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HomeMy WebLinkAbout1-10th 1% Eval Data 2017_Report_Jefferson County One Tenth of One Percent Tax Fund Evaluation 2017 Annual Report ANNUAL COUNT OF UNDUPLICATED INDIVIDUALS SERVED (not available prior to 2013) 2013 2014 2015 2016 2017 Nurse Family Partnership*54 66 58 62 60 *two individuals per family Jumping Mouse caregivers 103 174 179 152 156 Jumping Mouse kids 73 113 137 125 122 SBHC***132 180 145 192 130 ***data: 13-14, 14-15, 15-16; 16-17; Fall 17 TREATMENT CODIT 28 37 43 58 69 Jail^^268 N/A N/A 94 78 ^^14-15 no data; 16-17 DBH contracts started Q3 Mental Health Court~N/A N/A 32 38 31 ~started reporting in 2015 Drug Court~N/A N/A 57 60 54 ~started reporting in 2015 Family Therapeutic Court~N/A N/A 3 7 4 ~started reporting in 2015 Total: 658 570 654 788 704 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, as well as participant characteristics and outcomes to Kitsap Public Health District under contract to monitor and evaluate the impact of these funds. EARLY INTERVENTION JAIL / COURTS Note: Some individuals may have been served by more than one funded program during the year. 54 10 3 73 13 2 28 26 8 66 17 4 11 3 18 0 37 58 17 9 13 7 14 5 43 32 57 3 62 15 2 12 5 19 2 58 94 38 60 7 60 15 6 12 2 13 0 69 78 31 54 4 0 50 100 150 200 250 300 Nurse Family Partnership* Jumping Mouse caregivers Jumping Mouse kids SBHC*** CODIT Jail^^ Mental Health Court~ Drug Court~ Family Therapeutic Court~ EARLY INTERVENTION TREATMENT JAIL / COURTS Unduplicated Number of Individuals Served by Jefferson County 1/10th of 1% Recipient 2013 2014 2015 2016 2017 2017 Annual Report 1 June update, 2018 Nurse Family Partnership (NFP) - Jefferson County Public Health SUMMARY 65% participate for at least 6 months, a 5% increase from 2016. Consistent with previous years, the majority of mothers are age 18-24. However in 2017, there were notably more age 25-44 than in previous years.  In 2017, on average 1/3rd of parƟcipants are from South Jefferson, a 287% increase from 2016. In 2017, on average each quarter, 60 visits were completed, another 4 were attempted. The most common mental health diagnoses among women served are unchanged, major depression and anxiety. Jumping Mouse Children's Center SUMMARY The unduplicated number of children served in 2017 was 122, a slight decrease from 2016 (125). The unduplicated number of adult caregivers served in 2017 was 156, a slight increase from 2016 (152). 61% of children served were or are currently exposed to household substance use; 15% were exposed during pregnancy. 2017 Annual Participant Data:Low income: 84% Ever experience homelessness: 19% Any abuse/neglect: 56% Average # Adverse Childhood Experiences: 4 6 or more ACEs: 28% 85% of children served either successfully completed or are continuing services. There were 105 service inquiries in 2017, down from 135 in 2016; 2 in 5 children are enrolled right away. 72% of children served are from the 98368 zipcode, half are ages 7 to 9, and 58% are male. The most common mental health diagnoses among children served are generalized anxiety (27%) and adjustment disorder (9.5%). The unduplicated number of families served in 2017 was 30, approximately the same as 2016 (31). Program Description: Serves low-income first time pregnant mothers with social/health indicators that will increase the risk of poor outcomes for mother and infant. The majority of participants either have a recent personal history of substance use and/or mental illness or these risks currently or historically in the immediate family environment. Nurse treats the mother using behavior change theory and motivational interviewing for quitting substances, preventing relapse, treating mental illness, and addressing intergenerational patterns within the family system. NFP is an evidence based prevention program and JCPH collects extensive data to be confident in the quality and fidelity of services thus assuring the community that our families will have similar positive, long term outcomes as seen in the research trials. Program Description: This funding provides services to traumatized children whose care is otherwise uncompensated, specifically to those who have been directly impacted by a parent’s substance abuse and/or mental illness. With these funds, we are reaching some of the most at-risk members of our community, preventing substance abuse and mental health problems before they begin. In 2015, 2016, and 2017, unduplicated annual data are reported for several measures. The average number of individuals participating per quarter has decreased compared to the previous few years. Note that the 1/10th of 1% funds only cover services for 4 families. Similar to previous years, nearly 2 in 5 children served come from single parent homes; 1 in 10 have a history of alternative care (primary caregiver not a biological parent): 5% foster care, 5% adoptive care, and 7% kinship care (categories are not mutually exclusive). 