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Backup Documents 12/10/2024 Item #16D18 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 D 1 8 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 12.10.24 BCC MTG 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. Carolyn Noble Community and Human CN 12.3.24 Services 2. County Attorney Office— County Attorney Office l a I ' 16.D. 3. BCC Office Board of County Commissioners CU / 151 j LI(b'ZY 4. Minutes and Records Clerk of Court's Office 1 A /(i /zT 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 Carolyn Noble Phone Number 239-450-5186 Contact/ Department y �i Agenda Date Item was 12.10.24 Mtg Agenda Item Number 16.D. A d Approved by the BCC Type of Document 3 ORIGINAL FINAL PROGRAM AND Number of Original 3 DOCUMENTS Attached FINANCIAL DOCUMENTS FOR CJMHSA Documents Attached CLOSE OUT 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) I. Does the document require the chairman's original signature STAMP OK CN 2. Does the document need to be sent to another agency for additional signatures? If yes, N/A 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 Yes 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 N/A 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 N/A 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 YES signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip N/A 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 above date and all changes made during N/A is not the meeting have been incorporated in the attached document. The County an option for Attorney's Office has reviewed the changes,if applicable. this line. 9. Initials of attorney verifying that the attached document is the version approved by the N/A is not BCC,all changes directed by the BCC have been made,and the document is ready for the an option for Chairman's signature. this line. 16D1 CCSO/DLC MAT FINAL REPORT Florida Department of Children and Families Criminal Justice, Mental Health, and Substance Abuse Reinvestment Grant Program Program Status Report Implementation and Expansion Grants Do not type in green or shaded areas. Grantee Summar y - - Grantee s Name ' Report Period Collier County Sheriff's Office&David Lawrence Centers From: 10/1/21 To: 9/30/24 Grant Number: jLH823 Report Prepared By ! Report Approved By DCF Preparer's Name Carolyn Noble i Approver's Name Preparer's Title _Grant Coordinator Approver's Title Preparer's Phone __. Approver's Phone: .-. _...._ .. ... .___.Collier County 239.450.5186 Approv; er's Pho Preparer's Email: Carolyn.noble@colliercountyfl.gov ' Approver's Email: ', I Date Prepared 111712024 j Date Approved Grant Information Amount awarded j $1_200 000 Amount of match provided j $ Award Period __Y 10/01121 through ; 9130/24__I Target Population , Juveniles Adult ; Both must select one:shade/bold one I ATTEST: AS TO COUNTY: CRYSTAL: I ,I'f 4.EL,CLERK BOARD OF COUNTY COMMISSIONERS OF COLLIER • COUNTY F RDA •Deputy Clerk • Attest as to Chairman's By. C H LL,C}{AIRPERSO ��Z`�signature only. Dated: (SEAL) Dated: I Zito 2 ' Approved as t form and legality: AP VED: Sa ly Ashk As 'stan ou Attorney Amy Patterso o420 Manager 1121 Dated: 12/ to /VI Dated: i t cAO 16D18 CCSO/DLC MAT FINAL REPORT Section 1. Detailed Progress Summary 1. Provide an overview of your organization's CJMHSA Reinvestment grant-funded program. This three-year grant funded program is to implement the Collier County Justice Medication-Assisted Treatment Program(CMAT TEAM)program for inmates in the Collier County Jail.The program is managed in partnership with the Collier County Sheriff's Office(CCSO)and the David Lawrence Center(DLC). David Lawrence Centers is a community mental health agency servicing children and adults with substance use disorders and/or mental health disorders needing outpatient therapy or medications management along with detox, Crisis Stabilization,or residential treatment. The primary goal is to increase public safety; avert increased justice system spending;and increase access to effective, evidence-based community treatment services and resources for Collier County adult inmates who have a substance use disorder or co-occurring substance use and mental health disorders. Inmates will be identified upon admission into the Collier County jail by YesCare Healthcare(previously Armor)and CCSO. Identified inmates will meet with YesCare/CCSO Discharge Planner,as well as a DLC MAT Care Coordinator and Recovery Peer Specialist while in jail. Upon inmate release, MAT Care Coordinator arranges community provider appointments to ensure continuity of care and case management services. Clients may remain open in the program up to 90 days post release to ensure continuity or care, linkage and needs are met. The MAT team worked with many community partners to being a multitude of resources to the program participants. In addition, CCSO, DLC and YesCare met periodically to troubleshoot any hiccups along the way. For those that were rearrested,the DLC MAT Care Coordinator and the Discharge Planner would meet with them right away to evaluate what is going on in their life that made them come back.The team tries to bridge that gap to ensure they are successful in the community.The team ensures a warm hand-off between the participant and the community partner. 2. Provide a detailed report of the goals, objectives, services tasks, and activities performed during the reporting period. a) For each reporting period, provide a detailed description of program achievements to-date and progress towards meeting goals and objectives identified in Exhibit B, Section 2 Major Objectives. CJMAT grant initiative began on 10/1/2021.All inmates entering the jail are being screened for meeting MAT criteria through a brief assessment and medical screening and identifying persons who report receiving medication-assisted-treatment at the time of arrest or within the previous 12 months; are actively using opioids at the time of arrest or have a substance use disorder. Between 10/1/21 —9/30/24, 25,056 inmates were screened/accessed for MAT.Out of the inmates screened only 310 inmates were eligible to participate in the program. In Year 1,the target population for the grant only included inmates that were on MAT at time of arrest and were continued on MAT while incarcerated.There were only 57 inmates in the MAT program for Year 1, not reaching our target goal(minimum of 80).There are a few factors to this. Inmates who would have qualified to be in the MAT program, would bond out before their first dose while incarcerated (under 24 hours in jail).They just never made it to our grant because they were not dosed in the jail at all.Another factor would be that when we were gathering data for the grant application,we did not consider that inmates may have said at intake that they were on MAT but they really were not.At the time of collecting the data for the grant application,there was no verification if the inmate was on MAT,just self-identifying that they were. 2 0,0 i6D18 CCSO/DLC MAT FINAL REPORT In Year 2,we added an additional target population to increase our participant numbers to meet the grant's measures.Any inmate interested in participating in the program could be screened for eligibility for induction.This did increase our target numbers without jeopardizing the other measures in the grant.There were 99 participants in Year 2.That's a 73%increase from Year 1 to Year 2. For inductions,we prioritized inmates with release dates that were approaching,treatment court candidates and Project Recovery participants. Participants who were part of the induction target population were dosed with Buprenorphine on a daily