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Home My WebLink About1-10th 1% Eval Data 2021_Report_1 Jefferson County One Tenth of One Percent Tax Fund Evaluation: 2021 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 sales tax to improve local services. In 2005, Jefferson County Board of County Commissioners 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 from vendors to provide mental health and substance abuse treatment services. In the past three years, this fund provided an average of $560,000 to vendors. Recipients submit quarterly reports to Kitsap Public Health District under contract to monitor and evaluate the impact of these funds. COVID-19 Pandemic and Mental Health Services: In 2020, the COVID-19 pandemic led to a stay-at-home order and subsequent restrictions that continued into 2021. These measures created barriers in receiving substance use and mental health treatment. In Jefferson County, treatment became limited due to restrictions on non-COVID health care and capacity. When possible, services transitioned to video or telehealth. Moreover, the pandemic and the resulting consequences continues to impact the mental health of much of the population and increase the need for mental and substance use services. Table 1: Annual Count of Unduplicated Individuals Served (Not Available Prior to 2013) Funding Priority Project 2013 2014 2015 2016 2017 2018 2019 2020 2021 Early Intervention Functional Family Therapy --- --- --- --- --- 5 7 4 17 Jumping Mouse: Caregivers 103 174 179 152 156 169 157 129 128 Jumping Mouse: Kids 73 113 137 125 122 124 109 96 94 Jumping Mouse (Brinnon): Caregivers --- --- --- --- --- 4 7 11 14 Jumping Mouse (Brinnon): Kids --- --- --- --- --- 4 6 9 11 Nurse Family Partnership 54 66 58 62 60 64 54 33 22 Pfeiffer House --- --- --- --- --- --- --- --- 3 School-Based Mental Health 132 180 145 192 243 187 255 156 79 Discovery Behavioral Health Wraparound Services --- --- --- --- --- --- --- --- 6 Treatment Recovery Café --- --- --- --- --- --- 11 45 109 Jail/Courts Behavioral Health Court --- --- 32 38 31 33 26 29 20 Believe in Recovery --- --- --- --- --- --- 136 102 104 Drug Court --- --- 57 60 54 52 55 35 27 Family Therapeutic Court --- --- 3 7 4 5 4 5 3 Police Navigator Program --- --- --- --- --- --- 62 289 263 Housing Discovery Behavioral Health Transitional Housing --- --- --- --- --- 6 6 4 4 OlyCap Housing --- --- --- --- --- 12 46 43 28 Total 790 2 Figure 1: Zip Codes of Unduplicated Individuals Served In 2021, the Jefferson County One Tenth of One Percent Funds provided services for 790 individuals. Programs provided zip codes for 495 individuals served (63% of individuals – an 11% increase from those reported last year). Of those individuals’ zip codes provided, most individuals reported living in 98368 (74%) followed by 98339 (10%). In addition, 14% of individuals served reported being homeless at some point during their services. Programs reported overall only 2% of individuals served as living outside of Jefferson County. Table 2: Jefferson County One Tenth of One Percent Program Budget Funding Priority Project 2013 2014 2015 2016 2017 2018 2019 2020 2021 Early Intervention Functional Family Therapy - - - - - $2,910 $11,500 $5,110 $680 Jumping Mouse $24,000 $30,000 $27,550 $27,570 $70,125 $84,327 $79,000 $79,000 $78,999 Jumping Mouse (Brinnon) - - - - - $12,186 $32,424 $32,424 $34,505 Nurse Family Partnership $25,900 $31,740 $29,170 $29,169 $42,121 $49,227 $64,428 $54,720 $64,000 Pfeiffer House - - - - - - - - $0 School-Based Mental Health $59,339 $65,000 $55,717 $51,983 $83,248 $63,372 $72,481 $68,205 $42,711 Discovery Behavioral Health Wraparound Services - - - - - - - - $50,400 Treatment