Jefferson County One Tenth of One Percent Tax Fund Evaluation 2015 Annual Report

Transcription

1 Nurse Family Partnership* Jumping Mouse caregivers** Jumping Mouse kids** SBHC*** SafeHarbor intakes SafeHarbor relapse prev edu^ CODIT (reported by JMH) Jail^ Topside Mental Health Court~ Drug Court~ Family Therapeutic Court~ Jefferson County One Tenth of One Percent Tax Fund Evaluation 215 Annual Report Background: In the 25 Washington State legislative session, Senator Hargrove passed the Omnibus Mental Health and Substance Abuse Reform Act SB 573 to expand substance abuse and mental health treatment. The bill allows local governments to increase a sales tax to improve local services. In 25, Jefferson County Board of County Commissioners (BoCC) adopted this tax and established the Jefferson County Mental Health and Substance Abuse Sales Tax Advisory Committee to review community needs and local Requests for Proposals (RFP) from vendors in order to provide a continuum of enhanced mental health and substance abuse treatment services. This fund provides an average of $, a year. Fund recipients submit quarterly reports of service outputs and participant characteristics to Kitsap Public Health District under contract to monitor and evaluate the impact of these funds. ANNUAL COUNT OF UNDUPLICATED INDIVIDUALS SERVED (not available prior to 213) Nurse Family Partnership* 5 5 *two individuals per family EARLY INTERVENTIO N TREATMENT JAIL/COURTS Jumping Mouse caregivers** **5 served by these funds Jumping Mouse kids** **2 served by these funds SBHC*** ***data represent school year 213-1; 21-15; Fall 215 SafeHarbor intakes SafeHarbor relapse prev edu^ 11 ^21 & 15 data not available due to jail staff transition CODIT (reported by JMH) Jail^ 2 ^21 & 15 data not available due to jail staff transition Topside Mental Health Court~ 32 ~started reporting in 215 Drug Court~ 57 ~started reporting in 215 Family Therapeutic Court~ 3 ~started reporting in 215 Total: Note: Some individuals might have been served by more than one funded program during the year. Unduplicated Number of Individuals Served by Jefferson County 1/1th of 1% Recipient EARLY INTERVENTION TREATMENT JAIL/COURTS 215 Annual Report il 21

2 Nurse Family Partnership (NFP) - Jefferson County Public Health SUMMARY Program Description: Serves low-income first time pregnant mothers with social/health indicators that will increase the risk of poor outcomes for mother and infant. The majority of participants either have a recent personal history of substance use and/or mental illness or these risks currently or historically in the immediate family environment. Nurse treats the mother using behavior change theory and motivational interviewing for quitting substances, preventing relapse, treating mental illness, and addressing intergenerational patterns within the family system. NFP is an evidence based prevention program and JCPH collects extensive data to be confident in the quality and fidelity of services thus assuring the community that our families will have similar positive, long term outcomes as seen in the research trials. The unduplicated number of families served in 215 was 29; 33 Individuals served: 1/1th of 1% funds 11% of the NFP budget, the cost for 2 individuals in 21 and 27 in 213. The average number of individuals participating per quarter in NFP is up slightly from 21. Note that the 1/1th of 1% funds only cover services for 2 families. % participate for s or more. Consistent with previous years, the majority of mothers are age 1-2; in 215, more participants are from East and South Jefferson County. In 215, on average each quarter, 73 visits were completed, another 31 were attempted. The most common mental health diagnoses among women served are depression and anxiety. About 1 in report using tobacco Jumping Mouse Children's Center SUMMARY Program Description: This funding provides services to traumatized children whose care is otherwise uncompensated, specifically to those who have been directly impacted by a parent s substance abuse and/or mental illness. With these funds, we are reaching some of the most at-risk members of our community, preventing substance abuse and mental health problems before they begin. In 215, unduplicated annual data are reported for several measures. The unduplicated number of children served in 215 was 137, up from 121 in 21 and 73 in 213. The unduplicated number of adult caregivers served in 215 was 179, similar to 21 (17), up from 13 in 213. The average number of service inquiries per quarter increased compared to 21; fewer than half of children are enrolled right away. 3% of children eligible for the 1/1th of 1% funding are covered, this has increased. Most children served are from the Pt. Townsend zip code; the majority are ages 7 to 9, and just over half are male. In 215, nearly half of children served come from single parent homes; 2% have a history of any alternative care (primary caregiver other than biological parent) - 7% foster care, 9% adoptive care, and 15% kinship care. The most common mental health diagnosis among children served is generalized anxiety (57%) followed by adjustment disorder (1%). 3% of children served were or are currently exposed to household substance use; 1% were exposed during pregnancy. 215 Annual Participant Data: Low income: % Ever experience homelessness: 22% Any abuse/neglect: 59% Average # Adverse Childhood Experiences:.3 or more ACEs: 1% 91% of children served either successfully completed or are continuing services # service inquiries; % resulting in enrollment: 211/ % Enrolled Inquiries completed 212/ 213/ 21/qtr 215/qtr 1% 5% % 215 Annual Report il 21

