AGENDA ITEM FOR ADMINISTRATIVE MEETING ( ) Discussion only ( X ) Action FROM (DEPT/ DIVISION): County Counsel

Transcription

1 AGENDA ITEM FOR ADMINISTRATIVE MEETING ( ) Discussion only ( X ) Action FROM (DEPT/ DIVISION): County Counsel SUBJECT: Drug Treatment Services Background: The county issued a request for proposals for to provide drug treatment services at the jail. One proposal was received, from Community Counseling Solutions. The recommendation is to award the contract. Requested Action: Award contract to provide drug treatment services, including assessments, care coordination and referral services, to Community Counseling Solutions for the amount of $125,556 ATTACHMENTS: Proposal Date: (February 5, 2018) Submitted By: Douglas R. Olsen ************For Internal Use Only************ Checkoffs: ( ) Dept. Heard (copy) To be notified of Meeting: ( ) Budget (copy) Dale Primmer, Stewart Harp ( ) Fiscal ( X ) Legal (copy) Needed at Meeting: ( ) (Other - List:) ******************************************************* Scheduled for meeting on: February 7, 2018 Action taken: Follow-up: *******************************************************

2 COMMUNITY COUNSELING SOLUTIONS RESPONSE TO PROPOSAL FOR SUBSTANCE ABUSE AND MENTAL HEALTH EVALUATIONS IN UMATILLA COUNTY SUMMARY Community Counseling Solutions {CCS) proposes to hire a full time (1.0 FTE) Qualified Mental Health Specialist (QMHP) who is also certified as a Certified Alcohol and Drug Counselor {CADC) to provide mental health and alcohol/drug assessments, care coordination and referral services to individuals currently incarcerated at the Umatilla County Jail. Combined with an offender risk assessment, our assessments and care coordination from within the jail are intended to better match individual needs with risk and to-streamline connection between the-offender and necessary community based supports (ongoing A&D/MH treatment, housing, education, employment, financial assistance, insurance, etc). We hope to close the gap in time between jail release and the offender engaging in those supports. Intended outcomes will include timely MH/ A&D offender assessments, timely engagement and improved engagement rates with community based supports, improvement in employment of offenders, improved public safety, increased offender accountability and ultimately a reduction in recidivism. PROGRAM PHILOSOPHY CCS has had extensive experience and success in working across multiple counties with varied community partners. We've worked closely with our county jails and local law enforcement agencies in providing evidence-based jail diversion services and jail reach-in services as requested. We have a local Sheriff on our Board of Directors. We have fully executed a Crisis Intervention Training (CIT) with local law enforcement and will soon be delivering a second one. While CCS has strong relationships with many community partners in Umatilla County, CCS also recognizes the challenges in providing services in a county in which we aren't the primary behavioral health provider. It will be our intention to recruit and give preference to local candidates when hiring. It will be a core tenet of that employee, their supervisor and CCS leadership to further build and enhance the relationships with Umatilla County community partnens, specifically local law enforcement, treatment providers and other partners that will he!~ meet the needs of the released offender. Most importantly, CCS commits to utilizing evidencebased approaches in developing this program. Offender treatment literature is clear in that utilizing evidence-based practices is corollary to better outcomes. CCS will utilize the eight Principles for Effective Interventions to help guide the process. 1. Assess actuarial risk/needs-ccs will work closely with Umatilla County corrections to incorporate their risk assessment of the offender into the A&D/MH assessments. Targeted intervention strategies based on those assessments are vital. 2. Enhance intrinsic motivation-the QMHP will receive extensive training and supervision in Motivational Interviewing (MI) and said techniques. CCS embraces a mutual and inclusive perspective in working with all patients, including offenders. We also have dedicated time and financial resources specifically targeting the training of our staff in MI. 3. Target interventions-treatment, referral, care-coordination and supervision will be targeted towards high risk offenders with criminogenic needs, based on risk assessment. We will assess