basis for 7 days and then dosed with the Sublocade injection. In Year 3,we opened up the target population from those specific groups in Year 2,to anyone incarcerated that was interested in MAT.There were 154 participants in Year 3.That's a 55% increase from Year 2 to year 3,and 170% increase from Year 1. There were still barriers with inductions,even though we were meeting our targets.There have been a few occasions where MAT participants have been inducted and have elected to remove themselves from the program and taken off of MAT by the medical provider due to adverse side effects from the injection or interaction with psychiatric medication. In addition,there have been participants that were inducted and transferred to another correctional facilities that do not offer MAT services.YesCare has been researching other MAT meds that have fewer adverse effects in their clinical studies. Brixadi was the choice that CCSO and YesCare agreed upon as an extra long-acting injectable that the provider can choose for the patient. They are still looking for other medication, because one size does not fit all. For recidivism rate between Y1-Y3,shows an increase between Y1 and Y2 but a decrease between Y2 and Y3.The factor in that would be the increase in target population between Y1 and Y2. In addition,the decrease between Y2 and Y3,could be attributed to the warm hand-off between the inmate and community provider being more smooth on Y3,seeing that we had more plans/resources in place by that time to accommodate the sudden increase in the target numbers. All MAT participants received MAT education services,as well as overdose prevention training and education by the DLC Recovery Peer Specialist and DLC MAT Care Coordinator(MAT DLC MAT CC). CCSO Discharge Planner ensured all MAT participants watched the NARCAN instruction video and placed a kit in their inmate property for use upon release, if the inmate wanted a kit. b) For each reporting period, provide a detailed description of each task and associated activities delineated in Section C-1 of the grant agreement. For each task identified, include the completion date, or anticipated date of completion, and discuss any adjustments to timelines outlined in the original grant application. C-1.1.1.1 Binding agreements signed/in place from 10/1/2021 —9/30/24. C-1.1.1.2 DLC- Prior to October 2022,all positions at DLC were filled.DLC interviewed several candidates throughout the vacancy with offers extended but declined by the applicants in the end. During the vacancy, the DLC MAT CC and their supervisor of the program maintained contact with participants and service needs.All other positions remained filled,to include DLC MAT CC, Program Director, Program Supervisor, Program Support Specialist, Practice Manager, Nursing Coordinator, Data Manager,Accounting Specialist and Accounting Supervisor. 3 Es,-(;) 16D18 CCSO/DLC MAT FINAL REPORT CCSO-All positions remained filled as outlined on the budget amendment submitted 3/30/22.This includes Discharge Planner,ARNP, RN,DON, HSA, Senior Grant Coordinator, Reintegration Manager,Corrections Support Division Director,Jail Admin Clerk,Jail Crime Analyst,and an MOU has been obtained for New Seasons Personnel. Collier County submitted a budget amendment request to the DCF Contract Manager,to remove CCSO's Grants Fiscal Clerk and Reintegration Program Supervisor positions from the program and it was approved on 4/25/2022. C-1.1.1.3 David Lawrence Center, Collier County Sheriffs Office, and Armor/YesCare Healthcare work cooperatively on information sharing to ensure accurate and timely reporting for required performance measures.DLC MAT CC and Peer Specialist work in the jail daily and communicate regularly regarding any challenges or concerns regarding mutual clients. DLC and CCSO continue to work with the master client spreadsheet they developed with DLC,which allowed each partner to complete their required statistics and shared online via TEAMS.All team members meet regularly to ensure all information was collected accurately and that any issues were resolved swiftly. c) List your program's MOUs or other legally binding agreements that were executed for this program (indicate the parties,when it was executed, purpose) and add to this list each reporting period as appropriate. Metro Treatment of Florida-New Seasons Treatment Center: The purpose is to facilitate MAT in a safe and controlled environment for patients who are otherwise unable to continue this medication specifically due to being incarcerated at the Collier County Jail. On June 3rd, 2024, CCSO changed medical contractors from Armor to YesCare.The new contractor still provides the verification of MAT providers and administration of the MAT medications for this grant. d) List your program's partners and collaborators (add to the list each reporting period as new collaborators emerge). • Collier County Sheriff's Office(CCSO) • YesCare Healthcare • Florida Gulf Coast University • David Lawrence Center(DLC) • Metro Treatment of Florida-New Seasons Treatment Center(with CCSO) • Private MAT providers,as needed • Indivior, Inc. 3. Provide a detailed summary of the achievements to-date in meeting the Administrative Tasks identified in Exhibit C, Section 2 of the Grant Agreement. For all subcontractor(s), provide an electronic copy of the executed subcontract(s). There is currently an open position at DLC for a peer specialist.All other staff have maintained applicable minimum licensing, accreditation, and training, as required by state laws and regulations. 4 GAO 16D18 CCSO/DLC MAT FINAL REPORT YesCare is the new subcontractor with CCSO to administer the MAT medication to the incarcerated participants of the program, as of June 2024. All records and documentation outlined in this grant are available upon request,as well as submitted quarterly into Neighborly.A MAT Participant Spreadsheet is shared between CCSO and DLC on a secured network on MS Teams. This allows for both agencies to work on the data reporting at the same time. 4. Describe any barriers or challenges faced by your program during this reporting period and the strategies implemented to address them. Also, describe significant barriers that remain, if any. For the initial grant target population(those who are arrested and currently on MAT on the outside)there was a barrier with inmates who are approved to enter the program and were dosed but bonded out within 24-48 hours jail intake.This contributed to the MAT CC not being able to connect with the inmate before they were released from jail. However,the MAT CC and Armor/YesCare have instituted contacting the inmate after release to get any questions answered and to verify that they are going to their appointments.Armor/YesCare staff called the local provider to ensure that the inmate attended their appointment within 5 days of release,if an ROI for DLC was not signed in time. In addition, DLC coordinated with jail staff and came into the jail daily,during dosing time,to ensure that all new MAT participants were being seen at their time of dose.The hope was to establish an immediate face-to-face connection to further support the working relationship between MAT CC and participant.The grant stated that the MAT CC would meet with the inmates 30 days prior to release. However, has not been able to be maintained.Once the inmate entered the jail,the MAT CC met with them immediately, if they were still in jail at time of first dose. CCSO extended other options for the MAT CC and Peer Specialists to meet with the inmates:our attorney/client area was readily available during normal business hours and video visitation was also offered(this reduces inmate movement and is available every day, however, it will be recorded). Once we started the Sublocade injections,there were a couple inmates that would receive the 14-day dose of buprenorphine and opted out of the injection when it came time to administer the dose. Some inmates were listening to other inmates'side effects of the injection and opted out. On Year 3, inmates were opting out of their 3rd or 4th shot of Sublocade due to side effects. Other injectable MAT medication with less side effects is being researched for possible implementation. 