HomeMy WebLinkAbout071017_ca04�e ezon
Public He9alt
615 Sheridan Street
Port Townsend, WA 98368
www.JeffersonCountyPublicHealth.org
Consent Agenda
June 21, 2017
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: Vicki Kirkpatrick, Director
Anna McEnery, Developmental Disabilities Coordinator
DATE: -q-)I+130Ii'
SUBJECT: Agenda Item - Professional Services Agreement with Discovery
Behavioral Healthcare; January 1, 2017 - December 31, 2017;
$51,046.00
STATEMENT OF ISSUE:
Jefferson County Public Health requests Board approval of the Professional Services Agreement with
Discovery Behavioral Healthcare to provide substance abuse/chemical dependency & mental health support
services for Inmates in the Jefferson County Jail; January 1, 2017 — December 31, 2017; $51,046.00
ANALYSIS/ STRATEGIC GOALS/PRO'S and CON'S:
This is a one year contract between JCPH and Discovery Behavioral Healthcare, (DBH) to engage Jefferson
County Jail (JCJ) inmates in activities designed to reduce recidivism and substance use.
This contract funds the Discovery Behavioral Healthcare case manager and Chemical Dependency
Professional Trainee (CDPT) to assess the majority of subjects booked into the jail for substance use
disorders, chemical dependency and mental health conditions, to provide outreach and engage inmates in
Relapse Prevention Education groups; onsite engagement and coordination of outpatient treatment post-
discharge for inmates with substance use disorders and mental health issues.
This contract results from an RFP process and is recommended by the Mental Health and Substance Abuse
Sales Tax Advisory Committee.
FISCAL IMPACT/COST BENEFIT ANALYSIS:
This is sales tax revenue raised by the County in the 1/10 of 1% Fund and is allocated by the BOCC with
advise from the Mental Health and Substance Abuse Sales Tax Advisory Committee. The contract states if
the sales tax revenue decreases the vendor will be contacted and the contract may be renegotiated.
Community Health Environmental Health
Developmental Disabilities Water Quality
360-385-9400 360-385-9444
360-385-9401 (f) Always working for a safer and healthier community (f) 360-379-4487
�e eim
Public Healt
615 Sheridan Street
Port Townsend, WA 98368
www.JeffersonCountyPublicHealth.org
RECOMMENDATION:
JCPH management request approval of the Professional Services Agreement with Discovery Behavioral
Healthcare; January 1, 2017 — December 31, 2017; $51,046.00
REV E BY•
' Philip Morlei nty-Admiriisfrator Date
Community Health
Developmental Disabilities
360-385-9400
360-385-9401 (f)
Always working for a safer and healthier community
Environmental Health
Water Quality
360-385-9444
(f) 360-379-4487
CONTRACT AGREEMENT
For Professional Services
Between
Jefferson County
And
Discovery Behavioral Healthcare
For Inmate Services (formerly "Jail Nurse Assessment")
This Contract for Professional Services is entered into between Jefferson County, herein referred
to as the "County" and Discovery Behavioral Healthcare (DBH), herein referred to as the
"Contractor".
Section 1: PURPOSE:
THIS AGREEMENT is made and entered into to provide services to Jefferson County Jail
inmates affected by Substance Use Disorder and Mental Health issues for Jefferson County,
Washington.
Section 2: TERM:
This Agreement shall commence on January 1, 2017 and continue through December 31, 2017,
unless terminated as provided herein.
Section 3: SCOPE OF AGREEMENT:
DBH will engage Jefferson County Jail (JCJ) inmates who live in Jefferson County in activities
designed to reduce recidivism and substance use.
DBH case manager and Chemical Dependency Professional Trainee (CDPT) will provide the
following services in the jail:
a) assessment of the majority of subjects booked into the jail for substance use disorder and
mental health conditions and onsite engagement and coordination of outpatient treatment
post -discharge;
b) outreach and engage inmates in Relapse Prevention Education groups;
c) provide ongoing assessment, early intervention and follow-up for substance use disorders
and mental health issues;
d) prepare for and coordinate outpatient treatment and post discharge appointments;
e) work with Jefferson County residents post -discharge.
