C--V\ O2 c _ ,(0,(0 ilJ ~ ~';:I~ D' ~ 1- I I Vi V I I./'l ,~ i ~ 10 Q: ~ : ~ :5:lg !~i;!g:~ ; 0 ;2:::, ':::::': --, In ! ~ ~ I~ i~ I 'l] '(0 ,::Y rt- 1'-+ n !n18 ,e!..!~ 0 -l::;'-iI I 0 8 6:: 1 !~ ill ~ i~ -; I ';:::+;:+ Vl !I'""" i ~ 13::r c !~I()I ;~ 7 ~ : 0 'I~ in::::. 'TI,;;:;' I ..j I,g; ,c:l cg i 8 QO I ~ 161'S8!?; z i !~ 0 c )::> , =i ~ r-i Q.) 1./"1 ;:+ m " ::; n m ~ N , 0 , ~ ~ I '" I c ~ ~ c- en 0 N '" " ~i~ %. .... ~ , '-' co co en \.D:lJ1 V> en 0 Nicr-. I , N ,N '.... I 0 ~ '''' ~ en co I~ N en ! 00 " " 00 _w Co I~ ,- '-' '" I '" ~ ~ I 1m N c '" co w " en ~ N c- V> en ~ 0 co e:' 0 , 00 I era I '" 0 ~ 0 10 0 "" m '%. 0 0 co 0 " I 0 00 " i~-..J -:!::J ,0 N'C1 iV1'Q ..,. W Ie:' co, 00 '10.0 I I-" 01-.....1. 1--'- m " NN ~ ~! lJ1 Wi N m ~I~ Q iG.. ::J 'e 'g. w y; ~ ~ 0 ~I~ :J C) , : VI ,"'t- I , ~ "" (3 m 3 c N " 0 '" '", co co " " ~ ~ ~ co 0 co co ~ '" N N N 0 0 " 0 " " * * '"' * * * * * * I I " w W N '" '"+:.0 -....1100 0 . '0 0 0'\. 0 ~!~ 0 N '" iO r::: II-' ,0- if---'iC7Q ! ~ :~ ~!~ ~ " I ~ ~ I ro i ~ Q.,C C 1m ;:::1 ,0" I ~ !~ i Ie; ~. ! c- O' IT i~ ; ~ gj N o ~ N -V> m ~ ~ m " en o 2 n o c 2 -< -< n "" ro 3 ;;' ~ -P>jW;f...." -....J:mlo o " w :+:::- D,~ co N' 'w- G ...... ';.0 '-0 0 '.D NON " 'ro "0 'ro => a. ro => n i~ ;:: ro => rl ~ :I: ro ~ "" "" ~ c => a. ~idiSi~ ..0....... 'I',em c I~ in 1-' :::;' I XI 0 'S ~ ~ ;; :). :::0;(1) X ~ ~ l~ ;::0 ro'lm ~ 'I~i :2 'J! ' ro C '~i u-L ro ~ " n ro JEI'F~RSON CC?Ur-JTY_~ Chemi~aIDee~~dency / Mental Health Fund 2012 I)reli~inary~e\fenu~ Bucjget ---- - -.-.-- Beginlling Fun~ Balance 2012Rev&Exp-CD_MH 1 of 1 2012 REV BUD 103,460 10/10/201111:59 AM , . JEFFERSON COUNTY PUBLIC HEALTH 615 Sheridan Street. Port Townsend . Washington . 98368 www.jeffersoncauntypubliehealth.org September 19,2011 To: Mental Health/Chemical Dependency Sales Tax Fund Applicants/Fund Recipients Safe Harbor Recovery Center Jefferson Mental Health Jumping Mouse Jefferson County Public Health - Nurse Family Partnership Dove House Jefferson County Jail - Jail Nurse Services Family Therapeutic Court - including Juvenile Therapeutic Court Topside Jefferson County Public Health - Assessment/Evaluation Services From: Julia Danskin, Staff to the Mental Health/Substance Abuse Sales Tax Advisory Committee Subject: Recommendations for 2012 Funding Allocations Dear Providers, The Jefferson County Mental Health and Chemical Dependency Advisory Committee met on September 6, 2011 to discuss the distribution of the 1/1 otC, of 1 % tax revenue for 2012. The committee wishes to thank all the vendors for their applications, but mostly for their dedication to our community and their work in this very tough economic time. The County is faced with the reduction in tax revenue in this fund There is also a decrease in the carry-over in the Mental Health and Chemical Dependency fund In 2007 the Committee and the Commissioners planned to spend down the carry-over over a three year period. With good planning and partnerships the fund was able to have a spend-down over a four year period. If services are funded at the 2011 rate, there is a 7.8% shortfall in overall revenue forecasting for 2012 for the 1/10\h of 1% sales tax and carry-over The advisory committee decided to recommend decreasing funds for some services in different ways than others. Some services will have the 7.8% decrease and others will have a 30% decrease. The committee determined to decrease funding by 30% to Jefferson County Public Health for assessment and evaluation services and a 30% decrease in the therapeutic courts funds. 