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HomeMy WebLinkAbout1-10th 1% Eval Data 2019_Report_2013 2014 2015 2016 2017 2018 2019 Notes 54 66 58 62 60 64 54 Two individuals per family 103 174 179 152 156 169 157 73 113 137 125 122 124 109 ---------------4 7 ---------------4 6 132 180 145 192 243 187 255 School year (9/19 - 6/20) 28 37 43 58 69 75 11 2019: Program ended, only Q1 --- --- --- --- --- --- 11 268 N/A N/A 94 78 85 136 ------32 38 31 33 26 ------57 60 54 52 55 ------3 7 4 5 4 ---------------5 7 --- --- --- --- --- --- 62 2019: Program began Mid-May ---------------12 46 ---------------6 9 658 570 654 788 817 825 955Total: DBH CODIT Recovery Café Navigator Program HOUSING JAIL / COURTS Believe in Recovery: Jail/Inmate Services Behavioral Health Court Drug Court Family Therapeutic Court Family Functional Therapy TREATMENT OlyCAP DBH Transitional Jefferson County One Tenth of One Percent Tax Fund Evaluation 2019 Annual Report 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 $400,000 a year. Fund recipients submit quarterly reports of service outputs, as well as participant characteristics and outcomes to Kitsap Public Health District under contract to monitor and evaluate the impact of these funds. ANNUAL COUNT OF UNDUPLICATED INDIVIDUALS SERVED (not available prior to 2013) Jumping Mouse - Caregivers Jumping Mouse - Kids Jumping Mouse Brinnon - Caregivers Jumping Mouse Brinnon - Kids EARLY INTERVENTION Nurse Family Partnership School-Based Health Clinic 27 157 109 7 6 255 11 11 136 26 55 4 7 62 46 9 0 50 100 150 200 250 300 Nurse Family PartnershipJumping Mouse CaregiversJumping Mouse KidsJumping Mouse Brinnon CaregiversJumping Mouse Brinnon KidsSchool-Based Health Clinic DBH CODITRecovery CaféBelieve in Recovery: Jail/Inmate ServicesBehavioral Health CourtDrug CourtFamily Therapeutic CourtFamily Functional TherapyNavigator ProgramOlyCAPDBH TransitionalEARLY INTERVENTION TREATMENT JAIL / COURTS HOUSING Unduplicated Number of Individuals Served by Jefferson County 1/10th of 1% Recipients 2013 2014 2015 2016 2017 2018 2019 2019 Annual Report 1 February, 2021 Zip Code County Count 98001 King 1 98071 King 1 98320 Jefferson 25 98325 Jefferson 42 98339 Jefferson 56 98346 Kitsap 1 98358 Jefferson 10 98362 Clallam 1 98365 Jefferson 12 98368 Jefferson 283 98376 Jefferson 16 98528 Mason 2 2013 2014 2015 2016 2017 2018 2019 Notes 25,900$ 31,740$ 29,170$ 29,169$ 42,121$ 49,227$ 64,428$ 99% of Budget Spent 24,000$ 30,000$ 27,550$ 27,570$ 70,125$ 84,327$ 79,000$ 100% of Budget Spent ---------------12,186$ 32,424$ 64% of Budget Spent 59,339$ 65,000$ 55,717$ 51,983$ 83,248$ 63,372$ 72,481$ 102% of Budget Spent 68,844$ 96,395$ 85,475$ 64,463$ 20,123$ 23,570$ 30,000$ 23% of Budget Spent, Ended Q1 2019 ------------------45,000$ 100% of Budget Spent ---------15,262$ 25,826$ 35,182$ 32,000$ 100% of Budget Spent ------15,000$ 15,801$ 40,198$ 44,412$ 48,330$ 74% of Budget Spent ------15,000$ 15,508$ 39,852$ 41,239$ 40,421$ 88% of Budget Spent ------5,754$ 5,799$ 11,279$ 9,522$ 10,000$ 56% of Budget Spent ---------------2,910$ 11,500$ 100% of Budget Spent ------------------55,000$ 70% of Budget Spent ---------------19,078$ 18,000$ 44% of Budget Spent ---------------23,642$ 24,000$ 82% of Budget Spent Jefferson County One Tenth of One Percent Tax Budget by Program Nurse Family Partnership Jumping Mouse Jumping Mouse Brinnon ZIP CODE OF UNDUPLICATED INDIVIDUALS SERVED Programs provided zip codes for 450 participants of the 928 participants reported (48.5%). The zip codes with the largest number of participants include: 98368 (Port Townsend), 98339 (Port Hadlock-Irondale), and 98325 (Port Hadlock- Irondale, Chimacum). Some zip codes provided were outside of Jefferson County. • The unduplicated number of children served in 2019 was 109, a decrease of 14% from 2018. • The unduplicated number of caregivers served in 2019 was 157, a decrease of 8% from 2018. • There were 98 total service inquiries a decrease compared to 112 in 2018. Approximately 1 in 3 children were enrolled from these service inquiries, a similar amount to 2018 and 2017. • The percent of clients served in East Jefferson County increased from 22% (2018) to 29% (2019). • The percent of clients from the age of 10 - 12 increased from 32% (2018) to 37% (2019). • In 2019, Jumping Mouse conducted an average of 634 sessions for children per quarter and 195 sessions for caregivers per quarter. • The percent of child clients in a single parent household increased from 44% (2018) to 55% (2019). The percent of child clients in foster care, adoptive care, and kinship care also increased. • The most common mental health diagnosis for child clients was generalized anxiety in 2018 and 2019. • The percent of child clients exposed to substance use during pregnancy and currently / historically both increased from 2018 to 2019. JAIL / COURTS Believe in Recovery: Jail/Inmate Services Behavioral Health Court Drug Court Family Therapeutic Court Family Functional Therapy Navigator Program School-Based Health Clinic TREATMENT DBH CODIT Recovery Café EARLY INTERVENTION HOUSING OlyCAP DBH Transitional Program Description: Services to traumatized children who have been directly impacted by a parent's substance use disorder and/or