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Agenda 09/28/2010 Item #16D 6 Agenda Item No. 16D6 September 28, 2010 Page 1 of 22 EXECUTIVE SUMMARY Recommendation to approve the submission of an application for a Criminal Justice, Mental Health & Substance Abuse Reinvestment Implementation Grant in an amount up to $750,000 for three years from the Florida Department of Children and Families, anthorize the Chairman to sign the application and attached assurances and match forms. OBJECTIVE: To approve and authorize the Chairman to sign an application and assurances for a Criminal Justice, Mental Health & Substance Abuse Reinvestment Implementation Grant in an amount up to $750,000 for three years from the Florida Department of Children and Families. CONSIDERATIONS: The Criminal Justice, Mental Health, and Substance Abuse Reinvestment Grant Program was created within the Department of Children and Families by the 2007 Legislature (Section 394-658, Florida Statutes). The purpose of the program is to provide funding to counties to plan, implement, or expand initiatives that increase public safety, avert increased spending on criminal and juvenile justice, and improve the accessibilitY and effectiveness of treatment services for adults and juveniles who have a mental illness, substance abuse disorder, or co-occurring mental health and substance abuse disorders and who are in, or at risk of entering, the criminal or juvenile justice systems. The funding is only available to Florida county governments. In order to be eligible to receive a grant under this solicitation, an applicant must have a county planning councilor committee that is in compliance with the membership requirements set forth under Section 951.26, Florida Statutes. The Collier County Criminal Justice, Mental Health & Substance Abuse Planning Council (CJMHSAPC) was formally approved by the Public Safety Coordinating Council in February 2010 to act in this capacity, and is in compliance with the statutory membership requirements. The Planning Cowlcil has completed strategic planning activities, identified gaps in the local system, and recommended the current proposed program as a priority for the grant funding. If awarded funding under the grant, the Collier County Housing, Human & Veteran's Services (HHVS) Department will contract with three primary partners. The partnership represents an inter agency effort of the Collier County Sheriffs Office (CCSO), and its contracted health care provider, Prison Health Services (PHS); David Lawrence Center, the local comprehensive behavioral health care provider; and National Alliance on Mental Illness of Collier County (NAMI). As in kind match to the project, Florida Gulf Coast University (FGCU) will join the team by assigning interns from its Community Health undergraduate program to FIRST and by assisting with an evaluation of the project. CCSO and PHS will provide screening, assessment, and referral of inmates to the FIRST program. DLC will provide a case manager, a master's level mental health therapist, data entry and clinical supervision. NAMI of Collier County will employ two half time Florida Certified Peer Specialists to provide support, information, and assistance with access to community resources. The team will ensure participants are linked to various support systems in the community including affordable housing and employment. Agenda item No. 16D6 September 28, 2010 Page 2 of 22 If awarded, the grant agreement and sub-recipient agreements will be brought to the Board of County Commissioners for approval and signature. As Fiscal Entity for the grant, Collier County will be responsible for ensuring compliance with the programmatic and financial reporting requirements of the Department of Children and Families and will be required to assume a level of monitoring responsibility to ensure the sub recipients are in compliance with all grant requirements. FISCAL IMPACT: The grant application is for up to $750,000; with up to $250,000 over each of three years. The matching funds are comprised of a combination of cash match and in-kind match all provided by the partners. The 10% cash match is voluntarily being provided by the partners to potentially increase the points that are awarded to the grant. The balance of the 100% match is considered in-kind and will be provided by various Planning Council partners. Commitment of Match forms are required for each partner. No general funds will be used for this project. The grant will be added to the Grant Management System. Collier County will serve as the fiscal entity for the administration of this project. Administrative expenses of up to 10% of the award will be included in the application resulting in no further fiscal impact. GROWTH MANAGEMENT IMPACT: There is no growth management impact due to this request. LEGAL CONSIDERATIONS: The Board will have the opportunity to accept or reject the funds if the grant is approved. Accordingly, this Office has no issue with respect to the legal sufficiency of this request, which is appropriate for Board action. - JBW RECOMMENDATION: That the Board of County Commissioners approve submittal of an application for the Criminal Justice, Mental Health & Substance Abuse Implementation Grant for an amount up to $750,000 and authorize the Chairman to sign the application and assurances and match forms. Prepared by: Marcy Krumbine, Director, Housing, Human and Veteran Services Agenda Item No. 16D6 September 28, 2010 Page 3 of 22 COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS Item Number: Item Summary: 16D6 Recommendation to approve the submission of an application for a Criminal Justice, Mental Health & Substance Abuse Reinvestment Implementation Grant in an amount up to $750,000 from the Florida Department of Children & Families, authorize the Chairman to sign the application and attached assurances. Meeting Date: 912812010 9:00:00 AM Prepared By Marcy Krumbine Director - Housing & Human Services Date Public Services Division Human Services 9/14/201012:55:17 PM Approved By Marcy Krumbine Director - Housing & Human Services Date Public ServJces Division Human Services 9/14/20102:07 PM Approved By Joshua Thomas Grants Support Specialist Date Administrative Services Division Administrative Services Division 9/14/20103:52 PM Approved By Kathy Carpenter Executive Secretary Date Public Services Public Services Admin. 