HomeMy WebLinkAbout1-10th 1% Eval Data 2015_Report_Jefferson County One Tenth of One Percent Tax Fund Evaluation
2015 Annual Report
ANNUAL COUNT OF UNDUPLICATED INDIVIDUALS SERVED (not available prior to 2013)
2013 2014 2015
Nurse Family Partnership*54 66 58 *two individuals per family
Jumping Mouse caregivers**103 174 179 **54 served by these funds
Jumping Mouse kids**73 121 137 **42 served by these funds
SBHC***132 180 85 ***data represent school year 2013-14; 2014-15; Fall 2015
SafeHarbor intakes 117 149 120
SafeHarbor relapse prev edu^114 ^2014 & 15 data not available due to jail staff transition
CODIT (reported by JMH)28 37 43
Jail^268 ^2014 & 15 data not available due to jail staff transition
Topside 12 12 11
Mental Health Court~32 ~started reporting in 2015
Drug Court~57 ~started reporting in 2015
Family Therapeutic Court~3 ~started reporting in 2015
Total:901 739 725
Background: In the 2005 Washington State legislative session, Senator Hargrove passed the Omnibus Mental Health
and Substance Abuse Reform Act SB 5763 to expand substance abuse and mental health treatment. The bill allows
local governments to increase a sales tax to improve local services. In 2005, Jefferson County Board of County
Commissioners (BoCC) adopted this tax and established the Jefferson County Mental Health and Substance Abuse
Sales Tax Advisory Committee to review community needs and local Requests for Proposals (RFP) from vendors in
order to provide a continuum of enhanced mental health and substance abuse treatment services. This fund
provides an average of $400,000 a year. Fund recipients submit quarterly reports of service outputs and participant
characteristics to Kitsap Public Health District under contract to monitor and evaluate the impact of these funds.
Note: Some individuals might have been served by more than one
funded program during the year.
EARLY
INTERVENTIO
N
TREATMENT
JAIL/COURTS
54
103
73
132 117 114
28
268
12
66
174
121
180
149
37
12
58
179
137
85
120
43
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EARLY INTERVENTION TREATMENT JAIL/COURTS
Unduplicated Number of Individuals Served by Jefferson County 1/10th of 1% Recipient
2013 2014 2015
2015 Annual Report April 2016
Nurse Family Partnership (NFP) - Jefferson County Public Health SUMMARY
60% participate for 6 months or more.
Consistent with previous years, the majority of mothers are
age 18-24; in 2015, more participants are from East and South Jefferson County.
In 2015, on average each quarter, 73 visits were completed, another 31 were attempted.
The most common mental health diagnoses among women served are depression and anxiety. About 1 in 4 report using tobacco.
Jumping Mouse Children's Center SUMMARY
The unduplicated number of children served in 2015 was 137, up from 121 in 2014 and 73 in 2013.
43% of children served were or are currently exposed to household substance use; 18% were exposed during pregnancy.
2015 Annual Participant Data:Low income: 80%Ever experience homelessness: 22%
Any abuse/neglect: 59%Average # Adverse Childhood Experiences: 4.3 6 or more ACEs: 41%
91% of children served either successfully completed or are continuing services.
The average number of service inquiries per quarter increased compared
to 2014; fewer than half of children are enrolled right away.
Most children served are from the Pt. Townsend zip code; the majority
are ages 7 to 9, and just over half are male.
38% of children eligible for the 1/10th of 1% funding are covered, this
has increased.
The unduplicated number of adult caregivers served in 2015 was 179,
similar to 2014 (174), up from 103 in 2013.
The most common mental health diagnosis among children served is generalized anxiety (57%) followed by adjustment disorder
(10%).
In 2015, nearly half of children served come from single parent homes; 24% have a history of any alternative
care (primary caregiver other than biological parent) - 7% foster care, 9% adoptive care, and 15% kinship care.
The unduplicated number of families served in 2015 was 29; 33
in 2014 and 27 in 2013.
The average number of individuals participating per quarter in
NFP is up slightly from 2014. Note that the 1/10th of 1% funds
only cover services for 2 families.
Program Description: Serves low-income first time pregnant mothers with social/health indicators that will increase
the risk of poor outcomes for mother and infant. The majority of 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.
Nurse treats the mother 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 JCPH collects extensive data to be confident in the quality and fidelity
of services thus assuring the community that our families will have similar positive, long term outcomes as seen in
the research trials.
Program Description: This funding provides services to traumatized children whose care is otherwise
uncompensated, specifically to those who have been directly impacted 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
substance abuse and mental health problems before they begin. In 2015, unduplicated annual data are reported for
several measures.
0%
50%
100%
0
10
20
30
40
50
2011/month 2012/month 2013/month 2014/qtr 2015/qtr
% Enrolled Inquiries completed
# service inquiries; % resulting in enrollment:
16 17 21 20 22 25
0
30
Individuals served: 1/10th of 1% funds 11% of the NFP
budget, the cost for 2 individuals
2015
2015 Annual Report April 2016
School Based Health Clinic, Jefferson Mental Health Services
PT Chim Quil
11% 5% 25%
10% 6% 17%
9% 5% 14%
9% 9% 8%
9% 14% 17%
enrollment not available
Intake Support at Safe Harbor and Beacon of Hope, Inc. SUMMARY
The unduplicated number of individuals served in 2015 was 120 down from 149 in 2014.
