Jefferson County One Tenth of One Percent Tax Fund Evaluation
2015 Annual Report
Background: In the 2005 Washington State legislative session, Senator Hargrove passed the Omnibus Mental Health
and Substance Abuse Reform Act SB 5763 to expand substance abuse and mental health treatment. The bill allows
local governments to increase a sales tax to improve local services. In 2005, 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 $400,000 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 2013)
2013
2014
2015
EARLY
*two individuals per family
Nurse Family Partnership*
54
66
58
INTERVENTIO
Jumping Mouse caregivers**
103
174
179 **54 served by these funds
N
Jumping Mouse kids**
73
121
137 **42 served by these funds
***data represent school year 2013-14; 2014-15; Fall 2015
132
180
85
SBHC***
TREATMENT
SafeHarbor intakes
117
149
120
^2014 & 15 data not available due to jail staff transition
SafeHarbor relapse prev edu^
114
CODIT (reported by JMH)
28
37
43
JAIL/COURTS
^2014 & 15 data not available due to jail staff transition
Jail^
268
Topside
12
12
11
~started reporting in 2015
Mental Health Court~
32
~started reporting in 2015
Drug Court~
57
~started reporting in 2015
Family Therapeutic Court~
3
Total: 901
739
725 Note: Some individuals might have been served by more than one
funded program during the year.
Unduplicated Number of Individuals Served by Jefferson County 1/10th of 1% Recipient
2013
2014
2015
300
268
250
150
100
180
174 179
200
137
121
103
54
114
85
73
66 58
149
117 120
132
28 37
50
57
43
12 12 11
32
3
EARLY INTERVENTION
2015 Annual Report
TREATMENT
Family Therapeutic Court~
Drug Court~
Mental Health Court~
Topside
Jail^
CODIT (reported by JMH)
SafeHarbor relapse prev
edu^
SafeHarbor intakes
SBHC***
Jumping Mouse kids**
Jumping Mouse
caregivers**
Nurse Family Partnership*
0
JAIL/COURTS
April 2016
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 2015 was 29; 33 Individuals served: 1/10th of 1% funds 11% of the NFP
budget, the cost for 2 individuals
in 2014 and 27 in 2013.
 The average number of individuals participating per quarter in
NFP is up slightly from 2014. Note that the 1/10th of 1% funds
only cover services for 2 families.
30
17
16
21
20
22
25
0
 60% participate for 6 months or more.
2015
 Consistent with previous years, the majority of mothers are
age 18-24; in 2015, more participants are from East and South Jefferson County.
 In 2015, 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 4 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 2015, unduplicated annual data are reported for
several measures.
 The unduplicated number of children served in 2015 was 137, up from 121 in 2014 and 73 in 2013.
 The unduplicated number of adult caregivers served in 2015 was 179,
similar to 2014 (174), up from 103 in 2013.
# service inquiries; % resulting in enrollment:
 The average number of service inquiries per quarter increased compared
to 2014; fewer than half of children are enrolled right away.
 38% of children eligible for the 1/10th 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.
% Enrolled
Inquiries completed
50
40
30
20
10
0
100%
50%
0%
2011/
month
2012/
month
2013/
month
2014/qtr
2015/qtr
 In 2015, nearly half of children served come from single parent homes; 24% 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
(10%).
 43% of children served were or are currently exposed to household substance use; 18% were exposed during pregnancy.
2015 Annual Participant Data: Low income: 80%
Ever experience homelessness: 22%
Any abuse/neglect: 59%
Average # Adverse Childhood Experiences: 4.3
6 or more ACEs: 41%
 91% of children served either successfully completed or are continuing services.
2015 Annual Report
April 2016
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 2014-15 school year had the highest number of students served; in fall 2015, 85 students were served at
the SBHCs by mental health professionals in over 370 visits.
PT
Chim
Quil
Total
PT
Chim
Quil
PT
Chim
Quil
PT
Chim
Quil
9/2010-6/2011
54
86
19
159
245
517
318
4
6
16
1-17
1-33
1-46
9/2011-6/2012
66
44
27
137
229
141
372
3
3
14
1-20
1-23
1-42
Participation Rate
Grade 9-12:
PT Chim Quil
11% 5% 25%
10% 6%
17%
9/2012-6/2013
57
62
24
143
303
386
347
5
6
14
1-21
1-26
1-48
9%
5%
9/2013-6/2014
50
58
24
132
282
350
244
6
6
10
1-23
1-36
1-27
9%
9%
9/2014-6/2015
77
74
29
180
599
471
225
8
6
8
1-31
1-35
1-21
9% 14%
Sept -Dec 2015
48
23
14
85
210
114
48
4
5
3
1-14
1-13
1-9
Unduplicated Individuals:
Total Visits:
Range in # Visits:
Average Visits/Person:
14%
8%
17%
enrollment not available
 In 2014-15, 9% of Port Townsend, 14% of Chimacum and 17% of Quilcene high school students had a SBHC MH visit.
