GENERAL MEETING WEDNESDAY, JULY 25, :00 P.M West 25 th Street United Bank Building (Sixth Floor) Ohio Room

Transcription

1 GENERAL MEETING WEDNESDAY, JULY 25, :00 P.M West 25 th Street United Bank Building (Sixth Floor) Ohio Room * REVISED AGENDA 1. CALL TO ORDER / AUDIENCE INPUT ON AGENDA ITEMS Rev. Benjamin F. Gohlstin, Sr., Board Chair 2. APPROVAL OF MINUTES - GENERAL MEETING: JUNE 27, 2018 Rev. Gohlstin 3. OATH OF OFFICE Kelli Perk, Asst. Prosecuting Attorney from the Office of Cuyahoga County Prosecutor Michael C. O Malley STATE APPOINTMENT: GWENDOLYN A. HOWARD, LSW, MSSA 4. RECOGNITION OF CLIENT ARTWORK DISPLAY: July 2018 Beth Zietlow-DeJesus, Director of External Affairs Cosette Ghanem, LPC, Signature Health/Connections 5. CHAIR S REPORT Rev. Gohlstin 6. * ST. VINCENT CHARITY MEDICAL CENTER UPPER PAYMENT LIMIT DISCUSSION Scott S. Osiecki, C.E.O. 7. COMMUNITY RELATIONS & ADVOCACY COMMITTEE REPORT Reginald C. Blue, Ph.D., Committee member 8. JOINT PLANNING & FINANCE COMMITTEE REPORT Rev. Gohlstin, Board Chair CONSENT AGENDA - (Resolution Nos through ) RESOLUTION NO ACCEPTING THE REPORT OF THE CEO ON EXPENDITURES AND VOUCHERS PROCESSED FOR PAYMENT DURING JUNE 2018 RESOLUTION NO APPROVAL AND RATIFICATION OF CONTRACTS: a) Opportunities for Ohioans with Disabilities Agency FFY19 Case Service Contract -$2,313, (Contractors: Jewish Family Services Association, Recovery Resources, Inc.) b) OhioMHAS Mental Health Re-Entry Program - FrontLine Service - $612, c) Sponsorship: Edna House Race to the Lake - $1, d) Sponsorship: 6 th Annual Celebrating Recovery Walk - $1, e) Sponsorship: Northeast Ohio Recovery Residence Network Recovery Housing Symposium-$1, f) Inter-Faith Breakfast - Ariel International Center Not to Exceed $5, g) Heroin/Fentanyl & Suicide Prevention Awareness Billboard Campaign - Lamar Outdoor Advertising - $4, h) Universal Pre-Kindergarten (UPK) Program - $90, (evenly distributed to entities below) - Achievement Centers for Children - Applewood Centers, Inc. - Beech Brook - OhioGuidestone - Positive Education Program (PEP)

2 RESOLUTION NO APPROVING AMENDMENTS TO SERVICE PROVIDER CONTRACTS: a) Amendment to Res. No Catholic Charities Matt Talbot Expansion - Catholic Charities - $8, Increase b) Amendment to Res. No Consulting contract for remote network administration - Christopher Tomaro extension of contract term through December 31, 2018 c) Amendment to Res. No CURES Act Year 2 - Ascent Connect. Hope. Live (Peer Support MetroHealth ED) for the period of May 1, 2018 through June 15, Reducing amount of contract to $45, Thrive Behavioral Health reallocating $204, from the Ascent contract due to change in vendor information for the period June 16, 2018 through April 30, 2019 RESOLUTION NO APPROVAL & RATIFICATION OF SFY19-20 COMMUNITY CAPITAL PLAN End of Consent Agenda 8. CHIEF EXECUTIVE OFFICER S REPORT Scott S. Osiecki, Chief Executive Officer Staff Update Opioid Lawsuit CY2019 Request for Proposal County Executive Meeting St. Vincent Charity Medical Center Meeting 9. OLD/NEW BUSINESS 10. AUDIENCE INPUT BOARD OF DIRECTORS Rev. Benjamin F. Gohlstin, Sr., Chairperson Eugenia Kirkland, LSW, MSSA, CDCA, Vice Chair J. Robert Fowler, Ph.D., Second Vice Chair Reginald C. Blue, Ph.D. Elsie Caraballo Cassi Handler Gwendolyn A. Howard, LSW, MSSA Pythias D. Jones, M.D. Katie Kern-Pilch, ATR-BC, LPC-S Steve Killpack, MS Max M. Rodas, MA Sharon Rosenbaum, MBA Hugh B. Shannon Harvey A. Snider, Esq. Mary M. Step, Ph.D.

3 CONSENT AGENDA Resolution Nos through No RESOLUTION NO ACCEPTING THE REPORT OF THE C.E.O. ON EXPENDITURES AND VOUCHERS FOR PAYMENT DURING JUNE 2018 RESOLUTION NO APPROVAL AND RATIFICATION OF CONTRACTS (As listed on the General Meeting Agenda) RESOLUTION NO APROVING AMENDMENTS TO SERVICE PROVIDER CONTRACTS (As listed on the agenda) RESOLUTION NO APPROVAL & RATIFICATION OF SFY19-20 COMMUNITY CAPITAL PLAN

4 ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES BOARD OF CUYAHOGA COUNTY RESOLUTION NO ACCEPTING THE REPORT OF THE CHIEF EXECUTIVE OFFICER ON EXPENDITURES AND VOUCHERS PROCESSED FOR PAYMENT DURING JUNE 2018 WHEREAS, the Alcohol, Drug Addiction and Mental Health Services Board of Cuyahoga County (ADAMHS Board) in Resolution No appropriated funds for ADAMHS Board operations on a calendar year cycle; and, WHEREAS, the ADAMHS Board has authorized the Chief Executive Officer to disburse funds for the purpose specified in the appropriation; and, WHEREAS, the Chief Executive Officer certified that the vouchers on the attached list which were submitted to County Finance for payment during June 2018 are in conformance with the Board appropriation for CY2018. NOW, THEREFORE, BE IT RESOLVED THAT: 1. The report of the Chief Executive Officer be accepted and recorded in the minutes. 2. The Chief Executive Officer acted within the authority of the Board Appropriation Resolution in processing the subject vouchers. On the motion of, seconded by, the foregoing resolution was adopted. AYES: NAYS: ABSTAIN: DATE ADOPTED:

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16 ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES BOARD OF CUYAHOGA COUNTY RESOLUTION NO APPROVAL AND RATIFICATION OF CONTRACTS: 1. Opportunities for Ohioans with Disabilities (OOD) FFY2019 Case Services Contract 2. OhioMHAS Mental Health Prison ReEntry Program 3. Sponsorship: Edna House Race to the Lake 4. Sponsorship: 6 th Annual Celebrating Recovery Walk 5. Sponsorship: Northeast Ohio Recovery Residence Network Recovery Housing Symposium 6. Inter-Faith Breakfast-Ariel International Center 7. Heroin/Fentanyl & Suicide Prevention Awareness Billboard Campaign-Lamar Outdoor Advertising 8. Universal Pre-Kindergarten (UPK) Program WHEREAS, funding has been made available to the Alcohol, Drug Addiction and Mental Health Services Board of Cuyahoga County (ADAMHS Board) for the following programs: 1. Opportunities for Ohioan with Disabilities (OOD) FFY2019 Case Services Contract for the period of October 1, 2018 through September 30, 2019 in the amount of $2,313, ($1,804, OOD allocation; $509, ADAMHS Board local match) for the following project: a. Jewish Family Services Association in the amount of $354, b. Recovery Resources in the amount of $384, c. Pooled funding for case services managed by OOD in the amount of $1,575,000.00; and, 2. Ohio MHAS Mental Health Prison ReEntry Program for the period May 31, 2018 through June 30, 2019 in the amount of $612,878.00: a. FrontLine Service; and, 3. Sponsorship: Edna House Race to the Lake - $1, a. The Edna House for the period July 26, 2018 through October 30, 2018; and, 4. Sponsorship: 6 th Annual Celebrating Recovery Walk - $1, a. Community Assessment & Treatment Services, Inc. (CATS) for the period August 1, 2018 through October 31, 2018; and, 5. Sponsorship: Northeast Ohio Recovery Residence Network (NEORRN) Recovery Housing Symposium - $1, a. Northeast Ohio Recovery Residence Network (NEORRN) for the period July 26, 2018 through October 31, 2018; and, 6. Inter-Faith Breakfast - Not to exceed $5, a. Ariel International Center for the period July 26, 2018 through October 31, 2018; and,

17 7. Heroin/Fentanyl & Suicide Prevention Awareness Billboard Campaign - $4, a. Lamar Outdoor Advertising for the period September 1, 2018 through December 31, 2018; and, 8. Universal Pre-Kindergarten Continuation Funding ($90,000.00) for the period August 1, 2018 through July 31, 2019 in the amounts of: a. Achievement Centers for Children - $18, b. Applewood Centers, Inc. - $18, c. Beech Brook - $18, d. Ohio Guidestone - $18, e. Positive Education Program (PEP) - $18,000.00; and, WHEREAS, the ADAMHS Board Joint Planning & Finance Committee has reviewed the ADAMHS Board staff s recommendation and recommends that the Board of Directors accept the funding and authorize the ADAMHS Board to pay the required local match and enter into any necessary contractual agreements. NOW, THEREFORE, BE IT RESOLVED: A. The ADAMHS Board of Directors accepts the funds and authorizes payment of any required local match for the following: 1. Opportunities for Ohioan with Disabilities (OOD) FFY2019 Case Services Contract for the period of October 1, 2018 through September 30, 2019 in the amount of $2,313, ($1,804, OOD allocation; $509, ADAMHS Board local match) for the following project: a. Jewish Family Services Association in the amount of $354, b. Recovery Resources in the amount of $384, c. Pooled funding for case services managed by OOD in the amount of $1,575, Ohio MHAS Mental Health Prison ReEntry Program for the period May 31, 2018 through June 30, 2019 in the amount of $612,878.00: a. FrontLine Service 3. Sponsorship: Edna House Race to the Lake - $1, a. The Edna House for the period July 26, 2018 through October 30, Sponsorship: 6 th Annual Celebrating Recovery Walk - $1, a. Community Assessment & Treatment Services, Inc. (CATS) for the period August 1, 2018 through October 31, Sponsorship: Northeast Ohio Recovery Residence Network (NEORRN) Recovery Housing Symposium - $1, a. Northeast Ohio Recovery Residence Network (NEORRN) for the period July 26, 2018 through October 31, Inter-Faith Breakfast Not to exceed $5, a. Ariel International Center for the period July 26, 2018 through October 31, 2018

18 7. Heroin/Fentanyl & Suicide Prevention Awareness Billboard Campaign - $4, a. Lamar Outdoor Advertising for the period September 1, 2018 through December 31, 2018; and, 8. Universal Pre-Kindergarten Continuation Funding ($90,000.00) for the period August 1, 2018 through July 31, 2019 in the amounts of: a. Achievement Centers for Children - $18, b. Applewood Centers, Inc. - $18, c. Beech Brook - $18, d. Ohio Guidestone - $18, f. Positive Education Program (PEP) - $18, B. The ADAMHS Board Chief Executive Officer is authorized to execute any necessary contractual agreements. On the motion of, seconded by, the foregoing resolution was adopted. AYES: NAYS: ABSTAIN: DATE ADOPTED:

19 Agenda Process Sheet Date: July 25, 2018 Community Relations & Advocacy Committee Faith-Based Outreach Committee Planning & Oversight Committee Finance & Operations Committee Joint Planning & Finance Committee General Meeting Topic: Contractual Parties: FFY2019 Opportunities for Ohioans with Disabilities, Case Services Contract formerly known as Vocational Rehabilitation Public & Private Partnerships (VRP3) Receive Funds From: Opportunities for Ohioans with Disabilities (OOD) Contract With: Jewish Family Services Association Recovery Resources, Inc. Term: October 1, 2018 September 30, 2019 Funding Source(s): Federal OOD Funding ($2,313,723.76) Amount: OOD Funding - $1,804, ADAMHS Board Match: $509, Service Description: New Program Continuing Program Expanding Program Other The purpose of the OOD contract is to help adults and transitional youth ages with mental illness and alcohol/drug dependence obtain and maintain employment. The OOD contract will serve clients in Cuyahoga County. Background Information: ADAMHS Board continues to subcontract with Jewish Family Service Association (JFSA) and Recovery Resources to provide case management activities to clients in need of vocational rehabilitation services. Both agencies have years of experience in providing vocational rehabilitation services to the target population. The funding provided supports the following full-time equivalent (FTE) staffing: o Vocational Rehabilitation Coordinators 7 FTE s (3 JFSA, 4 Recovery Resources) o Supervisors 1.12 FTE s (0.50 JFSA, 0.62 Recovery Resources) o Support Staff 1.75 FTE s (0.75 JFSA, 1.0 Recovery Resources) o Total Staffing 9.87 FTE s (4.25 JFSA, 5.62 Recovery Resources) Number of Individuals to be served: A total of 575 clients will be served. Funding Use: Jewish Family Services Association and Recovery Resources will provide case management activities to clients in need of vocational rehabilitation services that will help them obtain and maintain competitive employment. Client & System Impact: To provide vocational rehabilitation services to clients seeking competitive employment which is essential to recovery.

20 Program Goals or Objectives Evaluation/ Outcome Data (Actual results from program) FFY2019 OOD Contract Deliverables (October 1, 2018 to September 30, 2019): 490 Open Caseload 420 Applications 336 Eligibilities 294 Individual Plans for Employment 105 Competitively Employed Closures 575 Total served by end 9/30/2019 FFY2018 OOD Contract Deliverables (October 1, 2017 to September 30, 2018); Outcome data through July 12, 2018: 441 Open Caseload (Objective 490) 475 Applications (Objective 420) 409 Eligibilities (Objective 336) 230 Individual Plans for Employment (Objective 294) 71 Competitively Employed Closures and 37 Employed (Objective 105) 950 Total Served (Objective 650) Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): To recommend approval of the agreement with Opportunities for Ohioans with Disabilities for the OOD case services contract in the amount of $2,313, which includes $1,804, of federal funds plus the required ADAMHSCC match totaling $509, Approval of the distribution of the OOD funding and ADAMHS Board match funding in the following manner: - Contract with Jewish Family Services Association in the amount of $354,293.22; - Contract with Recovery Resources in the amount of $384,430.54; - Pooled fund managed by OOD for case services budgeted costs in the amount of $1,575, to be paid directly to the provider agencies; and - ADAMHS Board match totaling $509, provided to Opportunities for Ohioans with Disabilities. Approved by the Joint Planning & Finance Committee on July 18, 2018.

21 Agenda Process Sheet Date: July 25, 2018 Community Relations & Advocacy Committee Faith-Based Outreach Committee Planning & Oversight Committee Finance & Operations Committee Joint Planning & Finance Committee General Meeting Topic: Contractual Parties: Mental Health Prison ReEntry Program Receive Funds From: Ohio Mental Health and Addiction Services Contract With: FrontLine Service Term: May 01, 2018 June 30, 2019 Funding Source(s): State Funding OhioMHAS (one-time) Amount: $612, Service Description: New Program Continuing Program Expanding Program Other The purpose of this initiative is to provide funding to expand treatment and recovery support services for individuals with a severe mental illness (SMI) leaving prison. Individuals with severe mental illness continue to experience barriers to successful reintegration after leaving prison. Funding may remove barriers to recovery for this population. Background Information: OhioMHAS collaborates with the Ohio Department of Rehabilitation and Correction (ODRC) to provide community linkage services for offenders with a severe mental illness prior to their release from prison. The Community Linkage Program focuses on various reentry needs. The needs of the ex-offender with mental illness returning to the community are very diverse. OhioMHAS is providing one-time funding to help address the needs of individuals with severe mental illness as they leave prison and return to the community. Number of Individuals to be served: A minimum of 158 clients will be served. Funding Use: FrontLine Service will provide direct treatment services to individuals with a severe mental illness prior to and upon release from prison. Client & System Impact: To provide expanded treatment and recovery support services for individuals with a severe mental illness leaving prison.

22 Program Goals or Objectives Evaluation/ Outcome Data (Actual results from program) Mental Health Prison ReEntry Program: 158 clients will receive housing, peer recovery support, life skills, spiritual support and transportation. N/A New program Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): To accept the amount of $612, from OhioMHAS and distribute it to FrontLine Service for the Mental Health Prison ReEntry Program for providing treatment and recovery support services for individuals with a severe mental illness as they leave prison and return to the community. Approved by the Joint Planning & Finance Committee on July 18, 2018.

23 Agenda Process Sheet Date: July 25, 2018 Community Relations & Advocacy Committee Planning & Oversight Committee Joint Planning & Finance Committee Faith-Based Outreach Committee Finance & Operations Committee General Meeting Topic: Contractual Parties: ADAMHS Board of Cuyahoga County Co-sponsorship of the Edna House Race to the Lake on Friday, September 14, The Edna House 2007 W. 65 th Street Cleveland, Ohio Term: July 26, 2018 October 30, 2018 Funding Sources: Amount: $1,000 ADAMHS Board Funding Service Description: New Program Continuing Program Expanding Program Background Information: Other Sponsorship The Edna House Race to the Lake, formerly called the Race to Recovery will take place at Edgewater Park on Friday, September 14, 2018 at 6:30 p.m. The goal for the race is to raise funds for the continuation of Edna House programs, build awareness about recovery for women in a sober living environment, as well as addiction issues throughout the community. The mission of the Edna House is to offer long-term, structured sober living and education to women seeking recovery from addiction to drugs and alcohol. This mission is accomplished by a program that is available without regard for ability to pay, and designed by women who are committed to helping other women get sober and restore them to their vital roles in the community. As a Silver Level Sponsor, ADAMHS Board of Cuyahoga County will receive the following: Logo placement on T-shirt Logo on event banner Logo on race website Social Media shout-outs Eight Cookout tickets Eight race entries and T-shirts Number of Individuals to be Served: Edna House can accommodate up to 42 women at a time in the long-term sober living program. Since opening in 2004, women have been helped per year. The minimum stay is six months, but most women stay eight to 14 months.