Recovery Café - - - - - - $45,000 $45,000 $43,984 Jail/Courts Behavioral Health Court - - $15,000 $15,801 $40,198 $44,412 $48,330 $44,497 $31,559 Believe in Recovery - - - - - - $32,000 $31,994 $32,000 Drug Court - - $15,000 $15,508 $39,852 $41,239 $40,421 $33,031 $35,835 Family Therapeutic Court - - $5,754 $5,799 $11,279 $9,522 $10,000 $5,307 $3,800 Police Navigator Program - - - - - - $55,000 $54,559 $54,796 Housing Discovery Behavioral Health Transitional Housing - - - - - $23,642 $24,000 $18,900 $18,000 OlyCap Housing - - - - - $19,078 $18,000 $16,185 $15,823 2021 Annual Report: Summaries of Projects 3 Jumping Mouse • In 2021, services were provided in a combination of in-person and telehealth, by the end of the year most clients had returned to in- person services. • In 2021, Jumping Mouse maintained similar numbers of children and caregivers served compared to 2020. • Success Story: In 2021, 90% of children served either completed or continued services by the end of the year. This metric has remained consistent since 2015. Jumping Mouse Brinnon • In 2021, services were provided in a combination of in-person and telehealth, the Brinnon School District helped to provide outdoor facilities for them to continue providing services. • In 2021, there was an increase in kids and caregivers served by the program. Therefore, there was also an increase in the average number of sessions per quarter. • Success Story: In 2021, 80% of children served either completed or continued services by the end of the year. Nurse Family Partnership • In 2021, services continued virtually or by phone. Some in-person visits were completed, but majority remained virtual. • Caseloads in 2021 were low due to caseload transition (graduations and exits of program) and low referrals. NFP worked on strengthening their referral system. • Built NFP Bridge Partnership between Clallam, Jefferson, and Kitsap counties. • Success Story: Despite low number of referrals, NFP increased the percent of families enrolled of those referred from 35% to 44%. 73 113 137 125 122 124 109 96 94 103 174 179 152 156 169 157 129 128 2013 2014 2015 2016 2017 2018 2019 2020 2021 Total Individuals Served Unduplicated Kids Unduplicated Caregivers 4 6 9 114 7 11 14 2018 2019 2020 2021 Total Individuals Served Unduplicated Children Unduplicated Caregivers 27 22 29 31 30 32 27 33 22 2013 2014 2015 2016 2017 2018 2019 2020 2021 Number of Families Served by Year 2021 Annual Report: Summaries of Projects 4 School-Based Mental Health • The 1/10th Contract for the program was not renewed with MCS Counseling. OESD took on the contract and subcontracted with MCS Counseling to finish the year with existing staff. The contract took time to complete, and services began again in January 2022. • The program was unable to find a candidate for the Brinnon School District until March 2022. • These difficulties in maintaining services led to a decrease in number of clients served and visits during the school year. • Success Story: Despite the changes during the school year, the program was able to serve 79 students and the average number of clients served per month was not dramatically reduced. Recovery Café • In 2021, the RC faced barriers to serving all clients due to vaccination requirements by Jefferson County. • At the end of 2020, RC opened to the public and began accepting members. In March 2021, RC opened for meal services. • Successfully received additional funding for the RC from WA Office of Crime Victims Advocacy. • Success Story: In the fourth quarter, 4 previous members took on the leadership role as a Recovery Circle Facilitator. Behavioral Health Court • In 2021, BHC continued virtual or one-on-one meetings. • Low number of new entries to court due to reduced criminal charges during the pandemic. • In 2021, clients did not receive any new law violations. • Success Story: In 2021, 1 BHC participant graduated. 