mental illness; services also provided to the children's caregivers. Jumping Mouse is reaching some of the most at-risk members of our community, preventing substance abuse & mental health problems before they begin. Jumping Mouse Children's Center SUMMARY • The number of families served per year has decreased from 32 families per year in 2018 to 27 families per year in 2019. • On average, the number of individuals participating per quarter has increased from 25 per quarter in 2018 to 26 per quarter in 2019. • 80% of clients participated at least six months in the program, an increase from 2018 when only 47% of clients participanted at least six months. • On average, 102 visits were completed each quarter a slight decrease from the average 109 visits per quarter in 2018. Nurse Family Partnership - Jefferson County Public Health SUMMARY Program Description: A Public Health Nurse serves low-income first-time pregnant mothers with social/health indicators, (recent personal history of substance use and/or mental illness) that increase the risk for poor outcomes for mother and infant. Public Health Nurse treats the mother using behavior change theory and motivational interviewing for quitting substances, preventing relapse, treating mental illness, addressing intergenerational patterns within the family system. 27 22 29 31 30 32 27 0 10 20 30 40 2013 2014 2015 2016 2017 2018 2019 Number of Families Served by Year 73 113 137 125 122 124 109103 174 179 152 156 169 157 0 50 100 150 200 2013 2014 2015 2016 2017 2018 2019 Total Individuals Served Unduplicated Kids Unduplicated Adult Caregivers 2019 Annual Report 2 February, 2021 Program Description: Discovery Behavioral Healthcare provides transitional housing services for up to 10 Jefferson County citizens who are at immediate risk of or a continuing risk of psychiatric hospitalization, or who have been recently discharged from the hospital without a home. The following is provided: market rate rent for one apartment at Thomas Street Apartments, rent of one room at Bayside Hotel for an individual with severe mental illness who is currently homeless and overnight housing for up to 3 nights a month at Harborside Inn, for citizens needing immediate short term housing. CODIT Program - Discovery Behavioral Health SUMMARY (Program Ended After Quarter 1 - 2019) School-Based Health Clinic - MCS Counseling SUMMARY Program Description: Mental health Professionals provide therapeutic services, to students in the Port Townsend, Chimacum, Quilcene and Brinnon School Districts. 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 has proven its worth in high levels of participation at all four school sites. • The 2019 - 2020 school year served the highest number of students, 256 students. • The average number of individuals served per month increased for all sites, except Port Townsend. • Overall, these students had 1,421 visits. An average of 6 visits per student throughout the school year. Brinnon had the highest average of visits per student with 11 visits. • The range in number of visits per individual was large, with some individuals having up to 50 visits and other individuals only having 1 visit. • The majority of visits at each site is 30 minutes in length. • The top reason for visits for each site was family problems, which has remained consistent in past school years. • Most sites served mostly high school students, however the Brinnon site served only elementary and middle school students. Jumping Mouse Children's Center - Brinnon School District Pilot Project SUMMARY Program Description: Jumping Mouse has set up a satellite center in the Brinnon School District. JM provides weekly long-term therapy to four children who atend Brinnon School, provide supports and education to parents/caregivers and the teachers/staff of the children in therapy. • The number of both children and caregiver participants increased from 2018 to 2019. • The majority of children participants are male (90%) and live in South JC (78%). • Almost half (45%) of child participants are 7 - 9 years old. • The only mental health diagnoses reported include: generalized anxiety (67%) and PTSD (33%). • The number of individuals served annually decreased from 141 (2018) to 134 (2019). •The number of assessments completed per quarter decreased from 78 (2018) to 34 (2019). • Of those recommended services, 64% of individuals referred attended inpatient treatment, 76% of individiuals referred attended outpatient treatment, and 88% of individuals referred attended MAT. • Over half of individuals served (64%) were in the 25 - 44 age group. • Almost a third of individuals reported being homeless (31%). • In 2019, 43 total classes were held and attended by an average number of 13 individuals. • In 2019, 392 total referrals were made. The most common referrals were to MAT, OlyCap, and transporation services. • The number of clients served remained the same, 6 clients total, from 2018 to 2019. • The percent of clients who were discharged into permanent housing increased from 25% (2018) to 50% (2019). • The percent of clients not in the workforce decreased from 73% (2018) to 38% (2019). • In 2018, 18% of the clients were above the age of 65 compared to 0% in 2019. • The number