ALTERNATIVES : Do not adopt the resolution or authorize the signing of the Reduction in the State Fiscal year allocation.

Transcription

1 MENTAL HEALTH (707) Fax: (707) TOLL FREE: COUNTY OF DEL NORTE 206 WILLIAMS DRIVE CRESCENT CITY, CALIFORNIA MICHAEL F. MILLER, L.M.F.T., DIRECTOR MENTAL HEALTH, ALCOHOL & DRUG PROGRAMS mentalhealth@co.del-norte.ca.us BOARD REPORT ALCOHOL & DRUG (707) FAX (707) DATE: May 2, 2006 AGENDA DATE: May 9, 20 TO: DEL NORTE COUNTY BOARD OF SUPERVISORS ORIGINATING DEPARTMENT: Michael F. Miller, LMFT, Director Mental Health/Alcohol and Drug^Programs 206 Williams Drive, Crescent Cilfy, CA RECOMMENDATION FOR BOARD ACTION: Adopt the attached resolution approving the FY Plan and budget for the Substance Abuse and Crime Prevention Act of 2000 (Prop 36). Approve the Chair to sign the Reduction in the State Fiscal Year allocation. DISCUSSION/SUMMARY: In November 2000, the voters approved the Substance Abuse Crime Prevention Act 2000 (Prop 36). The basis of this Act is to avoid criminalization and to provide drug treatment services to select clients at a local level. The client base is specifically defined in the Act and by the California Code of Regulations. The County is required to prepare and annual plan and budget to describe how the provision of the Act will be implemented and how services will be provided to this client group in the future. The matter before the board, at this time, is the adoption of the resolution, approval of the FY plan and budget and signing the agreement to authorize the California Department of Alcohol and Drug Programs to reduce the FY allocation. Our intention is to utilize rollover trust fund dollars and have the State withhold our FY allocation. Even with this action we will still have approximately $350,000 in trust at the end of FY ALTERNATIVES : Do not adopt the resolution or authorize the signing of the Reduction in the State Fiscal year allocation C R^: e1 Je! c; r to

2 FINANCING : A total of $113,750 is budgeted for FY Del Norte County's allocation for the current fiscal year is $236,403. Even with allowing the state to withhold allocations for FY we should still have $388,850 in our trust fund at the end of FY No County funds are required. OTHER AGENCY INVOLVEMENT : Superior Court, Probation Department, District Attorney, Public Defenders, Sheriffs Department, Community Based organizations (United Indian Health Services) and State parole officers. SIGNATURES REQUIRED: Chair of the Board of Supervisors or their designee ADMINISTRATIVE SIGN-OFF: AUDITOR: COUNTY ADMINISTRATIVE OFFICER: YES COUNTY COUNSEL: PERSONNEL OTHER DEPARTMENT:

3 BOARD OF SUPERVISORS COUNTY OF DEL NORTE STATE OF CALIFPORNIA RESOLUTION NO A RESOLUTION OF THE DEL NORTE COUNTY BOARD OF SUPERVISORS APPROVING THE SUBSTANCE ABUSE AND CRIME PREVENTION ACT OF 2000 COUNTY PLAN AND FUNDING REQUEST FOR FISCAL YEAR WHEREAS, the Substance Abuse Crime Prevention Act of 2000, more commonly known as Prop 36, was passed by the voters in November 2000; and WHEREAS, the Act was intended to avoid criminalization and provide drug treatment services to select clients at a local level; and WHEREAS, a FY and multi-year plan narrative and budget have been prepared for adoption; and NOW, THEREFORE, BE IT RESOLVED, that the Board of Supervisors, County of Del Norte, State of California, hereby designates the Del Norte County Mental Health and Drug and Alcohol Programs as the lead agency for purposes of the Substance Abuse and Crime Prevention Act of 2000; and NOW, THEREFORE, BE IT FURTHER RESOLVED, that the Del Norte County Board of Supervisors hereby approves the FY and multi-year county plan completed pursuant to Section 9515, title 9, California Code of Regulations. The lead agency, Del Norte County Mental Health/Drug and Alcohol Programs assures: That the County of Del Norte shall comply with the provisions of the Substance Abuse Crime Prevention Act of 2000 and the California Code of Regulations Division 4 Chapter 2.5; and That the County of Del Norte has established and maintains a Substance Abuse and Crime Prevention Act of 2000 Trust fund; and That the County of Del Norte shall deposit all subject funds received into the trust fund PASSED AND ADOPTED, this day of, 2006 by the Board of Supervisors, County of Del Norte, State of California, by the following polled vote: AYES: NOES: ABSENT: Sara Samples, CHAIR Del Norte County Board of Supervisors ATTEST: DONNA M. WALSH, Clerk of the Board of Supervisors County of Del Norte, State of California