0 45 109 17 105 286 2019 2020 2021 Recovery Circle Participation Enrolled Members Recovery Circles 32 38 31 33 26 29 20 2015 2016 2017 2018 2019 2020 2021 Individuals Served by Behavioral Health Court 20 6 9 0 Average Clients Served Per Month Port Townsend Chimacum Quilcene Brinnon 2021 Annual Report: Summaries of Projects 5 Believe in Recovery • In 2021, as COVID restrictions at the jail began to ease more individuals were able to be served by Believe in Recovery. • In 2021, there was a slight increase in number of individuals served by the program from 102 (2020) to 104 (2021) and in the average number of assessments completed per quarter. • Success Story: Of those admitted to residential inpatient treatment, 88% were able to complete the program. Drug Court • In 2021, there was a continued decrease in the numbers of individuals served by the Drug Court. This lack of referrals is due to defense attorneys and the new State vs. Blake ruling. DC is currently working on connecting with attorneys to encourage them to refer clients. • Success Story: In 2021, 8 Drug Court participants graduated. Family Therapeutic Court • The number of individuals served by the Family Therapeutic Court decreased in 2021. FTC is currently working with DCFS and attorneys to increase referrals. • Success Story: In 2021, 100% (3 of 3 participants) graduated from the Family Therapeutic Court. 57 60 54 52 55 35 27 0 20 40 60 80 2015 2016 2017 2018 2019 2020 2021 Individuals Served by Drug Court 3 7 4 5 4 5 3 2015 2016 2017 2018 2019 2020 2021 Individuals Served by Therapeutic Court 34 26 27 134 102 104 2019 2020 2021 Individuals Served Annually and Average Completed Assessments per Quarter Completed Assessments Per Quarter Total Individuals Served - Annual 2021 Annual Report: Summaries of Projects 6 Police Navigator Program • In 2021, the third year of the Police Navigator Program, the program increased their flexibility to respond to crises outside of scheduled hours. • In 2021, the Police Navigator maintained a high level of contacts with individuals in addition to contacts with community members and family regarding individuals connected with the Navigator. • Success Story: Only 3% of contacts led to arrests and those were only due to mandatory arrest laws. Functional Family Therapy • In the beginning of 2021, schools continued their pause on truancy referrals to the court due to hybrid learning model. By the end of the year referrals to the program had increased substantially. • In 2021, the Functional Family Therapy program had a dramatic increase in individuals served from 4 (2020) to 17 (2021). • Success Story: In 2021, 100% of participants in Functional Family Therapy graduated within 12 sessions. Discovery Behavioral Health Transitional Housing • In 2021, individuals served by the Transitional Housing program began the year with phone check-ins with their case managers and by mid-year had returned to in-person meetings. • Program faces difficulties finding permanent housing for clients. • In 2021, the number of individuals served by the Transitional Housing program was maintained from 2020. • Success Story: Of those who were discharged, 75% left to permanent housing. The one client who discharged to other housing was due to reunification with their child and need to transfer to family housing. 