The DBH shall submit:
monthly invoices with timesheets specifying the services provided. Each invoice may
include only hours directly related to Exhibit A, Scope of Work.
quarterly electronic reports to Siri Kushner of Kitsap County Health District in a form as
specified by Jefferson County Public Health and/or Kitsap County Health District. DBH
will send a copy of each electronic report to the JCPH Contract Representative.
upon request, reports of activities and services provided, to the JCPH Contract
Representative.
Discovery Behavioral Healthcare — Inmate Services 2017 1
A. Contract Representatives:
JCPH and DBH will each have a contract representative who will have responsibility to
administer the contract for that party. A party may change its representative upon
providing written notice to the other party. The parties' representatives are as follows:
Contractor's Contract Representative _
Ru Kirk, Acting Executive Director
Jefferson Mental Health
PO Box 565
Port Townsend, WA 98368
(360) 385-0321
JCPH Contract Representative
Anna Mc Enery, DD Coordinator
Jefferson County Public Health
615 Sheridan St.
Port Townsend, WA 98368
(360) 385-9410
Section 4: COMPENSATION:
The CONTRACTOR will be reimbursed for all work performed under the terms of this contract.
The total amount payable under this Contract by County to CONTRACTOR shall not exceed
$51,046.00 as outlined in Exhibit B- Fee Schedule, in the completion of this project without
express written amendment signed by both parties to this Agreement.
A. Contractor shall be paid for services as outlined in Exhibit A — Scope of Work.
B. CONTRACTOR shall submit monthly invoices to JCPH, 615 Sheridan St., Port
Townsend, WA 98368, Attn: Finance Department, for payment of work actually
completed to date.
C. Invoices must be submitted by the 15t1i of the month for the previous month's
expenses. Invoices submitted after the 7th of the month may not be paid until the
following month. The County will review such invoices, and upon approval thereof,
payment will be made to the Contractor in the amount approved. Failure to submit
timely invoices may result in a denial of reimbursement. Invoices not submitted within
60 days may be denied.
D. Contractor shall provide invoices and necessary backup documentation for all invoices
including timesheets and statements. Any indirect charges require the submittal of an
indirect cost methodology and rate using OMB Circular's A-87 and A-122.
E. County reserves first right to use as match the chemical dependency mental health tax
funds and the services funded by them for purposes of qualifying for additional
funding and grants. County may allow Contractor to use the chemical dependency
mental health tax funds as match, at the County's sole discretion. Should the County
decline to use chemical dependency mental health tax funds as match for additional
funding and/or grants, then the County may authorize the Contractor to use such funds
for match. (See Attachment A).
Discovery Behavioral Healthcare — Inmate Services 2017 2
F. Where Contractor proposes to use chemical dependency mental health County tax
funds for match, Contractor shall be solely responsible for compliance with all state
and federal laws and regulations, including, but not limited to DSHS, CMS and DBHR
funding rules, applicable to the use of MH/SA sales tax monies as match. Contractor
shall document they have met this responsibility by submitting to the County
Administrator, in writing, their match formula, allocation plan and any other
documentation required of them pursuant to Attachment A, attached hereto and
incorporated in this Agreement.
G. The County may withhold authorization to utilize the MH/SA sales tax monies as
match. Contractor's failure to provide adequate documentation does not relieve the
Contractor of their responsibility to comply with all state and federal laws and
regulations related to match.
H. The County will make final payment of any balance due the Contractor promptly upon
determining that i) the Contractor has completed its obligations under this Agreement
and ii) the County can and does accept the work performed by the Contractor.
I. CONTRACTOR records and accounts pertaining to this agreement are to be kept
available for inspection by representatives of the County and state for a period of six
(6) years after final payments. Copies shall be made available upon request.