4 Agreement to Allow a Reduction in the State Fiscal Year (SFY) Substance Abuse and Crime Prevention Act of 2000 (SACPA) County Funding Allocation X-Yes. This is to authorize the California Department of Alcohol and Drug programs to reduce the SFY Substance Abuse Crime and Prevention Act of _2000 (SACPA) allocation by $ 236,403 to allow unused funds to be reallocated to other counties that demonstrate a need for additional funds. No. My county has decided against participation in the allocation reduction for STY Lead Agency Designee, Michael Miller, Director Da ti) L(11^ Alcohol and Drug Program Administrator, Michael Miller Date Board of Supervisors Date Please return this form on the earliest possible date to: CA Dept. of Alcohol and Drug Programs Office of Criminal Justice Collaboration 1700 K Street Sacramento, CA Fax: (916)

5 Exhibit A Plan Description Template Plan Questions 1. Is the county board of supervisors approval, or are the written board of supervisors delegation (by a written resolution, delegation of approval authority or order) and the county lead agency plan approval attached? [ref: 9515 (b)(3)] q Yes No (expected date of approval) M Y Check the county agencies and other entities involved in developing the county plan. (Check all that apply) [ref. 9515(b)(2)]. If one or more of the required agencies or entities did not participate, please explain in Part III, Plan Description, Item 1. REQUIRED County alcohol and other drug agency Court Parole Authority Probation Department OPTIONAL (Check all that apply) County Executive Office County Mental Health County Office of Education County Public Health County Social Services District Attorney Police Department Public Defender Sheriff Other (specify) Rural H man, Sery ces 3. Check the impacted community parties that collaborated in the development of this county plan. [ref: 9515(b)(2)] REQUIRED Providers of drug treatment services in the community Representatives of drug treatment associations in the community OPTIONAL (Check all that apply) q Clients/Client groups q Colleges and Universities q Local Business Representatives q Non-Profit Organizations q Youth Organizations q Other (specify) Department of Alcohol and DrugPrograms 1

6 4. How was community input collected? [ref: 9515(b)(2)] Z Community meetings q County advisory groups q Focus groups q Other method(s) (explain briefly) 5. If there are federally recognized American Indian tribe(s) located within your county, did they provide input to the development of this county plan? [ref: 9515(b)(2)] Yes - (required if such tribes are located in your county) q No federally recognized American Indian tribe(s) in the county 6. During this fiscal year, how often did entities and impacted community parties meet to develop this county plan? [ref: 9515(b)(2)(A)] 1-4 times q 5 or more times 7. Specify how often entities and impacted community parties will meet during the implementation of this plan to continue ongoing coordination of services and activities. [ref: 9515(b)(2)(A) and 9520(a)] Every three months (minimum required) q 5-8 times q 9 or more times 8. What services will be available to SACPA clients under this county plan? [ref: 9515(b)(2)(B); and Penal Code (c) and (c)] REQUIRED Drug treatment Family counseling Literacy training Vocational training OPTIONAL Mental health q Other (specify) 9. Identify the entity(s) responsible for determining a SACPA offender's level of need for, and placement in, drug treatment. [ref: 9515(b)(2)(C)] County alcohol and other drug agency q Drug treatment provider(s) q Probation department q Other (specify) Department of Alcohol anddrug Programs 2