62 289 263 4.1 0.8 0.9 2019 2020 2021 Contacts and Referrals per Contact Completed by the Police Navigator Contacts Referrals per Contact 6 6 4 4 2018 2019 2020 2021 Individuals Served by DBH Transitional Housing 5 7 4 17 6 3 22018201920202021 Clients and Graduates of Functional Family Therapy by Year Clients Graduates 2021 Annual Report: Summaries of Projects 7 OlyCAP Housing • Continuing into 2021, OlyCAP Housing had less turnover due to a decline in clients exiting services, lack of permanent housing for clients to move to, the eviction moratorium, and a reduced number of referrals. • In 2021, the total number of clients served by OlyCAP decreased from 43 (2020) to 28 (2021). • Success Story: Of those discharged in 2021, 40% discharged to permanent housing. Pfeiffer House: Therapeutic Support for Independent Living Program Description: The Pfeiffer House supports individuals ages 18 – 24 who are in mental health and substance use disorder treatment through housing, case management, therapeutic coaching, and skill building. • In 2021, the renovations were completed, and the first residents moved into the house in July. • 19 outreach meetings and 6 open houses/house tours were held in the community to get referrals to the program. • By the beginning of the third quarter, the house was at full capacity. • In the fourth quarter, the therapist was serving three clients. Of those who participated, 67% attended at least one session per month after intake. Discovery Behavioral Health Wraparound Services Program Description: Discovery Behavioral Health’s Wraparound Services provides access to mental health services not funded by Medicare, private insurers, or those who are uninsured. This program will work with high utilizers to reduce a gap in coverage. • In 2021, six clients were served by DBH’s Wraparound Services Program and no clients left services. • On average each client received 47 services (therapy sessions, group therapy sessions, case management services, medication management/monitoring services, and peer support) per quarter. • 100% of clients reported feeling that they have seen progress during treatment. • 100% of clients successfully maintained medication compliance. • 33% of clients needed to be involuntarily hospitalized during 2021. 41 46 43 28 31 29 21 18 2018 2019 2020 2021 Total and New Clients Served by OlyCAP Total Clients New Clients 2021 Annual Report: Summaries of Projects 8 2020 Annual Report: Jumping Mouse 9 Program Description: Services to traumatized children who have 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 and mental health problems before they begin. Program Outcomes 2017 2018 2019 2020 2021 80% of parents served successfully develop intended skills/behaviors of program 90% 90% 90% 95% 94% 90% of children served successfully participate in therapy 85% 90% 87% 86% 94% 88% of participants report program has helped them improve parenting skills 88% 92% 73% 83% 83% 88% of participants report program has helped them reach goals for family and self 88% 100% 86% 67% 83% Top 5 Mental Health Diagnoses in Child Clients 2018 2019 2020 2021 1. Anxiety 1. Anxiety 1. Anxiety 1. Anxiety 2. T or Z / Situational 2. Adjustment 2. Adjustment 2. Adjustment 3. Adjustment 3. T or Z / Situational 3. T or Z / Situational 3. T or Z / Situational 4. PTSD 4. PTSD 4. PTSD / Trauma 4. PTSD / Trauma 5. Attachment 5. Attachment 5. Attachment 5. Attachment Top 5 ACES in Child Clients 2018 2019 2020 2021 1. DIV/SEP 1. DIV/SEP 1. DIV/SEP 1. DIV/SEP 2. Mental Illness 2. Mental Illness 2. Mental Illness 2. Mental Illness 3. Alcohol/Drug Abuse 3. Alcohol/Drug Abuse 3. Alcohol/Drug Abuse 3. Neglect: Emotional 4. Abuse: Emotional 4. Neglect: Emotional 4. Neglect: Emotional 4. Domestic Violence 5. Neglect: Emotional 5. Domestic Violence 5. Domestic Violence 5. Abuse: Emotional 73 113 137 125 122 124 109 96 