3 19% 2% 35% 3% 5% % School Based Health Clinic, Jefferson Mental Health Services Program Description: JMHS has three mental health professionals providing direct service on site to students and their families in the Port Townsend, Chimacum, and Quilcene School Districts. Consultations with school staff and other agencies are also provided for the students engaged in the program. Easy access to experienced professionals with no financial burden to the family is the intention and has proven its worth in high levels of participation at all three sites. The school year had the highest number of students served; in fall 215, 5 students were served at the SBHCs by mental health professionals in over 37 visits. Unduplicated Individuals: Total Visits: Average Visits/Person: Range in # Visits: PT Chim Quil Total PT Chim Quil PT Chim Quil PT Chim Quil 9/21-/ /211-/ /212-/ /213-/ /21-/ In 21-15, 9% of Port Townsend, 1% of Chimacum and 17% of Quilcene high school students had a SBHC MH visit. Participation Rate Grade 9-12: PT Chim Quil 11% 5% 25% 1% % 17% 9% 5% 1% 9% 9% % 9% 1% 17% enrollment not available The most common visit reason identified either by the student, clinician or both at Port Townsend and Chimacum every year has been family problems; in fall 215 at Quilcene it was also family problems. At least two-thirds of visits at all three schools are for 3 minutes or less. More s than males use SBHC MH services. About half of those served are children in elementary and middle school. Intake Support at Safe Harbor and Beacon of Hope, Inc. SUMMARY Program Description: The intake process is primarily done by Safe Harbor admin staff. New clients complete an intake packet which takes approximately 1.5 hours and includes demographics, releases of information (ROI), required disclosures, substance use history, legal history, treatment history, Alcohol Drug Screen (11 questions), Gain Short Screener, and Driving Abstract. The admin staff requests necessary records from lawyers, probation, parole, etc. Once the packet is completed and required records are obtained the individual is given an appointment with one of our counselors for an assessment. Admin staff is responsible for ensuring intake is complete, scheduling the assessment appointment (rescheduling if necessary), entering the intake information into various databases, and providing reminders calls the day before the assessment appointment. On the day of the assessment the admin staff scores the Alcohol Drug Screen (used in the assessment process) and routes the file to the appropriate counselor. The unduplicated number of individuals served in 215 was 12 down from 19 in 21. In 21, Safe Harbor began reporting counts for intakes, assessments and treatment admits to better reflect the intake process. In 21 and 215, about half of those intaked were scheduled for an assessment, previously reported as "wait list, some service." Consistent with previous years, the majority of those served are male; about half are age 25-; and about half come from Port Townsend, a third from East Jefferson, 1% from South Jefferson and some from other counties. In 215, the number of individuals receiving urinalysis tests went down but the number of tests increased. 1% 5% % 21-13: average/ Referred to other Client refused services Wait list, no service Wait list, some service Assesssment scheduled (new) Enrolled (21,15: intake complete) 215 Annual Report il 21

