JAIL BASED BEHAVIORAL HEALTH SERVICES PROGRAM (JBBS) ANNUAL REPORT

Transcription

1 Colorado Department of Human Services Office of Behavioral Health JBBS Program Annual Report FY JAIL BASED BEHAVIORAL HEALTH SERVICES PROGRAM (JBBS) ANNUAL REPORT FY 2015 June 2014-July 2015 Prepared by: Jagruti Shah, MA, LPC, CACIII Manager, Offender Mental Health Programs 0

2 Table of Contents Executive Summary Funded County Sheriffs and Award Amounts General Program Description Program Goals Partnerships Clients Served Services Provided Program Outcomes Future Directions Appendix A- JBBS Admissions and Discharges FY Appendix B- JBBS Approved Recovery Support Services FY Appendix C- JBBS Screening Data FY Appendix D- JBBS Treatment Curricula FY Appendix E- JBBS Services FY Appendix F- JBBS Transition Tracking Results FY

3 EXECUTIVE SUMMARY The Jail Based Behavioral Health Services (JBBS) Program Annual Report provides a review of the program s fiscal information, goals, services and outcomes for Fiscal Year (FY 15 or FY 14-15). The JBBS Program was originally implemented in October 2011 to support County Sheriffs in providing screening, assessment and treatment for substance use disorders and co-occurring substance use and mental health disorders to people who need such services while they are in jails. The program is funded by two funding streams: 1. The Correctional Treatment Cash Fund created by the passage of SB The Correctional Treatment Board oversees and allocates funds in pursuant to C.R.S SB Recreational Marijuana Tax Revenue Funds In FY the Office of Behavioral Health (OBH or the Office) contracted for JBBS programs are in forty three (43) county jails across the state of Colorado. New programs were implemented in Crowley, Clear Creek, Baca, Bent, Kiowa, Prowers and Otero counties. The Office expended $3,497,987. Statewide, programs screened a total of 4,484 individuals for mental illness, substance use disorders, trauma and traumatic brain injuries. 3,277 individuals were admitted to JBBS programs and received treatment and transition services in FY 15. 2

4 FUNDED COUNTY SHERIFFS AND AWARD AMOUNTS COUNTY SHERIFF FY 2015 AWARD FY 2015 UNEXPENDED Alamosa (partnering with Conejos County) $112,000 $78,451 Adams $252,474 $55,194 Arapahoe $499,892 $260,751 Boulder $443,166 $35,370 Clear Creek $100,420 $38,370 Delta(partnering with Ouray, Gunnison, Hinsdale, Montrose and San Miguel Counties) $275,035 $40,379 Denver $359,188 $112,637 Douglas $130,900 $20,925 El Paso $415,902 $124,551 Jefferson $402,000 $59,156 La Plata (partnering with Montezuma County) $290,000 $35, Larimer $112,000 $0 Logan (partnering with Morgan, Washington, Phillips, Cheyenne, Kit Carson, Elbert, Lincoln and Yuma Counties) $505,717 $197,116 Mesa (partnering with Eagle, Grand, Garfield, Summit and Routt Counties) $284,813 Otero (partnering with Baca, Bent, Crowley Kiowa and Prowers Counties) $207,482 $29,760 $72,010 Pueblo $196,020 $71,720 Weld $330,989 $189,225 TOTAL $4,917,998 $1,419,960 Table 1. JBBS Program Awards FY 15 3

5 GENERAL PROGRAM DESCRIPTION JBBS Program Annual Report FY The JBBS program funds provision of evidence-based behavioral health services, with continuity of care extending into the community. Sheriff s Departments are recipients of these funds, either individually, or as multiple County Sheriff s Department partnership. In accordance with the legislation, all funds are used to provide behavioral health services for adults (18 years of age and older) with substance use disorders or cooccurring substance use and mental health disorders. OBH contracts with Sheriff s Departments to partner with local community provider(s) who are currently licensed by the Office of Behavioral Health (OBH) to provide substance use disorder services. The treatment providers offer services within the jail, and have the capacity to provide free or low cost services in the community to clients upon their release. Most programs have at least a clinician position to offer screenings, assessment and treatment in the jail and a case manager position dedicated to transitional care and a seamless re-entry in treatment services in the community. Treatment providers screen all inmates referred to the programs for presence of substance use disorders, mental health disorders, trauma and traumatic brain injury and identify inmates with active duty or veteran military status. PROGRAM GOALS The goal of the Jail Based Behavioral Health Services Program is to provide appropriate behavioral health services to inmates while supporting continuity of care within the community after release from incarceration. This approach should result in shorter jail sentences and decreased recidivism through better identification and treatment of behavioral health needs. COUNTY SHERIFFS AND TREATMENT PROVIDER PARTNERSHIPS COUNTY SHERIFF AND FUNDING START DATE Alamosa (partnering with Conejos) July Alamosa, July Conejos Adams July 2013 Arapahoe July 2011 Boulder July 2011 Clear Creek County July 2014 Delta (partnering with Ouray, Gunnison, Hinsdale, Montrose and San Miguel) TREATMENT PROVIDER(S) San Luis Valley Behavioral Health Community Reach Center Arapahoe Douglas Mental Health Network Aurora Mental Health Center Mental Health Partners Behavioral Treatment Services Addiction Recovery Center Jefferson Center for Mental Health Midwestern Colorado Mental Health Center 4