of referrals increased from 34 (2018) to 41 (2019). The most common type of referral was for financial assessments, HARPs applications, referrals to OlyCAP, housing applications, and crossroads applications. • The percent of clients who partcipated for over a year decreased from 62% (2018) to 31% (2019). Jail/Inmate Services - Believe in Recovery SUMMARY Program Description: A Chemical Dependency Professional, (CDP) assesses subjects booked into jail for substance use disorder and/or withdrawal, provides services/referrals for inmates with substance abuse dependencies to: DBH, (Mental Health Provider) Jefferson County Public Health and the Jail Medical Provider, coordinates care with Safe Harbor and the Therapeutic Courts, and assists with inmate placement into treatment programs. CDP actively recruits inmates with substance abuse issues to participate in a weekly class. Program Description: Discovery Behavioral Healthcare provides substance abuse treatment, along with continuing mental health services and UA’s for 24-40. Jefferson County citizens with co-occurring disorders (with severe & persistent mental illness), seeking Mental Health and Substance Abuse treatment. • CODIT served 11 total individuals served in Quarter 1 - 2019, compared to an average of 13 individuals served per quarter in 2018. • Of those individuals who provided their zip code, 67% of individuals served lived in the Port Townsend zip code. • Of those individuals who reported age and gender, 33% were 25-44, 56% were 45-64, and 11% were 65 and older, 67% were male, and 33% were female. • The top services provided include: case management, documentation, clinical staffing, and individual sessions. Transitional Housing - Discovery Behavioral Health SUMMARY 25% 50% 25% 50% 25% 25% 0% 20% 40% 60% 80% 100% 2018 2019 Percent of Clients Served by Discharge Outcome Permanent Housing Jailed Moved Out of County Other Refused Services 75 53 78 34 94 78 141 134 0 50 100 150 2016 2017 2018 2019 Individuals Served Annually and Average Assessments Completed per Quarter Completed Assessments Per Quarter Total Individuals Served - Annual 4 6 4 7 0 5 10 2018 2019 Total Individuals Served by Year Unduplicated Children Unduplicated Caregivers 159 137 143 132 180 145 192 243 187 256 0 50 100 150 200 250 300 9/2010 - 6/2011 9/2011 - 6/2012 9/2012 - 6/2013 9/2013 - 6/2014 9/2014 - 6/2015 9/2015 - 6/2016 9/2016 - 6/2017 9/2017 - 6/2018 9/2018 - 6/2019 9/2019 - 6/2020 Total Individuals Served by Year -All Sites 2019 Annual Report 3 February, 2021 Family Functional Therapy - Therapeutic Court Programs SUMMARY Program Description: The Therapeutic Courts serve the population who are involved with the Criminal Justice System and would likely be incarcerated. Participants in Family Therapeutic Court have a substance abuse issue. Therapeutic Courts provide an opportunity for participants to work on their underlying issues, therefore reducing the jail population and is an essential element of restorative justice. OlyCAP Transitional Housing SUMMARY Behavioral Health Court - Therapeutic Court Programs SUMMARY Program Description: 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 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. For preadjudication 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. • The number of clients served increased from 41 to 46 individuals from 2018 to 2019. • In 2019, the percent of individuals not in the work force decreased and the percent of individuals with part-time employment increased. • From 2018 to 2019, the amount of individuals served who are 45 - 64 years old increased from 9% to 15%. • In 2019, 56% of individuals, who were discharged, were discharged to permanent housing. • Overall, the length of participation of individuals served has increased, those participating 1 year or more increased from 0% (2018) to 23% (2019). • The number of participants in the Behavioral Health Court has remained consistent from 2015 - 2019. In 2019, there was a decrease in participants from 33 (2018) to 26 (2019). • Over half of participants (52%) live in Port Townsend (98368). • Over half of participants are in the 25 - 44 age group (69%). • In 2019, only 1 participant of the Behavioral Health Court graduated (4% of participants), a decrease from the 10 who graduated in 2018 (30%). • The most common mental health diagnoses clients include: major depression/depression (32%), bipolar disorder (23%), and anxiety (18%). • Over half of participants (53%) were in the Behavioral Health Court for at least 1 year. • The number of participants in Drug Court has remained consistent from 2015 to 2019. • The majority of drug court participants live in Port Townsend (46%). • Over three fourths of the participants (81%) are in the 25 - 44 age range. • One fourth (25%) of participants graduated in 2019, an increase from the 12% in 2018. • Participants with sanctions and positive UAs have remained consistent from 2016 - 2019, while participants with warrant status has been decreasing. • The number of participants in the Family Functional Therapy has increased from 5 (2018) to 7 (2019). • Almost three fourths of participants (73%) live in Port Townsend (98368). • Of the 7 participants, 6 participants (86%) successfully completed the program. • All participants were involved in the program for 24 weeks or less. • A total of 7 referrals were provided during 2019, or one referral per participant. • The number of participants in the Family Therapeutic Court has remained consistent from 2015 - 2019. • Over half of participants (63%) live in Port Townsend (98368). • Half of participants in 2019 graduated, 2 of the 4 participants. • A majority of participants (88%) were 25 - 44 years old. • Most participants were involved in the court for 13 - 52 weeks (63%). • Participants with 0 sanctions has remained at least 80% from 2017 - 2019. The percent of participants with no positive UAs has dropped from 40% (2018) to 0% (2019). Program Description: The Therapeutic Courts serve the population who are involved with the Criminal Justice System and would likely be incarcerated. Participants in Family Therapeutic Court have a substance abuse issue. Therapeutic Courts provide an opportunity for participants to work on their underlying issues, therefore reducing the jail population and is an essential element of restorative justice. Family Therapeutic Court - Therapeutic Court Programs SUMMARY Program Description: Olympic Community Action, (OlyCAP) provides transitional housing at the Haines Street Cabins, for individuals with substance use disorder or mental illness who are participating in Therapeutic Courts or who are discharged from Jail or a Hospital without a home. The 1/10th of 1% fund pays for utilities at the cabins. Drug Court - Therapeutic Court Programs SUMMARY Program Description: The Therapeutic Courts serve the population who are involved with the Criminal Justice System and would likely be incarcerated. Participants in Drug Court have a substance abuse issue. Therapeutic Courts provide an opportunity for participants to work on their underlying issues, therefore reducing the jail population & is an essential element of restorative justice. 41 46 31 29 10 20 30 40 50 2018 2019 Number of Clients per Year Total Clients New Clients 32 38 31 33 26 0 10 20 30 40 50 2015 2016 2017 2018 2019 Participants of Therapeutic Courts by Year Behavioral Health Court 57 60 54 52 55 45 50 55 60 65 2015 2016 2017 2018 2019 Participants of Drug Courts by Year 5 7 0 2 4 6 8 2018 2019 Participants of Family Functional Therapy by Year 3 7 4 5 4 0 1 2 3 4 5 6 7 8 2015 2016 2017 2018 2019 Participants of Therapeutic Courts by Year 2019 Annual Report 4 February, 2021 Recovery Café - Dove House SUMMARY Program Description: A drug and alcohol free place where café members recover from mental illness, homelessness, domestic violence, addiction and trauma. • In 2019, 62 contacts were made and none of them led to an arrest. For those 62 contacts, 255 total referrals were made or approximately 4 referrals per contact. • The most common places for contacts to be referred to were DBH, OlyCap, JHC, and legal support. • Contacts were more likely to be male (53%) and over the age of 45 (60%). Over half of those who reported their housing situation were homeless (52%) and 44% rented or owned their own home. • The most frequently reported mental health symptoms were delusions, psychosis, and PTSD. Police Navigator Program - MCS Counseling/Port Townsend Police SUMMARY • The Recovery Café had 180 visitors and 164 drop-in visits in 2019. • In 2019, 11 individuals attended at least one of the 17 recovery circles held during the year. • During the year, 567 hours of volunteer service were provided to the Recovery Cafe. • Fourteen referrals to other services were provided through the Recovery Cafe. Program Description: The Therapeutic Courts serve the population who are involved with the Criminal Justice System and would likely be incarcerated. Participants in Family Therapeutic Court have a substance abuse issue. Therapeutic Courts provide an opportunity for participants to work on their underlying issues, therefore reducing the jail population and is an essential element of restorative justice. 2019 Annual Report 5 February, 2021 Program Description: A Public Health Nurse serves low-income first-time pregnant mothers with social/health indicators, (recent personal history of substance use and/or mental illness) that increase the risk for poor outcomes for mother and infant. Public Health Nurse treats the mother using behavior change theory and motivational interviewing for quitting substances, preventing relapse, treating mental illness, addressing intergenerational patterns within the family system. Jefferson County One Tenth of One Percent Tax Fund Evaluation Nurse Family Partnership - Jefferson County Public Health 16 17 21 20 22 25 27 20 25 26 0 5 10 15 20 25 30 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 Average Number of Individuals Served per Quarter Per Month Per Quarter 0% 20% 40% 60% 80% 100% 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 Percent of Individuals Served by Area PT East JC South JC 27 22 29 31 30 32 27 0 5 10 15 20 25 30 35 2013 2014 2015 2016 2017 2018 2019 Number of Families Served by Year 0% 20% 40% 60% 80% 100% 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 Percent of Individuals Served by Gender Male Female 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 