Loading...
Backup Documents 10/14/2014 Item #16D 3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP A D TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 3 THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later than Monday preceding the Board meeting. **NEW** ROUTING SLIP Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. Jennifer A. Belpedio, ACA County Attorney Office Job 3/14- 2. /1G- 2. BCC Office Board of County Commissioners Ay/c, /3/% 9 3. Minutes and Records Clerk of Court's Office ((An(14 Z pnk PRIMARY CONTACT INFORMATION Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees above,may need to contact staff for additional or missing information. Name of Primary Staff Geoffrey Magon Phone Number 239-252-23 Contact/ Department Agenda Date Item was 10/14/2014 Agenda Item Number 16D3 Approved by the BCC Type of Document Final Progress Report Number of Original 1 Attached C' -.vY.'1/4•rNCIL\ V SkNc.e-) Documents Attached PO number or account number if document is to be recorded INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signature? N ice. ote.i ,i NA LGM 2. Does the document need to be sent to another agency for additional signatures? If yes, NA V provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet. 3. Original document has been signed/initialed for legal sufficiency. (All documents to be GM V signed by the Chairman,with the exception of most letters,must be reviewed and signed by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's NA Office and all other parties except the BCC Chairman and the Clerk to the Board 5. The Chairman's signature line date has been entered as the date of BCC approval of the IA document or the final negotiated contract date whichever is applicable. 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's GM signature and initials are required. f 7. In most cases(some contracts are an exception),the original document and this routing slip GM ✓ should be provided to the County Attorney Office at the time the item is input into SIRE. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of your deadlines! / 8. The document was approved by the BCC on 10/14/2014 and all changes GM N/A is not made during the meeting have been incorporated in the attached document. The an option for County Attorney's Office has reviewed the changes,if applicable. 'stli_ 9. Initials of attorney verifying that the attached document is the version approved by the ,, BCC,all changes directed by the BCC have been made,and the document is ready for the / or Chairman's signature. e71. I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 160 3 Martha S. Vergara From: Martha S.Vergara Sent: Monday, October 20, 2014 2:53 PM To: Magon, Geoffrey Subject: Final Progress Report Attachments: Geoffrey Magon.pdf Geoffrey, If you need an original I can certify a copy for you. Just let me know.. Thanks, Martha Vergara, BMR Senior Clerk Minutes and Records Dept. Clerk of the Circuit Court &Value Adjustment Board Office: (239) 252-7240 Fax: (239) 252-8408 E-mail: martha.vergara a,collierclerk.com 1 160 3 Criminal Justice, Mental Health, & Substance Abuse Reinvestment Act— Implementation Grant Progress Report Collier County FINAL REPORT Section 1. Contact Information Report Submitted By: Geoffrey Magon, Grant Coordinator, Collier County Person Completing Report: Beverly Belli, Director of Adult Community Services, David Lawrence Center County: Collier Address: 6075 Bathey Lane, Naples, FL 34116 Telephone: 239-455-8500 Email: beverlyb(a�dlcmhc.com Certified By: ATTEST: Name: Tom Henning D GHT E. CIC, Clerk Y .. ? Position: BCC Chairman, Collier County B Attes as to Litw,,,,u,1 t signature OfIy;; Section 1. Detailed Progress Summary Provide a detailed summary of the progress in meeting the goals described in your application. Using the goals/objectives/tasks as delineated in your application as a reporting framework, describe your achievements to-date in each area. Identify adherence or adjustments to your timeline. Within your progress summary, make sure to include narrative on the following items: The following goals and objectives were cited in the application: Goals Treatment access and retention. Reduce days in jail for people with mental illnesses and co occurring disorders Attainment of permanent, stable housing Improved social connectedness Reduction in crime/recidivism/use of forensic institutions Demonstrate program effectiveness, improved partnerships Approved as to form and legality Assistant Coun orney 03) \4- 3t°\ 160 3 Objectives Complete risk assessments for 80% of participants by the end week one of admission. Maintain a FIRST:participant ratio of maximum of 1:15 Obtain disability benefits for 80% eligible participants within one year of application. Adhere to evidence-based practices as demonstrated by score of 79+ on fidelity scale. Number CIT trained annually. Complete process and outcome evaluations annually. Complete partnership Memorandum of Understanding by end of Year 1. Progress Progress toward achieving the goals and objectives is summarized in the discussion below: GOALS 1. Treatment Access and Retention: Corizon and DLC completed LSIR screenings for all persons referred to FIRST. After screening, clients may be: (1) admitted to FIRST, (2) referred to Drug Court or Mental Health Court, (3) deemed ineligible due to diagnosis, or (4) declined services (team still engages using Motivational Interviewing). Clinical assessments were completed on all clients admitted to the FIRST Program to ensure treatment recommendations to meet the client's needs are initiated and monitored for treatment compliance. Additonally, DLC has the ability to scan NAMI treatment records to the DLC electronic medical record, ensuring continuity of care and peer services are documented. 