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~=~~: JEFFERSON COUNTY PUBLIC HEALTH 4~~, .:a3 615 Sheridan Street o Port Townsend o Washington o 98368 www.jeffersoncou ntypu bllchealth. org JEFFERSON C'Oi1NTS' BOARD OF COi;NTY CO`I1~TISSIONERS AGENDA REQUEST TO: Board of County Commissioners Philip Morley, County Administrator FROM: Jean Baldwin, Public Health Director DATE: November 26, 2012 Agenda Request SUBJECT: Agenda Item: BOCC Adoption of the 2013 Mental Health/Substance Abuse Sales Tax allocation recommendations from BOCC advisory committee Jefferson County Public Health is bringing forward the Hargrove Mental Health/Substance Abuse Sales Tax Advisory Committee recommendations and is requesting Board approval of the adoption of the 2013 sales tax allocations to contractors. The fund for MH/CD treatment has received less tax revenue this year, 2013 County budget submittal was based on the same budget total as these allocations. Requests for proposals were published in the Port Townsend Leader and on the )CPH website August 22, 2012 with all applications due date on September 21, 2012. Applicants are aware there is less money this year and some applicants decreased their scope of services in their applications. The RFP process was established by the Advisory Committee to insure all possible contractors were notified. FISG4L [i1IPACT/COST A\A[.l'SIS: There is no cost to the County for this fund. JCPH manages and tracks the fund, commlttee work, and contracts for 5% of the revenue. The benefits are increased Mental Health and Substance Abuse services in the community not funded by other sources. COMMUNITY HEALTH ENVIRONMENTAL HEALTH DEVELOPMENTAL DISABILITIES PUBLIC HEALTH WATER QUALITY MAIN: (36G) 385-940C ALWAYS WORKING fOR A SOAR AMD MAIN: (36Cj 385-9444 FAA: (360) 385-94C1 HEALTHIER COMMUNITY FAX: (3601 379-4487 12LCO~1V1EnllAT10'~: JCPH management requests approval of the Hargrove Mental Health/Substance Abuse Sales Tax Advisory Committee of the 1/10` of 1% Sales tax allocations to 2013 vendors. REVIEW'Ell BY: /~ ; dIPPS p Morley,.. ounty Administrator Date _, _ ~ DOVE OPMENTAAL D4SABtLITIES PUBLIC HEALTH ENVIRONMEN?AL HEALTH 0.lWAY5 WORKING FOp A SAFFR AND WATER QUALITY MAIN: (360) 385-9400 MAIN: {360j 385-9444 FAX: (3a0) 3859401 HEALTHIER COMMUNITY FAX: (360) 379-4487 Mental Health /Substance Abuse (131) Budgets and % Changes, 2011-2013 Proposed/Requested 2011 Budget 2012 Budget 2013 Recommendation % Change ' 12-' 13 Safe Harbor 120,456.00 113,228.64 93,000.00 -18`'/0 Jefferson Mental Health ~ 104,692.v^0 98,410.48 80,204.00 -19Y~ Nurse Family Partership 4Q000.00 36,957.48 25,900.00 -3C7o Jefferson Mental Health -Schools 57,75C.00 65;399.07 65,000.00 -1% Jumping Mouse Children Center 20,000.00 18,800.00 24,000.00 28% Jail Substance Abuse