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HomeMy WebLinkAbout1-10th 1% Eval Data 2016_Report_Jefferson County One Tenth of One Percent Tax Fund Evaluation 2016 Annual Report ANNUAL COUNT OF UNDUPLICATED INDIVIDUALS SERVED (not available prior to 2013) 2013 2014 2015 2016 Nurse Family Partnership*54 66 58 62 *two individuals per family Jumping Mouse caregivers**103 174 179 152 **54 served by these funds Jumping Mouse kids**73 113 137 125 **42 served by these funds SBHC***132 180 145 518 ***school year data: 2013-14; 2014-15; 2015-16; 2016 Sept-Dec SafeHarbor intakes^117 149 120 192 ^As of 3rd quarter 2016 when Safe Harbor ended their contract. SafeHarbor relapse prev edu^^114 ^^2014 & 15 data not available due to jail staff transition CODIT 28 37 43 58 Jail^^268 94 ^^2014-15 no data; 2016 DBH contract starting quarter 3 Topside 12 12 11 9 Mental Health Court~32 38 ~started reporting in 2015 Drug Court~57 60 ~started reporting in 2015 Family Therapeutic Court~3 7 ~started reporting in 2015 Total: 901 731 785 1315 EARLY INTERVENTIO N TREATMENT JAIL/COURTS 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. 54 103 73 132 117 114 28 268 12 66 174 113 180 149 37 12 58 179 137 145 120 43 11 32 57 3 62 152 125 518 192 58 94 9 38 60 7 0 100 200 300 400 500 600 Nu r s e F a m i l y P a r t n e r s h i p * Ju m p i n g M o u s e ca r e g i v e r s * * Ju m p i n g M o u s e k i d s * * SB H C * * * Sa f e H a r b o r i n t a k e s ^ Sa f e H a r b o r r e l a p s e p r e v ed u ^ ^ CO D I T Ja i l ^ ^ To p s i d e Me n t a l H e a l t h C o u r t ~ Dr u g C o u r t ~ Fa m i l y T h e r a p e u t i c C o u r t ~ EARLY INTERVENTION TREATMENT JAIL/COURTS Unduplicated Number of Individuals Served by Jefferson County 1/10th of 1% Recipient 2013 2014 2015 2016 2016 Annual Report April 2017 Jefferson County 1/10th of 1% for Mental Health & Substance Abuse 2013 2014 2015 2016 Evaluation Data: Nurse Family Partnership, Unduplicated families served:27 33 29 31 Jefferson County Public Health Referrals to community services/agencies provided to clients (average # per month, 2015 & 16/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 2016/qtr 64 1 3 8 1 11 5 <1 6 28 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 23 0 30 Individuals served: 1/10th of 1% funds 11% of the NFP budget, the cost for 2 individuals 2016 0% 50% 100% 0 5 10 % Enrolled Assessments completed 0% 50% 100% South JC: 98376,20 East JC: 98358,39,25 ,65 PT: 98368 1 8 9 7 27 31 2118232721 79 73 76 0 20 40 60 80 100 7-12/2010 2011AV 2012AV 2013AV 2014AV 2015AV 2016AV Average services provided: NFP Attempted visit NFP Completed visit per month per quarter 20 31 32 26 148 163 172 0 100 200 7-12/2010 2011AV 2012AV 2013AV 2014AV 2015AV 2016AV Average total hours for services: NFP Attempted visit NFP Completed visit per month per quarter First time assessments; % resulting in enrollment: 0 5 10 7-12/2010 2011AV 2012AV 2013AV 2014AV 2015AV 2016AV Mental Health Diagnoses of Pregnant/Post-partum Clients (average # individuals): ADHD Anxiety Major Depression Panic Disorder PTSD Other per quarterper month 0 2 4 6 7-12/2010 2011AV 2012AV 2013AV 2014AV 2015AV 2016AV Self Reported Past 