94 103 174 179 152 156 169 157 129 128 2013 2014 2015 2016 2017 2018 2019 2020 2021 Total Individuals Served Unduplicated Kids Unduplicated Caregivers 29 124 146 600 715 600 569 662 634 549 714 3 32 55 185 274 231 186 211 195 187 148 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 Average Number of Sessions per Quarter Child Sessions Caregiver Sessions Per Month Per Quarter 43%28%28%42%25%20% 2016 2017 2018 2019 2020 2021 Percent of Child Clients with 6+ ACES 91%86%85%90%87%86%90% 2015 2016 2017 2018 2019 2020 2021 Percent of Child Clients who Successfully Completed or Continued Services 2020 Annual Report: Jumping Mouse (Brinnon) 10 Program Description: Jumping Mouse has set up a satellite center in the Brinnon School District. Jumping Mouse provides weekly long-term therapy to children who attend Brinnon School District, provides support and education to parents/caregivers and teachers/staff of the children served. Program Outcomes 2019 2020 2021 90% of children served successfully participate in therapy 100% 100% 91% 80% of parents served successfully developed intended skills/behaviors of program 100% 100% 93% 80% of participants report program has helped them improve parenting skills - - - 80% of participants report program has helped them reach goals for family and self - - - 80% of teachers and staff report program has helped child and family reach goals 73% - - Top 5 ACES in Child Clients 2019 2020 2021 1. DIV/SEP 1. DIV/SEP 1. DIV/SEP 2. Alcohol/Drug Abuse 2. Alcohol/Drug Abuse 2. Alcohol/Drug Abuse 3. Mental Illness 3. Neglect: Emotional 3. Mental Illness 4. Neglect: Emotional 4. Abuse: Emotional 4. Abuse: Emotional 5. Abuse: Emotional 5. Mental Illness 5. Neglect: Emotional Top 2 Mental Health Diagnoses in Child Clients 2019 2020 2021 1. Anxiety 1. PTSD/Trauma 1. Anxiety 2. PTSD/Trauma 2. Anxiety 2. PTSD/Trauma 4 6 9 11 4 7 11 14 2018 2019 2020 2021 Total Individuals Served Unduplicated Children Unduplicated Caregivers 32 46 74 9 10 16 2019 2020 2021 Average Number of Sessions per Quarter Child Sessions Caregiver Sessions 17% 11%13% 2019 2020 2021 Percent of Child Clients with 6+ ACES 100%100% 80% 2019 2020 2021 Percent of Child Clients who Continued Services 2020 Annual Report: Nurse Family Partnership 11 Program Description: A public health nurse (PHN) 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. The public health 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. Program Outcomes 2017 2018 2019 2020 2021 75% of those referred to the NFP Program are enrolled - - - 35% 44% 60% of families who no longer receive services due to program completion - - - 100% 67% XX% of parents referred to mental health treatment and engaged in services 60% 60% 83% 43% 0% XX% of parents referred to substance abuse treatment and engaged in services 50% 50% 100% 0% 44% XX% of parents improved their risk level for overall mental health from initial to year 1 assessment - - - 25% 40% XX% of parents improved their risk level for substance use and abuse from initial to year 1 assessment - - - 25% 20% XX% of parents improved their risk level for intimate partner violence from initial to year 1 assessment - - - 0% 20% XX% of parents agreed their emotional health improved since started working with PHN 80% 50% 72% 100% 100% XX% of parents agreed they were more confident they could reduce/eliminate tobacco use since PHN 75% 50% 16% 100% 57% XX% of parents agreed they were more confident they could reduce/eliminate alcohol/drug use since PHN 67% 25% 11% 100% 57% XX% of parents agree they were better able to set and achieve goals since PHN 80% 50% 89% 100% 100% XX% of parents agree they were better able to access community resources since PHN 90% 