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HomeMy WebLinkAbout1-10th 1% Eval Data 2020_Report_1 Jefferson County One Tenth of One Percent Tax Fund Evaluation: 2020 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 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. Impact of COVID-19 Pandemic on Mental Health Services: On March 23, 2020, Governor Inslee declared a stay-at-home order for Washington State for March 25 to May 4, 2020. The stay-at-home order allowed for only essential businesses to remain open. The shutdown and subsequent restrictions, led to changes and created barriers in receiving substance use disorder and mental health treatment. In Jefferson County, treatment became limited due to limitations on non-COVID health care and capacity restrictions. When possible, services transitioned to video or telehealth options. Moreover, the pandemic and resulting economic recession impacted the mental health of much of the population. To address some of these mental health needs, Congress has allocated funding for mental health and substance use services. This increased need for mental and substance use services will likely persist as the pandemic continues. Table 1: Annual Count of Unduplicated Individuals Served (Not Available Prior to 2013) Funding Priority Project 2013 2014 2015 2016 2017 2018 2019 2020 Early Intervention Jumping Mouse: Caregivers 103 174 179 152 156 169 157 129 Jumping Mouse: Kids 73 113 137 125 122 124 109 96 Jumping Mouse (Brinnon): Caregivers --- --- --- --- --- 4 7 11 Jumping Mouse (Brinnon): Kids --- --- --- --- --- 4 6 9 Nurse Family Partnership 54 66 58 62 60 64 54 33 School-Based Mental Health 132 180 145 192 243 187 255 156 Treatment Recovery Café --- --- --- --- --- --- 11 45 Jail/Courts Behavioral Health Court --- --- 32 38 31 33 26 29 Believe in Recovery --- --- --- --- --- --- 136 102 Drug Court --- --- 57 60 54 52 55 35 Family Therapeutic Court --- --- 3 7 4 5 4 5 Police Navigator Program --- --- --- --- --- --- 62 124 Functional Family Therapy --- --- --- --- --- 5 7 4 Housing Discovery Behavioral Health Transitional Housing --- --- --- --- --- 6 6 4 OlyCap Housing --- --- --- --- --- 12 46 43 Total 825 2 Figure 1: Zip Codes of Unduplicated Individuals Served In 2020, the Jefferson County One Tenth of One Percent Funds provided services for 825 individuals. Programs provided zip codes for 431 individuals served (52% of individuals). Of those individuals’ zip codes provided, most individuals reported living in 98368 (64%) followed by 98339 (12%). 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 Early Intervention Jumping Mouse $24,000 $30,000 $27,550 $27,570 $70,125 $84,327 $79,000 $79,000 Jumping Mouse (Brinnon) - - - - - $12,186 $32,424 $32,424 Nurse Family Partnership $25,900 $31,740 $29,170 $29,169 $42,121 $49,227 $64,428 $54,720 School-Based Mental Health $59,339 $65,000 $55,717 $51,983 $83,248 $63,372 $72,481 $68,205 Treatment Recovery Café - - - - - - $45,000 $45,000 Jail/Courts Behavioral Health Court - - $15,000 $15,801 $40,198 $44,412 $48,330 $44,497 Believe in Recovery - - - - - - $32,000 $31,994 Drug Court - - $15,000 $15,508 $39,852 $41,239 $40,421 $33,031 Family Therapeutic Court - - $5,754 $5,799 $11,279 $9,522 $10,000 $5,307 Police Navigator Program - - - - - - $55,000 $54,559 Functional Family Therapy - - - - - $2,910 $11,500 $5,110 Housing Discovery Behavioral Health Transitional Housing - - - - - $23,642 $24,000 $18,900 OlyCap Housing - - - - - $19,078 $18,000 $16,185 2020 Annual Report: Summaries of Projects 3 Jumping Mouse • Due to the COVID-19 pandemic, in March, Jumping Mouse services transitioned to telehealth. At the end of 2020, Jumping Mouse had begun to see a select number of clients in-person. • In 2020, there was a decrease in kids and caregivers served by the program. Therefore, there was also a decrease