16 17 21 20 22 25 23 16 23 18 22 20 0 30 Individuals served: 1/10th of 1% funds 13% of the NFP budget, the cost for 4 families 122156 0 100 200 2013 2014 2015 2016 2017 Total # of Individuals Served (unduplicated) UNDUPLICATED KIDS UNDUPLICATED ADULT CAREGIVERS 2017 Annual Report 2 June update, 2018 School Based Health Clinic, Discovery Behavioral Health SUMMARY Discovery Behavioral Health, CODIT Program SUMMARY The unduplicated number of individuals served in 2017 is 69, up from 58 in 2016, 42 in 2015, 37 in 2014, and 28 in 2013. The most commonly reported substances used are alcohol, marijuana, methamphetamines, and tobacco. Program Description: DBH (formerly Jefferson Mental Health Services) has mental health professionals providing direct service on site to students and their families in the Port Townsend, Chimacum, Quilcene, and Brinnon School Districts. In Fall 2016, DBH added Brinnon with other funding and received 1/10th 1% funding for 2017 - Brinnon data since in 9/2016 are included in this report. 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 sites. The most common visit reason identified either by the student or clinician at Port Townsend and Chimacum every year has been family problems; and in 2016-17 and Fall 2017 at Quilcene and Brinnon, it was stress. At least 70% of visits at all four schools are for 30 minutes or less.  SBHC MH service utilization by gender varies, with Port Townsend seeing notably more females (63%) and Brinnon seeing notably more males (70%). SBHC MH service utilization rates in 2016-17 were 9% at PT, 6% at Chimacum, 16% at Quilcene, and 28% at Brinnon. All schools except Brinnon (no high school) service elementary, middle and high school students. Program Description: In 2016, Discovery Behavioral Health (formerly Jefferson 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. The 2016-17 school year had the highest number of students served (192 with 1623 visits); in fall 2017, 130 students were served at the four SBHCs by mental health professionals in 599 visits. In 2017, about two-thirds of those served are male and three-quarters come from the 98368 zip code, both notable increases from previous years, age distributions are similar The average number of individuals participating in CODIT each month increased in 2017 compared to 2012-16. The program provides individual sessions, case management and other services.  The average length of program participation was longest at Brinnon (139 days) and shortest at Port Townsend (98 days) with Chimacum (132 days) and Quilcene (114 days) in the middle. The most common mental health diagnoses among CODIT participants are major depression and schizophrenia / schizoaffective disorder. 22 18 14 11 12 16 16 18 0 10 20 30 2010 AV/M 2011 AV/M 2012 AV/M 2013 AV/M 2014 AV/M 2015 AV/M 2016 AV/M 2017 AV/M Individuals served per month by 1/10th of 1% funds: PT Chim Quil Brinnon Total PT Chim Quil Brinnon Total PT Chim Quil Brinnon PT Chim Quil Brinnon 54 86 19 --- 159 245 517 318 --- 1080 4 6 16 --- 1-17 1-33 1-46 --- 66 44 27 --- 137 229 141 372 --- 742 3 3 14 --- 1-20 1-23 1-42 --- 57 62 24 --- 143 303 386 347 --- 1036 5 6 14 --- 1-21 1-26 1-48 --- 50 58 24 --- 132 282 350 244 --- 876 6 6 10 --- 1-23 1-36 1-27 --- 77 74 29 --- 180 599 471 225 --- 1295 8 6 8 --- 1-31 1-35 1-21 --- 75 45 25 --- 145 479 431 118 --- 1028 6 10 5 --- 1-31 1-52 1-25 --- 103 54 21 14 192 628 646 172 177 1623 6 12 8 13 1-14 1-15 1-8 1-9 73 34 13 10 130 231 235 67 66 599 3 7 5 7 1-10 1-10 1-8 1-99/2017-12/2017 Total Visits: Average Visits/Person: Range in # Visits: 9/2012-6/2013 9/2013-6/2014 9/2014-6/2015 9/2015-6/2016 9/2016-6/2017 Unduplicated Individuals: 9/2010-6/2011 9/2011-6/2012 2017 Annual Report 3 June update, 2018 Discovery Behavioral Health, JAIL Program SUMMARY Mental Health Court - reporting started for 2015 - SUMMARY 31 individuals served in 2017, down from 38 in 2016; 6 graduates and 12 discharges About half of participants are age 25-44, another 27% age 45-64; 45% are male. Adult Drug Court - reporting started for 2015 - SUMMARY 54 individuals served in 2017, down from 60 in 2016; 9 graduates and 15 discharges. In 2017, 45% of participants are from the 98368 zip code and 21% are from 98339. 