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HomeMy WebLinkAboutProgram for Administration 070506 Consent Agenda Commissioners Office JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST ' fz�� TO: Board of County Commissioners 11 p ,, �J®f f q •V FROM: John F. Fischbach, County Administrator e`sOn Co by "7.1 m C y eear o4 DATE: August 20,2007 Om�lasior �� ers SUBJECT: Establishing a Mental Health Sales Tax Oversight Committee and Appointing Individuals to Serve as Members STATEMENT OF ISSUE: In 2006 the Board authorized the imposition of a 1/10 cent sales tax (as authorized by State Statute)to be used for treatment of"co-occurring disorders" (mental health and substance abuse). The program has been getting started with a CODIT program being offered by the Madrona Institute, and enhanced substance abuse services by Safe Harbor Recovery,both under contract with the County. It is recommended that an Oversight Committee be formed and appointed by the Board of County Commissioners as the"Mental Health Sales Tax Oversight Committee". The individuals recommended for appointment include: John Austin, Chair Catharine Robinson Cheryl Bozarth Mark Huth Anne Winegar Barbara Carr The Committee held its inaugural meeting last week. FISCAL IMPACT: None RECOMMENDATION: Form the committee and make the appointments as noted above. REVIEWED BY: • - � at /is/o7 John F. tt chbach, County Administrator Date Skly\A' b C I1 i r cc Bre-Pn 7O y $jaj ? Mental Health Sales Tax Oversight Committee Meeting Tuesday,August 14, 2007 1:30-3:00 p.m. Minutes The meeting was called to order at 1:30 p.m. by John Austin. The following people were present: Members: John Austin, Cheryl Bozarth,Barbara Carr, Anne Winegar, Catharine Robinson Guests: Laurie Strong,Ford Kessler and Michelle Moore Staff: John Fischbach Approval/Modification of Agenda: The agenda was approved by motion of Catharine Robinson, seconded by John Austin. (Unanimous vote) Presentation by Michelle Moore and Barbara Carr on Trip to Washington DC re: Therapeutic Courts: Michelle Moore and Barbara Can distributed a packet of information they gathered during their recent trip to Washington DC for the 13'Annual Conference of the National Association of Drug Court Professionals from June 13-16. They referenced specific workshops including"Celebrating Family, Celebrating Success"and"Ethical Dilemmas"that one faced in Drug Court. Barbara referenced several specific examples of ethical dilemmas. Both noted that one of the great benefits of attending the conference was the exchange between other professionals from other drug courts. They were especially impressed with how far Jefferson County has progressed with implementation of our plans given the size of the County. Review of Approved Program:John Fischbach then briefly reviewed, for the committee, the program plan approved by the Board of County Commissioners on July 3, 2006, "Expanded Mental Health and Substance Abuse Treatment and Therapeutic Courts Funds"and Ordinance No. 08-1003-05. This is the plan that is serving as a guideline in implementing the tax increase of 1/10 of the 1% sales tax. Review and Discussion of Contracts: John Fischbach then reviewed the various contracts currently on the books, including: 1. CODIT with Madrona Institutes($167,608) 2. Substance Abuse Treatment with Safe Harbor($73,992.22) 3. Sexual Abuse/Domestic Violence($15,000 CODIT and$15,000 General Fund) (Note: This was erroneously reported as$7,500 from CODIT and $7,500 from General Fund. The correct amount is$15,000 from each.) Mental Health Sales Tax Oversight Committee Minutes Page: 2 August 14, 2007 4. 10% for Baseline Studies, Community Assessments and Community Evaluation with Health Department($36,000) 5. Substance Abuse Assessment and Mental Health Assessment Counseling and Medication Management with Sheriff($33,196) 6. Therapeutic Courts/Case Management($33,196) During discussion about these contracts the following points were made: 1. The results of a Consumer Satisfaction Survey conducted as a part of the CODIT evaluation process was distributed and discussed. (Copy Attached) 2. The CODIT program is over capacity already. The CODIT personnel need to see fewer people or get more money for more staff hours. 3. Laurie and Ford interact on multiple occasions during each day. 4. 1,632 individuals visited Mental Health last year. 5. We need to determine a methodology to determine"cost per client" for evaluation purposes. 6. Each patient receives 26-36 hours per month of individual service which is significantly more than projected in the original plan. 7. The feasibility of establishing a" CODIT Maintenance Group" is necessary to be done. 8. Laurie indicated the desire to treat juveniles but more resources are needed. 9. The projections of third party pay are proving to be far too high because most patients do not have insurance. 10. Michelle Maike and Associates is under contact to do an evaluation of the CODIT program which should be ready in November. It was the general consensus of the group that budget decisions will be made after the evaluation is received. 11. There is a need for a male case manager to be added to the CODIT staff to interact with the male client population. Review of Financial Data of Program/2008 Budget:Discussion then turned to the financial information that was part of the agenda. John Fischbach mentioned that in the first year of the program, 2006,we had a total income of$240,265 and total expenses of $69,837 leaving a fund balance of$170,426. During the current year we anticipate receiving$394,384 in income and will have expenses of approximately$302,067 leaving a fund balance of approximately$262,745. It is estimated that we will have income next year,2008, of at least$394,384, and based on the income expected we need to set aside a total of$78,877. (20%) Discussion then turned to the extra$100,000 that the State Legislature authorized as a grant program for each county that approved the new tax. John Fischbach indicated that he talked with the State on a weekly basis and they weren't sure how the program will work. (Note:Immediately following the meeting John Fischbach received an email form the State identifying the