in the average number of sessions per quarter. • Success Story: In 2020, 86% of children served either completed or continued services by the end of the year. This metric has remained consistent since 2015. Jumping Mouse Brinnon • Due to the COVID-19 pandemic, Jumping Mouse Brinnon transitioned to telehealth. In addition, the Brinnon School District helped to provide outdoor facilities for them to continue providing services. • In 2020, 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 2020, 100% of children served either completed or continued services by the end of the year. Nurse Family Partnership • Due to COVID-19, Nurse Family Partnership services transitioned to telehealth. This transition made it more difficult to discuss more sensitive issues, like ACEs. The pandemic also led to a decrease in referrals due to stress on the healthcare system. • In 2020, there was an increase in families served by the Nurse Family Partnership. However, the average number of completed visits per quarter decreased and there was an increase in attempted visits. • Success Story: 100% of families who no longer receive services is due to program completion. 73 113 137 125 122 124 109 96 103 174 179 152 156 169 157 129 2013 2014 2015 2016 2017 2018 2019 2020 Total Individuals Served Unduplicated Kids Unduplicated Caregivers 4 6 94 7 11 2018 2019 2020 Total Individuals Served Unduplicated Children Unduplicated Caregivers 27 22 29 31 30 32 27 33 2013 2014 2015 2016 2017 2018 2019 2020 Number of Families Served by Year 2020 Annual Report: Summaries of Projects 4 School-Based Mental Health • Due to the COVID-19 pandemic and the transition of school to a virtual format, the number of users and visits during the 2019 – 20 and 2020 - 21 school year were impacted. • For the 2020 – 2021 school year, the number of users of the school-based mental health clinics decreased at Chimacum, Port Townsend, and Quilcene. The number of users of the school- based mental health clinic increased at Brinnon. • Success Story: As schools began to open in 2021, the average number of visits per clinic day per month increased. The months with the highest average number of visits were March (Brinnon) and June 2021 (Chimacum, Port Townsend, and Quilcene). Recovery Café • Due to the COVID-19 pandemic, construction was delayed, and the Recovery Café provided virtual check-ins with members and virtual trainings for volunteers. Recovery Café faced barriers when trying to reach individuals without access to internet. • In 2020, the Recovery Café began accepting members as it opened to the public. In its first year, 31 members joined the Recovery Café. • Success Story: The number of recovery circles held was 6 times the number held in 2019. Behavioral Health Court • Due to the COVID-19 pandemic, the Behavioral Health Court had to change their normal format to virtual and struggled to reach participants without access to Wi-Fi. To help with the transition, the Behavioral Health Court increased their contacts with participants. • In 2020, the Behavioral Health Court had an increase in individuals served from 26 (2019) to 29 (2020). • Success Story: In 2020, 6 BHC participants graduated. 22 12 8 6 Average Clients Served Per Month Port Townsend Chimacum Quilcene Brinnon 11 3117 105 2019 2020 Recovery Circle Participation Attended at Least 1 Recovery Circle Recovery Circles held 32 38 31 33 26 29 2015 2016 2017 2018 2019 2020 Individuals Served by BHC 2020 Annual Report: Summaries of Projects 5 Believe in Recovery • Due to the COVID-19 pandemic, the jail implemented restrictions to limit inmates’ exposure to the virus. This limited the Believe in Recovery program from being able to assess and coordinate services for inmates. • In 2020, there was a decrease in number of individuals served by the program from 134 (2019) to 102 (2020). There was also a