30 Day Substance Use of Pregnant/Post-partum Clients (average # individuals): Alcohol Marijuana Tobacco Meth Other per month per quarter $- $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 20 1 6 1/10th 1% Funding 2014-2016 completed visit hrs include prep + charting 2016 Annual Report April 2017 Evaluation Data: Jumping Mouse Children's Center Average:Jan-July 2011 Jan-Aug 2012 2013 2014 2015 2016 % of eligible clients covered by 1/10th funds 32% 24%20% 19% 38% 34% Individuals served by 1/10th of 1% funds by zip code of residence, age group, and gender: Low income: 2015 91% 80% 24% 22% 59% 4.3 41% 2016 86% 89% 17% 21% 61% 4.5 43% 6 or more ACEs: Ever experience homelessness: 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. Ad d i t i o n a l An n u a l D a t a : Successful completion or continuing services: Any abuse/neglect: Any alternative care:Average # ACEs: 0% 50% 100%10 to 12 7 to 9 0 to 6 0% 50% 100% female male 0% 50% 100% 0 50 100 150 200 2011/mo 2012/mo 2013/mo 2014/qtr 2015Actual 2016Actual % 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 2016/qtr Average # total hours for services CHILD SESSIONS (1.5 hrs av) PARENT SESSIONS 0% 20% 40% 60% 80% 100% Jan-Aug 2012/mo 2013/mo2014/qtr 2015/qtr 2016/qtr Mental Health Diagnoses of Children (average % of child clients): Other PTSD Major Depression Attachment Disorder Generalized Anxiety Adjustment Disorder ADHD 61 % 69 % 30 % 62 % 65 % 38 % 65 % 36 %43 % 18 % 47 % 18 % 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 2015Annual 2016Annual # 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 20 1 6 1/10th 1% Funding Most common "other" 2016: parent/child relational problem, trauma, sexual abuse, abuse and neglect 125152 0 100 200 2013 2014 2015 2016 Total # of Individuals Served (unduplicated) children caregivers 0% 50% 100% single parent home foster care adoptive care kinship care Average % of child clients with history of: 2016Annual 2015Annual Apr-Dec 2014/qtr Apr-Dec 2013/mo Jan-Aug 2012/mo 2016 Annual Report April 2017 Je f f e r s o n C o u n t y 1 / 1 0 t h o f 1 % f o r M e n t a l H e a l t h & S ub s t a n c e A b u s e Ev a l u a t i o n D a t a : S c h o o l B a s e d H e a l t h C l i n i c , D i s c o v e r y B e h a v i or a l H e a l t h Av e r a g e V i s i t s / P e r s o n : Ra n g e i n # V i s i t s : PT C h i m Q u i l B r i n n o n To t a l PT C h i m Q u i l B r i n n o n P T C h i m Q u i l B r i n n o n P T C h i m Q u i l B r i n n o n 9/ 2 0 1 0 - 6 / 2 0 1 1 5 4 8 6 1 9 1 5 9 2 4 5 5 1 7 3 1 8 4 6 1 6 1 - 1 7 1 - 3 3 1 - 4 6 9/ 2 0 1 1 - 6 / 2 0 1 2 6 6 4 4 2 7 1 3 7 2 2 9 1 4 1 3 7 2 3 3 1 4 1 - 2 0 1 - 2 3 1 - 4 2 9/ 2 0 1 2 - 6 / 2 0 1 3 5 7 6 2 2 4 1 4 3 3 0 3 3 8 6 3 4 7 5 6 1 4 1 - 2 1 1 - 2 6 1 - 4 8 9/ 2 0 1 3 - 6 / 2 0 1 4 5 0 5 8 2 4 1 3 2 2 8 2 3 5 0 2 4 4 6 6 1 0 1 - 2 3 1 - 3 6 1 - 2 7 9/ 2 0 1 4 - 6 / 2 0 1 5 7 7 7 4 2 9 1 8 0 5 9 9 4 7 1 2 2 5 8 6 8 1 - 3 1 1 - 3 5 1 - 2 1 9/ 2 0 1 5 - 6 / 2 0 1 6 7 5 4 5 2 5 1 4 5 4 7 9 4 3 1 1 1 8 6 1 0 5 1 - 3 1 1 - 5 2 1 - 2 5 9/ 2 0 1 6 - 1 2 / 2 0 1 6 3 9 3 9 1 4 1 2 1 0 4 1 9 6 2 1 1 6 8 4 3 5 5 5 4 1 - 2 2 1 - 1 2 1 - 9 1 -9 Vi s i t l e n g t h ( m i n u t e s ) : PO R T T