7.6% reductions were recommended for Administration of the fund, Nurse Family Partnership, and the Jefferson County Jail. Safe Harbor Recovery Center and Jefferson Mental Health Services will have reductions of 6% each Jumping Mouse will also have a reduction of 6%. Since there was an overall reduction in funding available for 2012 the Committee recommended not adding any new programs, and not to contract with Dove House in 2012 The committee recommended an increase of $7,649 for Jefferson Mental Health School Based Health Centers services, for more Mental Health services at Blue Heron, but again less than was originally requested See attached spread sheet: Jefferson County Ordinance# 09-1003-05 established the Mental Health/Chemical Dependency sales tax to increase services for mental health and chemical dependency treatment to Jefferson County citizens. The fund is managed by the Board of County Commissioners. The Mental Health/Substance Abuse Sales Tax Advisory Committee is appointed by the Commissioners to COMMUNITY HEALTH DEVELOPMENTAL DISABILITIES MAl N: (360) 385-9400 FAX: (360) 385-9401 PUBLIC HEALTH lU.WAY$ V'lORIUt4G FOR j\ $cAnT!: Ai\h'3 HEALTHIER COMMUNITY ENVIRONMENTAL HEALTH WATER QUALITY MAIN: (360) 385-9444 FAX (360) 379-4487 , , assist with providing recommendations on allocation of funds. The Commissioners want to thank all those involved in making these difficult decisions during these economic times. Thank you for your continued support and good work. Once the Board of County Commissioners review the committee's recommendations and authorizes a 2012 budget, JCPH will initiate contracts with the vendors. Please call or email Julia Danskin with any questions at 385-9420 or idanskin@co.ieffersonwaus . Cc: Board of County Commissioners Philip Morley Mental Health/Substance Abuse Sales Tax Advisory Committee Jean Baldwin J~r$9@~t4;l.'~J~,~,,_~i~_.~!i;!\ftt~i\I 1/,;'\1'" Evaluation Data: Safe Harbor and Beacon of Hope, Inc., Intake Support Note: Funding and program description in next rows represent all 1/1oth 1 % funded Safe Harbor programs. Funding: 2011 Budget: $119,676 2010: $118,958 2009: $ 1 07,987 2008: $73,992 Program Description: Full time Chemical Dependency Counselor provided for the CODIT program. Counseior provides assessments, treatment, individuals, treatment planning. staffing's, and reviews. Two Relapse Prevention Education groups per week at Jefferson County Jail facilitated by CDP/CDPT from Safe r,orbor. Drug and Alcohol assessments for individuals in the community as well as individuals currently incarcerated at Jefferson County Jail. Participation in District, Famiiy Therapeutic, Topside (youth) and Drug Court. Data entry into the WA State Division of Behavioral Health and Recovery database of all assessments, admits, treatment participation (including groups, individuals, urinalysis), and discharges. Data entry is required by the State to be in compliance with state contracts. A portion of the funds are also used for CODIT program office supplies. Treatment for Jefferson County residents with no other means of paying for their treatment. Total individuals served by 1/10th of 1% funds: , 30 1 I~~j.