Treatment Nurse 35,712.00 32,995.63 32,995.00 O;o Assessment 35,712.00 24,998.40 11,715.00 -53'70 Billing and Admin 17,856.00 16,497.82 17,637.00 7% Topside 19,C40.00 15,080.00 15,080.00 0% Family Therapeutic Court 16,672.00 9,918.4C 2,000.00 -80`/ Miscellaneous Expenditures 195.00 195.00 125.00 -36`i6 TOTAL 46tf,UYfS.UU 431,4kiU.y1 36/,b~b.UU -1Sh 352,000.00 2013 revenue 50,656-00 2012 - 2013 carry forevard 402,656.00 Total Cash 367,656.00 contracts 35,000.00 reserve C:\Users\philipm\App0ata\Local\Microsoft\Windovvs\Temporary Internet Files\Content.Outlook\OCyVO5C8E\131 Budgets'11-'12- 13.xlsx ^RAFT J£FF'ERSVN CQL9N31f - Chemical 17ependency / IVtenta~ I-lea~th Fund ___---__-- - - _-_- __ _ .r_ ___ . 2~~3 Prelimlrtary Expense Budget.-- -----... ---~-- I ~~~ ; - j ! 2D13 _ -- E3~P BUD - _ _ ._ PRi)EESSiC1NAL 5Eg1lICES _._ 56400 41! 11;Safe Harbor - CaDiT -Substance Abuse 93,000 56400, 41' 13iJefferson Mental Health - MH & C(7QIT 61,500 56400~41I 14;Jefferson Mental Health - SchoolContract j 65,000 56400; 411. 15iJurnpng Mouse Children Center 15,40[3 -- - ~ J ~J_...- TDTAL PRdEESSIONAL SERVICES.; ....T ~ ~! ~T 235,Qp~ - - MISCELLANEdUS 56400 , 44 ~ 0! Advertising - 125 TaTAL IVIISCELLANEOUS.~ 125 _._ -- - --- -- ~- - --- -- - --- IIVTERFUND SERVICES~~ __ 56400 ~ 91; 1D JCPH/ICHD - Assessrnentf Evaluation 23,5{Ja ~ EamilyTheraputic Court 564010' 91~ 20;JCJS 8,100} _ _ 3QJCPH Administration 56400! 91~ 17,37 _ - -564001 91 40 Nurse l=arnily Partnership -- - -- -- - 25,9(30 - - T -~-- -- 56400 91', 25~Tcapside ---__- _ _ - 11,.9(30 -- 56400 99 10!JCSO Jail Nurse _ - - --- i - - ---- ----- 27,1010 T~TALINTfRFUNDSVCS;! ----- -- - 114,137 T(]TAL Iw~PENSE: 3~I9,z62 2013FtEV&E3CP-C~_MHhudget 1 of 1 1119,12(312 9:41 AM ^RAFT JEFFEftSC~N COIIIVTY -Chemical pependency f Mentai Health Fund _ _ __-_ -~__ -__~~ ~. 21313 Preiirninary Revenue >3udget -~' - a --- --~--- : 2~-13 ...,_ i _. REII BLifl Beginnln~ Fund' Baian~e _ ~ i 3$,257 -i ~ i _.~____._._ ___. - Taxes ~ _ 313.14 Cli O'Chem pependf Mental Hlth S~rc Tax 352,734 - -~`;~ _ ~~~~ Total Taxes:' ,I ~ i -'~ ~_~ TOTAL REVENIIE:~ 352,734 390,991 ~ - i ~ ~ TOTAL ExP1=NSE: 349,252 ~ - ----~-; _~~- VARIAIVCf: _, -._ _ -- !:.~~ LE55 RESERVE: j ! E5TlN1ATE CASH AVAILABLE 2414:: __ ; _ A1,7z9 - 3$,40{l 3,729 2413fiEV&E3(P-CI7,MHbudget 1 pf 1 11,119~2{l12 9.41 AM Funding; Rragram l7escription: Full time Chemical Dependency Counselor provided' for the CC1D1T progr~ta-a~. Counselor provides assessments, treatment, individuals, treatment p9c~nning, staffing's. and reviews.. Two relapse i'revention education gaups per week at Jefferson County Jail facilitated by CDP~CDPT firorn Safe Harbor. Drug cand AlcoiZOl assessments for individuals in the community as well as individuals currently incarcerated at Jefferson County