Program Description: JMHS has three mental health professionals providing 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
professionals with no financial burden to the family is the intention and has proven its worth in high levels of
participation at all three sites.
In 2014 and 2015, about half of those intaked were scheduled
for an assessment, previously reported as "wait list, some
service."
Consistent with previous years, the majority of those served
are male; about half are age 25-44; and about half come from
Port Townsend, a third from East Jefferson, 10% from South
Jefferson and some from other counties.
In 2015, the number of individuals receiving urinalysis tests
went down but the number of tests increased.
Program Description: The intake process is primarily done by Safe Harbor admin staff. New clients complete an
intake packet which takes approximately 1.5 hours and includes demographics, releases of information (ROI),
required disclosures, substance use history, legal history, treatment history, Alcohol Drug Screen (116 questions),
Gain Short Screener, and Driving Abstract. The admin staff requests necessary records from lawyers, probation,
parole, etc. Once the packet is completed and required records are obtained the individual is given an appointment
with one of our counselors for an assessment. Admin staff is responsible for ensuring intake is complete, scheduling
the assessment appointment (rescheduling if necessary), entering the intake information into various databases, and
providing reminders calls the day before the assessment appointment. On the day of the assessment the admin staff
scores the Alcohol Drug Screen (used in the assessment process) and routes the file to the appropriate counselor.
Participation Rate
Grade 9-12:
The most common visit reason identified either by the student, clinician or both at Port Townsend and Chimacum every year
has been family problems; in fall 2015 at Quilcene it was also family problems.
The 2014-15 school year had the highest number of students served; in fall 2015, 85 students were served at
the SBHCs by mental health professionals in over 370 visits.
In 2014-15, 9% of Port Townsend, 14% of Chimacum and 17% of Quilcene high school students had a SBHC MH visit.
At least two-thirds of visits at all three schools are for 30 minutes or less.
More females than males use SBHC MH services. About half of those served are children in elementary and middle school.
In 2014, Safe Harbor began reporting counts for intakes,
assessments and treatment admits to better reflect the intake
process.
42
%
35
%43
%
19
%
45
%
48
%
0%
50%
100%
Referred to
other
Client refused
services
Wait list, noservice
Wait list, some
service
Assesssment
scheduled (new)
Enrolled
(2014,15: intake
complete)
2010-13: average/month
PT Chim Quil Total PT Chim Quil PT Chim Quil PT Chim Quil
9/2010-6/2011 54 86 19 159 245 517 318 4 6 16 1-17 1-33 1-46
9/2011-6/2012 66 44 27 137 229 141 372 3 3 14 1-20 1-23 1-42
9/2012-6/2013 57 62 24 143 303 386 347 5 6 14 1-21 1-26 1-48
9/2013-6/2014 50 58 24 132 282 350 244 6 6 10 1-23 1-36 1-27
9/2014-6/2015 77 74 29 180 599 471 225 8 6 8 1-31 1-35 1-21
Sept-Dec 2015 48 23 14 85 210 114 48 4 5 3 1-14 1-13 1-9
Unduplicated Individuals:Average Visits/Person:Total Visits:Range in # Visits:
2015 Annual Report April 2016
Relapse Prevention Education SUMMARY
Jefferson Mental Health Services, CODIT Program SUMMARY
The unduplicated number of individuals served in 2015 is 42, up from 37 in 2014, and 28 in 2013.
The most common mental health diagnoses among CODIT participants are bipolar, depression and PTSD.
The most commonly reported substance used is tobacco, used by about 60% of CODIT participants.
JEFFERSON COUNTY JAIL SUMMARY
The unduplicated number of individuals served in 2014 and 2015 is unknown; it was 268 in 2013.
One-quarter to one-third of those served over time are from non-Jefferson County zip codes.
Due to staffing changes, fewer individuals have received an
assessment.
In the first half of 2015, of individuals served, 89% had been in
JC Jail previously.
In the first half of 2015, about 60% of individuals served were
25-44; about half were male compared to two-thirds in previous
years.
Program Description: The CODIT program, run in concert with Safe Harbor, provides direct individual and group
services to clients with both Substance Abuse/Dependence and Mental 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.
Program Description: Relapse Prevention Education (RPE) sessions are a joint effort of the Jail Nurse and Safe
Harbor staff. The nurse actively recruits substance abuse inmates to participate in RPE and co-facilitates two weekly
RPE classes. Data are reported by the Jail Nurse. 2015 data only represent quarters 1 and 2.
In the first half of 2015 participation was reported by quarter,
previously reporting was by month. In Q1/Q2 2015, on average,
16 individuals participted in Relapse Prevention Education at
Jefferson County Jail.
Program Description: One registered nurse assesses subjects booked into jail for substance abuse and/or withdrawal
and mental health conditions. A nurse provides assessment, early intervention, and follow-up for inmates with
substance dependencies and/or mental health issues, including education and public health interventions; makes
referrals to Jefferson Mental Health and the Jail Medical Provider, coordinates care with Safe Harbor and Drug Court,
and assists with inmate placement into treatment programs.
In 2014, two ARNPs replaced the RN who retired from this position. Standardized data collection and reporting were
incomplete for the year and the first half of 2015. No data have been submitted for 2015 Q3 andQ4 and the position
has been unstaffed.
On average each month, in 2015, counting the time for each
CODIT participant, groups met for about 170 hours which is an
increase compared to the past 2 years.
The average number of individuals participating in CODIT each
month increased in 2015 compared to 2012-14.