O W N S E N D C H I M A C U M QU I L C E N E Un d u p l i c a t e d I n d i v i d u a l s : Pr o g r a m D e s c r i p t i o n : DB H ( f o r m e r l y J e f f e r s o n M e n t a l H e a l t h S e r v i c e s ) h a s m e n t a l h e a l t h p r o f e s s i o n a l s p r o v i d i n g d i r e c t se r v i c e o n s i t e t o s t u d e n t s a n d t h e i r f a m i l i e s i n t he P o r t T o w n s e n d , C h i m a c u m , a n d Q u i l c e n e S c h o o l D i s tr i c t s . I n F a l l 2 0 1 6 , DB H a d d e d B r i n n o n w i t h o t h e r f u n d i n g a n d r e c e i v e d 1 /1 0 t h 1 % f u n d i n g f o r 2 0 1 7 - B r i n n o n d a t a b e g i n n i n g in 9 / 2 0 1 6 a r e in c l u d e d i n t h i s r e p o r t . C o n s u l t a t i o n s w i t h s c h o o l st a f f a n d o t h e r a g e n c i e s a r e a l s o p r o v i d e d f o r t h e st u d e n t s e n g a g e d i n t h e pr o g r a m . E a s y a c c e s s t o e x p e r i e n c e d p r o f e s s i o n a l s wi t h n o f i n a n c i a l b u r d e n t o t h e f a m i l y i s t h e i n t e n ti o n a n d h a s p r o v e n i t s wo r t h i n h i g h l e v e l s o f p a r t i c i p a t i o n a t a l l s i t e s . To t a l V i s i t s : 01020304050 Po r t T o w n s e n d Ch i m a c u m Qu i l c e n e # i n d i v i d u a l s p e r m o n t h (S c h o o l y e a r a v e r a g e a n d c u r r e n t y e a r a c t u a l ) : 020406080 10 0 Po r t T o w n s e n d Ch i m a c u m Quilcene # v i s i t s p e r m o n t h (S c h o o l y e a r a v e r a g e a n d c u r r e n t y e a r a c t u a l ) : 20 1 5 2 0 1 6 20 1 5 2 0 1 6 0% 50 % 10 0 % 9/ 2 0 1 0 - 6/ 2 0 1 1 9/ 2 0 1 1 - 6/ 2 0 1 2 9/ 2 0 1 2 - 6/ 2 0 1 3 9/ 2 0 1 3 - 6/ 2 0 1 4 9/ 2 0 1 4 - 6/ 2 0 1 5 9/ 2 0 1 5 - 6/ 2 0 1 6 >6 0 60 46 - 5 9 45 31 - 4 4 30 <3 0 0% 50 % 10 0 % 9/ 2 0 1 0 - 6/ 2 0 1 1 9/ 2 0 1 1 - 6/ 2 0 1 2 9/ 2 0 1 2 - 6/ 2 0 1 3 9/ 2 0 1 3 - 6/ 2 0 1 4 9 / 2 0 1 4 - 6/ 2 0 1 5 9/ 2 0 1 5 - 6/ 2 0 1 6 >6 0 60 46 - 5 9 45 31 - 4 4 30 <3 0 0% 50 % 10 0 % 9/ 2 0 1 0 - 6/ 2 0 1 1 9/ 2 0 1 1 - 6/ 2 0 1 2 9/ 2 0 1 2 - 6/ 2 0 1 3 9/ 2 0 1 3 - 6/ 2 0 1 4 9/ 2 0 1 4 - 6/ 2 0 1 5 9/2015-6/2016>60 60 46-59 45 31-44 30 <30 $ - $ 2 0 , 0 0 0 $ 4 0 , 0 0 0 $ 6 0 , 0 0 0 $ 8 0 , 0 0 0 2 0 0 8 2 0 0 9 2 0 1 0 2011 2012 2013 2014 2015 2016 1/ 1 0 t h 1 % F u n d i n g 2 0 1 6 A n n u a l R e p o r t April 2017 Je f f e r s o n C o u n t y 1 / 1 0 t h o f 1 % f o r M e n t a l H e a l t h & S ub s t a n c e A b u s e Ev a l u a t i o n D a t a : S c h o o l B a s e d H e a l t h C l i n i c , D i s c o v e r y B e h a v i or a l H e a l t h Of a l l v i s i t s p e r s c h o o l y e a r , t o p f i v e r e a s o n s f o r v i s i t s a r e r a n k e d f o r e a c h s c h o o l y e a r : 9/ 2 0 1 0 - 6/ 2 0 1 1 9/ 2 0 1 1 - 6/ 2 0 1 2 9/ 2 0 1 2 - 6/ 2 0 1 3 9/ 2 0 1 3 - 6/ 2 0 1 4 9/ 2 0 1 4 - 6/ 2 0 1 5 9/ 2 0 1 5 - 6/ 2 0 1 6 9/ 2 0 1 0 - 6/ 2 0 1 1 9/ 2 0 1 1 - 6/ 2 0 1 2 9/ 2 0 1 2 - 6/ 2 0 1 3 9/ 2 0 1 3 - 6/ 2 0 1 4 9/ 2 0 1 4 - 6/ 2 0 1 5 9/ 2 0 1 5 - 6/ 2 0 1 6 9/ 2 0 1 0 - 6/ 2 0 1 1 9/ 2 0 1 1 - 6/ 2 0 1 2 9/ 2 0 1 2 - 6/ 2 0 1 3 9/2013-6/20149/2014-6/20159/2015-6/2016 al c o h o l / d r u g 3r d an g e r m g m t 5t h 4t h 5 