9/16120104:47 PM Approved By Jennifer White Assistant County Attorney Date County Attorney County Attorney 9/17/20103:12 PM Approved By Jeff Klatzkow County Attorney Date 9/17120103:26 PM Approved By OMS Coordinator Date County Manager's Office Office of Management & Budget 9/17/20103:33 PM Approved By Marla Ramsey Administrator - Public Services Date Public Services Division Public Services Division 9/21/20102:18 PM Approved By Sherry Pryor Management! Budget Analyst, Senior Date Office of Management & Agenda Item No. 16D6 September 28, 2010 Page 4 of 22 Budget Office of Management & Budget 9/21/20102:22 PM Approved By Michael Sheffield Assistant to the County Manager Date County Managers Office 9/21/20103:35 PM Agenda Item No. 16D6 September 28, 2010 Page 5 of 22 Project Narrative Statement ofthe Problem Located in Southwest Florida, Collier County is the largest in the state with 2,025 square miles, larger than the states of Delaware and Rhode Island. The county's population estimate in as 332,715, most of which is concentrated along the GulfCoastJ. Bus transportation is limited within the metropolitan area and even more so in the outlying areas. The county population typically swells by an additional 90,000 during the winter months, during which time rental housing is sparse and not affordably priced. Collier County has long been an attractive place to retire and therefore the population is slightly older than the country on average. Collier County's median age is 43.2 years, while the United States median age is only 36.6 years. Even though Collier County is an attractive retirement destination, nearly 76% of its total population is actually younger than 65. Overall descriptions of the county data can paint a picture that does not accurately depict the area's disparities. A sharp contrast in population characteristics exists between the city of Naples, on the Gulf Coast, and Immokalee, a largely migrant farm worker community located inland. With only 5.5% of residents below poverty level, Nap]es is often cited as having more millionaires per capita than most other places in the United States. In Immokalee, 38.5% of residents are at or below the poverty level. Naples I Immokalee I Collier I Florida US Race/ethnicity White, non 90,8% 6.3% 73.8% 61.3% 66.4% Hispanic Hispanic 2.2% 71% ]9% 20.2% 14.8% Black 4.6% 18% 4.5% 15% 12.8% Median Al!e 60.7 24.7 43 38.7 36.7 Median Income $78,370 $29,030 $58,519 $40,900 $44,334 Below Poverty 5.3% 38.5% 9.6% 11.9 12.7 Table 2: 2007 population demographics, Collier County Florida. Source: US Census Bureau and City- Stats.com The overall Collier County jail population has steadily decreased over the past few years, from approximately 1100 to 900, while the percentage of female inmates increased from 15% in 2007 to 20% in 2009. Approximately 78% of the jail population is pre-sentenced, indicating potential benefit of implementing post arrest, pre-trial or pre-sentencing release programs. The cost of housing a mentally ill inmate is roughly double that of the general population due to longer stays, heightened supervision requirements, and medical/psychiatric costs. According to a 2009 national study, nearly 15% of men and 31 % of women in jails have serious mental illnesses. One explanation is that people with mental illnesses have high rates of co- occurring substance abuse disorders and may be more likely to be arrested for drug -related crimes.2 The national statistics hold true in Collier County with over 13% of the total jail J Florida Bureau of Economic and Business Research, 2008 , Steadman, H. J., Osher, F. C, Robbins, P. C, Case, S., & Samuels, S. (2009). Prevatence of Serious Mental Illness among Jail Inmates. Psychiatric Services 60: 761-765. Page] of I Agenda Item No. 16D6 September 28, 2010 Page 6 of 22 population and an estimated 30% percent of the females receiving treatment for a serious mental illness. Only about half of those estimated to have a mental illness in the jail are currently receiving psychotropic medications (7%). According to Prison Health Services, many do not receive any psychotropic medications for a period after incarceration in order to provide staff with a more accurate representation of symptoms unenhanced by substances or medications to help determine true diagnoses. In addition, the jail formulary for psychotropic medications may not allow for the newer more effective treatments. Both of these factors likely contribute to deterioration of people's mental illness symptoms while injail, creating problems with court appearances, discharge plans and successful, timely transitions to the community. Inadequate transition planning causes people with mental illnesses and co-occurring disorders who enter jail in a state of crisis to return to the streets still in crisis. People with serious mental illnesses, many of whom have a history of trauma, poor community support systems, and experience chronic unemployment, have specific needs that, if unaddressed, lead to re-arrest and multiple community-wide