75% 100% 100% 100% XX% of parents agree they were better prepared to parent a new baby since PHN 100% 75% 100% 100% 100% Top 3 Mental Health Diagnoses in Clients 2018 2019 2020 2021 1. Anxiety 1. Anxiety 1. Anxiety 1. Depression 2. Depression 2. Depression 2. Depression 2. PTSD/Trauma 3. PTSD 3. PTSD 3. Psychosis 3. Anxiety 1 8 9 7 27 31 21 4 5 3 13 4 18 23 27 21 79 73 76 60 109 102 89 48 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 Average Number of Visits per Quarter Attempted visit Completed visit Per Month Per Quarter 27 22 29 31 30 32 27 33 22 2013 2014 2015 2016 2017 2018 2019 2020 2021 Number of Families Served by Year 36% 74% 57%59%65% 47% 80%76%71% 2013 2014 2015 2016 2017 2018 2019 2020 2021 % of Clients who Participated in NFP for at Least 6 Months 2020 Annual Report: School-Based Mental Health 12 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. School Year Unduplicated SBHC Clients Total Visits Average Visits Per Client Range in Visits PT Chim Quil Brin Total PT Chim Quil Brin Total PT Chim Quil Brin Total PT Chim Quil Brin 2010 – 11 54 86 19 - 159 245 517 318 - 1080 4 6 16 - 7 1 -17 1 – 33 1 – 46 - 2011 – 12 66 44 27 - 137 229 141 372 - 742 3 3 14 - 5 1 -20 1 – 23 1 – 42 - 2012 – 13 57 62 24 - 143 303 386 347 - 1036 5 6 14 - 7 1 - 21 1 - 26 1 – 48 - 2013 – 14 50 58 24 - 132 282 350 244 - 876 6 6 10 - 7 1 – 23 1 – 36 1 – 27 - 2014 - 15 77 74 29 - 180 599 471 225 - 1295 8 6 8 - 7 1 – 31 1 – 35 1 – 21 - 2015 - 16 75 45 25 - 145 479 431 118 - 1028 6 10 5 - 7 1 – 31 1 – 52 1 – 25 - 2016 - 17 103 54 21 14 192 628 646 172 177 1623 6 12 8 13 8 1 – 14 1 – 15 1 – 8 1 – 9 2017 - 18 106 110 17 10 243 584 598 94 79 1355 6 5 6 8 6 1 – 14 1 – 10 1 – 8 1 – 9 2018 - 19 110 50 17 10 187 569 178 79 240 1066 6 4 5 24 6 1 - 28 1 – 58 3 – 31 2 – 48 2019 - 20 78 139 21 18 256 411 638 171 201 1421 5 5 8 11 6 1 - 20 1 - 50 1 - 24 1 - 40 2020 - 21 53 54 20 29 156 466 182 112 161 921 9 3 6 6 6 1 - 29 1 - 16 1 - 17 1 – 21 2021 - 22 45 12 22 - 79 219 20 79 - 318 5 2 4 - 4 1 – 19 1 – 3 1 – 13 - 20 6 9 0 Average Clients Served Per Month Port Townsend Chimacum Quilcene Brinnon 37 10 13 0 Average Visits Per Month Port Townsend Chimacum Quilcene Brinnon 2020 Annual Report: School-Based Mental Health 13 Port Townsend – Top 5 Reasons for Visit 2016 – 17 2017 – 18 2018 – 19 2019 - 20 2020 – 21 2021 – 22 1. Family 1. Future 1. Family 1. Family 1. Family 1. Stress 2. Relationships 2. Relationships 2. Depression 2. Self-Esteem 2. Stress 2. Family 2. Stress 3. Stress 3. Stress 3. Relationships 3. Relationships 3. Anxiety 4. Anxiety 4. Family 4. Anxiety 4. Stress 4. Self-Esteem 3. Depression 5. Depression 5. Crt Diversion 5. Relationships 5. Anxiety 5. Anxiety 4. Relationships Quilcene – Top 5 Reasons for Visit 2016 – 17 2017 – 18 2018 – 19 2019 - 20 2020 – 21 2021 – 22 1. Stress 1. Stress 1. Stress 1. Family 1. MH Wellness 1. MH Wellness 2. Family 2. Family 2. Relationships 2. Anxiety 2. Family 2. Family 3. School 3. School 3. Anxiety 3. Relationships 3. Relationships 3. Anxiety 4. Anxiety 4. Relationships 4. Future 4. Stress 4. Future 4. Depression 5. Relationships 5. Anxiety 5. Family 5. Future 5. Anxiety 4. Relationships Grade of Clients -Chimacum 1st-5th 6-8th 9th 10th 11th 12th Unknown Chimacum – Top 5 Reasons for Visit 2016 – 17 2017 – 18 2018 – 19 2019 - 20 2020 – 21 2021 – 22 1. Family 1. Family 1. Family 1. Family 1. MH Wellness 1. Relationships 2. Anxiety 2. Depression 2. Future 2. Relationships 2. Future 2. School 3. Relationships 3. Anxiety 3. Anxiety 3. Future 3. Family 2. Stress 4. Stress 4. Anger 4. Stress 4. School 4. Relationships 3. Family 5. Depression 5. Stress 5. Self-Esteem 5. Anxiety 5. School 4. Self Esteem Brinnon – Top 5 Reasons for