HomeMy WebLinkAbout032513_ra02Regular Agenda
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: Jean Baldwin, Public Health Director
DATE: March 25, 2013
SUBJECT: Power Point Presentation; Jefferson County Mental
Health/Substance Abuse Sales Tax Advisory Committee
2012 Year End Report
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 for County Administrator and Board of County Commissioners by JCPH.
The Mental Health/Substance Abuse Sales Tax Advisory Committee is faced with a continual reduction
in tax funds and a desire to provide recommendations based on the BOCC priorities.
ANALYSIS:
Looking ahead at 2013 and 2014, as funds continue to decrease, how does the BoCC prioritize treatment?
Review the 2012 deliverables and 2013 funding goals, begin 2014 priorities discussion.
REVIE D BY:
Phi ~p Morle un y Administrator Date
Jefferson County t/10th of 1%for Mental Hearth ~ Substance Abuse
Evaluation Data: Jefferson County Jail
Funding: ,~.da~ c `_)=~ hios ~2,y9G :71i j.~; 2~1-i 4~2c iti220G9: 52a, 407 2~8: 536.352
Program Descrlpflon: Gne registered n,:ae ossesses a majcrify of subjects booketl into'hejot: fa substonce obuse and/or
wit~osarv~ai. mania. a^o•exia, rnced disorders, self harm and ether menta' health conditions. Nuse actively recvits substance
abuse irrlates ro• ccr•icipeiion in Relapse ?revent:cn Eduaaron (RPEj and co-focilitoTes iwc weekly R?E classes.:Vurse direc~ly
provides assessmert: ealy :nferven•ion, and `ollow-up for i~motes suffering from substance dependencies and!cr mentai heohh
iss:;es, inCUding educoiicn and public heai•h interventions. Nurse mokes freaven~ referrois fe Jetferson Mental .-ealth and the
Jail Medical Provides, caordirates the continuum of care wish Sa`e Fiorbor and Dn.g Court, a..^.d assists with placement cF
inma-es into inpar`ent and o:,tpatierl Geolment programs.
Note: All programs temporarily suspended 6/18-7/9/2012
50 a2
40 30 • 31
30 • •
20
10
0
o ~~ m c g' ~ y~ c'
~ LL f S ~ "r < u, Z
100% Nni-JC zio
rode
$OLIn .C
50% "83?6.20
• Easl JC
9a3sa.39.zs.
o% ~
c c q~ LL '~ 4~~'¢~ p Z~ ~ a PT' 99309
0
RRR om: R
38 2 2 5
I
52 3 2 to
37 0 t +6
42 <1 ifi
-~•totai visi[s -~-individuals served
100 -
~ i • ~
•
0
<~ ~ C D pR qT _T 2 ~+ > L
6 r ~ LL 2 C 2 ~ -, Q ° `i 2 7
Mental Health Diagnoses ^eiPo+ar Self Reported Past 30 Day Substance Use At
(average # individuals): Admission (average # individuals): •Aicc~a
% indiYvJuals wth ungn~n mh satus. ~ DyS'hynua °~': individuals w.tn a^,knbxn suD use'.
15 - 2099: unK 20:0: a`i612C:T a!%; 20'2: 3i% 1009 _-A 201C 20%, 2011' '2?a; 2C`2: i<% •Manioena
^Anz,ery 30 -
10 -
~~ Derxession
20 i
-~ • Tobaxn
,
10 •Meln
, ePTSD 1
0 2009AV 2010AV 2011AV 2012AV aQrn¢r I 0
I 1
2009AV 2010AV 2011 AV 2012AV ~~r
Ho ~cb a
%Enroiled ~Assessmenls complete0
---- ' UO%
e ;.5
50%
65*
a5-85
• 25 4<
• 1 a-24
I I I I I I I I I I I I I I I I I I • M eale
28 1 2009AV 65%
29 1 2010AV 75%
20 0 e011AV 7a%
p I • ~
0 i
a a~ g m a 8' , s >; 3;>
c LL f 6~' Q y O Z p
°n "Fi 2012 n
Jefferson County 1 /10th of 1% for Mental NeaMh d. Substance Abuse
Evaluation Data: Jefferson Mental Health Services, COOIT Program
funding: .. 5_a~, ,,. _ -.~i~n-, _. ..'. .:~: ~:' ._: ..__ _ y~,' _._9'5103993 2%G6: 5131,499
Program Description: Cur CODIT program, run in concert witt-, ja`e Harbor, provids direct individual and group
services to clients with both Substance Abuse/Dependence and Mental Health Disorders. These services, along
with access ro med cal specialists: a case manager and peer counselor, experienced in serving this
population, provide a broad spectrum o` trecimenT possibilifies not otherwise avoilable in this county.