problems. They soon end up in emergency rooms, back in jail, or in psychiatric inpatient or detox units-all with major fmancial costs for the community. Compounding the problem, many people with mental illnesses also have no health insurance and cannot or do not access community mental health services. In Collier County, more than 28% of the population are uninsured, the highest percentage in the state of Florida. The percentage of uninsured in the Immokalee zip code is a staggering 44.6%.3 Over 70% of those incarcerated in the Collier County jail do not have any type of insurance at the time of their arrest, and female inmates comprise the majority of the incarcerated who are uninsured. The Florida Department of Children & Families (DCF) Mental Health Program uses population data from the Office of Economic and Demographic Research to determine prevalence ratios for adults with Severe and Persistent Mental Illnesses (SPMI). The SPMI ratio is 3.3% for adults aged 18 through 54 and 0.08% for adults 55 and older. Therefore, the number of adults with SPMI in Collier County is estimated at approximately 5,300. In 2009/2010, the agencies contracted by the state to provide substance abuse and mental health services this population provided care to only about 25% of those in necd. Providing intensive supports is necessary to ensure that the priority population of people with mental illnesses who have had contact with the criminal justice system actually access the care they need to live successfully in the community. Project Design and Implementation Collier County will implement jail and community-based transitional supports for adults with serious mental illnesses and co-occuning substance abuse disorders through the Furensic Intensive Reintegration Support Tcam (FIRST). FIRST will help program participants successfully integrate into society following a period of incarceration. The Collier County Housing, Human & Veteran's Services (HHVS) Department will contract with three primary partners to create the team. The partncrship represents an inter agency effort of the Collier County Sheriff's Office (CCSO), and its contracted health care provider, Prison Health Services (PHS); David Lawrence Center, the local comprehensive behavioral health care provider; and National Alliance on Mental Illness of Collier County (NAMI). Florida Gulf Coast University (FGCU) will join the team by assigning interns from its Community Health undergraduate ) Florida Health Insurance Study, August. 2005. Page 20f2 Agenda Item No. 16D6 September 28, 2010 Page 7 of 22 program to FIRST and by assisting with an evaluation of the project. Table I depicts each of the FIRST partners' roles. A2ency Position (FTE) Primarv Functions Collier County Sheriff's Discharge Planner (1.0) Screen, referral, APIC, team Office/Prison Health Services meetings, LSIR risk assessment David Lawrence Center Resource Coordinator (1.0) SOAR; psychiatric, primary care, and housing coordination; Counselor (.5) Group, family counseling Grant Analyst (.15) Prol!:ram Coordination/Evaluation NAMI Certified Peer Specialist (1.0) Peer/recovery supports, WRAP, supported housing, supported employment, SOAR Florida Gulf Coast University Community Health Interns Personal care, socialization, leisure (.60) and vocational skills Pro Table 1. Forensic Intensive Reintegration SUP~f!rt Team (FIRST) composition. Goals . Treatment retention . Reduce days in jail . Decrease in substance use · Attainment of permanent, stable housing . Improved social connectedness . Reduction in crime/recidivism · Demonstrate program effectiveness Objectives . Complete mental health, substance abuse and risk assessments for 80% of participants by the end week one of their admission to the program. · Complete a Wellness, Action Recovery Plan (WRAP) by end of week three of admission. · Maintain a client/FIRST ratio of maximum of I: 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. · Complete process evaluation annually and outcome evaluation at project completion. Evidence-Based Practices and Best Practices 1) Transition Planning. FIRST will use the APIC (Assess, Plan, Identity, and Coordinate) model, a best practice approach to community re- entry for inmates with co-occurring disorders4, as the basis for transition planning from jail to the community. Following the model, the FIRST will assess the person's clinical and social needs, and public safety risks; plan for the treatment and services required to address the person's needs; identifY required programs responsible for post-release services; and coordinate the transition plan to ensure implementation and avoid gaps m care. 4 Osher, F., Steadman, H., & Barr, H. (2002). A Best Practice Approach to Community Reentry from Jails for Inmates with Co-occuring Disorders: The APIC Model: Delmar, NY: The National GAINS Center. Page 3 on 2) Supported Housing. Housing First evidence-based practice, Florida Guidelines for Supportive Housing, and SAMHSA Supported Housing Toolkits5 will direct the FIRST efforts to provide supported housing services for program participants. Overriding principles include flexible, individualized recovery support services; community integration through affordable, scattered site housing; choice of housing based on individual needs and preferences; functional separation of housing and support services; and peer supports. Agenda Item No. 16D6 September 28,2010 Page 8 of 22 3) Forensic Intensive Case Management. The FIRST follows an intensive case management model. The ICM model, individuals receive supports of an interdisciplinary, community-based team with an optimal participant to staff ratio of I: 15 or fewer. 