2. Reduce days in jail for people with mental illnesses and co occurring disorders Admission into the FIRST Program occurs when the client completes their jail sentence as Collier County Sheriff's Department does not reduce their sentence based on admission to the FIRST Program. Corizon completed the LSI-R risk assessment on all potential clients during their incarceration. FIRST Program staff attempt to complete screenings and engage clients while the client remains incarcerated. If FIRST Program staff were not able to complete the jail screening, the client is seen immediately upon discharge for the FIRST screening. After the FIRST Screening, clients are referred to the DLC Assessment Center which provides clients immediate access to receive a clinical assessment. All clients admitted to the FIRST Program received a clinical assessment. The FIRST Program serviced 162 participants during the length of the contract through June 30, 2014. Eighteen (18) of the one hundred and sixty-two (162) were re-arrested. Eighty-nine percent (89%) of participants served in the FIRST Program were not re-arrested. 3. Attainment of Permanent, stable housing From November 2011 to February 2013, seven FIRST clients received housing vouchers through collaboration of David Lawrence Center, Collier County Housing Authority and Collier County government. These HUD vouchers are no longer available through HUD housing. The FIRST Program assisted clients in securing stable housing in St. Matthews House, a local transitional living facility, and secured housing in two (2) sober living facilities (Naples House 160 3 and Jacobs House). The FIRST team developed collaborative communication with sober living landlord to better and more efficiently serve these clients. The FIRST Program has been able to maintain clients through the use of incidental funds to assist with rent. Clients can also work for rental assistance vouchers or the daily labor pool to offset the cost of rental fees. 4. Improved Social Connectedness The NAMI peer specialist was instrumental in assisting clients to engage in peer groups, which she provided through NAMI. She encouraged participation in their drop in center, as well as other NAMI support groups. Clients were encouraged to engage in twelve-step and faith based support/recovery and peer groups. Project Help offered our clients trauma based support. FIRST clients also participated as a group in the annual NAMI walk. 5. Reduction in crime/recidivism/use of forensic institutions No FIRST Program clients were admitted to forensic institutions. Recidivism/reduction was significantly reduced by participating in the FIRST Program. Eighty-nine percent (89%) of participants served in the FIRST Program were not re-arrested. 6. Demonstrate program affiliation/improved partnerships During the process of developing access for services, DLC FIRST Program staff have significantly enhanced collaborative efforts with Corizon Health, NAMI, St. Matthew's House, Naples House and Jacob's House. DLC staff, NAMI and Corizon staff met weekly to staff all clients for admission into the program. In addition, this team staffs active participants as needed to address any pending issues, and discuss potential FIRST Program referrals. The FIRST team often maintained daily contact with community partners to enhance continuity of care, advocate for client needs and enhance the collaborative partnership. Additionally, bi-monthly meetings occur with St. Matthew's House staff and DLC staff to identify and resolve barriers to placement, treatment, and service needs. DLC staff participated in CIT training with NAMI and work with various NAMI peer specialists to enhance services. OBJECTIVES 1. Complete risk assessments to 80% of participations LSI-R, a risk assessment tool, is completed on all clients prior to admission to the FIRST Program. In addition, all clients accepted into the FIRST Program receive a clinical assessment by a Master's Level clinician where once again risk factors are assessed. DLC policy requires staff to continually assess for ongoing risk to clients and provide services necessary to mitigate risk factors, reduce harm and optimize functioning. 2. Participant ratio of maximum 1:15 The FIRST team did not exceed the 1:15 participant ratio during the length of the contract. The average participant ratio was 1:12. 