Note: Services only provided for 8 days In June due to personal leave. Due to low enrollment, afternoon groups cbsed for
summer 2012 beginning in June. Due to staff change July-December dato were zubmlffed March 2, 2013.
~ 1a
I Otal Indlvid ual6 serv@d by 7/10th of 1%funda by zip code
of residence, age group, and gender:
100?i. '-- Nor..C Zq
w woes
•Soi4h.iG:
509c 99376.20
• East JC
-x33_8.39.25
~0% w
,~~, ~ ~ ~ LL ~ $~ ~ ~ d ~ ~ g 8 ~' •prsa36s
$ ~ n <v 2 r
18 i 2 1
38 2 6 1
4a 2 a a
a7 2 3 8
124 •
100
95 ~ ~
~
50 - 34 ~ w
o ~ ~ $ ~ a ~ ~ §' a
R Q zo12
Mental Health Diagnoses •e'POIS' tP.nxlely
(average#lndividuals): rdapr Depressac ^Pan~DisorOer
PTSD Schzioph•enia
10 O:her
8 '
6 i
01_x_ __
2009AV 4C'iA'd 2011AV 2012P.V
0
0'!':
100%
5096
IL' ! - I ~ 1, ll fi5•
,.. ¢S84
.1..1. 11 •2514
2012 r°v •0't'
^remale
• ma!e
1 3 not recorded 7
2 4 9t 7
3 5 13 15
•
-~ CODIT Groups Support Groups
Y0 i •Alpnpl •Manivana •TObaxo ^Me1h .Other
f 0 -I
D. _
2009AV 2C10AV 20tiAV 2012AV
rdaiph 4, 2013
Jetfenon County 1 /10th of 1 % for Mental Health i Substance Abuse
Evaluation Data: Jumping Mouse Children's Center
Funding: i3 t,cicei 2C'3: $2c,000 Ao_tah: ZO'9: SIP.RCO 2C' I: 52C C60
Program Description:
This funding pravides services to traumotized children whose care is otherwise uncompensated, specifically to those
who have been directly impac?ed by a parent's substance abuse and/or mental illness. With these funds, we are
reaching some of the most at-risk members of our community, preventing substcnce abuse and mental health
prcblems before they begin.
Data reporting changed In 2012 to reflect eligible cAents similar to reporting by NFP. Note that In 201 t, t/10th of 1%funds were
exhausted by July and in 2012, funds were exhausted In August.
Individuals carved: Note: 1110th o' 1q5 funds 10 clients Firet time assessments and °k resulting In enrollment:
-4-Bearegwers -~-aetigib':e ohi~dren ~Yo Enrotle0 -y--AS3assmens m^Ftateo
t0 y1\~
D Q > 4 5 < ~ ~ i Q ~ ~ Z C N D Q i LL 2 Q ~ ~ i Q ~ ~ 2 0 J~ . -..
Q 2012 N "' 7012 r
Average: y6 of eligible chants covered by 1f10t1s funds (coat per eligible client not covered by insurence
Jan-July 2011 32'io %2'%0
Jan-Atg 2012 24'.'> 66'.'0
Total individuals served by 1110th of 1°k funds by zip code of residence. age group, and gender:
ree's -_ mugs '~ tcc%
Nor dC ed c¢ce
^10 ;c 12 ^femae
° 6cu10 JC: X348.20 ~
5~ 50'N, - > l0 9 3C% - - • male
•Ees: JC:
99358 39.25,85 0 to 6 ~,
•PTr 9R:i8a '
0% gq< 0%
Jan-kug 2012A`J :an-AU92C'7nV ~ Ja--~..a _~~.._..
200 -,-,., :,....,~.,,.,.,....