Consistent with previous years, the majority of those served
are male; about half are age 25-44, and 70% come from Port
Townsend.
30
42 31 29 30 20 16
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# individuals served by 1/10th of 1% funds
(average/month; 2015 average/quarter):
22 18 1411 12 16
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30
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Individuals served per month by 1/10th of 1% funds:
2015
27 31 21 20 28 67
160
100
2010AV 2011AV 2012AV 2013AV 2014AVQ1,Q2 2015AV
participation individuals participating
per month
2015 Annual Report April 2016
Topside, Youth Therapeutic Court SUMMARY
The unduplicated number of individuals served in 2015 was 11; in 2014 and 2013 it was 12.
In 2015, most participants had been in Topside less than 6 months.
Depending on individual needs, participants are served in four domains:
attitudes/behavior, chemical dependency, peer/family functioning and mental health.
On average each quarter, more than half of participants had 90 day improvement in their service domain.
On average each quarter, more than half of participants with chemical dependency did not relapse.
Adult Mental Health Court - reporting started for 2015 - SUMMARY
32 individuals served in 2015; 2 graduates and 5 discharges
Nearly half of participants are age 45-64, another 41% age 25-44; 56% are male.
At the end of 2015, 45% had participated less than 6 months; 16% 6 months to 1 year; and 39% for more than1 year.
The most common mental health diagnoses are bipolar, PTSD, and depression.
Adult Drug Court - reporting started for 2015 - SUMMARY
57 individuals served in 2015; 12 graduates and 11 discharges
40% of participants are from Pt. Townsend, 30% East Jefferson, 12% South Jefferson, 7% another county, and 11% unknown.
28% of participants are age 18-24, 53% are 25-44, and 19% age 45-64; 72% are male.
Family Therapeutic Court - reporting started for 2015 - SUMMARY
3 individuals served in 2015; 1 graduates and 2 children reunited; no discharges
2 of 3 participants are from Pt. Townsend, 1 from East Jefferson.
One participant is age 25-44, 2 are age 45-64; all participants are female.
About one-third of participants are from Pt. Townsend and East Jefferson, the other third are from South Jefferson, another
county or transient.
The average number of individuals participating in Topside has been
between 6 and 8 individuals since 2011.
In 2014 and 2015, more females were served compared to previous years;
the majority of those served are youth over age 15. In 2014 and 2015,
fewer indiviauls served were from Port Townsend compared to previous
years; the others served are from East Jefferson.
Program Description: The Topside Program is an alternative 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 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 interventions and other programs in an effort to reduce identified risk factors while
supporting the strengths of the youth and family.
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Average # individuals served:
2015
2015 Annual Report April 2016
Jefferson County 1/10th of 1% for Mental Health & Substance Abuse 2013 2014 2015
Evaluation Data: Nurse Family Partnership, Unduplicated families served:27 33 29
Jefferson County Public Health
Referrals to community services/agencies provided to clients (average # per month, 2015/quarter):
Total Child Care DSHS Dental Housing Medical MH Outpt Quitline Transp Other
2010(Jul-Dec)8 1 0 1 0 3 0 0 0 1
2011 12 1 1 0 1 2 1 <1 1 3
2012 13 <1 1 1 <1 2 1 0 1 8
2013 13 0 <1 2 <1 3 1 <1 1 4
2014 20 <1 <1 2 1 4 1 0 1 10
2015/qtr 51 1 1 7 1 11 2 0 2 22
Total individuals served by 1/10th of 1% funds by zip code of
residence, age group, and gender: (age & gender of all persons at appts)
Program Description: Serves low-income first time pregnant mothers with social/health
indicators that will increase the risk of poor outcomes for mother and infant. The majority of
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. Nurse treats the mother 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 JCPH collects
extensive data to be confident in the quality and fidelity of services thus assuring the community that our families will have similar positive,
long term outcomes as seen in the research trials. Reporting changed to quarterly in 2014.
0%
50%
100%65+
45-64
25-44
18-24
2 to 17
infant <2
0%
50%
100%female
male
16 17 21 20 22 25
0
30
Individuals served: 1/10th of 1% funds 11% of the NFP
budget, the cost for 2 individuals
2015
0%
50%
100%
0
2
4
6
8
% Enrolled Assessments completed
0%
50%
100%
South JC:
98376,20
East JC:98358,39,25
,65
PT: 98368
1 8 9 7
27 3118232721
79 73
0
20
40
60
80
100
Jly-Dec2010 2011AV 2012AV 2013AV 2014AV/qtr 2015AV/qtr
Average services provided:
NFP Attempted visit NFP Completed visit
per month
20 31 32 26
148 163
0
100
200
Jly-Dec2010 2011AV 2012AV 2013AV 2014 av/qtr 2015AV/qtr
Average total hours for services:
NFP Attempted visit NFP Completed visit
per month
First time assessments; % resulting in enrollment:
0
5
10
July-Dec2010 2011AV 2012AV 2013AV 2014av/qtr 2015av/qtr
Mental Health Diagnoses of
Pregnant/Post-partum Clients
(average # individuals):
ADHD
Anxiety
Major Depression
Panic Disorder
PTSD
Other
0
2
4
6
July-
Dec2010
2011AV 2012AV 2013AV 2014av/qtr 2015AV/qtr
Self Reported Past 30 Day Substance Use
of Pregnant/Post-partum Clients
(average # individuals):
Alcohol
Marijuana
Tobacco
Meth
Other
$-
$10,000
$20,000
$30,000
$40,000
$50,000
20
1
0
20
1
1
20
1
2
20
1
3
20
1
4
20
1
5
1/10th 1% Funding
2014,2015 completed visit
hrs include prep +charting
2015 Annual Report April 2016
Evaluation Data: Jumping Mouse Children's Center
Average:Jan-July 2011 Jan-Aug 2012 2013 2014 2015
% of eligible clients covered by 1/10th funds 32%24%20%19%38%
Cost per eligible client not covered by insurance 72%66%71%80%not reported
Individuals served by 1/10th of 1% funds by zip code of residence, age group, and gender:
2015 Annual Data:
Low income:80%Any alternative care:24%Any abuse/neglect:59%Average # ACEs:4.3
Successful completion or continuing services:91%Ever experience homelessness: 22%6 or more ACEs:41%
Jefferson County 1/10th of 1% for Mental Health & Substance Abuse
Program Description: This funding provides services to traumatized children whose care is
otherwise uncompensated, specifically to those who have been directly impacted 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 substance abuse and mental health problems before they
begin. Data reporting changed from monthly to quarterly in 2014.