6 July 2011 Denver July 2011 Douglas July 2013 El Paso July 2011 Jefferson Dec 2011 La Plata and Montezuma La-Plata July 2011, Montezuma July 2013 Larimer July 2011 Logan (partnering with Cheyenne, Elbert, Kit Carson, Lincoln, Morgan, Phillips, Washington and Yuma) July 2011 Mesa (partnering with Eagle, Grand, Garfield, Summit and Routt counties) July 2013 Otero (partnering with Baca, Bent, Crowley Kiowa and Prowers counties) July 2014 Pueblo July 2013 Weld July 2013 JBBS Program Annual Report FY Behavioral Interventions, Inc The Council (Mile High Council on Behavioral Health) Empowerment Arapahoe Douglas Mental Health Network El Paso County Jail Jefferson Center for Mental Health Arapahoe House Behavioral Treatment Services Axis Health Systems Summitstone Health Partners Centennial Mental Health Center Mind Springs Health Southeast Health Group Table 2. JBBS County Sheriffs, Partnering Providers and Funding Start Dates Health Solutions Southern Colorado Court Services Behavioral Treatment Services North Range Behavioral Health CLIENTS SERVED ADMISSIONS AND DISCHARGES In FY 15, 904 females and 2,373 males were admitted in JBBS programs across the state for a total of 3,277 admissions. 3,048 clients were discharged from programs. For a breakdown of FY 15 admissions and discharges for each program see Appendix A. Figure 1 provides a demographic dreakdown of the clients admitted to the JBBS programs in FY 15. 5

7 Male Female Figure 1. JBBS Admission Demographics for FY15 A successful discharges is one in which the client completes the program according to the treatment plan or is transferred or released from jail when he/she is fully compliant with treatment requirements. Unsuccessful discharges are when the client is discharged for non-compliant, disengagement or disciplinary sanctions within the jail. Figure 2 shows the trend of Admissions and Discharges in the past four fiscal years since the program s inception in FY Admissions Discharge Successful Discharge Unsuccessful Total Discharges FY FY FY FY Figure 2. JBBS Admissions and Discharges Trends FY12 through FY 15 6

8 SERVICES PROVIDED ADMISSION CRITERIA All JBBS programs are contractually required at a minimum to offer services to clients with a Substance Use Disorder diagnosis in the jails. The programs can also admit clients who have a co-occurring mental illness. Programs can have further admission criteria based on the facility s needs and size. Table 3 show s each facility s admission criteria. Adams County Admission Criteria 1. Must have a substance abuse issue and score higher than a 2 on the SSI. 2. Client must want services and voluntarily engage in programming Alamosa/Conejos Clients must score for needing treatment on the MMS or MSSI SA. Arapahoe Boulder 1. Participants incarcerated in the ACSODF over the age of Participants who are sentenced to a minimum of four months when accepted in the program 3. Participants will be entering into the community upon release from ACSODF 4. Participants do not have to be sentenced but the goal is that they will be in custody for a minimum of four months to complete the program) 5. Presence of a DSM-V diagnosis for substance abuse or dependence and who may also meet DSM-V criteria for a co-occurring mental illness 6. There is an expectation that participant will make progress toward treatment goals while receiving this level of care (if progress is not being made or client is disruptive in treatment, they may be removed from the program based on JBBS team judgment) 7. Participants with sex offenses are may be excluded from the program 8. Participants with violent felonies in his/her recent past will be discussed on a case by case basis. Acceptance into the program will be agreed upon by the entire JBBS treatment 1. Must be present in facility for at least 45 days 2. Not anticipating a DOC sentence 3. Must want services and voluntarily engage in programming 4. Substance use disorder or dual diagnosed Clear Creek Must have a substance use disorder and/or mental health health diagnosis 7

9 Delta JBBS Program Annual Report FY The client must have a SUD diagnosis and score higher than four on the substance use disorder screen 2. The client must want services and voluntarily engage in programming Denver Douglas 1. Must be post conviction 2. Must have substance use disorder 1. Clients must have a substance use issue as self reported 2. Must be in jail for a minimum of 30 days 3. No current or past sex assault charges 4. Clients are assessed for motivation to engage in treatment services Eagle El Paso Submit request for services if client has substance use disorder 1. Participants must have a minimum of a day sentence or referral from the courts or probation/parole 2. No sex offense charges, violent offenders (F2 or greater) Elbert 1. Must have substance use concerns within the past year 2. Client must be willing to engage in either SUD and/or dual services Garfield Grand Gunnison Submit request for services if client has substance use disorder Submit request for services if client has substance use disorder 1. The client must have a SUD diagnosis and score higher than four on the substance use disorder screen 2. The client must want services and voluntarily engage in programming Jefferson La Plata Larimer Lincoln 1.Clients must have a substance use issue and screen positive for SPMI for JCMH and positive for trauma for BTS 2. Clients must have 90 days remaining in the jail from the screening date 3. Involvement in the program is voluntary. 1. The client must be diagnosed with a Substance Use Disorder or Mental Health and a Substance Use Disorder. 2. The client will voluntarily attend services provided in the jail. 1. A desire to voluntarily enroll and participate in treatment while incarcerated at the jail 2. The likelihood for being in the facility for at least 6 weeks from date of enrollment 3. A self reported history of substance use disorder 4. Previous mental health diagnosis/history of treatment or high probability of meeting criteria for a mental health disorder. 1. Must have substance use concerns within the past year 2. Client must be willing to engage in either SUD and/or dual services 8