Percent of Individuals Served by Age Infant <2 2 to 17 18-24 25-44 45-64 65+ 8 12 13 13 60 51 64 35 46 30 0 10 20 30 40 50 60 70 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 Average Number of Referrals for Clients per Quarter Per Month Per Quarter Most Common Areas of Referral: 1. Mental Health Treatment 2. Primary Care 3. Dental Services 4. Child Birth Education 5. Lactation Support 6. Transportation 1 8 9 7 27 31 21 4 5 3 18 23 27 21 79 73 76 60 109 102 0 20 40 60 80 100 120 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 Average Number of Visits per Quarter Attempted visit Completed visit Per Month Per Quarter 3 1110 4 0 2 4 6 8 10 12 14 16 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 Average Number of Mental Health Diagnoses* for Pregnant/Post- Partum Clients Served per Quarter BiPolar Anxiety Major Depression PTSD *Only top four mental health diagnoses in 2019 included. Per Month Per Quarter 0.25 4 1.5 0 1 2 3 4 5 6 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 Average Number of Substance Use by Pregnant/Post- Partum Clients Served by Quarter Alcohol Marijuana Tobacco 36% 74% 57%59%65% 47% 80% 0% 20% 40% 60% 80% 100% 2013 2014 2015 2016 2017 2018 2019 Percent of Clients who Partcipated in NFP at Least 6 Months 20 31 32 26 148 163 172 146 245 279 0 50 100 150 200 250 300 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 Average Number of Hours Spent on Completed Visits per Quarter Per Month Per Quarter 2019 Annual Report 6 February, 2021 Jumping Mouse Children's Center Program Description: Services to traumatized children who have been directly impacted by a parent's substance use disorder and/or mental illness; services also provided to the children's caregivers. Jumping Mouse is reaching some of the most at-risk members of our community, preventing substance abuse & mental health problems before they begin. Jefferson County One Tenth of One Percent Tax Fund Evaluation 73 113 137 125 122 124 109103 174 179 152 156 169 157 0 20 40 60 80 100 120 140 160 180 200 2013 2014 2015 2016 2017 2018 2019 Total Individuals Served Unduplicated Kids Unduplicated Adult Caregivers 0 20 40 60 80 100 120 140 160 180 2012 2013 2014 2015 2016 2017 2018 2019 Total Inquirires Compared to Enrollment Inquiries Enrolled 32% 21% 32%31% 32% 33% 20%42% 77%79%73%75%68% 21%18%24%22%29% 2%3%3%3%3% 0% 20% 40% 60% 80% 100% 2015 2016 2017 2018 2019 Percent of Individuals Served by Area PT East JC South JC 34%42%36%28%25%32%27%25% 41% 36%46%52%50% 47% 41%39% 24%22%18%20%25%21% 32%37% 0% 20% 40% 60% 80% 100% 2012 2013 2014 2015 2016 2017 2018 2019 Percent of Individuals Served by Age 0 to 6 7 to 9 10 to 12 67% 53%56%55%55%58%58%63% 33% 47%44%45%45%42%42%37% 0% 20% 40% 60% 80% 100% 2012 2013 2014 2015 2016 2017 2018 2019 Percent of Individuals Served by Gender Male Female 29 124 146 600 715 600 569 662 634 3 32 55 185 274 231 186 211 195 0 100 200 300 400 500 600 700 800 2011 2012 2013 2014 2015 2016 2017 2018 2019 Average Number of Sessions per Quarter Child Sessions Caregiver Sessions Per Month Per Quarter 55% 8% 9%8% 0% 10% 20% 30% 40% 50% 60% Single Parent Foster Care Adoptive Care Kinship Care Percent of Child Clients by Family History 2012 2013 2014 2015 2016 2017 2018 2019 30% 38% 65% 36% 43% 18% 56% 18% 61% 15% 43% 13% 57% 17% 0% 10% 20% 30% 40% 50% 60% 70% Current or historical Mom used during pregnancy Percent of Child Clients Exposed to Substance Use 2012 2013 2014 2015 2016 2017 2018 2019 6%5% 14%18% 7%14% 42%59% 0% 20% 40% 60% 80% 100% 2018 2019 Percent of Mental Health Diagnoses of Child Clients ADHD Major Depression Attachment Disorder Adjustment Disorder PTSD Generalized Anxiety 2019 Annual Report 7 February, 2021 Jefferson County One Tenth of One Percent Tax Fund Evaluation Jumping Mouse Children's Center - Brinnon School District Pilot Project SUMMARY Program Description: Jumping Mouse has set up a satellite center in the Brinnon School District. JM provides weekly long-term therapy to four children who atend Brinnon School, provide supports and education to parents/caregivers and the teachers/staff of the children in therapy. 4 6 4 7 0 1 2 3 4 5 6 7 8 2018 2019 Total Individuals Served by Year Unduplicated Children Unduplicated Caregivers 75%78% 25%22% 0% 20% 40% 60% 80% 100% 2018 2019 Individuals Served by Area South JC East JC 50% 35% 25%45% 25%20% 0% 20% 40% 60% 80% 100% 2018 2019 Individuals Served by Age 0 - 6 7-9 10- 12 100%90% 10% 0% 20% 40% 60% 80% 100% 2018 2019 Individuals Served by Gender Male Female 2019 Annual Report 8 February, 2021 Jefferson County One Tenth of One Percent Tax Fund Evaluation School-Based Health Clinic, DBH and MCS Counseling Program Description: Mental health Professionals provide therapeutic services, to students in the Port Townsend, Chimacum, Quilcene and Brinnon School Districts. 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 has proven its worth in high levels of participation at all four school sites. 