0%
50%
100%10 to 12
7 to 9
0 to 6 0%
50%
100%
female
male
0
50
100
150
2011/
month
2012/
month
2013/
month
2014/qtr 2015/qtr
# caregivers
# eligible children
Average # Individuals Served:
0%
50%
100%
0
10
20
30
40
50
2011/month 2012/month 2013/month 2014/qtr 2015/qtr
% Enrolled Inquiries completed
0%
50%
100%Unknown
Non-JC zip code
South JC:
98376,20
East JC:98358,39,25,65
PT: 98368
0
200
400
600
800
Average # total services
provided (duplicated counts)
CHILD SESSIONS PARENT SESSIONS
0
200
400
600
800
1000
1200
1400
2012/mo 2013/mo 2014/qtr 2015/qtr
Average # total hours for
services CHILD SESSIONS (1.5 hrs av)
PARENT SESSIONS
29%10%11%17%
66%
17%0
0.5
1
1.5
Jan-Aug2012/mo 2013/mo 2014/qtr 2015/qtr
Mental Health Diagnoses of Children
(average % of child clients by primary,
secondary or tertiary diagnosis):
Other
PTSD
Major Depression
Attachment Disorder
Generalized Anxiety
Adjustment Disorder
61
%69
%
30
%
62
%
65
%
38
%
65
%
36
%
48
%
22
%
0%
50%
100%
Current Historical Current or
historical
Mom used during
pregnancy
Exposed to Substance Use
(average % of child clients):
2012/mo Jan-Aug
2013/month
2014/qtr Apr-Dec
2015/qtr
# service inquiries; % resulting in enrollment:
$-
$10,000
$20,000 $30,000 $40,000
20
1
1
20
1
2
20
1
3
20
1
4
20
1
5
1/10th 1% Funding
Most common "other" 2015:
parent/child relational problem,
abuse and neglect, trauma
137
179
0
100
200
2013 2014 2015
Total # of Individuals
Served (unduplicated)
kids caregivers
0%50%100%
single parent home
foster care
adoptive care
kinship care
Average % of child clients
with history of:
2015Annual
Apr-Dec
2014/qtr
Apr-Dec
2013/mo
Jan-Aug
2012/mo
2015 Annual Report April 2016
Jefferson County 1/10th of 1% for Mental Health & Substance Abuse
Evaluation Data: School Based Health Clinic, Jefferson Mental Health
PT Chim Quil Total PT Chim Quil PT Chim Quil PT Chim Quil PT Chim Quil
9/2010-6/2011 54 86 19 159 245 517 318 4 6 16 1-17 1-33 1-46 11%5%25%
9/2011-6/2012 66 44 27 137 229 141 372 3 3 14 1-20 1-23 1-42 10%6%17%
9/2012-6/2013 57 62 24 143 303 386 347 5 6 14 1-21 1-26 1-48 9%5%14%
9/2013-6/2014 50 58 24 132 282 350 244 6 6 10 1-23 1-36 1-27 9%9%8%
9/2014-6/2015 77 74 29 180 599 471 225 8 6 8 1-31 1-35 1-21 9%14%17%
Sept-Dec 2015 48 23 14 85 210 114 48 4 5 3 1-14 1-13 1-9 enrollment not available
Visit length (minutes):PORT TOWNSEND CHIMACUM QUILCENE
Unduplicated Individuals:Average Visits/Person:Total Visits:Range in # Visits:
Program Description: JMHS has three mental health professionals providing 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
professionals with no financial burden to the family is the intention and has proven its worth in high levels of
participation at all three sites.
