HomeMy WebLinkAbout2020-09-01 BHAC MINUTES1
Behavioral Health Advisory Committee
(Mental Health-Substance Use Disorders)
Meeting Minutes
Tuesday, September 1, 2020
3:00-5:00 PM
FINAL
I. Call to Order/ Introductions: Called to Order by Greg Brotherton
Board Members: X Greg Brotherton-Chair
X Ariel Speser-Vice Chair
X Chris Ashcraft
X Patricia Beathard
X Jill Buhler-Rienstra
X Anne Dean
X David Fortino
X Patrick Johnson
X Sheila Westerman
Staff: Anna Mc Enery, Vicki Kirkpatrick & Veronica Shaw
Guests: Lori Fleming, Brian Gleason, Jim Novelli, Julie Canterbury, Jolene Kron, Leah
Russell, Jud Haynes, Brian Richardson, Gabbie Caudill, Mark Mc Cauley, Yuko Umeda,
Apple Martine, Ford Kessler, Miranda Burger & Whitney Friddle
II. Approval of the draft agenda of September 3, 2020: Member Buhler-Reinstra (M)/
Member Fortino (S)/ Approved with no changes.
III. Review and adoption of the draft minutes of July 7, 2020: Postponed until the
September 1st meeting.
IV. Public Comments: Miranda Burger from Olympic Community of Health posted a
resource link in the chat. https://www.olympicch.org/savealifecampaign
Brian Gleason shared they have five Behavioral Health Therapeutic Court graduations,
that are coming up between now and November 17th. Staff Mc Enery will forward his
emails.
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V. BUDGET: Staff Shaw shared the budget tracking spreadsheet and her sales tax
projections for the 1/10th of 1% sales tax. She is projecting that revenue for all of 2020
will be $535,269 and is estimating a 10% reduction in revenue, which is down from her
last projection of a 17% reduction. We have an operating budget of $629,906 for
expenditures and Staff Shaw is projecting we will spend $597,732 by the year.
Staff Shaw said it’s difficult to project how much funding should be released for the next
two year RFP, because right now we don’t know what sales tax revenue will do and if
COVID will have another surge. We should know more after we see actual tax revenues
in September.
Please see the attachment called 131 Fund Summary-(1/10th of 1% Fund) for additional
details.
Anna-Fund
131b.xlsm VI. PRESENTATIONS:
Presentation on the Public Health Summary of Physical & Behavioral Health Impacts/
with the COVID-19 Pandemic/ Jolene Krone- Deputy Administrator-Salish ASO
• Jolene shared that this presentation is about behavioral health issues in connection to
natural disasters, like COVID.
• The areas of impact are below.
• Increase in Domestic Violence
• Increase in Child Abuse
• Increase in Criminal Offenses
• Increase in Substance Use
• Increase in Inpatient Psychiatric Care
• Increase in Housing Instability
• Increase in Economic Instability
• Decrease is access to supports
• The Department of Health, (DOH) forecast suggests the peak of behavioral health
impacts will likely occur six to nine months post initial outbreak, likely this Fall and
Winter. DOH says this is the key time for sharing prevention information and behavioral
health resources. (October to December)
• Heading into the fall months of 2020, the behavioral health outcomes from COVID-19
can be related to experiences of social isolation, fears of the unknowns, and stress and
pressure related to the balance of childcare and work.
• Suicide and drug overdose rates are both highly influenced by unemployment. For each
1% increase in unemployment, there is a corresponding 1.6% increase in suicide rates
and an increase of one drug overdoses per 300,000 in Washington.
• In Washington, approximately, 1,231 people die from suicide annually and 1,173 people
die from drug overdoses annually.
• Rates of depression are likely to be much higher (potentially 30-60% of the general
population) due to chronic social and economic disruption.
Please see the attachment for additional details.
JeffCo BHAB COVID
Slides.pptx
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VII. STAFF UPDATES:
a. Washington State Residential Substance Abuse Treatment (RSAT) Jail-Based
Program and Aftercare Services Grant for Jefferson County - /David Fortino
Staff Mc Enery shared that she came across this grant from the Washington State Health
Care Authority, (HCA) Division of Behavioral Health and Recovery (DBHR) to
implement residential, jail-based, and/or aftercare treatment for incarcerated individuals.
(This Residential Substance Abuse Treatment Grant (RSAT) is provided through the
Department of Justice (DOJ), Office of Justice Programs (OJP) and Bureau of Justice
Assistance (BJA).
A team consisting of Staff Mc Enery, Gabbie Caudill, David Fortino and Sheriff Nole
met a number of times to write the grant. Jefferson County was one of four Counties
chosen for this grant. The total grant is $200,000 and the time frame should be between
October 1, 2020 and September 30, 2021 with optional extensions.
David Fortino said the jail is excited about this opportunity because inpatient treatment
for incarcerated individuals can be challenging. Being able to provide this service in
house and with a community partner is wonderful. The intent is to run this program
parallel with any other program the inmate is participating in. It’s a 90-day program, with
hopefully 30 days of inpatient.
David shared that Snohomish County has a number of progressive services in their jail
and the RSAT Program has worked very well for them. They are currently the only jail in
the State that has had a program like this.
Gabbie Caudill said she is also very excited about this program because many
incarcerated individuals don’t ever have the opportunity for to go to treatment. She is
buying new curriculum for individuals who are involved with the criminal justice system.
Member Buhler-Reinstra congratulated the team for applying and receiving this grant.
Please see the attachment for further details.
Residential
Substance Abuse Treatment_ Request for Information.pdf
b DOH-Health Support Team/Resiliency Workshop for Direct Service/Professional
Staff- The COVID-19 pandemic has caused significant individual and organizational
strain. To help address this issue, Public Health is encouraging organizations to
participate in this Workplace Resiliency Training opportunity. The training aims to help
develop the adaptive resiliency skills, necessary to train others in your respective
organization.
