2019 annual report - thurston county annual … · 17/06/2020 · the treatment sales tax (tst) is...
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2019
TREATMENT SALES TAX SUMMARY
The Treatment Sales Tax (TST) is an important local funding stream that works alongside federal and state
funding such as Medicaid to meet mental health and substance use needs in Thurston County, Washington. This
1/10th of 1% sales tax has been collected since 2009. Funds are spent on a variety of services including
treatment courts, services at correctional facilities, community-based programs, and programs serving youth and
families. Programs funded with TST aim to reduce justice involvement, emergency room use, health care costs,
and public assistance.
2 TST | 2019 ANNUAL REPORT
SERVED*
5,440
SPENT
$6,410,435
REVENUETHURSTON-MASON
BEHAVIORAL HEALTH ORGANIZATION PROGRAMS
12
COUNTY PROGRAMS
21 COMMUNITY GRANTS
5
* This represents total enrollments in all TST-funded programs; however, this number served includes duplication because clients can enroll in multiple programs.
WHO WAS SERVED IN 2019?
HOUSING STATUS & ZIP CODES
AGE GROUPSGENDER IDENTITY
62%
Male
0.1%Other
Identity
33%Female
1%Transgender
Individuals
Experiencing
Homelessness
21%
Other Zip Code12%
RACE & ETHNICITY
9%
11%
16%
59%
5%
0%
0-14
15-17
18-24
25-54
55+
Age Not Reported
51%
6%1% 2% 1%
4% 4%
29%
50%
11%
39%
$6,410,223
3 TST | 2019 ANNUAL REPORT
WHAT PROGRAMS DID TST FUND IN 2019?
TREATMENT COURTS
$1,636,534
4
YOUTH & FAMILY PROGRAMS
$2,257,067 spent
11
ADULT PROGRAMS
$2,024,353 spent
18
COMMUNITY GRANTS
$224,909 spent
5
Drug CourtDUI Court
Mental Health CourtVeterans Court
Treatment Court Support
Family Recovery CourtDomestic Violence Case Coordinator
Juvenile Justice BH AlternativeEquine-Assisted Youth Peer Support
Nurse Family PartnershipMultisystemic Therapy
Wraparound with Intensive ServicesYouth Outpatient Treatment
Steps to WellnessJuvenile Court & Detention Transitions
Children’s Mobile Crisis
Chemical Dependency ProgramPreparing for Re-Entry Employment
Inmate Mental Health ServicesCrisis Care
Pre-Trial ReleasePsych ARNP Prescriber
Re-Entry AssistanceTransitions & Medication ManagementCorrections TST Program Coordinator
Public Defense Mitigation ServicesVeterans Case Manager
Nisqually Jail Case ManagementPre-Trial Release
Re-Entry AssistanceJail Behavioral Health Program
Housing Case ManagementInmate Housing Case Management
Intensive Case ManagementPretrial Services Diversion
Intensive Supervision Probation Counselor
Youth CouncilMental Health Therapy Services
Drexel House II Veteran’s HousingPear Blossom Case Management
Justice Outreach Coordinator
Superior Court
District Court
Prosecuting Attorney’s Office & Public Defense
Superior Court
Juvenile Court
Public Health & Social ServicesThurston-Mason Behavioral Health Organization
Corrections
Public DefensePublic Health & Social ServicesThurston-Mason Behavioral Health Organization
Pretrial ServicesDistrict Court
YWCA of OlympiaMonarch Children’s Justice & Advocacy CenterCatholic Community ServicesFamily Support CenterCapital Recovery Center
TST ADMIN
$268,700 actualTST Staff, Admin, and Training
2019
TREATMENT SALES TAX SUMMARY
TREATMENT COURTS
$1,635,406 spent
4
In 2019, Mental Health & Veterans Court reached capacity for the first time in
several years. To meet the demands of suddenly having a waiting list, the
program increased its capacity by 5 participants and changed policy to allow
participants to graduate early when appropriate.
4 TST | 2019 ANNUAL REPORT
CLIENTS SERVED2017 - 2019
Thurston County Treatment Courts
operate to reduce participant risk for
future justice system involvement by
connecting participants with appropriate
support and services specific to each
Treatment Court. This approach has
been found to be more effective than
traditional sentencing in holding
individuals accountable, promoting
positive behavior change, engaging
participants with necessary support and
services, providing continuous judicially
and community supervision, and
promoting community safety. TST funds
are provided to operate activities of
each Treatment Court, including the
efforts of the Prosecuting Attorney’s
Office and the Public Defense Office.