 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 2015 at Quilcene it was also family problems.
 At least two-thirds of visits at all three schools are for 30 minutes or less.
 More females 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 (116 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 2015 was 120 down from 149 in 2014.
 In 2015, the number of individuals receiving urinalysis tests
went down but the number of tests increased.
2015 Annual Report
Referred to
other
100%
Client refused
services
Wait list, no
service
48%
45%
19%
43%
35%
50%
42%
 In 2014, Safe Harbor began reporting counts for intakes,
assessments and treatment admits to better reflect the intake
process.
 In 2014 and 2015, 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 25-44; and about half come from
Port Townsend, a third from East Jefferson, 10% from South
Jefferson and some from other counties.
Wait list, some
service
Assesssment
scheduled (new)
0%
Enrolled
(2014,15: intake
complete)
2010-13: average/month
April 2016
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. 2015 data only represent quarters 1 and 2.
participation
 In the first half of 2015 participation was reported by quarter, 100
previously reporting was by month. In Q1/Q2 2015, on average,
16 individuals participted in Relapse Prevention Education at
0
Jefferson County Jail.
individuals participating
27
31
21
20
2010AV
2011AV
2012AV
2013AV
67
28
16
2014AVQ1,Q2 2015AV
per month
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 2015 is 42, up from 37 in 2014, and 28 in 2013.
 The average number of individuals participating in CODIT each
Individuals served per month by 1/10th of 1% funds:
month increased in 2015 compared to 2012-14.
30
22
 Consistent with previous years, the majority of those served
are male; about half are age 25-44, and 70% come from Port
Townsend.
18
20
14
11 12
16
0
 On average each month, in 2015, counting the time for each
CODIT participant, groups met for about 170 hours which is an
increase compared to the past 2 years.
2009AV
2010AV
2011AV
2012AV
2013AV
2014AV
Jan
Feb
Mar
Apr
May
June
July
Aug
Sept
Oct
Nov
Dec
2015AV
10
2015
 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 60% of CODIT participants.
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 2014, 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 2015. No data have been submitted for 2015 Q3 andQ4 and the position
has been unstaffed.
 The unduplicated number of individuals served in 2014 and 2015 is unknown; it was 268 in 2013.
 Due to staffing changes, fewer individuals have received an
assessment.
# individuals served by 1/10th of 1% funds
(average/month; 2015 average/quarter):
 In the first half of 2015, of individuals served, 89% had been in
JC Jail previously.
50
40
30
20
10
0
42
2015 Annual Report
20
16
2014AV
Q1,Q2
2015AV
30
2013AV
2011AV
2010AV
2009AV
 In the first half of 2015, about 60% of individuals served were
25-44; about half were male compared to two-thirds in previous
years.
 One-quarter to one-third of those served over time are from non-Jefferson County zip codes.
29
2012AV
31
30
April 2016
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.
6
6
6
6
2015AV/qtr
7
Q4
8
Q3
6
Q2
6
2013AV/mo
0
2012AV/mo
5
2011AV/mo
 In 2014 and 2015, more females were served compared to previous years;
the majority of those served are youth over age 15. In 2014 and 2015,
fewer indiviauls served were from Port Townsend compared to previous
years; the others served are from East Jefferson.
5
Q1
8
10
Aug-Dec
2010AV/mo
 In 2015, most participants had been in Topside less than 6 months.
2014av/qtr
 The unduplicated number of individuals served in 2015 was 11; in 2014 and 2013 it was 12.
 The average number of individuals participating in Topside has been
Average # individuals served:
between 6 and 8 individuals since 2011.
2015
 Depending on individual needs, participants are served in four domains:
attitudes/behavior, chemical dependency, peer/family functioning and mental health.
 On average each quarter, more than half of participants had 90 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 2015 - SUMMARY
 32 individuals served in 2015; 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 45-64, another 41% age 25-44; 56% are male.