decrease in the average number of assessments completed per quarter. • Success Story: Of those referred to outpatient and medically assisted treatment, 100% attended. Drug Court • Due to the COVID-19 pandemic, Drug Court transitioned to telehealth and providing court via Zoom. Some participants chose to remain in Drug Court until they could have an in-person graduation. • In 2020, there was a decrease in the numbers of individuals served by the Drug Court from 55 (2019) to 35 (2020). • Success Story: In 2020, 15 Drug Court participants graduated. Family Therapeutic Court • Due to the COVID-19 pandemic, Family Therapeutic Court transitioned to telehealth and providing court via Zoom. • In 2020, there was a slight increase in the number of individuals served by the Family Therapeutic Court from 4 (2019) to 5 (2020). The number of individuals served by the Family Therapeutic Court has remained consistent in the past five years. • Success Story: In 2020, 100% (5 of 5 participants) graduated from the Family Therapeutic Court. 57 60 54 52 55 35 2015 2016 2017 2018 2019 2020 Individuals Served by Drug Court 3 7 4 5 4 5 2015 2016 2017 2018 2019 2020 Individuals Served by Family Therapeutic Court 34 26 134 102 2019 2020 Individuals Served Annually and Average Completed Assessments per Quarter Completed Assessments Per Quarter Total Individuals Served - Annual 2020 Annual Report: Summaries of Projects 6 Police Navigator Program • Despite the COVID-19 pandemic, the Police Navigator program was able to continue to collaborate with the Port Townsend Police Department to aid with behavioral health-related situations. • In 2020, the second year of the Police Navigator Program contacts increased dramatically from 62 (2019) to 289 (2020). • Success Story: Contacts made by the Police Navigator increased by 4.7 times those made in 2019. Functional Family Therapy or Juvenile/Family Court • Due to the COVID-19 pandemic, schools transitioned to virtual formats and therefore gave no truancy referrals to the court. In addition, the Functional Family Therapy therapist transitioned to telehealth. The therapist also reached out to former clients to provided “booster sessions” to families who may be experiencing additional stress due to the pandemic. • In 2020, the Functional Family Therapy program had a decrease in individuals served by the program from 7 (2019) to 4 (2020). • Success Story: In 2020, 75% of participants in Functional Family Therapy graduated within 12 sessions. Discovery Behavioral Health Transitional Housing • Due to the COVID-19 pandemic, individuals served by the Transitional Housing program had weekly phone calls with their case managers. This transition made it more difficult to discuss more sensitive issues, like ACEs. The pandemic exacerbated existing problems for individuals in the program. • In 2020, the number of individuals served by the Transitional Housing program decreased from 6 (2019) to 4 (2020). • Success Story: Of those who were discharged, 67% left to permanent housing. 62 289 4.1 0.8 2019 2020 Contacts and Referrals per Contact made by Police Navigator Contacts Referrals per Contact 5 7 4 2015 2016 2017 2018 2019 2020 Individuals Served by Juvenile/Family Court 6 6 4 2018 2019 2020 Individuals Served by DBH Transitional Housing 2020 Annual Report: Summaries of Projects 7 OlyCAP Housing • Due to the COVID-19 pandemic, OlyCAP Housing transitioned to a limited intake and case management format to reduce in- person contact. OlyCAP also put their implementation of a new rental payment program on hold due to eviction moratorium. • In 2020, the total number of individuals served by OlyCAP decreased from 46 (2019) to 43 (2020). • Success Story: Of those discharged in 2020, 55% discharged to permanent housing. 