individual assigned to develop the grant program.) • Mental Health Sales Tax Oversight Committee Minutes Page: 3 August 14, 2007 Meeting Schedule: A meeting schedule was discussed. It was decided for now to meet monthly on the second Tuesday(October 9th)at 1:00-3:00 in the Commissioner's Chambers. Future meeting times and dates are: October 9,2007 1-3 November 13,2007 1-3 December 11, 2007 1-3 January 8, 2008 1-3 February 12,2008 1-3 March 11, 2008 1-3 Adjournment: The Meeting was adjourned at 3:00. Respectfully Submitted by: John Fischbach County Administrator Approved by Committee: Date *ON �f12 1820 Jefferson Street y04 ip c°G P.O. Box 1220 0 w . � Port Townsend, WA 98368 Phil Johnson,District 1 David W. Sullivan,District 2 John Austin,District 3 4taqs o� JONG's MEMORANDUM TO: John Austin Catharine Robinson Cheryl Bozarth Mark Huth Barbara Carr Anne Winegar FROM: Jefferson County Board of Commissioners DATE: August 21, 2007 SUBJECT: Mental Health Sales Tax Oversight Committee On-August 20, 2007 the Board of County Commissioners was pleased to appoint each of you to serve on the Mental Health Sales Tax Oversight Committee. You initially met as group with County Administrator John Fischbach on Tuesday, August 14, 2007. A copy of the minutes from that meeting are enclosed. Please note that the next meeting is scheduled for Tuesday, October 9, 2007 from 1:00 pin. to 3:00 p.m. in the County Commissioners' Chambers (lower level) at the Jefferson County Courthouse. We thank you for your willingness to devote time to this committee and we feel certain you will make a worthwhile contribution in this service to the community. 4.41. Phil Johnson, Chair Phone (360)385-9100 Fax (360)385-9382 jeftbocc@co.jefferson.wa.us ti 1"; t Consent Agenda Commissioners Office JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST ` I i TO: Board of County Commissioners ✓ �Q.• ' eff°t. �•free/ FROM: John F. Fischbach, County Administrator eon Co by film, hA QAOct ?Y /7i of DATE: August 20, 2007 ssi°rers SUBJECT: Establishing a Mental Health Sales Tax Oversight Committee and Appointing Individuals to Serve as Members STATEMENT OF ISSUE: In 2006 the Board authorized the imposition of a 1/10 cent sales tax (as authorized by State Statute) to be used for treatment of"co-occurring disorders"(mental health and substance abuse). The program has been getting started with a CODIT program being offered by the Madrona Institute, and enhanced substance abuse services by Safe Harbor Recovery,both under contract with the County. It is recommended that an Oversight Committee be formed and appointed by the Board of County Commissioners as the"Mental Health Sales Tax Oversight Committee". The individuals recommended for appointment include: John Austin, Chair Catharine Robinson Cheryl Bozarth Mark Huth Anne Winegar Barbara Carr The Committee held its inaugural meeting last week. FISCAL IMPACT: None RECOMMENDATION: Form the committee and make the appointments as noted above. REVIEWED BY: t• g - $/is/o7 John F. f .chbach Count Administrator Date Y t� CO District No. 1 Commissioner. Phil Johnson �T �ti District No. 2 Commissioner. David W. Sullivan 4t;i6ON 00 District No. 3 Commissioner. Patrick M. Rodgers ))4iitek ``' r- County Administrator: John F. Fischbach Clerk of the Board: Loma Delaney � ���� MINUTES I N Week of July 17,2006 Chairman Phil Johnson called the meeting to order in the presence of Commissioner David W. Sullivan. Commissioner Patrick M. Rodgers had an excused absence. COUNTY ADMINISTRATOR BRIEFING:County Administrator John Fischbach reported on the following items: • He received a letter from the International Institute of Municipal Clerks announcing that Loma Delaney, Clerk of the Board,has qualified for first level membership in the Master Municipal Clerk Academy. • Diversified Resources is working on an economic development grant with the State Department of Community,Trade, and Economic Development for a commercial and industrial land analysis project. Port Townsend isn't a financial partner and this could be an issue. • Legal notices can be posted on the website but they also must be advertised in the newspaper of record. • The County received$26,401.49 in tax revenue for June for the newly established Mental Health/ Chemical Dependency Fund. A Mental Health/Substance Abuse Oversight Committee will be formed with 2 members from the Board of Health,2 members from the Substance Abuse Services Board, and 2 members from the Law &Justice Council. He will send a notice to these Boards asking members who want to serve on the committee to submit an application. His recommendation is that Commissioner Sullivan be the Chair of the committee. • The draft Environmental Impact Statement for the project in Brinnon was not submitted last week as was expected. This may push the date forward for the project because it is on a tight time schedule. APPROVAL OF MINUTES: Commissioner Sullivan moved to approve the minutes of July 3,2006 as presented. Chairman Johnson seconded the motion. The motion carried. PUBLIC COMMENT PERIOD:The following comments were made: why wasn't the County website available this weekend?; several questions were submitted about the County's next steps regarding the proposed Critical Areas Ordinance(CAO); the CAO will put farmers out of business;where Page 1 Commissioners Meeting Minutes: Week of July 17, 2006 ham. will the County's revenue come from when the Mill shuts down?; at a meeting with realtors last week,DCD staff said that they put the CAO together in just a few days because of their tremendous workload;why was DCD staff in contact with the Washington Environmental Council for months about the CAO but didn't talk to landowners who would be affected by the ordinance?;the State Department of Ecology has elevated the mandate to protect critical areas above all the other GMA goals and the County is going along with them; if the proposed CAO is adopted, it will transform all marine shoreline setbacks into fish and wildlife habitat conservation areas;has a legal analysis been done on the draft CAO?; there will be law suits against the County when the Board approves this ordinance,it just depends which side the Board wants to be on; and concerns were expressed about meeting and recording procedures at the Commissioners meetings and adding agenda items. APPROVAL AND ADOPTION OF THE CONSENT AGENDA: Commissioner Sullivan moved to approve the Consent Agenda as presented. Chairman Johnson seconded the motion which carried. 