3 for and be sensitive in responding to individual cultural, learning style and temperament needs and approaches. 4. Skill train with directed practice-we will utilize evidence based approaches including Ml, the use of ASAM and cognitive behavioral therapy (CBT) techniques. Training will be provided in dealing with anti-social thinking. Role modeling will occur and be a recommendation to ongoing, community based treatment providers. 5. Increase positive reinforcement-in working with the offender in jail, positive reinforcement will be a priority, not to exclude swift consequences for the offender when applicable. Positive reinforcement will be a recommendation focus and if needed a suggested training focus with ongoing outpatient treatment providers. 6. Encourage ongoing support in natural communities-engaging natural supports of the offender (family and others) will be a focus of care coordination and referral. When applicable, 12-step programs and religious engagement will be encouraged. 7. Measure relevant process/practices-ccs prides itself in being outcomes based focus. We commit to documenting services and-outcomes in any Umatilla County Jail platforms, as well as- our own electronic health record, Credible, in which we already measure a significant amount of outcome metrics. We commit to adding any new metric so desired to be measured. We also commit to regular employee monitoring regarding performance, through monthly individual and group supervision as well as comprehensive annual reviews. 8. Provide measurement feedback-ccs embraces strong quality assurance (QA) of our programs and outcomes. Both will be monitored and when applicable, changes will be made to our programming. Further programming guidance and monitoring will be filtered through the Correctional Program Checklist (CPC) which monitors five areas: program leadership/development, staff characteristics, offender assessment, treatment characteristics and quality assurance. CCS commits to participation in the CPC at the direction of Umatilla County. We welcome feedback and opportunity for improvement. Internally, we conduct regular QA processes across many domains both clinical and administrative. We survey employees annually for feedback and we utilize a comprehensive strategic plan to help guide better services for the people and communities we serve. SPECIFIC SERVICES PROVIDED 1. Entity qualifying as a QMHP-CCS will employ a full time 1.0 QMHP. CCS will ensure they meet QMHP status per Oregon Administrative Rule minimum requirements. They will receive ongoing supervision. 2. Employee certified and trained as a CADC-CCS will ensure the QMHP is also certified as a CADC. They will receive ongoing A&D specific supervision. 3. Clinical supervision of that employee-ccs believes strongly in regular clinical supervision. The employee will receive a minimum of one hour per month individual supervision (two individual hours every other month) as well as four hours of group supervision every other month. This will be fully documented in their personnel file. We have a QA policy to ensure this occurs. We regularly train our supervisors in quality supervision and theory as well. 4. Certified and able to perform mental health evaluations-ccs will recruit for a clinician experienced in mental health evaluations. If an inexperienced QMHP is hired, CCS will provide comprehensive training on mental health evaluations and diagnosing. Furthermore, the comprehensive assessment will evaluate the offenders needs in the areas of education, health/medical status, employment, insurance, family and social supports, housing and finances,