64% of participants are age 25-44, another 17% are age 18-24; 70% are male. 46% of participants tested had no positive UA results. Family Therapeutic Court - reporting started for 2015 - SUMMARY 60% of participants are age 25-44 and 40% are age 45-64; all participants are female. 60% of participants tested had no positive UA results. Program Description : A 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. 75% of participants had no sanctions in 2017; 42% of participants were on warrant status at some point in 2017. 4 individuals served in 2017, 7 in 2016; 0 graduates, 0 children reunited, 0 discharges. In 2017, 64% of participants are from the 98368 zip code, and 36% are from 98358/98339/98325/98365. The Jefferson County Mental Health Therapeutic Court (MHTC) program is a pre- and post-conviction program for Jefferson County defendants who are mentally ill and have not been successful in obtaining mental health treatment or compliance with treatment. All defendants must meet the initial clinical criteria established by the state of Washington to determine serious and persistent mental illness. The MHTC team consists of the District Court Judge, County and City Prosecutors, Probation, Defense Attorney, Chemical Dependency Provider, Mental Health Provider, OlyCAP, Jefferson Co Sheriff, and Port Townsend Police Department. The programs consists of intensive supervision of clients by a mental health professional, frequent appearances before the MHTC team, required mental health counseling, taking medications a prescribed and not using non-prescribed substances. When a participant completes the required activities for a particular phase, the defendant becomes eligible to advance to the next phase. Upon completion of the four phases, the client will then graduate from the program. For pre- adjudication cases, this may result in dismissal of charges. For post adjudication cases, participants may enter this program instead of probation. The entire program length is determined by the participant’s progress, on average it takes approximately 24 Almost all participants have co-occurring mental health and substance use disorders; the most common mental health diagnoses are schizophrenia / schizoaffective disorder 78 unduplicated individuals were served from July-Dec 2017; 66 individuals completed screening, 22 were served post-release. About half (48%) of those screened were from the 98368 zip code, the majority are age 25-44 (60%) and male (76%). Prior to jail: 1 in 2 individuals reported renting/owning their own home; less than 1 in 6 reported having full or part time work; and nearly 7 in 10 reported having Medicaid insurance. 301 referrals to community services/agencies were made to individuals served in jail; 45 referrals to those served post-release.  95% have known mental health; 90% have known substance use. In 2017, 59% of participants are from the 98368 zip code; 24% are from 98358/98339/98325/98365. 68 82 75 39 66 53 14 29 22 5 10 8 0 50 100 7/16-9/16 10/16- 12/16 2016 Q3/Q4 AV/Q 7/17-9/17 10/17- 12/17 2017 Q3/Q4 AV/Q # inividuals with completed screening # individuals served post release # individuals served: 32 38 31 57 60 54 3 7 4 0 20 40 60 80 2015 2016 2017 Unduplicated Individuals Served Mental Health Court Drug Court Family Therapeutic Court 2017 Annual Report 4 June update, 2018 2017 Annual Report 5 April 2018Jefferson County 1/10th of 1% for Mental Health & Substance Abuse 2013 2014 2015 2016 2017 Evaluation Data: Nurse Family Partnership, 27 33 29 31 30 Jefferson County Public Health Referrals to community services/agencies provided to clients (Ave # per mo, 2014,15,16 & 17/quarter): Total DSHS Dental Medical Quitline Transp Other 8 0 1 3 0 0 1 12 1 0 2 <1 1 3 13 1 1 2 0 1 8 13 <1 2 3 <1 1 4 20 <1 2 4 0 1 10 51 1 7 11 0 2 22 64 3 8 11 <1 6 28 34 0 5 7 1 3 5 <1 2017 AV/Q 2 5 1 0 <1 1 1 1 1 1 Unduplicated families served: 1 2 MH Outpt 0 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. 