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HomeMy WebLinkAbout1-10th 1% Eval Data 2018_Report_2013 2014 2015 2016 2017 2018 54 66 58 62 60 64 Jumping Mouse Caregivers 103 174 179 152 156 169 Jumping Mouse Kids 73 113 137 125 122 124 Jumping Mouse Brinnon Caregivers --- --- --- --- --- 4 Jumping Mouse Brinnon Kids --- --- --- --- --- 4 132 180 145 192 243 187 Treatment 28 37 43 58 69 75 268 N/A N/A 94 78 85 --- --- 32 38 31 33 --- --- 57 60 54 52 --- --- 3 7 4 5 --- --- --- --- --- 5 --- --- --- --- --- 12 --- --- --- --- --- 6 658 570 654 788 817 825 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. Purple and blue text denotes increases and decreases from 2017 (except where noted), respectively. ANNUAL COUNT OF UNDUPLICATED INDIVIDUALS SERVED (not available prior to 2013) Note: Some individuals may have been served by more than one funded program. ~started reporting in 2018 ~started reporting in 2018 Jefferson County One Tenth of One Percent Tax Fund Evaluation 2018 Annual Report *two individuals per family ~started reporting in 2018 ~started reporting in 2018 ~started reporting in 2018 EARLY INTERVENTION JAIL / COURTS Family Therapeutic Court~ ^^14-15 no data; 16-17 DBH contracts started Q3 ***data: 13-14, 14-15, 15-16; 16-17; 17-18; 18-19 Nurse Family Partnership* SBHC*** OlyCAP DBH Transitional Total: Housing CODIT Jail^^ Behavioral Health Court~ Drug Court~ Family Functional Therapy ~started reporting in 2015 ~started reporting in 2015 ~started reporting in 2015 64 169 124 4 4 187 75 85 33 52 5 5 12 6 0 50 100 150 200 250 300 Caregivers Kids Caregivers Kids Nurse Family Partnership* Jumping Mouse Jumping Mouse Jumping Mouse Brinnon Jumping Mouse Brinnon SBHC*** CODIT Jail^^ Behavioral Health Court~ Drug Court~ Family Therapeutic Court~ Family Functional Therapy OlyCAP DBH Transitional EARLY INTERVENTION Treatment JAIL / COURTS Housing Unduplicated Number of Individuals Served by Jefferson County 1/10th of 1% Recipient 2013 2014 2015 2016 2017 2018 2018 Annual Report 1 November, 2019 - 47% participate for at least 6 months, a 18% decrease from 2017. - Consistent with previous years, the majority of mothers are 2018 Annual Participant Data:Low income: 81%Ever experienced homelessness: 0% (some data not collected) Any abuse/neglect: 50%Average # Adverse Childhood Experiences: 3.88 6 or more ACEs: 29% - The most common mental health diagnoses among women served are unchanged, anxiety and then major depression. - 90% of children served either successfully completed or are continuing services, an increase of 5% from 2017 (85%). - 61% of children served were or are currently exposed to household substance use; 15% were exposed during pregnancy. - Most common mental health diagnoses for served children are generalized anxiety (42%) and adjustment disorder (19%). - The unduplicated number of adult caregivers served in 2018 was 169, a 8% increase from 2017 (156). - The unduplicated number of children served in 2018 was 125, a slight increase from 2017 (122). Jumping Mouse Children's Center SUMMARY 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 through 2018, unduplicated annual data are reported for several measures. Nurse Family Partnership (NFP) - Jefferson County Public Health SUMMARY 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. age 18-24. However in 2018, there were notably fewer age 25-44 than last year but more in line with historical trends. - In 2018, on average 1/3rd of participants are from South Jefferson, East Jefferson, and Port Townsend (decreasing). - In 2018, on average each quarter, 109 visits were completed (82% more than 2017), another 5 were attempted. - There were 112 service inquiries in 2018, up from 105 in 2017; approximately 1 in 3 children are enrolled right away. - 73% of children served are from the 98368 ZIPcode, 41% are ages 7 to 9 (decrease from 2017), and 58% are male. - The unduplicated number of families served in 2018 was 32, approximately the same as 2017 (30). - The average number of individuals participating per quarter has increased from 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 7 have a history of alternative care (primary caregiver not a biological parent): 5% foster care, 4% adoptive care, and 5% kinship care (categories are not mutually exclusive). 16 17 21 20 22 25 23 20 21 23 28 26 25 0 30 7/10- 12/10 11 12 13 14 15 16 17 Q1 Q2 Q3 Q4 18 Individuals served: 1/10th of 1% funds 13% of the NFP budget, the cost for 4 families per month per quarter 73 113 137 125 122 124 103 174 179 152 156 169 0 100 200 2013 2014 2015 2016 2017 2018 Total # of Individuals Served UNDUPLICATED KIDS UNDUPLICATED ADULT CAREGIVERS 2018 Annual Report 2 November, 2019 - The most commonly reported substances used in order are alcohol, marijuana, methamphetamines, and tobacco. - The most common visit reason identified either student or clinician at Port Townsend and Chimacum nearly every year has been family problems and was in 2018-19 at Brinnon; and in 2017-18 at Quilcene (2018-19 too) and Brinnon it was stress. - At least 63% of visits each school are for 30 minutes or less. Visits are shortest at Chimacum and longest at Brinnon. - SBHC MH service utilization by gender varies, with Port Townsend seeing notably more females (66%) and Brinnon seeing notably more males (56%). SBHC MH service utilization rates in 2018-19 were 8% at PT, 9% at Chimacum, 9% at Quilcene, and 35% at Brinnon. All schools except Brinnon (no high school) service elementary, middle and high school students. - In 2018-19, Brinnon had the highest number of visits per clinic day (6.7), then Port Townsend (5.6), Chimacum (3.7), and Quilcene (3.6). - The unduplicated number of individuals served in 2018 is 75, up from 69 in 2017. 