7 10. Identify the entity(s ) responsible for assessing a SACPA offender 's level of need for and placement in additional services supplemental to treatment. [ref: 9515(b)(2)(C)] County alcohol and other drug agency q Drug treatment provider(s) Probation department q Other (specify) 11. What assessment tools will be used in your county for SACPA clients? [ref: 9515 (b)(2)(c)] ASI (Addiction Severity Index) ASAM PPC (American Society of Addiction Medicine Patient Placement Criteria) q Other (specify) 12. Will drug testing be required for SACPA clients in your county? [ref: 9515 (b)(3)(a)] Yes q No 13. Is drug testing, when paid. for with federal Substance Abuse Prevention and Treatment (SAPT) block grant funds, used for non-punitive treatment purposes? Yes q No 14. Are drug testing results (positive and/or negative) used in conjunction with other program performance indicators (e.g., attendance, participation, employment, domestic relations, etc.) to make adjustments in the client 's treatment program? Yes q No 15. Other than the Substance Abuse Treatment and Testing Accountability (SATTA) Program, what sources of funds, if any, will be used to pay for drug testing? [ref: 9530(i)] (Check all that apply. Do not include federal SAPT block grant funds provided under the state SATTA program.) Client fees q Additional funds budgeted by the county q Other (specify) 16. Has there been a change in the Lead Agency designation? (Check one) q Yes No Department of Alcohol anddrug Programs 3

8 SUBSTANCE ABUSE CRIME PREVENTION ACT OF 2000 Fiscal Year Plan Narrative 1. Collaborative Process : Describe the collaborative process used during the current fiscal year to plan services. Describe how county entities, community parties, and others participated in the development of this plan. If one or more of the required agencies or entities did not participate in the collaborative process (Part 11, Plan Questions, Item 2 and 3), explain why. [ref: 9515(b)(2)(A)] An oversight committee coordinates the plan development. The oversight committee consists of the District Attorney, Public Defenders, (Court) Judges, Parole Officers, Rural Human Services, (a community based organization), Probation Department, Del Norte County Mental Health Drug and Alcohol Programs, and United Indian Health Services. The committee meets once a month and provides continuing input into the plan development. County services for SACPA clients will be coordinated as follows: The County will utilize the currently in-place Drug Court collaboration effort coordinated through the multi-agency teams that implemented Drug Court, whereby eligible clients will receive a continuum of services. This process is a continuation of the process that has been in place since the inception of the Substance Abuse Crime Prevention Act of 2000 (SACPA). 2. Coordination of Services and Client Flow: (a ) Describe how involved entities coordinate multiple services as clients progress through program completion. (Referral, assessment, placement, court monitoring, supervision, case management etc.). Describe specific roles and activities of court, probation, parole, county alcohol and drug treatment, and treatment providers. [ref: 9515 (b)(2)(a)] The Del Norte County Probation Department will provide referrals via the courts for the SACPA clients. A joint process used by the Probation Department and Drug and Alcohol Services will determine the level of need for, placement in and referral to drug treatment and other services for each client. The process used by the Probation Department will include a standard probation assessment of the client's community risk factors to determine appropriateness for services and referral. A full time employee will be utilized to assist probation in following cases through the court process and assisting to expedite Prop 36 eligible clients into treatment. Drug and Alcohol Services will use the Addiction Severity Index (ASI) and the American Society of Addiction Medicine (ASAM) Levels of Care to determine the client's level of treatment need. The probation department will perform court monitoring and supervision of court referred clients. Parole violators will be screened by the Board of Prison terms to determine their eligibility for services under the provisions of SACPA. If a violator is eligible, the board will issue a Special Condition Treatment Order. Parolees who accept the order will be referred by his/her parole officer to Del Norte County Drug and Alcohol Services for assessment and treatment program referral within seven (7) days pursuant to Penal code Section (c). The Board will conduct an initial face-toface hearing to confirm the treatment referral. Subsequently, the treatment provider will submit the treatment plan to the board within 30 days of referral. The Board will conduct a second hearing to adopt the treatment plan and make any necessary changes to the conditions of parole. The treatment provider will monitor progress in treatment and provide quarterly progress reports pursuant to Penal code Section (c) and report on violation behavior as needed. Drug and Alcohol Services staffs weekly with the clients' parole agents to monitor progress in the program. At completion of treatment, the treatment provider will notify the Board of Prison terms. Parolees who Department of Alcohol and Drug Programs 4