t h an x i e t y 5 t h 3 r d 2 n d 3 r d 5 t h 3 r d 5 t h t i e 2n d 5 t h 2 n d co u r t d i v e r s i o n 4t h 5 t h 5 t h de p r e s s i o n 3 r d 2 n d 3 r d 5 t h fa m i l y p r o b l e m s 1 s t 1 s t 1 s t 1 s t 1 s t 1 s t 1 s t 1 s t 1 s t 1 s t 1 s t 1 s t 2n d 2 n d 1 s t 1 s t 3 r d 1 s t fu t u r e 4 t h 5t h t i e 4 t h 5 t h gr i e f 5 t h 3 r d 4t h 5 t h me n t a l h e a l t h 5 t h 5 t h 4 t h 4 t h 4th re l a t i o n s h i p s 2 n d 2 n d 2 n d 4 t h 4 t h 2 n d 2 n d 2 n d 2 n d 2 n d 2 n d 1 s t 3 r d 3 r d 2 n d 3 r d sc h o o l 5 t h 5 t h 4 t h 4 t h 4 t h 3 r d 4 t h 4 t h 3 r d 5 t h 4 t h 2 n d 4 t h se l f - e s t e e m 3 r d 3 r d 5 t h 5t h 5 t h 5 t h 3 r d 1 s t 3 r d st r e s s 3 r d 4 t h 2 n d 3 r d 3 r d 4 t h 5 t h 1 s t Un d u p l i c a t e d i n d i v i d u a l s b y g r a d e a n d g e n d e r : PO R T T O W N S E N D CH I M A C U M QU I L C E N E PO R T T O W N S E N D CH I M A C U M QU I L C E N E 0% 50 % 10 0 % Un k n o w n 12 t h 11 t h 10 t h 9t h 6- 8 t h 1s t - 5 t h 0% 50 % 10 0 % un k n o w n fe m a l e ma l e 0% 50 % 10 0 % Un k n o w n 12 t h 11 t h 10 t h 9t h 6- 8 t h 1s t - 5 t h 0% 50 % 10 0 % Unknown 12th 11th 10th 9th 6-8th 1st-5th 0% 50 % 10 0 % un k n o w n fe m a l e ma l e 0% 50 % 10 0 % unknown female male 2 0 1 6 A n n u a l R e p o r t April 2017 Je f f e r s o n C o u n t y 1 / 1 0 t h o f 1 % f o r M e n t a l H e a l t h & S ub s t a n c e A b u s e Ev a l u a t i o n D a t a : S c h o o l B a s e d H e a l t h C l i n i c , D i s c o v e r y B e h a v i or a l H e a l t h Av e r a g e # s e r v i c e s p r o v i d e d p e r m o n t h b y s e r v i c e t y pe : No t e : f o r a l l s c h o o l s , g r o u p s n o t r e p o r t e d a f t e r D e ce m b e r 2 0 1 3 . 010203040506070CH I M A C U M ot h e r ( w o r k w / S B H C , s c h o o l , a g e n c i e s ) fa m i l y t h e r a p y gr o u p t h e r a p y in d i v i d u a l t h e r a p y cr i s i s i n t e r v e n t i o n 010203040506070QU I L C E N E ot h e r ( w o r k w / S B H C , s c h o o l , a g e n c i e s ) fa m i l y t h e r a p y gr o u p t h e r a p y in d i v i d u a l t h e r a p y cr i s i s i n t e r v e n t i o n 010203040506070 PO R T T O W N S E N D ot h e r ( w o r k w / S B H C , s c h o o l , a g e n c i e s ) fa m i l y t h e r a p y gr o u p t h e r a p y in d i v i d u a l t h e r a p y cr i s i s i n t e r v e n t i o n no d a t a re p o r t e d fo r 3 2 % o f 2 0 1 6 A n n u a l R e p o r t April 2017 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: Safe Harbor discontinued their contract in fall 2016 therefore data are only through 3rd quarter 2016. 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. No Relapse Prevention data after mid 2015. 