4) Supported Employment. FIRST will follow the SAMHSA evidence based Supported Employment Toolkits to guide efforts to help participants choose, get, and keep competitive employment. 5) Disability. SOAR, (SSI/SSDI Outreach, Assessment and Recovery) is a best practice model aimed at facilitating attainment of disability benefits for people with serious mental illnesses. FIRST will employ SOAR practices for eligible participants. 6) Peer Support. Peer supports are considcred a best practice and an essential component of recovery programs for adults with serious mental illnesses. A Florida Certified Peer Specialist will provide recovery supports incl uding linkage to support groups and the Sarah Ann Drop In Center. 7) Cognitive Behavior Therapy for Co-occurring Disorders & Trauma Informed Treatment. The FIRST therapist will provide or refer participants to individualized, specialized group or individual counseling to meet the diverse and complex needs including counseling for co-occurring substance abuse and mental health problems. and past history oftrauma. Program participants. The target population for FIRST includes adults, age] 8 and over, with co-occurring disorders who are charged with a non-violent offense and who have a prior arrest history. Participants may be pre-or post-trial and either in jail at the time of admission, or at risk of incarceration. Participants must have a severe mental illness that meets the priority population as defined by the State of Florida, and may also have a co-occurring substance use history. The program capacity is 45 at any given time, with an expected average length of stay of six to twelve months. The projected number served by the progran1 over 36 months is 200 individuals. Responsibilities and Resources to SUpp0I1 DelivelJl ofSen'ices. Most of the functions of FIRST may be completed by any member of the team. These include individual supportive counseling, psycho-education, advocacy, obtaining/maintaining housing, coordinating medical and psychiatric treatment, responding to crises, and facilitating recovery. Partners' primary functions for FIRST are described below. The David Lawrence Center (DLC) will provide a master's level mental health therapist and clinical supervision for integrated mental health and substance abuse counseling services for FIRST. OLC will facilitate psychiatric appointments for participants within one day of discharge from the jail. OLC will bill Medicaid, Medicare, and the state contract for community-based treatment costs when possible, ensuring that the grant funds are used as a last resort. NAMI afCollier County will employ two halftime Florida Certified Peer Specialists to provide support, information, and assistance with access to community resources. The Peer Specialists Pagc 4 of4 Agenda Item No. 16D6 September 28, 2010 Page 9 of 22 will be trained in SOAR, (SSI/SSDI Outreach, Access and Recovery) a specialized means of facilitating attainment of disability benefits for eligible participants. The Peer Specialists will ensure participants are linked to various support systems in the community including affordable housing and employment, the Sarah Ann Drop In Center, and twelve-step groups. Prison Health Services (PHS) will provide screening, assessment, and referral of inmates to the Transitions program. PHS will take the lead in assertive and focused discharge planning through use of the APIC model along with NAMI, DLC, program participants and individualized ancillary recovery supports including faith-based agencies, housing providers, support groups, vocational rehabilitation and su~ported employment. Participants will also complete a Wellness Recovery Action Plan (WRAP) , which, along with the APlC information and an integrated treatment plan, will guide FIRST activities and help facilitate access to an array of individualized community services and supports. Ancillary Social Services: A number of social service agencies will also provide support for participants. These include but are not limited to: St. Matthews House; Salvation Army; Hunger & Homeless Coalition; Collier Housing, Human & Veteran Services; Vocational Rehabilitation; Collier Housing Authority (rent and utilities assistance); and faith- based supports and food pantries. Capability and Experience The key project partners have a proven history of collaboratively developing and managing criminal justice diversion programs in Collier County. These include an adult mental health court in operation since 2007, adult felony drug court, active since 1999, and Crisis Intervention Team (CIT) training. CIT, spearheaded by NAMI, is a central component of diversion activity in Collier County. The goal is to train 100% of all law enforcement, including state and county probation officers. Approximately 85%, or over 600 individuals, have received the training to date. Data for the mental health and drug courts is depicted in Table 2. Specialty Capacity Total Graduates Success Race Gender Age Court Served Rate Range (no re-arresO Adult Felony 45 119 56 Grad 46% 93.2%W 32%F 18-24 53 Drug Court Term 24% 6.8% B 68%M 25-44 44 44-60 3 Adult 40 100 44 Grad 98% 79%W 55%M 18-24 27 Mental Term data 11%8 45%F 25-44 40 Health Court unavailable IO%H 44-60+ 30 Table 2, Collier County Specialty Court Statistics. The Advisory Council will facilitate improved coordination of the current diversion programs and provide direction for future development and sustainability. Council member input is essential to ensure the programs are meeting the needs and expectations at both the policy- making and service delivery levels. The Council completed a System Mapping exercise, facilitated by the Florida Mental Health Institute's (FMHI) Technical Assistance Center in July, 2010, using the Sequential Intercept Model (Figure 1). The resulting Collier County Sequential Page 5 of5 Agenda Item No. 16D6 September 28,2010 Page 10 of 22 Intercept Map guided the creation of the local Criminal Justice, Mental Health & Substance Abuse Strategic Plan (Attachment X). 