HomeMy WebLinkAbout1-10th 1% Eval Data 2013_Report_Jefferson County One Tenth of One Percent Tax Fund Evaluation
2013 Annual Report Revisions
Original report 2/4/14; Revised report 3/26/14
Question for all agencies: can you provide an annual count of unduplicated individuals served?
VENDOR
Jail, RN 268
SBHC 167
SafeHarbor intakes117
SafeHarbor relapse prev edu114
Jumping Mouse caregivers103
Jumping Mouse kids73
NFP (27 families x 2)54
JMH CODIT 28
Topside 12
Action on and Responses to Requested Revisions and Questions:
Question responses in quotes are directly from vendors.
Jail:no changes
Question:mh/su bookings; are we able to look at recidivism by booking reason?
Answer:
Question:% of individuals accepting nurse assessment
Answer:"The % of refusal are very, very low. 0.015%"
CODIT:
Change:added 2012 average # by mental health diagnosis and self-reported past 30 day substance use (see chart)
Change:corrected spelling of Schizophrenia
Jumping Mouse:
Change:revised the # caregivers Jan, Feb, March to match methodology used for April-December.
January:65 February:67 March: 73
Change:added 'other' mental health diagnosis category details to a text box within the chart
Other 2013: acute stress, sexual abuse, neglect, mood disorder, bereavement, parent/child problem
Question:Difference between the Exposure to Substance Abuse categories
Answer:"the child impacted by substance use applies to children who have been affected by substance use at any
point from pre-natal to present, both in a home that they are no longer live in such as the case of foster or
adoptive care as well as duplicating the number who currently live in a household with an environment of
substance use. For example if a child is removed from the home due to substance use or prenatal use then
they would be listed as impacted by but not living in an home environment of. Or if they live with a single
non-using parent and the other parent is fully absent due to substance use than this child would be listed as
impacted but not living in a home environment of. If the child is living in a home where either parent is
using then the child would be both impacted by and living in a home environment of."
unduplica
ted #
individual
Pat, the 1/10th of 1% funded nurse at the jail, does not track the booking reason for individuals she
assesses as part of her routine data collection. We will have to ask the jail for the booking reason and
associated recidivism.
268
167
117 114 103 73 54 28 12
Jail, RN SBHC SafeHarbor
intakes
SafeHarbor
relapse prev
edu
Jumping
Mouse
caregivers
Jumping
Mouse kids
NFP (27
families x 2)
JMH CODIT Topside
Unduplicated # individuals served by
Jefferson County 1/10th of 1% Vendor, 2013
2013 Annual Report
1
Question:what are the dollars associated with "cost per eligible client not covered by insurance"?
Answer:
Nurse Family Partnership:
Question: How is postpartum depression assessed?
Answer:
School Based Health Clinic:
Change:Added missing data for Port Townsend high school visits for Sept-Dec.
Unduplicated # seen: 28 Total visits: 99 Average # visits: 4 Range in # visits: 1-11
See SBHC full report for all tables/charts updated to include data for all Port Townsend visits
SafeHarbor:
Question:what does wait list (no services) and wait list (some services) mean?
Answer:
Topside:
Question:successful completion or graduation rate
Answer:"January to December 2013 It was 12 with 4 graduated successfully."
Question:# service hours
Answer:Service hours are tracked each month. 24 hours a month are billed to the 1/10th of 1% fund. This covers
part of Topside group meetings and individual meetings. As part of Topside, participants receive services
from other programs and individual counselors, those hours cannot be reasonably tracked.
"the standardized depression screening tool, the Patient Health questionnaire (PHQ-9) is
administered at 36 weeks of pregnancy and 1-4 weeks postpartum. The use of this tool is designated
by NFP for data collection at these two times. The nurse home visitors (NHV) use their discretion at
administering the screen at other times as necessary. The NHV offers information/education about
depression (anxiety and other mental health concerns during pregnancy and pp periods), completes
the assessment with the screening, discusses the screen including the use of possible self-care
strategies and makes referrals as appropriate. The referrals could be to their primary medical provider
and /or mental health counseling. The PHQ-9 results are entered in the NFP data collection system
(ETO) and also filed in the client’s chart."