~ I ~ lio 0 ~ " 0. ;;- . ~ 0 &' 8- ~ ~ ~ ~ < ~ ~ ~ ~ w 9 =j 2011 Total individuals served by 1/10th of 1%funds by zip code of residence, age group, and gender: . 16 ~ ~ ~ 'l ~' 100% 50% l r ~. , ..;i; - ~ ~ $: 1 if ~ Non..JC zip code 4 i '" Soutr,JC: 98376.20 0% 0 0 ~ > c. ~ . ~ rn li " > u > " m u " ., m u :;j j w 0 0 w ., N ~ ~ " "' ., if> Z 8 9 2011 =; EastJC: 9835839,2 5.65 PT: 98368 Urinalysis (UA) Tests (2011): ~totaJ#UA's # individuals tested WI 30 20 10 o ".".,., . 24 12 u . ~ ~ w U. " " a. ~ '" " . o j ~ -'" j ~ ~ g. 8 '" "' > o Z u . o '< ~ Octocer4.2011 Jeffer.son~,:U~9f ~%tQf'~~"UiliMl~,~ ""*".,' .... Evaluation Data: Jefferson Mental Health Services, CODIT Program Funding: 2011 Budget: $104,692 2010: $97,528 2009: $103.993 2008: $131.499 ~L:;i'-" Program Description: Our CaDIT program, run in concert with Safe Harbor, provids direct individual ond group services to clients with both Substance Abuse/Dependence and Mentol Health Disorders. These services, along with access to medical specialists, a case manager and peer counselor, experienced in serving this population, provide a broad spectrum of treatment possibilities not otherwise available in this county. 50~,;' 100%, ~'> 'f Non-JC zip 00' , , t " code m 0 c ~ " 1i ~ ! ~ '" li U > u > c " .<1 . " << m ~ <i 0 0 0 . :0 ;i c ~ " Z <0 N N "' ,,- 2011 " "" SOJthJC: N 50% 98376,20 ;,,;. 100% EastJC: 98358,39.2 50"/0 0% 5,65 Q c C ~ " 1i ~ ~ ~ ~ li 8 > 0 > 0% Q " ro . " << :'i ~ ;;, . 0 0 :0 PT:98368 Q ~ ~ Z <0 m 0 n " " ~ ! ~ ~ li > 0 N N "' 0 " 0 ro ;;, 8 0 0 " 0 " ~ ~ ~ << " . Z <0 " 2011 N N N "' N 2011 Total individuals served by 1/10lh of 1% funds: .. 20 10 o .~ . 19 g ~ ffi -g o 0 -, LL N N ii:i c.. ~ ~ ~ :2: <( :i: ~ -, ~'5.~6~~ ...:: ~ u Z 0 r ;; N 2011 Total individuals served by 1/1 Oth of 1 % funds by zip code of residence, age group, and gender: Totalassessmenlsll< percent resulting in enrollment: ': Iii '~iinr-- = ~ ~ ~ ~ ~ ~ I ~ ~ ~ ! 8 ~ ~ ~ 2011 ~ 100% 65+ - 45-64 25-44 18-24 0-17 female male Referrals to community services/agencies provided to clients (average # per month): CD-inpatient Dental DSHS Education Employment Medical 1 2 2 1 3 2 3 6 2 4 3 4 3 4 5 2009 2010 Jan-Aug2011 Total services provided: 150 -.-Seen individually -4-CODIT Groups 1~~0 I : ~'.,...- " 82 . ." ." . C S {1 iG .9- ~ :g ~ ...., I.L. :E ..... :E ~ 2011 ;-+ . 10 ~ ~ li 8 > ~ > '5 , . 0 :0 ~ << '" z " ;; N Mental Health Diagnoses (average # individuals): BiPolar Anxiety Major Depression Panic Disorder 5 j o h PTSD !\till Schziophrenia Other 2009 2010 Jan-Aug2011 Quitline Other not recorded 7 11 7 13 8 Total hours for services: 30'j 200 100 o . ......!.;'i-'CODIT Groups " - --'\. ........'!It""'~_~t'?-~,r ..... .~ 157 -'-seen individually . I, o c ~ ;; 19 ~ N I , I . .. 9 0 ~ ~ li 8 > ~ > 0 '5 '" . 0 :0 , ~ "' Z <0 ~ ;; N . t.. :g k ~ 2011 Past 30 Day Substance Use (average # individuals): Alcohol ~: I o~ III 2009 2010 Marijuana Tobacco Meth Other ..