24 Funding Use: Silver Level Sponsorship funding will help Edna House raise funds for the continuation of programs, build awareness about recovery for women in a sober living environment and awareness of addiction issues throughout the community. Proceeds from this event will be used to continue to provide food, shelter and safety for many women in need and recovery. Client & System Impact: Attract as many participants to build awareness about recovery for women in a sober living environment and addiction issues. Raise funds to support Edna House programs. Metrics (How will success be measured) Evaluation/ Outcome Data (Actual data from program) Number of people in attendance at the Race to the Lake Ensuring ADAMHS Silver Level Sponsorship Benefits The event historically attracts between 100 and 300 people. The ADAMHS Board of Cuyahoga County has been a sponsor of the Edna House Recovery Race since its inception in 2013 Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): The ADAMHS Board strives to educate the community on behavioral health issues and the elimination of stigma in seeking treatment. Therefore, staff recommends that the ADAMHS Board of Cuyahoga County cosponsor the Edna House Race to the Lake on Friday, September 14, 2018, at the $1,000 Silver Level. Approved by the Community Relations & Advocacy Committee on July 11, Approved by the Joint Planning & Finance Committee on July 18, 2018.

25 Agenda Process Sheet Date: July 25, 2018 Community Relations & Advocacy Committee Planning & Oversight Committee Joint Planning & Finance Committee Faith-Based Outreach Committee Finance & Operations Committee General Meeting Topic: Contractual Parties: Sponsorship of the 6 th Annual Celebrating Recovery Walk: Sunday, September 16, 2018 Cleveland Municipal Drug Court c/o Community Assessment & Treatment Services, Inc Broadway Ave. Cleveland, OH Term: August 1, 2018 October 31, 2018 Funding Sources: ADAMHS Board Funding Amount: $1,500 Service Description: New Program Continuing Program Expanding Program Other: Sponsorship Background Information: Collaborative Agencies that include: City of Cleveland Public Health; Cleveland Municipal Court Greater Cleveland Drug Court; Community Assessment Treatment Services, and Moore Counseling & Mediation Services are hosting the 6 th Annual Celebrating Recovery Walk on Sunday, September 16, 2018, starting at 9:00 a.m., at the Lower Pavilion at Edgewater Park. The ADAMHS Board of Cuyahoga County was once again asked to serve as a $1,500 Title Sponsor for this event that is held in recognition of September is National Recovery Month. The Board has sponsored this event since its inception. The Walk strives to raise awareness about addiction, support people who are in recovery and highlight the achievements of individuals in recovery and the agencies that provide the services. There is a Hermes registration fee of $25 per runner. Walkers can register for free, but donations are accepted. Title Sponsorship benefits include: o Logo or name printed on t-shirts. o Logo printed on all marketing materials leading up to the event and on the day, including route guides, programs, posters, etc. o Up to 10 t-shirts for ADAMHS Board walkers. Number of Individuals to be Served: The collaborative agencies hosting this yearly event serve thousands of residents of Cuyahoga County in recovery from mental illness and/or addictions.

26 Funding Use: The Title Sponsorship helps the collaborative agencies raise awareness and celebrate recovery from mental illness and/or addictions by covering expenses associated with this event. Client & System Impact: The purpose of this event is to raise awareness about addiction, support people who are in recovery and highlight the achievements of individuals in recovery and the agencies that provide the services. Metrics (How will success be measured) Evaluation/ Outcome Data (Actual data from program) Number of people in attendance at the 6 th Annual Celebrating Recovery Walk. Ensuring ADAMHS Board Title Sponsorship Benefits. The ADAMHS Board of Cuyahoga County has served as a co-sponsor of this event since its inception in The event continues to attract over 500 attendees. Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): The ADAMHS Board should continue to support efforts that bring an awareness of recovery from alcohol and other drugs to the general public. Therefore, staff recommends that the ADAMHS Board of Cuyahoga County sponsor the 6 th Annual Celebrating Recovery Walk on Sunday, September 16, 2018, at the $1,500 Title Sponsorship level. Approved by the Community Relations & Advocacy Committee on July 11, Approved by the Joint Planning & Finance Committee on July 18, 2018.

27 Agenda Process Sheet Date: July 25, 2018 Community Relations & Advocacy Committee Planning & Oversight Committee Joint Planning & Finance Committee Faith-Based Outreach Committee Finance & Operations Committee General Meeting Topic: Contractual Parties: Sponsorship of the Northeast Ohio Recovery Residence Network (NEORRN) Recovery Housing Symposium: September 19, 2018 NEORRN 2490 Lee Blvd., Suite 308 Cleveland Heights, Ohio Term: July 26, 2018 October 31, 2018 Funding Sources: Amount: $1, ADAMHS Board Funding Service Description: New Program Continuing Program Expanding Program Other: Sponsorship Background Information: NEORRN is hosting a Recovery Housing Symposium as part of Recovery Month in September of This will be the first time that recovery housing providers will have the opportunity to showcase recovery housing and its ability to work with a cohesive network of community stakeholders to benefit people living in recovery. Recovery Housing is part of the continuum of care and offers a sober living environment to support an individual s long-term recovery plan. A wide array of stakeholders will have involvement with recovery housing including: o o o o o Organizations or individuals opening a home Referring someone to recovery housing, Working with someone living in recovery housing General Operations of recovery housing, And, through treatment providers, the city zoning process, drug courts, department of corrections, first response teams, county programs, the VA and so on. The $1, sponsorship will allow the ADAMHS Board to be listed as a sponsor on all marketing materials. Number of Individuals to be Served: Over 200 individuals in recovery, recovery residence operators, treatment providers, and associated professionals.