"Individuals that are on the waitlist are primarily the ones that have completed the intake and are waiting
for their assessment. Sometimes we need the individual to provide the ancillary records (police/court
documents, driving abstract, etc) before scheduling their assessment. Once the assessment is completed
and if treatment is recommended we are able to get them into treatment quickly."
Safe Harbor has a two part process - intake followed by assessment. First an individual completes an intake.
If all papers in order, they are given an appointment date to return for their assessment. Such individuals
would be coded as "wait list, some service." Individuals who complete intake but still need to submit
documents will not be given an appointment for their assessment and would be coded as "wait list, no
service." An individual is "enrolled" once they have completed the assessment.
Jumping Mouse "can easily show the cost as well. It is only a calculation based on the profit and loss and
the kid count." This will be included in 2014.
2013 Annual Report
2
Evaluation Report - Executive Summary 2013
Goals of the Washington State legislation:
1. Reduce negative impacts of mental health and substance abuse on children and families
2. Avoid building more jails and prisons and prevent crime victims
3. Reduce public assistance expenditures and unemployment
4. Reduce homelessness
5. Reduce physical-health care and emergency room costs
6. Improve recovery and quality of life for those with substance abuse and mental health disorders
FUND HISTORY:
REVENUE EXPENSES ADULT CODIT YOUTH CODIT JAIL NURSE
THERAPEUTIC
COURTS
ASSESSMENT/
EVALUATION ADMIN
2008*440,873$ 406,992$ 60%2%9%5%11%7%
2009 379,448$ 394,722$ 63%16%6%0.4%10%5%
2010 354,812$ 431,973$ 67%13%6%2%8%4%
2011 366,278$ 454,468$ 59%17%8%4%8%4%
2012 360,082$ 423,525$ 59%20%8%4%6%4%
2013 404,816$ 355,197$ 55%24%9%4%3%5%
*5% was put into a reserve fund
FUND EVALUATION:
Jefferson County was one of the first Washington counties to approve the tax, done so by the Board of County
Commissioners in Ordinance No. 08-1003-05, signed October 3, 2005. A seven member Mental Health and
Chemical Dependency Oversight Committee was formed and is comprised of 2 members from: Law & Justice
Council; Substance Abuse Advisory Committee; Board of Health, and 1 County Commissioner.
On average, revenue since 2008 has been about $400,000 annually, dropping during the recession and
showing recovery in 2013. A one-time funding allocation from the State related to methamphetamine
prevention allowed annual expenses to exceeded the tax revenue for several years. The proportion of actual
expsnse by program area is detailed by year on the right.
Jefferson County 1/10th of 1% Sales Tax for Mental Health & Substance Abuse
BACKGROUND:
In 2005, Washington State legislation sponsored by Senator Hargrove was enacted which authorized Counties to
impose a one tenth of one percent local sales tax to fund new mental health, chemical dependency, and
therapeutic court services. Commissioners in all counties had the option of inaugurating the tax as they saw fit,
and could do so without a vote of the people.
Evaluation services are provided under contract by Kitsap Public Health District (KPHD). Each vendor
contracted under the allocation categories above submits monthly evaluation reports to KPHD for review.
KPHD has provided quarterly, semi-annual, and annual Evaluation Reports to the Oversight Committee. The
Report includes numerous elements to track who is being served (age, gender, zipcode of residence, mental
health status, substance use) and how many and what kinds of referrals and services are received.