~ PARENT SE5510N5
15C
100
50
C _
n X
Mental Health Diagnoses of Children •ADHD
(aVerdgO # Indlvld U21S):
- •A¢justment Disorder
.'. rotcw-oara6lc. only tic cdctl tan '%+OtF
'unded ditrrs ^Gena2liz¢tl A very
.0 ^P.ttac^nent Discroer
S ~~ Najor Depress:~n
aTCp
n _
V Sexual Anse cr Neq
~'~'~'-"~'- Ctner
~-CHILD SESSIONS (1.5 hro avJ
300
-F PARENT SESSIONS
200 ~
100 - ~
100°
62`,E 69Y
50% ^ ~ 3u>a
0°U
tarry erc:iranmant gild Ir-cac:cd bi -'a nom u5dl outing
god use use pregnancy
Program Descrlptlon: Provice irectmeni for patients with mental :I+ness. behavioral problems. and prevent `uture addiction in
young criicren exposed +o porentai/fomily substonce abuse and/or mentol B.ness. Serves Icw-income Frst time oregnart
mothers with socicllheal•h indicators ihci will increase the risk of poor outcomes for mother and infan*. JCPH data indicate the
majcrity of particiocnis either have a recent pe'SCnai hssory of substance use and/ar mental ilinesfi ar these risk<_ currently cr
nis?oricaly in ine immediate family environmen*. Tne nurse trears 'he mother using benov:or change ±hecry anC motivatioro
interviewing for quitting <_vostances, oreverting relapse, -rooting mental Jlness. and addressing inrergenerationo: pa"erns within
the family system. NFP is on evidence bases prevention program and JCaH collects extenrve Coto to be contiden' in ine
qua`iry ono fidelity or services thus ossucng the community that Jefferson County fomilies will have similar positive, long term
Indivlduela Served: 1lt01h or t% funds 11 % of the NFP budget
the cost for 2 Uients
30 t6 tt 21
20 • • •
10 -
0 -_
^o,^PJ ~o° ~xv ~ Pd' ~'cco ~~~9 Q,.$ ~Q` ae ?a Leo p,
s~ ~ 29tz
Total individuals served by 1/10th of t°/, funds by zlp code of
residence, age group, and gender: ~,e;e e. 3a-:e~ a•_ :.eso-: ar ,pcvs)
,po9!,
Nan-JC 8p
rnx
59uh =~Soun JC:
98376.20
•Easl JC.
ON: 98356.39.25
~o '.~` 3c ua' +P~ Q~ y2j co J`~ Ja aC~ ~^ o° ~' ` ES
~~P1ryo ) F e P F \~ ~ P 9 a? Oo,~,tY ,P--?8388
\Ci 2912
34
15
otal Ghiltl Care DSHS DV Housing Mec
!3 0 0 0 3
12 1 7 <t t 2
--f-NFP AttemGtea h5+t
~~~~`Y~ Sy lac aa` ~°~ ~ °~a ~,.v ~p ~~ ~ ~F ~~p~
si 201 z
'i Mental Health Diagnoses of
PregnanUPOSt•partum Clients .hD-IJ
(average # individuals: ^AnxieN
10 ~ bfajr DeP-ess+on
-- ^Pen ~ Dlsof98r
5 vpTSD
0 ~_ ~ -~ - ' O:her
J~q~Gec23t0 201tAV 2C3AV
trot time assessments and % resulting in enrollment
%EnraNeO ~ASSaSSments mm9ieted
6 r~
'
t
-0
ti
i
~`~; pJ )d qe° 39` p4~ `D9Y ,ot;+ ~i PvO~Q^ nd `~S ~;p.1
2otz 'O
--• s5~
45 Ea
.25-ba
~tV • 18-24
;y~^o T ~°c e'v ^^g rd ~.'' ~ \.. ?`o~~ J`?,-o`,~~"y
°- ~ •2to t7
ri0
2012 ~ ^infent<
t99%
• female
69yo
^ male
096
utpt QuiUine Transp Other
0 0 0
t at 3
~~NFP AtlempteE Visit •~-NFP Campletetl vist
45 37 32
30 ~i 20 • e
15 •
2 2 ~ 5
0 ~-
gXc`P` ur ~`` .'°` fit` aq.4 v$' x+. ,A d' Cp .°' t+" ^~,'
2012 Ht ~
3If Reported Past 30 Day Substance Use
PregnanUPOSt-partum Clients •aicona
verage # individualst: ^ntanj;ara
4
_ Tobacco
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0 ~ ~ ~ •CSher
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Jefferson County t/10th of 1%^tor Mental Health E. Substance Abuse
Evaluation Data: Safe Harbor and Beacon of Hope. Inc., Intake Support
va•a -.ntlir3 orC-^~cr~orr nesenp~lar Ir nent r2w<•e:>~ese~i• ou i ~' :'P t4 !~~iceJ Scle Na~~o~ p-~ a~~rr;