J. An audit will be submitted to the County upon request.
a. Upon request, Contractor will submit the most recent financial audit within 30 days,
b. The audit or its equal, shall be completed by the WA State Auditor's Office or a
mutually agreed upon entity. Upon request the County shall have the option of
performing an onsite review of all records, statements, and documentation.
c. If the County finds indications of potential non-compliance during the monitoring
process, the County shall notify Contractor within ten (10) days. County and
Contractor shall meet to discuss areas of contention in an attempt to resolve issues.
d. Audit will provide statements consistent with the guidelines of Reporting for Other
Non -Profit Organizations AICPA SOP 78-10, and is performed in accordance with
generally accepted auditing standards and with Federal Standards for Audit of
Governmental Organizations, Programs, Activities and Functions, and meeting all
requirements of OBM Circular A-133 or A-128, as applicable.
Discovery Behavioral Healthcare — Inmate Services 2017 3
Section 5: INDEMNIFICATION:
The Contractor shall indemnify, defend and hold harmless the County, its officers, agents and
employees, from and against any and all claims, lawsuits, demands for money damages, losses or
liability, or any portion thereof, including attorney's fees and costs, arising from any injury to
person or persons (including the death or injury of the Contractor or damage to personal property)
if said injury or damage was caused by the negligent acts or omissions of the Contractor.
Section 6: INSURANCE:
The Contractor shall obtain and keep in force during the terms of this Agreement, or as otherwise
required:
A. Commercial Automobile Liability Insurance providing bodily injury and property
damage liability coverage for all owned and non -owned vehicles assigned to
or used in the performance of the work for a single limit of not less than
$500,000 per occurrence and an aggregate of not less than one million dollars
($1,000,000) Contractor shall provide proof of insurance to the County
c/o Contracts Manager at Jefferson County Public Health, 615 Sheridan St. Port
Townsend, WA 98368 prior to commencing employment.
B. General Liability (1) — with a minimum limit per occurrence of one million dollars
($1,000,000) and an aggregate of not less than two million dollars ($2,000,000) for
bodily injury, death and property damage unless otherwise specified in the contract
specifications. This insurance coverage shall contain no limitations on the scope of
the protection provided and indicate on the certificate of insurance the following
coverage:
1. Broad Form Property Damage with no employee exclusion;
2. Personal Injury Liability, including extended bodily injury;
3. Broad Form Contractual/Commercial Liability including completed operations
(contractors only);
4. Premises — Operations Liability (M&C)
5. Independent Contractors and Subcontractors; and
6. Blanket Contractual Liability.
(1) Note: The County shall be named as an additional insured party under
this policy.
C. Professional Liability Insurance providing $1,000,000 per incident; $3,000,000
aggregate. Contractor shall name Jefferson County Public Health as additional
insured.
D. The Contractor shall participate in the Worker's Compensation and Employer's
Liability Insurance Program as may be required by the State of Washington.
E. It is agreed by the parties that insurers shall have no right of recovery or subrogation
against the County (including its employees and other agents and agencies) it being
the intention of the parties that the insurance policies listed above shall protect both
parties and be primary coverage for any and all losses covered by the above -listed
insurance policies. It is further agreed by the parties that any and all deductibles
made part of the above -listed insurance policies shall be assumed by, paid for and at
the risk of the Contractor.
Discovery Behavioral Healthcare — Inmate Services 2017 4
F. Any coverage for third party liability claims provided to the County by a "Risk Pool"
created pursuant to Ch. 48.62 RCW shall be non-contributory with respect to any
policy of insurance the Contractor must provide to comply with this Agreement.
G. If the proof of insurance or certificate indicating the County is an "additional insured"
to a policy obtained by the Contractor refers to an endorsement (by number or name)
but does not provide the full text of that endorsement, then it shall be the obligation of
the Contractor to obtain the full text of that endorsement and forward that full text to
the County.
H. The County may, upon the Contractor's failure to comply with all provisions of this
contract relating to insurance, withhold payment or compensation that would
otherwise be due to the Contractor.
Section 7: CONFIDENTIALITY:
Contractor, its employees, subcontractors and their employees will maintain the confidentiality of
all information provided by JCPH or acquired in performance of the Contract as required by
HIPAA and other privacy laws. This Contract, once executed by the parties, is and remains a
Public Record subject to the provision of Ch. 42.56 RCW, the Public Records Act.