~ Jan-Aug2011 C'ctcbe-f,,201 Jeffer~QJ).~MJQtb\9fjl'M!.fQf~*...lIhM~ftl~bl_;;<... .t~~d~l<' Evaluation Data: Jefferson County Jail Funding: 2011 Budget: $35,712 2010 $26,142 2009: $24,907 2008: $36,352 Program Description: One registered nurse assesses a majority of subjects booked into the jaii for substance abuse and/or withdrawal, mania, anorexia, mood disorders, self harm and other mental health conditions. Nurse actively recruits substance abuse inmates for participation in Relapse Prevention Education (RPE) and co-faciiitates two weekly RPE classes. Nurse directly provides assessment, early intervention, and foiiow-up for inmates suffering from substance dependencies and/or mental health issues, including education and public health interventions. Nurse makes frequent referrals to Jefferson Mental Health and the Jaii Medical Provider, coordinates the continuum of core with Safe Horbor and Drug Court, and assists with placement of inmates into inpatient and outpatient treatment programs. Total individuals served by 1I10th of 1% funds: Ei..~ 10 o . 32 '" 0 c .n g 0 ~ ~ N N <ll~~~€~g.8~g~ ~ ~ ~ ~ ~ ~ z 0 ~ 2011 Total individuals served by 1/10th of 1% funds by zip code of residence, age group, and gender: 100'/0 Non-JC zip cace 50% Soutn JC: 98376,20 , EastJC: 98358,39.2 5,65 PT:98368 1< 0% m D c ~ " " ~ 0 ~ D " 15 > u > D . 0 0 S ~ , 0 0 '" D C; , ~ " '" " '" 0 z 0 ~ N ~ '" 2011 C; N -- Total assessments & percent reSulting in enrollment: ~ % Enrolled Assessments completed ~'l ~ ., ~~ ;i,' 40 30 20 10 o 50% '; 100% I i 0% Referrals to community services/agencies provided to clients (average # per month): Dental Hospital MH outp! Medical Public Hlth Other 2009 2 2 0 28 1 2010 Jan-Aug2011 3 o 2 2 o 29 20 Total services provided: -+- Seen individually .-:- Relapse Prevention Education 1:000 j' . ~-~~~ ~/'. : ~~ L~~}~~i!~~18~8: Mental Health Diagnoses (average # individuals): 15 1~ j o L1_ 2009 2010 . BiPolar Dysthymia tiAnxiety Depression PTSD 2011: Ja.'1-AJQ Other o o , , Total hours for selVices: ___ Seen individually -ir- Relapse Prevention Education 1~:1 . : : ~ : @ 0 . ~ " li C; . ,f .. " <( N ~.~:: .~ ~ -3' ~ ~ ""? -;l 0<( .39 14 " 8 > 0 > . 0 . :" '" ;z 0 C; N 201-1 I Past 30 Day Substance Use ; (average # individuals): 30 20 - Alcohol Marijuana Tobacco II 1~ I ~II Other Meth 1.1~'; . ..,",... -"., Idll 2009 2011: Jan-Aug j 2010 Octobe-L,?Ol ~r~,~fu~_,(#jl~if9fl~_ti~_~~"Iit~,i(! ('nisi;,""," Evaluation Data: Topside. Youth Therapeutic Court Funding: 2011 Budget: S14.000 2010: S8281 2009: SU54 Program Description: The Topside progrom is on alternative therapeutic court intervention for youth involved in the juvenile justice system. A youth referred to this program Is one who hos been identified as a moderate/high risk youth with significant risk factors in two or more of the following domains: Chemical dependency; mental health. school. and/or family functioning. The theory is that providing a treatment court setting for referred youth will assist in fostering a direct relationship between the Court. the parents and the youth and better motivate them to fully engage in evidence- based inteNentions and other programs in an effort to reduce identified risk factors while supporting the strengths of the youth and famiiy. Data reporting began in August 201 O. Total individuals served by 111 OIh of 1% funds: 10 1 ,. ---, . . . 