4 29AV 21AV 211AV 212AV 213AV 21AV 215AV 29AV 21AV 211AV 212AV 213AV 21AV 215AV Relapse Prevention Education SUMMARY Program Description: Relapse Prevention Education (RPE) sessions are a joint effort of the Jail Nurse and Safe Harbor staff. The nurse actively recruits substance abuse inmates to participate in RPE and co-facilitates two weekly RPE classes. Data are reported by the Jail Nurse. 215 data only represent quarters 1 and 2. In the first half of 215 participation was reported by quarter, previously reporting was by. In Q1/Q2 215, on average, 1 individuals participted in Relapse Prevention Education at Jefferson County Jail. 1 participation individuals participating AV 211AV 212AV 213AV 21AV 215AV per 1 Jefferson Mental Health Services, CODIT Program SUMMARY Program Description: The CODIT program, run in concert with Safe Harbor, provides direct individual and group services to clients with both Substance Abuse/Dependence and Mental Health Disorders. These services, along with access to medical specialists, a case manager and peer counselor, experienced in serving this population, provide a broad spectrum of treatment possibilities not otherwise available in this county. The unduplicated number of individuals served in 215 is 2, up from 37 in 21, and 2 in 213. The average number of individuals participating in CODIT each increased in 215 compared to Consistent with previous years, the majority of those served are male; about half are age 25-, and 7% come from Port Townsend. On average each, in 215, counting the time for each CODIT participant, groups met for about 17 hours which is an increase compared to the past 2 years. Individuals served per by 1/1th of 1% funds: The most common mental health diagnoses among CODIT participants are bipolar, depression and PTSD. The most commonly reported substance used is tobacco, used by about % of CODIT participants. 215 JEFFERSON COUNTY JAIL SUMMARY Program Description: One registered nurse assesses subjects booked into jail for substance abuse and/or withdrawal and mental health conditions. A nurse provides assessment, early intervention, and follow-up for inmates with substance dependencies and/or mental health issues, including education and public health interventions; makes referrals to Jefferson Mental Health and the Jail Medical Provider, coordinates care with Safe Harbor and Drug Court, and assists with inmate placement into treatment programs. In 21, two ARNPs replaced the RN who retired from this position. Standardized data collection and reporting were incomplete for the year and the first half of 215. No data have been submitted for 215 Q3 andq and the position has been unstaffed. The unduplicated number of individuals served in 21 and 215 is unknown; it was 2 in 213. Due to staffing changes, fewer individuals have received an assessment. In the first half of 215, of individuals served, 9% had been in JC Jail previously. In the first half of 215, about % of individuals served were 25-; about half were male compared to two-thirds in previous years. # individuals served by 1/1th of 1% funds (average/; 215 average/quarter): One-quarter to one-third of those served over time are from non-jefferson County zip codes Annual Report il 21

5 - 21AV/mo 211AV/mo 212AV/mo 213AV/mo 21av/qtr Q1 Q2 Q3 Q 215AV/qtr Topside, Youth Therapeutic Court SUMMARY Program Description: The Topside Program is an alternative therapeutic court intervention for youth involved in the juvenile justice system. A youth referred to this program is one who has been identified as a moderate/high risk youth with significant risk factors in two or more of the following domains: Chemical dependency; mental health, school, and/or family functioning. The theory is that providing a treatment court setting for referred youth will assist in fostering a direct relationship between the Court, the parents and the youth and better motivate them to fully engage in evidence-based interventions and other programs in an effort to reduce identified risk factors while supporting the strengths of the youth and family. The unduplicated number of individuals served in 215 was 11; in 21 and 213 it was 12. The average number of individuals participating in Topside has been between and individuals since 211. In 215, most participants had been in Topside less than s. In 21 and 215, more s were served compared to previous years; the majority of those served are youth over age 15. In 21 and 215, fewer indiviauls served were from Port Townsend compared to previous years; the others served are from East Jefferson. Depending on individual needs, participants are served in four domains: attitudes/behavior, chemical dependency, peer/family functioning and mental health. Average # individuals served: On average each quarter, more than half of participants had 9 day improvement in their service domain. On average each quarter, more than half of participants with chemical dependency did not relapse Adult Mental Health Court - reporting started for SUMMARY 32 individuals served in 215; 2 graduates and 5 discharges About one-third of participants are from Pt. Townsend and East Jefferson, the other third are from South Jefferson, another county or transient. Nearly half of participants are age 5-, another 1% age 25-; 5% are male. At the end of 215, 5% had participated less than s; 1% s to 1 year; and 39% for more than1 year. The most common mental health diagnoses are bipolar, PTSD, and depression. Adult Drug Court - reporting started for SUMMARY 57 individuals served in 215; 12 graduates and 11 discharges % of participants are from Pt. Townsend, 3% East Jefferson, 12% South Jefferson, 7% another county, and 11% unknown. 2% of participants are age 1-2, 53% are 25-, and 19% age 5-; 72% are male. Family Therapeutic Court - reporting started for SUMMARY 3 individuals served in 215; 1 graduates and 2 children reunited; no discharges 2 of 3 participants are from Pt. Townsend, 1 from East Jefferson. One participant is age 25-, 2 are age 5-; all participants are. 215 Annual Report il 21