Section 8: INDEPENDENCE
The Contractor and the County agree that the Contractor is an independent Contractor with
respect to the services provided pursuant to this agreement. Nothing in this agreement shall be
considered to create the relationship of employer and employee between the parties hereto. The
Contractor shall not be entitled to any benefits accorded County employees by virtue of the
services provided under this agreement. The County shall not be responsible for withholding or
otherwise deducting federal income tax or social security or for contributing to the state industrial
insurance program, otherwise assuming the duties of an employer with respect to employee.
Section 9: REPORTING
The Contractor will provide a monthly invoice to the County for the previous month's work. The
invoice shall include the total hours worked by which staff.
A quarterly report of services and will be recorded on a form created or approved by the Public
Health contracted Epidemiologist.
The monthly invoice shall be submitted to Jefferson County Public Health in care of the Anna Mc
Enery, DD Coordinator, 615 Sheridan, Port Townsend, and WA 98368. The County will review
such invoices, and upon approval thereof, payment will be made to the Contractor in the amount
approved. Failure to submit invoices within 45 days of the due date, may result in a denial of
reimbursement.
Section 10: ASSIGNMENTS AND SUBCONTRACTING
The Contractor shall not sublet or assign any of the services covered by this agreement without
the express written consent of the County.
Discovery Behavioral Healthcare — Inmate Services 2017 5
Section 11: TERMINATION
The County reserves the right to terminate this contract in whole or in part, with 30 days' notice,
in the event that expected or actual funding from any funding source is withdrawn, reduced, or
limited in any way after the effective date of this agreement. In the event of termination under
this clause, the County shall be liable for only payment for services rendered prior to the effective
date of termination.
A. This agreement may also be terminated as provided below:
1. With 30 days' notice by the Board of County Commissioners for any reason, or
2. With 30 days' notice by the Board of County Commissioners for non-performance
of the specific job duties in Exhibit A.
3. With 30 days' notice by the Contractor by voluntary resignation.
Section 12: MODIFICATION
This professional services agreement may be modified at any time by written agreement of all
parties.
Section 13: INTEGRATED AGREEMENT
This Agreement together with attachments or addenda represents the entire and integrated
agreement between the County and the Contractor and supersedes all prior negotiations,
representations, or agreements written or oral between the parties. This agreement may be
amended only by written instrument signed by both County and Contractor.
Approved this day of , 20_.
BOARD OF COUNTY COMMISSIONERS
JEFFERSON COUNTY, WASHINGTON
Kathleen Kler, Chairperson
Discovery Behavioral Healthcare
ATTEST:
Deputy Clerk of the Board
Approved s t form:
C_' II Date:
Philip C. Hunsucker, Chief Civil Deputy Prosecuting Attorney
Jefferson County Prosecuting Attorney's Office
Discovery Behavioral Healthcare — Inmate Services 2017 6
EXHIBIT A
Scope of Work
RESPONSIBILITIES:
The Discovery Behavioral Healthcare, as a contracted provider, agrees to:
engage Jefferson County Jail (JCJ) inmates who live in Jefferson County in activities designed to
reduce recidivism and substance use.
1) In Jail services
a. Weekly groups for men and women focused on substance use relapse prevention,
emotion regulation and positive decision making.
b. Screening for substance use and mental health needs for all Jefferson County
residents who are incarcerated at the JCJ.
c. Referral to appropriate services: SUD treatment, Mental Health Court, outpatient
mental health treatment, DBH crisis services, JCJ medical services, DVR, primary
medical care, housing and other services as needed.
d. Supportive counseling while incarcerated.
e. Post release planning, engagement and support for inmates who have been released
from Jail.
2) Post Release services
a. Case management support at time of release from JCJ to ensure intake and
enrollment in mental health and substance abuse treatment.
b. Case management support at time of release from JCJ to facilitate referrals to
community services.
c. Transportation post release to case management appointments as needed.
d. Ongoing outpatient post release drop-in group at DBH.