10 Logan Mesa Montezuma Montrose JBBS Program Annual Report FY Must have substance use concerns within the past year 2. Client must be willing to engage in either SUD and/or dual services 1. The individual must have been in jail over 30 days 2. Individual must voluntarily request the services. 1. The client must be diagnosed with a Substance Use Disorder or Mental Health and a Substance Use Disorder. 2. The client will voluntarily attend services provided in the jail. 1. The client must have a SUD diagnosis and score higher than four on the substance use disorder screen 2. The client must want services and voluntarily engage in programming Otero Morgan Pueblo Routt San Miguel 1. The client must report a substance abuse problem within the past twelve months 2. The client must request and willingly engage in SUD treatment and/or mental health services 3. The client has a likelihood of remaining in the jail for at least 30 days 1. Must have substance use concerns within the past year 2. Client must be willing to engage in either SUD and/or dual services 1. Must be in jail for a minimum of 90 days from the time they are placed in the program 2. Client must have a risk score of 4 or higher on the MRT assessment 3. Must have history of substance abuse or mental health 4. Must have DUI or DWAI for Level ll Submit request for services if client has substance use disorder 1. The client must have a SUD diagnosis and score higher than four on the substance use disorder screen 2. The client must want services and voluntarily engage in programming Summit Submit request for services if client has substance use disorder Washington 1. Must have substance use concerns within the past year 2. Client must be willing to engage in either SUD and/or dual services 1. Individual must hava a Substance Use Disorder Weld 2. Must not be sentenced to DOC Yuma 1. Must have substance use concerns within the past year 2. Client must be willing to engage in either SUD and/or dual services Table 3. JBBS Programs Admissions Criteria SCREENING All programs are required to screen for mental health disorders, substance use disorders, trauma and traumatic brain injury. Clients who screen positive for a substance use disorder and/or a co-occurring mental health disorder are eligible for services in the JBBS program. The clinicians and case managers then complete a full assessment designed to assist with diagnosis, determine treatment needs and offer appropriate services. 9

11 In FY 15 all JBBS programs were required to utilize one of the screening tools listed in Table 4 below to meet contract requirements. This was implemented to create similar requirements to meet program eligibility criteria across the state. Substance Use Disorder Screening Mental Health Disorder Screening Trauma Screening Traumatic Brain Injury Screening Standardized Offender Assessment- Revised Colorado Criminal Justice Mental Health Screen Adult (CCJMHS-A) PTSD Checklist HELPS Brain Injury Screening Tool Addiction Severity Index Brief Behavioral Health Screen Trauma Symptom Inventory Traumatic Brain Injury Screening Tool Simple Screening Instrument- Revised Table 4. JBBS Programs Screening Tool Options Figure 3 shows the JBBS program statewide total number of client screenings completed for mental health disorders, substance use disorders, trauma, traumatic brain injuries and those who identify as veterans. The chart also shows the total number of positive screens for the screenings completed. 2,589 clients screened positive for mental illness; 2,190 screened positive for substance use disorders; 2,481 had both a mental health and substance use disorder positive screen. 1,386 screened positive for experiencing a traumatic brain injury; 2,190 screened positive for experiencing a traumatic event and 215 clients stated they are active duty military or veterans. Each program has different criteria and processes for which inmates are selected to be screened. Some programs are able to screen all inmates who are booked into the county jail. Other programs screen upon the offender s request or based on responses on classification/booking screenings. As a result of this, the number of screenings completed by each program significantly varies and should not be viewed as an indication of the actual number of offenders with mental health, substance use disorders, trauma or traumatic brain injuries in the jails across the state. 10

12 Figure 3. JBBS FY 15 Statewide Screening Data Appendix C offers a breakdown of the screenings completed and positive results for each program. TREATMENT SERVICES Figure 4 provides a breakdown of the total of number services offered in the JBBS programs statewide. The major categories of services are; Assessments/Evaluations Total Group Services Individual Therapy for substance use disorders, mental health disorders, co-occurring disorders, trauma and psychoeducation Transition Tracking- which is following up with clients after release from facilities Case Management Services- which include assistance or referrals for benefit acquisition, housing, vocational needs, employment acquisition, meeting legal obligations and transportation. Substance Use Disorder Treatment Services includes assisting with placement or referring to community- based treatment services Mental Health Treatment Services includes crisis intervention and medication management Appendix D has a breakdown of the services offered at each program. 11

13 Assessment Co-occurring Individual Sessions SUD Indiv. Tx MH Evaluation Transition Tracking MH Indiv.Therapy Case Management Services Groups Figure 4. JBBS FY15 Total Services TRANSITION TRACKING PROGRAM OUTCOMES Programs are required to follow-up with all clients who are successfully discharged from the program and released to the community at 1, 2, 6 and 12 months after release. Clinicians are required to either call the client or track treatment engagement at the community-based treatment provider the client was referred to. The following outcomes are tracked for transition tracking: 1. In Treatment- Client is engaged in community-based treatment services as recommended on the transition plan 2. Not In Treatment- Client is tracked via the community-based treatment agency or the client reports to not be in treatment services as recommended on the transition plan 3. New Crime/Regressed- Client returned to jail for violations or committed a new crime 4. Status Unknown- Client cannot be reached or tracked 5. Not Applicable- Client sentenced to Department of Corrections or client not tracked 6. Treatment Completed- Client completed treatment as recommended at release from jail Table 1 shows the overall program tracking outcomes. Appendix E offers a breakdown of outcomes by program. 12