4 and provide care coordination and referral services to ensure necessary linkages are made prerelease. 5. Work in partnership with Sheriff's Office Program Specialists in determining level of care needs. and finding proper treatment placements-ccs is committed working with the Sheriffs Office in determining offender risk, level of care for treatment, and involving them in referral and carecoordination needs of the offender. It would be our hope the Sheriffs Office staff would allow the QMHP to join regular (weekly or monthly) meetings to enhance partnerships and offender care. 6. Perform ASAM's and mental health evaluations for those in custody with special attention to the 1145 population-any CADC will have had training and experience in ASAM based assessments. CCS utilizes an integrated assessment where both the mental health and A&D needs (including ASAM) are assessed simultaneously. Referrals and care-coordination will align with any levels of care so determined in the assessment. Priority and attention will be given to the 1145 offender population per the direction-of Umatilla County. 7. Aid in the coordination of community based service delivery and post release case planning-as referenced earlier, CCS intends to spend significant time enhancing and building community partnerships. CCS recognizes this as vital to strong post-release delivery of ~ervices. This will be a core tenet and duty of not only the QMHP but their supervisor and CCS leadership. 8. Trained and able to deliver group services in the event the Jail Service Specialist is unavailable Any quality QMHP not only knows how to assess but how to provide therapy as well, whether that's brief intervention, individual psychotherapy or group counseling. CCS will recruit for a clinician experienced in providing group theraey If an inexperienced QMHP is hired, CCS will provide comprehensive training and supervision in providing group therapy. Providing interim/occasional group therapy will allow the QMHP to build rapport with offenders as well. CCS also agrees to submit timely and quality quarterly reports as directed by Umatilla County. QUALIFICATIONS OF CCS TO PROVIDE TREATMENT SERVICES CCS has provided outpatient addictions and mental health services in Morrow, Wheeler, Gilliam and Grant Counties for a decade or longer, depending upon the county. CCS has worked closely with our local law enforcement, corrections, jails and CCS has provided jail diversion services that have successfully reduced the recidivism rates for our high risk offenders. CCS has one of the lowest per capita hospitalization rates in the state. This is due in part to our close partnerships and proactive interventions that are delivered on site and at the time services are needed. CCS recognizes the need to provide a continuum of care to those we serve. As such, CCS has developed Assertive Community Treatment (ACT), Supported Employment (SE), Early Assessment and Support Alliance (EASA) programs, youth mentoring programs, youth wraparound, school based counseling, school health centers, Crisis Intervention Training (CIT), crisis respite beds, prevention programs, problem gambling treatment, and offender specific programs including anger management, sex offender counseling and domestic violence intervention options. Additional CCS programs: Lakeview Heights: A Secure Residential Treatment Facility (SRTF) providing secure residential treatment services, including equine therapy, to individuals with a severe and persistent mental illness. Juniper Ridge Acute Care Center: A 24/7 inpatient psychiatric facility providing acute care services to individuals who are dangerous to self/others.

5 Rental Assistance Program: Provides rental assistance to individuals in all Eastern Oregon counties with a mental illness in need of housing. Assistance includes cash payment, moving, wraparound funding and case management services. David Romprey Oregon Warmline: A no cost support phone line operating 100+ hours/week available to individuals who are experiencing life issues. The Warmline is staffed by peers with lived life experiences using Intentional Peer Support, an evidence based practice. Oregon Senior Peer Outreach Program: A weekly outreach service provided by seniors to seniors in Eastern Oregon who are isolated and/or lonely. Foster Grandparent/Senior Companion Program: Federally funded through the National Corporation for Community Services, these programs provide low income seniors with opportunities to work with shut in seniors or chilaren in elementar{ schools in needofmdividualize-d-assistance withreaillrig or writing skill development.

6 DRUG TREATMENT SERVICES BUDGET March 1, 2018 through June 30th, 2019 REVENUE Justice Reinvestment Funds TOTAL REVENUE $125,556 $125,556 EXPENSE Personnel Costs QMHP/CADC 1.0 FTE Clinical Supervisor.OS FTE 37% Total Personnel Costs Admin of personnel Materials and Services Mileage Training Supplies and Books Cell Phone lodging and Meals Total Materials and Services Capital Outlay Laptop PrinterSca nner /Copier Total Capital Outlay TOTAL EXPENSE $76,000 $4,670 $26,600 $107,270 $12,872 $1,684 $650 $400 $1,040 $650 $4,424 $900 $90 $990 $125,556 BUDGET NOTES *CCS range for QMHP is $43,000 - $62,000 (year). Since we are also requiring a CADC, we put this at the 75th percentile of the scale lf the negotiated salary is higher than budget, CCS is hopeful that the budget could be revisited *Admin includes: advertising, EMR, proportionate costs of audit, HR support, IT support, etc. *Mileage reflectslo miles in town/week, one trip to Heppner/month, and one trip to Salem for training *CCS reimburses for ceh phone use at $65/month *lodging and meals reflects four nights of overnight lodging and perdiem for attendance at training(s}