Grade 9-12 Participation:
0
10
20
30
40
50 Port Townsend Chimacum Quilcene
# individuals per month (School year average and current year actual):
0
20
40
60
80 Port Townsend Chimacum Quilcene
# visits per month (School year average and current year actual):
2015 20162015 2016
0%
50%
100%
9/2010-6/2011 9/2011-6/2012 9/2012-6/2013 9/2013-6/2014 9/2014-6/2015 9 to12/2015
>60
60
46-59
45
31-44
30
<30
0%
50%
100%
9/2010-
6/2011
9/2011-
6/2012
9/2012-
6/2013
9/2013-
6/2014
9 /2014-
6/2015
9 to
12/2015
>60
60
46-59
45
31-44
30
<30
0%
50%
100%
9/2010-
6/2011
9/2011-
6/2012
9/2012-
6/2013
9/2013-
6/2014
9/2014-
6/2015
9 to
12/2015
>60
60
46-59
45
31-44
30
<30
$-
$20,000
$40,000
$60,000
$80,000
20
0
8
20
0
9
20
1
0
20
1
1
20
1
2
20
1
3
20
1
4
20
1
5
1/10th 1% Funding
2015 Annual Report April 2016
Jefferson County 1/10th of 1% for Mental Health & Substance Abuse
Evaluation Data: School Based Health Clinic, Jefferson Mental Health
Of all visits per school year, top five reasons for visits are ranked for each school year:
9/2010-
6/2011
9/2011-
6/2012
9/2012-
6/2013
9/2013-
6/2014
9/2014-
6/2015
9-12/2015 9/2010-
6/2011
9/2011-
6/2012
9/2012-
6/2013
9/2013-
6/2014
9/2014-
6/2015
9-12/2015 9/2010-
6/2011
9/2011-
6/2012
9/2012-
6/2013
9/2013-
6/2014
9/2014-
6/2015
9-12/2015
alcohol/drug 3rd
anger mgmt 5th 4th 5th
anxiety 5th 3rd 2nd 5th 3rd 2nd 5th 2nd
court diversion 4th 5th 4th
depression 3rd 2nd 3rd 5th 5th
family problems 1st 1st 1st 1st 1st 1st 1st 1st 1st 1st 1st 1st 2nd 2nd 1st 1st 3rd 1st
future 4th 4th 5th
grief 5th 3rd 4th 5th
mental health 5th 2nd 4th 4th 5th 4th
relationships 2nd 2nd 2nd 4th 2nd 2nd 2nd 2nd 2nd 2nd 1st 3rd 3rd 2nd 3rd
school 5th 5th 4th 4th 3rd 4th 3rd 4th 4th 3rd 5th 4th 2nd 5th
self-esteem 3rd 3rd 5th 5th 5th 5th 3rd 1st 3rd
stress 3rd 4th 4th 3rd 3rd 4th 5th 1st
Unduplicated individuals by grade and gender:
PORT TOWNSEND CHIMACUM QUILCENE
PORT TOWNSEND CHIMACUM QUILCENE
0%
50%
100%Unknown
12th
11th
10th
9th
6-8th
1st-5th
0%
50%
100%unknown
female
male
0%
50%
100%Unknown
12th
11th
10th
9th
6-8th
1st-5th 0%
50%
100%Unknown
12th
11th
10th
9th
6-8th
1st-5th
0%
50%
100%
unknown
female
male 0%
50%
100%
unknown
female
male
2015 Annual Report April 2016
Jefferson County 1/10th of 1% for Mental Health & Substance Abuse
Evaluation Data: School Based Health Clinic, Jefferson Mental Health
Average # services provided per month by service type:Note: for all schools, groups not reported after December 2013.
0
10
20
30
40
50
60
70
CHIMACUM other (work w/ SBHC, school, agencies)
family therapy
group therapyindividual therapy
crisis intervention
0
10
20
30
40
50
60
70
QUILCENE other (work w/ SBHC, school, agencies)
family therapygroup therapy
individual therapy
crisis intervention
0
10
20
30
40
50
60
70
PORT TOWNSEND other (work w/ SBHC, school, agencies)
family therapy
group therapy
individual therapy
crisis intervention
nodata
reported
for 32% of
2015 Annual Report April 2016
Evaluation Data: Intake Support at Safe Harbor and Beacon of Hope, Inc.
Relapse Prevention Groups at Jefferson County Jail:
Urinalysis (UA) Tests for CODIT clients:
Total individuals served by 1/10th of 1% funds by zip code of
residence, age group, and gender:
Jefferson County 1/10th of 1% for Mental Health & Substance Abuse
Program Description: Full time Chemical Dependency Counselor provided for the CODIT program to
provide 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
Harbor. Drug and Alcohol assessments for individuals in the community as well as individuals currently
incarcerated at Jefferson County Jail. Participation in District, Family 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 payment. Reporting changed to quarterly in 2014. Relapse prevention group data are
reported by the jail.
Note: Funding and program description represent all 1/10th 1% funded Safe Harbor programs however
data only represent intake support; court data are reported by the courts.
0%
50%
100%65+
45-64
25-44
18-24
0-172015
0%
50%
100%female
male
2015
50%
34%
12%
0%
50%
100%Non-JC zip
code
South JC:
98376,20
East JC:
98358,39,25
,65
PT: 98368
2015
25 40 30
138
224
0
50
100
150
200
250
20
1
1
A
V
20
1
2
A
V
20
1
3
A
V
20
1
4
A
V
20
1
5
A
V
total # UA's
per month per quarter
27 31 21 20 28
67
13 14 8 10 9 160
100 participation individuals participating
10 12 8 9 8
51
0204060
20
1
0
A
V
20
1
1
A
V
20
1
2
A
V
20
1
3
A
V
20
1
4
A
V
Q1
,
Q
2
20
1
5
A
V
Average hours for groups:
per month
$-
$50,000
$100,000
$150,000
20
0
8
20
0
9
20
1
0
20
1
1
20
1
2
20
1
3
20
1
4
20
1
5
1/10th 1% Funding
46 42 64 46 40 48
37 37
54
31 34 39
29 43
30
39 48 40
0
40
80
120
160
Completed Intakes Completed Assessments
Admitted to Treatment
2015
NEW
42
%
35
%43
%
19
%
45
%
48
%
0%
50%
100%
Referred to other
Client refused
services
Wait list, no
service
Wait list, some
service
Assesssment
scheduled (new)
Enrolled
(2014,15: intake
complete)
2010-13: average/month
Disposition (average):
117
149 120
0
50
100
150
200
2013 2014 2015
Unduplicated # Served
13 14 10
33
22
0
20
40
20
1
1
A
V
20
1
2
A
V
20
1
3
A
V
20
1
4
A
V
20
1
5
A
V
# individuals tested# individuals tested
per month per quarter
2015 Annual Report April 2016
Jefferson County 1/10th of 1% for Mental Health & Substance Abuse 2013 2014 2015
Evaluation Data:Unduplicated individuals served:28 37 42
Jefferson Mental Health Services, CODIT Program
*2015 "other" is primarily substance dependence
Total individuals served by 1/10th of 1% funds by zip code of
residence, age group, and gender:
Program Description: CODIT program run by JMH and Safe Harbor provides direct
individual and group services to clients with both Substance Abuse/Dependence and
Mental 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. Reporting is done
monthly.