41 64 1720 0 20 40 60 80 Average Visits Per Month Port Townsend Chimacum Quilcene Brinnon 25 26 810 0 10 20 30 40 50 Average Individuals per Month Port Townsend Chimacum Quilcene Brinnon 0% 20% 40% 60% 80% 100% Visit Lengths -Port Townsend <30 30 31-44 45 46-59 60 >60 0% 20% 40% 60% 80% 100% Visit Lengths -Chimacum <30 30 31-44 45 46-59 60 >60 0% 20% 40% 60% 80% 100% Visit Lengths -Quilcene <30 30 31-44 45 46-59 60 >60 0% 20% 40% 60% 80% 100% Visit Lengths -Brinnon <30 30 31-44 45 46-59 60 >60 2019 Annual Report 9 February, 2021 0% 20% 40% 60% 80% 100% 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 9/17-6/18 9/18-6/19 9/19 - 6/20 Individuals by Grade -Port Townsend 1st - 5th 6th - 8th 9th 10th 11th 12th Unknown 0% 20% 40% 60% 80% 100% 1/10-6/10 9/10-6/119/11-6/129/12-6/139/13-6/14 9/14-6/159/15-6/169/16-6/179/17-6/189/18-6/19 9/19 - 6/20 Individuals by Grade -Chimacum 1st-5th 6-8th 9th 10th 11th 12th Unknown 0% 20% 40% 60% 80% 100% 1/10-6/109/10-6/11 9/11-6/12 9/12-6/139/13-6/14 9/14-6/15 9/15-6/16 9/16-6/17 9/17-6/189/18-6/19 9/19 - 6/20 Individuals by Grade -Brinnon 1st-5th 6-8th 9th 10th 11th 12th Unknown 0% 20% 40% 60% 80% 100% 1/10-6/10 9/10-6/11 9/11-6/129/12-6/13 9/13-6/14 9/14-6/159/15-6/169/16-6/179/17-6/18 9/18-6/19 9/19 - 6/20 Individuals by Grade -Quilcene 1st-5th 6-8th 9th 10th 11th 12th Unknown 0% 20% 40% 60% 80% 100% Individuals by Gender -Port Townsend Male Female Unknown 0% 20% 40% 60% 80% 100% Individuals by Gender -Chimacum Male Female Unknown 0% 20% 40% 60% 80% 100% Individuals by Gender -Quilcene Male Female Unknown 0% 20% 40% 60% 80% 100% Individuals by Gender -Brinnon Male Female Unknown 2019 Annual Report 10 February, 2021 Jefferson County One Tenth of One Percent Tax Fund Evaluation Transitional Housing - Discovery Behavioral Health Program Description: Discovery Behavioral Healthcare provides transitional housing services for up to 10 Jefferson County citizens who are at immediate risk of or a continuing risk of psychiatric hospitalization, or who have been recently discharged from the hospital without a home. The following is provided: market rate rent for one apartment at Thomas Street Apartments, rent of one room at Bayside Hotel for an individual with severe mental illness who is currently homeless and overnight housing for up to 3 nights a month at Harborside Inn, for citizens needing immediate short term housing. Jefferson County One Tenth of One Percent Tax Fund Evaluation OlyCAP Transitional Housing Program Description: Olympic Community Action, (OlyCAP) provides transitional housing at the Haines Street Cabins, for individuals with substance use disorder or mental illness who are participating in Therapeutic Courts or who are discharged from Jail or a Hospital without a home. The 1/10th of 1% fund pays for utilities at the cabins. 41 46 31 29 10 20 30 40 50 2018 2019 Number of Clients per Year Total Clients New Clients 90% 53% 10% 3% 44% 0% 20% 40% 60% 80% 100% 2018 2019 Percent of Individuals Served by Employment Not in Work Force Full-Time Part-Time 8%20% 32%11% 52% 54% 9%15% 0% 20% 40% 60% 80% 100% 2018 2019 Percent of Individuals Served by Age 0 - 17 18-24 25-44 45-64 65+ 56%56% 12% 12%44% 24% 0% 20% 40% 60% 80% 100% 2018 2019 Percent of Individuals Served by Discharge Outcome Permanent Housing Eviction Jail Other 35%43% 65%57% 0% 20% 40% 60% 80% 100% 2018 2019 Percent of Individuals Served by Gender Male Female 11% 33% 22% 11% 22% 0% 16%16% 12%12% 23%23% 0% 5% 10% 15% 20% 25% 30% 35% 0-8 weeks 9-16 weeks 17-24 weeks 25-28 weeks 6 months - 1 year 1 year or more Percent of Individuals Served by Length of Participation 2018 2019 25% 50% 25% 50% 25% 25% 0% 20% 40% 60% 80% 100% 2018 2019 Percent of Clients Served by Discharge Outcome Permanent Housing Jailed Moved Out of County Other Refused Services 6 6 0 1 2 3 4 5 6 7 2018 2019 Total Clients Served per Year 73% 38% 18% 38% 13% 9%13% 0% 20% 40% 60% 80% 100% 2018 2019 Percent of Clients Served by Employment Not in Work Force Part-Time Unemployed Unknown 55%56% 27% 44% 18% 0% 20% 40% 60% 80% 100% 2018 2019 Percent of Clients Served by Age 0-17 18 - 24 25 - 44 45 - 64 65 + 0% 20% 40% 60% 80% 100% 2018 2019 Percent of Clients Served by Gender Male Female 15% 8% 13% 6% 15% 13% 62% 31% 0% 20% 40% 60% 80% 100% 2018 2019 Percent of Clients Served by Length of Participation 0 - 8 weeks 9 - 16 weeks 17 - 24 weeks 24 - 28 weeks 6 months - 1 year 1 year + 2019 Annual Report 11 February, 2021 Jefferson County One Tenth of One Percent Tax Fund Evaluation Therapeutic Court Programs Program Description: The Therapeutic Courts serve the population who are involved with the Criminal Justice System and would likely be incarcerated. Participants in Drug Court and Family Therapeutic Court, (FTC) have a substance abuse issue and participants in Behavioral Health Court have mental health disorders. Therapeutic Courts provide an opportunity for participants to work on their underlying issues, therefore reducing the jail population & is an essential element of restorative justice. 