 At the end of 2015, 45% had participated less than 6 months; 16% 6 months 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 2015 - SUMMARY
 57 individuals served in 2015; 12 graduates and 11 discharges
 40% of participants are from Pt. Townsend, 30% East Jefferson, 12% South Jefferson, 7% another county, and 11% unknown.
 28% of participants are age 18-24, 53% are 25-44, and 19% age 45-64; 72% are male.
Family Therapeutic Court - reporting started for 2015 - SUMMARY
 3 individuals served in 2015; 1 graduates and 2 children reunited; no discharges
 2 of 3 participants are from Pt. Townsend, 1 from East Jefferson.
 One participant is age 25-44, 2 are age 45-64; all participants are female.
2015 Annual Report
April 2016
Jefferson County 1/10th of 1% for Mental Health & Substance Abuse
Evaluation Data: Nurse Family Partnership,
Jefferson County Public Health
2013
2014
2015
27
33
29
Unduplicated families served:
$50,000
Program Description: Serves low-income first time pregnant mothers with social/health
1/10th 1% Funding
$40,000
Individuals served: 1/10th of 1% funds 11% of the NFP
21
17
16
% Enrolled
20
2015
2014
2013
2012
First time assessments; % resulting in enrollment:
budget, the cost for 2 individuals
30
2011
2010
$30,000
indicators that will increase the risk of poor outcomes for mother and infant. The majority of
$20,000
participants either have a recent personal history of substance use and/or mental illness or these
$10,000
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 2014.
22
Assessments completed
8
6
4
2
0
25
0
100%
50%
0%
2015
Total individuals served by 1/10th of 1% funds by zip code of
residence, age group, and gender: (age & gender of all persons at appts)
100%
100%
female
male
50%
South JC:
98376,20
0%
50%
100%
East JC:
98358,39,25
,65
45-64
50%
25-44
PT: 98368
0%
65+
0%
18-24
2 to 17
infant <2
Referrals to community services/agencies provided to clients (average # per month, 2015/quarter):
Total Child Care DSHS Dental Housing Medical MH Outpt
Quitline
Transp
2010(Jul-Dec)
Other
8
1
0
1
0
3
0
0
0
1
2011
12
1
1
0
1
2
1
<1
1
3
2012
13
<1
1
1
<1
2
1
0
1
8
2013
13
0
<1
2
<1
3
1
<1
1
4
2014
20
<1
<1
2
1
4
1
0
1
10
2015/qtr
51
1
1
7
1
11
2
0
2
22
Average services provided:
100
80
60
40
20
0
Average total hours for services:
NFP Attempted visit
18
1
Jly-Dec2010
27
9
23
8
2011AV
2012AV
NFP Attempted visit
NFP Completed visit
21
7
2013AV
NFP Completed visit
200
79
73
27
31
2014AV/qtr
2015AV/qtr
163
148
2014,2015 completed visit
hrs include prep + charting
100
0
20
Jly-Dec2010
32
31
2011AV
2012AV
26
2013AV
2014 av/qtr
2015AV/qtr
per month
per month
ADHD
Anxiety
Major Depression
Panic Disorder
PTSD
Other
Mental Health Diagnoses of
Pregnant/Post-partum Clients
(average # individuals):
10
5
Self Reported Past 30 Day Substance Use
of Pregnant/Post-partum Clients
(average # individuals):
6
4
Alcohol
Marijuana
Tobacco
Meth
Other
2
0
0
JulyDec2010
2011AV
2015 Annual Report
2012AV
2013AV
2014av/qtr 2015av/qtr
JulyDec2010
2011AV
2012AV
2013AV
2014av/qtr 2015AV/qtr
April 2016
Jefferson County 1/10th of 1% for Mental Health & Substance Abuse
1/10th 1% Funding
Evaluation Data: Jumping Mouse Children's Center
Total # of Individuals
Served (unduplicated)
kids
% Enrolled
# caregivers
150
200
179
137
# eligible children
50
0
2011/
month
0
2013
2014
2015
2012/
month
Average:
% of eligible clients covered by 1/10th funds
Cost per eligible client not covered by insurance
2013/
month
2014/qtr 2015/qtr
Jan-July 2011
Inquiries completed
50
40
30
20
10
0
100
100
100%
50%
0%
2011/
month
2012/
month
2013/
month
2014/qtr
Jan-Aug 2012
2013
2014
2015
24%
66%
20%
71%
19%
80%
38%
32%
72%
2015
# service inquiries; % resulting in enrollment:
Average # Individuals Served:
caregivers
2014
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 monthly to quarterly in 2014.