9 do not accept treatment or who fail treatment would be returned to prison or be subject to other sanctions. Drug and Alcohol Services, probation, parole and the Courts all work together to provide for the coordination of services. We have weekly staff meetings with involved entities in order to coordinate multiple services for SACPA clients. 3. Drug Treatment and Additional Services Assessment Process: Describe the assessment process and tools that will be used to determine clients ' level of need for both drug treatment and additional services. [ref: 9515 (b) (3) (B)] Each client referred will be interviewed and an assessment based on the ASI/ASAM will determine the level of participation needed to successfully complete the process. Based on the assessment, clients will be assigned to one of the following levels of treatment: Level 1, Education, primary education and case management Level 2, Outpatient-education/treatment/case management, up to 12 months with a 6-month aftercare component Level 3, Residential placement for 60 days or intensive outpatient treatment for 90 days including education/treatment/case management up to 12 months with a 6-month aftercare component. Level 4, Not applicable, because we are a small rural community and there is no available medical detox centers in this area. The services to clients will vary based on the client's ability to respond to treatment and the progress the client makes during the treatment process. Additional services are based on the results of the assessment, case management with involved agencies, as well as any other information gathered in the interview process, and expanded on during the course of treatment. 4. Drug Treatment, Aftercare and Additional Services. Describe the types of treatment, aftercare and additional services the county provides to clients after assessment. Describe the intensity and length of treatment and other services, and client flow among services. If services (e.g., residential, narcotics replacement therapy) are unavailable in the county, identify how services will be provided to clients whose assessments indicate the services are needed. [ref: 9515 (b) (3) (B) (D) (E)] Del Norte County Drug and Alcohol Services will provide services as follows: a) Treatment Education: A group that meets once per week, is assignment driven, and consists of education and group process. This is the least restrictive treatment component and the length of treatment is from six (6) months to one year. b) Dual Diagnosis: The group meets twice-weekly, and the counselor works closely with Mental Health to insure clients remain medication compliant and receive the necessary psychiatric and/or psychological therapy if indicated. The length of this program is one year with six (6) months of aftercare. Department of Alcohol anddrug Programs 5

10 c) Drug Treatment Groups : Multiple groups are available days and evenings. These groups meet twice weekly and are 12-step oriented. The length of these groups is one year with six (6) months of aftercare. d) Perinatal Program: This program consists of two phases; Phase I meets four (4) times per week for three (3) months of intensive outpatient treatment. Phase II meets two (2) times per week for nine (9) months plus six months of aftercare. e) Aftercare: A six (6) month program in which the group meets once per week to provide on going support and relapse prevention services. f) Residential Treatment: These services are provided via contracts with Skyway House and Jordan House. Clients who complete the residential programs will return to Drug and Alcohol Services for continued treatment. SACPA clients will be expected to meet the same aftercare requirements as any other client. Narcotic Replacement Therapy: NRT is not available in this area, but the possibility does exist for out of county programs. Additional Services : Referrals to various outside community based organizations to provide educational, vocational training and literacy training. 1. Rural Human Services will provide literacy and vocational training. 2. The County Mental Health will provide individual and/or family counseling. 5. Quality of treatment Services and Additional Services. Describe the criteria and tools the county will use to monitor services and assure clients receive the type and level of treatment services and additional services as determined by their assessment. [ref: 9515 (b) (3) (C)] Primary alcohol and other drug treatment services provided by the County Drug and Alcohol Services department will be monitored via a regular review of the individual clients' progress through the treatment process. This will be done with case management conferences conducted during regular weekly staff meetings. Each client's file will be reviewed every 90 days to monitor progress. Clients' may have files reviewed more often if warranted. For example, more frequent reviews may be conducted if a client tests positive for drug use, or reveals that they have used again. The residential treatment services provided via contract with Skyway House and Jordan House is continually monitored by conducting exit interviews with all clients when they leave that level of treatment. The Literacy and Vocational Training services will be monitored via exit interviews with each client who is referred to those services. The clients will be asked about their satisfaction with the services provided, and if they have been able to integrate what they learned into their current lifestyle. The family counseling provided through the Mental Health Department will be monitored via the various satisfactions surveys that are required as part of the Mental Health Plan for Del Norte County. Department of Alcoholand Drug Programs 6