7 . . . 0 0 c n :. ~ ~ . ~ 0> 1'i 8 > 0 > " . . ::; . c .. , . 0 . :l' ~ ~ ::; , ~ '" "' z 0 N ~ ci " ~ N 2011 TC)tal assesl;ments & percent resulting in enrollment: - % Enrolled 5 I... I :.-'. olUL ~~;f~~~~~ (\J ~ .., .., ci ~ Assessments completed 11 I:lil ~' ~ 100% ': 150% ! 'il 'j 0% u ::- u > o ~ ~ <C " N g> '" < ,J.l 2011 Total individuals served by 1/10th of 1% funds by zip code of residence and gender: I 1 OO%f""l ;";'~;JC ,ip 1'00% -~ female 50% SOclthJC: 50% 98376,20 ~. Easi JC: 0% 98358,39,2 0% c c D " 1i ~ g ~ > 0 c D 1i ~ . ~ > '1 . ro ~ << 5.65 ro . ro c ~ a ~ ::; << ::; ~ 0 , ~ << ::; , :l' N " PT: 98368 N , ci 2011 9 2011 " a, N N ~ '" '" male Referrals to community services/agencies provided to clients (average # per month): CD-inpt CD-outpl Dove House 1 1 Aug-Dec 201 0 Jan-July 2011 2 4 <1 Individuals served by domain: :1: :-1 : o I -+- attitudes/behavior ---drugs/alcohol/mh --'~"family functioning ~ school ~~: id o 2 ci a, '" c n . 1i ~ . ~ ~ 1'i 8 > 0 > ~ . ~ c .. , 0 . ~ ~ ::; '" " , , '" . z 0 '" ~ '" " 2011 N Mental Health Diagnoses (average # individuals): 2 ! ADHD PTSD J ,'~. ,,'. _;i:.H::,_" __, Ag~D_2Q1 0 2Q11AV % of Indlvi<!ual$ with9Q,cI<!Y .attitude';beha~ improvement by domain: ill: drugsJalcohol/mh ':rtU-"=l 9 :a .g ~ c.. ~ ..... .., LL :: << ::E 2011 . ";?:- 0> 1'i 8 ~ 0 > c , , . . '" , , '" "' z 0 ~ " N Past 30 Day Substance Use (average # individuals): Alcohol :1,1 Marijuana I Tobacco 'iMeth II ~" Ag-D.201G 2D11AV DR.A.FT,Oc:ober4.201 Jeff...'$QA,t"'^....k'Xl~.bf.llfil~:a'U~,.I~~~~4;1J.' ~'_ '_,. ~m.Vw/.,.....,.._~..,"'"'_._,..",~__......,_,v,.>...~i.~,-', ,_'._ ,.,."". .".,.__,___._.... _.H_' __~~~,,'" .,......, Evaluation Data: School Based Health Clinic, Jefferson Mental Health Services Funding: 2011 Budget: $57,750 2010: $57,750 2009: $57,750 2008: $9,384 .> ., Program Description: JMH$ funds three mental health professionals to provide direct service on site to students and their families in the Port Townsend, Chimacum, and Quilcene School Districts. Consultations with school staff and other agencies are also provided for the students engaged in the program, Easy access to experienced professionais with no financial burden to the family is the intention and has proven its worth in high levels of participation at all three sites. Total visits: .....- Port Townsend -.- Chimacum -~'-"'i;I.~- Quitcene 100 L,cj ,,,,,,", 75 " .. /" 50'. ,~~-> "52 25 " . ~ ,- ~~,: '-~., . 32 " .r,. r-:: ~~ .. ~J 25 o ,"'~'.. . g ~ li 8 15 g ~ it m a. ~ ~ 6;:: ct~ ~ ~ ~ z 0 ., u. ~ < :: -=s ~ ~ Cl ~ 20102011 Ql;j ~ oo~ Total individuals served by 1110th of 1% funds: ""'-PortTownsend -D-Chimacum Quilcene l:~ o .' , ,g,5g. 8 ~ ~ @-C\ll::C\J (/) CDg~g " , ~ /",.- ~ ~. ....._--,~.. .. -",,"-.. .. .. ,'. .. -.. m 27 . 16 10 2010 Unduplicated individuals served by 1J10th of 1 % funds by grade and gender: PORT TOWNSEND CHlI4ACUM ! 1 oo~:~ 1- LO% 1 OO~/o .,_,__u._____ - -I Unknown < 12th . 11 ~h 10th : 9:h li.8:h Sep2010- .7:h June2011 , 6:h Jan-June.2010 Sep201O- JJ'le2Ql1 unk10wn 12th 11th 10th 91h 81h _7th 61h Jan-June.201Q 50% ~ U% 1100% i 50% I 0% 100% I J'1known I .. "female 50% II .