LEVERAGING FUNDS PERFORMANCE
SPOTLIGHT
147
12
43
24
153
17
4535
139
12
51
36
Drug Court DUI Court Mental Health
Court
Veterans Court
2017
2018
2019
2019
TREATMENT COURTS
92.4%
7.6% % Funding TST
% of funding non-
TST
DRUG COURT
DUI COURT
MENTAL HEALTH COURT
VETERANS COURT
85%
86%
35%
17%
Graduated
Graduated
Graduated
Graduated
12 month
recidivism:16%
38%
12 month
recidivism:
0%12 month
recidivism:
12 month
recidivism:
0%
“Over the last year I was able to work with a young person who over the course of the treatment episode secured an apartment,
job, driving permit and general medical care. At the time this youth began WISe they were homeless and experiencing significant
mental health challenges – often suicidality… The real success was helping the youth use their coping skills and their natural supports, which has resulted in this youth staying out of inpatient for over a year. Prior to the WISe intervention, the longest stretch this youth was able to stay in the community and not spend time in hospitals was 3 months, since the youth turned 15. As of today the youth’s
intervention is closed and the youth is turning 21 soon. Their plans are to go to college and after two years of recovery they would like
to work in this field as a peer while they complete college. WISe works!”
- Wraparound with Intensive Services
2019
YOUTH & FAMILY PROGRAMS
5 TST | 2019 ANNUAL REPORT
CLIENTS SERVED2017 - 2019
LEVERAGING FUNDS PERFORMANCE
SPOTLIGHT
23
188
1661
208
259 241
35 23
181
2852
254
67
293 303
407
41 40 23
103
2146
274
74
317
361
Ch
ildre
n's
Mo
bile
Cri
sis
Do
mestic V
iole
nce C
ase
Co
ord
inato
r
Eq
uin
e A
ssis
ted
Yo
uth
Pe
er
Su
pp
ort
Fam
ily R
eco
very
Co
urt
Ju
ven
ile C
ou
rt a
nd
Dete
ntio
n T
ransitio
ns
Juven
ile J
ustice a
nd
Beh
avio
ral H
ealth
Altern
ative
Mu
ltis
yste
mic
Th
era
py
Nu
rse F
am
ily
Part
ners
hip
Ste
ps t
o W
elln
ess
Wra
paro
un
d w
ith
Inte
nsiv
e S
erv
ices
Yo
uth
Ou
tpatie
nt
Tre
atm
en
t
2017
2018
2019
19.7%
80.3%
% Funding TST
% of funding
non-TST
Children’s Mobile Crisis
79% exited to successful case closure or ongoing treatment
Domestic Violence Case Coordinator
52% engaged in treatment
Equine Assisted Youth Peer Support
78% showed improvement at exit
Family Recovery Court55% graduated, 7% new dependency cases in 12 months
Juvenile Court and Detention Transitions
91 assessments provided, 52% engaged in treatment
Juvenile Justice BH Alternative
100% graduated, 91% reduced substance use
Multisystemic Therapy58% decrease in suicidal gestures
Nurse Family Partnership
85% exited successfully, 60% engaged in treatment
Steps to Wellness335 interventions provided, 48% engaged in treatment
Wraparound with Intensive Services
64% successfully completed program
Youth Outpatient Treatment
52% reduction in alcohol use, 48% reduction in marijuana use
“Program successes include the collaboration of the Transitions program with other organizations for the benefit of clients. A
specific example was the referral of a client to Family Recovery Court... This allowed the client to start the necessary steps
required by child protective services for reunification prior to their release from Thurston County Work Release. The client
obtained clean and sober housing through the Transitions program, temporary funding through Northwest Resources and
a referral to Family Support Center who will provide case management and a housing voucher for an apartment when
reunification is possible. Collaboration provides a holistic approach, addressing clients’ various needs and barriers to
success.”- Transitions & Medication Management
2019
ADULT PROGRAMS
6 TST | 2019 ANNUAL REPORT
CLIENTS SERVED2017 - 2019
LEVERAGING FUNDS PERFORMANCE
SPOTLIGHT
THURSTON COUNTY CORRECTIONS
2017
2018
2019
114199
750
10330 0
236
102120196
1201
8329
279174
111121 157
1321
10713
352
194100
Chemical
Dependency
Program
Crisis Care Jail Behavioral
Health
Program
Preparing for
Re-Entry
Employment
Pretrial
Release
Psych ARNP
Prescriber
Re-Entry
Assistance
Transitions
and
Medication
Management
70.4%
29.6%
% Funding TST
% of funding non-TST
Chemical Dependency
Program
50% of jail participants graduated, 77% of Drug Court participants completed Phase 2
Crisis Care197 mental health interventions conducted
Jail Behavioral Health Program
2,223 mental health interventions conducted
Preparing for Reentry Employment
86 clients gained employment
Pretrial Release 100% of release plans accepted
Psych ARNP Prescriber
664 referrals to service, average wait time of 12 days
Re-Entry Assistance68% of clients linked to treatment, 39% linked to housing at exit
Transitions & Medication
Management
97% of clients linked to treatment, 88% linked to housing at exit
Two services launched in 2019 provide specialized support for justice-involved
individuals with behavioral health needs: a specialized probation caseload through District Court, and a diversion program
through Pretrial Services. Both aim to ensure individuals’ treatment
needs are met and reduce the change of reoffending.
