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GENERAL MEETING WEDNESDAY, MAY 27, 2020 ♦ 4:00 P.M.

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AGENDA

1. CALL TO ORDER / AUDIENCE INPUT ON AGENDA ITEMS – Rev. Benjamin F. Gohlstin, Sr., Board Chair

2. BOARD MEMBER ATTENDANCE ROLL CALL – Linda Lamp, Executive Assistant

3. APPROVAL OF MINUTES: APRIL 22, 2020 – Benjamin F. Gohlstin, Sr.

4. CHAIR’S REPORT – Benjamin F. Gohlstin, Sr.• Temporary Bylaws Change• Executive Committee Meeting – June 24, 2020, 3:00 P.M.

5. COMMUNITY RELATIONS & ADVOCACY COMMITTEE REPORT – Harvey A. Snider, Esq., Committee Chair

6. NOMINATING COMMITTEE REPORT – Elsie Caraballo, Committee Chair• Recommendation for Slate of Board Officers for FY2021-FY2022 (Action Required)• Recommendations for OhioMHAS Appointment Vacancies (Action Required)

7. PLANNING & OVERSIGHT COMMITTEE REPORT – Kathleen Kern-Pilch, ATR-BC, LPC-S, Committee Chair

8. FINANCE & OPERATIONS COMMITTEE REPORT – Steve Killpack, MS, Committee Chair

CONSENT AGENDA - (Resolution Nos. 20-05-01 through 20-05-03)

• RESOLUTION NO. 20-05-01 – ACCEPTING THE REPORT OF THE CEO ON EXPENDITURES AND VOUCHERSPROCESSED FOR PAYMENT DURING APRIL 2020

• RESOLUTION NO. 20-05-02 – APPROVAL OF CONTRACTS AND MEMBERSHIP DUES:1) Cleveland Division of Police Co Responder Project – Accepting $523,800 from the City of Cleveland – ADAMHS Board

not to exceed $333,950 for three years- Frontline Service, Inc.- $514,650- Murtis Taylor Human Services System - $343,100

2) Strive for 5 Media Campaign - $31,000- Advance Media - $2,000- Call and Post - $2,000- Radio One Cleveland - $5,000

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- Voice It Radio - $7,500 - iHeart Radio - $7,500 - Fox 8 - $2,000 - El Toro - $1,000 - Lamar Advertising - $4,000

3) YWCA Greater Cleveland, First Year Cleveland Pregnancy and Infant Loss Committee - Grief Recovery Paraprofessional Training - $20,000

4) Sponsorships* - LGBTQ Center’s Pride in the CLE March and Festival, September 12, 2020 - $1,000 - Wave of Light Remembering Our Babies Memorial Event, October 15, 2020 - $500

*Note: The ADAMHS Board does not pay sponsorships until the event is complete, which is indicated in our sponsorship contracts. If any of these events are not held, the sponsorships will not be paid.

5) Ohio Association of County Behavioral Health Authorities (OACBHA) FY2021 Membership Dues - $18,275

• RESOLUTION NO. 20-05-03 – APPROVAL OF CONTRACT AMENDMENTS: 1) Amendment to Resolution No. 20-02-06, Cuyahoga County Juvenile Court (CCJC) Intervention Center Behavioral Health

Services - $200,000 Increase - Applewood Centers

2) Amendment to Resolution No. 19-11-08, Women’s Recovery Center – $56,840 3) Amendment to Resolution No. 19-11-08, Hitchcock Center for Women – $250,000 4) Amendment to Resolution No. 19-10-03, FrontLine Service – $75,000 5) Amendment to Resolution No. 19-11-08, Life Long Transportation, LLC – $10,000 6) Amendment to Resolution No. 19-06-05, Cuyahoga County Division of Children and Family Services (CCDCFS) Treatment

Foster Care/Kinship Care Pilot Contract Extension – $190,812 - Catholic Charities

_____________________________________________________________________________ End of Consent Agenda ________

9. CHIEF EXECUTIVE OFFICER’S REPORT – Scott S. Osiecki

• COVID-19 Update • Personal Protection Equipment (PPE) • Staff and Board Members Return to Administrative Office • Diversion Center Update