14 Tracking Status Time Period 13 JBBS Program Annual Report FY Number of Clients Percentage of Clients In Treatment Month One % Month Two % Month Six % Month Twelve % Treatment Completed Month One % Month Two % Month Six % Month Twelve % New Crime/ Regressed Month One % Month Two % Month Six % Month Twelve % Not Applicable Month One % Month Two % Month Six % Month Twelve % Not in Treatment Month One % Month Two % Month Six % Month Twelve % Status Unknown Month One % Month Two % Month Six % Month Twelve % Deceased Month One % Month Two % Month Six % Month Twelve % Table 1. JBBS Transition Tracking Outcomes FY 15 One of the main program outcomes currently being measured for the JBBS program is successful transition and continuity of care. The transition tracking data shows which programs are successfully placing clients in treatment upon release. In the FY 15, 28% (1,550 of 5,435) clients engaged in treatment services as recommended in their transition plan 1 month after release; after 2 months the percent of clients engaged in services remained the same at 29% (1,539 of 5,400). At the 6 month follow-up, 27% (1,430 of the 5,121) of clients

15 Adams Alamosa/Conejos Arapahoe Bent Boulder Clear Creek Delta Denver Douglas Eagle El Paso Elbert Garfield Grand Gunnison Jefferson Kit Carson La Plata Larimer Lincoln Logan Mesa Montezuma Montrose Morgan Otero Prowers Pueblo San Miguel Washington Weld Yuma JBBS Program Annual Report FY tracked were still engaged in treatment services. At 12 months, 26% (1,045 of 3,874 clients) were still engaged in community-based treatment services. RE-ADMISSIONS Figure 5 shows the number of clients re-admitted into the JBBS programs across the state since the program s inception in July The data shows clients who returned to the same facility after both successful or unsuccessful discharge and re-engaged in the JBBS program at that facility. Note: The data below does not capture clients who returned to the facility but do not re-engage in the JBBS program (with the exception of Alamosa and Conejos counties) and; therefore cannot be used to determine overall program recidivism. All programs do not have the same start date, therefore the timeframe across all programs is not equal Figure 5. JBBS Re-admissions since Program Inception (July 2011) to June RECOVERY SUPPORT SERVICES In response to feedback from most of the JBBS programs regarding the need to assist clients with their immediate and basic necessities in the community after release from jail; the Correctional Treatment Board approved an increase in funding. In FY 15, most programs received up to 10% of the contract amounts to assist clients with a variety of services such as transportation options to include bus tokens or taxi cab vouchers in areas with no or limited public transport, funding to pay for obtaining identification, basic hygiene items, medication, food and emergency housing. To be eligible for these funds, clients must be successfully discharged from the jail program and transitioned to community based treatment services as recommended at discharge from the jail. Across all programs, $199,975 was expended on Recovery Support Services. A list of allowable Recovery Support Services can be found under Appendix 14

16 CONTRACT REPROCUREMENT FUTURE DIRECTIONS JBBS Program Annual Report FY In FY 16 the contracts for the JBBS programs will be reprocured according the State Procurement Rules, contracts for any services with the state can only be effective for 5 years. During this process all existing programs will have the opportunity to restructure and assess for changes in services offered and subcontractors if they choose to do so. OBH will be making changes to the program requirements based on the current treatment need trends of the state and the findings from site visits in the last contracting period. OPIATE ADDICTION SPECIALTY SERVICES Due to the heroin and opioid use prevalence in the state and across the country, OBH is intents to assist jails in making Medication Assisted Treatment available to individuals. The future contracts for the JBBS program offers guidance on policies Sheriff s Department could consider implementing in response to the needs of opiate using individuals. In FY 16, OBH will be funding 4 pilot projects to distribute Nalaxone/Narcan nasal kits at jails in the metro area. OBH has partnered with The Harm Reduction Action Center to train medical staff at jails to identify individuals who are at high risk of overdosing on heroin post release. OBH will fund 500 Narcan nasal kits to be distributed to individuals at discharge from the jail facility. STAFF TRAINING OBH intents to continue offering training opportunities for staff working with individuals involved in the criminal justice system. Trainings planned for in FY 16 include Gang Intervention Training, Solution Focused Brief Therapy, Medication Assisted Treatment and Standardized Offender Assessment- Revised. OBH works with treatment providers and Sheriffs Departments to determine training needs at Quarterly Meetings and during site visits. CLINICAL OUTCOMES The Office of Behavioral Health shall focus on analysis clinical outcomes of clients receiving services from the JBBS program. Treatment providers are required to submit DACODS (Drug/Alcohol Coordinated Data System) and CCAR (Colorado Client Assessment Record) data to the Office of Behavioral Health. OBH is in the process of integrating the CCAR and DACODS and will plan on incorporating the data points required to obtain clinical outcomes for JBBS clients. RECIDIVISM STUDY The Office of Behavioral Health shall explore funding and resources for a recidivism study on clients served by the JBBS program in the coming fiscal years. 15

17 APPENDIX A JBBS Admissions and Discharges FY14-15 JBBS Program Annual Report FY County Admissions Successful Unsuccessful 16 Total Discharges Adams Alamosa/Conejos Arapahoe Bent Boulder Clear Creek Delta Denver Douglas Eagle El Paso Elbert Garfield Grand Gunnison Jefferson Kit Carson La Plata Larimer Lincoln Logan Mesa Montezuma Montrose Morgan Otero Prowers Pueblo San Miguel Summit Washington Weld Yuma Grand Total