3) Outcome measures
a. Numbers of inmates successfully referred to and actively engaged in Mental
Health Treatment.
b. Numbers of inmates successfully referred to and actively engaged in Substance
Abuse Treatment.
c. Recidivism rate based on project commencement date of 7/1/2016.
Discovery Behavioral Healthcare — Inmate Services 2017 7
Exhibit B
Fee Schedule
Mental Health Case Manager ranging from @ $19.41/hour to $27.17/hour
Clinical Supervision @ $55.59/hour
Project Management @ $61.82/hour
Administrative Support for scheduling, billing and bookkeeping ranging from $22.97/hour to
$52.73/hour
Indirect Rate @ 10%
Not to exceed a total of $51,046.00 for the duration of this contract without express written
amendment signed by both parties.
Discovery Behavioral Healthcare — Inmate Services 2017 8
ATTACHMENT A
JEFFERSON COT JNTY MH/SA TREATMENT TAX FUNDING -
MATCH POLICY
Definitions:
Match: is a requirement for the grantee to provide contributions of a specified amount or
percentage to match funds provided by another grantor. Matching can be in the form of
cash or in-kind contributions.
Regulations: The specific requirements for matching funds are unique to each federal or
state program. The A-102 Common Rule provides criteria for acceptable costs and
contributions in regard to match.
Jefferson County Policy:
In 2005, the Washington State Legislature created an option for counties to raise the local sales
tax by 0.1 percent, (the 1/10th of 1% sales tax initiative) to augment state funding for mental
health and chemical dependency treatment. Jefferson County collects and distributes the Mental
Health/Chemical Dependency (MH/SA) tax. Services purchased by the County are allocated
through a formal Request for Proposal (RFP) process, review and contracting; staffed by
Jefferson County Public Health, overseen by Jefferson County Mental Health Substance Abuse
Fund Advisory Committee and adopted by the Board of County Commissioners, (BOCC). BOCC
does not assume any fiscal responsibility/liability for any of the Contractors they contract for
services with.
Jefferson County reserves the first right to use as match the chemical dependency mental health
tax funds and the services funded by them for purposes of qualifying for additional funding and
grants. County may make available to the Contractor the chemical dependency mental health tax
funds for the Contractor to propose as match to state, federal or other entities, at the County's sole
discretion. Contractor shall not use chemical dependency mental health County tax funds for
match without prior authorization by the Jefferson County Administrator and County fiscal team.
To request authorization of availability of the funds for match, Contractor must apply to the
County Administrator in writing, and include their match formula and allocation plan and may
include other documentation to support their request. The County Administrator will authorize or
deny the availability of match funds in writing within 30 days of the application.
If the County informs the Contractor of the availability of chemical dependency mental health
County tax funds for match, then the Contractor shall be solely responsible for compliance with
all state and federal laws and regulations, including, but not limited to DSHS, CMS and DBHR
funding rules, applicable to the use of MH/SA sales tax monies as match. Following state, federal
and local guidelines for match is the responsibility of the Contractor.
Discovery Behavioral Healthcare — Inmate Services 2017 9
For example, if a Contractor provides Title XIX Medicaid services (the Policy 19.50.02 or 42CFR
430.30) they are required by those rules to actually bill Medicaid for the services at the same time.
If no Medicaid billing exists, the match would not comply with state and federal guidelines for
match.
Concurrent with its request for authorization of the availability of match, Contractor shall
document it has met its responsibility to follow state, federal and local guidelines for match by
submitting in writing to the County Administrator their match formula, allocation plan, and other
documentation made mandatory pursuant to this Agreement and this Attachment A. At a
minimum, the Contractor shall also provide the following to the County Administrator:
1. DSHS requires contractors to complete and submit a "Local Match Certification"
form (DSHS 06-155) or a form that has equivalent data elements prior to any
agreement for DSHS services. Submit a copy of this application and form when
requesting match availability from the County and at each monthly billing.
2. Submit the current administrative policy within WA State regulating your services
and the use of local match.
3. Submit to the County your last financial audit showing your use of match, County
funds and tracking systems.
4. Submit to the County the terms of the agreement showing the MH/SA allocation is
an allowable source of match.