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. Discovery Behavioral Health, CODIT Program SUMMARY - The most common mental health diagnoses among CODIT participants are major depression and PTSD, followed by schizophrenia / schizoaffective disorder. School Based Health Clinic, Discovery Behavioral Health SUMMARY - The 2017-18 school year had the highest number of students served (243 with 1,355 visits); in 2018-2019, 187 students were served at the four SBHCs by mental health professionals in 1,066 visits. Program Description: DBH (formerly Jefferson Mental Health Services) had 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 9/2016 are included in this report. In the fall of 2018, MCS Counseling took over providing these services from DBH. 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. Please note that non-1/10th funded services for an additional day of service at Brinnon are included. - In 2018, 86% of those served were male (an increase from 2017) and two-thirds came from the 98368 ZIP code (a decrease from 2017), age distributions were similar. - The average number of individuals participating in CODIT each month increased in 2018 96% from 2017. - The program provides individual sessions, case management and other services. 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 1-9 106 110 17 10 243 584 598 94 79 1355 6 5 6 8 1-14 1-10 0-8 0-9 110 50 17 10 187 569 178 79 240 1066 5 4 5 24 Unduplicated Individuals: 9/2010-6/2011 9/2011-6/2012 9/2017-6/2018 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 9/2018-6/2019 22 18 14 11 12 16 16 18 52 0 15 30 45 60 2009 AV/M2010 AV/M2011 AV/M2012 AV/M2013 AV/M2014 AV/M2015 AV/M2016 AV/M2017 AV/M2018 AV/MIndividuals served by 1/10th of 1% funds: 2018 Annual Report 3 November, 2019 Discovery Behavioral Health, JAIL Program SUMMARY - 52 individuals served in 2018, down from 54 in 2017; 6 graduates and 5 discharges. In 2018, 45% of parMcipants are from the 98368 ZIP code and 34% are from 98339. - 79% of participants are age 25-44, another 12% are age 18-24; 71% are male. - 24% of participants were free of positive UA results on average. - 33 individuals served in 2018, up from 31 in 2017; 10 graduates and 5 discharges. - In 2018, 54% of participants were from the 98368 ZIP code; 32% are from 98358/98339/98325/98365. - 63% of participants were age 25-44, another 32% are age 45-64; 47% are male. - The most common mental health diagnosis was PTSD (28%) and then schizophrenia / schizoaffective disorder (11%), major depression (9%) and Bipolar disorder (9%). 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. - 683 referrals to community services were made to individuals served in jail; 145 referrals to those served post-release. - 63% have known mental health; 77% have known substance use. - 141 unduplicated individuals served in 2018, up from 78 in 2017. - 61% of participants were sanction free and 4% of participants were on warrant status on average. - Four-fifths (81%) of those screened were from the 98368 ZIP code, the majority are age 25-44 (62%) and male (75%). - Prior to jail: 46% individuals reported renting/owning their own home; 30% reported having full or part time work; and 75% reported having Medicaid insurance. Drug Court - reporting started for 2015 - SUMMARY Behavioral Health Court - reporting started for 2015 - SUMMARY - 233 individuals completed screening, 61 were served post-release. The Jefferson County Behavioral Health Court (BHC) 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 BHC 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 months to complete. 75 53 78 22 8 20 0 20 40 60 80 100 2016 Q3/Q4 AV/Q 2017 Q3/Q4 AV/Q 2018 AV/Q # inividuals with completed screening # individuals served: 32 38 31 33 57 60 54 52 3 7 4 5 2015 2016 2017 2018 Unduplicated Individuals Served: Behavioral Health Court Drug Court Family Therapeutic Court JC Juv. & Family Court 2018 Annual Report 4 November, 2019 - 1 individual discharged to permanent housing, 1 to jail, 1 refused services, 1 was classified as "other" in 2018. - In 2018, 100% of participants were from the 98368 ZIP code, 55% were 25-44, 27% 45-64, and 18% 65+, and 80% were female. - 10 individuals discharged to permanent housing, 3 relapsed (MH/SUD), 2 were lost, and 3 were classified as "other" in 2018. - 4 children and 4 adult caregivers were served in 2018. Family Functional Therapy - reporting started for 2018 - SUMMARY In 2018, 100% of parMcipants are from the 98368 ZIP code. - 18 WARNS assessments yielded 3 referrals to the program, all of which resulted in enrolled children. - 100% of participants are age 0-18, 89% are male. - 5 individuals served in 2018. - All 4 participants remained in services at the conclusion of 2018. - Through 1/10th of 1% Funding, JMCC supports an additional four children weekly in long-term therapy and provides support and education for the parents/caregivers and teachers/staff of these children. Fuding is also used to support supervision of these therapists working at the Brinnon Site. Through 1/10th of 1% funding, DBH supports up to 20 individual through the following types of housing: permanent (Thomas Street Apt), transitional (Bayside Housing), and short term (one hotel room at Harborside). Through 1/10th of 1% funding, OlyCAP supports between 30 and 40 individuals using transitional housing at the Haines Street Cabins. - 10 intakes completed and 5 individuals enrolled in 2018. - 75% of participants were from 98376/98320 and 25% were from 98358/98339/98325/98365, 50% were 0-6, and 