6 Jefferson County 1/1th of 1% for Mental Health & Substance Abuse Evaluation Data: Nurse Family Partnership, Unduplicated families served: Jefferson County Public Health Program Description: Serves low-income first time pregnant mothers with social/health indicators that will increase the risk of poor outcomes for mother and infant. The majority of participants either have a recent personal history of substance use and/or mental illness or these risks currently or historically in the immediate family environment. Nurse treats the mother using behavior change theory and motivational interviewing for quitting substances, preventing relapse, treating mental illness, and addressing intergenerational patterns within the family system. NFP is an evidence based prevention program and JCPH collects extensive data to be confident in the quality and fidelity of services thus assuring the community that our families will have similar positive, long term outcomes as seen in the research trials. Reporting changed to quarterly in 21. $5, $, $3, $2, $1, $- 1/1th 1% Funding Individuals served: 1/1th of 1% funds 11% of the NFP budget, the cost for 2 individuals First time assessments; % resulting in enrollment: % Enrolled Assessments completed 1% 5% 2 % 215 Total individuals served by 1/1th of 1% funds by zip code of residence, age group, and gender: (age & gender of all persons at appts) 1% 5% % South JC: 937,2 East JC: 935,39,25,5 PT: 93 1% 5% % 1% 5+ 5% % male to 17 infant <2 Referrals to community services/agencies provided to clients (average # per, 215/quarter): Total Child Care DSHS Dental Housing Medical MH Outpt Quitline Transp Other 21(Jul-) < <1 1 1 < <1 2 <1 3 1 < <1 < /qtr Average services provided: NFP Attempted visit NFP Completed visit Jly AV 212AV 213AV 21AV/qtr 215AV/qtr - 21 per Mental Health Diagnoses of Pregnant/Post-partum Clients (average # individuals): 211AV 212AV 213AV 21av/qtr 215av/qtr 79 ADHD Anxiety Major Depression Panic Disorder PTSD Other 73 Average total hours for services: NFP Attempted visit NFP Completed visit ,215 completed visit hrs include prep + charting Jly AV 212AV 213AV 21 av/qtr 215AV/qtr per Self Reported Past 3 Day Substance Use of Pregnant/Post-partum Clients (average # individuals): - 21 Alcohol ijuana Tobacco Meth Other 211AV 212AV 213AV 21av/qtr 215AV/qtr 215 Annual Report il 21

7 3% 3% 3% 22% 1% 2% 9% 5% 5% % Jefferson County 1/1th of 1% for Mental Health & Substance Abuse Evaluation Data: Jumping Mouse Children's Center Program Description: This funding provides services to traumatized children whose care is otherwise uncompensated, specifically to those who have been directly impacted by a parent s substance abuse and/or mental illness. With these funds, we are reaching some of the most at-risk members of our community, preventing substance abuse and mental health problems before they begin. Data reporting changed from ly to quarterly in 21. Total # of Individuals Served (unduplicated) 2 1 kids caregivers Average # Individuals Served: 5 211/ # caregivers # eligible children 212/ 213/ 21/qtr 215/qtr / % Enrolled Inquiries completed 212/ 1/1th 1% Funding $, $3, $2, $1, $- # service inquiries; % resulting in enrollment: 213/ 21/qtr 215/qtr 1% 5% % Average: % of eligible clients covered by 1/1th funds 32% 2% 2% 19% 3% Cost per eligible client not covered by insurance 72% % 71% % not reported Individuals served by 1/1th of 1% funds by zip code of residence, age group, and gender: 1% Unknown 5% % Non-JC zip code South JC: 937,2 East JC: 935,39,25,5 PT: 93 1% 5% % 1 to 12 7 to 9 to 1% 5% % male Average # total services provided (duplicated counts) 2 CHILD SESSIONS PARENT SESSIONS Average # total hours for services CHILD SESSIONS (1.5 hrs av) PARENT SESSIONS /mo 213/mo 21/qtr 215/qtr Average % of child clients with history of: kinship care adoptive care foster care single parent home 215Annual - 21/qtr - 213/mo - 212/mo % 5% 1% Mental Health Diagnoses of Children (average % of child clients by primary, secondary or tertiary diagnosis): % 1% 11% 17% % Other PTSD Major Depression Attachment Disorder Generalized Anxiety Adjustment Disorder Exposed to Substance Use (average % of child clients): 1% 5% 212/mo - 213/ 21/qtr - 215/qtr - 212/mo 17% 213/mo 21/qtr 215/qtr Most common "other" 215: parent/child relational problem, abuse and neglect, trauma % Current Historical Current or historical Mom used during pregnancy 215 Annual Data: Low income: % Any alternative care: 2% Any abuse/neglect: 59% Average # ACEs:.3 Successful completion or continuing services: 91% Ever experience homelessness: 22% or more ACEs: 1% 215 Annual Report il 21