1. REAFFIRMATION OF RESOLUTION NO.44-06 re: Watershed Management Plan for the Skokomish-Dosewallips Water Resource Inventory Area(WRIA 16) (Joint Resolution with Mason County Commissioners Approved at Public Hearing in Mason County on July 11, 2006.) 2. SUBSCRIPTION AGREEMENT re: Collective Bargaining Agreement; Jefferson County Public Works Department; Teamsters Local#589 3. LETTER OF AGREEMENT re: Communication Officers Contingency Staffing Schedule; JeffCom; Teamsters Local#589 4. AGREEMENT re: Lease of Real Property for Proctor Home Residence;Jefferson County Juvenile and Family Court Services;Nick and Kristie Harper 5. AGREEMENT NO. C13035,Amendment No. 10 re: 2006 Consolidated Contract; Amendment to Increase Funding;Jefferson County Public Health; Washington State Department of Health 6. BID AWARD re: Fossil Creek Stream Stabilization Project No. CR1680. Oil City Road;Jefferson County Public Works; Quigg Bros., Inc. 7. Approval of Funding re: Agreement No. 2006-141 G(1-1) for the Building Construction Phase of the Castle Hill Annex Property Renovation Project; Jefferson County Central Services; Washington State Department of General Administration Quarterly Report on Historical Society Activities and Programs;Bill Tennent,Director and Linda Maguire,President of the Jefferson County Historical Society:Bill Tennent stated that the Board received the quarterly report last week for their packets. He thanked the Board for the letter of support for a grant for the Heritage Capital Funds Project. They are on the"short list" for the grant funding and will find out on July 25 if it is forwarded on to the State Legislature for approval. The grant would help to create an entirely new museum inside City Hall. The annual meeting was held last quarter and approximately 200 people attended. Page 2 Commissioners Meeting Minutes: Week of July 17, 2006 (1,4 BID OPENING: 6th Avenue(Irondale)Improvement Project No. CR1205:No bids were received for this project. Bruce Laurie,Public Works Operations Manager, explained that this is the second time they have gone out for bid on this project. After the last time,they talked with potential contractors about what they could change to help them bid. He stated that there are other options and the Department will be doing an analysis. HEARING re:Proposed Supplemental Budget Appropriations/Extensions for Various County Funds: Chairman Johnson opened the public hearing. Central Services Director Allen Sartin explained that the Board received the initial requests on June 3 and they were advertised in the newspaper as required. Chairman Johnson opened the public testimony part of the hearing. Hearing no comments for or against the proposed budget appropriations/extensions,he closed the public hearing. Commissioner Sullivan moved to approve RESOLUTION NO.45-06,the budget appropriations and extensions for various County funds. Chairman Johnson seconded the motion which carried. Appointment of Chair of the Mental Health/Substance Abuse Oversight Committee:The County Administrator recommended that the Board appoint Commissioner Sullivan as the Chair of the Mental Health/Substance Abuse Oversight Committee because he serves on the Peninsula Regional Services Association. Chairman Johnson moved to appoint Commissioner Sullivan as Chair of the Oversight Committee. Commissioner Sullivan seconded the motion which carried. or( t6if, • O..* • ',• ; i :z�1 f r D JEFFERSON COUNTY r t '4 r:;.,.._,. ...; 1 .r ' :T BO: ' •F i OMMISSIONERS \6 rritif. t ,-. .. ..., ...„,•„ \ '. +• � '` 1 Jo Chair �N; S0r 0• f ' e' (. :. 'a ;'. ull van, em er,A0144#0...., Matthes, CMC ,' i,.7T�� Deputy Clerk of the Board ck M. 'o•gers,Member Page 3 KC W 62.14.46U: Sales and use tax tor chemical dependency or mental health treatment se... Page 1 of 2 RCW 82.14.460 Sales and use tax for chemical dependency or mental health treatment services or therapeutic courts. (1)(a)A county legislative authority may authorize, fix, and impose a sales and use tax in accordance with the terms of this chapter. (b) If a county with a population over eight hundred thousand has not imposed the tax authorized under this subsection by January 1, 2011, any city with a population over thirty thousand located in that county may authorize, fix, and impose the sales and use tax in accordance with the terms of this chapter. The county must provide a credit against its tax for the full amount of tax imposed under this subsection (1)(b) by any city located in that county if the county imposes the tax after January 1, 2011. (2) The tax authorized in this section is in addition to any other taxes authorized by law and must be collected from those persons who are taxable by the state under chapters 82.08 and 82.12 RCW upon the occurrence of any taxable event within the county for a county's tax and within a city for a city's tax. The rate of tax equals one-tenth of one percent of the selling price in the case of a sales tax, or value of the article used, in the case of a use tax. (3) Moneys collected under this section must be used solely for the purpose of providing for the operation or delivery of chemical dependency or mental health treatment programs and services and for the operation or delivery of therapeutic court programs and services. For the purposes of this section, "programs and services" includes, but is not limited to, treatment services, case management, and housing that are a component of a coordinated chemical dependency or mental health treatment program or service. (4) All moneys collected under this section must be used solely for the purpose of providing new or expanded programs and services as provided in this section, except as follows: (a) For a county with a population larger than twenty-five thousand or a city with a population over thirty thousand, which initially imposed the tax authorized under this section prior to January 1, 2012, a portion of moneys collected under