28 Funding Use: To defray the costs of hosting the conference. Client & System Impact: The purpose of the conference: o Strengthen the recovery housing and recovery community in Ohio. o Promote recovery housing as a collaborative effort and share best practices and standards. o Celebrate Recovery during Recovery Month. Metrics (How will success be measured) Number of people in attendance at the Get to Know Us Recovery Housing in Northeast Ohio Symposium on September 19, Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): Board staff recommends sponsorship of the NEORRN s Recovery Housing Symposium to be held on September 19, 2018 in the amount of $1, Approved by the Community Relations & Advocacy Committee on July 11, Approved by the Joint Planning & Finance Committee on July 18, 2018.

29 Agenda Process Sheet Date: July 25, 2018 Community Relations & Advocacy Committee Planning & Oversight Committee Joint Planning & Finance Committee Faith-Based Outreach Committee Finance & Operations Committee General Meeting Topic: Inter-Faith Breakfast: Monday, September 17, 2018 Contractual Parties: Ariel International Center 1163 East 40th St #201 Cleveland, OH Term: July 26, 2018 October 31, 2018 Funding Source(s): ADAMHS Board Funds Amount: Not to Exceed $5, Service Description: New Program Continuing Program Expanding Program Background Information: Other Outreach Event Realizing the importance of faith in the recovery process, the ADAMHS Board of Cuyahoga County developed the Faith-Based Outreach Initiative Program that includes intervention/prevention activities, trainings and education/awareness about behavioral health/addiction. In an effort to reach all faiths and share how the Faith-Based Outreach Initiative Program can assist with behavioral health/addiction issues in their organization, the Faith-Based Outreach Committee and the Board recommends sponsoring an Inter-Faith Breakfast to attract faith leaders in our community. This event is also an opportunity for the Board to hear the needs of the faith community directly from the faith leaders. The event would be held on Monday, September 17, 2018 at the Ariel International Center from 8:30am 11:00am. This event is open to leaders of all faiths. Invitations will be sent to spiritual organizations/leaders highlighting faith sensitive food choices. The Board would pay the cost of the breakfast, banquet room and audio visual equipment. The venue has parking spaces for 125 cars and parking is available on the street. Number of Individuals to be Served: Approximately 200 people. Page 1 of 2

30 Funding Use: To pay the cost for the venue, caterer (culturally sensitive) and audio visual equipment. Client & System Impact: The goal of the forum is to raise awareness of the Faith-Based Outreach Initiative Program and to attract other faiths to participate in the program. Metrics (How will success be measured) Evaluation/ Outcome Data (Actual data from program) Number of people in attendance at the Inter-Faith Breakfast. Increase in program participates. Faith diversity in the program participates. N/A Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): Approval to hold the Inter-Faith Breakfast on Monday, September 17, 2018 and enter into a contract with Ariel International Center in an amount not to exceed $5, Approved by the Community Relations & Advocacy Committee on July 11, Approved by the Joint Planning & Finance Committee on July 18, Page 2 of 2

31 Agenda Process Sheet Date: July 25, 2018 Community Relations & Advocacy Committee Planning & Oversight Committee Joint Planning & Finance Committee Faith-Based Outreach Committee Finance & Operations Committee General Meeting Topic: Contractual Parties: Heroin/Fentanyl & Suicide Prevention Awareness Billboard Campaign Lamar Outdoor Advertising Plaza Drive Parma, Ohio Term: September 1, 2018 December 31, 2018 Funding Sources: ADAMHS Board Operating Budget Amount: $4,900 Service Description: New Program Continuing Program Expanding Program Background Information: Other Awareness Campaign Cuyahoga County continues to experience the devastating effects of the opioid crisis: o In 2017, there were 722 drug overdose deaths. o As of June 1, 2018, at least 170 victims have died from heroin/fentanyl/analog or a combination of drugs. o This compares to 239 deaths through May of 2017 and 179 in o When including cocaine, the 2018 total reaches at least 224 fatalities. o Though we are seeing a slight decrease, we are still losing people at an astronomical rate. Suicide rates are increasing in Cuyahoga County: o As of June 21, 2018, Cuyahoga County has seen 93 deaths by suicide. o In 2017, by the same date we had seen 75 deaths -- that is a staggering increase. o The 2017 Youth Risk Behavioral Survey indicated that 1/3 of teens had depressive symptoms. Staff is recommending the development of a 14-count billboard campaign to run during the month of September, which is National Recovery Month. The campaign would be recovery focused to reduce stigma of mental illness and addiction to encourage help-seeking behaviors, such as calling or texting the hotline. External Affairs staff will develop to design for the billboards with half focused on addiction and half will focus on suicide prevention. Funding Use: Funding has been set-aside in the Board s CY2018 Operating Budget for prevention campaigns focusing on heroin, suicide and gambling prevention and awareness. The ADAMHS Board is receiving the not-forprofit/government/public awareness rates. If we did not receive that discounted rate, the cost of the campaign would be much higher.

32 Lamar Outdoor Advertising (billboards): Type 14 Billboards located throughout Cuyahoga County throughout the month of September Totals $350/billboard Total Package $4,900 Client & System Impact: Program/Service Goals: The purpose of this campaign is to reduce stigma and raise awareness about addictions, suicide prevention, and highlight the achievements of individuals living in recovery. Program Goals or Objectives Evaluation/ Outcome Data (Actual results of program) Raise awareness of the possibility of Recovery. Promote Cuyahoga County s 24-hour Crisis Hotline: and crisis text 4hope to Reduce stigma through education to the community about recovery and suicide prevention. Number of calls/texts to the Cuyahoga County s 24-hour Crisis Hotline: and text line Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): Recommends the approval of development and placement of a 14-count billboard campaign to run during the month of September - National Recovery Month, which is focused on reducing stigma of mental illness and addiction to promote help-seeking behaviors, and entering into a contract with Lamar Outdoor Advertising in the amount of $4,900. Approved by the Community Relations & Advocacy Committee on July 11, Approved by the Joint Planning & Finance Committee on July 18, 2018.