0% 50% 100%65+ 45-64 25-44 18-24 0-172016 0% 50% 100% female male 2016 0% 50% 100% Non-JC zip code South JC: 98376,20 East JC: 98358,39,25 ,65 PT: 98368 2016 25 40 30 138 224 158 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 20 1 6 A V total # UA's per month per quarter 27 31 21 20 28 67 13 14 8 10 9 16 0 100 participation individuals participating 10 12 8 9 8 51 0 20 40 60 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 20 1 6 1/10th 1% Funding 46 48 40 49 50 46 37 39 35 37 39 37 29 40 37 32 35 35 0 40 80 120 160 Completed Intakes Completed Assessments Admitted to Treatment 2016 42 % 35 % 43 % 19 % 45 % 48 % 48 % 0% 50% 100% Referred to other Client refused services Wait list, no service Wait list, some service Assesssment scheduled (new) Enrolled (2014- 16: intake complete) 2010-13: average/month Disposition (average): 117 149 120 192 0 50 100 150 200 250 2013 2014 2015 2016 Unduplicated # Served 13 14 10 33 22 23 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 20 1 6 A V # individuals tested# individuals tested per month per quarter NO DATA FOR 2016 2016 Annual Report April 2017 Jefferson County 1/10th of 1% for Mental Health & Substance Abuse 2013 2014 2015 2016 Evaluation Data:Unduplicated individuals served: 28 37 42 58 Discovery Behavioral Health, CODIT Program *2015 and 2016 "other" are primarily substance dependence Total individuals served by 1/10th of 1% funds by zip code of residence, age group, and gender: Program Description: In 2016, Discovery Behavioral Health (formerly Jeffesron Mental Health) began running the CODIT program on their own, previously it was run by JMH and Safe Harbor together. CODIT 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 20 1 6 1/10th 1% Funding 22 18 14 11 12 17 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 20 1 5 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 6 A V Individuals served per month by 1/10th of 1% funds: 2016 0% 50% 100% 0 5 10 15 20 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 20 1 5 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 6 A V % Enrolled Assessments completed 2016 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 20 1 5 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 6 A V 65+ 45-64 25-44 18-24 0-172016 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 20 1 5 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 6 A V female male 2016 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 20 1 5 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 6 A V Non-JC zip codes South JC: 98376,20 East JC: 98358,39,25 ,65 PT: 98368 2016 0 50 100 150 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 20 1 5 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 6 A V Total services provided (duplicated counts, average/month) Seen individually CODIT Groups 2016 0 100 200 300 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 20 1 5 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 6 A V Total hours for services (average/month): Seen individually CODIT Groups 2016 0 2 4 6 8 10 2009AV 2010AV 2011AV 2012AV 2013AV 2014AV 2015AV 2016AV Mental Health Diagnoses (average # individuals/month): ADHD BiPolar Anxiety Major Depression Panic Disorder PTSD Schizophrenia Other 0 10 20 2009AV 2010AV 2011AV 2012AV 2013AV 2014AV 2015AV 2016AV 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 20 1 5 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 6 A V % of total participants # OUT (left,drop out, jail) 2016 Reason for exiting CODIT: disappeared, dropped-out, jailed 2016 Annual Report April 2017 Jefferson County 1/10th of 1% for Mental Health & Substance Abuse 