5. List evidence-based, best, and promising practices used in your program including assessment or screening instruments and tools. Motivational Interviewing and TCU Drug Screen 5 6. Describe the composition of your Planning Council membership, in compliance with F.S. 394.657(2) (a), and complete Appendix A, located at the end of this document. (Note:this form must be updated when there is a change in Planning Council members). a) Describe any difficulties you have had in filling these membership positions. We are having no difficulty filling any positions.All positions are filled. b) Describe the activities of the Planning Council,such as meeting frequency and types of collaboration efforts. The Public Safety Coordinating Council Sub-Committee Meetings are held quarterly,and it is in collaboration with Board of County Commissioners, Department of Children and Family, Circuit Administrator, CCSO, DLC, Collier County Government,Collier County Public Services Department, Collier Hunger and Homeless Coalition, Bureau of Emergency Services, State Attorney's Office, Public 5 CAO 16D18 CCSO/DLC MAT FINAL REPORT Defender's Officer and Judiciary.The purpose of the Collier County Public Safety Coordinating Council Sub-Committee is to evaluate the project by reviewing data,make informed program recommendations or corrections,as needed,to review the annual progress report, participate in the three-year Strategic plan and involvement with Data Collaboration Project.The Public Safety Coordinating Council was created pursuant to Section 951.26, Florida Statutes. c) Provide the date that your planning council met during this reporting period and a brief description of the agenda. 11/19/21: The following was the agenda topic: a. The CJMHSA Jail MAT Grant was presented before the board and the public that joined the meeting.The grant was well received by all the participants in the meeting. b. The Sheriff proposed that the MAT Grant open up to those inmates that come into jail and are interested in treatment, not just those that were currently on MAT at time of arrest. c. Some other discussion points of this meeting were the review of the latest jail occupancy and a discussion about drug court. 4/22/22:The following was the agenda topic: a. A brief presentation on the MAT grant and the status of how it's going. b. Discussion ensued about the jail occupancy snapshot c. The drug court quarterly report. 9/16/22:The following was the agenda topic: a. There was a brief presentation on the MAT grant and the status of how it is going. b. Discussion ensued about the jail occupancy snapshot c. Drug court quarterly report. d. The FGCU Evaluation of drug court was discussed. e. DLC informed that they have opened a new sober home called Hope Sober Living. f. A new statutory member was presented: Peg Elmore with CareerSource of SWFL. g. Judge Martin asked if the MAT Grant can start with a smaller population for induction,those that are entering into treatment court.The Sheriff and the Director seemed interested in entertaining this for induction, instead of opening it up to the entire population.This is mostly because treatment court participants usually have a warm hand off to DLC and not just released to the streets,as well as they receive are wrap around services,as soon as they are released. 10/19/22:The following was the agenda topic: a. Review of the last meeting minutes b. Follow-up items of the 2020-2024 Strategic Plan for Review c. An overview of programs presented by the County, CCSO and DLC. d. The CJMHSA MAT Grant performance review for the grant life was discussed. e. DLC and CCSO discuss the implementation of the Collier Criminal Justice MAT Program for inmates in the Collier County Jail who are transitioning into the community. f. PowerPoint presentation was shown on the purpose and goals of the PSCC, meeting dates, MOU,Y1Q4 CJMHSA data and the 5Point Data Collaboration update. 6 \CA. 16D18 CCSO/DLC MAT FINAL REPORT 8/1/23:The following was the agenda topics: a. Review of meeting minutes from the last meeting b. Y2Q3 Performance Measures for the CJMHSA MAT Grant were reviewed c. DLC discussed Priority 4:Training in trauma, mantal health and addiction d. Rapid Response/AOT discussed 4/29/24:The following was the agenda topics: a. Quarterly Report measures from Y3Q2. b. CORE Update c. Future of Opioid d. DLC recruiting for a Peer Specialist to work with EMS e. Operations Medicine Cabinet us up and running 7/29/24:The following was the agenda topics: a. Quarterly Report measures from Y3Q3 b. CORE Update c. Collier County not awarded the CJMHSA funding for 2024 d. DLC partnering with FL Health Network and EMS e. CCSO partnering with FL Healthcare Network for MAT and are looking for other opioid funding f. Discussion on the different MAT meds and their possible pros and cons(side effects) Section 2. Deliverables 1. Provide a detailed summary of the progress achieved in meeting the deliverable requirements outlined in Exhibit D of the Grant Agreement. For the initial target population of this grant,one of the reasons for being under the targeted performance is because providers that were filling the participants'scripts in the community were unwilling to continue the prescription if the participant tested positive for other substances when a urine drug screen is performed at the time of arrest. DLC/ArmorlYesCare continued to engage the providers in conversation for their willingness to continue the inmate on MAT,even after relapse.An additional barrier was that inmates have been bonding within 24-48 hours of arrest, before we are able to verify or dose the inmate. Early on,we realized that the turnover rate is high for this population,creating a problem with meeting the target.The CCJMAT team continued to meet regularly to discuss program progress, potential issues that arise and viable solutions. Our target number was 100 participants per year(80 minimum).Year 1,we were under the target number with only 57 participants.Year 2,we were under the target number by 1,with 99 participants but we did reach the minimum target number(at least 80).And in Year 3,we reached our target number and then some, at 154 participants.With a total of 310 participants, superseding the 300 target number for the three years. One of the solutions,as mentioned early on in this FINAL report,was to incorporate another target population, those interested in starting MAT while incarcerated.This increased our target numbers and by the end of it,we reached our grant target number by 103%. 2. Using the Performance Measures for Acceptance of Deliverables in Exhibit D, Section 3. of the grant agreement, complete the Service Summary Tables below. 