this section may be used to supplant existing funding for these purposes as follows: Up to fifty percent may be used to supplant existing funding in calendar years 2011-2012; up to forty percent may be used to supplant existing funding in calendar year 2013; up to thirty percent may be used to supplant existing funding in calendar year 2014; up to twenty percent may be used to supplant existing funding in calendar year 2015; and up to ten percent may be used to supplant existing funding in calendar year 2016; (b) For a county with a population larger than twenty-five thousand or a city with a population over thirty thousand, which initially imposes the tax authorized under this section after December 31, 2011, a portion of moneys collected under this section may be used to supplant existing funding for these purposes as follows: Up to fifty percent may be used to supplant existing funding for up to the first three calendar years following adoption; and up to twenty-five percent may be used to supplant existing funding for the fourth and fifth years after adoption; (c) For a county with a population of less than twenty-five thousand, a portion of moneys collected under this section may be used to supplant existing funding for these purposes as follows: Up to eighty percent may be used to supplant existing funding in calendar years 2011-2012; up to sixty percent may be used to supplant existing funding in calendar year 2013; up to forty percent may be used to supplant existing funding in calendar year 2014; up to twenty percent may be used to supplant existing funding in calendar year 2015; and up to ten percent may be used to supplant existing funding in calendar year 2016; and http://app.leg.wa.gov/rcw/default.aspx?cite=82.14.460 9/5/2014 Kl w OZ.14.4ou: aies anu use Lax for enelrll:di uepenueney or menial nedlul Lrcdunclll Sc... rdg'c L of L (d) Notwithstanding (a) through (c) of this subsection, moneys collected under this section may be used to support the cost of the judicial officer and support staff of a therapeutic court. (5) Nothing in this section may be interpreted to prohibit the use of moneys collected under this section for the replacement of lapsed federal funding previously provided for the operation or delivery of services and programs as provided in this section. [2012 c 180 § 1; 2011 c 347 § 1; 2010 c 127 § 2; 2009 c 551 § 2; 2008 c 157 § 2; 2005 c 504 § 804.] Notes: Findings -- Intent--2008 c 157: "The legislature finds it necessary to clarify the original intent regarding eligible expenditures of the sales and use tax provided in RCW 82.14.460. The legislature intended that upon the original effective date of RCW 82.14.460, the moneys collected under RCW 82.14.460 would be permitted to be used for the purposes as provided in RCW 82.14.460 as clarified by section 2, chapter 157, Laws of 2008." [2008 c 157 § 1.] Findings --Intent--Severability --Application --Construction -- Captions, part headings, subheadings not law--Adoption of rules -- Effective dates -- 2005 c 504: See notes following RCW 71.05.027. Alphabetization -- Correction of references -- 2005 c 504: See note following RCW 71.05.020. http://app.leg.wa.gov/rcw/default.aspx?cite=82.14.460 9/5/2014 • JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS ORDINANCE NO. 08-1003-05 Tax Increase 1/10 of 1 % Expanded Mental Health & Substance Abuse Treatment & Therapeutic Courts Funds • 07/01/06 • • Expanded Mental Health & Substance Abuse Treatment And Therapeutic Courts Funds ORDINANCE Jefferson County Ordinance No.08-1003-05.(See Attachment A) PURPOSE of Expanded Mental Health & Substance Abuse Treatment&Therapeutic Courts Funds(MH/SA Fund) The purpose of this ordinance is to use the County Legislative Authority to authorize,fix and impose a sales and use tax in addition to other taxes authorized by law with a rate not to exceed 1/10 of 1%to provide monies to be used for the purpose of providing new or expanded substance abuse or mental health treatment services and for the operation of a new or expanded therapeutic court. In the 2005 legislative session Senator Hargrove introduced the Omnibus Mental Health and Substance Abuse Reform Act SB 5763 which focused on the expansion of substance abuse and mental health treatment(co-occurring disorders). The bill passed with strong bi-partisan support. • The goals of the legislation were to: 1. Reduce negative impacts of mental health and substance abuse on children and families 2. Avoid building more jails and prisons and prevent crime victims 3. Reduce public assistance expenditures and unemployment 4. Reduce homelessness 5. Reduce physical-health care and emergency room costs 6. Improve recovery and quality of life for those with substance abuse and mental health disorders To meet these goals the legislation provides a funding mechanism to expand or provide new mental health and substance abuse treatment by authorizing counties to impose a sales and use tax in the amount of 1/10 of one percent(10 cents per$100). STATEMENT OF NEEDS The impact of substance abuse and mental health disorders on Jefferson County is significant and it is clearly recognized as the most costly issue facing Jefferson County Government today because it affects all systems. The impact is across the board from emergency services,police, • 3 • courts,jails,public health,mental health,business,child abuse,domestic violence,public assistance,schools,environment,housing,crime,substance abuse services, shelters,non-profits, insurance rates, landlords,property values and more. It is all pervasive. The available state funds are inadequate to meet these needs. In the county there is a daily lack of access to treatment. These disorders contribute to continued problems within the schools,a majority of calls to law enforcement for the city and county,and for many of the Jefferson County Prosecutor's cases. The impact is substantial in the courts,Juvenile Justice,the jail system,the schools,Public Health, employers and agencies. The community impact is recognized in the health community and economic impact of citizens and families suffering through substance abuse and mental illness cycles. The true community impacts of the untreated diseases