Jail. Parl`icipation in District, ~amlly Therapeutic, Topside (youths and Drug Court. Datc€ entry into the V'VA State Division of Behavioral health and recovery database of all assessments. admits, tre~rtment particlpatlon {including groups. individuals, urinalysis?.and. discharges. D~rta entry is required by the State to be in cornpliance with state contracts. A portion of the funds are also used for CQDIT program office supplies. Treatment for Jefferson County residents with no ether means of praying for their treatment. ~o I~nrolled Ass-essments com,pleaed 3g +?i 34 - ~ ~~~ ~. ,fie. ry0 Data. 5ofe Harbor anti deacon of Hope, Inc.., Intake Support d program description in nexF rcaws represen3 all 111 i7th 1 % funded Safe FVarbbr programs, 2f]1 T Actual: ~12~.45~a 2C1~~ Actual; 5118,958 20[}4 ActuaR: 517,987 2EJ08 Actual: 573,992 3aa~e Nara-JC xrp e 501 V ~9 - 0~' ~~ 2Q31 south .3C 98336,28 s EaSC JC: 9$358:35,25 65 ^ P7:983£B urinalysis {upJ Tests 0011): -'e`?atai ~ u~~s # individvels tes3ed Ag 30 - ~~ r 2fl7 10 ~ ~ ~ m ~ ~ ~ ? ~ ~ ~ ~ ~ ~ ~ ~ ~ ¢ ~ ~ ~ ¢ m ~ ~ ca Q cv 1U0°a 65+ 50aQ 45-64 8°.0 __ . X25°44 .yo`'° ~.~~ ~~ F~~ e3'"~ P4~ ~~ ~~~ ~'~ W'Q ~°°` ~ ~ C? ~ w 18-24 ~ ,~ 2 )~'~ ~©31 ^PJ-a7 ~80~~ - 9eanaie 50'~ ~ rna~e 0"/ q~~ ~cg ,J\~ ~J~ ~` ~` moo, ~u ,mac ~mn ~` ~` ~~ `~a G~ ~ S ~ ~O ~`'~ 2{}37 ~r it 20 Tfltal individa.aafs served fly 1110th of 1% funds by yip cede of residence, age group, and gender: Pr~rafn ~escripticsn: Dur GODIT prografr~, run in concert with Safie i~arbor, provids direct individual and group services to clients with both Substance Abusel~ependence and Iv~ental Health Disarders. These serulces, along with access to medical specialists. a case manager and peer counselor, experienced in serving fihis population, provide a broad specfirt~€rn ofi fireatrnenfi possibilities not otherwise available in this county, Qat~a: Jefferson Allentctl Heca~th Services, CC}DIT Program 2011 Actual: $104.692 2(110 Actual: 597.528 2009 Actual: 51 {3,493 2008 Actual: S 131,494 3q 2i] ~ • 1 ~1 i p ~-. ~ - - - m a ~' to ~ ~ ~ ~ ~~ ~ ~ ~ '¢ c°,~ c°u ~~Q11 Total individuals served by 1f1t3th of 1°~ funds by zip cede of residence, age group, and gender'. 1 GO°! Ncarr,9C xip cAdes ~6~0 o~ scum ,rc: 9$376,20 • East ,3C: ssa5s,as.z~ ,s~ s ~ ~ ~- ~ ~ ~ ¢ ^ PT: 9g3fi8 n°s 26t 1 N Enrolled -4 Assessmen4s ~mplefed ~- r°w ?fl11 ~' 00% i - 65+ ~0 / ~ 45.4 ~ 2~-4 4 4% S N 2[3(1 N ^{}•t~ t6t3% :- ^female 5D I ^ made ar - _ "! ~ C .C? T. CI ~?, O1 ~ V © ~ ley ~ Q ~ ~ ~ ~ ~j ~ ~ Cam] ~ rv ~ 2€}t 1 ~ per month): Medics 4rufrflne ~rher 3 net recanted 7 4 11 7 5 13 15 als to community servicesiagencies provided to +clients (avera+, Fatal Cfa-inpt ~5H5 Education ~anplayml 20Q9AV 18 1 2 i 1 2C11OAV 38 2 6 1 2 2b11 AV 44 2 4 4 3 Total services provided [duplica#ed aounts~: 2f3®- #SeenlndlvirJually ~-CQr}IFGrvugs 1013 ", 8l 7 c p' m s~, m ~ ~' eh ¢ a ~ 7 p ~ ki ~ ~ ~ ~ ~ ~ ~ ~ ~ p v Metatal 9iealth f)iagnases ^ f3~Polar (average # individualsj; ^Arsx'sety 1p - kNajor r)epresslon ^ E'anEc tliserder 5- PTSD sehziophrenia ^ _~ 2(}05AV 20f{3AV 2pt1AV~ C7ther hears far services. ~~ seen individually ---~°~ CC}L]1T Groups vuv ~~Q ~ Fc - - ~,~~''; ~=~,.,_-~ ~ -,.