7 (C-AD) 16D18 '.. ..................... • - - PROGRAM YEAR 1 Number of Participants Served Pi Quarterly2^^QuarterlyProgram YRt %of Lifetime • • i YR1 Program 1 3�^Quarterly4'�Quarter Program Date Program Lifetime Service Annual Reporting : Reporting Quarterly g Tercet • Target Achieved Lifetime Reporting Period Reporting Period Total to Achieved to Total to Date to Date Target Program Target j Period Period j Target 1 Data . _ 1a01R021- 01/01/2022- Oa01/2022- 07/0lrzo 1 10 01/2021 1 10 01/2021- 10/01/2021- i10/01/2021- ..III • fYJ1/2021 03/31v2012 060/2012 09/302022 09/3W2022 09/30/2022 09130/2021 06/30/2022 _. .... ....._........... Inmates i 1 Receiving 100 300 10 11 19 17 57 57% 57 19% Program Services i <InseA <Insert I 02 2 Program XX XX XX (describe the Annual XX j I XX XX XX services) Target#> Lifetime : i ... i _._.. ......_........._._........_._._ Target> i D-2.3 <Insert Program XX 1 XX ! 10t I XX XX (describe the Annual Lifetime XX XX XX j i services) Target#> ITarget ' .. L._._.._ .. . .. _... ....... ...._..___... .__.....__.._ __ ...._.... ..... Service Summary Tables e ¢GRU 4- 16D18 • "". PROGRAM YEAR 2 _.....__... ......._....! I . Number f Participants Served of Program ' %of Lifetime 1 I Quarterly d 2^Quarterly 3'd Quarterly i Ie Quarterly Program Program Lifetime Target YR2Annual i Program '. Reporting Reporting - Reporting Reporting YR2 Total to 1R2Target• Total to Achieved to Service Target Program Lifetime Period Period Period Period Dale I Achieved Date Date Target i Target 1 to Date : 10/1/2022_ ' 10/1/2022- 10/1/2022-:..10/01/2021- 10/01/2021- '!. ' 12/31/2022 ! 1/1/23-3/31/23 4/1/23-6/33/23 7/1/23-9/30/23 9/30/23 1 9/3D/23 1 09/30/2024 • 09/30/2024 1 10-2.1 • Inmates Receiving 100 300 20 33 16 • 26 1 99 99% 156 i 52% Program Services �- _ tr _.._ <Insed j i .... • i (dsscr(be the <Inserf Annual ProgramXX xx xx XX XX XX xx ( XX I TergetN> Lifetime services) i i l i .... f........._............_......_� D23 '• I <Insert (dN 3 Uro i <Insert Annual 1 Program XX XX XX XX XX xx XX xx Target M> Lifetime j I i Target ...._._.._..._._._._.J.........._ ....._............ .._.... ......._.... services) � i. ........... ........................... 9 • (C;::)) 16D18 r PROGRAM YEAR 3 , c I _ , Number of Participants Served _ S .. ._.- _. _... -.%ot.. 1 • I Program Y.of Lifetime 1"fuarterly 2^^Quarterly 3�Quarterly 4eQuarterly Program Program Lifetime Target YR3 Annual Program Reporting Reporting Reporting 1 Reporting YR3 Total YR3 Target Total to Achieved to i Service Target Program Lifetime period Period Period Period to Date Achieved Date Date Targetj Target to Dale • I 10/1/23- 10/123- iN123- 10/01202- 10/01202- ( 17/3123 1/1/24-3/3124 4/124 fi 3LV24 j 7/1/24-9/3024 6/30/24 6/3024 09/302024 1 09/302024 D-2.1 (describe the I 100 ' 300 24 j 55 !. 39 i 35 154 i 154% 310 1 103% services) ...... ....... J _.. .. .......... ......... i _... <Insert '• i.... i 1 D-2.2 • <InsertAnnual` Program 1 XX XX l XX XX XX XX XX XX (describe the - Tarpef 0, Lifetime services) <Insert i i I t Dribe <Insert Annual • ' Program XX I XX ' XX I XX XX XX XX (describe the , Terpetlh Lifetime services) Targets ' ..I I .. ....1 _ ....J..... ....... ._.__..... _.. 10 CAO taDla Section 3. Performance Measures and Outcomes 1. Describe the methodology(is) used to collect data and track progress on admissions, completions, discharge, assessments, services received, and outcomes of individuals being served. Reportable outcomes include but are not limited to arrests, rearrests, services, program completion, receipt of benefits, employment, housing, etc. Data anomalies and additional methodology information can be noted directly into the Excel spreadsheet, Appendix B, Reinvestment Grant Performance Measure Data Table. DLC/CCSO developed an Excel spreadsheet with most of the required information.DLC also uses Credible EMR(Electronic Medical Record). For the initial target population of the MAT Grant,the process for admission into the MAT program starts at jail intake,where the Armor/YesCare RN conducts a medical screening to determine if inmate was on MAT at time of intake.Once the nurse determines that the inmate was currently on MAT at time of intake,they will verify with the MAT Provider and create a referral form for CCSO and DLC staff.Once the dosage has been verified,it was ordered,and dosage may begin once meds are received.The Armor/YesCare RN dispensed the medication in front of multiple deputies and the CCSO Discharge Planner. Once the first dose was administered,the CCSO Discharge Planner enters all the data into the shared master spreadsheet(this includes all demographics,arrest history, benefits information, housing,and employment information,etc.). DLC MAT CC and Peer Specialists met with the inmate to screen them and touch base on their treatment plan. DLC also entered their information on the shared spreadsheet. Once the person was released from jail,CCSO Discharge Planner entered information reflecting the inmate's release and updated any information associated to their rearrest, if applicable. DLC entered information associated to their program success status and exit information onto the spreadsheet as it occurred. In addition to those that were arrested and receiving MAT on the outside,we included anyone that was interested in receiving MAT while incarcerated.For an inmate to be induced,the MAT discharge planner meets with each individual to go over what MAT is and to see if they were interested; if they were interested,the discharge planner sent a referral to Armor/YesCare,who then assessed the inmate to see if they were eligible for MAT. If the inmate was eligible,the medication was ordered,and dosage began once meds were received. The Armor/YesCare RN dispensed the medication in front of multiple deputies and the CCSO Discharge Planner.Once the first dose was administered,the CCSO Discharge Planner entered all the data into the shared master spreadsheet(this includes all demographics, arrest history,benefits information, housing,and employment information,etc.).DLC MAT CC and Peer Specialists met with the inmate to screen them and touch base on their treatment plan. DLC also entered their information on the shared spreadsheet. Once the person was released from jail, CCSO Discharge Planner entered information reflecting the inmate's release and updated any information associated to their rearrest, if applicable. DLC entered information associated to their program success status and exit information onto the spreadsheet as it occurred. 2. Complete the Reinvestment Grant Performance Measure Data Table(Appendix B). Included with final documents. 3. Using the Performance Evaluation Methodology in Exhibit E. of the grant agreement, provide the actual percentage for the Performance Measures specified in Exhibit E. In addition, provide the actual numbers used in the Performance Evaluation Methodology to derive at the performance measure percentages. YEAR 1 ANNUAL TOTALS: E-1.1 The total arrests while enrolled (1), DIVIDED BY arrests one year prior to admission (72)shall be LESS THAN OR EQUAL TO 40%. 1172= 1% 11 (GAp� 16D1ia E-1.2 The total number of arrests among participants within 6 months of program discharge (13), DIVIDED BY the total number of arrests among participants 1 year prior to program admission (72) shall be LESS THAN OR EQUAL TO 50%. 13172= 18% E-1.3 The total number of program participants who are determined eligible for social security or other benefits that they are assisted in applying for(13), DIVIDED BY the total number program participants who were eligible for, but not receiving benefits at program admission (21)shall be GREATER THAN OR EQUAL TO 25%. 13/21 =62% E-1.4 The Total number of program participants who are diverted from a Statel Mental Health Treatment facility(0) DIVIDED BY the total number of program participants individuals screened for program eligibility who meet the criteria for a State Mental Health Treatment Facility(0) GREATER THAN OR EQUAL TO 50%. ZERO E-1.5 The total number of program participants who are successfully discharged from the program (34) DIVIDED BY the total number of program participants discharged (49)shall be GREATER THAN OR EQUAL TO 40%. 