33 Agenda Process Sheet Date: July 25, 2018 Community Relations & Advocacy Committee Faith-Based Outreach Committee Planning & Oversight Committee Finance & Operations Committee Joint Planning & Finance Committee General Meeting Topic: Contractual Parties: Universal Pre-Kindergarten (UPK) Program Achievement Centers for Children Applewood Centers, Inc. Beech Brook OhioGuidestone Positive Education Program (PEP) Term: August 1, 2018 to July 31, 2019 Funding Sources: ADAMHS Board Amount: $90, Service Description: New Program Continuing Program Expanding Program Other o Invest In Children (IIC) is leading a county-wide initiative to expand/enhance mental health services in Universal Pre-Kindergarten (UPK) classrooms to increase the rates of school readiness and make pre-school more affordable to low-income & moderate income families within Cuyahoga County. o o In an effort to aid pre-school teachers in their classrooms to manage behaviors and provide support, the current model of UPK provides an average of five visits which is not sufficient per the current UPK providers. The enhanced model is much more intensive per the request of the UPK providers to provide 4-6 hours a week up to 12 weeks which currently includes observation and assessment of classrooms with children with severe behavior problems. The goal is to provide additional classroom modeling, coaching and support to the classroom teacher. If at the end of the 12 week time-frame, the assessment indicates additional support, the clinician will remain in that particular program. Background Information: o Many of the children in UPK classrooms are from disadvantaged environments and upon entering pre-school present with significant behavioral and social-emotional needs prompting removal from the classroom setting. o Due to limited limitations, the outreach to UPK is limited for children from low-and-moderate income families that would significantly benefit from this program. Only 2,000, fewer than 15% of low-income preschool-aged children in Cuyahoga County children are in a UPK classroom. Number of Individuals to be Served: o It is estimated that the program will serve at least 200 hundred children. Funding Use: o Increase the level of intensity of mental health services for children in UPK sites to increase the rate of school readiness and make pre-school more affordable to low-income & moderate income families within Cuyahoga County.

34 Client & System Impact: o Improved academic success to advance within the academic trajectory towards social and emotional compentices. Program/Service Goals: o Ensure each UPK site has effective, strengths-based policies to address children with severe behavior challenges to manage new children entering the program. o o o Strive to maintain a calm but stimulating environment for every child to be engaged, learn and interact with other children in a socially and developmentally appropriate manner for each child to feel safe and supported. Equip teachers to feel confident to deal with children with severe behaviors and implement strategies offered by the clinician to maintain the target child in the program, as well as promote an atmosphere conducive for learning. Improve collaboration with parents in that they recognize their child s behavior challenge and how it s addressed in the child-care program to view as a supportive resource. Program Goals or Objectives Evaluation/ Outcome Data (Actual data from program) Of the 200 hundred children projected to be served through the Devereux Early Child Assessment (DECA) tool 50% of the children, teachers, and parents will: o Develop a strength-based approach to engage children in a socially and developmentally appropriate manner. o Maintain a stimulating environment for engagement. o Improve confidence of the teachers engaged with children with behavioral concerns. o Increase the collaboration of parents to partner in the change with their children. Of the 224 children served through the Devereux Early Child Assessment (DECA) tool 59% (131) children, teachers and parents: o Developed a strength-based approach to engage children in a socially and developmentally appropriate manner. o Maintained a stimulating environment for engagement. o Improved confidence of the teachers engaged with children with behavioral concerns. o Increased the collaboration of parents to partner in the change with their children. Of the 131 children and parents who completed a DECA post assessment, (91.6%) of the children demonstrated Total Protective Factors (TPF) post assessment, as opposed to (81.7%) of the children who demonstrated Total Protective Factors pre-assessment. Of the 131 children and parents who completed a DECA pre/post assessment, (20.6%) demonstrated a need in Behavioral Concerns. There was no change overall in Behavioral Concerns post-assessment. The 131 children who completed the DECA pre assessment enrolled in the UPK classroom intensive demonstrated significant gains post assessment when compared to the UPK 2.0 sample as a whole as denoted by the positive change of 9.9 % versus the UPK 2.0 sample of 5.7 %. Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): To continue funding the Universal Pre-Kindergarten (UPK) Program in the amount of $90,000 for the time frame of August 1, 2018 to July 31, 2019 and to distribute the funding evenly to the five UPK program partners listed below: o Achievement Center o Applewood Centers o Beech Brook o OhioGuidestone o Positive Education Program (PEP) Approved by the Joint Planning & Finance Committee on July 18, 2018.

35 ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES BOARD OF CUYAHOGA COUNTY RESOLUTION NO APPROVING AMENDMENTS TO SERVICE PROVIDER CONTRACTS: 1. Amendment to Resolution to increase funding for Catholic Charities Matt Talbot Expansion 2. Amendment to Resolution to extend term until December 31, 2018 for remote network administration consulting contract with Christopher Tomaro 3. Amendment to Resolution CURES Act Year 2 WHEREAS, the Alcohol, Drug Addiction and Mental Health Services Board of Cuyahoga County (ADAMHS Board) Chief Executive Officer (CEO) has determined it necessary and within the administrative and operational budget to amend the contracts with the following entities: 1. Amendment of Resolution , Approval of Heroin Crisis Partnership Initiative- Residential Treatment Contract a. Catholic Charities Matt Talbot Expansion - $8, increase for period of 03/01/17 through 04/30/18; and, 2. Amendment of Resolution Consulting contract for Remote Network Administration-Christopher Tomaro a. Extend term of existing contract through December 31, 2018; and, 3. Amendment to Resolution CURES Act Year 2 a. Ascent Connect. Hope. Live (Peer Support MetroHealth ED) for the period of May 1, 2018 through June 15, Reducing amount of contract to $45, b. Thrive Behavioral health reallocating fund from the Ascent contract in the amount of $204, for the period June 16, 2018 through April 30, 2019; and, WHEREAS, the ADAMHS Board Joint Planning & Finance Committee reviewed the ADAMHS Board staff s recommendation and recommends that the Board of Directors approve or ratify said contract amendments. NOW, THEREFORE, BE IT RESOLVED: A. The ADAMHS Board of Directors authorizes amending the ADAMHS Board resolutions listed below: 1. Amendment of Resolution , Approval of Heroin Crisis Partnership Initiative- Residential Treatment Contract a. Catholic Charities Matt Talbot Expansion - $8, increase for period of March 01, 2017 through April 30, Amendment of Resolution Consulting contract for Remote Network Administration-Christopher Tomaro a. Extend term of existing contract through December 31, Amendment to Resolution CURES Act Year 2 a. Ascent Connect. Hope. Live (Peer Support MetroHealth ED) for the period of May 1, 2018 through June 15, Reducing amount of contract to $45,