2016 Unduplicated individuals served: 94 # of individuals by zip code of residence, age group, and gender: Total referrals to community services/agencies: Total CD outpt MH outpt 12-step grp medical DSHS housing 2016 In jail 223 5 73 52 19 17 12 Post-release 25 4 0 5 6 4 6 Evaluation Data: Jefferson County Jail, Discovery Behavioral Health Program Description: DBH case manager and chemical dependency professional trainee 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 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. DBH began providing these services in 3rd quarter 2016. 0% 50% 100% Ju l y - Se p t Oc t - De c 20 1 6 A V female male 0 10 20 30 40 50 Q3 Q4 2016AV Total services provided: IN JAIL: Screening IN JAIL: Case Management POST RELEASE: Case Management 0% 50% 100% Q3 Q4 2016AV GAIN Short Screener Results:Known mental health Known substance use 0 10 20 30 Q3 Q4 2016AV Self Reported Past 30 Day Substance Use At Admission: Alcohol Marijuana Tobacco Meth Other $- $5,000 $10,000 $15,000 $20,000 20 1 6 1/10th 1% Funding 0% 50% 100% Ju l y - Se p t Oc t - D e c 20 1 6 A V Non-JC zip code South JC: 98376,20 East JC: 98358,39,25, 65 PT: 98368 0% 50% 100%65+ 45-65 25-44 18-24 68 82 75 14 29 22 0 20 40 60 80 100 Q3 Q4 2016AV # inividuals with completed screening # individuals served post release # individuals served: 21%27% 28% 20%11% 7% 0% 25% 50% 75% 100% Prior to Jail Plan Post Release Those served post release 2016 qtr4 Unknown Unsheltered Car/tent/Rv/hotel/ motel Doubled up/Couch surfing Shelter/transitional Rent/own HOUSING STATUS: 43%62% 33%28% 0% 25% 50% 75% 100% Prior to Jail Those Served Post Release 2016 qtr4 Unknown Employed work part time Employed work full time Unemployed, seeking work Not in the work force EMPLOYMENT STATUS: 90% 100% 0% 25% 50% 75% 100% Prior to Jail Those Served Post Release 2016 qtr4 Unknown Other Uninsured Medicare Medicaid Private insurance INSURANCE STATUS: 0% 25% 50% 75% 100% Q3 Q4 2016AV Documentation Outreach Coordination with families Consultation with jail staff Consultation with DBH staff Post Release case mgmt In Jail: screening & case mgmt Hours by Service Type: 2016 Annual Report April 2017 Jefferson County 1/10th of 1% for Mental Health & Substance Abuse 2013 2014 2015 2016 Evaluation Data: Topside, Youth Therapeutic Court # Individuals served: 12 12 11 9 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 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 20 1 5 A V / q t r Q1 Q2 Q3 Q4 20 1 6 A V / q t r female male 2016 5 6 8 6 8 6 6 6 6 5 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 20 1 5 a v / q t r Q1 Q2 Q3 Q4 20 1 6 A V / q t r Average # individuals served: 2016 0% 50% 100% Au g - D e c … 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 20 1 5 A V / q t r Q1 Q2 Q3 Q4 20 1 6 A V / q t r Non-JC zip code South JC: 98376,20 East JC: 98358,39,25,65 PT: 983682016 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 2016AV/qtr 100%90% 63%67% 100% 100% 100%92% 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 20 1 6 1/10th 1% Funding 2016 2016 Annual Report April 2017 Jefferson County 1/10th of 1% for Mental Health & Substance Abuse Evaluation Data: Therapeutic