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) 1 1 1 1 <1 2016 AV/Q 2015 AV/Q 2014 2013 2012 <1 2010 (Jul-Dec) 2011 1 Housing 0 1 Child Care 1 0% 50% 100% 7/10- 12/10 2011 2012 2013 2014 2015 2016 2017 65+ 45-64 25-44 18-24 2 to 17 infant <2per month 0% 50% 100%female male 16 17 21 20 22 25 23 16 23 18 22 20 0 30 7/10- 12/10 2011 2012 2013 2014 2015 2016 1/17- 3/17 4/17- 6/17 7/17- 9/17 10/17- 12/17 2017 Individuals served: 1/10th of 1% funds 11% of the NFP budget, the cost for 2 individuals per month per quarter 100% 100% 100% 60% 67%33% 44%53% 0 5 10 7/10-12/10 2011 2012 2013 2014 2015 2016 2017 Assessments completed Enrolled 0% 50% 100% 7/10- 12/10 2011 2012 2013 2014 2015 2016 2017 South JC: 98376,20 East JC: 98358,39,25, 65 PT: 98368 1 8 9 7 27 31 21 418232721 79 73 76 60 0 20 40 60 80 100 7/10-12/10 2011 2012 2013 2014 2015 2016 2017 Average services provided: NFP Attempted visit NFP Completed visit per month per quarter 20 31 32 26 148 163 172 146 0 100 200 7/10-12/10 2011 2012 2013 2014 2015 2016 2017 Average total hours for services: NFP Attempted visit NFP Completed visit per month per quarter First time assessments; % resulting in enrollment: $42,121 $- $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 20 1 7 1/10th 1% Funding 2014-2017 completed visit hrs include prep + charting 0 5 10 7/10-12/10 2011 2012 2013 2014 2015 2016 2017 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 7/10-12/10 2011 2012 2013 2014 2015 2016 2017 Self Reported Past 30 Day Substance Use of Pregnant/Post-partum Clients (average # individuals): Alcohol Marijuana Tobacco Meth Other per month per quarter per month per month per quarter per quarterper quarter 2017 Annual Report 5 June update, 2018 Evaluation Data: Jumping Mouse Children's Center Average:2013 2014 2015 2016 2017 % of eligible clients covered by 1/10th funds 20% 19% 38% 34% N/A Individuals served by 1/10th of 1% funds by zip code of residence, age group, and gender: 2017 Annual 2017 Annual Any abuse / neglect: 2015 59% 2016 61% 2017 56% 4.30 4.48 0% 43% 4.04 28% Jefferson County 1/10th of 1% for Mental Health & Substance Abuse Any alternative care: Ever experience homelessness:Average # ACEs: 6 or more ACEs: Ad d i t i o n a l An n u a l D a t a : 91% 86% 80% 89% 85% 84% 24% 17% 22% 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. 11% 19% Successful completion or continuing services:Low income: 21% Jan-July 2011 32% Jan-Aug 2012 24% 0% 50% 100% 1/12- 8/12 AV/M 2013 AV/M 2014 AV/Q 2015 Annual 2016 Annual 2017 Annual 10 to 12 7 to 9 0 to 6 0% 50% 100% 1/12- 8/12 AV/M 2013 AV/M 2014 AV/Q 2015 Annual 2016 Annual 2017 Annual female male 53% 19% 42% 32% 21%32% 0 50 100 150 200 2011 AV/M 1/12-8/12 AV/M 2013 AV/M 2014 AV/Q 2015 Annual 2016 Annual 2017 Annual Inquiries completed Enrolled 0% 50% 100% 1/12- 8/12 AV/M 2013 AV/M 2014 AV/Q 2015 Annual 2016 Annual 2017 Annual Unknown Non-JC zip code South JC: 98376,20 East JC: 98358,39, 25,65 PT: 98368 0 200 400 600 800 2011 AV/M 1/12- 8/12 AV/M 2013 AV/M 2014 AV/Q 2015 AV/Q 2016 AV/Q 2017 AV/Q Average # total services provided (duplicated counts) CHILD SESSIONS PARENT SESSIONS 0200400600800100012001400 1/12- 8/12 AV/M 2013 AV/M 2014 AV/Q 2015 AV/Q 2016 AV/Q 2017 AV/Q Average # total hours for services CHILD SESSIONS (1.5 hrs av)PARENT SESSIONS 0% 20% 40% 60% 80% 100% 1/17-3/17 4/17-6/17 7/17-9/17 10/17- 12/17 2017 AV/Q Mental Health Diagnoses of Children (average % of child clients): Other PTSD Major Depression Attachment Disorder Generalized Anxiety Adjustment Disorder ADHD 30 % 38 % 65 % 36 %43 % 18 % 56 % 18 % 61 % 15 % 0% 50% 100% Current or historical Mom used during pregnancy Exposed to Substance Use (average % of child clients): (stopped reporting in 2016) 1/12-8/12 AV/M 4/13-12/13 AV/M 4/14-12/14 AV/Q 2015 Annual 2016 Annual 2017 Annual # service inquiries; % enrolled $70,125 $- $20,000 $40,000 $60,000 $80,000 20 1 1 20 1 2 20 1 3 20 1 4 20 1 5 20 1 6 20 1 7 1/10th 1% Funding Most common "other" 2017: Parent / Child Relational Problem 122 156 0 100 200 2013 2014 2015 2016 2017 Total # of Individuals Served (unduplicated) UNDUPLICATED KIDS UNDUPLICATED ADULT CAREGIVERS 0% 25% 50% single parent home foster care adoptive care kinship care Average % of child clients with history of: 1/12-8/12 AV/M 4/13-12/13 AV/M 4/14-12/14 AV/Q 2015 Annual 2016 Annual 2017 Annual 2017 Annual Report 6 June update, 2018 Jefferson County 1/10th of 1% for Mental Health & Substance Abuse Evaluation Data: School Based Health Clinic, Discovery Behavioral Health PT Chim Quil Brinnon Total PT Chim Quil Brinnon Total PT Chim Quil Brinnon PT Chim Quil Brinnon 54 86 19 --- 159 245 517 318 --- 1080 4 6 16 --- 1-17 1-33 1-46 --- 66 44 27 --- 137 229 141 372 --- 742 3 3 14 --- 1-20 1-23 1-42 --- 57 62 24 --- 143 303 386 347 --- 1036 5 6 14 --- 1-21 