are difficult to measure and are indicated by accidents on the roadway;health care ER utilization rates;teen substance abuse arrests; unemployment rates and other impacts. Some impacts are silent and devastating like; the impact on schools shown by data that Olympic Educational Service District, Take Time Resources specialists found when serving 76 children that self referred from 4-56 grade. Other data is public and familiar like the treatment rate of publicly funding treatment with methamphetamines. These silent and visible behaviors impact our community negatively and pervasively. Mental Health services are very limited and most individuals receiving these services must be in • crisis or have Medicaid eligibility. if the individual does not meet the proper criteria they most likely will not receive the service. The impact of the rationed nature of these services is that underserved populations end up in hospital emergency rooms,jail or being involved with law enforcement or other emergency services. PROGRAM CREATION AND AUTHORITY By adopting this 1/10th cent sales tax Jefferson County has increased taxing authority to create and enhance mental health and substance abuse treatment services to decrease the fiscal and emotional impact of these diseases on the community and the legal system.The vendor contractors of these programs must implement comprehensive county-wide services available to all citizens without discrimination due to lack of income,if they can serve clients with any other available funding stream this "Mental Health/Substance Abuse Fund"becomes the payment of last resort.The County Administrator may ask for proof of billing denials in year end reviews. The fund and contracting will be administered by the Board of County Commissioners/County Administrator,who shall have the authority,along with the approval of Jefferson County Commissioners,to exercise all lawful powers necessary and appropriate for the contracting, statements of work and maintenance, operations. Community impact data and community needs will be identified by a group working with Jefferson County Public Health Data Steering Committee. This data will help identify needs and • • measurements on an ongoing basis. This is a moving target and we need a system that is flexible,innovative and responsive to community needs. The director of each subcontracting agency shall submit a yearly operating plan,budget and an annual report to the County Commissioners for review and approval.This plan and budget format will be approved by the County. Program evaluation is also the responsibility of the contracting agency and will be requested by the Board of County Commissioners yearly and reviewed by the advisory group. The Board of County Commissioners will appoint a Mental Health/Substance Abuse Advisory Committee to review the community need,program recommendations and evaluation information and make recommendations to the Board of County Commissioners. Members will be from existing boards and have no fiduciary interests in the contracts: two members of Law and Justice,two from the Substance Abuse Committee;two from the Board of Health and a Commissioner who will represent the Board of County Commissioners and the Mental Health Regional.Support Network and serve as Chairman. PROGRAM DESIGN &EVALUATION The County believes that the programs or services that are to be implemented are informed by "evidence based","research based","emergency best practice",or"promising practice"as defined in the legislation and the group encourages innovative approaches to local problems • where there are no applicable models.A collaborative plan to supplement services for citizens is the best way to build a service network for Jefferson County. Services will be contracted through Interlocal agreements or contract between the County and private not-for-profit agencies or other government entities in Jefferson County. The County believes in the development of a"Drug Addiction Co-Occurring Mental Health Disorders(COD)model targeted on supporting Jefferson County crisis services and therapeutic jurisprudence needs. The model will include multiple levels of mental health and substance abuse services for adults and adolescents. PROGRAM ELEMENTS Contracts shalt establish/or provide access to programs for the following services,based on the priorities of the Law and Justice subcommittee and other standing committees. • Treatment for individuals with co-occurring disorders • Therapeutic court and case management staff to coordinate Drug &Mental Health court referrals and dependency needs of families in courts • Expanded Mental Health/Substance Abuse treatment for populations not served by other public funds • • • Substance abuse assessment and Mental Health assessment,counseling,and medication management in the jail Additional funds could be available to contract with other vendors providing family,child counseling or substance abuse treatment. Services could be provided by additional vendors to provide care to family members coping with mental illness or substance abuse in a spouse,parent or child: • Family support in some schools providing mental health services to students • Substance abuse interventions in the schools • Ongoing Home Visits to families by Infant Mental Health&Public Health Nurses for young families or Nurse Family Partnership visitation • Other licensed treatment providers and addiction specialists who are successful with county population and may need to bill for services The program services and areas included in the model above could include the following components: • • Family Dependency Court • Juvenile Drug Court • Crisis Services including;Evaluation and Treatment Unit,Sub-acute and Acute Detoxification,and Residential Treatment(Inpatient) • Expanded Outpatient Treatment providing services to Adults and Adolescents who have Addition an Psychiatric Disorders(COD) • Case Expediters/Facilitators;these positions would be designed to assist patients with access to services,eligibility,and placement. • Systems Collaboration with all identified stakeholders including:mental health, crisis services,law enforcement,courts,jail,DCFS,CSO,Shelters,VA,alcohol and drug