34/49=69% E-1.6 The total number of program participants receiving in-jail MAT who attend a community-based MAT appointment within 5 business days of release (32) DIVIDED BY the total number of participants receiving in-jail MAT who are released with a referral for community-based MAT appointment(33)shall be GREATER THAN OR EQUAL TO 65%. 32133=97% YEAR 2 ANNUAL TOTALS: E-1.1 The total arrests while enrolled (0), DIVIDED BY arrests one year prior to admission (90)shall be LESS THAN OR EQUAL TO 40%. 0190 = 0% E-1.2 The total number of arrests among participants within 6 months of program discharge (37), DIVIDED BY the total number of arrests among participants 1 year prior to program admission (90) shall be LESS THAN OR EQUAL TO 50%. 37190=41% E-1.3 The total number of program participants who are determined eligible for social security or other benefits that they are assisted in applying for(13), DIVIDED BY the total number program participants who were eligible for, but not receiving benefits at program admission (15)shall be GREATER THAN OR EQUAL TO 25%. 13115=87% E-1.4 The Total number of program participants who are diverted from a Statel Mental Health Treatment facility(0) DIVIDED BY the total number of program participants individuals screened for program eligibility who meet the criteria for a State Mental Health Treatment Facility(0) GREATER THAN OR EQUAL TO 50%.ZERO E-1.5 The total number of program participants who are successfully discharged from the program (51) DIVIDED BY the total number of program participants discharged (80)shall be GREATER THAN OR EQUAL TO 40%. 51/80=64% 12 (\CAO 16D18 E-1.6 The total number of program participants receiving in-jail MAT who attend a community-based MAT appointment within 5 business days of release (48) DIVIDED BY the total number of participants receiving in-jail MAT who are released with a referral for community-based MAT appointment(56)shall be GREATER THAN OR EQUAL TO 65%. 48156=86% YEAR 3 ANNUAL TOTALS: E-1.1 The total arrests while enrolled (2), DIVIDED BY arrests one year prior to admission (159) shall be LESS THAN OR EQUAL TO 40%. 21159= 1% E-1.2 The total number of arrests among participants within 6 months of program discharge (37), DIVIDED BY the total number of arrests among participants 1 year prior to program admission (90) shall be LESS THAN OR EQUAL TO 50%. 37190=41% E-1.3 The total number of program participants who are determined eligible for social security or other benefits that they are assisted in applying for(23), DIVIDED BY the total number program participants who were eligible for, but not receiving benefits at program admission (24)shall be GREATER THAN OR EQUAL TO 25%. 23124=96% E-1.4 The Total number of program participants who are diverted from a Statel Mental Health Treatment facility(0) DIVIDED BY the total number of program participants individuals screened for program eligibility who meet the criteria for a State Mental Health Treatment Facility(0) GREATER THAN OR EQUAL TO 50%.ZERO E-1.5 The total number of program participants who are successfully discharged from the program (106) DIVIDED BY the total number of program participants discharged (164)shall be GREATER THAN OR EQUAL TO 40%. 1061164=65% E-1.6 The total number of program participants receiving in-jail MAT who attend a community-based MAT appointment within 5 business days of release (76) DIVIDED BY the total number of participants receiving in-jail MAT who are released with a referral for community-based MAT appointment(95)shall be GREATER THAN OR EQUAL TO 65%. 76195=80% LIFETIME-TO-DATE TOTALS: E-1.1 The total arrests while enrolled (3), DIVIDED BY arrests one year prior to admission (321)shall be LESS THAN OR EQUAL TO 40%. 31321 = 1% E-1.2 The total number of arrests among participants within 6 months of program discharge (82), DIVIDED BY the total number of arrests among participants 1 year prior to program admission (321) shall be LESS THAN OR EQUAL TO 50%. 821321 =26% E-1.3 The total number of program participants who are determined eligible for social security or other benefits that they are assisted in applying for(49), DIVIDED BY the total number program participants who were eligible for, but not receiving benefits at program admission (60)shall be GREATER THAN 13 CAO 16D18 OR EQUAL TO 25%. 49160= 82% E-1.4 The Total number of program participants who are diverted from a Statel Mental Health Treatment facility(0) DIVIDED BY the total number of program participants individuals screened for program eligibility who meet the criteria for a State Mental Health Treatment Facility(0)GREATER THAN OR EQUAL TO 50%.ZERO E-1.5 The total number of program participants who are successfully discharged from the program (191) DIVIDED BY the total number of program participants discharged (293)shall be GREATER THAN OR EQUAL TO 40%. 1911293=65% E-1.6 The total number of program participants receiving in-jail MAT who attend a community-based MAT appointment within 5 business days of release (156) DIVIDED BY the total number of participants receiving in-jail MAT who are released with a referral for community-based MAT appointment(184) shall be GREATER THAN OR EQUAL TO 65%. 1561184=85% Section 4. Technical Assistance Explain what collaboration, if any,you have had with the Florida Mental Health Institute's Technical Assistance Center(TAC). In accordance with Exhibit C,Section B.v.,Technical Assistance Requirements,of the Grant Agreement, provide a summary and documentation, if applicable,demonstrating that the following requirements were met: 1. Primary contact information for the Grantee and each of its subcontracted or subgrant award partners was provided to the TAC within 10 business days after execution of the Grant Agreement; The primary grantees were identified as Collier County and Tami Baily. Subgrantees identified, Beverly Belli as primary contact for DLC and Monique Nagy for CCSO. 2. Participation in one annual county level technical assistance needs assessments conducted by the TAC and list the three priority areas that you identified in the in the survey. The annual county level technical assistance needs assessment conducted by the TAC was not done in this quarter. However,the three priority areas were identified on our survey submitted 10/28/21 as follows: 1. Best practices for the use of Medication--Assisted Treatment(MAT) 2. Discharge Planning(APIC model))and reentry programs 3. Data analysis and evaluation of grant impact 4. Other areas identified included the following: Sustainability planning.Target population needs assessments and gap analysis and Utilizing Ohio Risk Assessment System(ORAS) The PSCC Subcommittee updated the three priority areas and was submitted to the TAC on 8/30/22. Below are the three priority areas that we have identified: 1. Best Practices for the use of Medication--Assisted Treatment(MAT) 2. CJMHSA Planning Council Subcommittee Roles* 3. Grant Developing and Planning for Pursuing External Funding* 14 040 � 6D18 *Number 2 and number 3 were actually tied for the second priority. 3. Participation in one annual on-site technical assistance visit conducted by the TAC and submit a sign in-sheet for all participating individuals: During the lifetime of this grant, we have not had any on-site TAC. 4. Participation in quarterly program-wide conference calls scheduled by the TAC for all Grantees under the Criminal Justice, Mental Health, and Substance Abuse Reinvestment Grant Program. Submit a list of individuals who participated in the quarterly conference call; and The TAC dates are broken down by year below: Y1 3/23/22: CJMHSA TAC Quarterly Webinar on Certified Community Behavioral Health Clinics and the Sequential Intercept Model. DLC personnel that attended: Program Director, Supervisor, Case Manager and Peer specialist. CCSO personnel that attended: DLC Reintegration Manager and Director. 