41 46 43 31 29 21 2018 2019 2020 Total and New Clients Served by OlyCAP Total Clients New Clients 2020 Annual Report: Jumping Mouse 8 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 80% of parents served successfully develop intended skills/behaviors of program 90% 90% 90% 95% 90% of children served successfully participate in therapy 85% 90% 87% 86% 88% of participants report program has helped them improve parenting skills 88% 92% 73% 83% 88% of participants report program has helped them reach goals for family and self 88% 100% 86% 67% Top 5 Mental Health Diagnoses in Child Clients 2018 2019 2020 1. Anxiety 1. Anxiety 1. Anxiety 2. T or Z / Situational Code 2. Adjustment Disorder 2. Adjustment Disorder 3. Adjustment Disorder 3. T or Z / Situational Code 3. T or Z / Situational Code 4. PTSD 4. PTSD 4. PTSD / Trauma 5. Attachment Disorder 5. Attachment Disorder 5. Attachment Disorder Top 5 ACES in Child Clients 2018 2019 2020 1. Divorce/Separation 1. Divorce/Separation 1. Divorce/Separation 2. Household Mental Illness 2. Household Mental Illness 2. Household Mental Illness 3. Household Alcohol/Drug Abuse 3. Household Alcohol/Drug Abuse 3. Household Alcohol/Drug Abuse 4. Abuse: Emotional 4. Neglect: Emotional 4. Neglect: Emotional 5. Neglect: Emotional 5. Domestic Violence 5. Domestic Violence 73 113 137 125 122 124 109 96 103 174 179 152 156 169 157 129 2013 2014 2015 2016 2017 2018 2019 2020 Total Individuals Served Unduplicated Kids Unduplicated Caregivers 29 124 146 600 715 600 569 662 634 549 3 32 55 185 274 231 186 211 195 187 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Average Number of Sessions per Quarter Child Sessions Caregiver Sessions Per Month Per Quarter 43% 28%28%42% 25% 2016 2017 2018 2019 2020 Percent of Child Clients with 6+ ACES 91%86%85%90%87%86% 2015 2016 2017 2018 2019 2020 Percent of Child Clients who Successfully Completed or Continued Services 2020 Annual Report: Jumping Mouse (Brinnon) 9 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 90% of children served successfully participate in therapy 100% 100% 80% of parents served successfully developed intended skills/behaviors of program 100% 100% 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 2 Mental Health Diagnoses in Child Clients 2019 2020 1. Anxiety 1. PTSD/Trauma 2. PTSD/Trauma 2. Anxiety Top 5 ACES in Child Clients 2019 2020 1. Divorce/Separation 1. Divorce/Separation 2. Household Alcohol/Drug Abuse 2. Household Alcohol/Drug Abuse 3. Household Mental Illness 3. Neglect: Emotional 4. Neglect: Emotional 4. Abuse: Emotional 5. Abuse: Emotional 3. Household Mental Illness 4 6 9 4 7 11 2018 2019 2020 Total Individuals Served Unduplicated Children Unduplicated Caregivers 32 46 9 10 2019 2020 Average Number of Sessions per Quarter Child Sessions Caregiver Sessions 17% 11% 2019 2020 Percent of Child Clients with 6+ ACES 100%100% 2019 2020 Percent of Child Clients who Continued Services 2020 Annual Report: Nurse Family Partnership 10 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 75% of those referred to the NFP Program are enrolled - - - 35% 60% of families who no longer receive services due to program completion - - - 100% XX% of parents referred to mental health treatment and engaged in services 60% 60% 83% 43% XX% of parents referred to substance abuse treatment and engaged in services 50% 50% 100% 0% XX% of parents improved their risk level for overall mental health from initial assessment to year 1 assessment - - - 25% XX% of parents improved their risk level for substance use and abuse from initial assessment to year 1 assessment - - - 25% XX% of parents improved their risk level for intimate partner violence from initial assessment to year 1 assessment - - - 0% XX% of parents agreed their emotional health improved since started working with PHN 80% 50% 72% 100% XX% of parents agreed they were more confident they could reduce/eliminate tobacco use since working with