3
Evaluation Report - Executive Summary 2013
Jefferson County 1/10th of 1% Sales Tax for Mental Health & Substance Abuse
EVALUATION HIGHLIGHTS 2013:
A total of 822 unduplicated individuals were served in 2013
and Vendor:Unduplicated #Av # per
Month
by agencies receiving one tenth of one percent funds.Safe Harbor 117 16
This might include individuals served by more than one JMH CODIT 28 11
agency however it does not include any adults served in NFP*54 40
in drug court.SBHC 167 96
JumpingMouse**176 113
On average, a total of 312 individuals were served each Topside 12 6
month in 2013 by agencies receiving one tenth of one Jail, RN 268 30
percent funds.Total 822 312
*NFP reported number of families multiplied by 2
The next two pages include 2013 highlights by vendor and the **Includes children and caregivers served
subsequent pages include a one-page 2013 evaluation report for each vendor.
JEFFERSON COUNTY JAIL
JEFFERSON MENTAL HEALTH: CODIT PROGRAM
JUMPING MOUSE CHILDREN'S CENTER
Description: Registered Nurse provides assessment for substance use and mental health for all consenting
individuals booked into Jefferson County Jail.
Highlights: Served 268 unduplicated individuals. On average each month, served 30 individuals. The majority
are age 25 to 44, two-thirds are male. Three in 10 report a zipcode of residence in Port Townsend, another 3 in
10 report East County, and another 3 in 10 report non-Jefferson zipcodes. Over three-quarters have been in jail
previously, 39% in the previous 90 days. On average each month, the nurse spent 48 hours conducting
assessments. Mental health diagnosis is known for just over half of individuals, anxiety is most common. Self-
reported past 30 day substance use is known for 85% of individuals, alcohol and tobacco are most common.
Description: Direct individual and group services to clients with both substance abuse/dependence and mental
health disorders.
Highlights: Served 28 unduplicated individuals. On average each month, served 11 individuals. The majority
served are age 25 to 44, two-thirds are male. Sixty-two percent report a zipcode of residence in Port Townsend.
On average each month, the program provided 151 hours of support groups, 132 hours of CODIT groups, and 10
hours of individual services. Most common mental health diagnoses are Bipolar, PTSD and Schizophrenia. Most
common self-reported past 30 day substance used was tobacco.
Description: Services to traumatized children who have been directly impacted by a parent's substance abuse
and/or mental illness; services also provided to the children's caregivers.
Highlights: Served 73 unduplicated children and 103 unduplicated caregivers. On average each month, served
43 children and 70 caregivers. Forty-two percent of children are age 0 to 6, 36% age 7-9 and 22% age 10-12;
53% are male. Seventy-three percent of children have a zipcode in Port Townsend. On average each month, the
program provided 219 hours of child sessions and 128 hours of caregiver sessions. Most common mental health
diagnoses are generalized anxiety and PTSD. Sixty-two percent of children have been exposed to family
substance use; 65% are directly impacted by drug/alcohol use; and 38% had a mother who used drugs/alcohol
during pregnancy.
Youth
CODIT
Individuals Served by Category
Adult
CODIT
4
Evaluation Report - Executive Summary 2013
Jefferson County 1/10th of 1% Sales Tax for Mental Health & Substance Abuse
JEFFERSON COUNTY PUBLIC HEALTH: NURSE FAMILY PARTNERSHIP
JEFFERSON MENTAL HEALTH: SCHOOL BASED HEALTH CENTERS
SAFE HARBOR AND BEACON OF HOPE
TOPSIDE: YOUTH THERAPEUTIC COURT
Description: Alternative therapeutic court intervention for youth involved in the juvenile justice system. Assists
in fostering a direct relationship between the Court, the parents, and the youth.
Highlights: Served 12 unduplicated individuals. On average each month, served 6 individuals. The majority
served were male. Over three-quarters reported a zipcode of residence in Port Townsend. On average each
month, over half had improvement in the attitudes/behavior, chemical dependency, family functioning, and
mental health domains. Most common mental health diagnoses were ADHD, Bipolar, Depression, and PTSD.
Most common self-reported past 30 day substances used were marijuana and alcohol.
Description: Public Health Nurse serves low-income first-time pregnant mothers with social/health indicators
that increase the risk for poor outcomes for mother and infant.