5. Provide documentation that your financial reporting system tracks matching funds
at a level that meets the level of documentation required by federal or state
statutes.
The County may reject permission for Contractor to utilize the MH/SA sales tax monies as match.
Discovery Behavioral Healthcare— Inmate Services 2017 10
Jefferson County 1/10th of 1% for Mental Health & Substance Abuse
2017 Evaluation Reporting Template.
Jefferson County Jail: Discovery Behavioral Health
Report Year/Quarter:
Total Unduplicated # Individuals Served YEAR TO DATE (in jail and/or post release, d❑ not include jail greaps):
Total Unduplicated # Individuals Served CURRENT QUARTER (in rail and/or poskrelease, do not include jail grOups)]
# Inividuals with completed screening: 0
Screening by participant status:
New
Total
Previous (screened by this program
in jail before (program start date
7/1/16))
# Individuals served POST RELEASE
(Jefferson residents only) 0
screening was this quarter
screening was in a previous quarter
Participants by zipcode of current residence: #
Participants by Age and Gender (#):
% screened before
#DIV/0!
(auto calc for %)
Age Range
Male
Female
Total
0-17
Emploved work full time
0
18-24
0
25-44
0
45-64
1
0
65+
0
Total
0
0
PLAN POST- THOSE SERVED
Housing Status PRIOR TO JAIL RELEASE POST -RELEASE
Rent/own apartment or house
Shelter
Transitional (including Cabins)
Doubled UD/Couch surfina
Live in car/tent/ry
Hotel/motel
Unsheltered
Unknown
Total 10 0 10
Employment Status
THOSE
SERVED POST
PRIOR TO JAIL RELEASE
Not in the work force
Unemployed, seekinq work
Emploved work full time
Employed work part time
2017 Reporting, 12-21-16, Page 1
Jefferson County 1/10th of 1% for Mental Health & Substance Abuse
2017 Evaluation Reporting Template.
Jefferson County Jail: Discovery Behavioral Health Report Year/Quarter:
Unknown
ITotal 10 10 1
Insurance Status PRIOR TO JAIL
THOSE
SERVED POST
RELEASE
Private insurance
on17 i
screIN
durin
Medicaid
Medicare
Uninsured
Other
Unknown
Total 0 10
#unduplicated
# Participants b Service Type: individuals
pa # hours
#d91+
JAIL: Screeninq 0
on17 i
screIN
durin
IN JAIL: Case Manaqement
POST RELEASE: Case Manaqement
POST RELEASE: Groups (drop-in)
client intakes and Treatment Plans.
Consultation with Jail staff.
Coordination with families
Outreach
Travel
Documentation
DBH Clients
In Jail Screening Tool Results,
AVERAGE SCORE: NON-DBH Clients
PDQ9
GAD7
ACEs
PSS
OTHER:
GAINSS
Quadrant 1
Quadrant 2
Quadrant 3
Quadrant 4
No Quad
Declined Unable
Referrals Provided CURRENT QTR IN JAIL POST -RELEASE
CD treatment - inpatient
CD treatment - outpatient
MH treatment - inpatient
MH treatment - outpatient
2017 Reporting, 12-21-16, Page 2
Jefferson County 1/10th of 1% for Mental Health & Substance Abuse
2017 Evaluation Reporting Template.
Jefferson Coun Jail: Discovery Behavioral Health
Child Care
CPS
Dental
DSHS
DV
Education
Employment
Hospital
Housing
Law Enforcement
Medical
Mental Health Court
Public Health
Tobacco Cessation - Quit Line
Transportation
Vocational Services
12 Step Programs
Other (please specify):
Report Year/Quarter:
In the 30 days post release, how many individuals who were given a referral to MH or CD while in jail actually
connected? Unknown is those whose referral connection status could not be determined.