2013
2011
Program Description: This funding provides services to traumatized children whose care is
2012
$40,000
$30,000
$20,000
$10,000
$-
2015/qtr
not reported
Individuals served by 1/10th of 1% funds by zip code of residence, age group, and gender:
100%
Unknown
10 to 12
female
Non-JC zip code
7 to 9
50%
50%
South JC:
98376,20
East JC:
98358,39,25,65
PT: 98368
0%
CHILD SESSIONS
PARENT SESSIONS
800
600
400
200
0
50%
male
0 to 6
0%
Average # total hours for
services
Average # total services
provided (duplicated counts)
100%
Other
(average % of child clients by primary,
secondary or tertiary diagnosis):
PTSD
kinship care
Apr-Dec
2014/qtr
adoptive care
Apr-Dec
2013/mo
foster care
Jan-Aug
2012/mo
2013/mo
2014/qtr
2015/qtr
0%
50%
2013/month
2014/qtr Apr-Dec
0.5
66%
17%
0
Jan-Aug 2013/mo 2014/qtr
2012/mo
2015 Annual Data:
Low income: 80%
2015/qtr
69%
65%
Generalized Anxiety
50%
Adjustment Disorder
Most common "other" 2015:
parent/child relational problem,
abuse and neglect, trauma
Any alternative care:
Successful completion or continuing services:
2015 Annual Report
Attachment Disorder
24%
91%
65%
48%
1
10%
11%
17%
100%
61%
62%
29%
100%
2012/mo Jan-Aug
Exposed to Substance Use
(average % of child clients):
Major Depression
1.5
2015Annual
single parent home
2012/mo
Mental Health Diagnoses of Children
Average % of child clients
with history of:
CHILD SESSIONS (1.5 hrs av)
PARENT SESSIONS
1400
1200
1000
800
600
400
200
0
0%
2015/qtr
30%
38%
36%
22%
100%
0%
Any abuse/neglect:
Current
Historical
59%
Ever experience homelessness: 22%
Current or
historical
Mom used during
pregnancy
Average # ACEs:
4.3
6 or more ACEs:
41%
April 2016
Jefferson County 1/10th of 1% for Mental Health & Substance Abuse
Evaluation Data: School Based Health Clinic, Jefferson Mental Health
Unduplicated Individuals:
Total Visits:
Average Visits/Person:
Total
Quil
PT
Chim
Quil
PT
Chim
Quil
PT
Chim
Quil
19
159
245
517
318
4
6
16
1-17
1-33
1-46
11%
5%
25%
27
137
229
141
372
3
3
14
1-20
1-23
1-42
10%
6%
17%
62
24
143
303
386
347
5
6
14
1-21
1-26
1-48
9%
5%
14%
58
24
132
282
350
244
6
6
10
1-23
1-36
1-27
9%
9%
8%
77
74
29
180
599
471
225
8
6
8
1-31
1-35
1-21
9%
14%
17%
48
23
14
85
210
114
48
4
5
3
1-14
1-13
1-9
Quil
9/2010-6/2011
54
86
9/2011-6/2012
66
44
9/2012-6/2013
57
9/2013-6/2014
50
9/2014-6/2015
Sept-Dec 2015
# individuals per month (School year average and current year actual):
Port Townsend
Chimacum
2015
2014
2013
2012
2011
2010
# visits per month (School year average and current year actual):
Quilcene
Port Townsend
Chimacum
Quilcene
60
40
20
0
2015
2016
PORT TOWNSEND
100%
>60
50%
CHIMACUM
100%
>60
60
46-59
46-59
50%
30
9/2010- 9/2011- 9/2012- 9/2013- 9/20149 to
6/2011 6/2012 6/2013 6/2014 6/2015 12/2015
<30
100%
>60
60
46-59
50%
45
45
31-44
0%
2016
QUILCENE
60
45
2015 Annual Report
enrollment not available
80
2015
Visit length (minutes):
Grade 9-12 Participation:
Chim
Chim
50
40
30
20
10
0
Range in # Visits:
PT
PT
2009
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.