Courts Budget $15,000 $15,000 $5,514 $15,825 $15,825 $5,817 Actual spent $10,641 $11,925 $4,700 $15,802 $15,507 $5,798 Individuals served (unduplicated)32 57 3 38 60 7 Graduates 2 12 1 5 16 2 Children reunited n/a n/a 2 n/a n/a 3 Discharges 5 11 0 2 13 1 Average Individuals served/quarter n/a n/a n/a 24 36 4 Participant zip code of residence:MH Court Drug Court FT Court MH Court Drug Court FT Court 98368 11 23 2 15 25 3 98358 1 1 0 0.5 0 0.3 98339 4 12 1 5 6 0.3 98325 4 4 0 2 1 0 98365 1 0 0 1 1 0 98376 5 5 0 0 1 0 98320 0 2 0 0.3 1 0 Other 3 4 0 0 1 0 transient 3 0 0 0 0 0 non-Jefferson 0 4 0 1 1 0.5 Unknown 0 6 0 0.3 0.3 0.3 PT: 98368 34%40%67%62%69%69% East JC: 98358,39,25,65 31%30%33%33%22%14% South JC: 98376,20 16%12%0%1%5%0% Non-JC zip code 9%7%0%3%3%11% Transient 9%0%0%0%0%0% Unknown 0%11%0%1%1%6% Drug Court Family Therapeutic Court 2016 AV/QTR2015 TOTAL 2016 Mental Health Court Drug Court Family Therapeutic Court 2015 Mental Health Court 0% 50% 100% MH Court Drug Court FT Court MH Court Drug Court FT Court 2015 TOTAL 2016 AV/QTR Unknown Transient Non-JC zip code South JC: 98376,20 East JC: 98358,39,25,65 PT: 98368 2016 Annual Report April 2017 Jefferson County 1/10th of 1% for Mental Health & Substance Abuse Evaluation Data: Therapeutic Courts Participant Age: 0-17 0 0 0 0 0 0 18-24 3 16 0 1 10 1 25-44 13 30 1 13 21 2 45-64 15 11 2 9 5 2 65+1 0 0 1 0 0 0-17 0%0%0%0%0%0% 18-24 9%28%0%5%29%25% 25-44 41%53%33%54%59%35% 45-64 47%19%67%38%13%40% 65+3%0%0%4%0%0% Participant Gender: male 18 41 0 10.75 27 0.25 female 14 16 3 13.25 9 4.75 male 56%72%0%45%76%5% female 44%28%100%56%25%95% # Hours by Activity Type:2016av 2016 q4 only Client Supervision/ Case management 35 21 9 Court time 32 38 22 Administration 23 44 15 2016 q3/4 av 0% 50% 100% MH Court Drug Court FT Court MH Court Drug Court FT Court 2015 TOTAL 2016 AV/QTR female male 0% 50% 100% MH Court Drug Court FT Court MH Court Drug Court FT Court 2015 TOTAL 2016 AV/QTR 65+ 45-64 25-44 18-24 0-17 2016 Annual Report April 2017 Jefferson County 1/10th of 1% for Mental Health & Substance Abuse Evaluation Data: Therapeutic Courts MENTAL HEALTH COURT PARTICIPANTS ONLY: Mental Health Diagnoses:2015 2016av/qtr ADHD 9%0% BiPolar 41%18% Delusional Disorder n/a 9% Dysthymia 3%0% Generalized Anxiety 6%1% Major Depression 34%36% Panic Disorder 13%1% PTSD 38%18% Schizophrenia/ Schizoaffective 19%13% Substance Use Disorder 22%0% Other 13%0% Unknown 0%4% DRUG COURT PARTICIPANTS ONLY: Participant Outcomes 2016 Year to date: % participants with 0 sanctions 44 73% participants on warrant status 26 43% QTR 4: participants with no + UA (qtr4)25 81% 9% 41 % 0%3%6% 34 % 13 % 38 % 19 % 22 % 13 % 0% 18 % 9% 0%1% 36 % 1% 18 % 13 % 0%0% A D H D B i P o l a r D e l u s i o n a l D i s o r d e r D y s t h y m i a G e n e r a l i z e d A n x i e t y M a j o r D e p r e s s i o n P a n i c D i s o r d e r P T S D S c h i z o p h r e n i a / S c h i z o a f f e c t i v e S u b s t a n c e U s e D i s o r d e r O t h e r Mental Health Diagnoses:2015 2016av/qtr 73% 43% 81% participants with 0 sanctions participants on warrant status participants with no + UA (qtr4) Participant Outcomes: 2016 Annual Report April 2017