100% were male. - In 2018, 54% of participants were from the 98368 ZIP code and 46% from 98358/98339/98325/98365, 52% were 25-44 and 32% were 18-24, and 65% were male. Jumping Mouse Children's Center Brinnon Pilot - reporting started for 2018 - SUMMARY Discovery Behavioral Health Transitional Housing - reporting started for 2018 - SUMMARY OlyCAP Housing - reporting started for 2018 - SUMMARY Family Therapeutic Court - reporting started for 2015 - SUMMARY - 80% of participants were sanction free and 0% of participants were on warrant status on average. - 40% of participants were free of positive UA results on average. - 56% of participants are age 25-44 and 44% are age 45-64; 69% are female. - 5 individuals served in 2018, up from 4 in 2016; 1 graduate and 1 discharge. - In 2018, 42% of participants are from the 98368 ZIP code, and 42% are from 98358/98339/98325/98365 on average. 20 4 5 12 10 5 0 5 10 15 20 2018 Q1 2018 Q2 2018 Q3 2018 Q4 2018 AV/Q Completed Intakes Enrolled # individuals served: 5 6 6 0 5 10 15 20 2018 Q2 2018 Q4 2018 AV/Q Clients Enrolled # individuals served: 4 4 4 0 1 2 3 4 5 7/18-9/18 10/18-12/18 2018 AV/Q Total # of Individuals Served (unduplicated) UNDUPLICATED KIDS UNDUPLICATED ADULT CAREGIVERS 5 9 10 47 18 2 2 4 5 32 2 2 5 3 0 2018 Q1 2018 Q2 2018 Q3 2018 Q4 2018 AV/Q Total # of Individuals Served (unduplicated) Total # WARNS Total # Referrals to Program Total # Children 58%50% 85%61%80% 27% 14% 0%4%0% 42%46% 24%20% 40% Drug Court Drug Court FT Court Drug Court FT Court 2016 2017 2018 Participant Outcomes: Drug & Family Therapeutic Court participants with 0 sanctions participants on warrant status participants with no + UA 2018 Annual Report 5 November, 2019 2018 Annual Report 6 November 2019 2017 Annual Report 5 April 2018Jefferson County 1/10th of 1% for Mental Health & Substance Abuse 2013 2014 2015 2016 2017 2018 27 33 29 31 30 32 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 35 0 5 7 1 3 5 46 0 8 4 0 3 7 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 research trials. Data reporting changed from monthly 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 2 <1 2017 AV/Q 2 1 1 1 1 1 <1 2016 AV/Q 2015 AV/Q 2014 2013 2012 <1 0 <1 1 51 2010 (Jul-Dec) 2011 1 0 1 1 Nurse Family Partnership, Jefferson County Public Health Unduplicated families served: 2018 AV/Q Referrals to community services/agencies provided to clients (2010-14 Ave/Mo, 2015-18 Ave/Q): 0 0 6 HousingChild Care MH Outpt 0 1 1 1 40%33%45%39%40%42%41%42%50% 30% 60%50%57%46%49%40%28%29% 0% 50% 100% 7/10- 12/10 2011 2012 2013 2014 2015 2016 2017 2018 65+ 45-64 25-44 18-24 2 to 17 infant <2per month 14%28%26%14%14%19%22%21%24% 86%72%74%86%86%81%78%79%76% 0% 50% 100%female male 16 17 21 20 22 25 23 20 21 23 28 26 25 0 10 20 30 7/10- 12/10 11 12 13 14 15 16 17 Q1 Q2 Q3 Q4 18 Individuals served: 1/10th of 1% funds 13% of the NFP budget, the cost for 4 families per month per quarter 100% 100% 100% 60% 67%33% 44%53%50% 0 2 4 6 8 10 7/10-12/10 12 14 16 18 Assessments completed Enrolled 54% 37%38% 38% 41%26% 61% 41%33% 38% 54%60%50%48% 55% 31% 26%30% 8%9%2%12%11%19%9% 33%37% 0% 50% 100% 7/10- 12/10 2011 2012 2013 2014 2015 2016 2017 2018 South JC: 98376,20 East JC: 98358,39,25, 65 PT: 98368 18 23 27 21 79 73 76 60 109 0 20 40 60 80 100 120 7/10- 12/10 2011 2012 2013 2014 2015 2016 2017 2018 Average services provided: NFP Attempted visit NFP Completed visit per month per quarter 20 31 32 26 148 163 172 146 245 0 100 200 300 7/10- 12/10 2011 2012 2013 2014 2015 2016 2017 2018 Average total hours for services: NFP Attempted visit NFP Completed visit per month per quarter First time assessments; % resulting in enrollment: 2014-2017 completed visit hrs include prep + charting 0 5 10 15 7/10- 12/10 2011 2012 2013 2014 2015 2016 2017 2018 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 2018 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 $49,227 $- $10,000 $20,000 $30,000 $40,000 $50,000 $60,000 2010201120122013201420152016201720181/10th 1% Funding 2018 Annual Report 7 November, 2019 Jefferson County 1/10th of 1% for Mental Health & Substance Abuse 2013 2014 2015 2016 2017 2018 Jumping Mouse Children's Center Unduplicated individuals served:176 287 316 277 278 293 Average:2013 2014 2015 2016 2017 2018 % of eligible clients covered by 1/10th funds 20% 19% 38% 34% N/A N/A Individuals served by 1/10th of 1% funds by zip code of residence, age group, and gender: Any abuse / neglect: 2015 59% 2016 61% 2017 56% 2018 50%81% 0% Ever experience homelessness:Average # ACEs: 6 or more ACEs: 91% 86% 80% 89% 85% 84% 24% 17% 22% 4.30 4.48 0% 43% 4.04 28% 3.88 29% 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.Additional Annual Data:11% 19% Successful completion or continuing services:Low income: 21% Jan-July 2011 32% Jan-Aug 2012 24% 90% Any alternative care: 8% 34%42%36%28%25%32%27% 41%36%46%52%50%47% 41% 24%22%18%20%25%21%32% 1/12- 8/12 AV/M 2013 AV/M 2014 AV/Q 2015 Annual 2016 Annual 2017 Annual 2018 Annual 10 to 12 7 to 9 0 to 6 67% 53%56%55%55%58%58% 33% 47%44% 45%45%42%42% 1/12- 8/12 AV/M 2013 AV/M 2014 AV/Q 2015 Annual 2016 Annual 2017 Annual 2018 Annual female male ---53%19%42% 32%21% 32%31% 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 2018 Annual Inquiries completed Enrolled 75%73%72%75%77%72%70%73% 20%19%21%20%18%24%25%22% 0% 50% 100%1/12-8/12AV/M2013AV/M2014 AV/Q2015Annual2016Annual2017Annual7/18-9/182018AnnualUnknown Non-JC zip code South JC: 98376,20 East JC: 98358,39, 25,65 PT: 98368 0 200 400 600 800 2011 AV/M1/12-8/12AV/M2013 AV/M2014 AV/Q2015 AV/Q2016 AV/Q2018 AV/QAverage # total services provided (duplicated counts) CHILD SESSIONS PARENT