1/10th 1% Funding
$80,000
$60,000
$40,000
$20,000
$-
2008
Program Description: JMHS has three mental health professionals providing direct service on site to students and
31-44
31-44
0%
9/2010- 9/2011- 9/2012- 9/2013- 9 /2014- 9 to
6/2011 6/2012 6/2013 6/2014 6/2015 12/2015
30
<30
0%
9/2010- 9/2011- 9/2012- 9/2013- 9/2014- 9 to
6/2011 6/2012 6/2013 6/2014 6/2015 12/2015
30
<30
April 2016
Jefferson County 1/10th 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:
PORT TOWNSEND
9/20106/2011
9/20116/2012
9/20126/2013
CHIMACUM
9/2013- 9/20146/2014 6/2015
9-12/2015
9/20106/2011
9/20116/2012
9/20126/2013
9/20136/2014
QUILCENE
9/20146/2015
9-12/2015
9/20106/2011
alcohol/drug
9/20116/2012
9/20136/2014
9/20146/2015
9-12/2015
3rd
anger mgmt
5th
anxiety
5th
3rd
2nd
5th
3rd
court diversion
depression
3rd
family problems 1st
1st
1st
2nd
3rd
5th
5th
1st
1st
1st
1st
1st
1st
1st
1st
1st
future 4th
grief
5th
mental health
2nd
2nd
school 5th
5th
4th
self-esteem 3rd
3rd
2nd
2nd
4th
5th
3rd
5th
relationships 2nd
stress 3rd
9/20126/2013
2nd
2nd
4th
3rd
4th
4th
5th
4th
5th
1st
1st
2nd
2nd
2nd
1st
3rd
4th
3rd
4th
4th
3rd
5th
4th
2nd
5th
5th
5th
3rd
1st
3rd
3rd
4th
3rd
1st
4th
2nd
3rd
2nd
5th
5th
2nd
5th
4th
5th
2nd
4th
4th
4th
4th
4th
3rd
5th
2nd
3rd
5th
1st
Unduplicated individuals by grade and gender:
PORT TOWNSEND
CHIMACUM
Unknown
12th
11th
10th
9th
6-8th
1st-5th
100%
50%
0%
100%
50%
0%
QUILCENE
Unknown
12th
11th
10th
9th
6-8th
1st-5th
100%
100%
female
male
0%
2015 Annual Report
50%
0%
Unknown
12th
11th
50%
10th
9th
6-8th
0%
1st-5th
100%
unknown
unknown
50%
100%
female
male
unknown
50%
0%
female
male
April 2016
Jefferson County 1/10th of 1% for Mental Health & Substance Abuse
Evaluation Data: School Based Health Clinic, Jefferson Mental Health
Average # services provided per month by service type:
PORT TOWNSEND
70
60
50
40
30
20
10
0
other (work w/ SBHC, school, agencies)
family therapy
group therapy
individual therapy
crisis intervention
no data
reported
for 32% of
2015 Annual Report
Note: for all schools, groups not reported after December 2013.
CHIMACUM
70
60
50
40
30
20
10
0
other (work w/ SBHC, school, agencies)
family therapy
group therapy
individual therapy
crisis intervention
QUILCENE
70
60
50
40
30
20
10
0
other (work w/ SBHC, school, agencies)
family therapy
group therapy
individual therapy
crisis intervention
April 2016
Jefferson County 1/10th of 1% for Mental Health & Substance Abuse
Evaluation Data: Intake Support at Safe Harbor and Beacon of Hope, Inc.
$150,000
Note: Funding and program description represent all 1/10th 1% funded Safe Harbor programs however
data only represent intake support; court data are reported by the courts.
1/10th 1% Funding
$100,000
$50,000
Program Description: Full time Chemical Dependency Counselor provided for the CODIT program to
$-
NEW
Completed Intakes
Completed Assessments
2008
2009
2010
2011
2012
2013
2014
2015
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 2014. Relapse prevention group data are
reported by the jail.