~~ ., 149 '~ ~ ~ ¢ ~ ? ~ ~ ~ ~ ~ 4 Q s°+e 20l t ~° Self Reported Fast 30 Day Substance lase (average # individuals): ~ AicohaC 24 Maripuana 1 ~ ~ Tobacco ^ Meih 0 '~ :~Gther 20Q9AV 20f0AV 2fJ1tAV Rprll2pi? Er~aiuativn Drata: School Based Health ~!!rr`ro, Jefferson Mental Health 5ervloes Funding: 201 1 Actual: 559.75) 2C~~D Aatual, 557.75[) 2Ctg9 Acfual; 557,750 2f308 Actual: $9,38A Program Description: JMHS funds three mental health professionals to provide direct service an site to students and their families in the dart Townsend, Chii-1,€acum, and 9uilcene Schaal pistricts. Consultations with Schaal staff and other agencies are else provfded far the students engaged iri the ;program Easy access to experienced profess4onals with no financial kaurden to the tarnlly is the intention and has proven its worth in high levels of Average #' individuals serired by f li0th of 1°!a fu rids ~Ser invnth: 5b -~ ~Ir-port. Townsend ~~° Chmacum C~vfcene 25 • ~ PA ill ~ ~ C3 ~ ~~ ~~ N ~ ~ N O ~~ fFA~ 2f~11 ~ irrdividuaPs served by 1l1Qth of 1°Io funds by grade and 1U09'a ', Ur~knawn ~ 12th 1ttn 50% ^ loin ^9kh b°J ce8th Jar.• Sep2blb- Sept- r7tn June.2b10 Jurie2b11 4ec2Lk11 ^6th visits per rxiorlth. ~-~'ortTownsend -~~--Ghrmaoum Quilcene 5 5 -` r~~ 4 '~ 6t a R. ~ 'S ~i ~ Q r O N c5 ~ cn ~ 2{111 ~ 9 bb r ~~~ --- ur~~~n 12tH 5b°I. -~ ~ 11th 7 ~[h o% ~ ~ _ . stn IJan- Sep2tl9b- Sept Stn June.20ib June2b11 i3ec2Q91 ^Stri 1bDI urdcnown 54°I x Female ^ male 0°r' Jan• Sep2b10- Sapt- June.2QiQ June2011 bec203i i lPbS'a unknpx+n 50 J ^ iernale r male [7% - Jan- Sep2blb- Sept- June,2b10 Juna2b13 ^ec2{i19 1 {l0 % 1211 _ tttr t otr Sb1 >~ ~`~ sth ~ '~ 7th w sth 0% 5th Jan- Sap2fJib- 5ept- ®3r~1 June.Zb10 Jvne2b31 Dec2b11 ^2nd vnkrooavn r Female ^ m ate gage # services prsvided per month: P[7FCT T[7 NSENrI ^erisis inten!en[ian >~individ;~ai therapy 35 ~ group therapy ^family therapy _. ,~ d Sep1- Jan- Sept2bl b- Sept- CJec2bb3 June2b10 June2b11 [~ec21111 Self Reported Past 3fl flay Sut~stance Use P{IFiT Tf?WNSENO 5 ^ AltphO€ ~ hkarijuana Other a Tot7aCCo p ~-- Sept- Jan Sept2bt©- Sept Dec2bb9 June2blC .lune2blt Gec2p11 CHIhIIAi;LJM ~rcnsi~in[erverrtion ®irxiiviJualtherapy $'7 group therapy ^family ihorapy Sept- Jart- Sept~l114- Sept- Dec2b09 June2blfY June2b11 Dec2011 iridivuduals CFGi147A~UN! ~ Alcah©€ ~ hAerijuana ~0thar ^ Tobacco Sept- Jan- Sepa201 b- Sept- 'De>:2bp9 June2bib June2©31 C1ac21711 i~111~CENE ^erisisintar+rbnton >riridivttfualaherapy 35 i group therapy ~famrly therapy n. Sept- Jan• Sep,2b1€1- SepE- Dec2bbJ Jvne20111 June2411 Dec2b31 differs frt3m PT Arid QUCI.C~N~ ~'© ^Alconol Marijuana Other ^1'obac«p 10 p.