SESSIONS 0 200 400 600 800 1000 1200 1400 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 (2018 data unavilable) CHILD SESSIONS (1.5 hrs av)PARENT SESSIONS 21%21%20%12%19% 40%40% 40%47%42% 0% 20% 40% 60% 80% 100% 1/18-3/18 4/18-6/18 7/18-9/18 10/18- 12/18 2018 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%43%13%0% 50% 100% Current or historical Mom used during pregnancy Exposed to Substance Use (average % of child clients): 1/12-8/12 AV/M 4/13-12/13 AV/M 4/14-12/14 AV/Q 2015 Annual 2016 Annual 2017 Annual 2018 Annual # service inquiries; % enrolled Most common "other" 2018: Family or relational problem 73 113 137 125 122 124 103 174 179 152 156 169 0 100 200 2013 2014 2015 2016 2017 2018 Total # of Individuals Served UNDUPLICATED KIDS UNDUPLICATED ADULT CAREGIVERS 0% 10% 20% 30% 40% 50%singleparenthomefostercareadoptive carekinshipcareAverage % 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 2018 Annual $84,327 $- $25,000 $50,000 $75,000 $100,000 201120122013201420152016201720181/10th 1% Funding 2018 Annual Report 8 November, 2019 Jefferson County 1/10th of 1% for Mental Health & Substance AbuseSchool Based Health Clinic, DBH and MCS CounselingPT Chim Quil BrinnonTotalPT Chim Quil BrinnonTotalPT Chim Quil Brinnon PT Chim Quil Brinnon54 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 1-9106 110 17 10 243 584 598 94 79 1355 6 5 6 8 1-14 1-10 0-8 0-9110 50 17 10 187 569 178 79 240 1066 5 4 5 24Visit length (min):PORT TOWNSEND CHIMACUMQUILCENEBRINNONProgram Description: DBH (formerly Jefferson Mental Health Services) had 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 9/2016 are included in this report. In the fall of 2018, MCS Counseling took over providing these services from DBH. 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. Please note that non-1/10th funded services for an additional day of service at Brinnon are included.Unduplicated Individuals:9/2010-6/20119/2011-6/20129/2017-6/2018Total Visits: Average Visits/Person: Range in # Visits:9/2012-6/20139/2013-6/20149/2014-6/20159/2015-6/20169/2016-6/20179/2018-6/201902040609/09-12/091/10-6/109/10-6/119/11-6/129/12-6/139/13-6/149/14-6/159/15-6/169/16-6/179/17-6/189/18-6/19Port TownsendChimacumQuilceneBrinnon# average individuals per month:0204060809/09-12/091/10-6/109/10-6/119/11-6/129/12-6/139/13-6/149/14-6/159/15-6/169/16-6/179/17-6/189/18-6/19Port TownsendChimacumQuilceneBrinnon# average visits per month:0%25%50%75%100%9/10-6/119/11-6/129/12-6/139/13-6/149/14-6/159/15-6/169/16-6/179/17-6/189/18-6/199/10-6/119/11-6/129/12-6/139/13-6/149/14-6/159/15-6/169/16-6/179/17-6/189/18-6/199/10-6/119/11-6/129/12-6/139/13-6/149/14-6/159/15-6/169/16-6/179/17-6/189/18-6/199/10-6/119/11-6/129/12-6/139/13-6/149/14-6/159/15-6/169/16-6/179/17-6/189/18-6/19>606046-594531-4430<30$63,372 $- $20,000 $40,000 $60,000 $80,000 $100,0002008201020122014201620181/10th 1% Funding 2018 Annual Report 9November, 2019 Of all visits per school year, top reasons for visits are ranked for each school year: Red = Top 5 most identifiedPORT TOWNSENDCHIMACUMQUILCENEUnduplicated individuals by grade and gender:PORT TOWNSENDCHIMACUMQUILCENEBRINNONAverage # services provided per month by service type:Note: for all schools, groups not reported after December 2013.BRINNON0%25%50%75%100%0%25%50%75%100%1/10-6/109/10-6/119/11-6/129/12-6/139/13-6/149/14-6/159/15-6/169/16-6/179/17-6/189/18-6/199/09-12/091/10-6/109/10-6/119/11-6/129/12-6/139/13-6/149/14-6/159/15-6/169/16-6/179/17-12/179/18-6/191/10-6/109/10-6/119/11-6/129/12-6/139/13-6/149/14-6/159/15-6/169/16-6/179/17-6/189/18-6/191/10-6/109/10-6/119/11-6/129/12-6/139/13-6/149/14-6/159/15-6/169/16-6/179/17-6/189/18-6/199/09-12/091/10-6/109/10-6/119/11-6/129/12-6/139/13-6/149/14-6/159/15-6/169/16-6/179/17-12/179/18-6/1902040609/09-12/091/10-6/109/10-6/119/11-6/129/12-6/139/13-6/149/14-6/159/15-6/169/16-6/179/17-12/179/18-6/1913-14: no data reported for 32% of visitsUnknown12th11th10th9th6-8th1/10-6/109/10-6/119/11-6/129/12-6/139/13-6/149/14-6/159/15-6/169/16-6/179/17-6/189/18-6/19unknownfemalemale9/09-12/091/10-6/109/10-6/119/11-6/129/12-6/139/13-6/149/14-6/159/15-6/169/16-6/179/17-12/179/18-6/19crisis interventionindividual therapygroup therapyfamily therapyother (work w/ SBHC,school, agencies)VISIT REASON10-11 11-12 12-13 13-14 14-15 15-16 16-17 17-18 18-19 10-11 11-12 12-13 13-14 14-15 15-16 16-17 17-18 18-19 10-11 11-12 12-13 13-14 14-15 15-16 16-17 17-18 18-19 16-17 17-18 18-19Abuse8914161612171815151317161614151614151413111413161518111012Alc/Drug Prev.121310131315131613141410151416121512381191113111513111012Anger Mgmt911841097159510612810641114108466786664Anxiety1475338510413512729233121012252453856Court Diversion1215158141315611111215131313131117812457491513111012Depression73622661625686875291313131512787121078Dom. Violence181818161617191818181717161617191718151513151413161518111012Eating/Weight171818161617191818161717161617191718151513151413161518111012Family Problems111111151111111111221131225321Future510911119121791110810610122551011129664585Grief16141268111191137911111211999947911111210111012Mental Health1012111342131118494965191789791141316159111012Relationships222567325222232366137313542482School55410449787434437776429853310233Self-Esteem3836915886885571188531315141114107647Stress3461112534310363544549667109111119Suicide15161713141310121017151414151416131815151311141316813111010Tobacco 191716161617191318191716161617171718151513151413111413111012MH Screen191818161617171817191717161617171714151513151413161513111012Sub Abuse191818161617161413191717161617141414151513151413141118111012Other115129732316111613101279912715136271012781010 2018 Annual Report 10November, 2019 Jefferson County 1/10th of 1% for Mental Health & Substance Abuse 2013 2014 2015 2016 2017 2018 CODIT, Discovery Behavioral Health Unduplicated individuals served:28 37 42 58 69 75 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. Data for July, 2018 is unavailable. 