18 APPENDIX B JBBS Program Annual Report FY Approved Recovery Support Services FY Services Additional Notes Emergency Housing Medications Application Fees ID/Birth Certificates Bus Pass- Daily, Monthly Taxi Basic Hygiene Items Phone Cards GED program/testing Job placement training Lifeskills training Print brochures to referral sources Medical assistance- copays/ infectious disease testing Gas vouchers Clothing vouchers Personal hygiene care UA/Bas Transportation to residential treatment Food Assistance Backpacks Educational costs (books, supplies and fees) Utilities Child care 30 days limit per person 30 days limit per person One time per client One time per client, 15 rides for daily passes Only if no public transportation available in the area Limit of $15 per person Limit of $15 per person Limit of $100 per person Limit of $30 per person Limit of $100 per person Limit of $20 per person Limit of $100 per person Limit of $1200 per contract 1 month limit per client 1 month limit per client 17

19 APPENDIX C JBBS Program Annual Report FY JBBS Screening Data FY Adams MH Total Screened 614 MH +Screen 579 SUD Total Screened 614 SUD +Screen 410 MH+ & SUD+ 572 Trauma Total Screened 612 Trauma +Screen 410 TBI Total Screened 611 TBI +Screen 276 Veterans 14 Alamosa/Conejos Arapahoe MH Total Screened 1213 MH +Screen 281 SUD Total Screened 1210 SUD +Screen 165 MH+ & SUD+ 229 Trauma Total Screened 1214 Trauma +Screen 165 TBI Total Screened 1213 TBI +Screen 161 Veterans 37 MH Total Screened 161 MH +Screen 126 SUD Total Screened 161 SUD +Screen 115 MH+ & SUD+ 126 Trauma Total Screened 161 Trauma +Screen 115 TBI Total Screened 161 TBI +Screen 20 Veterans 6 18

20 Bent MH Total Screened 9 MH +Screen 8 SUD Total Screened 9 SUD +Screen 7 MH+ & SUD+ 8 Trauma Total Screened 9 Trauma +Screen 7 TBI Total Screened 9 TBI +Screen 7 Veterans 0 Boulder MH Total Screened 150 MH +Screen 114 SUD Total Screened 150 SUD +Screen 114 MH+ & SUD+ 111 Trauma Total Screened 150 Trauma +Screen 114 TBI Total Screened 148 TBI +Screen 87 Veterans 8 Clear Creek MH Total Screened 67 MH +Screen 67 SUD Total Screened 65 SUD +Screen 49 MH+ & SUD+ 64 Trauma Total Screened 67 Trauma +Screen 49 TBI Total Screened 66 TBI +Screen 22 Veterans 3 Delta MH Total Screened 80 MH +Screen 68 SUD Total Screened 80 19

21 SUD +Screen 76 MH+ & SUD+ 65 Trauma Total Screened 80 Trauma +Screen 76 TBI Total Screened 80 TBI +Screen 0 Veterans 4 Denver MH Total Screened 290 MH +Screen 88 SUD Total Screened 291 SUD +Screen 58 MH+ & SUD+ 87 Trauma Total Screened 278 Trauma +Screen 58 TBI Total Screened 291 TBI +Screen 89 Veterans 20 Douglas MH Total Screened 88 MH +Screen 68 SUD Total Screened 85 SUD +Screen 55 MH+ & SUD+ 62 Trauma Total Screened 88 Trauma +Screen 55 TBI Total Screened 88 TBI +Screen 24 Veterans 5 Eagle MH Total Screened 35 MH +Screen 19 SUD Total Screened 37 SUD +Screen 26 MH+ & SUD+ 18 Trauma Total Screened 36 Trauma +Screen 26 TBI Total Screened 24 20

22 TBI +Screen 1 Veterans 2 El Paso MH Total Screened 289 MH +Screen 108 SUD Total Screened 288 SUD +Screen 113 MH+ & SUD+ 107 Trauma Total Screened 289 Trauma +Screen 113 TBI Total Screened 289 TBI +Screen 97 Veterans 30 Elbert MH Total Screened 11 MH +Screen 7 SUD Total Screened 11 SUD +Screen 9 MH+ & SUD+ 7 Trauma Total Screened 11 Trauma +Screen 9 TBI Total Screened 11 TBI +Screen 7 Veterans 3 Garfield MH Total Screened 50 MH +Screen 45 SUD Total Screened 50 SUD +Screen 40 MH+ & SUD+ 45 Trauma Total Screened 50 Trauma +Screen 40 TBI Total Screened 49 TBI +Screen 1 Veterans 4 Grand 21

23 MH Total Screened 29 MH +Screen 19 SUD Total Screened 29 SUD +Screen 23 MH+ & SUD+ 18 Trauma Total Screened 29 Trauma +Screen 23 TBI Total Screened 29 TBI +Screen 11 Veterans 0 Gunnison MH Total Screened 23 MH +Screen 15 SUD Total Screened 23 SUD +Screen 17 MH+ & SUD+ 15 Trauma Total Screened 23 Trauma +Screen 17 TBI Total Screened 23 TBI +Screen 0 Veterans 0 Jefferson MH Total Screened 227 MH +Screen 190 SUD Total Screened 227 SUD +Screen 164 MH+ & SUD+ 178 Trauma Total Screened 227 Trauma +Screen 164 TBI Total Screened 226 TBI +Screen 155 Veterans 13 Kit Carson MH Total Screened 11 MH +Screen 6 SUD Total Screened 11 SUD +Screen 8 MH+ & SUD+ 6 22