36 b. Thrive Behavioral Health - Reallocating funds from the Ascent contract in the amount of $204, for the period June 16, 2018 through April 30, B. The ADAMHS Board Chief Executive Officer is authorized to execute any necessary contractual agreements. On the motion of, seconded by, the foregoing resolution was adopted. AYES: NAYS: ABSTAIN: DATE ADOPTED:

37 Agenda Process Sheet Date: July 25, 2018 Community Relations & Advocacy Committee Faith-Based Outreach Committee Planning & Oversight Committee Finance & Operations Committee Joint Planning & Finance Committee General Meeting Topic: Contractual Parties: Amendment to Resolution , Heroin Crisis Partnership Initiative Residential Treatment Catholic Charities Corporation Term: March 1, 2017 through April 30, 2018 Funding Source(s): Amount: ADAMHS Board $8, Increase Service Description: New Program Continuing Program Expanding Program Other Catholic Charities has operated a substance use disorder (SUD) residential treatment program (Matt Talbot) for persons with severe substance use disorders and co-occurring mental illness. In May 2017, due to the extreme demand for treatment, Catholic Charities opened a new unit at Matt Talbot for men. The new unit allows for an additional sixteen (16) men to be served on a daily basis. Catholic Charities provides 30 hours of treatment which includes access to psychiatrist, medical doctor, RN and clinicians. Catholic Charities, as part of transition planning, assists the men with links to employment services and recovery housing as needed, along with continuation in outpatient treatment, and other services as clinically indicated. Catholic Charities provides Naltrexone or Vivitrol to clients who select that course of care. Background Information: The Ohio Department of Mental Health and Addiction Services (OMHAS) has approved CURES Act funding to support the Medication Assisted Treatment portion of the contract. Initially the contract was approved for a total of $900, This proposed amendment increases the contract by $8, to provide sufficient funding to cover the contract period that ended April 30, Number of Individuals to be Served Annually: 100 Funding Use: SUD Residential Treatment Client & System Impact: The provision of residential services enables intensive substance abuse treatment services to be delivered in an environment which enables a client to address their addiction and gain support for eliminating risks and reinforcing positive behaviors upon their return to the community.

38 Program Goals or Objectives Evaluation/ Outcome Data (Actual results from program) Catholic Charities Residential Treatment : 65 Clients to be served 1. 90% of men will receive two or more treatment services within 14 days or less of completion of diagnostic assessment % of men will successfully engage in treatment % of men will successfully complete treatment % of men will abstain from drug/alcohol use % of men will be employed or in school and/or linked to employment services at discharge % of men will have no new arrests at date of last service % of men will be in a stable housing situation % of men will have increased social supports and or social connectedness % of men will perceive their needs were met and are satisfied with the results of treatment The program was projected to see 65 clients in the first year. The program opened its doors in April 2017 and offers treatment to a maximum of 16 clients at one time, which is the program capacity. During the first 9.5 months of operation, the program served 87 clients, which exceeded the 65 projected for this first year % received two or more treatment services within 14 days or less of completion of diagnostic assessment (goal 90% was exceeded) % of clients admitted successfully engaged in treatment. 3. An average of 54% successfully completed treatment in the first year, but the percentage was 67% in the past 3 months which demonstrates that the successful completion rate is improving % of clients abstained from drug/alcohol use while in treatment % of the clients served were employed or in school and/or linked to employment services at discharge % of the clients had no new arrests at date of last service % of clients went to a stable housing situation upon termination % of clients were able to increase their sober social supports and or achieved social connectedness % of the clients perceived their needs were met and were satisfied with the results of treatment Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): To approve the amendment of the contract for Residential Treatment at Matt Talbot with Catholic Charities, increasing the contract by $8, to cover expenses through April 30, Approved by the Joint Planning & Finance Committee on July 18, 2018.

39 Agenda Process Sheet Date: July 25, 2018 Community Relations & Advocacy Committee Faith-Based Outreach Committee Planning & Oversight Committee Finance & Operations Committee Joint Planning & Finance Committee General Meeting Topic: Contractual Parties: Amendment of Resolution , Consulting Contract for Remote Network Administration Christopher P. Tomaro Term: Extension August 1, 2018 through December 31, 2018 Funding Source(s): Amount: Board Operating Budget $45.00 per hour on an as needed basis Service Description: New Program Continuing Program Expanding Program Other Personal Service Contract Background Information: Christopher Tomaro served as the Network & Systems Specialist for the ADMHS Board of Cuyahoga County for the past four and one-half years. His last day of employment with the Board was March 13, In order to assist the Board with network administration, the Board entered into a short-term contract with Mr. Tomaro that allows remote access to the Board s network on an as needed basis at $45 per hour. Number of Individuals to be served: All Board Staff Funding Use: Ensure continued operation of the Board s network. Client & System Impact: Ensure continued operation of the Board s network so that staff may continue to use computers and the network to perform duties that impact our clients and providers. Metrics (How will success be measured) Hours worked Issues resolved Evaluation/ Outcome Data (Actual results from program) Hours worked Total hours of service provided through June 30, hours Issues resolved Various issues resolved including: system updates, machine maintenance, phone system configurations, connectivity issues, server maintenance. Also participated in screening prospective position candidates and training of selected candidate.

40 Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): To amend Resolution to extend the contract with Christopher P. Tomaro for network administration at $45 per hour on an as needed basis until December 31, Approved by the Joint Planning & Finance Committee on July 18, 2018.