Unduplicated # Served
200
150
149
100
120
117
50
0
2013
2014
Disposition (average):
2015
Referred to other
100%
160
Admitted to Treatment
Client refused
services
30
120
42
31
34
46
40
40
50%
80
64
39
42%
40
Wait list, no
service
48
Wait list, some
service
48%
46
48
45%
37
39
Assesssment
scheduled (new)
19%
37
54
43%
43
35%
29
0%
0
Enrolled
(2014,15: intake
complete)
2015
2010-13: average/month
Total individuals served by 1/10th of 1% funds by zip code of
residence, age group, and gender:
100%
100%
Non-JC zip
code
12%
65+
50%
45-64
0%
25-44
18-24
34%
0-17
2015
South JC:
98376,20
50%
100%
female
50%
East JC:
98358,39,25
,65
0%
50%
male
0%
PT: 98368
2015
2015
Relapse Prevention Groups at Jefferson County Jail:
participation
Urinalysis (UA) Tests for CODIT clients:
# individuals
tested
# individuals
tested
total # UA's
14
20
8
10
28
per month
0
30
per quarter
60
40
20
0
9
51
Average hours for groups:
10
12
16
8
9
8
Q1,Q2
2015AV
40
2014AV
25
2013AV
2015AV
2014AV
per quarter
13
21
2012AV
per month
2013AV
2012AV
2011AV
0
31
2011AV
10
27
2010AV
14
2015AV
13
2014AV
20
224
67
138
2013AV
22
250
200
150
100
50
0
2012AV
33
2011AV
40
individuals participating
100
per month
2015 Annual Report
April 2016
Jefferson County 1/10th of 1% for Mental Health & Substance Abuse
2013
2014
2015
28
37
42
Evaluation Data:
Unduplicated individuals served:
Jefferson Mental Health Services, CODIT Program
$160,000
% Enrolled
Dec
2015AV
Nov
Oct
Sept
July
Aug
June
Apr
May
2009AV
2014AV
Dec
2015AV
Oct
Nov
Aug
Sept
July
June
Apr
May
Mar
Jan
Feb
2014AV
2013AV
2012AV
2011AV
2010AV
2009AV
2015
100%
Total individuals served by 1/10th of 1% funds by zip code of
residence, age group, and gender:
65+
50%
Non-JC zip
codes
45-64
25-44
2009AV
2010AV
2011AV
2012AV
2013AV
2014AV
Jan
Feb
Mar
Apr
May
June
July
Aug
Sept
Oct
Nov
Dec
2015AV
0%
18-24
0-17
2015
South JC:
98376,20
50%
Mar
0%
Jan
0
Feb
50%
0
2015
Assessments completed
5
16
10
100%
$-
100%
2013AV
11 12
2012AV
14
$40,000
10
2011AV
18
2010AV
22
20
$80,000
First time assessments and % resulting in enrollment:
Individuals served per month by 1/10th of 1% funds:
30
1/10th 1% Funding
$120,000
2008
2009
2010
2011
2012
2013
2014
2015
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
monthly.
100%
female
East JC:
98358,39,25
,65
0%
50%
male
2009AV
2010AV
2011AV
2012AV
2013AV
2014AV
Jan
Feb
Mar
Apr
May
June
July
Aug
Sept
Oct
Nov
Dec
2015AV
2009AV
2010AV
2011AV
2012AV
2013AV
2014AV
Jan
Feb
Mar
Apr
May
June
July
Aug
Sept
Oct
Nov
Dec
2015AV
0%
PT: 98368
2015
2015
Reason for exiting CODIT: disappeared, dropped-out, jailed
% of total participants
# OUT (left,drop out, jail)
6
4
2
0
50%
25%
2015A
V
Dec
Nov
Oct
Sept
Aug
July
June
May
Apr
Mar
Feb
Jan
2014A
V
2013A
V
2012A
V
2011A
V
2010A
V
2009A
V
0%
2015
Seen individually
Total services provided
(duplicated counts, average/month)
Total hours for services (average/month):
CODIT Groups
400
Support Groups (12
step, etc)
300
Seen individually
CODIT Groups
Support Groups
600
400
200
200
100
BiPolar
Anxiety
Major Depression
Panic Disorder
PTSD
Schizophrenia
Other
Mental Health Diagnoses
(average # individuals/month):
10
8
6
4
2
0
Dec
2015AV
2015
Nov
Oct
Sept
July
Aug
June
May
Apr
Mar
Feb
Jan
2014AV
2013AV
2012AV
2011AV
2010AV
2015
2015AV
Dec
Oct
Nov
Sept
Aug
July
June
May
Apr
Mar
Feb
Jan
2014AV
2013AV
2012AV
2011AV
0
2010AV
0
Self Reported Past 30 Day Substance
Use (average # individuals/month):
20
Alcohol
Marijuana
Tobacco
Meth
Other
10
0
2009AV
2010AV
2011AV
2012AV
2013AV
2015AV
2009AV
2010AV
2011AV
2012AV
2013AV
2015AV
*2015 "other" is primarily substance dependence
2015 Annual Report
April 2016
Jefferson County 1/10th of 1% for Mental Health & Substance Abuse
2013
2014
2015
Evaluation Data: Jefferson County Jail
268
unk
unk
Unduplicated individuals served:
Program Description: One registered nurse assesses subjects booked into jail for substance
$50,000
$40,000
$30,000
$20,000
$10,000
$-
# individuals served by 1/10th of 1% funds
(average/month; 2015 average/quarter):
First time assessments and % resulting in enrollment:
% Enrolled
42
100%
# of individuals served by 1/10th of 1% funds by zip code of
residence, age group, and gender (av/month, 2015 av/quarter):
100%
65+
45-65
25-44
18-24
50%
Non-JC zip
code
100%
50%
Q1,Q2
2015AV
2014AV
2013AV
2012AV
2011AV
2009AV
% not
reported
2010AV
16
Q1,Q2
2015AV
2013AV
2011AV
2010AV
2009AV
20
Assessments completed
40
30
20
10
0
30
29
2014AV
31
30
2012AV
50
40
30
20
10
0
1/10th 1% Funding
2008
2009
2010
2011
2012
2013
2014
2015
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 2014. Staff change in mid-2014 has impacted program participation
and data reporting.