32 38 31 33 26 57 60 54 52 55 3 7 4 5 4 5 7 0 10 20 30 40 50 60 70 2015 2016 2017 2018 2019 Participants of Therapeutic Courts by Year Behavioral Health Court Drug Court Family Therapeutic Court Juvenile/Family Court 2% 18%23% 0% 32% 1% 12%8%11% 0% 10% 20% 30% 40% 50% BHC Participants by Mental Health Diagnosis 2015 2016 2017 2018 2019 58% 27% 42% 50% 14% 46% 61% 4% 20% 55% 5% 44% 0% 10% 20% 30% 40% 50% 60% 70% Participants with 0 Sanctions Participants on Warrant Status Participants with No Positive UA DC Participants by Outcomes 2016 2017 2018 2019 85% 0% 24% 80% 0% 40% 100% 0%0% 0% 20% 40% 60% 80% 100% Participants with 0 Sanctions Participants on Warrant Status Participants with No Positive UA FTC Participants by Outcomes 2017 2018 2019 6%6% 16%18% 35% 18% 10% 17% 7% 12% 52% 2% 13% 38% 0% 25% 13% 0% 62% 38% 0%0%0%0% 0% 10% 20% 30% 40% 50% 60% 70% 0 - 12 weeks 13 - 24 weeks 25 - 36 weeks 37 - 52 weeks 1 - 2 years 2 + years Participants of Therapeutic Courts by Length of Participation (2019) Behavioral Drug Court Family Juvenile/Family 2019 Annual Report 12 February, 2021 Jail/Inmate Services - Believe in Recovery SUMMARY Program Description: A Chemical Dependency Professional, (CDP) assesses subjects booked into jail for substance use disorder and/or withdrawal, provides services/referrals for inmates with substance abuse dependencies to: DBH, (Mental Health Provider) Jefferson County Public Health and the Jail Medical Provider, coordinates care with Safe Harbor and the Therapeutic Courts, and assists with inmate placement into treatment programs. CDP actively recruits inmates with substance abuse issues to participate in a weekly class. Jefferson County One Tenth of One Percent Tax Fund Evaluation 75 53 78 34 94 78 141 134 0 20 40 60 80 100 120 140 160 2016 2017 2018 2019 Individuals Served Annually and Average Assessments Completed per Quarter Completed Assessments Per Quarter Total Individuals Served - Annual 46%48% 81% 27% 30%24% 0% 32% 8%6%0% 1% 16%22%19% 9% 31% 0% 20% 40% 60% 80% 100% 120% 2016 2017 2018 2019 Percent of Individuals Served by Area PT East JC South JC Non-JC Zip Code Homeless 15%16%10%14% 56%60%62%64% 26%20%28%21% 3%4%0%1% 0% 20% 40% 60% 80% 100% 2016 2017 2018 2019 Percent of Individuals Served by Age 18-24 25-44 45-65 65+ 68%76%75%76% 32%24%25%24% 0% 20% 40% 60% 80% 100% 2016 2017 2018 2019 Percent of Individuals Served by Gender Male Female 64% 76% 88% 0% 20% 40% 60% 80% 100% Inpatient Outpatient MAT Percent of Individuals Recommended for Services who Attended (2019) 2019 Annual Report 13 February, 2021 Continuum Vendor & Program SMART Objective Type of Measure Num Den Result 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%2 18 11% 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%1 1 100% 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%13 18 72% 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%1 18 16% 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%16 18 89% Early Intervention JCPH NFP % of participants referred to MH treatment are engaged in services Med/long term 9 15 60%9 15 60%5 6 83% Early Intervention JCPH NFP % of participants remain in the program (NFP report retention rate)Med/long term 21 30 70%21 30 70%23 35 66% 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%18 18 100% 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%18 18 100% Early Intervention JCPH NFP Average score for participant overall satisfaction with NFP program (scale 1-10)Satisfaction ------95%------90%--------- Early Intervention JCPH NFP % of participants at risk level 2 for overall mental health at initial assessment Status at Initial Assessment ------------------10 21 48% Early Intervention JCPH NFP % of participants at risk level 1 or 2 for substance use and abuse at initial assessment Status at Initial Assessment ------------------6 22 27% Early Intervention JCPH NFP % of participants at risk level 2 for unsafe family or friend network at initial assessment Status at Initial Assessment ------------------0 20 0% 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------------------11 11 100% Early Intervention JMCC Brinnon 90% of children served will successfully participate in therapy medium/long term outcome------------------5 5 100% Early Intervention JMCC Brinnon 80% of parents served will successfully develop intended skills/behaviors of program medium/long term outcome------------------7 7 100% Early Intervention JMCC Brinnon 80% of participants report program has helped them improve parenting skills (4 or 5)satisfaction outcome ------------------0 0 --- Early Intervention JMCC Brinnon 80% of participants report program has helped them reach goals for family and self (4 or 5)satisfaction outcome ------------------0 0 --- Early Intervention JMCC Brinnon 80% of teaches and staff report program has helped child and family reach goals(4 or 5)satisfaction outcome ------------------8 11 73% Early Intervention Jumping Mouse 80% of parents served successfully develop intended skills/behaviors of program Med/long term 141 156 90%152 169 90%142 157 90% Early Intervention Jumping Mouse 90% of children served successfully participate in therapy Med/long term 104 122 85%112 124 90%95 109 87% 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%22 30 73% 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%25 29 86% 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%553 571 97% 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%557 575 97% 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%560 575 97% 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%557 574 97% 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%1 1 100% Housing DBH Transitional % enrolled participants successfully move to permanent housing medium/long