24 Trauma Total Screened 11 Trauma +Screen 8 TBI Total Screened 11 TBI +Screen 2 Veterans 2 La Plata MH Total Screened 157 MH +Screen 54 SUD Total Screened 170 SUD +Screen 62 MH+ & SUD+ 52 Trauma Total Screened 158 Trauma +Screen 62 TBI Total Screened 164 TBI +Screen 40 Veterans 20 Larimer MH Total Screened 109 MH +Screen 104 SUD Total Screened 110 SUD +Screen 79 MH+ & SUD+ 104 Trauma Total Screened 111 Trauma +Screen 79 TBI Total Screened 111 TBI +Screen 85 Veterans 6 Lincoln MH Total Screened 18 MH +Screen 5 SUD Total Screened 18 SUD +Screen 14 MH+ & SUD+ 5 Trauma Total Screened 18 Trauma +Screen 14 TBI Total Screened 18 TBI +Screen 6 Veterans 3 23

25 Logan MH Total Screened 20 MH +Screen 13 SUD Total Screened 20 SUD +Screen 5 MH+ & SUD+ 13 Trauma Total Screened 20 Trauma +Screen 5 TBI Total Screened 20 TBI +Screen 5 Veterans 0 Mesa MH Total Screened 167 MH +Screen 161 SUD Total Screened 166 SUD +Screen 150 MH+ & SUD+ 158 Trauma Total Screened 168 Trauma +Screen 150 TBI Total Screened 168 TBI +Screen 21 Veterans 4 Montezuma MH Total Screened 114 MH +Screen 93 SUD Total Screened 114 SUD +Screen 91 MH+ & SUD+ 89 Trauma Total Screened 114 Trauma +Screen 91 TBI Total Screened 113 TBI +Screen 63 Veterans 1 Montrose MH Total Screened 105 MH +Screen 88 24

26 SUD Total Screened 105 SUD +Screen 99 MH+ & SUD+ 85 Trauma Total Screened 105 Trauma +Screen 99 TBI Total Screened 105 TBI +Screen 1 Veterans 7 Morgan MH Total Screened 110 MH +Screen 74 SUD Total Screened 111 SUD +Screen 59 MH+ & SUD+ 74 Trauma Total Screened 107 Trauma +Screen 59 TBI Total Screened 107 TBI +Screen 47 Veterans 2 Otero MH Total Screened 7 MH +Screen 7 SUD Total Screened 7 SUD +Screen 5 MH+ & SUD+ 7 Trauma Total Screened 7 Trauma +Screen 5 TBI Total Screened 7 TBI +Screen 5 Veterans 0 Prowers MH Total Screened 16 MH +Screen 13 SUD Total Screened 16 SUD +Screen 10 MH+ & SUD+ 13 Trauma Total Screened 16 Trauma +Screen 10 25

27 TBI Total Screened 16 TBI +Screen 10 Veterans 0 Pueblo MH Total Screened 142 MH +Screen 75 SUD Total Screened 142 SUD +Screen 90 MH+ & SUD+ 74 Trauma Total Screened 142 Trauma +Screen 90 TBI Total Screened 142 TBI +Screen 81 Veterans 13 San Miguel MH Total Screened 8 MH +Screen 7 SUD Total Screened 8 SUD +Screen 3 MH+ & SUD+ 6 Trauma Total Screened 7 Trauma +Screen 3 TBI Total Screened 6 TBI +Screen 1 Veterans 1 Summit Washington MH Total Screened 32 MH +Screen 27 SUD Total Screened 32 SUD +Screen 20 MH+ & SUD+ 25 Trauma Total Screened 30 Trauma +Screen 20 TBI Total Screened 30 TBI +Screen 7 Veterans 1 26

28 MH Total Screened 14 MH +Screen 5 SUD Total Screened 14 SUD +Screen 5 MH+ & SUD+ 4 Trauma Total Screened 14 Trauma +Screen 5 TBI Total Screened 14 TBI +Screen 2 Veterans 0 Weld MH Total Screened 96 MH +Screen 69 SUD Total Screened 94 SUD +Screen 62 MH+ & SUD+ 67 Trauma Total Screened 96 Trauma +Screen 62 TBI Total Screened 96 TBI +Screen 47 Veterans 2 Yuma MH Total Screened 22 MH +Screen 13 SUD Total Screened 22 SUD +Screen 10 MH+ & SUD+ 13 Trauma Total Screened 22 Trauma +Screen 10 TBI Total Screened 22 TBI +Screen 5 Veterans 1 27