- Sept• Jar,- Sept2bTf3 Sept- bec2b09 J:kne2014 Jur?e2L711 I}2c2bi 1 .April )i.i data. Jumping Maine Children's Center 211 Actual: 5~0.0~(J Rragrar'n pescrlptlan: phis funding provides services to traurnati~ed children whose care is otherwise uncompensated,spec€fically to those who have been directly impacted by a parent's substance abuse and/or menta! illness, With these funds, we are reaching Borne of the rrrost of-risk members of our community, preventing substance abuse and mental health problems before they begin. l~at[t are reported only through July, 2a 11 when the 1114]th of 1 `N° funds were exhaused. Individuals served by 119Ot1t of 1°I° funds: # # children -, ~k caregivers 24 , =~ ~ _= 4-~; 15 ~1 ~"" ~ 0 ~ na ~ 14 data. 4 - - -- r} ], ~ T ~ 2L}11 e°u Flrst time assessrnents and °Io resulting in enrcetlment: I Enrolled =~~Assessm~antscampleted 10 - _~, --~~ _ I - ,~ 4 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~ an average: T2~'° of cCtst per olient is not cowered by insurance (Feb~July 2819) - - On average, 1f90th of 1°I° funds cover only 32°/° of eligible clients (,lone-July 2019). data represent funded clients on9y. 1'c tal irldiwiduals served by 9190th of 1% funds by xp code of residence, age group, and gender: 1 Qf1 ~ - 541 tl9o Feb-JuEr,241 1AV to4~ 100 NorrJC zq) ends ^ 14 to 12 ^ female South JC: 98376,20 ^male 5t1°! 7 i0 9 5(7°/ ^tr~stJC: 98358,39.25,65 4 t0 6 ~ PT: 9$368 0 % •~ Q°I Feb-Ju1y241 1 AV Feb-Ju1y2411 AV (duplicated counts): PARENT S[sSSI{)N5 50 RARENTrFAMIIrY CASE !M~~MF • 29 3 4 _ - -~ Jan FeYa fviar April May June July Jan~Ju9y Ntental Health Ofagnoses of Children (average # lndiwiduals): 14 5- 4 deb-JulyP4t 1AV ^GBneraEired Anxiety Ma~trr Oepressicn. PTSIJ Parent•Ghild Relati6raship Other hours tESr S~rwiG~3; ~-CHILQ SESS1g1VS (2,4 hrs aw) ~~ }PARENT SE55f[7NS (1.5 hrs aW) 104 ~~,~,,,y, +- 70 50 -. , __ Jan FeL May Apri] May June July Jan..,July 2411 AV exposed to Substance use {Feb-July 2011 average °Ib of child clients): 104% 74°Iq 84% 5G% ~ 291 4% .~ substance use in chiVct impacted by mam used eL~a during family drug?aic use pregnancy ocr~J~~ 12.2~J~ ro ~valuofon ~®fcr. Topside, Yc~utYr Therapeutic Court Funding: 201 1 Actual: 519.650 2010 Actual. 