1-26 1-48 --- 50 58 24 --- 132 282 350 244 --- 876 6 6 10 --- 1-23 1-36 1-27 --- 77 74 29 --- 180 599 471 225 --- 1295 8 6 8 --- 1-31 1-35 1-21 --- 75 45 25 --- 145 479 431 118 --- 1028 6 10 5 --- 1-31 1-52 1-25 --- 103 54 21 14 192 628 646 172 177 1623 6 12 8 13 1-14 1-15 1-8 1-9 73 34 13 10 130 231 235 67 66 599 3 7 5 7 1-10 1-10 1-8 1-9 Visit length (min):PORT TOWNSEND CHIMACUM QUILCENE BRINNON Program Description: DBH (formerly Jefferson Mental Health Services) has mental health professionals providing direct service on site to students and their families in the Port Townsend, Chimacum, and Quilcene School Districts. In Fall 2016, DBH added Brinnon with other funding and received 1/10th 1% funding for 2017 - Brinnon data beginning in 9/2016 are included in this report. 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 sites. Unduplicated Individuals: 9/2010-6/2011 9/2011-6/2012 9/2017-12/2017 Total Visits: Average Visits/Person: Range in # Visits: 9/2012-6/2013 9/2013-6/2014 9/2014-6/2015 9/2015-6/2016 9/2016-6/2017 0 20 40 60 9/09- 12/09 1/10- 6/10 9/10- 6/11 9/11- 6/12 9/12- 6/13 9/13- 6/14 9/14- 6/15 9/15- 6/16 9/16- 6/17 9/17 10/17 11/17 12/17 9/17- 12/17 Port Townsend Chimacum Quilcene Brinnon # individuals per month (School year average and current year actual): 0 50 100 9/09- 12/09 1/10- 6/10 9/10- 6/11 9/11- 6/12 9/12- 6/13 9/13- 6/14 9/14- 6/15 9/15- 6/16 9/16- 6/17 9/17 10/17 11/17 12/17 9/17- 12/17 Port Townsend Chimacum Quilcene Brinnon # visits per month (School year average and current year actual): 0% 25% 50% 75% 100% 9/ 1 0 - 6 / 1 1 9/ 1 1 - 6 / 1 2 9/ 1 2 - 6 / 1 3 9/ 1 3 - 6 / 1 4 9/ 1 4 - 6 / 1 5 9/ 1 5 - 6 / 1 6 9/ 1 6 - 6 / 1 7 9/ 1 7 - 1 2 / 1 7 9/ 1 0 - 6 / 1 1 9/ 1 1 - 6 / 1 2 9/ 1 2 - 6 / 1 3 9/ 1 3 - 6 / 1 4 9/ 1 4 - 6 / 1 5 9/ 1 5 - 6 / 1 6 9/ 1 6 - 6 / 1 7 9/ 1 7 - 1 2 / 1 7 9/ 1 0 - 6 / 1 1 9/ 1 1 - 6 / 1 2 9/ 1 2 - 6 / 1 3 9/ 1 3 - 6 / 1 4 9/ 1 4 - 6 / 1 5 9/ 1 5 - 6 / 1 6 9/ 1 6 - 6 / 1 7 9/ 1 7 - 1 2 / 1 7 $83,248 $- $20,000 $40,000 $60,000 $80,000 $100,000 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 20 1 7 1/10th 1% Funding 9/ 1 6 - 6 / 1 7 9/ 1 7 - 1 2 / 1 7 >60 60 46-59 45 31-44 30 <30 2017 Annual Report 7 June update, 2018 Of all visits per school year, top reasons for visits are ranked for each school year: Purple = Highest, Teal = Lowest PORT TOWNSEND CHIMACUM QUILCENE Unduplicated individuals by grade and gender: PORT TOWNSEND CHIMACUM QUILCENE BRINNON Average # services provided per month by service type:Note: for all schools, groups not reported after December 2013. BRINNON 0% 25% 50% 75% 100% 0% 25% 50% 75% 100% 1/ 1 0 - 6 / 1 0 9/ 1 0 - 6 / 1 1 9/ 1 1 - 6 / 1 2 9/ 1 2 - 6 / 1 3 9/ 1 3 - 6 / 1 4 9/ 1 4 - 6 / 1 5 9/ 1 5 - 6 / 1 6 9/ 1 6 - 6 / 1 7 9/ 1 7 - 1 2 / 1 7 1/ 1 0 - 6 / 1 0 9/ 1 0 - 6 / 1 1 9/ 1 1 - 6 / 1 2 9/ 1 2 - 6 / 1 3 9/ 1 3 - 6 / 1 4 9/ 1 4 - 6 / 1 5 9/ 1 5 - 6 / 1 6 9/ 1 6 - 6 / 1 7 9/ 1 7 - 12 / 1 7 1/ 1 0 - 6 / 1 0 9/ 1 0 - 6 / 1 1 9/ 1 1 - 6 / 1 2 9/ 1 2 - 6 / 1 3 9/ 1 3 - 6 / 1 4 9/ 1 4 - 6 / 1 5 9/ 1 5 - 6 / 1 6 9/ 1 6 - 6 / 1 7 9/ 1 7 - 1 2 / 1 7 1/ 1 0 - 6 / 1 0 9/ 1 0 - 6 / 1 1 9/ 1 1 - 6 / 1 2 9/ 1 2 - 6 / 1 3 9/ 1 3 - 6 / 1 4 9/ 1 4 - 6 / 1 5 9/ 1 5 - 6 / 1 6 9/ 1 6 - 6 / 1 7 9/ 1 7 - 1 2 / 1 7 1/ 1 0 - 6 / 1 0 9/ 1 0 - 6 / 1 1 9/ 1 1 - 6 / 1 2 9/ 1 2 - 6 / 1 3 9/ 1 3 - 6 / 1 4 9/ 1 4 - 6 / 1 5 9/ 1 5 - 6 / 1 6 9/ 1 6 - 6 / 1 7 9/ 1 7 - 12 / 1 7 0 20 40 60 1/ 1 0 - 6 / 1 0 9/ 1 0 - 6 / 1 1 9/ 1 1 - 6 / 1 2 9/ 1 2 - 6 / 1 3 9/ 1 3 - 6 / 1 4 9/ 1 4 - 6 / 1 5 9/ 1 5 - 6 / 1 6 9/ 1 6 - 6 / 1 7 9/ 1 7 - 1 2 / 1 7 13-14: no data reported for 32% of visits Unknown 12th 11th 10th 6-8th 1st-5th 9/ 1 6 - 6 / 1 7 9/ 1 7 - 1 2 / 1 7 unknown female male 9/ 1 6 - 6 / 1 7 9/ 1 7 - … crisis intervention individual therapy group therapy family therapy other (work w/ SBHC, school, agencies) VISIT REASON 9/10-6/11 9/11-6/12 9/12-6/13 9/13-6/14 9/14-6/15 9/15-6/16 9/16-6/17 9/17-12/17 9/10-6/11 9/11-6/12 9/12-6/13 9/13-6/14 9/14-6/15 9/15-6/16 9/16-6/17 9/17-12/17 9/10-6/11 9/11-6/12 9/12-6/13 9/13-6/14 9/14-6/15 9/15-6/16 9/16-6/17 9/17-12/17 9/16-6/17 9/17-12/17 Abuse 8 9 14 16 16 12 17 16 15 13 17 16 16 14 15 14 15 14 13 11 14 13 16 14 11 11 Alc/Drug Prev.12 13 10 13 13 15 13 16 14 14 10 15 14 16 12 15 3 8 11 9 11 13 11 14 11 11 Anger Mgmt 9 11 8 4 10 9 7 9 5 10 6 12 8 10 6 2 14 10 8 4 6 6 7 9 6 6 Anxiety 14 7 5 3 3 8 5 5 13 5 12 7 2 9 2 4 12 10 12 2 5 2 4 5 8 4 Court Diversion 12 15 15 8 14 13 15 14 11 12 15 13 13 13 13 7 8 12 4 5 7 4 9 14 11 11 Depression 