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Mental Health and Substance Abuse Advisory Committee
Meeting Minutes - FINAL
April 3, 2018
3:00-5:00 PM
I. Call to Order/ Introductions: Called to Order by Kathleen Kler tomorrow
Board Members:
X Kathleen Kler
X Jill Buhler
ABSENT Anne Dean
X Mike Evans
X Sheila Westerman
X Steve Workman
Staff: Anna Mc Enery & Veronica Shaw
Guests: Kris Becker, Kitty Knapp, Selena Sena-Hopkins, Sue Ehrlich, Jessica McKinnon, Philip Ramunno,
Siri Kushner, Dave Stanko and David Turtino
II. Approval of the Agenda: Jill (M)/ Sheila (S)/Approved with no change
III. Review and adoption of the minutes of January 30, 2018: Sheila(M)/Jill (S)/Approved with no changes.
IV. Public Comments: Sheriff Stanko introduced the new Jefferson County, Jail Superintendent, David Turtino.
V. Budget Tracking Spreadsheet: Veronica shared a spreadsheet on the 1/10th of 1% fund and she reported
on the projected numbers. She shared that there is $330,703 cash on hand and that to note the
spreadsheet has been updated so that the budgeted amount is on the left side.
VI. 2017 Annual Data Presentation: Philip Ramunno, (a new Epidemiologist working with Siri Kushner),
walked us through the Jefferson County 1/10th of 1% data for 2017. He shared the summary is on the first
four pages and the last page is outcome data. The text in red means they are waiting on the data from the
Vendors and text in yellow means unknown data.
Some of the highlights are as follows:
Nurse Family Partnership Program:
The unduplicated number of families served in 2017 was 30. The 1/10th of 1% funding covers 2
families in the NFP Program.
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 each quarter, 60 visits were completed, another 4 were attempted.
The most common mental health diagnosis among women served is major depression and anxiety.
Jumping Mouse Children’s Program:
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).
The most common mental health diagnoses among children served are generalized anxiety (27%)
and adjustment disorder (9.5%).
61% of children served were or are currently exposed to household substance use; 15% were
exposed during pregnancy.
Average # Adverse Childhood Experiences: 4 6 or more ACEs: 28%
85% of children served either successfully completed or are continuing services.
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School based Mental Health:
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.
SBHC MH service utilization by gender varies, with Port Townsend seeing notably more females
(63%) and Brinnon seeing notably more males (70%).
School based mental health 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) elementary,
middle and high school students.
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.
DBH-CODIT Program:
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 program provides individual sessions, case management and other services.
The most common mental health diagnoses among CODIT participants are major depression and
schizophrenia / schizoaffective disorder.
The most commonly reported substances used are alcohol, marijuana, methamphetamines, and
tobacco.
Jail Inmate Program:
78 unduplicated individuals were served from July-Dec 2017; 66 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.
95% have known mental health; 90% have known substance use.
301 referrals to community services/agencies were made to individuals served in jail; 45 referrals
to those served post-release.
Mental Health Court:
31 individuals served in 2017, down from 38 in 2016; 6 graduates and 12 discharges.
In 2017, 59% of participants are from the 98368 zip code; 24% are from 98358/98339/98325/98365.
About half of participants are age 25-44, another 27% age 45-64; 45% are male.
Almost all participants have co-occurring mental health and substance use disorders; the most common
mental health diagnoses are schizophrenia / schizoaffective disorder and major depression.
Family Therapeutic Court:
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.
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.
Adult Drug Court:
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.
75% of participants had no sanctions in 2017; 42% of participants were on warrant status at some
point in 2017.
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.
A question was asked if we could add ACES data to the other service/program categories. Philip said he
would get back to staff about this.
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VII. DBH Supplemental Request: Mike Evans disclosed that he is on the Board of DBH. Jill Buhler said the
CEO at the Hospital is also on the DBH Board. Sue Ehrlich spoke about why DBH is requesting
supplemental funding. When DBH wrote the RFP application for the 1/10th of 1% funding, the Finance
Director, (who has since left DBH) did not put in fully loaded rates for salaries into the budget. The new
Finance team at DBH found the issue.
Committee members discussed the need for DBH to present detailed information on actual costs in order to
make an informed decision about supplemental funding. Mike made a motion, that DBH continue to provide
services (mental health services in the schools, the jail, CODIT program and transitional housing) at the
current funding level, but DBH will bring a detailed supplemental budget request to the next MH/SA Advisory
Committee meeting scheduled for June 5th. Jill seconded the motion and it passed.
VIII. Update on Committee Representation: Anna sent out a letter signed by Kathleen Kler requesting
Committee representation from the following sectors: School Boards, Hospital Commission, City Council,
and BHO Advisory Board. Anna is continuing to communicate with the Superintendents from each School
District and the City of Port Townsend about representation. She also reached out to Ford Kessler about the
need for a representative from the recovery community.
IX. MH/SA Ad-hoc Committee needed/ Biennial RFP Review: Kathleen shared that the BOCC is moving the
County towards a biennial budget. Sheila said the Committee should consider putting out a two year RFP,
as there is not enough staff time to put it out every year and it would save the providers time too.
X. Behavioral Health Organization Update: Chair Kathleen Kler shared that Anders Edgerton is retiring at
the end of September 2018. Kathleen shared that the Federal government is promising funds to deal with
the opioid epidemic. There has been a push for Medically Assisted Treatment at the Hospital and BHO
funding will provide training for Doctors.
XI. Public Comments: No public comments.
Future Agenda Items:
2017 Data Report-Part 2/Siri Kushner
MH/SA Advisory Ad-hoc Committee Update
CJTA Funding Update
Next meeting: June 5, 2018