75%67%50%100%100%100%100%55%28%80%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 2018 AV/M 0 5 10 15 20 25 Assessments completed Enrolled First time assessments and % resulting in enrollment: 54% 56%54% 52%57% 47%44%35%42%39% 36%29%31%41%35%31%40%49%45%53% 0% 50% 100% 65+ 45-64 25-44 18-24 0-17 58%49%50%59%69%46% 46%47%67%86% 42%51%50%41%31%54%54%53%33% 0% 50% 100%2009 AV/M2010 AV/M2011 AV/M2012 AV/M2013 AV/M2014 AV/M2015 AV/M2016 AV/M2017 AV/M2018 AV/Mfemale male 59%62%58%56%62%65%64%58% 77% 67% 31%32%36% 27%21%20%27%32% 17% 20% 10%6%5% 17%16%14%7%9%7%13% 0% 50% 100%2009 AV/M2010 AV/M2011 AV/M2012 AV/M2013 AV/M2014 AV/M2015 AV/M2016 AV/M2017 AV/M2018 AV/MNon-JC zip codes South JC: 98376,20 East JC: 98358,39,25,65 PT: 98368 Total 0 25 50 75 100 125 2009 AV/M2010 AV/M2011 AV/M2012 AV/M2013 AV/M2014 AV/M2015 AV/M2016 AV/M2017 AV/M2018 AV/MTotal services provided (duplicated counts, average/month) Case Management Seen individually 0 20 40 60 2009AV/M2010AV/M2011AV/M2012AV/M2013AV/M2014AV/M2015AV/M2016AV/M2017AV/M2018AV/MTotal hours for services (average/month): case management Seen individually 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 2018 AV/M Mental Health Diagnoses (average # individuals/month): ADHD BiPolar Dysthymia Gender Identity Anxiety Major Depression Panic Disorder PTSD Schizophrenia Other 0 5 10 15 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 2018 AV/M 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% 0% 10% 20% 30% 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 2018 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 22 18 14 11 12 16 16 18 52 0 15 30 45 60 2009 AV/M2010 AV/M2011 AV/M2012 AV/M2013 AV/M2014 AV/M2015 AV/M2016 AV/M2017 AV/M2018 AV/MIndividuals served by 1/10th of 1% funds: $23,570.00 $- $40,000 $80,000 $120,000 $160,000 200820092010201120122013201420152016201720181/10th 1% Funding 2018 Annual Report 11 November, 2019 Jefferson County 1/10th of 1% for Mental Health & Substance Abuse 2016 2017 2018 Unduplicated individuals served: 94 78 141 Total DSHS In jail 223 17 Post-release 25 4 In jail 301 13 Post-release 45 2 In jail 683 68 Post-release 145 23 62 26 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. 9 133 Total referrals to community services/agencies:2016201720182 31 5 Housing 23 3 CD Outpatient 5 0 Jefferson County Jail, Discovery Behavioral Health # of individuals by zip code of residence, age group, & gender: 12-step grp 52 5 MH Outpatient 73 0 Medical 19 6 12 6 32 7 66 10 25 125 2 2618 62 5 68%76%75% 32%24%42% 0% 50% 100% 2016 Q3/Q4 AV/Q 2017 Q3/Q4 AV/Q 2018 AV/Q FEMALE MALE 42 35 52 27 14 18 6 6 30 10 20 30 40 50 60 2016 Q3/Q4 AV/Q 2017 Q3/Q4 AV/Q 2018 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 2017 Q3/Q4 AV/Q 2018 AV/Q Self Reported Past 30 Day Substance Use At Admission: Alcohol Marijuana Tobacco Meth Other 46%48% 81% 30%24% 16%22%19% 0% 50% 100%Non-JC zip code South JC: 98376,20 East JC: 98358,39,25,65 PT: 98368 15%16%10% 56%60%62% 26%20% 28% 0% 50% 100%65+ 45-65 25-44 18-24 75 53 78 22 8 20 0 20 40 60 80 100 2016 Q3/Q4 AV/Q 2017 Q3/Q4 AV/Q 2018 AV/Q # inividuals with completed screening # individuals served post release # individuals served: 33%27% 28% 51%50% 33%46%45%39% 15%13%17% 6% 24% 20%10%16%35%25%24% 34%21% 15% 40% 18%18% 12% 0% 25% 50% 75% 100%Prior to JailPlan PostReleaseServed PostReleasePrior to JailPlan PostReleaseServed PostReleasePrior to JailPlan PostReleaseServed PostRelease2016 AV/Q 2017 AV/Q 2018 AV/Q Unknown Unsheltered Car/tent/Rv/hotel/motel Doubled up/Couch surfing Shelter/transitional Rent/own Housing Status: 21%28% 69% 47%45%47% 52% 62% 16% 20%16%21% 0% 25% 50% 75% 100% Prior to Jail Served Post Release Prior to Jail Served Post Release Prior to Jail Served Post Release 2016 Q3/Q4 AV/Q 2017Q3/Q4 AV/Q 2018 AV/Q Unknown Employed work part time Employed work full time Unemployed, seeking work Not in the work force Employment Status: 90%100% 69%93%75%95% 0% 25% 50% 75% 100% Prior to Jail Served Post Release Prior to Jail Served Post Release Prior to Jail Served Post Release 2016 AV/Q 2017 AV/Q 2018 AV/Q Unknown Other Uninsured Medicare Medicaid Private insurance Insurance Status: 51 75 44 40 65 60 51 106 67 0% 25% 50% 75% 100% 2016 Q3/Q4 AV/Q 2017 Q3/Q4 AV/Q 2018 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 (data unavailable for 2018) $35,182 $- $10,000 $20,000 $30,000 $40,000 2016 2017 2018 1/10th 1% Funding 2018 Annual Report 12 November, 2019 Jefferson County 1/10th of 1% for Mental Health & Substance Abuse Actual spent $15,000 $15,000 $5,754 $15,801 $15,508 $5,799 $40,198 $39,852 $11,279 $44,412 $41,239 $2,910 $9,522 Individuals served (unduplicated) 32 57 3 38 60 7 31 54 4 33 52 5 5 Graduates 2 12 1 5 16 2 6 12 0 10 6 n/a 1 Children reunited n/a n/a 2 n/a n/a 3 0 0 0 0 0 n/a 0 Discharges 5 11 0 2 13 1 12 24 0 5 5 n/a 1 Average Individuals served/quarter n/a n/a n/a 24 36 4 22 31 5 20 41 2 3 Participant zip code of residence:32 61 3 24 36 4 22 31 5 20 41 2 3 98368 11 23 2 15 25 3 13 12 3 11 14 0 1 98358 1 1 0 0.5 0 0.3 1 0 0 0 1 1 0 98339 4 12 1 5 6 0.3 2 8 2 5 13 1 1 98325 4 4 0 2 1 0 1 2 0 0 4 0 0 98365 1 0 0 1 1 0 1 1 0 1 0 0 1 98376 5 5 0 0 1 0 1 4 0 1 4 0 0 98320 0 2 0 0.3 1 0 1 1 0 2 2 0 1 Other 3 4 0 0 1 0 1 3 0 0 0 0 0 transient 3 0 0 0 0 0 0 0 0 0 0 0 0 non-Jefferson 0 4 0 1 1 0.5 0 0 0 0 3 0 0 Unknown 0 6 0 0.3 0.3 0.3 1 0 0 0 0 0 0 PT: 