41 Agenda Process Sheet Date: July 25, 2018 Community Relations & Advocacy Committee Faith-Based Outreach Committee Planning & Oversight Committee Finance & Operations Committee Joint Planning and Finance Committee General Meeting Topic: Amendment to Resolution # CURES Act 2 nd Year Funding Contractual Parties: Ascent, Thrive Behavioral Health MetroHealth Emergency Department Peer Recovery Support Term: May 1, 2018 through April 30, 2019 Funding Source(s): Federal Funding Amount: $250, Service Description: New Program Continuing Program Expanding Program Other Re-allocation of funds to new vendor OhioMHAS provided the Cuyahoga County ADAMHS Board with Cures Act funding to address the opioid epidemic in the community. The categories of service supported by OhioMHAS are Certified Peer Recovery Support, Medication Assisted Treatment (MAT) and Recovery Supports Services. Resolution # awarded 2 nd Year funding to support the following initiative: o Ascent - Connect. Hope. Live (Peer Support MetroHealth ED) $250, After the passage of Resolution # , the Board was informed that Thrive Behavioral Health would begin providing services for this initiative as of June 16, Ascent provided services in the amount of $45, for the period of May 1, 2018 through June 15, Thrive Behavioral Health will provide these services beginning June 16, 2018 and continuing through April 30, Their contract value will be $204, Background Information: Federal program passed by Congress to combat the prescription opioid and heroin crisis. Ohio applied and will receive $26 million for 2 years. Year 1 funding ended April 30, The purpose of the funds to increase access to MAT and recovery supports Cuyahoga was notified that our allocation will be $ 1,375, Year 2 beginning May 1, Number of Individuals to be Served: It is anticipated 2 nd Year 1,100 individuals will be served. 1 st Year 358 individuals were served since start date of November Funding Use: Peer Recovery Support 1

42 Client & System Impact: Program Goals or Objectives Evaluation/ Outcome Data (Actual results from program) 1. Serve 1100 individuals 2. Maintain Quick Response Protocols to fast-track individuals into Withdrawal Management Services or substance use disorder treatment programs 3. Establish Recovery Supports in Recovery Housing environments. 4. Contract service providers will be required to submit OMHAS State Targeted Response (STR). These include Number of Persons Served (Unduplicated Count) for Opioid Use Disorder Recovery Support Services by Age, Sex and Race/Ethnicity. Between July 2017 and the end of February 2018, the project reports serving 358 clients (duplicated count). This includes in-person peer support in recovery housing, Metro ED and at Quick Response Team sites, virtual support contacts and MAT services (duplicated count). Overall 66% of clients are male and 34% female, 65% are Caucasian, 28% are African American, and 6% identify as Hispanic. The majority of clients (57%) are between the ages of Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): To re-allocate funds in the amount of $204, from Ascent to Thrive Behavioral Healthcare for the period of June 16, 2018 through April 30, 2019 to support the programs illustrated under the Service Description. Approved by the Joint Planning & Finance Committee on July 18,

43 ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES BOARD OF CUYAHOGA COUNTY RESOLUTION NO APPROVAL AND RATIFICATION OF SFY 19/20 COMMUNITY CAPITAL PLAN WHEREAS, the Ohio Department of Mental Health & Addiction Services (OhioMHAS) requested completion of a Community Capital Plan for SFY 19/20; and, WHEREAS, the Community Capital Plan was to identify capital projects to benefit Mental Health and Alcohol and/or Other Drug (AoD) clients with an emphasis on Permanent Supportive Housing (PSH) and Supportive Housing; and, WHEREAS, ADAMHS Board staff surveyed the Mental Health and AoD community partners for proposed projects; and, WHEREAS, ADAMHS Board staff reviewed the proposed projects received and completed the attached Community Capital Plan as directed by OhioMHAS; and, WHEREAS, the ADAMHS Board Joint Planning & Finance Committee reviewed the proposed plan and recommends that the Board of Directors approve and ratify the plan that was submitted to OhioMHAS on the required deadline of Friday, July 20, NOW, THEREFORE, BE IT RESOLVED: 1. The ADAMHS Board of Directors approves the SFY 19/20 Community Capital Plan that was submitted to OhioMHAS on the required deadline of Friday, July 20, On the motion of, seconded by, the foregoing motion was adopted. AYES: NAYS: ABSTAIN: MOTION ADOPTED: Page 1 of 1

44 Agenda Process Sheet Date: July 25, 2018 Community Relations & Advocacy Committee Faith-Based Outreach Committee Planning & Oversight Committee Finance & Operations Committee Joint Planning & Finance Committee General Meeting Topic: Contractual Parties: ADAMHS Board Approval of OhioMHAS SFY 19/20 Community Capital Plan Project Submission N/A Term: SFY Funding Sources: OhioMHAS & Third Party Amount: N/A Service Description: New Program Continuing Program Expanding Program Other Background Information: The Ohio Department of Mental Health & Addiction Services (OhioMHAS) requested completion of a SFY 19/20 Community Capital Plan with a submission deadline of July 20, The Community Capital Plan is to identify capital projects that benefit clients living with mental illness and/or addiction, with a focus on the creation of additional Permanent Supportive Housing (PSH) and Supportive Housing. ADAMHS Board staff previously requested and reviewed proposed projects from community partners that focused on the OhioMHAS priority to develop PSH and Supportive Housing. OhioMHAS requests submission of the PSH plan in ranked order; therefore, Board staff reviewed and ranked the following projects for SFY19/20: Permanent Supportive Housing Project Description Total Project Cost Agency Ranking Emerald Alliance XI Project: New Construction of 77 units of permanent housing for the chronic homeless population who are low-income with a disability that will be located on West 25 th St. near the zoo. Target population is a single person that may be receiving services from one or more of the following systems: VA; Addiction; Mental Health; HIV/AIDS, etc. Agency will seek match funds from OHFA, FHLB, HDAP, Cleveland, Cuyahoga County, etc. Agency will seek match funds from other various sources. NOTE: This project has been submitted to OhioMHAS for SFY15/16 & SFY 17/18. This project has been ranked number 1 for SFY 19/20. St. Joseph s Commons: New Construction of 68 units of permanent supportive housing to replace a current 60-unit facility located originally constructed in 1958 as a Travelodge motel. The new Saint Joseph s Commons project will be less than a mile from the current location and will be constructed on West 25th Street. Note: This is the first-time this project is being submitted. $12,240,161 EDEN 1 $12,960,771 Front Steps 2