0%
South JC:
98376,20
50%
100%
Female
50%
East JC:
98358,39,25,
65
Client referrals to community services/agencies (av # per month):
Total Dental
Hospital
MH outpt
Previously in
JC jail:
Medical
Q1,Q2
2015AV
2014AV
2013AV
2012AV
2011AV
PT: 98368
2010AV
0%
2009AV
Q1,Q2
2015AV
2014AV
2013AV
2012AV
2011AV
2010AV
2009AV
0%
Male
# days ago
<90d
>90d
2009AV
38
2
2
5
28
2009AV/mo
65%
2010AV
52
3
2
16
29
2010AV/mo
75%
2011AV
37
0
1
16
20
2011AV/mo
74%
2012AV
42
<1
1
18
22
2012AV/mo
76%
44%
56%
2013AV,Apr-Dec 41
0
1
14
26
2013AV/mo
77%
39%
61%
2014AV
0
0
16
26
2014AV/mo
78%
60%
40%
2015 Q1,Q2 AV
89%
67%
33%
42
2015 Q1,Q2AV Not reported
100
39
54
52
48
25
50
13
% individuals with unknown MH: 2010-2013: 35%-46%;
2014, 2015 not reported.
12
10
8
6
4
2
0
2009AV
2010AV
2011AV
2015 Annual Report
2012AV
2013AV
BiPolar
Dysthymia
Anxiety
Depression
PTSD
Other
2014AV
Q1,Q2
(J-A,A-D) 2015AV
2014AV
2013AV
2012AV
2010AV
Q1,Q2
2015AV
2014AV
2013AV
2012AV
2011AV
2010AV
Mental Health Diagnoses
(average # individuals/month, 2015 av/qtr):
2011AV
0
0
Self Reported Past 30 Day Substance Use At
Admission (average # individuals/month,
2015/qtr): % individuals with unknown sub use:
2010-2013: 12%-20%; 2014, 2015 not reported.
30
20
10
0
2009AV
2010AV
2011AV
2012AV
2013AV
Q1,Q2
2015AV
100
Total hours for individual visits
(average/month, 2015 av/quarter):
total visits
individuals served
Total individual visits
(average/month;
2015 av/quarter):
Alcohol
Marijuana
Tobacco
Meth
Other
2014AV
(J-A, A-D)
Q1,Q2
2015AV
April 2016
Jefferson County 1/10th of 1% for Mental Health & Substance Abuse
# Individuals served:
12
$20,000
Program Description:
12
11
1/10th 1% Funding
$15,000
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
$10,000
$5,000
2015
2014
2013
2011
2010
2009
$-
2012
Evaluation Data: Topside, Youth Therapeutic Court
2013 2014 2015
6
6
6
6
2015AV/qtr
7
Q4
8
Q3
6
Q2
6
5
Q1
8
10
2014av/qtr
and other programs in an effort to reduce identified risk factors while supporting the strengths of the youth and family. Data
reporting began in August 2010.
Average # individuals served:
2013AV/mo
2012AV/mo
2011AV/mo
0
Aug-Dec
2010AV/mo
5
2015
Total individuals served by 1/10th of 1% funds by zip code of residence and gender:
Q4
Q3
2015
2015AV/qtr
PT: 98368
Q2
0%
Q1
East JC:
98358,39,25,65
2014AV/qtr
2015
2015AV/qtr
Q4
Q3
Q2
Q1
2014AV/qtr
2013AV/mo
2012AV/mo
2011AV/mo
Aug-Dec
2010AV/mo
0%
male
2013AV/mo
South JC:
98376,20
female
50%
2012AV/mo
50%
100%
2011AV/mo
Non-JC zip code
Aug-Dec
2010AV/mo
100%
Number of individuals served (unduplicated) and % with 90-day improvement by domain:
Chemical Dependency
Attitudes/Behavior
12
8
4
0
100%
50%
0%
% 90-day improvement
100%
8
50%
4
0
0%
% 90-day improvement
Mental Health Diagnoses
(average # individuals):
4
2
12
8
4
0
100%
50%
0%
# served
Family Functioning
12
Feb 2013, changed from
Drugs/Alcohol/Mental Health.