29 APPENDIX D JBBS Curricula FY14-15 COUNTY Adams Alamosa & Conejos Arapahoe List of Treatment Curricula Used 1. Coping Skills by Gingerich Mueser 2. Thinking for a Change 3. Seeking Safety 1. Strategies for Self- Improvement and Change (men and women) 2. Living in Balance 3. Driving with Care Level II Education 4. Life Beyond Loss 5. Helping Men Recover 6. Helping Women Recover 7. A Woman s Addiction Workbook 8. Beyond Trauma, A Healing Journey 9. Abused Boys Wounded Men, Women s Circle. 10. Integrated Services for Substance Use and Mental Health Problems Cognitive Behavioral Therapy and Integrating Combined Therapies (Hazelden) 3. The Dialectical Behavior Therapy Skills Workbook: Practical DBT Exercises for Learning Mindfulness, Interpersonal Effectiveness, Emotion Regulation, and Distress Tolerance Matthew McKay, Jeffrey Wood, Jeffrey Brantley (2007) 2. Letting Go Of Shame: Understanding How Shame Affects your life Ronald Potter-Efron, Patricia Potter-Efron (1989, Revised edition) 3. On Grief and Grieving: Finding the Meaning of Grief Through the Five Stages of Loss Elisabeth Kubler-Ross (2005) 4. A workbook integrating skills from ACT, DBT, and CBT: Overcoming Trauma and PTSD Sheela Raja (2012) 5. SSC: Criminal Conduct and Substance Use (Strategies for Self- Improvement and Change) Milkman and Wanberg 6. Seeking Safety by Lisa M. Najavits 7. Letting go of Shame by Ronald Potter-Efron and Patricia Potter-Efron (1989) 8. The 10 Best-Ever Anxiety Management Techniques by Margaret Wehrenberg (2008) 9.The Dialectical Behavioral Therapy Skills Workbook for Bipolar Disorder Sheri Van Dijk, MSW (2009) 10. The Cognitive Behavioral Workbook for Depression 28

30 Boulder Clear Creek Delta JBBS Program Annual Report FY William J. Knaus, EDD, (2012) 11. The Mindfulness Workbook for Addiction Rebecca E. Williams, PhD and Julie S. Kraft, MA (2012) Trauma-Informed Interventions Linda A. Curran, BCPC, LPC, CACD, CCDP-D (2013) 13. I Hate You-Don t Leave Me Jerold J. Kreisman, MD and Hal Straus (2010) 14.When Panic Attacks The New Drug-Free Anxiety Therapy that Can Change Your Life David Burns, M.D. (2006) 15. I Wasn t Ready to Say Goodbye Brook Noel and Pamela d. Blair, PhD (2000) 16.The Angry Heart: Overcoming Borderline and Addictive Disorders Joseph Santoro, Ph D and Ronald Cohen, PhD (1997) 17. Staying Sober: Tips for Working a Twelve Step Program of Recovery Meredith Gould (1999) 18. You Can Teach Someone to Read Lorraine Peoples (2011) 1. Seeking Safety 2. DBT: Skills Training Manual 3. DBT: Acquiring Competency/Proficiency 4. Helping Men Recover 5. Re-entry Class 6. Anger Management 7. Building Trust 8. Maintaining Positive Change 9. Handling Difficult Emotions 10. Healthy Relationships 11. Learning From Trauma 12. Mindfulness 13. Mindfulness Skills-Meditation and Yoga 14. Positive Change and The Brain 15. Guided Self Change 1. Cognitive Behavioral Therapy 2. Solutions Focused Brief Therapy 3. Strengths-basedTherapy 4. Motivational Interviewing 1.Strategies for Self-Improvement and Change 2. Thinking for a Change 3. DBT 4. Seeking Safety 5. SMART recovery Inside Out 6. Matrix 7. Solution Focused Brief Therapy 8. Cognitive Behavioral Therapy 9. Truthought 29

31 Denver Douglas El Paso Jefferson La Plata & Montezuma Larimer Logan JBBS Program Annual Report FY Moral Reconation Therapy 2. Trauma Education, A Man's Way Through the 12 Steps 3. Stop the Chaos 4. Coping Skills 5. Criminal and Addictive Thinking 6. Life Without a Crutch 7. Helping Men Recover 8. Mindfulness and the 12 Steps 9.Relationships in Recovery 10.Beyond Anger 11.A Woman's Way Through the 12 Steps 12. Seeking Safety 13. Beyond Trauma: A Healing Journey for Women 14. TREM: Trauma Recovery Empowerment Model 15. Helping Women Recover: Criminal Justice System Version 16. Dialectical Behavioral Therapy Skills Workbook 1. The Change Company, Bi-Polar Education and Skills Training 2. Helping Men Recover 3. Self-Motivation and Anger Management 4. Female Empowerment 1. Level II Education 2. Level II Therapy 3. Thinking for a Change- The Change Company 4. Strategies for Self-Improvement and Change 5. Seeking Safety 6. TCU (Unlock Your Thinking, Ideas for Better Communication, Getting Motivated for Change) 1. Seeking Safety 2. Strategies for Self-Improvement and Change 3. Illness Management Recovery 1. Strategies for Self-Improvement and Change 2. Helping Women Recover 3. Seeking Safety 4. MRT 5. Life Beyond Trauma 6. The Mindfulness Workbook 7. The Wisdom to Know the Difference (ACT) 8. Matrix 9. BASIC program 10. DBT 11. Helping Men Recover 1. Seeking Safety 2. Phase I of Strategies for Self-Improvement and Change (SSC) 1. A Women's Addiction Workbook 30