Highlights: Served 27 unduplicated families. On average each month, served 20 individuals. The majority are age
18 to 24. Half of clients report a zipcode in East Jefferson and another 38% in Port Townsend. On average each
month, the program provided 26 hours of completed visits. Most common mental health diagnoses are anxiety
and depression. Most common self-reported past 30 day substance used was tobacco.
Description: Three mental health professionals provide direct service onsite at school to students in the Port
Townsend, Chimacum, and Quilcene School Districts.
Highlights: From January-December 2013, the SBHC's served 167 unduplicated individuals. On average each
month, served 96 individuals. For Fall 2013 only by school district:
PORT TOWNSEND: Served 28 unduplicated individuals with an average of 4 visits each. The majority were in 6-
8th and 10th grades; over half were females. Most received individual therapy, 40% of visits lasted 30 minutes.
Most common visit reasons were: family problems, court diversion, grief, relationships, and school.
CHIMACUM: Served 22 unduplicated individuals with an average of 6 visits each. The majority were in 9th grade;
69% were females although 40% of visits were missing gender data. Most received individual therapy, groups
were also offered. About a third of visits were less than 30 minutes, another third 30 minutes and another
quarter were 60 minutes. Most common visit reasons were: family problems, relationships, future, stress, and
depression.
QUILCENE: Served 17 unduplicated individuals with an average of 6 visits each. The majority were in 6-8th and
11th grades; over half were females. Most received individual therapy, groups were also offered. Forty-five
percent of visits lasted 30 minutes, another 31% were under 30 minutes. Most common visit reasons were:
family problems, anxiety, relationships, anger management, and court diversion.
Description: Full-time chemical dependency counselor for the CODIT program, Relapse Prevention Education
groups at the Jail, Drug and Alcohol Intake/Assessments, participation in District, Family Therapeutic, Topside,
and Drug Court. Data only submitted for Drug/Alcohol Intake/Assessments and Relapse Prevention.
Highlights: Served 117 unduplicated individuals. On average each month, served 16 individuals. The majority
served were age 25 to 44, 57% were male. Fifty-three percent reported a zipcode of residence in Port
Townsend, another 32% in East Jefferson. On average each month, most individuals completing intake were on
a wait list until submitting all required paperwork to complete an assessment and enroll in the program.
Relapse Prevention Education Groups served 114 unduplicated individuals. On average each month, served 10
individuals and provided 9 hours of groups.
5
Evaluation Data: Jefferson County Jail 2013 unduplicated individuals served: 268
Referrals to community services/agencies provided to clients (average # per month):Previously in
Total Dental Hospital MH output Medical Public Hath JC jail:ad/mo.<90d >90d
2009AV 38 2 2 5 28 1 2009AV 65%
2010AV 52 3 2 16 29 1 2010AV 75%
2011AV 37 0 1 16 20 0 2011AV 74%
2012AV 42 <1 1 18 22 <1 2012AV 76%44%56%
Apr-Dec2013Av 41 0 1 14 26 0 2013AV 77%39%61%
Program Description: One registered nurse assesses a majority of subjects booked into jail
for substance abuse and/or withdrawal and mental health conditions. Nurse actively
recruits substance abuse inmates for participation in Relapse Prevention Education (RPE)
and co-facilitates two weekly RPE classes. Nurse provides assessment, early intervention,
and follow-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 Jail Medical Provider, coordinates the continuum of care
with Safe Harbor and Drug Court, and assists with placement of inmates into inpatient and
outpatient treatment programs.