$-
$40,000
$80,000
$120,000
$160,000
20
0
8
20
0
9
20
1
0
20
1
1
20
1
2
20
1
3
20
1
4
20
1
5
1/10th 1% Funding
22 18 1411 12 16
0
10
20
30
20
0
9
A
V
20
1
0
A
V
20
1
1
A
V
20
1
2
A
V
20
1
3
A
V
20
1
4
A
V
Ja
n
Fe
b
Ma
r
Ap
r
Ma
y
Ju
n
e
Ju
l
y
Au
g
Se
p
t
Oc
t
No
v
De
c
20
1
5
A
V
Individuals served per month by 1/10th of 1% funds:
2015
0%
50%
100%
0
5
10
20
0
9
A
V
20
1
0
A
V
20
1
1
A
V
20
1
2
A
V
20
1
3
A
V
20
1
4
A
V
Ja
n
Fe
b
Ma
r
Ap
r
Ma
y
Ju
n
e
Ju
l
y
Au
g
Se
p
t
Oc
t
No
v
De
c
20
1
5
A
V
% Enrolled Assessments completed
2015
First time assessments and % resulting in enrollment:
0%
50%
100%
20
0
9
A
V
20
1
0
A
V
20
1
1
A
V
20
1
2
A
V
20
1
3
A
V
20
1
4
A
V
Ja
n
Fe
b
Ma
r
Ap
r
Ma
y
Ju
n
e
Ju
l
y
Au
g
Se
p
t
Oc
t
No
v
De
c
20
1
5
A
V
65+
45-64
25-44
18-24
0-172015
0%
50%
100%
20
0
9
A
V
20
1
0
A
V
20
1
1
A
V
20
1
2
A
V
20
1
3
A
V
20
1
4
A
V
Ja
n
Fe
b
Ma
r
Ap
r
Ma
y
Ju
n
e
Ju
l
y
Au
g
Se
p
t
Oc
t
No
v
De
c
20
1
5
A
V
female
male
2015
0%
50%
100%
20
0
9
A
V
20
1
0
A
V
20
1
1
A
V
20
1
2
A
V
20
1
3
A
V
20
1
4
A
V
Ja
n
Fe
b
Ma
r
Ap
r
Ma
y
Ju
n
e
Ju
l
y
Au
g
Se
p
t
Oc
t
No
v
De
c
20
1
5
A
V
Non-JC zip
codes
South JC:98376,20
East JC:
98358,39,25,65
PT: 98368
2015
0
100
200
300
400
20
1
0
A
V
20
1
1
A
V
20
1
2
A
V
20
1
3
A
V
20
1
4
A
V
Ja
n
Fe
b
Ma
r
Ap
r
Ma
y
Ju
n
e
Ju
l
y
Au
g
Se
p
t
Oc
t
No
v
De
c
20
1
5
A
V
Total services provided
(duplicated counts, average/month)
Seen individually
CODIT Groups
Support Groups (12
step, etc)
2015
0
200
400
600
20
1
0
A
V
20
1
1
A
V
20
1
2
A
V
20
1
3
A
V
20
1
4
A
V
Ja
n
Fe
b
Ma
r
Ap
r
Ma
y
Ju
n
e
Ju
l
y
Au
g
Se
p
t
Oc
t
No
v
De
c
20
1
5
A
V
Total hours for services (average/month):
Seen individually CODIT Groups Support Groups
2015
0
2
4
6
8
10
2009AV 2010AV 2011AV 2012AV 2013AV 2015AV
Mental Health Diagnoses
(average # individuals/month):
BiPolarAnxietyMajor DepressionPanic DisorderPTSDSchizophreniaOther
0
10
20
2009AV 2010AV 2011AV 2012AV 2013AV 2015AV
Self Reported Past 30 Day Substance
Use (average # individuals/month):
Alcohol Marijuana Tobacco Meth Other
0%
25%
50%
0
2
4
6
20
0
9
A
V
20
1
0
A
V
20
1
1
A
V
20
1
2
A
V
20
1
3
A
V
20
1
4
A
V Ja
n
Fe
b
Ma
r
Ap
r
Ma
y
Ju
n
e
Ju
l
y
Au
g
Se
p
t
Oc
t
No
v
De
c
20
1
5
A
V
% of total participants # OUT (left,drop out, jail)
2015
Reason for exiting CODIT: disappeared, dropped-out, jailed
2015 Annual Report April 2016
Jefferson County 1/10th of 1% for Mental Health & Substance Abuse 2013 2014 2015
Evaluation Data: Jefferson County Jail Unduplicated individuals served: 268 unk unk
Client referrals to community services/agencies (av # per month):Previously in
Total Dental Hospital MH outpt Medical JC jail:<90d >90d
2009AV 38 2 2 5 28 2009AV/mo 65%
2010AV 52 3 2 16 29 2010AV/mo 75%
2011AV 37 0 1 16 20 2011AV/mo 74%
2012AV 42 <1 1 18 22 2012AV/mo 76%44%56%
2013AV,Apr-Dec 41 0 1 14 26 2013AV/mo 77%39%61%
2014AV 42 0 0 16 26 2014AV/mo 78%60%40%
2015 Q1,Q2AV Not reported 2015 Q1,Q2 AV 89%67%33%
Program Description: One registered nurse assesses subjects booked into jail for substance
abuse and/or withdrawal and mental health conditions. Nurse actively recruits substance abuse
inmates to participate in Relapse Prevention Education (RPE) and co-facilitates two weekly RPE
classes. Nurse provides assessment, early intervention, and follow-up for inmates with substance
dependencies and/or mental health issues, including education and public health interventions;
makes referrals to Jefferson Mental Health and the Jail Medical Provider, coordinates care with Safe
Harbor and Drug Court, and assists with inmate placement into treatment programs. Reporting
changed to quarterly in 2014. Staff change in mid-2014 has impacted program participation
and data reporting.