'nU~t-""_p1- -, L'-~"" ....,nlo.c,-,c"<,,,' ....-n.-~_pt a l...:<""..<......p. '" ,.......... acte.n.on I '.0....., .. ,.....",., 'n.Ul!od court ne....lngs 'nterc..p1-4- ."'.......n.ry ',..,......r<;;,..<>'-5 U""'''.'''''Y '.""'-"L'\,,,-,,,," Iflt.. J ".=,-~.....j....... 8. J ~ ';'; Ji "Ii t ] I Zl ~ ~8 '" lJ~ !! ~ ~ Figure 1. Sequential Intercept Model. :httn://2ainscenter.samhsa.2ov/text/intee-ratedfSeouentiaI Intercents The CJMHSA Planning Council will continue to use the Sequential Intercept Model as a .. conceptual framework to organize targeted strategies for justice-involved individuals with serious mental illness. Planning efforts will also continue use of the Collaboration Assessment Tool (CAT) semi annually to depict strengths and weakness and to chart a course for improving collaboration between mental health and criminal justice partners. In addition, monthly meetings ofthe Council will provide a venue for information-sharing and agency cross-training focused on areas identified by the CAT. The David Lawrence Center (DLC) provides a wide range of mental health and substance abuse services including supportive housing, supported employment, outpatient counseling, psychiatric care, crisis stabilization, detoxification, and substance abuse residential care. In addition, DLC operates 24 HUD Section 811 units and provides homeless services for people with mental illnesses through the Projects for Assistance in Transition fTom Homelessness (PATH). A Comprehensive, Continuous Integrated Systems of Care (CCISC) process6 provides coordination between mental health and substance abuse services at DLC to ensure people with co-occurring disorders are treated for both problems across all services to discourage someone 'falling through the cracks' in the system. FIRST participants will have access to all the above services and will have priority for admission in ease of any waiting lists. Collier County Housing, Human & Veteran Services (HHVS) will be responsible for grant project coordination including communications with DCF and submission of all required reports. HHS currently successfully administers a number of federal and state grants including HUD Community Development Block Grant, HOME, State Housing Initiative Pm1nership, and Disaster Recovery Initiative; Department of Justice - Safe Havens Visitation Program, and Florida Department of Elder Affairs. HHVS, in partnership with the David Lawrence Center, was awarded a Federal Bureau of Justice Assistance Drug Court Enhancement grant. The HHS Director and HSS Accounting Supervisor/Project Coordinator, each have a Master's in Public Administration, and together have over 27 years in grants administration. The department has been successful in utilizing federal and state grants to build safe, livable and healthy communities and to meet the local mandates for human services in Collier County. 6 Minkhoff & Cline, 2004. Comprehensive, Continuous Integrated System of Care (CCISIC). Page 6 of6 . .\ ... .. Proiect Governance and Oversil!:ht ...... . . . .. Team Member . Roles and Resrionsibilitie~ Collier County Provide grant management and administrative functions including semi Housing, Human & annual reports, and sub contract management and oversight. Facilitate Veteran Services Team access to the Enhancement funds according to set policy and by (HHVS) individual written plans. Participate in Planning Council meetings. Sherifrs Office (CCSO) CCSO will co-chair monthly meetings, provide grant and contract Jail Commander (.05) management, oversee project implementation, participate in cross Grant Coordinator (.10) training, provide IT for data collection, and facilitate FIRST participant meetings at the jail. David Lawrence Center DLC will co-chair monthly meetings and document Council activities, (OLe) supervise FIRST clinical staff and treatment planning, facilitate access CEO (.05) to housing and long-term treatment services, coordinate a data Supervisor (.30) collection plan, conduct a program evaluation, ensure fidelity to Clinical Supervisor (.10) evidence-based model s, provide IT technical assistance, and compile Program Evaluation (.15) the final strategic plan and M OU documents. NAMI NAMI will ensure consumer and family representation on the Council, Executive Director (.15) supervise Peer Specialists, facilitate FIRST participant's access to Peer Specialists (1.0) recovery supports, coordinate CIT/cross training, provide data for Advocates (.20) program evaluation. Peer Specialists will be trained as Florida Certified Peer Specialists. Prison Health Services Prison Health Services will provide in jail screening, assessment and (PHS) referrals to FIRST, supervise the Discharge Planner and provide data Discharge Planner (1.0) for program evaluation. Supervisor (.15) The Supervisor is a Licensed Mental Health Counselor. The Discharge Planner will have a BA level education and experience with the .. population. Florida Gulf Coast FGCU will provide cohorts of 3 groups of BA Community Health University (FGCU) (.75) program student pairs, each for one year internship commitment. Interns will provide living skills coaching. The EdD Assistant Professor will assist with Program Evaluation Florida Mental Health FMHl will provide technical assistance for developing/improving data Institute (FMHI) collection and information sharing protocols and training on best I practices. State Probation, State's