Jefferson County 1/10th of 1% for Mental Health & Substance Abuse
Total individuals served by 1/10th of 1% funds by zip code of
residence, age group, and gender:
# days ago
0%
50%
100%
20
0
9
A
V
20
1
0
A
V
20
1
1
A
V
20
1
2
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
3
A
V
65+
45-65
25-44
18-24
2013
0%
50%
100%
20
0
9
A
V
20
1
0
A
V
20
1
1
A
V
20
1
2
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
3
A
V
Female
Male
2013
30
42
31 29
30
0
10
20
30
40
50
20
0
9
A
V
20
1
0
A
V
20
1
1
A
V
20
1
2
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
3
A
V
Individuals served by 1/10th of 1% funds:
97%
30
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
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
3
A
V
% Enrolled Assessments completed
2013
0%
50%
100%
20
0
9
A
V
20
1
0
A
V
20
1
1
A
V
20
1
2
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
3
A
V
Non-JC zip
code
South JC:98376,20
East JC:
98358,39,25,65
PT: 98368
2013
49
26
0
100
20
1
0
A
V
20
1
1
A
V
20
1
2
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
3
A
V
Total individual visits:total visits
individuals served
2013
39
54 52
48
0
20
40
60
80
20
1
0
A
V
20
1
1
A
V
20
1
2
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
3
A
V
Total hours for individual visits:
2013
First time assessments and % resulting in enrollment:
2013
0
5
10
15
2009AV 2010AV 2011AV 2013AV
Mental Health Diagnoses
(average # individuals):
% individuals with unknown MH status:
2009: ink; 2010: 41%; 2011: 41%; 2012: 35%; 2013: 46%
BiPolar
Dysthymia
Anxiety
Depression
PTSD
Other 0
10
20
30
2009AV 2010AV 2011AV 2013AV:
Self Reported Past 30 Day Substance Use At
Admission (average # individuals):
% individuals with unknown sub use:
2009: ink; 2010: 20%; 2011: 12%; 2012: 14%; 2013: 15%
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
1/10th 1% Funding
2013 Annual Report February 4, 2014, revised March 26, 20146
2013 unduplicated individuals served: *
*no data sent by deadline
Referrals to community services/agencies provided to clients (average # per month)*:
Total CD-Inpt DSHS Education Employmt Medical Quitline Other
2009AV 18 1 2 1 1 3 not recorded 7
2010AV 38 2 6 1 2 4 11 7
2011AV 44 2 4 4 3 5 13 15 *No longer collecting in 2013
Jan-Jun2012AV**47 2 3 6 10 2 13 7 **No data submitted for July-Dec
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: Our 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.
Evaluation Data: Jefferson Mental Health Services, CODIT
Program
$-
$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
1/10th 1% Funding
22 18 14
11
0
10
20
30
20
0
9
A
V
20
1
0
A
V
20
1
1
A
V
20
1
2
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
3
A
V
Individuals served by 1/10th of 1% funds:
2013
20%
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
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
3
A
V
% Enrolled Assessments completed
2013
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
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
3
A
V
65+
45-64
25-44
18-24
0-172013
0%
50%
100%
20
0
9
A
V
20
1
0
A
V
20
1
1
A
V
20
1
2
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
3
A
V
female
male
2013
0%
50%
100%
20
0
9
A
V
20
1
0
A
V
20
1
1
A
V
20
1
2
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
3
A
V
Non-JC zip
codes
South JC:98376,20
East JC:
98358,39,25,65
PT: 98368
2013
25
6588
0
50
100
150
20
1
0
A
V
20
1
1
A
V
20
1
2
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
3
A
V
Total services provided (duplicated counts)
Seen individually CODIT Groups Support Groups
2013
10
132
151
0
100
200
300
20
1
0
A
V
20
1
1
A
V
20
1
2
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
3
A
V
Total hours for services:
Seen individually CODIT Groups Support Groups
2013
0
2
4
6
8
10
2009AV 2010AV 2011AV 2012AV 2013AV
Mental Health Diagnoses
(average # individuals):
BiPolar Anxiety
Major Depression Panic Disorder
PTSD Schizophrenia
Other
0
10
20
2009AV 2010AV 2011AV 2012AV 2013AV
Self Reported Past 30 Day Substance
Use (average # individuals):
Alcohol Marijuana Tobacco Meth Other
2013 Annual Report February 4, 2014, revised March 26, 20147
Evaluation Data: Jumping Mouse Children's Center 2013 unduplicated individuals served: 73
2013 unduplicated caregivers served: 103
Average:% of eligible clients covered by 1/10th funds cost per eligible client not covered by insurance
Jan-July 2011 32%72%
Jan-Aug 2012 24%66%
Jan-Dec 2013 20%71%
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: 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 in 2012 to reflect eligible clients similar to reporting by NFP. Note that in
2011, 1/10th of 1% funds were exhausted by July, by Aug in 2012, and by Nov in 2013.
