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Home My WebLink About20170711M MHSA1 Mental Health and Substance Abuse Advisory Committee Meeting Minutes - FINAL July 11, 2017 3:00-4:30 PM I. Call to Order/ Introductions – Called to Order by Kathleen Kler Board Members: X Kathleen Kler X Jill Buhler X Anne Dean X Mike Evans X Ruth Gordon X Catharine Robinson X Sheila Westerman Staff: Vicki Kirkpatrick, Anna Mc Enery and Veronica Shaw Guests: Lisa Rey-Thomas, Dave Stanko, Kathy Morgan, Ru Kirk, Kris Becker, Dott Kelly, Kitty Knapp, Yuko Umeda, Mary Jo Mackenzie, Jennifer James-Wilson & Josh Atchison II. Approval of the Agenda – Jill (M)/ Sheila (S)/Approved. III. Review and adoption of the minutes of May 2, 2017 – Michael (M)/ Sheila (S)/Approved with no corrections. IV. Public Comments – Jennifer James-Wilson advocated for continued funding for School based Health Clinics and counseling services at the PT High School. V. Budget Tracking Spreadsheet– The Budget Tracking Spreadsheet was handed out. Veronica Shaw said the budget continue to have a projection of ending with an additional $134,485 in revenue and that is in addition to the reserve of $49,049. VI. Upcoming 1/10th of 1% RFP-2018 or 2018/2019?/A discussion ensued about the 1/10th of 1% RFP. The Committee decided to put out an RFP for one year and to think about changing a future RFP process to two years. VII. 2016 Data Report-Final /Jeff Co Continuum of 1/10th of 1% Sales Tax Funded Programs and Associated Outcome Measures 2017/Siri walked us through the 2016 Data Report and highlighted the following. Siri presented the data and walked us through the highlights and told us future reports will include outcome measures, employment and housing data. Kathleen suggested tracking the outcomes of agency referrals and individual success. 2  Nurse Family Partnership Program o The most common mental health diagnoses among women served are depression and anxiety. o 60% participate for 6 months or more. o In 2016, on average each quarter, 76 visits were completed, another 21 were attempted.  Jumping Mouse Children’s Center o The unduplicated number of children served in 2015 was 137, in 2016 was 125. o 47% of children served were or are currently exposed to household substance use, 18% were exposed during pregnancy. o At 52% the most common mental health diagnosis among children served is generalized anxiety, followed by an adjustment disorder, (12.5%). o The majority of children served are ages 7 to 9 and just over half are male; most come from the Port Townsend zip code.  School Based Health Clinics-Jefferson Mental Health o In 2015-2016, 145 Students were served, over half at Port Townsend. In Fall 2016 across four SBHC sites, 104 students were served in over 500 visits. o The most common visit reason identified either by student, clinician , or both at Port Townsend and Chimacum every year has been family problems. In 2015-2016 at Quilcene it was also family problems.  Intake Support-Safe Harbor/Beacon of Hope, Inc. o The majority served are male, about half are age 25-44; about half come from 98368, a third from 98358/98339/98325/98365, 10% from 98367/98320 and some from out of County. o In 2014, Safe Harbor began reporting counts for intakes, assessments, and treatment admits to better reflect their intake process.  Discovery Behavioral Health-Jefferson County Jail Program o 1 in 4 have known mental health, 2 in 3 have known substance abuse o Half screened were from 98368 zip code, the majority are age 25-44 and male. o 223 referrals to community services/agencies were made to individuals served in Jail; 25 referrals to those served post-release.  Discovery Behavioral Health-CODIT Program o The most common mental health diagnoses for participants is bipolar, PTSD, and depression. o The most common reported substance used is tobacco , used by half of CODIT participants. o The unduplicated number of individuals served in 2016 is 58, up from 42 in 2015, up from 37 in 2014 & in 2013 it was 28. 3  Topside o The unduplicated number of individuals served in 2016 was 9; 11 in 2015 was 12.in 2014 & 2013. o The average number of individuals participating in Topside has been between 6 & 8 individuals since 2011. o The majority participate for less than 6 months. o On average each quarter, nearly all participants with chemical dependency issues did not relapse. o Depending on individual needs, participants are served in four domains: attitudes/behavior, chemical dependency, and peer/family functioning and health.  