services,hospitals,emergency services,corrections,public health,and other to be determined: • Program and Project Evaluation—This component of the model would provide ongoing evaluation of programs and services. It would include accountability, outcomes,planning,efficiency,effectiveness and cost offsets. • Substance Abuse&Mental Health assessments within three working days for referrals from the Juvenile Justice; Public Health; and Jefferson General Hospital Emergency room. ADMINISTRATION & AUTHORITY The County Administrator shall submit an operating plan,budget and an annual report to the Board of County Commissioners for review and approval. • • PROGRAM FUNDING Money received from tax imposed under this ordinance shall be used solely for the purpose of providing new or expanded drug,alcohol abuse&mental health treatment service and for the operation of new and expanded therapeutic court programs. Moneys collected cannot be used to supplant existing funds for these purposes. This local funding provides a unique opportunity to enhance services to,community members in need of mental health and substance abuse services that are presently not able to receive those services. Because it is funding locally collected and locally distributed it would also provide an opportunity to solve local problems innovatively, in other words, free from the constraints of other levels of state and federal government.A percentage will be set aside annually for reserve and match funding. Mental Health/Substance Abuse enhancement programs and any participating municipality, agency,department or special districts may solicit additional funds through grants,to supplement program funding or bill any available insurance or Medicaid resources that become available. The purpose of this partnership is to expand existing funds to serve more people. Receipts anticipated for this tax can best be estimated by taking the actual collections the County • is experiencing on a similar tax that was imposed last year for the E911 dispatch services. We have 12 months of actual collections from this tax which is imposed on the same taxable items. In the first 12 months this tax has produced $389,668.77, or an average of$32,472.40 per month. Receipts have ranged from S41,719.44 in November 2005 to$25,257.33 in March 2006. These receipts are noted below: Month of Receipt Amount Received June $26,860.47 July $30,266.38 August $36,995.77 September $34,513.70 October $35,607.00 November $41,719.44 December $30,807.59 January $29,244.01 February $37,087.04 March $25,257.53 April S25,862.79 May $35,447.05 S • Priority Funding Identified for First Two(2)Years: The"Expanded Mental Health&Substance Abuse Treatment&Therapeutic Courts Funds"are estimated to receive$360,000 during the first year the tax is imposed. The tax has been imposed,according to the State,effective April 1". This means,based on past experience with the State Department of Revenue,receipts should be received by the County in June. This was confirmed by the Department of Revenue on June 7`h. The following programs/activities are recommended to be implemented early on in the prognun within the anticipated funds to be received during the first year. Co-Occurring Disorder Integrated Treatment Program(CODIT):is envisioned as a combined project of Jefferson Mental Health Services and Safe Harbor/Beacon of Hope. The program is explained in detail as Attachment `B' and a budget is incorporated as Attachment 'C' and is envisioned as a treatment based program for individuals with co- occurring disorders and those unable to find treatment through existing mental health or substance abuse programs. $167,608 Substance Abuse Assessment and Mental Health Assessment Counseling and Medication Management: for clients unable to find treatment and for those in jail.This service will be provided under the auspices of the Sheriff's office. • $33,196 Therapeutic Court and Case Management Staff to Coordinate Drug& Mental Health Court Referrals and Dependency Needs of Families in Courts: to assist in determining this service,a separate Ad Hoc Committee will be formed including representatives from all offices who will be involved(i.e.Juvenile Services,Courts, Health Department,Drug Court,etc.)The group should examine similar Courts in Washington State and the nation to find the model that is best suited for Jefferson County. $33,196 20% Reserve and Cash Fund Reserve: will ensure that 20%of receipts will be set aside and held in reserve to address any revenue shortfalls or provide grant matching opportunities. $72,000 10%for Baseline Studies,Community Assessments and Community Evaluation: this service will be handled by the Department of Health. To provide ongoing systematic collection of data and analysis of local needs through the use of Behavioral Risk Factor Surveillance Surveys(BRFSS), youth data analysis and other community evaluations and existing local data. This information will supply the Board of County Commissioners • S and their designees with identification of the needs to prioritize and determine how mental health/chemical dependency funds should be focused. $36.000 5%Btlline Proeram Evaluation and Administration:this service will be provided by the County Administrator's office or a department designated by the County Administrator. $18.000 Additionally,the State passed a bill this year(Engrossed Second Substitute Senate Bill 6239) that will provide grants of up to$100,000 to those counties who pass/adopt this sales tax. The grant applications will be available in 2007 and if funded by the State will be available for three years,2008,2009 and 2010. It is recommended that the sales tax imposed by the Board of County Commissioners be utilized in this fashion to expand and implement new mental health and substance abuse services as well as the Therapeutic Family Court. The impacts of untreated mental health and substance abuse are great—to our economy and the quality of life in our community.Research by DASA has shown that treatment works for behavioral health diseases at the same level as treatment for other chronic diseases, such as diabetes. 