0%
50%
100%
Jan-Aug 2012AV Apr-Dec 2013AV
10 to 12
7 to 9
0 to 6
0%
50%
100%
Jan-Aug 2012AV 2013AV
female
male
15 34
70
31 40
43
0
20
40
60
80
20
1
1
A
V
20
1
2
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
3
A
V
# caregivers # eligible children
Individuals served: Note: 1/10th of 1% funds 10 clients
2013
10
0%
50%
100%
0510152025
20
1
1
A
V
20
1
2
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
3
A
V
% Enrolled Assessments completed
2013
0%
50%
100%
Jan-Aug 2012AV 2013AV
Unknown
Non-JC zip code
South JC:98376,20
East JC:
98358,39,25,65
PT: 98368
124 146
32 55
0
50
100
150
200
20
1
2
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
3
A
V
Total services provided (duplicated counts).
2011 not comparable; only included ten 1/10th funded clients.CHILD SESSIONS
PARENT SESSIONS
186 219
94 128
0
100
200
300
20
1
2
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
3
A
V
Total hours for services.
2011 data not comparable; only included ten 1/10th
clients.CHILD SESSIONS (1.5 hrs av)
PARENT SESSIONS
0
5
10
Jan-Aug 2012AV 2013AV
Mental Health Diagnoses of Children
(average # individuals):
2011 not comparable; only included ten 1/10th
funded clients
ADHD
Adjustment Disorder
Generalized Anxiety
Attachment Disorder
Major Depression
PTSD
Other
61%69%
30%
62%65%
38%
0%
50%
100%
family environment
substance use
child impacted by
drug/alcohol use
mom used drugs/alcohol
during pregnancy
Exposed to Substance Use
(average % of child clients):
Jan-Aug 2012AV
2013AV
First time assessments and % resulting in enrollment:
$-
$10,000
$20,000
$30,000
20
1
1
20
1
2
20
1
3
1/10th 1% Funding
Other 2013: acute stress, sexual
abuse, neglect, mood disorder,
bereavement, parent/child problem
2013 Annual Report February 4, 2014, revised March 26, 20148
2013 unduplicated families served: 27
Referrals to community services/agencies provided to clients (average # per month):
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
Jefferson County 1/10th of 1% for Mental Health & Substance Abuse
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.