6/29/22:TAC Webinar that DLC Program Director, Case Manager and Peer Specialist attended.The Supervisor of the program was out of the office on vacation. 8/31/22:On August 31st, 2022,there was a CJMHSA TAC Quarterly Webinar on"Understanding&Working with Children in Florida's Juvenile Justice System"presented by USF.The following attending: Reintegration Manager(CCSO),the Discharge Planner(CCSO), Program Supervisor(DLC),Program Director(DLC), MAT CC(DLC), and MAT Peer Specialist(DLC). Y2: 12/13/24: CJMHSA TAC Quarterly Webinar on"CJMHSA TAG Quarterly Webinar: Coordination of Crisis Response Models:CIT,Co-Response and Integration with Community-based Crisis Services" presented by USF.The following attending: Reintegration Manager(CCSO),the Discharge Planner(CCSO), Program Supervisor(DLC) and Program Director(DLC) 4/11/23: CJMHSA TAC Quarterly Webinar on"CJMHSA TAC Quarterly Webinar:Addressing the Behavioral Health Workforce Shortage-Discussing to Explore Strategies and Solutions" presented by USF.The following attending: Program Supervisor(DLC)and Program Director(DLC) 9/13/23: CJMHSA TAC Quarterly Webinar on"Harm Reduction Housing Programs: Principles, Practices, and Programs" presented by USF.The following attended:Program Supervisor(DLC), Program Director (DLC), Reintegration Manager, Discharge Planner,Corrections Admin Assistant and Corrections Director Y3 1/31/24:TAG webinar on"Evidence-based Approaches to Criminal Justice System Improvements:A case study on Reentry"on 1/31/24.The MAT Care Coordinator was able to attend this. 6/5/24:TAC webinar on"Subject Matter Experts Showcase: Criminal Justice, Mental Health and Substance Abuse Technical Assistance Center,"The MAT Care Coordinator Supervisor and the Reintegration Manager were able to attend. 9/24/24:TAC webinar on"Subject Matter Experts Showcase Part II: Criminal Justice, Mental Health and Substance Abuse Technical Assistance Center."The Reintegration Supervisor was able to attend. 15 (CD 16D18 5. Provided program reports and summary service data as requested by the TAC. Yl:The Survey Submission form was submitted to TAG on 10/28/2021. Y2: No other reports were requested for Y2. Y3: On 10/13/23,TAC reached out for us to provide them information for their Annual Report Request.The following is what information they requested: • Client success stories • Stories of collaborations • Photos/visuals from grant partner meetings • Photos/visuals created that summarize referral processes • Major challenges with grant implementation Section 5. Sustainability Describe actions and/or steps taken that will lead to sustainability upon the completion of the grant funding. Our goal is to increase public safety;avert increased justice system spending;and increase access to effective, evidence-based community treatment services and resources for inmates who have a substance use disorder and/or mental health disorders.We hope to provide ongoing MAT treatment within the Collier County jail system to eliminate detox and withdrawal of those persons admitted into the program.This strategy can allow persons to continue their MAT protocol while in jail and ensure ongoing linkage to their MAT community provider upon release. We plan to teach overdose prevention and education and link with community resources to access benefits or employment and support their integration into the community. It is our mission to assist clients to receive the necessary treatment to enable them to acquire employment,benefits as eligible, and on-going medication management, if indicated. The Collier County MAT Team will continue to research and pursue other funding sources for sustaining and expanding the program upon the completion of the CJMHSA grant. Other actions could include funding requests presented to PSCC(Public Safety Coordinating Council)and The Board of County Commissioners, as well as applying for other grant programs,such as the Department of Justice,and COSSAP(Comprehensive Opioid, Stimulant, and Substance Abuse Program). Section 6. Additional Information 1. 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 disorder and include a discussion of the following: a) The impact of the grant-funded program on expenditures of the jail, juvenile detention center, and prison (e.g., decreased numbers,fiscal estimates); Providing the MAT Grant program at the Collier County Jail has reduced the amount of withdrawal protocols for those currently on MAT when arrested.This program frees up YesCare nursing staff and reduces medical costs associated with withdrawal protocols(including,having to go to the hospital for complications and tying up deputies at the hospital). Because these inmates would not be entering withdrawal protocol,they are going directly to general population instead of taking up room in the medical housing unit. In addition,the continuation of this medication in the jail helps the inmate continue 16 Cep 16D18 the path of recovery when they are released from our custody. Since we have expanded the target population this quarter,to include ANY inmate interested in receiving MAT while incarcerated we anticipate a decrease in recidivism. In addition,this will start the recovery process for the inmates that were induced while incarcerated. b) The impact of the grant-funded program on the reduction of forensic commitments to state mental health treatment hospitals or children's state hospitals/treatment centers (if population served includes juveniles); and We have not had any clients who have been deferred from the state hospital.This is because there have not been any participants eligible to be deferred.These results reflect our immediate access to treatment and by our Mental Health Treatment Court that serves many of our more persistent, mentally ill clients. c) The impact the grant-funded program has had on the number and type of individuals detained (detention and/or jail)and incarcerated (prison) (e.g., change in numbers detained, change in types of charges of detainees). When comparing the year prior to starting CJMHSA MAT Grant to the first Year of the grant,there was a 10%decrease in withdrawal protocols at the Collier County Jail. Between Y1 and Y2,there was an increase of 22% in withdrawal protocols due to an increase in jail intakes,over 1000 more inmates were booked into our jail. Between Y2 and Y3,there was an 18%decrease in withdrawal protocols.Although Y2 and Y3 had the same amount of jail intakes,there were more MAT participants on our program than in Y1 or Y2. 2. Describe the impact the grant-funded program has had on the availability and accessibility of effective community-based services. Community-based treatment and discharge planning services are made available to all our clients through the MAT program. Sliding fees and financial assistance via the grant makes it possible for early intervention in the jail and sustaining affordable treatment after release.When the CCJMAT case manager can intervene to build rapport prior to the participants release from custody there are higher success rates in linking with the 5-day follow up appointment.The case manager attempts to follow the client's case through Showcase Collier to help coordinate follow-up appointments. In recent cases the case manager has been able to coordinate follow-up appointments and transport the client to the appointment to ensure compliance.With the combination of starting MAT in the jail and advocacy from the case manager,the participants'success rates in integrating back into society have been higher.This has been a collaborative approach between DLC and YesCare staff. 