8 Jefferson County 1/1th of 1% for Mental Health & Substance Abuse Evaluation Data: School Based Health Clinic, Jefferson Mental Health Program Description: JMHS has three mental health professionals providing direct service on site to students and their families in the Port Townsend, Chimacum, and Quilcene School Districts. Consultations with school staff and other agencies are also provided for the students engaged in the program. Easy access to experienced professionals with no financial burden to the family is the intention and has proven its worth in high levels of participation at all three sites. $, $, $, $2, $- 1/1th 1% Funding Unduplicated Individuals: Total Visits: Average Visits/Person: Range in # Visits: Grade 9-12 Participation: PT Chim Quil Total PT Chim Quil PT Chim Quil PT Chim Quil PT Chim Quil 9/21-/ % 5% 25% 9/211-/ % % 17% 9/212-/ % 5% 1% 9/213-/ % 9% % 9/21-/ % 1% 17% enrollment not available # individuals per (School year average and current year actual): 5 Port Townsend Chimacum Quilcene # visits per (School year average and current year actual): Port Townsend Chimacum Quilcene Visit length (minutes): PORT TOWNSEND CHIMACUM QUILCENE 1% > 1% > 1% > 5% % 9/21- /211 9/211- /212 9/212- /213 9/213- /21 9/21- /215 9 to 12/ <3 5% % 9/21-9/211-9/212- /211 /212 /213 9/213- /21 9 /21- /215 9 to 12/ <3 5% % 9/21- /211 9/211- /212 9/212- /213 9/213- /21 9/21- /215 9 to 12/ <3 215 Annual Report il 21

9 Jefferson County 1/1th of 1% for Mental Health & Substance Abuse Evaluation Data: School Based Health Clinic, Jefferson Mental Health Of all visits per school year, top five reasons for visits are ranked for each school year: alcohol/drug 9/21- /211 9/211- /212 9/212- /213 9/213- /21 9/21- / /215 9/21- /211 9/211- /212 9/212- /213 9/213- /21 9/21- / /215 9/21- /211 anger mgmt 5th th 5th anxiety 5th 3rd 2nd 5th 3rd 2nd 5th 2nd court diversion th 5th th depression 3rd 2nd 3rd 5th 5th family problems 1st 1st 1st 1st 1st 1st 1st 1st 1st 1st 1st 1st 2nd 2nd 1st 1st 3rd 1st future th th 5th grief 5th 3rd th 5th mental health 5th 2nd th th 5th th relationships 2nd 2nd 2nd th 2nd 2nd 2nd 2nd 2nd 2nd 1st 3rd 3rd 2nd 3rd school 5th 5th th th 3rd th 3rd th th 3rd 5th th 2nd 5th self-esteem 3rd 3rd 5th 5th 5th 5th 3rd 1st 3rd stress 3rd th th 3rd 3rd th 5th 1st Unduplicated individuals by grade and gender: PORT TOWNSEND CHIMACUM QUILCENE PORT TOWNSEND CHIMACUM QUILCENE 1% Unknown 12th 11th 5% 1th 9th -th % 1st-5th 1% 5% % Unknown 1% 12th 11th 1th 5% 9th -th 1st-5th % 3rd 9/211- /212 9/212- /213 9/213- /21 9/21- / /215 Unknown 12th 11th 1th 9th -th 1st-5th 1% 5% unknown 1% 5% unknown 1% 5% unknown % male % male % male 215 Annual Report il 21