Visit 2016 – 17 2017 – 18 2018 – 19 2019 - 20 2020 – 21 2021 – 22 1. Stress 1. Stress 1. Family 1. Family 1. Relationships - 2. School 2. Family 2. Relationships 2. Relationships 2. Family - 3. Family 3. School 3. School 3. Anxiety 3. Self-Esteem - 4. Relationships 4. Self-Esteem 4. Anger 4. Future 4. Stress - 5. Future 5. Anxiety 5. Future 5. School 5. Anxiety - Grade of Clients -Brinnon 1st-5th 6-8th 9th 10th 11th 12th Unknown Grade of Clients -Port Townsend 1st - 5th 6th - 8th 9th 10th 11th 12th Unknown Grade of Clients -Quilcene 1st-5th 6-8th 9th 10th 11th 12th Unknown 2020 Annual Report: Recovery Café 14 Program Description: A drug- and alcohol-free place where café members can recover from mental illness, homelessness, domestic violence, addiction, and trauma. Program Outcomes 2021 Members visit the RC at least 12 times per quarter. 6 Number of Recovery Circles increases over the year. Increased from 58 (Q1) to 84 (Q4) 80% of members report prevention of relapse in most recent quarterly member survey 57% 80% of members report RC helped to stabilize mental health in most recent quarterly member survey 66% Less than 15% of clients self-reported a relapse while members of the Recovery Café 6% 90% of members report feeling “somewhat,” “very”, or “extremely” connected to the RC community 97% 0 45 109 17 105 286 2019 2020 2021 Recovery Circle Participation Enrolled Members Recovery Circles 41%42% 2020 2021 % Enrolled Members who Have Participated in RC for at least 6 Months 184 3870 2800 2020 2021 Services Provided by Year Referrals Made to Outside Services Meals Served 2020 Annual Report: Therapeutic Courts: Behavioral Health Court, Drug Court, and Family Therapeutic Court 15 Program Description: The therapeutic courts serve the population who are involved with the criminal justice system and would likely be incarcerated. The 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. Behavioral Health Court Drug Court Family Therapeutic Court 2015 2016 2017 2018 2019 2020 2021 2015 2016 2017 2018 2019 2020 2021 2015 2016 2017 2018 2019 2020 2021 Individuals served 32 38 31 33 26 29 20 57 60 54 52 55 35 27 3 7 4 5 4 5 3 Graduates 2 5 6 10 1 6 1 12 16 12 6 14 15 8 1 2 0 1 2 5 3 Children reunited - - - - - - - - - - - - - - 2 3 0 0 0 2 3 Discharges 5 2 12 5 4 6 2 11 13 24 5 17 3 6 0 1 0 1 0 0 0 Top 5 Mental Health Diagnoses - Behavioral Health Court 2015 2016 2017 2018 2019 2020 2021 1. Bipolar Disorder 1. Depression 1. Schizoaffective / Schizophrenia 1. PTSD 1. Depression 1. Anxiety Disorder 1. PTSD/Trauma 2. PTSD 2. Bipolar Disorder 2. Bipolar Disorder 2. Schizoaffective / Schizophrenia 2. Bipolar Disorder 1. Depression 2. Anxiety Disorder 3. Depression 2. PTSD 2. PTSD 3. Bipolar Disorder 3. Anxiety Disorder 1. PTSD 2. Bipolar Disorder 4. Substance Use Disorder 4. Schizoaffective / Schizophrenia 4. Depression 3. Depression 4. PTSD 4. Bipolar Disorder 3. Depression 5. Schizoaffective / Schizophrenia 5. Delusional Disorder 5. Anxiety Disorder 5. Delusional Disorder 5. Substance Use Disorder 5. Schizoaffective / Schizophrenia 4. Schizoaffective / Schizophrenia 32 38 31 33 26 29 20 57 60 54 52 55 35 27 3 7 4 5 4 5 3 2015 2016 2017 2018 2019 2020 2021 Individuals Served by Therapeutic Court Behavioral Health Court Drug Court Family Therapeutic Court 5% 23% 0% 9% 46%100% 86% 31% BHC DC FTC Length of Participation by Therapeutic Court Less than 6 months 6 months - 1 year 1 year or more 2020 Annual Report: Therapeutic Courts: Behavioral Health Court, Drug Court, and Family Therapeutic Court 16 85% 0% 24% 80% 0% 40% 100% 0%0% 80% 0% 50% 33% 0% 33% Participants with 0 Sanctions Participants on Warrant Status Participants with No Positive UA Family Therapeutic