11 6. Plan Changes from FY County Plan. Identify any changes from the FY county plan to the FY county plan in the following areas. a)' Drug Treatment Services : Del Norte County has a local residential treatment facility (Jordan House) that is available for our male SACPA clients which was not available last year. b) Other Services: No change. c) Criminal Justice Activities : No change. d) Client Referral Projections : No change. e) Client Treatment : No change 7. Program Goals and Tracking. Describe the county 's SACPA program goals and individual treatment goals for SACPA clients and how the county measures and tracks these goals. Include criteria the county considers, other than drug testing when evaluating a client 's progress toward meeting treatment goals. How does the county plan to track these goals? The goal of this program is to provide quality treatment services to all SACPA clients of Del Norte County with drug problems. These goals shall be applied to all eligible parolees and probationers who are referred to this SACPA program. The determination is made based on an individual's assessment and treatment will allow for the development of a problem list and a treatment plan with goals and objectives. Weekly staff meetings will monitor this plan. Goals and objectives will be updated, as clients' needs change during the course of treatment. This process assures that the client receives appropriate services consistent with "where the client is" at any given time in treatment. Department of Alcohol anddrug Programs 7

12 Report: SACPA_200 California Department of Alcohol & Drug Programs SACPA Entity Report County of: Del Norte Fiscal Year : 2006/2007 Version 2 Status : Final Created : 05/01 /2006 Last Revised: 05/02/2006 Report Date: 05/02/2006 Time: 09:46:34 Total % of ADP Allocation ($236,403 % of Total Planned Expenditures Direct Admin Planned +$550,866) Entity Type Services Activities Expenditures $787, Drug Treatment $35,000 $5,250 $40, % 35.4% Del Norte Drug & Alcohol 35,000 5,250 40, % 35.4% Other Service $21,000 $500 $21, % 18.9% Jordon Recovery House 15, , % 13.2% County Mental Health 6, , % 5.7% Criminal Justice $45,250 $6,750 $52, % 45.7% Del Norte Probation Dept 45,250 6,750 52, % 45.7% Grand Total: $101,250 $12,500 $113, % Page 1 of 1

13 Report: SACPA_300 California Department of Alcohol & Drug Programs SACPA Plan Service/Activity Report County of : Del Norte Fiscal Year: 2006/2007 Version 2 Status : Final Created : 05/01/2006 Last Revised : 05/02/2006 Report Date: 05/02/2006 Time: 10:20:02 Service Type SerVlceS Drug Treatment % of ADP Allocation % of Total Planned Total ($236,403 Expenditures Planned +$550,866) Expenditures $787, $61, % 54.3% Non-Residential / Outpatient Treatment/Recovery - No Meds 30, % 26.5% Treatment/Recovery - Methadone, LAAM, or Other Meds Prescribed 0 0.0% 0.0% Day Program-Intensive 10, % 8.9% Detoxification - No Meds 0 0.0% 0.0% Detoxification - Methadone, LAAM, or Other Meds Prescribed 0 0.0% 0.0% Residential Detoxification (Hospital) 0 0.0% 0.0% Detoxification (Non-Hospital) - No Meds 0 0.0% 0.0% Detoxification (Non-Hospital) - Methadone, LAAM, or Other Meds Prescribed 0 0.0% 0.0% Page 1 of 3

14 Report: SACPA_300 California Department of Alcohol & Drug Programs SACPA Plan Service/Activity Report County of: Del Norte Fiscal Year : 2006/2007 Version 2 Status: Final Created : 05/01/2006 Last Revised: 05/02/2006 Report Date: 05/02/2006 Time: 10:20:02 Service Type % of ADP Allocation % of Total Planned Total ($236,403 Expenditures Planned +$550,866) Expenditures $787, Treatment/Recovery - No Meds 15, % 13.2% Treatment/Recovery - Methadone, LAAM, or Other Meds Prescribed 0 0.0% 0.0% Other Service Literacy Training 0 0.0% 0.0% Family Counseling 0 0.0% 0.0% Vocational Training 0 0.0% 0.0% Other Client Services County of Mental Health Case Management Activities 6, % 5.7% $52, % 45.7% Referral/Assessment 13, % 11.8% Placement 9, % 8.4% Court Monitoring 16, % 14.1% Supervision 13, % 11.4% Page 2 of 3