Funding: 1~..'2'J1 ,~. -.~~~ - --~~~:;.: .:. :.i.,ii q ~. is".,.Si iS.s.F. 2i;0Y: $1 ~i.98: "<0C8: $/3.">92
Program Description: Foil tune Cnemica; Dependency Counselor previaeo far the CODiT program fo p!ovde assessments,
ireo'men', indiv:cuals. treofiner.t planning, ;taffi.^.g'<_. a.^.c reviews. Two Relapse Pre'~er.tion edccation groups per weeK at
Jefferson Caurty ;oil'acilitoted by CDP/COPT from Safe Horbor. Drug a^.c Alccl•:ol assessments for irdiviauais in the community
as well as i^tlividuols current:y incarceroted of Jefferson County Jaa. ?articipafio^~ in D~siric?. Family Therapeutic. Topside lyoufhj
and Crug Cour. Data entry nto +he'w'A State Division of Behavioral Heal?h and Rocovery dafabcse of cl: assessmen?s, admits,
treatment particioofion (including groups.'ndividuols, urinalysis!. and dischorges. Data entry is recuired by the State ?o be in
compliance with state contracts. A ao~tion of the funds are olse used for CODIT progrom office supplies. Treatment for.;efferson
Caunfy residents with r•.c other mews of payment.
Assessments completed:
20 ib 17 ti
] ~ e •
10
0 I
,et _- `
g+ r:z
Monthly average number of individuals by referral source:
Assessment disposition:
'
09~, Lost to ?ollow.up
A RerEReo fD DU'Rr
sow
•Clierrl retuseo seMCes
Wait list, no sernce
0% . ^ Wa?t Ilst some semoe
July-Dec207C 20t?AV 207tAV ^ enroueo
Drug Law Famuy.~ Serial
MFI tx Coun DSHS Gourt Jaii cnf ptaD;a' Friend ~~( Sarncas Other
20itAV 1 5 2 1 2 0 0 1 2 1 2
2012AV 1 2 3 1 's <t <1 1 1 1 2
51, ~J ~° F°~ d~0 ~ Yx+ ~F Tai Pag~ ~„ Pd „c rypa
no `Y
P ^n~o
MscF ?;'?
Jefferson
Evaluation
Funding: 8udge12013: $15,OfiC Actuals: 2012: $13,690 201 I: $14,000 ZO10: $8,28t 2009: $1.754
Program Description:
The Topside °rogram is an alternative therapeutic court intervention for youth involved in The juvenile justice system.
A youtft referred to this program is one who has been identified as a moderateJhigh risk youth with significant risk
factors in two or more of fhe fo;lowing domains: Chemicol dependency: mentol heolih, school, end/or family
functioning. The theory is that providing a treatment court se'ting ter referred youth will assist in fostering a direct
relationship be+ween the Ceurt, the parents and the youth and better mctivate them fe fuL'y engage in evidence-
based interventions and other orogroms in an effort to reduce identified risk fecters wnile supporting the strengths of
the youth and 'omily. Data reporting began in August 201 C.
Individuals served by 1f10th of 1°k funds: First ttme assessments and % resulting in enrollment
%Enp;:e0 r•AssessmenS tOmpleLBO
70 - 5 g 0 5 700%'
• 5
5 ~ • • ~ a ~ - 504'.
0 _ _ ~ • ~ ~t • ~ .gip
•O P, ,ac up St ce ~•i JO Q~ w ~Da .7 ^O PJ Od • • 9 .~ eQ~ OC 6' ~#' J
~~~,~. s F r P~ ~~ so s P ' y° o" ~ a~„oP' ~.~,~. >'~ F ~ oR .r° ~ s wj05 ~ ory•-,3
0
J P~ 2072 ps'~ 2072
tOC°h t00%
Non-JC Lp oo0e
^tems;e
eC7. 50%
.. Soren JC .male
98318.20
0% 0%
•EasI JC
•~ ~ ~ ~ ~ ~
,P ae~eo~uA ~,` ~~~~P~~Q ~o
ry..
e CY' P .
48358.34 25.85 Qg
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~~e ~Ji ..A4°p`,JCa
P" ~ Q
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D ~ ~
`
00 O
O Om
o
~ Q
ti
P`~ 2012 °oT 95363 P~ 2072
2 _ __ __ ._ _ 7"..0% 12
< • ' ~F 50% 4
• _ 1