# of individuals served by 1/10th of 1% funds by zip code of
residence, age group, and gender (av/month, 2015 av/quarter):
# days ago
0%
50%
100%65+
45-65
25-44
18-24
0%
50%
100%
20
0
9
A
V
20
1
0
A
V
20
1
1
A
V
20
1
2
A
V
20
1
3
A
V
20
1
4
A
V
Q1
,
Q
2
20
1
5
A
V
Female
Male
30 42 31 29 30 20 16
01020304050
20
0
9
A
V
20
1
0
A
V
20
1
1
A
V
20
1
2
A
V
20
1
3
A
V
20
1
4
A
V
Q1
,
Q
2
20
1
5
A
V
# individuals served by 1/10th of 1% funds
(average/month; 2015 average/quarter):
50%
100%
0
10
20
30
40
20
0
9
A
V
20
1
0
A
V
20
1
1
A
V
20
1
2
A
V
20
1
3
A
V
20
1
4
A
V
Q1
,
Q
2
20
1
5
A
V
% Enrolled Assessments completed
%not
reported
0%
50%
100%
20
0
9
A
V
20
1
0
A
V
20
1
1
A
V
20
1
2
A
V
20
1
3
A
V
20
1
4
A
V
Q1
,
Q
2
20
1
5
A
V
Non-JC zipcode
South JC:98376,20
East JC:
98358,39,25,65
PT: 98368
0
100
20
1
0
A
V
20
1
1
A
V
20
1
2
A
V
20
1
3
A
V
20
1
4
A
V
Q1
,
Q
2
20
1
5
A
V
Total individual visits
(average/month;
2015 av/quarter):
total visits
individuals served
39 54 52 48
25 13
0
50
100
20
1
0
A
V
20
1
1
A
V
20
1
2
A
V
20
1
3
A
V
20
1
4
A
V
Q1
,
Q
2
20
1
5
A
V
Total hours for individual visits
(average/month, 2015 av/quarter):
First time assessments and % resulting in enrollment:
024681012
2009AV 2010AV 2011AV 2012AV 2013AV 2014AV
(J-A,A-D)
Q1,Q2
2015AV
Mental Health Diagnoses
(average # individuals/month, 2015 av/qtr):
% individuals with unknown MH: 2010-2013: 35%-46%; 2014, 2015 not reported.
BiPolar
Dysthymia
Anxiety
Depression
PTSD
Other
0
10
20
30
2009AV 2010AV 2011AV 2012AV 2013AV 2014AV
(J-A, A-D)
Q1,Q2
2015AV
Self Reported Past 30 Day Substance Use At
Admission (average # individuals/month,
2015/qtr): % individuals with unknown sub use:
2010-2013: 12%-20%; 2014, 2015 not reported.
Alcohol
Marijuana
Tobacco
Meth
Other
$-
$10,000
$20,000
$30,000
$40,000
$50,000
20
0
8
20
0
9
20
1
0
20
1
1
20
1
2
20
1
3
20
1
4
20
1
5
1/10th 1% Funding
2015 Annual Report April 2016
Jefferson County 1/10th of 1% for Mental Health & Substance Abuse 2013 2014 2015
Evaluation Data: Topside, Youth Therapeutic Court # Individuals served: 12 12 11
Total individuals served by 1/10th of 1% funds by zip code of residence and gender:
Number of individuals served (unduplicated) and % with 90-day improvement by domain:
Program Description:
The Topside Program is an alternative 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 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 interventions
and other programs in an effort to reduce identified risk factors while supporting the strengths of the youth and family. Data
reporting began in August 2010.