Attend monthly meetings, provide plan input, explore/develop early Attorney, Public release options for pretrial or presentenced jail inmates with mental Defenders, Court illnesses. Administration MH/Drug Court Judges Advocate as 'champions" for diversion programs, provide plan input. Faith-based Providers Attend meetings, provide recovery supports, provide planning input. Agenda Item No. 16D6 September 28, 2010 Page 11 of22 Table 2. Collier County CJMHSA Project Oversigbt Evaluation and Sustainability Page 7 of7 Agenda Item No. 16D6 September 28, 2010 Page 12 of 22 The David Lawrence Center's Program Development Specialist will conduct an evaluation of the project. The evaluator will complete a full evaluation plan, with input of the Advisory Council, within the first six months of the grant. The process evaluation will use both qualitative and quantitative measures to assess the effectiveness of the project operations and its ability to meet its goals and objectives as stated in the Proposed Approach section above. Process measures include gathering baseline data on collaboration and outcome measures and program implementation activities. The evaluator will conduct interviews with Advisory Council members, Transitions Team members and program participants. Sample process measures include: >- Completion of transition (APIC) and plans for participants >- Disability applications completed >- Employment services received >- Fidelity to evidence-based practices The outcome evaluation will use Sheriff s Office data to track recidivism 0 f participants at six months and one-year post completion. The evaluation will also gather recidivism information on a comparison group comprised of program dropouts and arrestees with similar characteristics who opted out of the program. Other outcome evaluation measures include: >- Proportion employed >- Rates of substance abuse relapse >- Admissions to psychiatric crisis unit >- Proportion determined eligible for disability benefits The Advisory Council will use the information from the process and outcome evaluations to guide adjustments to the interagency collaboration structure and the Transitions program. Data Collection. The David Lawrence Center has fully implemented an electronic medical record within which all FIRST participant clinical data will be entered. The OLC therapist will enter program data and compile data submissions as needed for grant reporting to the HHVS Grant Coordinator. Quarterly performance measures and semi-annual progress reports will be completed by the Advisory Council and submitted to DCF by the HHVS Grant Coordinator. Sustainability. The Strategic Plan will be revised by the end of the first year of the grant to include a five-year funding and sustainability plan for all of the ClUTent and proposed local diversion programs. The use of evidence-based practices and an evaluation with evidence of effectiveness will each impart marketability of the program to funders and secure support from stakeholders. Many of the services provided by the team can be billed to other funding sources including Medicaid. In addition, the project partners have prioritized local funding for justice and mental health collaboration/diversion programs for many years, and have done so with little state or federal assistance, demonstrating a likelihood of continuing to do so in the future. Page 8 of8 Collier County Criminal Justice, Mental Health and Substance Abuse Reinvestment Grant Budget Agenda Item No. 16D6 September 28,2010 Page 13 of 22 Budget Worksheet Budaet Worksheet Summarv: One Year Budoet Detail (all three vears will be the same) Fundina Cateaory I Grant Funds Reouested Matchlnl'l Funds and Other In Kind Contributions I Amount Amount Source of Funds Collier County Housina, Human & Veteran Services Salaries: $0.00 $0.00 Administration (10%): $24,000.00 $0.00 Eauiament: $0.00 $0.00 ravel: $0.00 $0.00 Contractual: $137,508.00 $248,149.00 Local agencies Supplies: $0.00 $0.00 Rent/utilities: $0.00 $0.00 Other Expenses: Enhancements $80,000.00 $0.00 Housina, medication, transnortation, etc otals: $241,508.00 $248,149.00 3-year Total: $724,524.00 $744,447.00 otal Project Cost: $489,657.00 Matching Percentage: 103% I Breakdown of Contractual Funding Category I Grant Funds Requested I Matching Funds and Other In Kind Contributions Contract 1: David Lawrence Center Salaries: 1 Case Manaoer 1.0 FTE $31,900.00 $0.00 2 MA Counselor 0.50 FTE $16,500.00 $0.00 3 Forensic Suoervisar (.3) $0.00 $12,300.00 DLC 4 Clinical Suoervision (.1) $0.00 $7,200.00 DLC 5\ Proiect CoordlEval L15\ $6,500.00 $3,250.00 DLC Frinae Benefits@24.71 % 1) Case Manaoer $7,636.00 $0.00 2\ MA Counselor $4,077.00 $0.00 3 Forensic Sunervisor $0.00 $3,039.00 DLC 4 Clinical Sunervision $0.00 $1,779.00 DLC 5 Pro"ect Coord/Evaluation $0.00 $2,409.00 DLC Equipment Vehicle $0.00 $12,000.00 DLC Comnuters 12\ $0.00 $2,000.00 DLC Travel: Local travel 2 nositions $1,253.00 $0.00 Supplies: Cell nhones 2 , aeneral office $0.00 $1,440.00 DLC Rent/Utilities: $0.00 $28,224.00 DLC Other; Cash $0.00 $10,000.00 DLC DLC Subtotal $67,866.00 $83,641.00 Funding Category Grant Funds Requested Matchina Funds and Other In Kind Contributions Contract 2: CCSO Salaries: 1) Discharoe Planner {1.m $30,000.00 $0.00 2\ D/C Plan Suoervisor .15\ $0.00 $9,000.00 CCSO Page 1 of 2 Collier County Criminal Justice, Mental Health and Substance Abuse Reinvestment Grant Budget Agenda Item No. 16D6 September 28,2010 Page 14 of 22 3) Grant CoordlMtQs (.05) $0.00 $2,684.00 CCSO Fringe Benefits @26.04 1) Discharae Planner $7,812.00 $0.00 2) ole Plan SUDervisor $0.00 $2,345.00 CCSO 3\ Grant CoordlMtos (.051 $0.00 $1,234.00 CCSO Equipment (computer) $0.00 $1,000.00 CCSO ITravel: n/a $0.00 $0.00 Supplies: $0.00 $540.00 CCSO RenUUtilities: $0.00 $29,376.00 CCSO Other: Cash $0.00 $10,000.00 CCSO Overtime elT Trainino $28,000.00 CCSO CCSO SubTotal $37,812.00 $84,179.00 Fundina Cateaory Grant Funds Requested Matching Funds and Other In Kind Contributions Contract 3: NAMI Salaries 1 Peer Counselor 2 @ .50) $28,000.00 $0.00 2 NAMI Director 10.10) $0.00 $7,500.00 NAMI 3 Grant Coordl MtQ (2@ .10 $0.00 $6,000.00 NAMI Fringe Benefits @ 9.95 % 1 Peer Counselors $2,786.00 $0.00 2 NAMI Director $0.00 $746.00 NAMI 3 Grant Coordl MtQ (0.20) $0.00 $597.00 NAMI Equipment $0.00 $0.00 Travel Local Travel $1,04400 $0.00 Supplies $0.00 $400.00 NAMI RenUUtllities $0.00 $20,736.00 NAMI Other: Cash $0.00 $2,500.00 NAMI NAMI Subtotal $31,830.00 $38,479.00 Fundino Category Grant Funds Requested Matching Funds and Other In Kind Contributions Contract 4: Florida Gulf Coast University Salaries (11 EdD Coordinator 10.151 $0.00 $11,700.00 FGCU 12\ Volunteerllnterns 1.60) $0.00 $16,800.00 FGCU Frinae Benefits @.30 1) EdD Coordinator $0.00 $3,510.00 FGCU 2) Volunteer/Interns $0.00 $5.040.00 FGCU Travel Volunteer Interns: 6 $0.00 $4,800.00 FGCU FGCU Subtotal $0.00 $41,850.00 ~~I~l!IlmIIlI~~; To". ~. ~13li5Oll l/iM;ll!l9lOQ, Page 2 of 2 <DON O~N ,,&J;::>- '0 .en .'>- Q) EQ>Ol Q>.o '" == ED.. ",$ -0 Q. CQ> 1j,(J) <( Agenda Item No. 16D6 September 28, 2010 Page 16 of 22 Appendix F STATEMENT OF MANDATORY ASSURANCES Infrastructure: The applicant shall possess equipment and Internet access Initial necessary to participate fully in this solicitation, Site Visits: The applicant will cooperate fully with the Department in Initial coordinating site visits, if desired by the Department. Non-discrimination: The applicant agrees that no person will, on the basis of race, color, national origin, creed or religion be excluded from participation in, be refused the benefits of, or be otherwise subjected to discrimination pursuant to the Act governing these funds Initial or any project, program, activity or sub-grant supported by the requirements of, (a) Title VI of the Civil Rights Act of 1964 which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended which prohibits discrimination the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended which prohibits discrimination in employment or any program or activity that receives or benefits from federal financial assistance on the basis of handicaps; (d) Age Discrimination Act 1975, as amended which prohibits discrimination on the basis of age, (e) Equal Employment Opportunity Program (EEOP) must meets the requirements of 28 CFR42.301. Lobbvinl!; The applicant is prohibited by Title 31, USC, Section 1352, entitled "Limitation on use of appropriated funds to influence certain Initial Federal contracting and financial transactions," from using Federal funds for lobbying the Executive or Legislative Branches of the federal government in connection with a specific grant or cooperative agreement. Section 1352 also requires that each person who requests or receives a Federal grant or cooperative agreement must disclose lobbying undertaken with non-Federal funds if grants and/or cooperative agreements exceed $100,000 in total costs (45 CFR Part 93). Drue-Free WorkPlace Reauirements: The applicant agrees that it will, or Initial will continue to, provide a drug-free workplace in accordance with 45 CFR Part 76. 31 r- ,~. Agenda Item No. 16D6 September 28,2010 Page 17 of 22 Smoke-Free Worlcolace Reauirements: Public Law 103-227, Part C- Environmental Tobacco Smoke, also known as the Pro-Children Act of 1994 (Act), requires that smoking not be pennitted in any portion Initial of any indoor facility owned or leased or contracted for by an entity and used routinely or regularly for the provision of health, day care, education, or library projects to children under the age of 18, if the projects are funded by Federal programs either directly or through State or local governments, by Federal grant, contract, loan, or loan guarantee. The law does not apply to children's projects provided in private residences, facilities funded solely by Medicare or Medicaid funds, and portions of facilities used for inpatient drug or alcohol treatment. Failure to comply with the provisions of the law may result in the imposition ofa civil monetary penalty of up to $1,000 per day and/or the imposition of an administrative compliance order on the responsible entitv, Comllliance and Performance: The applicant understands that grant funds in Yeatll 2 and 3 for Implementation Grnnts are contingent upon compliance with the requirements of this grant program and Initial demonstration of performance towards meeting the grant goals and objectives, as well as availabilitv of funds, Certification ofNon-sullnlantin2: The applicant certifies that funds awarded under this solicitation will not be used for programs Initial currently being paid for by other funds or programs where the funding has been committed. Submission of Data: The applicant agrees to provide data and other information requested by the Criminal Justice, Mental Health, and Substance Abuse Technical Assistance Center at the Florida Mental Initial Health Institute to enable the Center to perform the statutory duties established in the authorizing legislation. Submission ofReoorts: The applicant agrees to submit semi-annual progress reports and an annual fiscal report, signed by the County Administrator, to the Department. Initial By signing and submitting this agreement, the Applicant certifies that it will comply with all the above requirements. Applicant Signature Date 32 Ar I!llllo form & legal SU.fflClency ~~ Assls ant Counly Attorney Agenda Item No. 16D6 September 28, 2010 Page 