15 Report: SACPA_300 California Department of Alcohol & Drug Programs SACPA Plan Service/Activity Report County of : Del Norte Fiscal Year : 2006/2007 Version 2 Status : Final Created : 05/01 /2006 Last Revised : 05/02/2006 Report Date: 05/02/2006 Time: 10:20:02 Service Type % of ADP % of Total Allocation Planned Total ($236,403 Expenditures Planned +$550,866) Expenditures Miscellaneous Activities 0 0.0% 0.0% Grand Total: $113, % Page 3 of 3

16 Report: SACPA_400 California Department of Alcohol & Drug Programs SACPA Capacity Projections Report County of: Del Norte Fiscal Year: 2006/2007 Version 2 Status : Final Created : 05/01/2006 Last Revised : 05/02/2006 Report Date: 05/02/2006 Time: 10:20:13AM Planned Service Existing Additional Total Planned Drug Treatment Non-Residential / Outpatient Treatment/Recovery - No Meds Treatment/Recovery - Methadone, LAAM, or Other Meds Prescribed Day Program-Intensive Detoxification - No Meds Detoxification - Methadone, LAAM, or Other Meds Prescribed Residential Detoxification (Hospital) Detoxification (Non-Hospital) - No Meds Detoxification (Non-Hospital) - Methadone, LAAM, or Other Meds Prescrib ed Treatment/Recovery - No Meds Treatment/Recovery - Methadone, LAAM, or Other Meds Prescribed Subtotal : Drug Treatment 40 o 40 Page 1 of 2

17 Report: SACPA_400 California Department of Alcohol & Drug Programs SACPA Capacity Projections Report County of: Del Norte Fiscal Year: 2006/2007 Version 2 Status : Final Created: 05/01/2006 Last Revised : 05/02/2006 Report Date: 05/02/2006 Time: 10:20:13AM Planned Service Existing Additional Total Planned Other Service Literacy Training o o 0 Family Counseling Vocational Training Other Client Services Subtotal : Other Service Grand Total Capacity Projections: Page 2 of 2

18 Report: SACPA_500 California Department of Alcohol & Drug Programs Report Date: 05/02/2006 SACPA Client Projection Report Time: 10:20:27AM- County of: Del Norte Fiscal Year : 2006/2007 Version 2 Status : Final Created: 05/01/2006 Last Revised: 05/02/2006 Referral Type SACPA Parole Referrals SACPA Court / Probation Referrals Grand Total Referred: Service Type Projected Number Of Clients Projected Number Of Clients Drug Treatment Non-Residential / Outpatient Treatment/Recovery - No Meds 14 Treatment/Recovery - Methadone, LAAM, or Other Meds Prescribed 0 Day Program-Intensive 4 Detoxification - No Meds 0 Detoxification - Methadone, LAAM, or Other Meds Prescribed 0 Residential Detoxification (Hospital) 0 Page 1 of 2 hftps://sacpa.adp.state.ca.us

19 Report: SACPA_500 California Department of Alcohol & Drug Programs Report Date: 05/02/2006 SACPA Client Projection Report Time: 10:20:27AM County of: Del Norte y., Fiscal Year : 2006/2007 Version 2 Status : Final Created : 05/01/2006 Last Revised: 05/02/2006 Projected Number Service Type Of Clients Detoxification (Non-Hospital) - No Meds 0 Detoxification (Non-Hospital) - Methadone, LAAM, or Other Med: 0 Treatment/Recovery - No Meds 4 Treatment/Recovery - Methadone, LAAM, or Other Meds Prescr 0 Subtotal : Drug Treatment 22 Other Service Literacy Training 0 Family Counseling 0 Vocational Training 0 Other Client Services 0 Subtotal : Other Service Grand Total Client Proiection: 0 22 Page 2 of 2