0%
50%
100%
Au
g
-
D
e
c
20
1
0
A
V
/
m
o
20
1
1
A
V
/
m
o
20
1
2
A
V
/
m
o
20
1
3
A
V
/
m
o
20
1
4
A
V
/
q
t
r
Q1 Q2 Q3 Q4
20
1
5
A
V
/
q
t
r
female
male
2015
5 6 8 6 8 7 6 6 6 6
0
5
10
Au
g
-
D
e
c
20
1
0
A
V
/
m
o
20
1
1
A
V
/
m
o
20
1
2
A
V
/
m
o
20
1
3
A
V
/
m
o
20
1
4
a
v
/
q
t
r
Q1 Q2 Q3 Q4
20
1
5
A
V
/
q
t
r
Average # individuals served:
2015
0%
50%
100%
Au
g
-
D
e
c
20
1
0
A
V
/
m
o
20
1
1
A
V
/
m
o
20
1
2
A
V
/
m
o
20
1
3
A
V
/
m
o
20
1
4
A
V
/
q
t
r
Q1 Q2 Q3 Q4
20
1
5
A
V
/
q
t
r
Non-JC zip code
South JC:98376,20
East JC:98358,39,25,65
PT: 983682015
0
2
4
ADHD BiPolar Depression Panic Disorder PTSD
Mental Health Diagnoses
(average # individuals):
Aug-Dec 2010AV/mo
2011AV/mo
2012AV/mo
2013AV/mo
2014AV/qtr
2015AV/qtr
100%90%
50%40%60%
100%
63%
0%
100%
No Relapse among those with Chemical
Dependency:
0%
50%
100%
0
4
8
12
Attitudes/Behavior
% 90-day improvement # served
0%
50%
100%
0
4
8
12
Chemical Dependency
% 90-day improvement # served
0%
50%
100%
0
4
8
12 Family Functioning
% 90-day improvement # served
0%
50%
100%
0
4
8
12 Mental Health
% 90-day improvement # served
Feb 2013, changed from Drugs/Alcohol/Mental Health.
Mental Health new Feb 2013; previously School.
$-
$5,000
$10,000
$15,000
$20,000
20
0
9
20
1
0
20
1
1
20
1
2
20
1
3
20
1
4
20
1
5
1/10th 1% Funding
2015
2015 Annual Report April 2016
Jefferson County 1/10th of 1% for Mental Health & Substance Abuse
Evaluation Data 2015
Budget $15,000 $15,000 $5,514
Actual spent $10,641 $11,925 $4,700
Individuals served (unduplicated)32 57 3
Graduates 2 12 1
Children reunited n/a n/a 2
Discharges 5 11 0
Participant zip code of residence:
Mental Health
Court Drug Court
Family Therapeutic
Court
98368 11 23 2
98358 1 1 0
98339 4 12 1
98325 4 4 0
98365 1 0 0
98376 5 5 0
98320 0 2 0
Other 3 4 0
transient 3 0 0
non-Jefferson 0 4 0
Unknown 0 6 0
PT: 98368 34%40%67%
East JC: 98358,39,25,65 31%30%33%
South JC: 98376,20 16%12%0%
Non-JC zip code 9%7%0%
Transient 9%0%0%
Unknown 0%11%0%
Mental
Health
Court
Drug
Court
Family
Therapeutic
Court
34%40%
67%
31%30%
33%
16%12%
9%7%
9%11%
0%
50%
100%
Mental HealthCourt Drug Court FamilyTherapeuticCourt
Unknown
Transient
Non-JC zip
code
South JC:98376,20
2015 Annual Report April 2016
Participant Age:
0-17 0 0 0
18-24 3 16 0
25-44 13 30 1
45-64 15 11 2
65+1 0 0
0-17 0%0%0%
18-24 9%28%0%
25-44 41%53%33%
45-64 47%19%67%
65+3%0%0%
Participant Gender:
male 18 41 0
female 14 16 3
male 56%72%0%
female 44%28%100%
9%28%
0%
41%
53%
33%
47%
19%
67%
3%0%0%
0%
50%
100%
Mental Health Court Drug Court Family Therapeutic
Court
65+
45-64
25-44
18-24
0-17
56%72%
0%
44%28%
100%
0%
50%
100%
Mental Health Court Drug Court Family Therapeutic
Court
female
male
2015 Annual Report April 2016
MENTAL HEALTH COURT PARTICIPANTS ONLY:
Length of Participation:
0-12 weeks 12
13-24 weeks 2
24-36 weeks 3
37-52 weeks 2
1-2 years 10
2 years or more 2
Total 31
less than 6 months 45%
6 months to less than 1 year 16%
more than 1 year 39%
Mental Health Diagnoses:first second third total %
ADHD 1 2 3 9%
BiPolar 8 5 13 41%
Dysthymia 1 1 3%
Generalized Anxiety 1 1 2 6%
Major Depression 9 1 1 11 34%
Panic Disorder 2 2 4 13%
PTSD 5 6 1 12 38%
Schizophrenia/ Schizoaffective 5 1 6 19%
Substance Use Disorder 3 2 2 7 22%
Other 4 4 13%
45%
16%
39%
0%
50%
100%
Mental Health Court
more than 1 year
6 months to less than 1 year
less than 6 months
9%
41%
3%6%
34%
13%
38%
19%22%
13%
A
D
H
D
B
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m
i
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d
A
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y
M
a
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p
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s
s
i
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n
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a
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c
D
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r
d
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r
P
T
S
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c
h
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p
h
r
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n
i
a
/
S
c
h
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a
f
f
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v
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b
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t
a
n
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U
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t
h
e
r
Mental Health Diagnoses:
2015 Annual Report April 2016