18 of 22 Criminal Justice, Mental Health and Substance Abuse Reinvestment Grant Cover Page For Implementation Grant i'IH"'()~ \I 1'\1 Olnl \ 110'\ Contact Name: D artment: Address Line 1: Address Line 2: ( I IU II \ 1'\ t, ()J 1 I( 1 \ I Certifying Official's Signature Certifying Official's Name rintcd : Title: Dale: Approved liS to form & legal SUfficiency ~~\.:)~ Ass ant County Attorney 34 Agenda Item No. 16D6 September 28, 2010 Page 19 of 22 Appendix E COMMITMENT OF MATCH/DONATION FORMS TO:(name of County) FROM: Donor Name ADDRESS: Collier County Florida Gulf Coast University The following _ space, _ equipment, _ goods/supplies, and/or _ services, is/are donated to the County _ permanently (title passes to the County) _ temporarily, for the period to (title is retained by the donor) (I) Corooratii:m USE Description and Basis for Valuation (See next page) !The above donati~~(s) is not ;~ently i~clud.;da~~ cost (either di;~ct or matching) of any state or federal contract or grant, nor has it/they been previously purchased from or used as match for any state or federal contract. (Donor Sij?;nature) (DateL ___~County Designee Signature) (Date) ~ .. -~-~-----~_. ----------- The grant Review Committee will review the valuation of the donated item(s) and has, in the space provided, indicated the valuation amount acceptable to the department for use in meeting a match i requirement for the Criminal Justice, Mental Health and Substance Abuse Reinvestment Grant program. I I Dona.ted items. a re subject to disallowance. should they be found to be a current or previous cost or 1l1":t.c.hing ite~~_of a state or federal grant or contract. _ _ . _ .... 28 Agenda Item No. 16D6 September 28, 2010 Page 20 of 22 Appendix E COMMITMENT OF MATCH/DONATION FORMS r-=----.--~-.-----.------ ---.-- .--.---. ! TO:(nameofCounty) Collier County FROM: Donor Name Collier County Sheriff's Office I ADDRESS: The following _ space, _ equipment, _ goods/supplies, and/or _ services, is/are donated to the County _ permanently (title passes to the County) _ temporarily, for the period to (title is retained by the donor) (I) Corporation USE Description and Basis for Valuation (See next page) (2) $ (3) $ (4) $ $ TOTAL VALUE I The above donationes) is not currently included as a cost (either direct or matching) of any state or federal contract or grant, nor has it/they been previously purchased from or used as match for ,any state or federal contract. I I . [(Donor SIgnature) _____.(DattQ (County_Designee Signature) (Date) -- .......--.--. --_..._--~._--- I'The !,'rant Review Co~itlee ~;)I r~vle~the val~atlOn ~(the donated i(em(~) and has, in the space l provIded, indicated the valuation amount acceptable to the department for use m meeting a match ,requirement for the Crimmal Justice, Mental Health and Substance Abuse Remvestment Grant program. J' Donated items are subject to disallowance should they be found to be a current or previous cost or l m,atching item of a state orfederalb~.ant or cO!'tracl. ___ _ _ _ _ _ 28 Agenda Item No. 16D6 September 28, 2010 Page 21 of 22 Appendix E COMMITMENT OF MATCH/DONATION FORMS TO:(name of County) FROM: Donor Name ADDRESS: Collier County David Lawrence Center ~J The following _ space, _ equipment, _ goods/supplies, and/or _ services, is/are donated to the County _ permanently (title passes to the County) _ temporarily, for the period to (title is retained by the donor) (I) Corporation USE Description and Basis for Valnation (See next page) (2) $ (3) $ (4) $ TOTAL VALUE $ r-----~...~~- I- The above donationes) is not currently included as a cost (either direct or matching) of any state or federal contract or grant, nor has it/they been previously purchased from or used as match for any state or federal contract. (Donor Signature) (Date) .~~_..~ (CountyDesignee Si!cillature) (Date) I The g.ant Review Committee ';"ill r;;view the ~~luation of the d~nat~.d ite~(s) a~d has, in the space I provided, indicated the valuation amount acceptable to the department for use in meeting a match I requirement for the Criminal Justice, Mental Health and Substance Abuse Reinvestment Grant program. Donated items are subject to disallowance should they be found to be a current or previous cost or l matching item of a s.tate o~federa-'-(;fy.nt or contr~."t___~____._________ 28 '~'-'_~-,"-,.,--~____.,._.". .. ....., -.-,. ~"'_~"~"""_~___,"U""_"_"_ Agenda Item No. 16D6 September 28,2010 Page 22 of 22 Appendix E COMMITMENT OF MATCHIDONATION FORMS I' TO:(name of County) FROM: Donor Name . ADDRESS: I Collier County National Alliance on Mental Illness of I COl1~~ The following _ space, _ equipment, _ goods/supplies, and/or _ services, is/are donated to the County _ permanently (title passes to the County) _ temporarily, for the period to (title is retained by the donor) (I) Corporation USE Description and Basis for Valuation (See next page) !The ab~ve don~tio~~) is n~t-~~:rrentJy inclU(.I~d~~~-~~~t (either direct o;~~t~hhJg) of ~-y-~t-ate lor federal contract or grant, nor has it/they been previously purchased from or used as match for any state or federal contract. (Donor Sign~tllre) (Date) ----------- (County Desig-"=e Signature) (Oat=! ,'C_ _m ,The grant Review Committee will review the valuation of the donated item(s) and has, in the space I provided, indicated the valuation amount acceptable to the department for use in meeting a match requirement for the Criminal Justice, Mental Health and Substance Abuse Reinvestment Grant program. Donated items are subject to disallowance should they be found to be a current or previous cost or . matching item of a state or federal ~'fant or contract. L_______ "_n_______________..._ .':-,.._______.-....______..___.._ 28