~ ',',' 'Tlale 0% - Jan-JJne.2010 Sep2010- i Jan-June.2010 Sep2010- June201'; '---- June2011 unk,~,own "female ma,e Average # services provided per month: PORT TOWNSEND CHIMACUM '""crisis inteNention "; group therapy JlIindividual therapy IlI!family therapy 35 :;: crisis intervention - group therapy' -individual therapy ~family therapy 35 o o Sept-Dec2009 Jan-June2Q10 Sept2010- June2011 Sept-Dec2009 Jan-June2010 Past 30 Day Substance Use: PORT TOWNSEND 5 Alcohol Alcohol CHIMACUM 5 Oxy/Hydro Cadone ; Tobacco o~JL Marijuana Marijuana Oxy/Hydro Cadone iTobacco o ,~l ~ Sept- Jan- Sept2010- Dec2009 June2010 June2011 Sept- Dec2009 Jan- Sept201O- June2010 June2011 QUILCENE ~OOO, - --.---- 50o~ -~n. I unknown 12tn 111n 10th 9th 8th '>'7th 61h 0% 't,;:~l,~:~ .. Ja'l-June.2010 Sep2010- L JJne2011 100% male unknown 50% . female 00' " Jan-JJne.2010 Sep2010- June2011 QUILCENE .. crisis intervention ;;; individual therapy .'grouptheraPy :t1ifamily therapy o Sept~0e:C2009 Jan-Juna2Q10 Sept2010- Juna2011 (Scale differs from PT and Chimacum) -- --~ Alco10i I QUILCENE ,20 1 110 J I i I ! ~');_ 10~-- I Sepl, I Dec2009 Marijuana Oxy/Hydro Codone Tobacco Ja'l- JJ'le2010 Sept2010- June2011 OCTOber 4.:!0l 1 J~~;II::JQtb}_t~~,.l1~~~_,\" Evaluation Data: Jumping Mouse Children's Center Funding: 2011 Budget: $20,000 '>."'".,'.X._/_: , " i.);Md#tiM!-;fl';' . Program Description: This funding provides services to traumatized children whose care is otherwise uncompensated, specificaliy to those who have been directiy impacted by a parent's substance abuse and/or mentai iliness, With these funds, we are reaching some of the most at-risk members of our community, preventing substance abuse and mental health problems before they begin. I On average, 72% of cost per client is not covered by insurance (Feb-July 2011) On average, 1/10th of 1% funds cover only 32% of eligible clients (June-July 2011), 20 1 10 no . . . . . . i data 0 c ~ " " ;:;- . ~ . . c "" . ~ " '" " , . . 2011 tILl .~~-I 0% V'"?' 50% :L1) 1&2 ~ "" . ~ . ~ " " " '" ;:;- " 2011 . c , . > '" Data represent funded clients only. Total individuals served by 1J10th of 1% funds by zip code of residence, age group, and gender: !"100< 100% -- -- - 1'100% - ". ;\Jon-JC zip code I 10 to 121', Sou:hJC: . 98376,20 50~/o d 7 to 9 I 50% EastJC: 98358,39.25,65 PT: 98368 50% 0% 1 0% Feb-JJiy2011 Feb-July2Q11 Total services provided: ......CHILD SESSIONS -- PARENT SESSIONS . PARENTtFAMIL Y CASE MGMT 40 1 :I~- L Jan Feb Mac Ap,'l .29 3 !l 2 Jan- "^_July2011 1lI.~.~....1\! May June July Mental Health Diagnoses (average # individuals): 10 Generalized Anxiety ,{ Major Depression PTSD 5 o ","""",;,:,',':. ;;;,. Parent -Child Relationship Other Feb-July2011 -- female maie o to 6 0% Feb-July2011 Total hours for services: ......CHILD SESSIONS (2.4 hrs avl I --<>-PARENTSESSIONS (1.5 hrs av) I 100 1 ] . -+-.......... . . ~ .70 I . a . " ,;\,.=---:,) 4, . Jan Feb May April May June July Jan- July2011 I Exposed to Substance Use (% of child clients): 100% 1 50% l 0"/0 ...:..--- substance else in family I 70% 800/0 . 29% child ,mpacted by d'Jgialcuse mom used dia during pregnancy Octobe.' 