7 3 6 2 2 6 6 6 5 6 8 6 8 7 5 3 13 13 13 15 12 7 8 9 10 7 Dom. Violence 18 18 18 16 16 17 19 16 18 17 17 16 16 17 19 15 15 15 13 15 14 13 16 14 11 11 Eating/Weight 17 18 18 16 16 17 19 16 16 17 17 16 16 17 19 15 15 15 13 15 14 13 16 14 11 11 Family Problems 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 1 1 3 1 2 2 3 2 Future 5 10 9 11 11 9 12 12 9 11 10 8 10 6 10 15 5 5 10 11 12 9 6 7 5 8 Grief 16 14 12 6 8 11 11 10 3 7 9 11 11 12 11 9 9 9 4 7 9 11 11 12 11 11 Mental Health 10 12 11 13 4 2 13 16 4 9 4 9 6 5 19 15 9 7 9 11 4 13 16 14 11 11 Relationships 2 2 2 5 6 7 3 2 2 2 2 2 3 2 3 5 1 3 7 3 1 3 5 4 4 8 School 5 5 4 10 4 4 9 7 7 4 3 4 4 3 7 10 6 4 2 9 8 5 3 3 2 3 Self-Esteem 3 8 3 6 9 15 8 8 8 8 5 5 7 11 8 13 3 1 3 15 14 11 14 7 6 4 Stress 3 4 6 11 12 5 3 4 10 3 6 3 5 4 4 6 9 6 6 7 10 9 1 1 1 1 Suicide 15 16 17 13 14 13 10 10 17 15 14 14 15 14 16 12 15 15 13 11 14 13 16 6 11 11 Tobacco 19 17 16 16 16 17 19 13 19 17 16 16 16 17 17 15 15 15 13 15 14 13 11 14 11 11 MH Screen 19 18 18 16 16 17 17 16 19 17 17 16 16 17 17 15 15 15 13 15 14 13 16 14 11 11 Sub Abuse 19 18 18 16 16 17 16 14 19 17 17 16 16 17 14 11 15 15 13 15 14 13 14 9 11 11 Other 11 5 12 9 7 3 2 3 11 16 13 10 12 7 9 8 7 15 13 6 2 7 10 12 8 8 2017 Annual Report 8 June update, 2018 Jefferson County 1/10th of 1% for Mental Health & Substance Abuse 2013 2014 2015 2016 2017 Evaluation Data:Unduplicated individuals served:28 37 42 58 69 Discovery Behavioral Health, CODIT Program Individuals served by 1/10th of 1% funds by zip code, age group, and gender: Program Description: In 2016, Discovery Behavioral Health (formerly Jefferson Mental Health) began running the CODIT program on their own. Previously, JMH and Safe Harbor both ran it. 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 20 1 7 1/10th 1% Funding 22 18 14 11 12 16 16 18 0 10 20 30 20 0 9 A V / M 20 1 0 A V / M 20 1 1 A V / M 20 1 2 A V / M 20 1 3 A V / M 20 1 4 A V / M 20 1 5 A V / M 20 1 6 A V / M 1/ 1 7 2/ 1 7 3/ 1 7 4/ 1 7 5/ 1 7 6/ 1 7 7/ 1 7 8/ 1 7 9/ 1 7 10 / 1 7 11 / 1 7 12 / 1 7 20 1 7 A V / M Individuals served per month by 1/10th of 1% funds: 75%67% 50% 100% 100%100% 100% 55%28% 0 10 20 2009 AV/M 2010 AV/M 2011 AV/M 2012 AV/M 2013 AV/M 2014 AV/M 2015 AV/M 2016 AV/M 2017 AV/M Assessments completed EnrolledFirst time assessments and % resulting in enrollment: 0% 50% 100%65+ 45-64 25-44 18-24 0-17 0% 50% 100% 20 0 9 A V / M 20 1 0 A V / M 20 1 1 A V / M 20 1 2 A V / M 20 1 3 A V / M 20 1 4 A V / M 20 1 5 A V / M 20 1 6 A V / M 20 1 7 A V / M female male 0% 50% 100% 20 0 9 A V / M 20 1 0 A V / M 20 1 1 A V / M 20 1 2 A V / M 20 1 3 A V / M 20 1 4 A V / M 20 1 5 A V / M 20 1 6 A V / M 20 1 7 A V / M Non-JC zip codes South JC: 98376,20 East JC: 98358,39,25,65 PT: 98368 0 25 50 75 100 125 20 1 0 A V / M 20 1 1 A V / M 20 1 2 A V / M 20 1 3 A V / M 20 1 4 A V / M 20 1 5 A V / M 20 1 6 A V / M 20 1 7 A V / M Total services provided (duplicated counts, average/month)Case Management Seen individually 0 20 40 60 20 1 0 AV / M 20 1 1 AV / M 20 1 2 AV / M 20 1 3 AV / M 20 1 4 AV / M 20 1 5 AV / M 20 1 6 AV / M 20 1 7 AV / M Total hours for services (average/month): case management Seen individually 0 2 4 6 8 10 2009 2010 2011 2012 2013 2014 2015 2016 2017 Mental Health Diagnoses (average # individuals/month): ADHD BiPolar Dysthymia Gender Identity Anxiety Major Depression Panic Disorder PTSD Schizophrenia Other 0 5 10 15 2009 2010 2011 2012 2013 2014 2015 2016 2017 Self Reported Past 30 Day Substance Use (average # individuals/month): Alcohol Marijuana Tobacco Meth Other 8% 8% 12%13% 13% 28% 10%13%9% 0% 25% 50% 0 2 4 6 8 10 2009 AV/M 2010 AV/M 2011 AV/M 2012 AV/M 2013 AV/M 2014 AV/M 2015 AV/M 2016 AV/M 2017 AV/M % of total participants # OUT (left,drop out, jail)Reason for exiting CODIT: disappeared, dropped-out, jailed *2015, 2016, & 2017 "other" are primarily substance dependence 2017 Annual Report 9 June update, 2018 Jefferson County 1/10th of 1% for Mental Health & Substance Abuse 2016 2017 94 78 Total referrals to community services/agencies: Total DSHS Housing 2016 In jail 223 52 17 12 Post-release 25 5 4 6 2017 In jail 282 66 13 23 Post-release 45 10 2 3 43 5 62 5 9 2 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. In 2016 and 2017, DBH began providing these services in the 3rd quarter. Unduplicated individuals served: 4 5 0 73 # of individuals by zip code of residence, age group, & gender: 6 19 CD Outpatient MH Outpatient 12-step grp Medical 68%85%68%76% 0% 50% 100% 2016 Q3/Q4 AV/Q 