411 The County believes that the programs or services that are to be implemented are informed by "evidence based","researched based","emerging best practice",or"promising practice"as defined in the legislation and innovative approaches to local problems where there are no applicable models,are encouraged. EVALUATION Needs: Residents of Jefferson County asked to pay additional taxes,deserve documentation of the needs and benefits of the use of those tax dollars. First,it is critical that an assessment of the current status of the community needs be measured to establish a baseline set of data so change can be measured. The Mental Health/Substance Abuse Services Advisory Board will be asked to establish treatment evaluation criteria. Evaluation of Impact: There is no data system that provides integration of substance abuse and mental health data for those receiving services that are not publicly funded.The lack of adequate baseline data will require that during the first year,specific data sets be established including population unable to access services;sources of information are identified;data collection be initiated; and analysis and establishment of baseline measures are created. It is expected that these measures will include data regarding the impacts of behavioral health needs within law enforcement,education,and health care.The collection of baseline data will enable the Board of County Commissioners to utilize the information in establishing outcome measures in order to • • measure the impacts of the program design. The program will contract with the Public Health Department to execute these functions. CONTRACT TERMINATION RULES The following rules will be incorporated into all contracts/interlocal agreements: Any party may terminate contract agreements for any reason upon 30 days prior written notification to the other party.If these agreements are so terminated,the parties shall be liable only for performance rendered or costs incurred in accordance with the terms of this Agreement prior to the effective date of termination. If for any cause,any contracting party does not fulfill in a timely and proper manner its obligations under these contract agreements,or if either party violates any of these terms and conditions,the aggrieved party will give the other party written notice of such failure or violation. The responsible party will be given the opportunity to correct the violation or failure within 15 working days. lithe violation or failure is not corrected this Agreement may be terminated immediately by written notice of the aggrieved party to the other. 411 'trt .s 5101-31c5 Ai4*cl,sent A STATE OF WASHINGTON County of Jefferson hi the Matter of Imposing a Sales and Use Tax; } Providing for the Administration and Collection Thereof } For Providing New or Expanded Chemical Dependency } ORDINANCE NO.08-10Q3-05 or Mental Health Treatment Services and } for the Operation of New or Expanded Therapeutic } Court Programs as Provided in Ch.82.14.460 RCW. } r WHEREAS,substance use disorders are a serious and treatable health problem known to impact directly or indirectly as many as 60%of Americans and mental illness is a serious and treatable health problem known to directly occur in more than 19 million Americans,the most serious and chronic conditions occurring in 3 to 5%of the population;and WHEREAS,approximately 50%of individuals with severe mental disorders are also substance abuse disordered,and approximately 37%of alcohol abusers and 53%of drug abusers are also affected by serious mental illness;and WHEREAS,individuals with co-occurring disorders(dually diagnosed mental illness and substance abuse disorders)are at high risk for negative outcomes,including hospitalization, overdose,violence,legal problems,homelessness,victimization,HIV infection, and hepatitis;and WHEREAS,community children and youth are impacted by mental disorders,substance • use disorders and co-occurring disorders both as the children of,and as individuals with,mental illness and/or substance abuse disorders,often with resulting negative impact on their health, • ability to learn,home life and safety,social behavior,and emotional development;with concomitant impacts on education,juvenile justice,child and family,health,and mental health service systems;and WHEREAS,services for individuals with co-occurring disorders cost nearly twice as much as for clients with single disorders;and non-integrated parallel methods of treatment have proven to be ineffective;and WHEREAS,treatment for individuals with co-occurring substance use and mental illness requires specialized care to meet the unique and often opposing needs of both disorders;and WHEREAS, the Jefferson County Substance Abuse Advisory Board,upon review of local,state and national data and information, identified the health,social,community,and economic impact of alcohol and other drugs on Jefferson County and its citizens,and the impact of mental disorders,substance use disorders and co-occurring disorders,as a major public health and public safety problem in their October 2004 White Paper to the Jefferson County Board of County Commissioners and to the citizens of Jefferson County,and • • ' Ordinance No.08-1003-05;1mposing a Sales&Use Tax for Providing a New or Expanded Charnical Dk.p...nkwcy or Mental Health Treatment Services and for the Operation of New or Expanded Therapeutic Court Programs as provided in Ch.82.14.460 . Rcw WHEREAS,the impact of substance use disorders on the Jefferson County law and justice system is significant,accounting for more than 2/3 of law enforcement calls in the City and County and half of the Jefferson County Prosecutor's cases;and WHEREAS,Law and Justice system response to individuals with mental disorders, substance use disorders and co-occurring disorders represents a significant and costly problem throughout Washington State,so much so that the 2005 Washington State Legislature passed 132SSB 5763,an act relating to the creation of the omnibus treatment of mental and substance abuse disorders,in the belief that identification and integrated evidence-based treatment of mental disorders,substance use disorders and co-occurring disorders is critical to successful outcomes and recovery,and WHEREAS,Jefferson County citizens,through their property