% 90-day improvement
# served
Mental Health
12
100%
8
4
50%
Mental Health new Feb 2013; previously
School.
0
0%
# served
% 90-day improvement
Aug-Dec 2010AV/mo
2011AV/mo
2012AV/mo
2013AV/mo
2014AV/qtr
2015AV/qtr
No Relapse among those with Chemical
Dependency:
100%
100%
# served
100%
90%
50%
60%
63%
40%
0%
0
ADHD
BiPolar
Depression Panic Disorder
PTSD
2015
2015 Annual Report
April 2016
Jefferson County 1/10th of 1% for Mental Health & Substance Abuse
Evaluation Data 2015
Budget
Actual spent
Individuals served (unduplicated)
Graduates
Children reunited
Discharges
Participant zip code of residence:
98368
98358
98339
98325
98365
98376
98320
Other
transient
non-Jefferson
Unknown
PT: 98368
East JC: 98358,39,25,65
South JC: 98376,20
Non-JC zip code
Transient
Unknown
2015 Annual Report
Mental
Health
Court
Drug
Court
Family
Therapeutic
Court
$15,000
$10,641
$15,000
$11,925
$5,514
$4,700
32
2
n/a
5
57
12
n/a
11
3
1
2
0
Mental Health
Court
Drug Court
Family Therapeutic
Court
11
1
4
4
1
5
0
3
3
0
0
34%
31%
16%
9%
9%
0%
23
1
12
4
0
5
2
4
0
4
6
40%
30%
12%
7%
0%
11%
2
0
1
0
0
0
0
0
0
0
0
67%
33%
0%
0%
0%
0%
100%
50%
9%
9%
11%
7%
16%
12%
31%
Unknown
33%
Transient
Non-JC zip
code
30%
South JC:
98376,20
67%
34%
0%
Mental Health
Court
40%
Drug Court
Family
Therapeutic
Court
April 2016
Participant Age:
0-17
18-24
25-44
45-64
65+
0-17
18-24
25-44
45-64
65+
Participant Gender:
male
female
male
female
2015 Annual Report
0
3
13
15
1
0
16
30
11
0
0
0
1
2
0
0%
9%
41%
47%
3%
0%
28%
53%
19%
0%
0%
0%
33%
67%
0%
18
14
41
16
0
3
100%
3%
0%
19%
47%
0%
65+
67%
45-64
53%
50%
25-44
41%
0%
9%
Mental Health Court
28%
33%
0%
Drug Court
Family Therapeutic
Court
18-24
0-17
100%
56%
44%
72%
28%
0%
100%
44%
28%
56%
72%
50%
female
100%
male
0%
0%
Mental Health Court
Drug Court
Family Therapeutic
Court
April 2016
MENTAL HEALTH COURT PARTICIPANTS ONLY:
Length of Participation:
0-12 weeks
13-24 weeks
24-36 weeks
37-52 weeks
1-2 years
2 years or more
Total
100%
12
2
3
2
10
2
31
more than 1 year
39%
50%
16%
6 months to less than 1 year
45%
less than 6 months
0%
Mental Health Court
5
1
Mental Health Diagnoses:
41%
9%
38%
34%
13%
Other
6%
Substance Use
Disorder
3%
19% 22%
13%
Schizophrenia/
Schizoaffective
2
%
9%
41%
3%
6%
34%
13%
38%
19%
22%
13%
PTSD
1
2
6
1
2
1
1
2
1
total
3
13
1
2
11
4
12
6
7
4
Panic Disorder
5
5
3
4
third
2
Major
Depression
2015 Annual Report
1
9
second
Generalized
Anxiety
first
1
8
Dysthymia
Mental Health Diagnoses:
ADHD
BiPolar
Dysthymia
Generalized Anxiety
Major Depression
Panic Disorder
PTSD
Schizophrenia/ Schizoaffective
Substance Use Disorder
Other
BiPolar
45%
16%
39%
ADHD
less than 6 months
6 months to less than 1 year
more than 1 year
April 2016