3. Obtain Disability Benefits for 80% of eligible clients within 1 year of application 9 160 3 FIRST team members (DLC case manager and NAMI peer specialist) are SOAR certified and have assisted FIRST clients in completing SOAR applications when eligibility criteria appear to be met. During the length of the contract, ten (10) SOAR applications were completed and filed with Social Security. The FIRST team currently has nine (9) clients linked with local benefit attorneys as their initial filing was denied by Social Security. Prior to admission to the FIRST Program, several clients had a pending Social Security application. The FIRST Program had four (4) clients approved for benefits and eighteen (18) are currently in a pending status. It should be noted that many FIRST participants are capable of working and do not meet the criteria for social security benefits. Additionally, some participants chose to work and declined assistance in applying for benefits. 4. ADHERE TO EVIDENCE-BASED PRACTICES: Transition Planning. Collier FIRST uses the APIC (Assess, Plan, Identify, and Coordinate) model, a best practice approach to community re- entry for inmates with co-occurring disorders as the basis for transition planning from jail to the community. The Level of Service Inventory- Revised scale (LSIR-R) is completed during the initial screening visit and provides valid, reliable risk assessment information to assist the FIRST team and criminal justice staff to determine criminogenic needs, and to predict potential for violence, recidivism and probation violations. Supported Housing and Supported Employment. Housing First evidence-based practice, Florida Guidelines for Supportive Housing, and SAMHSA Supported and Supported Employment Toolkits provide direction to the FIRST services for program participants. Florida Gulf Coast University provided interns from its Community Health program for several months but has not been an active participant 12/11. Forensic Intensive Case Management. The FIRST Program follows an intensive case management model. In the ICM model, individuals receive supports of an interdisciplinary, community-based team with an optimal staff to participant ratio of 1:15 or fewer. The average ratio is 1:12. Disability Benefits. SOAR, (SSI/SSDI Outreach, Assessment and Recovery) FIRST employs SOAR practices for eligible participants. Motivational Interviewing (MI). All FIRST staff members have been training in Motivational Interviewing and utilized motivational interviewing techniques in an ongoing basis. Cognitive Behavior Therapy & Trauma Informed Treatment. The FIRST/DLC counselor currently provides CBT and is trained in Trauma Informed Care to help meet the diverse and complex needs of the population. Seeking Safety: A model of counseling to help improve coping skills. It was originally developed for trauma, substance abuse, and/or posttraumatic stress disorder (PTSD). It is also applied broadly to increase coping and stabilization. 9 160 3 5. CIT TRAINING: CIT training is a joint effort by NAMI, DLC and Collier County Sheriff's Office to train law enforcement personnel to recognize individuals who may suffer from mental illness and develop appropriate crisis intervention skills to respond to this population. There are approximately five (5) CIT trainings offered each year. a. Describe the composition of your Planning Council membership as stated on pages 5 and 6 in the original grant RFA (per F.S. 394.657(2) (a), including a list of the Planning Council members. Describe any difficulties you have had in filling these membership positions. Describe the activities, such as meeting frequency and types of collaboration efforts, of your Planning Council. NAME Agency/Affiliation Sheriff Kevin Rambosk Collier County Sheriffs Office David Schimmel: Co-Chair David Lawrence Center, CEO Honorable Janeice Martin Mental Health Court and Drug Court Judge Michael Sheffield Collier County Assistant Administrator Domenico Lucarelli Private Law Firm Sara Miller State Attorney's Office Connie Kelly Public Defender's Office John Walsh Public Defender, Mental Health Court Cmdr. Kevin McGowan Collier County Sheriff/Corrections Sgt. Brandon Barley Collier County Sheriff/Corrections Sgt. Bill Gonsalves Naples Police Department, CIT Susan Golden Collier County Sheriff/Grants Maurianna Swanson Prison Health Services Open Position Prison Health Services/First Reintegration Specialist Jay Freshwater DOC Probation Charles Crews Collier County Court Administration Louise Pelletier County Housing & Human Services Mark Engelhardt Florida Mental Health Institute, CJMHSA TAC Bonnie Fredeen David Lawrence Center, COO Kristin Long David Lawrence Center/FIRST Therapist Katie Burrows David Lawrence Center/Forensic Services, Drug Court Ashley Swan David Lawrence Center FIRST Case Manager Kathryn Hunter NAMI of Collier County Ron Stanford NAMI/DLC CSU/Certified Peer Specialist Eileen Streight NAMI/ FIRST Certified Peer Specialist Kathy Ray Family Member/Advocate Larry Wilcoxson Family Member/Advocate Debra Mahr Collier Hunger& Homeless Coalition Table 1. Collier Criminal Justice Mental Health & Substance Abuse Planning Council 0 160 3 Although there have been several changes to the Planning council over the 3 year period, the Planning Council continues to meet at least annually to review progress and make appropriate recommendations to enhance the program. b. Describe any barriers that you have encountered in meeting your goals/objectives/tasks, and how you have been able to navigate through these barriers. Also describe significant barriers that remain, if any. Despite the FIRST Program's collaborative efforts with our community housing partners, housing remains the biggest challenge. Many landlords will not