taxes,are paying for the cost of mental disorders,substance use disorders and co-occurring disorders through funding of courts,jails,emergency medical technicians,schools,hospitals and law enforcement personnel; and WHEREAS,sales and use taxes are funding sources that affect citizens who do not own property in Jefferson County,and apply as well to visitors to Jefferson County,and,thus,would expand the potential revenue stream to address mental disorders,substance use disorders and co- occurring disorder treatment;and • WHEREAS,therapeutic courts and integrated mental disorders,substance use disorders • and co-occurring treatment programs utilizing evidence based best practices have been shown to have positive outcomes,thus decreasing negative social,health and fiscal impacts on individuals and communities;and WHEREAS,recognizing the health,social,community and economic impact of mental disorders,substance use disorders and co-occurring disorders on Jefferson County citizens as significant and negative,and desiring to achieve the goal of successful outcomes and recovery for individuals with mental disorders,substance use disorders and co-occurring disorders;and WHEREAS,Jefferson County has an aging population and older people consistently underutilize both mental health and substance abuse services,and therefore suffer a disproportionate degree of harm from these conditions,and need special services and efforts to utilize services effectively;and WHEREAS,the Board of County Commissioners recognize that successful outcomes and • recovery for some citizens will be a prerequisite for becoming employable and entering the workforce,and make it possible for employers to retain valuable experienced employees;and Page 2 of 4 Ordinance No.08-1003-05:imposing a Sales&Use Tax for Providing a New or Expanded Chemical Dependency or Mental Health'freshman Services and for the Operation of New or Expanded 7tusapeutic Court Program as provided in Ca.82.14.460 • RCW WHEREAS, RCW 82.14.460(2)authorizes the County Legislative Authority to authorize,fix and impose a sales and use tax in addition to other taxes authorized by law with a rate not to exceed one-tenth of one percent;and RCW 82.14.460(3)provides that monies collected shall be used solely for the purpose of providing new or expanded chemical dependency or mental health treatment services and for the operation of new or expanded therapeutic court programs. WHEREAS,RCW 82.14.460(3)provides that if Jefferson County authorizes the tax as provided,the County may include a new and expanded therapeutic court for dependency or mental health treatment proceedings as a component of its existing Drug Court program,effective July 1, 2005. NOW, THEREFORE,BE IT ORDAINED,by the Board of County Commissioners of Jefferson County,Washington,that: Section 1: Tax Inrtaosed. .• There is hereby imposed by this ordinance a one tenth of one percent sales and use tax,as the case may be,upon every taxable event,as defined in Chapter 82.08 and 82.12 RCW,occurring within Jefferson County. The tax shall be imposed upon and collected from those persons from whom the state sales or use tax is collected pursuant to Chapters 82.08 and 82.12 RCW. This tax shall be in addition to any other sales and use tax imposed by the State of Washington and/or Jefferson . County. 411 Section 2: Applicability of Tax. The rate of tax imposed by this ordinance shall be applied to the selling price in the case of a sales tax or thc value of the article used in the case of a use tax. Section 4._ Administration and Collection. The tax imposed by this ordinance shall be administered and collected in accordance with Chapter 82.14.050. The Chairman of the Board of County Commissioners is hereby authorized to and directed to execute and contracts with the Washington State Department of Revenue that may be necessary to provide for. the administration or collection of the tax. Section 5: Establishment of Chemical DenendencY/Mental Health Program Fund. There is hereby created the Chemical Dependency/Mental Health Program Fund. Monies collected pursuant to this ordinance shall be deposited in this fund by the • Jefferson County Treasurer: The fund balance may be invested by the Treasurer and any interest earned shall be deposited in this fund as well. Page 3 of 4 'I Ordinance No.08-1003-05;Imposing a Sales&Use Tax for Providing a New or Expanded Chemical Dependency or Mental Health Treatment Services and for the Operation of New or Expanded Therapeutic Court Programs as provided is Ch.82.14.460 S RCW Section 6. Use of funds. Monies deposited in such fund shall only be used solely for purposes as authorized by the laws of the State of Washington,including,providing new or expanded chemical dependency or mental health treatment services and for the operation of new or expanded therapeutic court programs. Monies collected under this section shall not be used to supplant existing funding for these programs. Section 7, Administration of Fund. The Fund shall be administered by the Board of County Commissioners through the County Administrator. The County Administrator,with the help of the Jefferson County Law and Justice Council,the Substance Abuse Services Advisory Board,and Jefferson County Public Health,is hereby directed to prepare a six-year spending plan and an annual budget. Section 8. Effective Date. This ordinance shall take effect July 1,2005,however,the creation of a therapeutic court as provided under Ch.26.12 RCW,as a component of the County's existing Drug Court program will not become effective until July 1,2006. Section 9. Severability, if any provision of this ordinance or its application to any person or circumstance is held invalid,the remainder of this ordinance or the application of the provisions . to other persons or circumstances in not affected. 1111 o M1 VED AND ADOPTED this J>"d day of UC be( ,2005. 0 .; tie•- • ', y�/• , \ ; ' JEFFERSON COUNTY '4 ' ., BOARD OF COMMISSIONERS S ; ,` 1..- '- 14/ �---r Phil Jo n,Chair 1 . ATTEST: pt.&777•004 , Cfri L Davr• u Me:m ei . ` Julie Mottles,CMC �/ Ilia,/!� ---..`` Deputy Clerk of the Board ' IIMIP iii atrick . `odgers,Member Approved as to Form: Prosecuting Attorney Page4 of4 4111 -