3. Describe the impact that your local matching funds have had on meeting and furthering the goals and objectives of your CJMHSA Reinvestment grant program(level of additional services and capacity served as a result of local matching funds). We allocate matching funds to the grant. Basically,the match funds double the impact for services, and capacity of clients served.Match funds have also increased the staffing and the ability to provide MAT medications in the jail. Due to the additional staff,the program provides more comprehensive services while in jail avoiding the need for withdrawal protocols and providing the need for sustained community appointments 17 Section 7. Source Documentation Attach an appendix of the source documentation,documenting the tasks and associated activities performed during the report period described in Exhibit C,Section 1 Service Tasks and Performance Measures described in Exhibit E. Examples: • A copy of all legally binding agreements were included with each quarterly report • A copy of the electronic Quarterly Data Report were included with each quarterly report • Documentation of hire,training, and the credentials of staff were included with each source documentation submitted with each quarterly report. • Documentation of MAT staff to participant ratios for each quarter was reported with each quarterly report. • Copies of Public Safety Coordinating Council Meeting dates,agenda,minutes,sign-in sheets, and handouts has been provided in each source documentation were submitted with each quarterly report. • Quarterly Performance Measure Report and sufficient data tracking on the Quarterly Data Report has been submitted with each quarterly report. 18 16D18 APPENDIX A CRIMINAL JUSTICE, MENTAL HEALTH & SUBSTANCE ABUSE REINVESTMENT GRANT PLANNING COUNCIL LOCAL SUBSTANCE ABUSE TREATMENT PLEASE PRINT DIRECTOR Nancy Dauphinais STATE ATTORNEY OR DESIGNEE COMMUNITY MENTAL HEALTH AGENCY Amira Fox DIRECTOR Scott Burgess PUBLIC DEFENDER OR DESIGNEE Kathy A. Smith DCF-SUBSTANCE ABUSE PROGRAM OFFICE REPRESENATIVE CIRCUIT COURT JUDGE Chief Judge Michael T. McHugh PRIMARY CONSUMER OF MENTAL HEALTH ,SERVICES COUNTY COURT JUDGE Judge Rob Crown PRIMARY CONSUMER OF SUBSTANCE ABUSE POLICE CHIEF OR DESIGNEE SERVICES PRIMARY CONSUMER OF COMMUNITY-BASED SHERIFF OR DESIGNEE TREATMENT FAMILY MEMBER Sheriff Kevin Rambosk STATE PROBATION CIRCUIT ADMINISTRATOR AREA HOMELESS PROGRAM REPRENSTATIVE Brad Rouskey DJJ-DIRECTOR OF DENTENTION FACILITY LOCAL COURT ADMINISTRATOR COUNTY COMMISSION CHAIR DJJ—CHIEF OF PROBATION OFFICER Commissioner Rick LoCastro COUNTY DIRECTOR OF PROBATION Jeff Nichols 19 CA0 16D18 REPORT 2024 12.31 2021-2024 Implementation Expansion Quarterly CJMHSA Financial Rpt 11.27.24 CRIMINAL JUSTICE MENTAL HEALTH AND SUBSTANCE ABUSE REINVESTMENT GRANT PROGRAM Grantee's Name Collier County Board Grant Agreement# LH823 County Commissionersrs County Collier Grant Agreement Begin Date 10/1/2021 End Date 9/30/2024 Grantee's Grant Manager Kristi Sonntag Title and Agency Director,Community and Human Services Grantee's Lead Agency Community and Human Services Report Prepared By Maria Martinez Murphy Report Date 11/2212024 Report Period:From 101112024 To: 1213112024 Total CJMHSA Approved Budget' CJMHSA Expense Category Grant Award In-Kind Match Cash Match Total Match Total GRANTEE EXPENSES Salaries: $59,046.49 $0.00 $7,344.08 $7,344.08 $66,390.57 Fringe Benefits: $12,150.76 $0.00 $1,517.60 $1,517.60 $13,668.36 Equipment: $0.00 $0.00 $0.00 $0.00 $0.00 Program Evaluation: $0.00 $0.00 $0.00 $0.00 $0.00 Supplies: $142.67 $0.00 $0.00 $0.00 $142.67 Rent/Utilities: $0.00 $0.00 $0.00 $0.00 $0.00 Other Expenses: $19,913.48 $0.00 $1,438.47 $1,438.47 $21,351.95 Administrative: $0.00 $0.00 $0.00 $0.00 $0.00 SUBTOTAL GRANTEE $91,253.40 $0.00 $10,300.15 $10,300.15 $101,553.55 SUBGRANTEE EXPENSES Consultant Fees: $430,622.99 $0.00 $1,172,927.87 $1,172,927.87 $1,603,550.86 Fringe Benefits: $0.00 $16,771.98 $16,771.98 $16,771.98 Equipment: $950.00 $0.00 $0.00 $0.00 $950.00 Program Evaluation: $12,500.00 $0.00 $0.00 $0.00 $12,500.00 Supplies: $0.00 $0.00 $0.00 $0.00 $0.00 Rent/Utilities: $0.00 $0.00 $0.00 $0.00 $0.00 Other Expenses: $664,673.61 $0.00 $0.00 $0.00 $664,673.61 Administrative: $0.00 $0.00 $0.00 $0.00 $0.00 SUBTOTAL SUBGRANTEE $1,108,746.60 $0.00 $1,189,699.85 $1,189,699.85 $2,298,446.45 TOTAL ALL COSTS $1,200,000.00 $0.00 $1,200,000.00 $1,200,000.00 $2,400,000.00 MATCH% 100.0% TOTAL ADMINISTRATIVE COSTS GRANTEE'S ADMINISTRATIVE% 0.0% SUBGRANTEE'S ADMINISTRATIVE% 0.0% Page 1 of 8 3 Approved Budget 1 6D18 REPORT 2024 12.31 2021-2024 Implementation Expansion Quarterly CJMHSA Financial Rpt 11.27.24 CRIMINAL JUSTICE MENTAL HEALTH AND SUBSTANCE ABUSE REINVESTMENT GRANT PROGRAM Grantee's Name Collier co Board of County Grant Agreement# LH823 Commissioners County Collier Grant Agreement Begin Date 10/1/2021 End Date 9/30/2024 Grantee's Grant Manager Kristi Sonntag Title and Agency Director,Community and Human Services Grantee's Lead Agency Community and Human Services Report Prepared By Maria Martinez Murphy Report Date 11/22/2024 Report Period:From 101112024 To: 1213112024 CJMHSA Expenses This Period 2 CJMHSA Expense Category Grant Award In-Kind Match Cash Match Total Match Total GRANTEE EXPENSES Salaries: $0.00 $0.00 $1,617.92 $1,617.92 $1,617.92 Fringe Benefits: $0.00 $0.00 $373.55 $373.55 $373.55 Equipment: $0.00 $0.00 $0.00 $0.00 $0.00 Program Evaluation: $0.00 $0.00 $0.00 $0.00 $0.00 Supplies: $0.00 $0.00 $0.00 $0.00 $0.00 Rent/Utilities: $0.00 $0.00 $0.00 $0.00 $0.00 Other Expenses: $0.00 $0.00 $0.00 $0.00 $0.00 Administrative: $0.00 $0.00 $0.00 $0.00 $0.00 SUBTOTAL GRANTEE $0.00 $0.00 $1,991.47 $1,991.47 $1,991.47 SUBGRANTEE EXPENSES Consultant Fees: -$17,833.80 $0.00 $0.00 $0.00 -$17,833.80 Fringe Benefits: $0.00 $0.00 $0.00 $0.00 $0.00 Equipment: $0.00 $0.00 $0.00 $0.00 $0.00 Program Evaluation: $350.00 $0.00 $0.00 $0.00 $350.00 Supplies: $0.00 $0.00 $0.00 $0.00 $0.00 Rent/Utilities: $0.00 $0.00 $0.00 $0.00 $0.00 Other Expenses: $40,044.72 $0.00 $0.00 $0.00 $40,044.72 Administrative: $0.00 $0.00 $0.00 $0.00 $0.00 SUBTOTAL SUBGRANTEE $22,560.92 $0.00 $0.00 $0.00 $22,560.92 TOTAL ALL COSTS $22,560.92 $0.00 $1,991.47 $1,991.47 $24,552.39 MATCH% 8.8% TOTAL ADMINISTRATIVE COSTS GRANTEE'S ADMINISTRATIVE% 0.0% SUBGRANTEE'S ADMINISTRATIVE% 0.0% Page 2 of 8 4 Expenses This Period 16D18 REPORT 2024 12.31 2021-2024 Implementation Expansion Quarterly CJMHSA Financial Rpt 11.27.24 CRIMINAL JUSTICE MENTAL HEALTH AND SUBSTANCE ABUSE REINVESTMENT GRANT PROGRAM Grantee's Name Collier County Board Grant Agreement# LH823 County Commissioners County Collier Grant Agreement Begin Date 10/1/2021 End Date 9/30/2024 Grantee's Grant Manager Kristi Sonntag Title and Agency Director,Community and Human Services Grantee's Lead Agency Community and Human Services Report Prepared By Maria Martinez Murphy Report Date 11/22/2024 Report Period:From 101112024 To: 1213112024 CJMHSA Expenses Prior Period 3 CJMHSA Expense Category Grant Award In-Kind Match Cash Match Total Match Total GRANTEE EXPENSES Salaries: $35,046.46 $0.00 $7,344.06 $7,344.06 $42,390.52 Fringe Benefits: $7,250.78 $0.00 $1,517.59 $1,517.59 $8,768.37 Equipment: $0.00 $0.00 $0.00 $0.00 $0.00 Program Evaluation: $0.00 $0.00 $0.00 $0.00 $0.00 Supplies: $238.83 $0.00 $0.00 $0.00 $238.83 Rent/Utilities: $0.00 $0.00 $0.00 $0.00 $0.00 Other Expenses: $15,985.08 $0.00 $0.00 $0.00 $15,985.08 Administrative: $0.00 $0.00 $0.00 $0.00 $0.00 SUBTOTAL GRANTEE' $58,521.15 $0.00 $8,861.65 $8,861.65 $67,382.80 SUBGRANTEE EXPENSES Consultant Fees: $446,456.79 $0.00 $1,201,420.73 $1,201,420.73 $1,647,877.52 Fringe Benefits: $0.00 $0.00 $16,427.71 $16,427.71 $16,427.71 Equipment: $950.00 $0.00 $0.00 $0.00 $950.00 Program Evaluation: $6,650.00 $0.00 $0.00 $0.00 $6,650.00 Supplies: $0.00 $0.00 $0.00 $0.00 $0.00 Rent/Utilities: $0.00 $0.00 $0.00 $0.00 $0.00 Other Expenses: $539,711.52 $0.00 $0.00 $0.00 $539,711.52 Administrative: $0.00 $0.00 $0.00 $0.00 $0.00 SUBTOTAL SUBGRANTEE $993,768.31 $0.00 $1,217,848.44 $1,217,848.44 $2,211,616.75 TOTAL ALL COSTS $1,052,289.46 $0.00 $1,226,710.09 $1,226,710.09 $2,278,999.55 MATCH% 116.6% TOTAL ADMINISTRATIVE COSTS GRANTEE'S ADMINISTRATIVE% 0.00% SUBGRANTEE'S ADMINISTRATIVE% 0.0% Page 3 of 8 5 Expenses Prior Period(s) 16D18 REPORT 2024 12.31 2021-2024 Implementation Expansion Quarterly CJMHSA Financial Rpt 11.27.24 CRIMINAL JUSTICE MENTAL HEALTH AND SUBSTANCE ABUSE REINVESTMENT GRANT PROGRAM Grantee's Name Collier County Board of Grant Agreement# LH823 County Commissioners County Collier Grant Agreement Begin Date 10/1/2021 End Date 9/30/2024 Grantee's Grant Manager Kristi Sonntag Title and Agency Director,Community and Human Services Grantee's Lead Agency Community and Human Services Report Prepared By Maria Martinez Murphy Report Date 11/22/2024 Report Period:From 10/112024 To: 12/3112024 CJMHSA Total Expenses to Date CJMHSA Expense Category Grant Award In-Kind Match Cash Match Total Match Total GRANTEE EXPENSES Salaries: $35,046.46 $0.00 $8,961.98 $8,961.98 $44,008.44 Fringe Benefits: $7,250.78 $0.00 $1,891.14 $1,891.14 $9,141.92 Equipment: $0.00 $0.00 $0.00 $0.00 $0.00 Program Evaluation: $0.00 $0.00 $0.00 $0.00 $0.00 Supplies: $238.83 $0.00 $0.00 $0.00 $238.83 Rent/Utilities: $0.00 $0.00 $0.00 $0.00 $0.00 Other Expenses: $15,985.08 $0.00 $0.00 $0.00 $15,985.08 Administrative: $0.00 $0.00 $0.00 $0.00 $0.00 SUBTOTAL GRANTEE' $58,521.15 $0.00 $10,853.12 $10,853.12 $69,374.27 SUBGRANTEE EXPENSES Consultant Fees: $428,622.99 $0.00 $1,201,420.73 $1,201,420.73 $1,630,043.72 Fringe Benefits: $0.00 $0.00 $16,427.71 $16,427.71 $16,427.71 Equipment: $950.00 $0.00 $0.00 $0.00 $950.00 Program Evaluation: $7,000.00 $0.00 $0.00 $0.00 $7,000.00 Supplies: $0.00 $0.00 $0.00 $0.00 $0.00 RentlUtilities: $0.00 $0.00 $0.00 $0.00 $0.00 Other Expenses: $579,756.24 $0.00 $0.00 $0.00 $579,756.24 Administrative: $0.00 $0.00 $0.00 $0.00 $0.00 SUBTOTAL SUBGRANTEE $1,016,329.23 $0.00 $1,217,848.44 $1,217,848.44 $2,234,177.67 TOTAL ALL COSTS $1,074,850.38 $0.00 $1,228,701.56 $1,228,701.56 $2,303,551.94 MATCH% 114.3% TOTAL ADMINISTRATIVE COSTS GRANTEE'S ADMINISTRATIVE% 0.00% SUBGRANTEE'S ADMINISTRATIVE% 0.0% Page 4 of 8 6 Total Expenses to Date 16DI8 REPORT 2024 12.31 2021-2024 Implementation Expansion Quarterly CJMHSA Financial Rpt 11.27.24 CRIMINAL JUSTICE MENTAL HEALTH AND SUBSTANCE ABUSE REINVESTMENT GRANT PROGRAM Grantee's Name Collier County Board of Grant Agreement# LH823 County Commissioners County Collier Grant Agreement Begin Date 10/1/2021 End Date 9/30/2024 Grantee's Grant Manager Kristi Sonntag Title and Agency Director,Community and Human Services Grantee's Lead Agency Community and Human Services Report Prepared By Maria Martinez Murphy Report Date 11/22/2024 Report Period:From 101112024 To: 12131/2024 CJMHSA Available Fund Balance CJMHSA Expense Category I Grant Award In-Kind Match Cash Match Total Match Total GRANTEE EXPENSES Salaries: $24,000.03 $0.00 -$1,617.90 -$1,617.90 $22,382.13 Fringe Benefits: $4,899.98 $0.00 -$373.54 -$373.54 $4,526.44 Equipment: $0.00 $0.00 $0.00 $0.00 $0.00 Program Evaluation: $0.00 $0.00 $0.00 $0.00 $0.00 Supplies: -$96.16 $0.00 $0.00 $0.00 -$96.16 Rent/Utilities: $0.00 $0.00 $0.00 $0.00 $0.00 Other Expenses: $3,928.40 $0.00 $1,438.47 $1,438.47 $5,366.87 Administrative: $0.00 $0.00 $0.00 $0.00 $0.00 SUBTOTAL GRANTEE! $32,732.25 $0.00 -$552.97 -$552.97 $32,179.28 SUBGRANTEE EXPENSES Consultant Fees: $2,000.00 $0.00 -$28,492.86 -$28,492.86 -$26,492.86 Fringe Benefits: $0.00 $0.00 $344.27 $344.27 $344.27 Equipment: $0.00 $0.00 $0.00 $0.00 $0.00 Program Evaluation: $5,500.00 $0.00 $0.00 $0.00 $5,500.00 Supplies: $0.00 $0.00 $0.00 $0.00 $0.00 Rent/Utilities: $0.00 $0.00 $0.00 $0.00 $0.00 Other Expenses: $84,917.37 $0.00 $0.00 $0.00 $84,917.37 Administrative: $0.00 $0.00 $0.00 $0.00 $0.00 SUBTOTAL SUBGRANTEE $92,417.37 $0.00 -$28,148.59 -$28,148.59 $64,268.78 TOTAL ALL COSTS $125,149.62 $0.00 -$28,701.56 -$28,701.56 $96,448.06 MATCH% -22.9% TOTAL ADMINISTRATIVE COSTS GRANTEE'S ADMINISTRATIVE% 0.0% SUBGRANTEE'S ADMINISTRATIVE% 0.0% Page 5 of 8 7 Available Balance 16D REPORT 2024 12.31 2021-2024 Implementation Expansion Quarterly CJMHSA Financial Rpt 11.27.24 r CRIMINAL JUSTICE MENTAL HEALTH AND SUBSTANCE ABUSE REINVESTMENT GRANT PROGRAM Grantee's Name (oilier County board of Grant Agreement# LH823 County Commissioners County Collier Grant Agreement Begin Date 10/1/2021 End Date 9/30/2024 Grantee's Grant Manager Kristi Sonntag Title and Agency Director,Community and Human Services Grantee's Lead Agency Community and Human Services Report Prepared By Maria Martinez Murphy Report Date 11/22/2024 Report Period:From 10/112024 To: 1213112024 CJMHSA Projected Additional Expenses CJMHSA Expense Category Grant Award In-Kind Match Cash Match Total Match Total GRANTEE EXPENSES Salaries: $0.00 $0.00 $0.00 $0.00 $0.00 Fringe Benefits: $0.00 $0.00 $0.00 $0.00 $0.00 Equipment: $0.00 $0.00 $0.00 $0.00 $0.00 Program Evaluation: $0.00 $0.00 $0.00 $0.00 $0.00 Supplies: $0.00 $0.00 $0.00 $0.00 $0.00 Rent/Utilities: $0.00 $0.00 $0.00 $0.00 $0.00 Other Expenses: $0.00 $0.00 $0.00 $0.00 $0.00 Administrative: $0.00 $0.00 $0.00 $0.00 $0.00 SUBTOTAL GRANTEE' $0.001 $0.001 $0.001 $0.001 $0.00 SUBGRANTEE EXPENSES Consultant Fees: $0.00 $0.00 $0.00 $0.00 $0.00 Fringe Benefits: $0.00 $0.00 $0.00 $0.00 $0.00 Equipment: $0.00 $0.00 $0.00 $0.00 $0.00 Program Evaluation: $0.00 $0.00 $0.00 $0.00 $0.00 Supplies: $0.00 $0.00 $0.00 $0.00 $0.00 Rent/Utilities: $0.00 $0.00 $0.00 $0.00 $0.00 Other Expenses: $0.00 $0.00 $0.00 $0.00 $0.00 Administrative: $0.00 $0.00 $0.00 $0.00 $0.00 SUBTOTAL SUBGRANTEE $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL ALL COSTS $0.00 $0.00 $0.00 $0.00 $0.00 MATCH% #DIV/01 TOTAL ADMINISTRATIVE COSTS GRANTEE'S ADMINISTRATIVE% #DIV/0! SUBGRANTEE'S ADMINISTRATIVE% #DIV/0! Page 6 of 8 8 Projected Additional Expenses 16D18 County Collier Grant LH823 Agreement# Report Date 11/22/2024 From 10/1/2021 To 9/30/2024 CJMHSA Cash Match Summary Cash Match % Required Cash Match Reported (dollar Cash Match per RFA amount) Achieved Qtr 1 $271.12 Program Year 1 Qtr 2 $130,204.08 5% Qtr 3 $8,403.96 Qtr 4 $162,555.03 Total $301,434.19 25.12% Cash Match % Required Cash Match Reported (dollar Cash Match per RFA amount) Achieved Qtr 1 $16,147.24 Program Year 2 Qtr 2 $229,457.97 10% Qtr 3 $0.00 Qtr 4 $142,122.39 Total $387,727.60 32.31% Cash Match % Required Cash Match Reported (dollar Cash Match per RFA amount) Achieved Qtr 1 $100,711.80 Program Year 3 Qtr 2 $158,370.59 15% Qtr 3 $278,465.91 Qtr 4 $1,991.47 Total $539,539.77 44.96% 7 of 8 9 Cash Match Summary 16D18 REPORT 2024 12.31 2021-2024 Implementation Expansion Quarterly CJMHSA Financial Rpt 11,27,24 I,Amy Patterson,hereby certify the above to be accurate and in agreement with the records on file and with the terms and conditions of the Grant Agreement fo a Criminal Justi , ental Health and Substance Abuse Reinvestment Grant awarded to Collier County. Signed: Print Name:Amy Patterson,County Manager,Collier County Date: 12! 2. I jD 24 Page 8 of 8 2 Certification