7/17-9/17 10/17-12/17 2017 Q3/Q4 AV/Q FEMALE MALE 0 10 20 30 40 50 2016 Q3/Q4 AV/Q 7/17-9/17 10/17-12/17 2017 Q3/Q4 AV/Q Total services provided: IN JAIL: Screening IN JAIL: Case Management POST RELEASE: Case Management 0 3 6 9 2016 Q3/Q4 AV/Q 7/17-9/17 10/17-12/17 2017 Q3/Q4 AV/Q Quadrant 1 Quadrant 2 Quadrant 3 Quadrant 4 0 10 20 30 40 50 2016 Q3/Q4 AV/Q 7/17-9/17 10/17-12/17 2017 Q3/Q4 AV/Q Self Reported Past 30 Day Substance Use At Admission: Alcohol Marijuana Tobacco Meth Other $25,826 $- $5,000 $10,000 $15,000 $20,000 $25,000 $30,000 2016 2017 1/10th 1% Funding 46%54%42%48% 30%28% 20%24% 0% 50% 100%Non-JC zip code South JC: 98376,20 East JC: 98358,39,25,65 PT: 98368 56%56% 64%60% 0% 50% 100%65+ 45-65 25-44 18-24 75 39 66 53 22 5 10 8 0 20 40 60 80 2016 Q3/Q4 AV/Q 7/17-9/17 10/17-12/17 2017 Q3/Q4 AV/Q # inividuals with completed screening # individuals served post release # individuals served: 21%27% 28% 50% 50% 50% 26%24% 34%24%21%40% 0% 25% 50% 75% 100% Prior to Jail Plan Post Release Served Post Release Prior to Jail Plan Post Release Served Post Release 2016 Q4 2017 Q4 Unknown Unsheltered Car/tent/Rv/hotel/motel Doubled up/Couch surfing Shelter/transitional Rent/own HOUSING STATUS: Q4 First Full Data Quarter 30%28% 67%70% 39%62% 18%10% 0% 25% 50% 75% 100% Prior to Jail Served Post Release Prior to Jail Served Post Release 2016 Q4 2017 Q4 Unknown Employed work part time Employed work full time Unemployed, seeking work Not in the work force EMPLOYMENT STATUS: Q4 First Full Data Quarter 90% 100%68%90% 0% 25% 50% 75% 100% Prior to Jail Served Post Release Prior to Jail Served Post Release 2016 Q4 2017 Q4 Unknown Other Uninsured Medicare Medicaid Private insurance INSURANCE STATUS: 51 64 87 75 40 39 90 65 51 52 160 106 0% 25% 50% 75% 100% 2016 Q3/Q4 AV/Q 7/17-9/17 10/17-12/17 2017 Q3/Q4 AV/Q Documentation Travel 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: GAIN Short Screener Results: Identifying Behavioral Health Disorders Higher quadrant means more likely to have diagnoses and need services 2017 Annual Report 10 June update, 2018 Jefferson County 1/10th of 1% for Mental Health & Substance Abuse Evaluation Data: Therapeutic Courts Actual spent $15,000 $15,000 $5,754 $15,801 $15,508 $5,799 $40,198 $39,852 $11,279 Individuals served (unduplicated) 32 57 3 38 60 7 31 54 4 Graduates 2 12 1 5 16 2 6 12 0 Children reunited n/a n/a 2 n/a n/a 3 0 0 0 Discharges 5 11 0 2 13 1 12 24 0 Average Individuals served/quarter n/a n/a n/a 24 35 4 21 28 5 Participant zip code of residence:32 61 3 24 35 4 21 28 5 98368 11 23 2 15 25 3 13 12 3 98358 1 1 0 0.5 0 0.3 1 0 0 98339 4 12 1 5 6 0.3 2 8 2 98325 4 4 0 2 1 0 1 2 0 98365 1 0 0 1 1 0 1 1 0 98376 5 5 0 0 1 0 1 4 0 98320 0 2 0 0.3 1 0 1 1 0 Other 3 4 0 0 1 0 1 3 0 transient 3 0 0 0 0 0 0 0 0 non-Jefferson 0 4 0 1 1 0.5 0 0 0 Unknown 0 6 0 0.3 0.3 0.3 1 0 0 PT: 98368 34% 40% 67% 62% 70% 69% 62% 43% 60% East JC: 98358,39,25,65 31% 30% 33% 33% 22% 14% 24% 39% 40% South JC: 98376,20 16% 12% 0% 1% 5% 0% 10% 18% 0% Non-JC zip code 9% 7% 0% 3% 3% 11% 0% 0% 0% Transient 9% 0% 0% 0% 0% 0% 0% 0% 0% Unknown 0% 11% 0% 1% 1% 6% 5% 0% 0% Participant Age: 0-17 0% 0% 0% 0% 0% 0% 0% 0% 0% 18-24 9% 28% 0% 5% 29% 25% 15% 14% 0% 25-44 41% 53% 33% 54% 60% 35% 50% 75% 60% 45-64 47% 19% 67% 38% 13% 40% 30% 7% 40% 65+ 3% 0% 0% 4% 0% 0% 5% 4% 0% Participant Gender: male 56% 72% 0% 45% 77% 5% 50% 79% 0% female 44%28%100%56%26%95%50%21%100% # Hours by Activity Type:2016 AV/Q 2016 Q3/4 AV 2016 Q4 2017 AV/Q 2017 AV/Q 2017 AV/Q Client Supervision/ Case Mgmt 35 21 9 N/A 43 22 Court Time 32 38 22 N/A 38 26 Administration 23 44 15 N/A 68 15 2017 Mental Health Court Drug Court Family Therapeutic Court 2017 AV/QTR 2016 Mental Health Court Drug Court Family Therapeutic Court 2015 Mental Health Court Drug Court Family Therapeutic Court 2016 AV/QTR2015 TOTAL 2016 AV/QTR 2017 AV/QTR 2015 TOTAL 2016 AV/QTR 2017 AV/QTR 2015 TOTAL 0% 25% 50% 75% 100% MH Drug FT MH Drug FT MH Drug FT 2015 TOTAL 2016 AV/QTR 2017 AV/QTR female male 0% 25% 50% 75% 100% MH Drug FT MH Drug FT MH Drug FT 2015 TOTAL 2016 AV/QTR 2017 AV/QTR Unknown Transient Non-JC zip code South JC: 98376,20 East JC: 98358,39,25,65PT: 98368 0% 25% 50% 75% 100% MH Drug FT MH Drug FT MH Drug FT 2015 TOTAL 2016 AV/QTR 2017 AV/QTR 65+ 45-64 25-44 18-24 0-17 32 38 31 57 60 54 3 7 4 2015 2016 2017 Unduplicated Individuals Served Mental Health Court Drug Court Family Therapeutic Court 2017 Annual Report 11 June update, 2018 Jefferson County 1/10th of 1% for Mental