2019
ADULT PROGRAMS
7 TST | 2019 ANNUAL REPORT
CLIENTS SERVED2017 - 2019
LEVERAGING FUNDS PERFORMANCE
SPOTLIGHT
OTHER
2017
2018
2019
175
29
330356
19
283
138
308
180
3115
295
112
379
35
276
31 3915
Housing Case
Management
Inmate
Housing Case
Management
Intensive Case
Management
Intensive
Supervision
Probation
Counselor
Nisqually Jail
Case
Management
Pretrial
Services
Diversion
Public
Defense
Mitigation
Services
Veterans Case
Manager
97.8%
2.2%
% Funding TST
% of funding
non-TST
Housing Case Management
165 individuals placed into housing
Inmate Housing Case Management
61 individuals placed into housing
Intensive Case Management
273 assessments conducted, 208 individuals engaged in treatment
Intensive Services Probation Counselor
35 individuals received services (new program)
Nisqually Jail Case Management
89% of individuals receiving reentry services connected to treatment
Pretrial Services Diversion
31 individuals received services (new program)
Public Defense Mitigation Services
68% of clients engaged in treatment
Veterans Case Manager
50% of clients linked to treatment at exit
PERFORMANCE
8 TST | 2019 ANNUAL REPORT
2019 ACCOMPLISHMENTS• Launched interactive data dashboard through which all
TST data can be accessed
• Held TST “Program Showcase” events bringing
together TST-funded programs, staff, and the TST
Advisory Committee to discuss data, accomplishments
and challenges
• Several new programs received TST funding-- Pretrial
Services launched a diversion program, District Court
created a specialized Intensive Services Probation
Counselor position, and the Thurston Mason
Behavioral Health Organization worked with Catholic
Community Services to expand Children’s Mobile
Crisis services to Medicaid ineligible youth
GOALS FOR 2020
• Welcome and orient 2 new members of the TST Advisory
Committee
• Make programmatic and budgetary adjustments due to
the realities of the COVID-19 pandemic
• Assess changes in behavioral health as a result of the
local launch of Integrated Managed Care in 2020
• Develop a recommendation from the TST Advisory
Committee to the Board of County Commissioners on the
allocation of TST funds for the 2021- 2022 biennium
Programs worked with TST staff
on revising their performance
measures to improve the
accuracy of data reported. To the
extent possible, the Data Analyst
verifies the data reported to TST
by comparing with previous
reports, supporting documents,
and other systematic checks.
DATA NOTES
www.thurstoncountywa.gov/phss/Pages/tst
2019
REFLECTIONS & FUTURE GOALS
A heartfelt thank you
Thank you to the Treatment Sales
Tax Advisory Committee!
These community volunteers worked
tirelessly to focus on TST-funded program
improvement efforts, work through the
budget process, and make data-driven
budget recommendations to the Board of
County Commissioners.
Members:
Glenn Dunnam
Chanita Jackson
Bob Jones
Joe Marmo (completed term March 2020)
Marilyn Roberts
Jim Stanton (completed term March 2020)
Skip Steffen
Wendy Tanner
Priscilla Terry (joined March 2020)
Gina Thompson
Steven Thomson (joined March 2020)
TST Advisory Committee and TST Program staff,
January 2020