accept tenants with felony histories. To address this issue, the team is working with the local landlords who provide low rental unit in attempt to provide education regarding mental illness, impact of incarceration and how the coordination of FIRST Program services can enable these individuals to be stable in the housing making them a viable tenant. In addition, the transitional living facilities do charge fees and our clients often are unemployed negating their ability to secure adequate housing. Employment for our clients also remains a challenge due to the fact many employees will not hire applicants with criminal histories. The majority of employed FIRST Program clients are employed in the food industry. According to the Reinvestment Grant application, Collier County agreed to use the Florida FACT Guidelines as its guide for enhancement funds. In general, this is working well for most of the clients needs. However, FIRST team members find cell phones necessary to track high risk, high need individuals once they leave jail. Cell phone payments are not an allowable expense per Florida FACT guidelines. At least a dozen individuals served by the team were closed after a period due to the team's inability to contact them and thus, provide services and coordinate care. Once the person finds permanent housing, arrangements can be made to secure landlines. In the meantime, the team members identify access to cell phones is crucial. Without access to a phone, safety may be compromised and/or people will fail to reintegrate successfully in the community due to lack communication and access to FIRST team members and with other support systems, treatment providers and employers. Further, this poses a challenge for employment as employers often cannot contact the individual for work issues which frequently occur in the types of employment FIRST clients are involved in; taxi driving, day labor, and the food industry. c. Identify if you have been able to leverage additional funds for this initiative (beyond the matching funds requirement) since receipt of grant award/funds. Note: this was not a requirement. Seven (7) FIRST clients received housing vouchers from November 2011 to February 2013 through the collaboration of David Lawrence Center, Collier County Housing Authority and Collier County government. Incidental funds are used to assist with rents and program fees when clients reside in transitional living or sober living houses. Clients have on occasion been able to work for rental vouchers. Section 2. Outcomes Describe the effect the grant-funded initiatives have had on meeting the needs of adults and/or juveniles who have a mental illness, substance abuse disorder, or co-occurring mental health and substance abuse disorders. 160 3 1. Share early data that you have collected in relationship to the core outcome measures that were identified in your grant application. FIRST members met each week to conduct staffing to review eligibility criteria for potential referrals to the program. In addition, the team members discuss barriers to community integration for participants. The FIRST Oversight Committee meets quarterly. At this meeting supervisory and program level personnel are present. These meetings are intended to ensure active involvement in program level decision making and to ensure the team is on target for meeting contract goals. This includes but is not limited to the following: staffing levels, housing status and needs, use of enhancement funds, reporting, and barriers. Since the grant inception, the following admissions have occurred through June 30, 2014. Item Value Total referrals/screening 419 Male 213 Female 206 Total number served 162 Ave LSI-R score 66.94 Ave#previous arrests 6.34 2. Provide early comments, if possible, on the effect of the grant program on the growth and expenditures of the jail, juvenile detention center, and prison. The Sheriff's office states that an inmate with a mental illness costs the jail roughly twice the amount of other inmates. Inmates do not receive reduced or otherwise altered jail sentences when they agree to receive FIRST Program services. FIRST participants will have a long-term impact by reducing recidivism especially since the average number of previous arrests per participant is greater than six. Providing FIRST Program participants with access to psychiatric care, intensive case management, mental health and substance abuse treatment services, peer supports, employment opportunities and housing will increase stable and independent functioning, reduce criminal activity and recidivism resulting in reduced jail expenditures. Section 3. Technical Assistance (if applicable) Explain what collaboration, if any, you have had with the Florida Mental Health Institute's Technical Assistance Center. Has this partnership been successful? At contract inception, the FMHI TAC has been an invaluable partner in Collier County's efforts. They (John Petrila and Mark Engelhardt) provided the 2-day system mapping using the Sequential Intercept Model prior to the grant application in July of 2010. In August of 2011, Mark Engelhardt returned, at the Planning Council's request, to assist with a system map and strategic plan review and revision. The FIRST Program has not needed to utilize TAC since 2011.