58,281 2DCI9 Actual: ~ 1,75A i ~ragram I]escription: The Topside l3rogram is an alterncitive therapeutic court intervention for youth involved in the juvenile justice system. A youth referred to this program is one who has been identified as a moderate high risk youth with significant risk factors in two or more of the fallowing domains: Chemical dependency; mental health, sahooi, and/or family funstor~ing, The theory is that providing a treatment court setting for referred youth will assist in fostering a direct relationship between the Court, the parents and the youth and better motivate them to fully engage in evidence- based interventions and ether prcagrams in an effort to reduce identified risk factors while supporting the strengths of the youth and family. data reporting began in August 2010. °~ Enra€ie~t ~r~Assessrnents carnpleted p J~~~~~ y2~ 4®'~ ~"' C`x ~A'~+ ,~JCer )`~'+ F°~ ca~"` `+' ~y~a ~~ 0.q° Total individuals served b tlitith of 1 °~ funds b zi cede Of res 10a ~ Nan~JC zip cods 5a°I .aoufh JC: 963~6,2a =Sass JC 01° . - 9835Ei,39.25 Q, y 7 Q ~ ~ ~ ~ "g ~ ~ ¢ ~ Q ~ © ~ ^ PT: 9836$ ~p~1 I~ttltlJP~e^a/B'ehavlar ;- tO~oF 4 ~ Lac/m 'U ~~ 2C7ti1 ~ is 9D-day impraveinent ~~ # served bdence and t i7Q%a ^ f@ 13-k~iE 'J~°f° ~ ^ tl71dEe 0°Io ~ tCC +ll ~ fl ~ cm ~' ~+ ~Q. Q m ,. G ~ L1_ Q ~ ~ ~ Q U] ~ ~ Q ~~~~ ~ s Dru s1AlcohallMental Health i 4 - • ,~` • 5 t~ ~I, ~Oi1 °f~ 9Q-day im~ravernent ,,.+--# serve 8 ~~ 201t Mental Health Diagnoses {average # individuals): ~ rAI7Hi3 =F~SC3 ^ peprctssiars rPanic ©isorder 1 i r~ Aug-C3ec2Q A 0 2tl1 t AV Belt Reported Bast 30 Day Substance Use (average ~# IndividUalS}: rAlcahol rMariluana 4 ' ~"obacca r fMeth 2- ~ i Aug-Dec201fl 201iA'J to eornrnunity 2Q11 total GD GD inpatient outpatient c1 Ev~llucltlon [?o#a: Murse Family Pc~r~nershp, .~e~erson Cr~unty Public Flealthi Funding: 2C~~ 1 Actual: $4iJ.Cl[~C~ ~41Q Actual: S4®,ODO Progrpm description: Provide treatment for patients with mental illness. saehaviaral prolaiems, and prevent future addiction in young children exposed to pc~rentai/famiiy sulastance abuse andJar mental illness. Serves low-income first time pregnant mothers with soclalJhealth indicators that will increase the risk of poor outcomes far mother and'. infant. JCPH data indicate the majority of participants either have a recent personal history of s~9l~stance use and/or mental ilin~;ss or these risks currently or historic~iiiy an the immediate family environment. The nurse treats the mother using heho+rior change theory and motivational interviewing far quitting substances, preventing relapse, treating mental illness, and addressing intergenerationalpetterns within the family system, NFP is an evidence based preVentian program and JCPW collects extensive dote to de confident in fibs quality and fidelity of services thus assuring the community that Jefferson County families will have similar positive, long term outcomes as seer it the research trials. 1~ 1~- - - - - _~_ T ~_- _~^ y4iC' ~9~ cg`Tt P~ ~•°~ ,~~C~ ~°~~' ~'' ~°Q~ O~' ,~aa r~v~' ~~P~1 n~ 1001 5p 1a a~ --.- --. - - -- Q~~~o``®'mt` 40b ~a PQ3 t~.