Mental Health Court o 38 individuals were served in 2016, up from 32 in 2015; 5 graduates and 2 discharges. o Almost all participants have co-occurring mental health and substance us disorder; the most common mental health diagnoses are depression, Bipolar and PTSD.  Drug Court o 60 individuals served in 2016, 57 in 2015; 16 graduates and 13 discharges. o In 4th quarter, 81% of participants tested had no positive UA results.  Family Therapeutic Court o 7 individuals served in 2016, 3 in 2015; 2 graduates and 3 children reunited; 1 discharge, (transferred to another County). o 40% of participants are age 45-64, 35% are 25-44 and 25% are 18-24; nearly all participants are female. VIII. Healthy Youth Survey-Mental Health & Substance Abuse Fact Sheets-Jefferson County/WA State &Tri-County Area-(Clallam, Jefferson and Kitsap)-Siri walked through the Healthy Youth Survey , selected mental health results for 2016 in Jefferson County. (Please see handouts). Approximately 1 in 5 Jefferson County 10th graders attempted suicide. Statistically more Jefferson 10th graders reported attempts of suicide compared to WA 10th graders. Approximately 1 in 4 Jefferson 12th graders seriously considered suicide in the past 12 months. In 2016, more Jefferson 8th graders reported that they were bullied in the last 30 days compared to WA. Siri shared there were 2 youth suicides in the last 10 years in Jefferson County and 20 hospitalizations during that time period. A supportive family or community can be a protective factor that can potentially reduce an individual’s risk for attempting suicide. Also access to mental health facilities and building a supportive relationship with a mental health or medical clinical care provider. (Centers for Disease Control and Prevention, 2016). 4 IX. Vendor Reports:  Jumping Mouse/Dott Kelly shared some powerful slides about the healing effects of therapy and the process that occurs at the Jumping Mouse Program.  In 2016, Jumping Mouse served 125 children and 152 caregivers. Forty three percent of children at Jumping Mouse experience 6 or more traumas or adverse childhood experience, or (ACES).  ACES are significant traumas which can result in actual changes in brain development.  Over 80% of the families served are low income and rely on community and foundational support to ensure access to mental health care.  Jumping Mouse measures each child’s progress in therapy through weekly assessments of emotional and physical regulation, language and cognitive developmental and other key indicators of mental health.  80% of parents agreed that their child “seems happy or content” compared to 16% before Jumping Mouse.  95% agreed that they “understand their child’s point of view” comparted to 57% before Jumping Mouse.  Nurse Family Partnership/Yuko Umeda shared that the Nurse Family Partnership Program or NFP, continues to improve the health of children and families. The NFP Program is evidence based program. A question was asked about what a Public Health Nurse talks about when she visits a Mom. Mary Jo Mackenzie, a Public Health Nurse shared a few items they may discuss. Such as health and safety, life goals, stages of pregnancy, baby growth/development, ACES, mental health, screening for depression and anxiety.  A few key findings:  NFP Moms had few preterm births.  More NFP babies were breastfeed.  Another finding is that more NFP children were likely to be up-to-date on immunizations. X. Schedule a Retreat for the MH/SA Advisory Committee Retreat/ Anna shared the idea of scheduling a MH/SA Advisory Committee Retreat, to review the 1/10th of 1% Ordinance, discuss priority funding areas/outcomes, by-laws, a mission statement, a process for RFP Supplemental and Emergency Funding and/or other agenda items. A discussion ensued and committee members agreed to having a retreat in September rather than a regular meeting and asked Anna to look into scheduling it. XI. Behavioral Health Organization Update/Kathleen Kler shared that the Salish BHO will not be a mid-adopter as it had to be a unanimous vote of all three Counties.