10 Jefferson County 1/1th of 1% for Mental Health & Substance Abuse Evaluation Data: School Based Health Clinic, Jefferson Mental Health Average # services provided per by service type: Note: for all schools, groups not reported after ember PORT TOWNSEND other (work w/ SBHC, school, agencies) family therapy group therapy individual therapy crisis intervention no data reported for 32% of CHIMACUM other (work w/ SBHC, school, agencies) family therapy group therapy individual therapy crisis intervention QUILCENE other (work w/ SBHC, school, agencies) family therapy group therapy individual therapy crisis intervention 215 Annual Report il 21

11 21AV 211AV 212AV 213AV 21AV 215AV 211AV 212AV 213AV 21AV 215AV 211AV 212AV 213AV 21AV 215AV 19% 2% 35% 3% 5% % Jefferson County 1/1th of 1% for Mental Health & Substance Abuse Evaluation Data: Intake Support at Safe Harbor and Beacon of Hope, Inc. Note: Funding and program description represent all 1/1th 1% funded Safe Harbor programs however data only represent intake support; court data are reported by the courts. Program Description: Full time Chemical Dependency Counselor provided for the CODIT program to provide assessments, treatment, individuals, treatment planning, staffing s, and reviews. Two Relapse Prevention Education groups per week at Jefferson County Jail facilitated by CDP/CDPT from Safe Harbor. Drug and Alcohol assessments for individuals in the community as well as individuals currently incarcerated at Jefferson County Jail. Participation in District, Family Therapeutic, Topside (youth) and Drug Court. Data entry into the WA State Division of Behavioral Health and Recovery database of all assessments, admits, treatment participation (including groups, individuals, urinalysis), and discharges. Data entry is required by the State to be in compliance with state contracts. A portion of the funds are also used for CODIT program office supplies. Treatment for Jefferson County residents with no other means of payment. Reporting changed to quarterly in 21. Relapse prevention group data are reported by the jail. $15, 1/1th 1% Funding $1, $5, $- Unduplicated # Served NEW Completed Intakes Completed Assessments Admitted to Treatment Disposition (average): 1% 5% % 21-13: average/ Referred to other Client refused services Wait list, no service Wait list, some service Assesssment scheduled (new) Enrolled (21,15: intake complete) Total individuals served by 1/1th of 1% funds by zip code of residence, age group, and gender: 1% 5% % % 3% 5% Non-JC zip code South JC: 937,2 East JC: 935,39,25,5 PT: 93 1% 5+ 5% 5- % % 5% male % 215 Urinalysis (UA) Tests for CODIT clients: 2 # individuals # individuals tested tested total # UA's Relapse Prevention Groups at Jefferson County Jail: participation individuals participating Average hours for groups: per per quarter per per quarter per 215 Annual Report il 21

12 21AV 211AV 212AV 213AV 21AV 215AV 21AV 211AV 212AV 213AV 21AV 215AV 29A V 21A V 211A V 212A V 213A V 21A V 215A V 29AV 21AV 211AV 212AV 213AV 21AV 215AV 29AV 21AV 211AV 212AV 213AV 21AV 215AV 29AV 21AV 211AV 212AV 213AV 21AV 215AV 29AV 21AV 211AV 212AV 213AV 21AV 215AV 29AV 21AV 211AV 212AV 213AV 21AV 215AV Jefferson County 1/1th of 1% for Mental Health & Substance Abuse Evaluation Data: Unduplicated individuals served: Jefferson Mental Health Services, CODIT Program Program Description: CODIT program run by JMH and Safe Harbor provides direct individual and group services to clients with both Substance Abuse/Dependence and Mental Health Disorders. These services, along with access to medical specialists, a case manager and peer counselor, experienced in serving this population, provide a broad spectrum of treatment possibilities not otherwise available in this county. Reporting is done ly. $1, $12, $, $, $- 1/1th 1% Funding Individuals served per by 1/1th of 1% funds: First time assessments and % resulting in enrollment: % Enrolled Assessments completed 1 1% 5 5% % Total individuals served by 1/1th of 1% funds by zip code of residence, age group, and gender: 1% 5% % 215 Non-JC zip codes South JC: 937,2 East JC: 935,39,25,5 PT: 93 1% 5% % 215 1% 5% % male Reason for exiting CODIT: disappeared, dropped-out, jailed 2 % of total participants # OUT (left,drop out, jail) 5% 25% % 215 Total services provided (duplicated counts, average/) Seen individually CODIT Groups Support Groups (12 step, etc) Total hours for services (average/): Seen individually CODIT Groups Support Groups Mental Health Diagnoses (average # individuals/): BiPolar Anxiety Major Depression Panic Disorder PTSD Schizophrenia Other 29AV 21AV 211AV 212AV 213AV 215AV Self Reported Past 3 Day Substance Use (average # individuals/): Alcohol ijuana Tobacco Meth Other 29AV 21AV 211AV 212AV 213AV 215AV *215 "other" is primarily substance dependence 215 Annual Report il 21