98368 34% 40% 67% 62% 69% 69% 59% 39% 60% 54% 34% 0% 42% East JC: 98358,39,25,65 31% 30% 33% 33% 22% 14% 23% 35% 40% 32% 45% 100% 42% South JC: 98376,20 16% 12% 0% 1% 5% 0% 9% 16% 0% 13% 15% 0% 17% Non-JC zip code 9% 7% 0% 3% 3% 11% 0% 0% 0% 0% 7% 0% 0% Transient 9% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% Unknown 0% 11% 0% 1% 1% 6% 5% 0% 0% 1% 0% 0% 0% Participant Age: 0-17 *FFT 0-18 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 0% 100% 0% 18-24 9% 28% 0% 5% 28% 25% 15% 14% 0% 5% 12% 0% 0% 25-44 41% 53% 33% 53% 58% 35% 50% 75% 60% 63% 79% 0% 56% 45-64 47% 19% 67% 38% 13% 40% 30% 7% 40% 32% 7% 0% 44% 65+3% 0% 0% 4% 0% 0% 5% 4% 0% 0% 2% 0% 0% Participant Gender: male 56% 72% 0% 45% 75% 5% 50% 79% 0% 47% 71% 89% 31% female 44% 28% 100% 55% 25% 95% 50% 21% 100% 53% 29% 11% 69% # Hours by Activity Type:2015 AV/Q 2015 AV/Q 2015 Q4 2016 AV/Q 2016 AV/Q 2016 AV/Q 2017 AV/Q 2017 AV/Q 2017 AV/Q 2018 AV/Q 2018 AV/Q 2018 AV/Q 2018 AV/Q Client Supervision/ Case Mgmt n/a n/a n/a 35 21 9 N/A 43 22 n/a 31 n/a 12 Court Time n/a n/a n/a 32 38 22 N/A 38 26 n/a 36 n/a 26 Administration n/a n/a n/a 23 44 15 N/A 68 15 n/a 64 n/a 10 Therapeutic Courts 2016 Behavioral Health Court Drug Court Family Therapeutic Court JC Juv. & Family Court 2017 Behavioral Health Court Drug Court Family Therapeutic Court 2018 AV/QTR 2015 Behavioral Health Court Drug Court Family Therapeutic Court 2016 AV/QTR2015 TOTAL 2017 AV/QTR 2018 Family Therapeutic Court 2018 AV/QTR 2018 AV/QTR Behavioral Health Court Drug Court 2016 AV/QTR 2017 AV/QTR 2015 TOTAL 2016 AV/QTR 2017 AV/QTR 2015 TOTAL 56%72% 45% 75% 5% 50% 79% 47% 71%89% 31% 44%28% 100% 55% 25% 95% 50% 21% 100% 53% 29%11% 69% 0% 25% 50% 75% 100% BHC DC FTC BHC DC FTC BHC DC FTC BHC DC FFT FTC 2015 TOTAL 2016 AV/QTR 2017 AV/QTR 2018 AV/QTR female male 34%40% 67%62%69%69%59% 39% 60%54% 34%42% 31%30% 33%33%22%14%23% 35% 40% 32% 45%100% 42% 0% 25% 50% 75% 100% BHC DC FTC BHC DC FTC BHC DC FTC BHC DC FFT FTC 2015 TOTAL 2016 AV/QTR 2017 AV/QTR 2018 AV/QTR Unknown Transient Non-JC zip code South JC: 98376,20 East JC: 98358,39,25,65 PT: 98368 34%40% 67%62%69%69%59%39% 60%54%34%42% 31%30% 33%33%22%14%23% 35% 40%32% 45%100% 42% 0% 25% 50% 75% 100% BHC DC FTC BHC DC FTC BHC DC FTC BHC DC FFT FTC 2015 TOTAL 2016 AV/QTR 2017 AV/QTR 2018 AV/QTR Unknown Transient Non-JC zip code South JC: 98376,20 East JC: 98358,39,25,65 PT: 98368 32 38 31 33 57 60 54 52 3 7 4 5 2015 2016 2017 2018 Unduplicated Individuals Served Behavioral Health Court Drug Court Family Therapeutic Court JC Juv. & Family Court 2018 Annual Report 13 November, 2019 Jefferson County 1/10th of 1% for Mental Health & Substance Abuse Therapeutic Courts BEHAVIORAL 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 0% 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 0% 0% 1% Borderline Personality Disorder 0% 0% 0% Other 13% 0% 6% Unknown 0% 4% 3% DRUG & FAMILY THERAPEUTIC COURT PARTICIPANTS ONLY:2016 Drug Court Drug Court FT Court FT Court Participant Outcomes participants with 0 sanctions 58% 50% 85% 80% participants on warrant status 27% 14% 0% 0% participants with no + UA 42% 46% 24% 40% Warrants Issued n/a 44% 0% 0% Drug Court 61% 4% 5% 9% 0% 28% 11% 0% 0% 0% 0% 0% 0% 2018 20% 2017 2018 AV/Q 1% 9% 6% 0%41%34%13%38%19%22%13%18%36%1%18%13%18%15%3%18%24%3%6%9%9%28%11%BiPolar Major Depression Panic Disorder PTSD Schizophrenia/ Schizoaffective Substance Use Disorder Other Mental Health Diagnoses:2015 Total 2016 AV/Q 2017 AV/Q 2018 AV/Q 58%50% 85% 61% 80% 27% 14% 0%4%0% 42%46% 24%20% 40% Drug Court Drug Court FT Court Drug Court FT Court 2016 2017 2018 Participant Outcomes: Drug & Family Therapeutic Court participants with 0 sanctions participants on warrant status participants with no + UA 2018 Annual Report 14 November, 2019 2018 41 # of individuals by zip code of residence, age group, & gender (based on intakes): 2018 11 # of individuals by zip code of residence, age group, & gender (based on intakes): Discovery Behavioral Health: Transitional Housing Unduplicated individuals served: Unduplicated individuals served: Olympic Community Action Programs: Housing Jefferson County 1/10th of 1% for Mental Health & Substance Abuse 1/10th of 1% Funding: $19,078 1/10th of 1% Funding: $23,642Jefferson County 1/10th of 1% for Mental Health & Substance Abuse 60%50% 100% 50%65% 40%50% 50% 35% 0% 50% 100% 2018 Q1 2018 Q2 2018 Q3 2018 Q4 2018 AV/Q female male 18 1 1 3 1 13 0 5 10 15 20 25 2018 Total Intakes by referral source:Therapeutic court Hospital discharge Jail discharge DOC discharge Treatment discharge Other 0.5 1.5 0.5 0.5 0.5 1 0 0.5 1 1.5 2 0-4 weeks (less than 1 month) 12-16 weeks (3 months) 16-20 weeks (4 months) 20-24 weeks (5 months) 24-28 weeks (6 months) 6 months - 1 year 2018 AV/Q 55%50%60%50%54% 45%50%40%50%46% 0% 50% 100%Unknown Transient Non-JC zip code South JC: 98376,20 East JC: 98358,39,25,65 PT: 98368 14% 35%50%43%32% 50% 50% 100% 52% 36% 9% 0% 50% 100%65+45-64 25-44 18-24 2-17 infant <2 20 4 5 12 10 4 5 12 5 0 5 10 15 20 2018 Q1 2018 Q2 2018 Q3 2018 Q4 2018 AV/Q Completed Intakes Enrolled # individuals served: 1 1 4 5 9 0% 25% 50% 75% 100% 2018 Q1 2018 Q2 2018 Q3 2018 Q4 2018 Total Referral to OlyCAP Services HARPs ApplicationClient referrals provided: 11 1 1 3 4 1 3 1 8 4 9 5.25 0% 25% 50% 75% 100% 2018 Q1 2018 Q2 2018 Q3 2018 Q4 2018 AV/Q Unemployed, seeking work Employed work full time (FT, 32+ hrs) Not in the work force (unemp, not seeking work)Employment status: 0 4 0 0 00% 25% 50% 75% 100% Private insurance Medicaid Medicare Uninsured Other 2018 AV/Q 2018 Q4 2018 Q3 2018 Q2 Insurance status: 10 3 2 3 0 5 10 15 2018 Total Permanent housing Other Lost Relapsed (MH or SUD) Client discharge outcome: Length of Participation: 40%20% 60% 100%80% 0% 50% 100% 2018 Q2 2018 Q4 2018 AV/Q female male 2 2 2 3 4 4 0 5 10 15 20 25 2018 Q2 2018 Q4 2018 AV/Q Intakes by referral source:Therapeutic court Hospital discharge Other 0.5 0.5 0.5 1 0.5 1.5 1.5 0 0.5 1 1.5 2 0-4 weeks (less than 1 month) 4-8 weeks (1 month) 8-12 weeks (2 months) 6 months - 1 year1 year to 1 year 6 months 1 year 6 months to 2 years 2 or more years 2018 AV/Q 100% 100% 100% 0% 50% 100% PT: 98368 60%50%55% 20%33%27% 20%17%18% 0% 50% 100%65+ 45-64 25-44 18-24 2-17 infant <2 5 6 6 0 5 10 15 20 2018 Q2 2018 Q4 2018 AV/Q Clients Enrolled# individuals served: 4 2 4 4 4 4 4 4 4 0% 25% 50% 75% 100% Financial Assessment Social Security Application Crossroads Application HARPs Application Permanent Solutions Application Consolidated Homeless Grants Application Housing Application Section 8 Housing Search Referral to OlyCAP Services 2018 Q4Client referrals provided: 4 4 4 1 1 110.5 5 6 5.5 0% 25% 50% 75% 100% 2018 Q2 2018 Q4 2018 AV/Q Total Unknown Unemployed, seeking work Employed work part time (PT, <32 hrs) Employed work full time (FT, 32+ hrs)Not in the work force (unemp, not seeking work) Employment status: 4 5 4.5 1 1 1 0% 25% 50% 75% 100% 2018 Q2 2018 Q4 2018 AV/Q Medicare Medicaid Insurance status: 1 1 1 1 0 1 2 3 Permanent housing Jailed Other Refused Services 2018 TotalClient discharge outcome: Length of Participation: 0.7 1.3 2.0 0.7 2.3 0 1 2 3 BiPolar Major Depression PTSD Schziophrenia Other 2018 AV/QMental health diagnoses (average # individuals/quarter): 0.7 0.3 0.3 0.7 0 1 2 3 Gender Identity Generalized Anxiety Major Depression PTSD 2018 AV/QMental health diagnoses (average # individuals/quarter): 2018 Annual Report 15 November, 2019 2018 Unduplicated individuals served:4 Individuals served by 1/10th of 1% funds by zip code of residence, age group, and gender: Jumping Mouse Children's Center Brinnon Pilot Jefferson County 1/10th of 1% for Mental Health & Substance Abuse Program Description: Through 1/10th of 1% Funding, JMCC supports an additional four children weekly in long-term therapy and provides support and education for the parents/caregivers and teachers/staff of these children. Fuding is also used to support supervision of these therapists working at the Brinnon Site. 50% 50% 50% 25% 25% 25% 25% 25% 25% 0% 50% 100% 7/18-9/18 10/18-12/18 2018 AV/Q 10 to 12 7 to 9 0 to 6 0% 50% 100% 7/18-9/18 10/18-12/18 2018 AV/Q male 4 0 2 0 0.5 1 1.5 2 2.5 3 3.5 4 4.5 7/18-9/18 10/18-12/18 2018 AV/Q 25% 25% 25% 75% 75% 75% 0% 50% 100% 7/18-9/18 10/18-12/18 2018 AV/Q South JC: 98376,20 East JC: 98358,39,25,65 Enrollment 4 4 4 0 1 2 3 4 5 7/18-9/18 10/18-12/18 2018 AV/Q Total # of Individuals Served (unduplicated) UNDUPLICATED KIDS UNDUPLICATED ADULT CAREGIVERS $12,186 $- $5,000 $10,000 $15,000 $20,000 2018 1/10th 1% Funding 2018 Annual Report 16 November, 2019 Continuum Vendor & Program SMART Objective Type of Measure Num Den Result Num Den Result Early Intervention 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% 1 4 25% Early Intervention JCPH NFP % of participants referred to substance abuse treatment (alcohol or drug) are engaged in services Med/long term 1 2 50% 1 2 50% Early Intervention JCPH NFP % of participants who agree or strongly agree that emotional health has improved since started working with PHN Emotional health 8 10 80% 2 4 50% Early Intervention 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% 2 4 50% Early Intervention 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% 2 4 50% Early Intervention JCPH NFP % of participants referred to MH treatment are engaged in services Med/long term 9 15 60% 9 15 60% Early Intervention JCPH NFP % of participants remain in the program (NFP report retention rate) Med/long term 21 30 70% 21 30 70% Early Intervention 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% 3 4 75% Early Intervention 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% 3 4 75% Early Intervention JCPH NFP Average score for participant overall satisfaction with NFP program (scale 1-10)Satisfaction --- --- 95% --- --- 90% Early Intervention JCPH NFP 2018: ADD measures related change in risk or to stage of change with MH and SUD, from initial to: 36w, 8w pp, 12mo, 18mo medium term outcome --- --- --- --- --- --- Early Intervention JMCC Brinnon 80% of participants will score at least a 4 on the ACE's education session evaluation tool (one per session)medium/long term outcome--- --- --- --- --- --- Early Intervention JMCC Brinnon 90% of children served will successfully participate in therapy medium/long term outcome--- --- --- --- --- --- Early Intervention JMCC Brinnon 80% of parents served will successfully develop intended skills/behaviors of program medium/long term outcome--- --- --- --- --- --- Early Intervention JMCC Brinnon 80% of participants report program has helped them improve parenting skills (4 or 5)satisfaction outcome --- --- --- --- --- --- Early Intervention JMCC Brinnon 80% of participants report program has helped them reach goals for family and self (4 or 5)satisfaction outcome --- --- --- --- --- --- Early Intervention JMCC Brinnon 80% of teaches and staff report program has helped child and family reach goals(4 or 5)satisfaction outcome --- --- --- --- --- --- Early Intervention Jumping Mouse 80% of parents served successfully develop intended skills/behaviors of program Med/long term 141 156 90% 152 169 90% Early Intervention Jumping Mouse 90% of children served successfully participate in therapy Med/long term 104 122 85%112 124 90% Early Intervention Jumping Mouse 88% of participants