PHN 75% 50% 16% 100% XX% of parents agreed they were more confident they could reduce/eliminate alcohol/drug use since working with PHN 67% 25% 11% 100% XX% of parents agree they were better able to set and achieve goals since working with PHN 80% 50% 89% 100% XX% of parents agree they were better able to access community resources since working with PHN 90% 75% 100% 100% XX% of parents agree they were better prepared to parent a new baby since working with PHN 100% 75% 100% 100% Top 3 Mental Health Diagnoses in Clients 2018 2019 2020 1. Anxiety 1. Anxiety 1. Anxiety 2. Depression 2. Depression 2. Depression 3. PTSD 3. PTSD 3. Psychosis 27 22 29 31 30 32 27 33 2013 2014 2015 2016 2017 2018 2019 2020 Number of Families Served by Year 1 8 9 7 27 31 21 4 5 3 1318232721 79 73 76 60 109 102 89 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Average Number of Visits per Quarter Attempted visit Completed visit Per Month Per Quarter 36% 74%57%59%65%47% 80%76% 2013 2014 2015 2016 2017 2018 2019 2020 % of Clients who Participated in NFP for at Least 6 Months 2020 Annual Report: School-Based Mental Health 11 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 47 18 3 16 Average Visits Per Month Port Townsend Chimacum Quilcene Brinnon 22 12 8 6 Average Clients Served Per Month Port Townsend Chimacum Quilcene Brinnon 2020 Annual Report: School-Based Mental Health 12 Port Townsend – Top 5 Reasons for Visit 2016 – 17 2017 – 18 2018 – 19 2019 - 20 2020 – 21 1. Family 1. Future 1. Family 1. Family 1. Family 2. Relationships 2. Relationships 2. Depression 2. Self-Esteem 2. Stress 2. Stress 3. Stress 3. Stress 3. Relationships 3. Relationships 4. Anxiety 4. Family 4. Anxiety 4. Stress 4. Self-Esteem 5. Depression 5. Court Diversion 5. Relationships 5. Anxiety 5. Anxiety Quilcene – Top 5 Reasons for Visit 2016 – 17 2017 – 18 2018 – 19 2019 - 20 2020 – 21 1. Stress 1. Stress 1. Stress 1. Family 1. MH Wellness 2. Family 2. Family 2. Relationships 2. Anxiety 2. Family 3. School 3. School 3. Anxiety 3. Relationships 3. Relationships 4. Anxiety 4. Relationships 4. Future 4. Stress 4. Future 5. Relationships 5. Anxiety 5. Family 5. Future 5. Anxiety Chimacum – Top 5 Reasons for Visit 2016 – 17 2017 – 18 2018 – 19 2019 - 20 2020 – 21 1. Family 1. Family 1. Family 1. Family 1. MH Wellness 2. Anxiety 2. Depression 2. Future 2. Relationships 2. Future 3. Relationships 3. Anxiety 3. Anxiety 3. Future 3. Family 4. Stress 4. Anger 4. Stress 4. School 4. Relationships 5. Depression 5. Stress 5. Self-Esteem 5. Anxiety 5. School Brinnon – Top 5 Reasons for Visit 2016 – 17 2017 – 18 2018 – 19 2019 - 20 2020 – 21 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 -Port Townsend 1st - 5th 6th - 8th 9th 10th 11th 12th Unknown Grade of Clients -Chimacum 1st-5th 6-8th 9th 10th 11th 12th Unknown Grade of Clients -Brinnon 1st-5th 6-8th 9th 10th 11th 12th Unknown Grade of Clients -Quilcene 1st-5th 6-8th 9th 10th 11th 12th Unknown 2020 Annual Report: Recovery Café 13 Program Description: A drug- and alcohol-free place where café members can recover from mental illness, homelessness, domestic violence, addiction, and trauma. 180 155 567 768 2019 2020 Visitors and Volunteer Hours Visitors Hours of Volunteer Service 11 31 17 105 2019 2020 Recovery Circle Participation Attended at Least 1 Recovery Circle Recovery Circles held 28% 11% 17% 2% 20% 22% 2020 1 year or more 6 months - 1 year 6 months 5 months 4 months 3 months 2 months 1 month Less than 1 month 2020 Annual Report: Therapeutic Courts: Behavioral Health Court, Drug Court, Family Therapeutic Court, and Juvenile/Family Court 14 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 Juvenile/Family Court 2015 2016 2017 2018 2019 2020 2015 2016 2017 2018 2019 2020 2015 2016 2017 2018 2019 2020 2018 2019 2020 Individuals served 32 38 31 33 26 29 57 60 54 52 55 35 3 7 4 5 4 5 5 7 4 