Evaluation Data: Nurse Family Partnership,
Jefferson County Public Health
0%
50%
100%65+
45-64
25-44
18-24
2 to 17
infant <22013
0%
50%
100%female
male
2013
16 17 21
20
01020
30
Individuals served: 1/10th of 1% funds 11% of the
NFP budget, the cost for 2 individuals
2013
2
0%
50%
100%
0
2
4
6
% Enrolled Assessments completed
2013
0%
50%
100%Non-JC zipcode
South JC:
98376,20
East JC:
98358,39,25
,65
PT: 98368
2013
1 8 9
7
18 23 27
21
0
15
30
45
Total services provided (duplicated counts):
NFP Attempted visit NFP Completed visit
2013
2 2 5
4
20 31 32
26
0
15
30
45
Total hours for services:NFP Attempted visit NFP Completed visit
2013
First time assessments and % resulting in enrollment:
0
5
10
July-Dec2010 2011AV 2012AV 2013AV
Mental Health Diagnoses of
Pregnant/Post-partum Clients
(average # individuals):
ADHD
Anxiety
Major Depression
Panic Disorder
PTSD
Other 0
2
4
July-Dec2010 2011AV 2012AV 2013AV
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
1/10th 1% Funding
2013 Annual Report February 4, 2014, revised March 26, 20149
Evaluation Data: School Based Health Clinic, Jefferson Mental Health Fall 2013 unduplicated students served: 67
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
9/2013-12/2013 28 22 17 67 99 140 110 4 6 6 1-11 1-25 1-15
Visit length (minutes):PORT TOWNSEND CHIMACUM QUILCENE
Of all visits per school year, top reasons for visits listed on the left are ranked for 2012-13 school year; bolded reasons on the right are Sept-Dec 2013
PORT TOWNSEND
2010-11 2011-12 2012-13 9-12/2013 2010-11 2011-12 2012-13 9-12/2013 2010-112011-12 2012-13 9-12/2013
family problems 1 1 1 family family problems 1 1 1 family family problems 2 2 1 family problems
relationships 2 2 2 court div relationships 2 2 school 6 4 2 anxiety
self-esteem 3 7 3 grief school 7 4 self-esteem 3 1 3 relationships
school 5 5 4 relationships mental health 4 9 4 stress grief 7 9 4 anger mgmt
anxiety 13 6 5 school self-esteem 8 8 5 depression court diversion 6 11 5 court diversion
Unduplicated Individuals:Average # Visits:Total Visits:Range in # Visits:
Jefferson County 1/10th of 1% for Mental Health & Substance Abuse
Program Description: JMHS 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 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.
QUILCENECHIMACUM
2 relationships
3 future
131212
0
10
20
30 Port Townsend Chimacum Quilcene
Average # individuals per month:
25
35
28
0
25
50
Port Townsend Chimacum Quilcene
Average # visits per month:
2013 2014
2013 2014
0%
50%
100%
9/2010-
6/2011
9/2011-
6/2012
9/2012-
6/2013
Sept-Dec
2013
>60
60
46-59
45
31-44
30
<30
0%
50%
100%
9/2010-
6/2011
9/2011-
6/2012
9/2012-
6/2013
Sept-Dec
2013
>60
60
46-59
45
31-44
30
<30
0%
50%
100%
9/2010-
6/2011
9/2011-
6/2012
9/2012-
6/2013
Sept-Dec
2013
>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
1/10th 1% Funding
2013 Annual Report February 4, 2014, revised March 26, 201410
Evaluation Data: School Based Health Clinic, Jefferson Mental Health Fall 2013 unduplicated students served: 67
Jefferson County 1/10th of 1% for Mental Health & Substance Abuse
Program Description: JMHS 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 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.
Unduplicated individuals grade and gender:
Average # services provided per month:
Self Reported Past 30 Day Substance Use (Average # individuals per month): (Scale differs from PT and Chimacum)
PORT TOWNSEND CHIMACUM QUILCENE
0%
50%
100%Unknown
12th
11th
10th
9th
6-8th
1st-5th
0%
50%
100%unknown
female
male
05
1015
202530
35
Sept-
Dec2009
Jan-
June2010
9/2010-
6/2011
9/2011-
6/2012
9/2012-
6/2013
9 to
12/2013
CHIMACUM crisis intervention individual therapy
group therapy family therapy
other
0
5 CHIMACUM Alcohol Marijuana Other Tobacco
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
0510
15
20
25
30
35
Sept-
Dec2009
Jan-
June2010
9/2010-
6/2011
9/2011-
6/2012
9/2012-
6/2013
9 to
12/2013
PORT TOWNSEND crisis intervention individual therapy
group therapy family therapy
other
0510
15
20
25
30
35
Sept-
Dec2009
Jan-
June2010
9/2010-
6/2011
9/2011-
6/2012
9/2012-
6/2013
9 to
12/2013
QUILCENE crisis intervention individual therapy
group therapy family therapy
other
0
5
PORT TOWNSEND Alcohol Marijuana Other Tobacco
0
10
20
QUILCENE Alcohol Marijuana Other Tobacco
no data
reported
no data
reported
nodata
reported for
half of visits
2013 Annual Report February 4, 2014, revised March 26, 201411
Evaluation Data: Safe Harbor and Beacon of Hope, Inc.2013 unduplicated individuals served: 117
Intake Support
Note: Funding and program description in next rows represent all 1/10th 1% funded Safe Harbor programs.