~,a~,~~ PT' ~e~` Dr~~~oJ ~^~J ~~1 201 1 t{7 tWCen-JC xip code Sout~ JC sas~s,za • EasF JC: 98'358,49,25 ,65 ^ PT 98358 14fl% 65+ 50 % ~ 4',~-54 ^ 2$-'~ 4 % ^ 18-24 4~ 2431 ~° ~infan3 c2 ~~~ 1001 ^ temaYe SO ^ male 4°/ ~oo~' '~c rev ~qas pQ~ ~g,2'~ y~~° ~~~'~ ~~Q` {~$ ~ O~ ~PJ 2013 ~°~ ~~3 Tvtai ciilld Uare DSHS t3V Housing Medical Mil t]utpt ~ 8 1 0 0 D 3 Q 1 12 1 1 ei 1 2 1 Tptal services provided duplicated counts}: tNFP Attempted visit ,, hJFP ~Compketed visit 45 - ~~ ~ ~ 15 ~' 8 0 -- ~- , ~7 ~`'~~ 201 t Men#al Health diagnoses q# PregnantfPast-partum Clients {average # individuals}: 1 [3 5- 4, .9uiy-Deo2010 2411AV ^ aoi~o ^ Anxiety MaJor Depression ^ ~'anic Disorder ~' PTSQ C3ther Guitline Transp9 Other tl Q 1 ci 1 3 -~-~ NFP Atlernpted visi4 --- NFP Completed visit ~5 - 15 ~ 0 ~'~~ 2011 ~Y' ~' Self l~ep9arted Past 36} [lay Substance Use (average # individuals}: 4 ~ _._ © ~ JuVy-4202414 2091AV ^ Akc©hal I ~Mariluan~ Tobaccfl I ^ Meth I ^ C7ther ltprll 2rd12 T€etal individuals served by 111 UtM +~t 1°/Q #unds by xip cede of residence, age gaup, and gender: lays s gend®r of ail persons ~¢ app9sl ~vaiurafiian Data: Jefferson Gvunty Jail Fu~dirtg: 2l1i li Aetuai; X34,856 20107 Actual; ~2f~,142 20019 Actual: S24,9D7 2(ll1$ Actual: $36.52 Pragrcarrti D~scri~tian: one registered nurse assesses a majority of subjects booked into the;~ail for substance abuse andlor withdrawal. monio~, anorexia, mood disorders, serf harrn and other mental health conditions. l~iurse actively recruits substance abuse inmates far parlicipatlon in Relapse Prevention Education (RPE}and co-facilitates two weekly RPE classes.. purse directly provides assessment, early intervention, and follow-up for inmates suffering from substance dependencies andlor mental heaith Essues, inciuding education and public heafth Interventions. 1Vucse makes frequent referrals to .lefferson 'Mental Heclth and tht~ Jain Medical Provider,. coordinates the continuum of care with ~afie Harbor and ~7rug Court, and assists with placement of inmates into inpatient and outpatient treatment programs. Note: ©ctaber 2fl11 data are far 10/86-10,31 only. 44 i M 24 1 fl j [] J - a °a ~ ~ ¢ ~ ~ ~ ¢ uj C? ~ G ~'v#al lndi'riduals served by 1194#h of 1%funds by xip code of residence, age group, and gender:. Mental Health l]iagn~ses (aaerage # individuals): r'o individuals with unknown mh status: 15 2009, unk; 2410, 41 °IQ; 201 f , 41 °/a 14 0 , 200SAV POtpAV 2011AV r OiPpfar ^ Qysthymia ^ Anxiety Depression r'`r5D ~}fi~IBf '!Q EnroElet! '~~Assessments campEeted 44 - -- 1 ~~a~ sa ,• • ~~ ~,, 4 , o ~ ~ ~ 2011 Self Re}~orted Past 3Q Day Substance Ilse A# IaldPni5510n (aver$ge # indilllduaiSJ: ^ARCOha1 a/~ indi~iduads with ursknawn sub use: 2405, unk; 201 D, 20°!©; 2011, 12% ~ Marijuana 34 Tot>aceo 20 ^~ Meth 10 0 _ _ '+ ° Ot3iBr 2009AV 2[73pAV 2011AV Apra 2012