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The Washington COVID-19 Behavioral Health Group will be facilitating this virtual
training at no cost to those who attend. The training lasts 3 hours; we would like for
Jefferson County participants to reserve the date of Friday, December 11, so we can
network.
Please see the attachment for details.
HST Training
Announcement 2020.pdf
VIII. DISCUSSION ITEMS:
a. Intergovernmental Coordinating Committee (lCC)- COVID-19 Recovery
and Resiliency Groups Update/ City Council Member Speser &
Commissioner Brotherton
The info below is from the website https://www.jeffcotogether.net and the Jefferson
County website.
The Intergovernmental Collaborative Committee (ICC) consists of eight members
including an elected official and the chief appointed executive from each of the four
governments, (Jefferson County, the City of Port Townsend, the Port of Port Townsend
and Jefferson County PUD).
The ICC is collaborating with six community-based groups to draft a COVID-19
Recovery and Resilience Plan that will include COVID funding for community projects.
The six community groups are Human Services, Children and Family, Broadband, Food
Resiliency, Culture and Events & Jobs and Economy.
The ICC wants to receive community group recommendations for recovery resiliency
plans, strategies, actions and proposals for review and inclusion into a Consolidated
Recovery and Resiliency Plan by the ICC. The ICC will send their plan, (with funding
recommendations) to the ICG for adoption. Jefferson County received $452,000 from
the Cares bill; after $125,000 was given to the EDC for micro grants, there was
$327,000 left to fund proposals from the community groups The funding must be used
by the end of October of 2020. (There should be a second round of COVID funding
coming into our community.)
b. Criteria/Eligibility for the 1/10th of 1% Sales Tax Funding.
Staff Mc Enery recommended adding the language, (see below) from Kitsap County about
Evidence Based Vs Promising, Best or Innovative Practices to the Jefferson County 1/10th of 1%
RFP. Staff Mc Enery said this language will not eliminate potential Vendors from applying who
are a promising or innovative practice. We are just asking for a robust evaluation process.
Member Johnson recommended having some technical assistance for Vendors about Evidence
Based Vs Promising, Best or Innovative Practices. Staff Mc Enery said is a good idea and that
there is a lot of info on the web. The Committee supported adding this language to the RFP.
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Evidence-Based Programs:
The Kitsap County Citizens Advisory Committee (CAC) is committed to supporting programs
and organizations who use Evidence-Based Programs (EBP) that have been accepted in the field
of mental health, chemical dependency and therapeutic courts and demonstrate fidelity to
evidence-based standards.
Promising Programs and Best Practice Programs include services, strategies, activities, or
approaches that have some scientific research or data showing positive outcomes in delaying an
untoward outcome, but do not have enough evidence to support generalizable conclusions.
Innovative Programs introduce new ideas, methods and concepts that have not yet been
researched. Promising, Best Practice and Innovative Programs will be considered for funding,
but must include a robust evaluation process. Preference will be given to evidence-based
programs that maintain fidelity.
Below is the Narrative Questions Vendors have to answer:
1. Evidence-Based, Promising, Best, or Innovative Practices (500 words)
What evidence-based, promising, best or innovative practice(s) will you use to serve
your target population?
Please describe:
Practice’s target population demographics: age, sex, race/ethnicity, and disorder type
Practice’s demonstrated, measurable outcomes;
Research support for the practice;
Links to online documents or web pages that provide details.
Promising, best, and innovative practices will be considered for funding, but must
include a robust evaluation process. Preference will be given to evidence-based
programs that demonstrate fidelity based on project data for fidelity measures.
And then this is the language in the reviewer's scoring form:
B. Evidence-Based, Promising, Best or Innovative Practices: Identifies practices and
includes a robust evaluation process.
0 = No mention of selected practice.
1 = Listed selected practice but did not provide evaluation outcomes.
5 = Listed the practice, provided evidence of outcomes, but did not include a robust
evaluation process.
10 = Detailed description of Evidence-Based or Promising Practice, demonstrates the
relationship between the practice and the target population, and includes a robust
evaluation process that includes fidelity measures.
DISCUSSION ITEMS: continued
c. How much should we budget for the next RFP?
d. When should the next RFP be released?
The Committee decided to hold off on this decision until we see what the sales tax
revenue does and the Committee decided to have a special meeting in October.
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IX. VENDOR REPORTS:
a. Believe in Recovery- Jail SUD Assessment Program
Gabbie Caudill shared about her program. Her numbers are down a bit because there are
less bookings due to COVID. Last year she assessed 136 inmates, of those inmates, 76
went to inpatient and 13 inmates did outpatient. She referred 104 inmates to MAT
treatment and 92 followed up.
Most of the inmates assessed were men and she was able to teach 134 inmates relapse
prevention classes. Gabbie also does case management services for inmates. A few
examples are: helping inmates get medical insurance, clothing, access to housing and
providing transportation to treatment.
b. PT Police-Navigator Program- Please see the attachment for details.
NavigatorQ3report.
pptx c. Drug Court & Family Therapeutic Court-Rescheduled
a. Public Comments:
b.Adjournment of Meeting: The meeting was adjouned.
Future Agenda Items:
a. 1/10th of 1% RFP Funding- 2020-2021
b. One-Tenth Online (OTO) Data Platform Update/ Amanda Tjemsland
c. 1/10th of 1% Fund-Evaluation & Data Report-2019/ Amanda Tjemsland
d. Law Enforcement Assisted Diversion (LEAD) Workshop Update/Ariel Speser
e. Island County Behavioral Health Outreach Program Presentation
Next Regular BH Advisory Committee MTG- Tuesday, November 3, 2020