report program has helped them improve parenting skills (4 or 5) (scale 1-5)Satisfaction 21 24 88% 22 24 92% Early Intervention 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% 24 24 100% Early Intervention MCS SBHC 80% of participants rating 8+ on Miller Session Rating Scale: Overall (scale 1-10)Satisfaction 536 619 87% 170 196 87% Early Intervention MCS SBHC 80% of participants rating 8+ on Miller Session Rating Scale: Goals and Topics (scale 1-10)Satisfaction 504 616 82% 175 196 89% Early Intervention MCS SBHC 80% of participants rating 8+ on Miller Session Rating Scale: Relationship (scale 1-10)Satisfaction 551 616 89% 179 196 91% Early Intervention MCS SBHC 80% of participants rating 8+ on Miller Session Rating Scale: Approach or Method (scale 1-10)Satisfaction 534 616 87% 179 195 92% Housing DBH Transitional % DBH transitional housing clients who are admitted to SUD and/or MH inpatient who return to DBH post-discharge.medium/long term outcome--- --- --- 0 6 0% Housing DBH Transitional % enrolled participants successfully move to permanent housing in 2018 medium/long term outcome--- --- --- 1 6 17% Housing DBH Transitional % of individuals who discharge into permanent housing medium/long term outcome--- --- --- 1 5 20% Housing DBH Transitional The number of hospital bed days for 2018 participants (enrolled at least three months) decreases compared to equivalent time prior.medium/long term outcome--- --- --- 36 55 65% Housing DBH Transitional % of individuals who make progress on their stability plan obtain birth certificate, write resume, etc.medium term outcome --- --- --- 4 6 67% Housing DBH Transitional The proportion of DBH housing participants (enrolled for at least 12 months) with a decrease in relapse events compared to prior 6 months.* medium/long term outcome--- --- --- 3 3 100% Housing DBH Transitional % of individuals who obtain employment medium/long term outcome--- --- --- 1 1 100% Housing DBH Transitional % of individuals who obtain social security medium/long term outcome--- --- --- 5 5 100% Housing DBH Transitional 80% of program participants report favorable feedback about service experience.*medium/long term outcome--- --- --- 3 3 100% 2017 2018 Jefferson County 1/10th of 1% Evaluation Annual Outcomes 2018 Annual Report 17 November, 2019 Continuum Vendor & Program SMART Objective Type of Measure Num Den Result Num Den Result 2017 2018 Jefferson County 1/10th of 1% Evaluation Annual Outcomes Housing DBH Transitional The number of ED visits for 2018 enrolled participants (at least three months) decreases compared to equivalent time prior.medium/long term outcome--- --- --- --- --- --- Housing DBH Transitional The number of jail bed days for 2018 participants (enrolled at least three months) decreases compared to equivalent time prior. medium/long term outcome--- --- --- --- --- --- Housing DBH Transitional The proportion of 2018 participants (enrolled at least three months) who are re-admitted to the hospital within 30 days from discharge decreases compared to equivalent time prior.* medium/long term outcome--- --- --- --- --- --- Housing DBH Transitional % of individuals who go back to school and/or get job training medium/long term outcome--- --- --- 0 0 --- Housing DBH Transitional % of individuals who are reunified with their children medium/long term outcome--- --- --- 2 0 --- Housing OlyCAP % of individuals who obtain employment medium/long term outcome--- --- --- 2 44 5% Housing OlyCAP % of individuals who obtain social security medium/long term outcome--- --- --- 7 44 16% Housing OlyCAP % of individuals who discharge into permanent housing medium/long term outcome--- --- --- 13 44 30% Housing OlyCAP % of individuals who go back to school and/or get job training medium/long term outcome--- --- --- 15 44 34% Housing OlyCAP % of individuals who are reunified with their children medium/long term outcome--- --- --- 22 44 50% Housing OlyCAP % of individuals who make progress on their stability plan (Justine to create list of action steps that would count) obtain birth certificate, write resume, etc. medium term outcome --- --- --- 25 44 57% Housing OlyCAP 75% of individuals do not relapse medium term outcome --- --- --- 31 44 70% Housing OlyCAP overall satisfaction with services medium/long term outcome--- --- --- 40 44 91% Jail/Courts DBH Jail % of individuals screened in jail during repeat incarcerations medium term outcome --- --- --- --- --- --- Jail/Courts DBH Jail % of in-jail participants are also served post-release medium term outcome --- --- --- --- --- --- Jail/Courts DBH Jail % of individuals referred to mental health treatment who participate in services medium term outcome --- --- --- --- --- --- Jail/Courts DBH Jail % of individuals referred to substance use treatment who participate in services medium term outcome --- --- --- --- --- --- Jail/Courts DBH Jail % of participants report case manager was helpful satisfaction outcome --- --- --- --- --- --- Jail/Courts DBH Jail % of participants report that groups were helpful satisfaction outcome --- --- --- --- --- --- Jail/Courts DBH Jail % of participants feel they were offered support after they leave jail satisfaction outcome --- --- --- --- --- --- Jail/Courts DBH Jail % of participants are housed Med / long term outcome--- --- --- --- --- --- Jail/Courts Drug Court % of participants who decrease drug use (quarterly average number with no positive UAs)Med/long term 40.5 54 75% 42 52 81% Jail/Courts FT Court % of participants who decrease drug use (quarterly average number with no positive UAs)Med/long term 3 4 75% 2 5 40% 2018 Annual Report 18 November, 2019