Court Participants by Outcomes 2017 2018 2019 2020 2021 58% 27% 42% 50% 14% 46% 61% 4% 20% 55% 5% 44%45% 7% 88% 54% 19% 69% Participants with 0 Sanctions Participants on Warrant Status Participants with No Positive UA Drug Court Participants by Outcomes 2016 2017 2018 2019 2020 2021 2020 Annual Report: Believe in Recovery 17 Program Description: A chemical dependency professional (CDP) assesses subjects booked into jail for substance use disorder and/or withdrawal, provide services/referrals for inmates with substance abuse dependencies to Discovery Behavioral Health, 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 case. 34 26 27 134 102 104 2019 2020 2021 Individuals Served Annually and Average Completed Assessments per Quarter Completed Assessments Per Quarter Total Individuals Served - Annual Inpatient Outpatient MAT Percent of Individuals Referred to Services who Attended 2019 2020 2021 22% 60% 6% 10% Jail Treatment - Inpatient Treatment - Outpatient Treatment - Refused Percent of Individuals who Left Services by Outcome 2020 Annual Report: Police Navigator Program 18 Program Description: Engage with individuals who encounter Port Townsend police officers and appear to need mental health and/or substance abuse intervention through case management by a navigator with the goal to reduce recidivism in jails and emergency rooms. Top 4 Self-Reported Mental Health Symptoms 2019 2020 2021 1. Delusions 1. Depression 1. Depression 2. Psychosis 1. Psychosis 2. Memory Impairment 3. PTSD/Trauma 3. Anger 3. Psychosis 4. Depression 3. Anxiety 4. Delusions 62 289 263 4.1 0.8 0.9 2019 2020 2021 Contacts and Referrals per Contact Completed by the Police Navigator Contacts Referrals per Contact 0%1%3% 2019 2020 2021 Percent of Contacts that Led to Arrest 80% 1%1% 6% 12% Law Enforcement Community Agency Community Members Police Navigator Self-referral Sources of Referral to Police Navigator Program 2020 Annual Report: Discovery Behavioral Health Transitional Housing 19 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. 25% 50% 67% 83%25% 50% 25% 33% 17%25% 2018 2019 2020 2021 Discharge Outcomes Permanent Housing Jailed Moved Out of County Other Refused Services 6 6 4 4 2018 2019 2020 2021 Individuals Served by DBH Transitional Housing 50% 75% 25% 25%25% 2020 2021 Source of Referral Therapeutic Court Hospital Jail 2020 Annual Report: OlyCAP Housing 20 Program Description: Olympic Community Action Program (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 the utilities at the cabins. Top 4 Self-Reported Mental Health Symptoms 2019 2020 2021 1. Substance Use Disorder 1. Substance Use Disorder 1. Substance Use Disorder 2. PTSD/Trauma 2. PTSD/Trauma 2. PTSD/Trauma 3. Anxiety 3. Depression 3. Depression 3. Depression 4. Anxiety 4. Bipolar 41 46 43 283129 21 18 2018 2019 2020 2021 Total and New Clients Served by OlyCAP Total Clients New Clients 56%56%55% 40% 12%20% 7% 12% 10% 20% 44% 24%15% 33% 2018 2019 2020 2021 Individuals Discharged by Outcome Permanent Housing Eviction Jail Other 26% 75% 6% 17% 12% 7% 8% 48% 2020 2021 Source of Referrals to OlyCAP Housing Therapeutic Court Hospital Jail DOC Treatment Other 2020 Annual Report: Functional Family Therapy 21 Program Description: The Jefferson County Juvenile/Family Court’s Functional Family Therapy program provides early intervention programming for youth who are chronically truant due to family issues, substance use disorders and/or behavioral health challenges prior to formal court involvement. 100% 75% 100% 2019 2020 2021 Functional Family Therapy Participants who Graduated within 12 Sessions 5 7 4 17 6 3 2 2018 2019 2020 2021 Clients and Graduates of Functional Family Therapy by Year Clients Graduates