term outcome---------1 6 17%2 6 33% Housing DBH Transitional % of individuals who discharge into permanent housing medium/long term outcome---------1 5 20%2 6 33% Housing DBH Transitional The number of hospital bed days for participants (enrolled at least three months) decreases compared to equivalent time prior. medium/long term outcome---------36 55 65%0 1 0% Jefferson County 1/10th of 1% Evaluation Annual Outcomes 2017 2018 2019 2019 Annual Report 14 February, 2021 Housing DBH Transitional % of individuals who make progress on their stability plan obtain birth certificate, write resume, etc.medium term outcome---------4 6 67%3 3 100% 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%1 1 100% Housing DBH Transitional % of individuals who obtain employment medium/long term outcome---------1 1 100%1 1 100% Housing DBH Transitional % of individuals who obtain social security medium/long term outcome---------5 5 100%2 2 100% Housing DBH Transitional 80% of program participants report favorable feedback about service experience.*medium/long term outcome---------3 3 100%6 6 100% Housing DBH Transitional The number of ED visits for enrolled participants (at least three months) decreases compared to equivalent time prior.medium/long term outcome------------------1 2 50% Housing DBH Transitional The number of jail bed days for participants (enrolled at least three months) decreases compared to equivalent time prior. medium/long term outcome------------------0 0 --- Housing DBH Transitional The proportion of 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------------------1 3 33% Housing DBH Transitional % of individuals who go back to school and/or get job training medium/long term outcome---------0 0 ---0 0 --- Housing DBH Transitional % of individuals who are reunified with their children medium/long term outcome---------2 0 ---2 2 100% Housing OlyCAP % of individuals who obtain employment medium/long term outcome---------2 44 5%14 46 30% 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---------10 18 56%14 25 56% 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%3 46 7% Housing OlyCAP % of individuals who make progress on their stability plan obtain birth certificate, write resume, etc.medium term outcome---------25 44 57%29 46 63% 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%34 55 62% 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%0 4 0% Jail/Courts FFT 70% of participants are moderately to highly satisfied with the FFT therapist using Miller Scale: Relationship satisfaction outcome ------------------7 7 100% Jail/Courts FFT 70% of participants are moderately to highly satisfied with the FFT therapist using Miller Scale: Goals & Topics satisfaction outcome ------------------7 7 100% Jail/Courts FFT 70% of participants are moderately to highly satisfied with the FFT therapist using Miller Scale: Approach or Method satisfaction outcome ------------------7 7 100% Jail/Courts FFT 70% of participants are moderately to highly satisfied with the FFT therapist using Miller Scale: Overall satisfaction outcome ------------------7 7 100% Jail/Courts FFT 70% of participants demonstrate they are unlikely to remain truant according to final assessment WARNS+practice or behavior ------------------5 7 71% Jail/Courts FFT Participants demonstrate the following improvements in school attendance: • Participants in program (pre/during program): 10% practice or behavior ------------------5 7 71% Jail/Courts FFT Participants demonstrate the following improvements in school attendance: • Program graduates (pre/post program): 20% practice or behavior ------------------3 3 100% 2019 Annual Report 15 February, 2021 Jail/Courts FFT 70% of program graduates do not return to truant behavior (7 unexcused absences in a month or 10 in a year) within 1 year post-graduation practice or behavior ------------------2 3 66% Jail/Courts FFT 70% of individuals enrolled in FFT graduate within 12 sessions practice or behavior ------------------3 3 100% Jail/Courts FFT 70% of participants demonstrate improvement in mental health (when applicable practice or behavior ------------------5 5 100% Jail/Courts FFT 70% of participants demonstrate improvement in substance use disorder status (when applicable)practice or behavior ------------------1 1 100% Jail/Courts FFT Program attrition rates through phase progressions do not exceed the following: Phase I--> Phase II: 20% satisfaction outcome --------------------------- Jail/Courts FFT Program attrition rates through phase progressions do not exceed the following: Phase II--> Phase III: 10% satisfaction outcome --------------------------- Jail/Courts FFT FFT Therapist maintains an average caseload no less than 50% of capacity (5 individuals)fidelity measure ------------------5 5 100% N/A 3 10.5 N/A N/A N/A N/A 0 0 1 0 6.5 N/ARecovery Café Police Navigator Program DBH Transitional Housing CODIT Behavioral Health Court Believe in Recovery Drug Court Functional Family Therapy Court Family Therapeutic Court Jumping Mouse - Brinnon Average Number of Individuals who Reported being Homeless at Any Point During Quarter by Program (2019): Nurse Family Partnership Jumping Mouse OlyCap Transitional Housing 2019 Annual Report 16 February, 2021