Monthly average number of individuals by referral source*:
*no longer collected in 2013
MH tx Court DSHS Jail Medical Self Other
2011AV 1 5 2 1 2 0 0 1 2 1 2
2012AV 1 2 3 1 3 <1 <1 1 1 1 2
Relapse Prevention Groups at Jefferson County Jail:
Urinalysis (UA) Tests for CODIT clients:
Family/
Friend
Social
Services
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
Drug
Court
Law
Enf
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
2013 unduplicated individuals served in Relapse Prevention Education: 114
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.
0%
50%
100%65+
45-64
25-44
18-24
0-172013
0%
50%
100%female
male
2013
16 17 15
16
0
10
20
30
Assessments completed:
2013
42%35%43%
8%0%
50%
100%
July-Dec
2010
2011AV 2012AV 2013AV
Lost to follow-up
Referred to other
Client refused services
Wait list, no service
Wait list, some service
Enrolled
0%
50%
100%Non-JC zip
code
South JC:98376,20
East JC:98358,39,25
,65
PT: 98368
2013
Assessment disposition:
25
40
30
13 14 10
0
20
40
60
20
1
1
A
V
20
1
2
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
3
A
V
total # UA's # individuals tested 27 31
21
201314810
0
20
40
20
1
0
A
V
20
1
1
A
V
20
1
2
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
3
A
V
monthly participation individuals participating
2013
10 12 8
9
0
5
10
15
20
20
1
0
A
V
20
1
1
A
V
20
1
2
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
3
A
V
2013
Total hours for groups
$-
$50,000
$100,000
$150,000
20
0
8
20
0
9
20
1
0
20
1
1
20
1
2
20
1
3
1/10th 1% Funding
2013 Annual Report February 4, 2014, revised March 26, 201412
Evaluation Data: Topside, Youth Therapeutic Court 2013 unduplicated individuals served: 12
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:
Referrals to community services/agencies
provided to clients (average # per month)*:
Total CD CD MH Dove
inpatient House
Aug-Dec 2010 4 1 1 <1 1
Jan-Dec 2011 5 1 4 0 <1
Jan-Dec 2012 7 1 5 1 0
* not collected in 2013
outpatient
Jefferson County 1/10th of 1% for Mental Health & Substance Abuse
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%
female
male
2013
5 6 8
6
0
5
10
Individuals served by 1/10th of 1% funds:
2013
38%
20%
50%
100%
02468 % Enrolled Assessments completed
2013
0%
50%
100%
Non-JC zip code
South JC:
98376,20
East JC:
98358,39,25,65
PT: 983682013
0
2
4
Aug-
Dec2010
2011AV 2012AV 2013AV
Mental Health Diagnoses
(average # individuals):
ADHD BiPolar
Depression Panic Disorder
PTSD
0
2
4
Aug-Dec2010 2011AV 2012AV 2013AV
Self Reported Past 30 Day
Substance Use (average #
individuals):Alcohol Marijuana
Tobacco Meth
First time assessments and % resulting in enrollment:
0%
50%
100%
0
4
8
12 Attitudes/Behavior
% 90-day improvement # served
2013
0%
50%
100%
0
4
8
12 Chemical Dependency
% 90-day improvement # served
2013
0%
50%
100%
0
4
8
12 Family Functioning
% 90-day improvement # served
2013
0%
50%
100%
0
4
8
12 Mental Health
% 90-day improvement # served
2013
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
1/10th 1% Funding
2013 Annual Report February 4, 2014, revised March 26, 201413