13 21AV 211AV 212AV 213AV 21AV 215AV 21AV 211AV 212AV 213AV 21AV 215AV 29AV 21AV 211AV 212AV 213AV 21AV 215AV 29AV 21AV 211AV 212AV 213AV 21AV 215AV 29AV 21AV 211AV 212AV 213AV 21AV 215AV 29AV 21AV 211AV 212AV 213AV 21AV 215AV Jefferson County 1/1th of 1% for Mental Health & Substance Abuse Evaluation Data: Jefferson County Jail Unduplicated individuals served: 2 unk unk Program Description: One registered nurse assesses subjects booked into jail for substance abuse and/or withdrawal and mental health conditions. Nurse actively recruits substance abuse inmates to participate in Relapse Prevention Education (RPE) and co-facilitates two weekly RPE classes. Nurse provides assessment, early intervention, and follow-up for inmates with substance dependencies and/or mental health issues, including education and public health interventions; makes referrals to Jefferson Mental Health and the Jail Medical Provider, coordinates care with Safe Harbor and Drug Court, and assists with inmate placement into treatment programs. Reporting changed to quarterly in 21. Staff change in mid-21 has impacted program participation and data reporting. $5, $, $3, $2, $1, $- 1/1th 1% Funding # individuals served by 1/1th of 1% funds (average/; 215 average/quarter): First time assessments and % resulting in enrollment: % Enrolled Assessments completed 1% % not reported 5% # of individuals served by 1/1th of 1% funds by zip code of residence, age group, and gender (av/, 215 av/quarter): 1% 5% % Non-JC zip code South JC: 937,2 East JC: 935,39,25, 5 PT: 93 1% 5% % 1% 5% % Female Male Client referrals to community services/agencies (av # per ): Previously in # days ago Total Dental Hospital MH outpt Medical JC jail: <9d >9d 29AV AV/mo 5% 21AV AV/mo 75% 211AV AV/mo 7% 212AV 2 < AV/mo 7% % 5% 213AV, AV/mo 77% 39% 1% 21AV AV/mo 7% % % 215 AV Not reported 215 AV 9% 7% 33% 1 Total individual visits (average/; 215 av/quarter): total visits individuals served Total hours for individual visits (average/, 215 av/quarter): Mental Health Diagnoses (average # individuals/, 215 av/qtr): % individuals with unknown MH: : 35%-%; 21, 215 not reported. 29AV 21AV 211AV 212AV 213AV 21AV (J-A,A-D) BiPolar Dysthymia Anxiety Depression PTSD Other 215AV Self Reported Past 3 Day Substance Use At Admission (average # individuals/, 215/qtr): % individuals with unknown sub use: : 12%-2%; 21, 215 not reported. 29AV 21AV 211AV 212AV 213AV 21AV (J-A, A-D) Alcohol ijuana Tobacco Meth Other 215AV 215 Annual Report il 21