Graduates 2 5 6 10 1 6 12 16 12 6 14 15 1 2 0 1 2 5 - 6 3 Children reunited - - - - - - - - - - - - 2 3 0 0 0 2 - - - Discharges 5 2 12 5 4 6 11 13 24 5 17 3 0 1 0 1 0 0 - - - Top 5 Mental Health Diagnoses - Behavioral Health Court 2015 2016 2017 2018 2019 2020 1. Bipolar Disorder 1. Depression 1. Schizoaffective / Schizophrenia 1. PTSD 1. Depression 1. Anxiety Disorder 2. PTSD 2. Bipolar Disorder 2. Bipolar Disorder 2. Schizoaffective / Schizophrenia 2. Bipolar Disorder 1. Depression 3. Depression 2. PTSD 2. PTSD 3. Bipolar Disorder 3. Anxiety Disorder 1. PTSD 4. Substance Use Disorder 4. Schizoaffective / Schizophrenia 4. Depression 3. Depression 4. PTSD 4. Bipolar Disorder 5. Schizoaffective / Schizophrenia 5. Delusional Disorder 5. Anxiety Disorder 5. Delusional Disorder 5. Substance Use Disorder 5. Schizoaffective / Schizophrenia 32 38 31 33 26 29 57 60 54 52 55 35 3 7 4 5 4 5 5 7 4 2015 2016 2017 2018 2019 2020 Individuals Served by Therapeutic Court Behavioral Health Court Drug Court Family Therapeutic Court Juvenile/Family Court 10% 29% 50% 100% 5% 24% 50% 85% 47% BHC DC FTC FFT Length of Participation in Therapeutic Courts Less than 6 months 6 months - 1 year 1 year or more 2020 Annual Report: Therapeutic Courts: Behavioral Health Court, Drug Court, Family Therapeutic Court, and Juvenile/Family Court 15 100% 75% 2019 2020 Juvenile/Family Court Participants who Graduated within 12 Sessions 58% 27% 42% 50% 14% 46% 61% 4% 20% 55% 5% 44%45% 7% 88% Participants with 0 Sanctions Participants on Warrant Status Participants with No Positive UA Drug Court Participants by Outcomes 2016 2017 2018 2019 2020 85% 0% 24% 80% 0% 40% 100% 0%0% 80% 0% 50% Participants with 0 Sanctions Participants on Warrant Status Participants with No Positive UA Family Therapeutic Court Participants by Outcomes 2017 2018 2019 2020 2020 Annual Report: Believe in Recovery 16 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. 64% 76% 88% 60% 100%100% Inpatient Outpatient MAT Percent of Individuals Referred to Services who Attended 2019 2020 22% 45% 3% 41% 16% Jail Treatment - Inpatient Treatment - Outpatient Treatment - Completed Treatment - Refused Percent of Individuals who Left Services by Outcome 34 26 134 102 2019 2020 Individuals Served Annually and Average Completed Assessments per Quarter Completed Assessments Per Quarter Total Individuals Served - Annual 2020 Annual Report: Police Navigator Program 17 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 1. Delusions 1. Depression 2. Psychosis 1. Psychosis 3. PTSD/Trauma 3. Anger 4. Depression 3. Anxiety 62 289 4.1 0.8 2019 2020 Contacts and Referrals per Contact made by Police Navigator Contacts Referrals per Contact 0%1% 2019 2020 Percent of Contacts that Led to Arrest 49% 2%0% 9% 40% Law Enforcement Community Agency Community Members Police Navigator Self-referral Source of Referrals to Police Navigator Program 2020 Annual Report: Discovery Behavioral Health Transitional Housing 18 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%25% 50% 25% 33%25% 2018 2019 2020 Individuals Discharged by Outcome Permanent Housing Jailed Moved Out of County Other Refused Services 6 6 4 2018 2019 2020 Individuals Served by DBH Transitional Housing 50% 25%25% Therapeutic Court Hospital Jail Percent of Individuals Served by Source of Referral 2020 Annual Report: OlyCAP Housing 19 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 1. Substance Use Disorder 1. Substance Use Disorder 2. PTSD/Trauma 2. PTSD/Trauma 3. Anxiety 3. Depression 3. Depression 4. Anxiety 41 46 43 31 29 21 2018 2019 2020 Total and New Clients Served by OlyCAP Total Clients New Clients 56%56%55% 12%20% 12% 10%44% 24%15% 2018 2019 2020 Individuals Discharged by Outcome Permanent Housing Eviction Jail Other 26% 6% 12% 7% 48% Therapeutic Court Hospital DOC Treatment Other Referrals to OlyCAP by Source