Health & Substance Abuse Evaluation Data: Therapeutic Courts MENTAL HEALTH COURT PARTICIPANTS ONLY: Mental Health Diagnoses:2015 Total 2016 AV/Q 2017 AV/Q ADHD 9% 0% 0% BiPolar 41% 18% 18% Delusional Disorder n/a 9% 3% Dysthymia 3% 0% 0% Generalized Anxiety 6% 1% 6% Major Depression 34% 36% 15% Panic Disorder 13% 1% 3% PTSD 38% 18% 18% Schizophrenia/ Schizoaffective 19% 13% 24% Substance Use Disorder 22% 0% 3% Acute Stress Disorder 1% Borderline Personality Disorder 0% Other 13% 0% 6% Unknown 0% 4% 3% DRUG & FAMILY THERAPEUTIC COURT PARTICIPANTS ONLY: 2016 AV/Q Drug Court Drug Court FT Court Participant Outcomes participants with 0 sanctions 73% 75% 100% participants on warrant status 43%42%0% participants with no + UA 42% 46% 75% Warrants Issued 16% 0% 2017 AV/Q 41 % 34 % 13 % 38 % 19 % 22 % 13 % 18 % 36 % 1% 18 % 13 % 18 % 15 % 3% 18 % 24 % 3% 6% Bi P o l a r Ma j o r D e p r e s s i o n Pa n i c D i s o r d e r PT S D Sc h i z o p h r e n i a / Sc h i z o a f f e c t i v e Su b s t a n c e U s e Di s o r d e r Ot h e r Mental Health Diagnoses:2015 Total 2016 AV/Q 2017 AV/Q 73%75% 100% 43%42% 0% 42%46% 75% Drug Court Drug Court FT Court 2016 AV/Q 2017 AV/Q Participant Outcomes: Drug & Family Therapeutic Court participants with 0 sanctions participants on warrant status participants with no + UA Q4 2017 Annual Report 12 June update, 2018 Jefferson County 1/10th of 1% Evaluation 2017 ANNUAL OUTCOMES- Additional available outcomes did not have data for 2017 Continuum Vendor & Program SMART Objective Type of Measure Num Den Result Early Interv.JCPH NFP % of participants remain in the program (NFP report retention rate)Med/long term 21 30 70% Early Interv.JCPH NFP % of participants referred to MH treatment are engaged in services Med/long term 9 15 60% Early Interv. JCPH NFP % of participants referred to substance abuse treatment (alcohol or drug) are engaged in services Med/long term 1 2 50% Early Interv.JCPH NFP Average score for participant overall satisfaction with NFP program (scale 1-10)Satisfaction ------9.5 Early Interv. JCPH NFP % of participants who agree or strongly agree that emotional health has improved since started working with PHN Emotional health 8 10 80% Early Interv. JCPH NFP % of participants who agree or strongly agree they are more confident they can reduce/eliminate tobacco use since started working with PHN Behavior change 3 4 75% Early Interv. JCPH NFP % of participants who agree or strongly agree they are more confident they can reduce/eliminate alcohol or other drug use since started working with PHN Behavior change 2 3 67% Early Interv. JCPH NFP % of participants who agree or strongly agree they are better able to set and achieve goals since started working with PHN Behavior change 8 10 80% Early Interv. JCPH NFP % of participants who agree or strongly agree they are better able to access community resources since started working with PHN Behavior change 9 10 90% Early Interv. JCPH NFP % of participants who agree or strongly agree they are better prepared to parent new baby since started working with PHN Behavior change 10 10 100% Early Interv.Jumping Mouse 90% of children served successfully participate in therapy Med/long term 104 122 85% Early Interv.Jumping Mouse 80% of parents served successfully develop intended skills/behaviors of program Med/long term 141 156 90% Early Interv.Jumping Mouse 88% of participants report program has helped them improve parenting skills (4 or 5) (scale 1-5) Satisfaction 21 24 88% Early Interv.Jumping Mouse 88% of participants report program has helped them reach goals for family and self (4 or 5) (scale 1-5) Satisfaction 21 24 88% Early Interv.DBH SBHC 80% of participants rating 8+ on Miller Session Rating Scale: Relationship (scale 1-10)Satisfaction 551 616 89% Early Interv.DBH SBHC 80% of participants rating 8+ on Miller Session Rating Scale: Goals and Topics (scale 1-10)Satisfaction 504 616 82% Early Interv.DBH SBHC 80% of participants rating 8+ on Miller Session Rating Scale: Approach or Method (scale 1-10)Satisfaction 534 616 87% Early Interv.DBH SBHC 80% of participants rating 8+ on Miller Session Rating Scale: Overall (scale 1-10)Satisfaction 536 619 87% Jail/Courts Drug Court % of participants who decrease drug use (quarterly average number with no positive UAs) Med/long term 41 54 75% Jail/Courts FT Court % of participants who decrease drug use (quarterly average number with no positive UAs) Med/long term 3 4 75% 2017 Annual Report 13 June update, 2018