4,201 Jefferson C~tvlll_m.l~1oJN~elti.~M~~?.... ,')2""ft>,' Evaluation Data: Nurse Family Partnership, Jefferson County Public Health Funding: 2011 Budget: $40,000 2010: $40,000 Program Description: Prevent mental illness, behavioral problems, and future addiction in young children exposed to parental/family substance abuse and/or mental illness. Targets low~income first time pregnant mothers with social/health indicators that increase the risk of poor outcomes for mother and infant. Our data indicate the majority of our participants either have a recent personal history of substance use and/or mental illness or these risks currently or historically in the immediate family environment. The nurse coaches the mother in learning new skills using behavior change theory and motivational interviewing for quitting substances, preventing relapse, treating mental illness, and addressing intergenerational patterns within the family system, NFP is an evidence based prevention program and we collect extensive data on our work so that we can be confident in the quality and fidelity of our work thus assuring the community that our families will hove similar positive, long term outcomes as seen in the research trials. =:; I =:; Referrals to community services/agencies provided to clients (average # per month): Child Care DSHS DV Housing Medical MH Outpt Quitline 10003 0 0 1 1 1 1 2 2 1 Total individuals served by l/lOth of 1% funds: (1/10th of 1% funds 11% of the NFP budget, the cost for 2 clients) 30 j ~~ . . . . . . . . . . 17 ~ ~ ~ ~ ~ i ~ ~ ~ l 2 ~ ~ ~ 9 2011 ~ L =; .__~ Total individuals served by 1I10th of 1% funds by zip code of residence, age group, and gender: (age & gender oi all perso,"1S at appts) ~OO% 500,"; .,. " x,'l. Ii - i ~ f 2 1 H ," 'f: Ji " 'i' ff :;: II I W. ~j '" f; ;:; ~. , -;) ',' ~ , a Non-JCzip oode South JC: 98376,20 00. 0 c ~ ro 0. ~ ~ ~ ~ "- tJ > u > C; ro . " <{ . ~ ~ Q 0 0 . :0 N ~ ~ " ~ en z " 9 2011 C; N EastJC: 98358.39,2 5.65 PT: 98368 1 L July-Dec2010 Jan.Aug2011 Total services provided: -'-NFP Attempted VISIt -+-NFP Prevention visit 45 j 30 15 ~ LOi~~~i~~~1 9 =; ~ iff} 23 . 7 !8~f~J I _---'"-, I -I 2011 Mental Health Diagnoses (average # indiViduals): ADHD -Anxiety Major Depression Panic Disorder 10 1 : L__ ~.l!i'lIII Jan-Aug2011 ail PTSD Other ifIi}~_ ~u:y-Dec2010 Total assessments & percent resulting in enrollment: ; [. -rnrOIl~dll _!essmen1scomPleted'l ::~~o o " ..,...1!l::;:o J iii lil, ' 10% o c ~ ~ ~ ~ ~ ~ ~ a 8 > 0 > o ~ ~ ~ ~ ~ 3 ~ 3 ~ - 0 W ~ ~ ~ ~ ~ ~ ro Z 0 . 9 2011 g =; l l 1100% 50% 1 0% 0 " ~ " 0. ~ ~ ~ rn "- " > 0 > 0 rn ~ ~ 0 . <( C; ~ ~ " <( " 0 0 0 z " ~ ~ en " 2011 C; =; ~ 1111 ~II ~rIT'-'-'--' II !':'i' ' ,', ,,:, rJ,i 65+ 45.64 :'iIi25-44 18-24 .2 to 17 , infant <2 '--- 100:"0 1 female 50% male 00' '0 0 c ~ " 0. ~ ! ~ " "- n > 0 > C; m . '" <( m "0 <i 0 0 0 Q <( ~ ~ ~ " ~ en z " 9 2011 C; N Transport o 1 Other 1 2 IT9talh9ursforservice~ --- I I -- NFP Attempted visit --- NFP Prevenlion visit I ~~.Jl..~ 30 0...... 1 I,. I 8 ~ ~ ~ g ~ ~% g % 8 ~ M N ~ ~ _ ~ ~"~ ~ ro z ~ 9 2011 =; I Past 30 Day Substance Use (average # individuals): 5 fj -"- 1 Alcohol Marijuana Tobacco o~ Meth Other July-Dec2010 L:~ Jan-Aug2Q11 Cctober42,Jll