14 - 21AV/mo 211AV/mo 212AV/mo 213AV/mo 21AV/qtr Q1 Q2 Q3 Q 215AV/qtr - 21AV/mo 211AV/mo 212AV/mo 213AV/mo 21AV/qtr Q1 Q2 Q3 Q 215AV/qtr - 21AV/mo 211AV/mo 212AV/mo 213AV/mo 21av/qtr Q1 Q2 Q3 Q 215AV/qtr Jefferson County 1/1th of 1% for Mental Health & Substance Abuse Evaluation Data: Topside, Youth Therapeutic Court # Individuals served: Program Description: The Topside Program is an alternative therapeutic court intervention for youth involved in the juvenile justice system. A youth referred to this program is one who has been identified as a moderate/high risk youth with significant risk factors in two or more of the following domains: Chemical dependency; mental health, school, and/or family functioning. The theory is that providing a treatment court setting for referred youth will assist in fostering a direct relationship between the Court, the parents and the youth and better motivate them to fully engage in evidence-based interventions $2, $15, $1, $5, $- 1/1th 1% Funding and other programs in an effort to reduce identified risk factors while supporting the strengths of the youth and family. Data reporting began in ust 21. Average # individuals served: Total individuals served by 1/1th of 1% funds by zip code of residence and gender: 1% 5% Non-JC zip code South JC: 937,2 1% 5% male % East JC: 935,39,25,5 % 215 PT: Number of individuals served (unduplicated) and % with 9-day improvement by domain: 12 Attitudes/Behavior 1% 5% % 12 Chemical Dependency 213, changed from Drugs/Alcohol/Mental Health. 1% 5% % % 9-day improvement # served % 9-day improvement # served 12 Family Functioning 1% 5% % 12 Mental Health Mental Health new 213; previously School. 1% 5% % % 9-day improvement # served % 9-day improvement # served Mental Health Diagnoses (average # individuals): 2-21AV/mo 211AV/mo 212AV/mo 213AV/mo 21AV/qtr 215AV/qtr ADHD BiPolar Depression Panic Disorder PTSD No Relapse among those with Chemical Dependency: 1% 9% 1% 1% 5% % % % 215 3% 215 Annual Report il 21

15 Jefferson County 1/1th of 1% for Mental Health & Substance Abuse Evaluation Data 215 Mental Health Drug Family Therapeutic Court Court Court Budget $15, $15, $5,51 Actual spent $1,1 $11,925 $,7 Individuals served (unduplicated) Graduates Children reunited n/a n/a 2 Discharges 5 11 Mental Health Court Family Therapeutic Court Participant zip code of residence: Drug Court Other 3 transient 3 non-jefferson Unknown PT: 93 3% % 7% East JC: 935,39,25,5 31% 3% 33% South JC: 937,2 1% 12% % Non-JC zip code 9% 7% % Transient 9% % % Unknown % 11% % 1% 5% % 9% 11% 9% 7% 1% 31% 3% Mental Health Court 12% 3% % Drug Court 33% 7% Family Therapeutic Court Unknown Transient Non-JC zip code South JC: 937,2 215 Annual Report il 21

16 Participant Age: % % % 1-2 9% 2% % 25-1% 53% 33% 5-7% 19% 7% 5+ 3% % % 1% 5% % 3% % 19% % 7% 7% 53% 1% 9% 2% 33% % Mental Health Court Drug Court Family Therapeutic Court Participant Gender: male male 5% 72% % % 2% 1% 1% 5% % % 5% 2% 72% 1% % Mental Health Court Drug Court Family Therapeutic Court male 215 Annual Report il 21

17 MENTAL HEALTH COURT PARTICIPANTS ONLY: Length of Participation: -12 weeks weeks weeks weeks years 1 2 years or more 2 Total 31 less than s 5% s to less than 1 year 1% more than 1 year 39% 1% 5% % 39% 1% 5% Mental Health Court more than 1 year s to less than 1 year less than s Mental Health Diagnoses: first second third total % ADHD % BiPolar % Dysthymia 1 1 3% Generalized Anxiety % Major Depression % Panic Disorder % PTSD % Schizophrenia/ Schizoaffective % Substance Use Disorder % Other 13% Mental Health Diagnoses: 1% 3% 9% ADHD BiPolar 3% % Dysthymia Generalized Anxiety Major Depression 13% Panic Disorder 3% PTSD 19% 22% 13% Schizophrenia/ Schizoaffective Substance Use Disorder Other 215 Annual Report il 21