POST RELEASE referral status
# aiven referral in iall I # connected # unk
CD In -pt
CD outpt
MH inpt
MH outpt
Total Length of Participation (include
participation in jail and ,post -release) #
0-4 weeks (less than 1 month)
4-8 weeks 1 month)
8-12 weeks (2 months)
12-16 weeks (3 months)
16-20 weeks (4 months)
20-24 weeks (5 months)
24-28 weeks (6 months)
6 months_- 1 year
1 year or more
no mental health known unknown
IN JAIL: Participant mental health
status based on GAIN SS:
IN JAIL: # Participants with past month no substance use sub_ use know_ n sub use unknown
substance use:
# Participants past month use by
substance Primary Second Third
Total
Alcohol
0
Marijuana
0
Tobacco products
0
Amphetamines
0
Benzodiazepines
0
Cocaine
0
Hallucinogens
0
2017 Reporting, 12-21-16, Page 3
Jefferson County 1/10th of 1% for Mental Health & Substance Abuse
2017 Evaluation Reporting Template.
Jefferson County JaiFu—iscovery Behavioral Health
Report Year/Quarter:
Heroin
0
Methamphetamines
0
Other sedatives or hypnotics
0
Other opiates and synthetics
0
Ox !H dro Codone
0
Prescribed opiate Substitute
0
Other (please specify)
0
2017 Reporting, 12-21-16, Page 4
Jefferson County 1110th of 1% for Mental Health & Substance Abuse
2017 Evaluation Reporting Template.
Jefferson County Jail: Discovery Behavioral Health
ANNUAL OUTCOMES
SMART Objective
Tvpe of Measure Source
Report Year/Quarter:
Numerator Denominatoi (auto calc}
X% of individuals screened in jail during
medium term
program data
# screened in jail
# screened
jail
#VALUE!
repeat incarcerations
outcome
more than once
in
X% of in -jail participants are also served
medium term
program data
# served in jail and
# served in
#VALUE!
post -release
outcomepost-release
iail
identify intake/
Total #
% of individuals referred to mental health
medium term
participation at
# referred to DBH
referred to
#VALUE!
treatment who participate in services
outcome
who are in services
DBH
DBH
identify intake/
#referred to SA
Total #
% of individuals referred to substance use
medium term
participation at
treatment who are in
referred to
#VALUE!
treatment who participate in services
outcome
DBH or Safe
SA
Harbor
services
treatment
#
V % of participants report case manager
satisfaction outcome
discharge survey
# participants
completing
#VALUE!
was helpful
reporting helpful
uestion
# group participants
#
% of participants report that groups
satisfaction outcome
discharge survey
reporting groups
completing
#VALUE!
were helpful
were helpful
question
X% of participants feel they were offered
satisfaction outcome
discharge survey
# participants feel
completing
#VALUE!
support after they leave jail
offer of support
question
POST -RELEASE SATISFACTION?
2017 Reporting, 12-21-16, Page 5
Jefferson County 1/10th of 1% for Mental Health & Substance Abuse
2017 GROUPS: Evaluation Reporting Template.
Jefferson County Jail: Discovery Behavioral Health Report Year/Qtr:
Total Unduplfcated # Individuals Served in Croups YEAR TO DATE:
TOTAL # INDIVIDUALS SERVED IN GROUPS CURRENT QUARTER:
Participants by zipcode of current residence: #
Participants by Age and Gender (#):
Age Range
Male Female Total
0-17
0
18-24
0
25-44
0
45-64
0
65+
0
Total
0 D
Housinq Status PRIOR TO JAIL PLAN POST RELEA
Rent/own apartment or house
Shelter
Transitional (including Cabins)
Doubled up/Couch surfing
Live in car/tent/ry
Hotel/motel
Unsheltered
Unknown
Total 0 jo
Employment Status PRIOR TO JAIL
Not in the work force
Unemployed, seeking work
Emploved work full time
Employed work part time
Unknown
Total 10
Insurance Status PRIOR TO JAIL
Private insurance
Medicaid
Medicare
Uninsured
Other
Unknown
Total 0
�S E
2017 Reporting, 12-21-16
# of those
individuals who are
# unduplicated also in case
# Participants by Group Name: individuals management
# clinician
# duplicated hours (prep
participation in and # times
groups delivery) group met
Life skills (females)
Life skills (males)
2017 Reporting, 12-21-16