32 Mesa Otero, Baca, Bent, Crowley, Kiowa, and Prowers Pueblo Weld JBBS Program Annual Report FY Level II Ed/Tx 3. CBT for PTSD 4. DBT Diary and Skills workbook 5. A Women's Addiction Workbook 6. SSC 7. Stop The Choas 8. Living in Balance 9. Change Companies Interactive Workbooks-Criminal addition, 10. Women's Journal, DBT with the Twelve Steps 1. Strategies for Self- Improvement and Change 2. Seeking Safety 3. Anger Management 4. MRT 5. Early Recovery 1. Strategies for Self-improvement and Change 2. CBT 3. Dialectical Behavior Therapy Skills Workbook 4. Motivational Interviewing 1. Moral Reconation Therapy 2. Level II DUI 3. WRAP 1. Strategies for Self- Improvement and Change 2. Seeking Safety 3. MRT 4. Eye Movement Desensitization Reprocessing 5. Solution-Focused Brief Therapy 6. Motivational Interviewing 7. CBT 31

33 APPENDIX E JBBS Program Annual Report FY JBBS Services FY14-15 County Assessment Cooccurring Individual Sessions SUD Indiv. Tx MH Evaluation Transition Tracking 32 MH Indiv.Therapy Case Management Services Groups Adams Alamosa/Conejos Arapahoe Bent Boulder Clear Creek Delta Denver Douglas Eagle El Paso Elbert Garfield Grand Gunnison Jefferson Kit Carson La Plata Larimer Lincoln Logan Mesa Montezuma Montrose

34 Morgan Otero Prowers Pueblo Routt San Miguel Summit Washington Weld Yuma Grand Total

35 APPENDIX F JBBS Program Annual Report FY Transition Tracking Status Month One Total Count of 1 Month Transit ion Status Checke d % JBBS Tracking Tracking Data FY14-15 Month Two Total Count of 2 Month Transiti on Status Checked % 34 Month Six Total Count of 6 Month Transiti on Status Checked % Month Twelve Total Count of 12 Month Transiti on Status Checked % County In Treatment Adams % % % % Alam osa/c onejos % % % % Arapahoe % % % % Boulder % % % % Clear Creek % % % % Delta % % % % Denver % % % % Douglas % % % % Eagle % % % % El Paso % % % % Elbert % % % % Garfield % % % % Grand % % % % Gunnison % % % % Jefferson % % % % Kit Carson % % % %

36 La Plata % % % % Larimer % % % % Lincoln % % % % Logan % % % % Mesa % % % % Montezuma % % % % Montrose % % % % Morgan % % % % Otero 3 3 % 3 3 % 1 1 % 0 0 n/a Pueblo % % % % San Miguel % % % % Summit % % % % Washington % % % % Weld % % % % Yuma % % % % Statewide In Treatment Total % % % % New Crime/ Regressed Adams % % % % Alamosa/C onejos % % % % Arapahoe % % % % Bent % 1 1 % 0 0 n/a 0 0 n/a Boulder % % % % Delta % % % % 35

37 Denver % % % % Douglas % % % % El Paso % % % % Garfield % % % 0 13 n/a Grand % % % % Jefferson % % % % La Plata % % % % Larimer % % % % Logan % % % 0 73 n/a 0 Mesa % % % % Montezuma % % % % Montrose % % % % Morgan % % % 0 0 n/a Pueblo % 4 3 % % % Weld % % % % Yuma % % % % Statewide New Crime/ Regressed Total % % % % Not Applicable Adams % % % % Alamosa/C onejos % % % % Arapahoe % % % % Bent % 0 1 n/a 0 0 n/a 0 n/a Boulder % % % % Clear Creek % % % % 36

38 Delta % % % % Denver % % % % Douglas % % % % Eagle % % % % El Paso % % % % Grand % % % % Gunnison % % % % Jefferson % % % % Kit Carson % % % % La Plata % % % % Larimer % % % % Lincoln % % % % Logan % % % % Mesa % % % % Montezuma % % % % Montrose % % % % Morgan % % % % Pueblo % % % % San Miguel % % % % Summit % % % % Washington % % % % Weld % % % % Yuma % % % % Not Applicable Total % % % % Not in Treatment Adams % % % % Alamosa/C % % % % 37

39 onejos Arapahoe % % % % Boulder % % % % Clear Creek % % % % Delta % % % % Denver % % % % Douglas % % % % Eagle % % % % El Paso % % % % Garfield % % % % Grand % % % % Gunnison % % % % Jefferson % % % % Kit Carson % % % % La Plata % % % % Larimer % % % % Lincoln % % % % Logan % % % % Mesa % % % % Montezuma % % % % Montrose % % % % Morgan % % % % Pueblo % % % % San Miguel % % % % Summit % % % % Washington % % % % Weld % % % % Yuma % % % % 38

40 Statewide Not in Treatment Total % % % % Status Unknown Adams % % % % Alamosa/C onejos % % % % Arapahoe % % % % Boulder % % % % Clear Creek % % % % Delta % % % % Denver % % % % Douglas % % % % Eagle % % % % El Paso % % % % Elbert % % % % Garfield % % % % Grand % % % % Gunnison % % % % Jefferson % % % % Kit Carson % % % % La Plata % % % % Larimer % % % % Lincoln % % % % Logan % % % % Mesa % % % % Montezuma % % % % Montrose % % % % 39

41 Morgan % % % % Prowers 2 2 % 0 0 n/a 0 0 n/a 0 0 n/a Pueblo % % % % San Miguel % % % % Summit % % % % Washington % % % % Weld % % % % Yuma % % % % Statewide Status Unknown Total % % % % Treatment Completed Alamosa/C onejos % % % % Arapahoe % % % % Denver % % % % Eagle % % % % El Paso % % % % Grand % % % % Montezuma % % % % Pueblo % % % % Statewide Treatment Completed Total % % % % Deceased Adams % % % % Boulder % % % % 40