10. NEW BUSINESS

11. AUDIENCE INPUT

BOARD OF DIRECTORS Rev. Benjamin F. Gohlstin, Sr., Chairperson

J. Robert Fowler, Ph.D., Vice Chair ▫ Katie Kern-Pilch, ATR-BC, LPC-S, Second Vice Chair Reginald C. Blue, Ph.D. ▫ Gregory X. Boehm, M.D. ▫ Crystal L. Bryant, Esq., MS, LSW ▫ Erskine Cade, MBA

Elsie Caraballo ▫ Patricia James-Stewart, M.Ed., LSW ▫ Gwendolyn A. Howard, LSW, MSSA ▫ Steve Killpack, MS Rev. Max M. Rodas, MA ▫ Sharon Rosenbaum, MBA ▫ Harvey A. Snider, Esq. ▫ Megan Van Voorhis

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ALCOHOL, DRUG ADDICTION & MENTAL HEALTH SERVICES BOARD OF CUYAHOGA COUNTY

GENERAL MEETING MINUTES

APRIL 22, 2020

ADAMHS BOARD OF DIRECTORS PRESENT: Rev. Benjamin F. Gohlstin, Sr. Patricia James-Stewart, M.Ed., LSW Gregory X. Boehm, M.D. Katie Kern-Pilch, ATR-BC, LPC-S Crystal L. Bryant, Esq., MS, LSW Steve Killpack, MS Erskine Cade, MBA Rev. Max M. Rodas, MA Elsie Caraballo Sharon Rosenbaum, MBA J. Robert Fowler, Ph.D. Harvey A. Snider, Esq. Gwendolyn A. Howard, LSW, MSSA Megan Van Voorhis ABSENT: Reginald C. Blue, Ph.D.

BOARD STAFF PRESENT: Scott Osiecki, Chief Executive Officer, Joseph Arnett, Carole Ballard, Curtis Couch, Erin DiVincenzo, Tami Fischer, Cheryl Fratalonie, Felicia Harrison, Charde Hollins, Leslie Koblentz, Linda Lamp, Kelli Perk, Allison Schaefer, Starlette Sizemore-Rice, Larry Smith, Jr., Maggie Tolbert, Beth Zietlow-DeJesus 1. CALL TO ORDER / AUDIENCE INPUT Board Chair, Benjamin Gohlstin, called the General Meeting to order at 4:00 p.m. No audience input regarding agenda items was received. 2. BOARD MEMBER ATTENDANCE ROLL CALL Due to the current public health orders surrounding COVID-19, and the Board’s commitment to ensuring the health and safety of our Board members, staff, partners, and stakeholders, the General Meeting was held via conference call. To assure a quorum, Ms. Linda Lamp, Executive Assistant, completed the Board member attendance roll call. 3. EXECUTIVE SESSION Rev. Gohlstin announced the need to enter into Executive Session for the purpose of discussing a Personnel Matter. Motion to enter into Executive Session. MOTION: K. Kern-Pilch / SECOND: S. Rosenbaum / A roll call vote was taken. / AYES: G. Boehm, C. Bryant, E. Caraballo, R. Fowler, B. Gohlstin, G. Howard, P. James-Stewart, K. Kern-Pilch, S. Killpack, M. Rodas, S. Rosenbaum, H. Snider, M. Van Voorhis / NAYS: None / Motion passed. Motion to exit the Executive Session and resume the business of the General Meeting Agenda. A roll call vote was taken. / MOTION: S. Rosenbaum / SECOND: K. Kern-Pilch / AYES: G. Boehm, C. Bryant, E. Caraballo, R. Fowler, B. Gohlstin, G. Howard, P. James-Stewart, K. Kern-Pilch, S. Killpack, M. Rodas, S. Rosenbaum, H. Snider, M. Van Voorhis / NAYS: None / Motion passed. a) RESOLUTION NO. 20-04-08 – APPROVAL OF NEW CONTRACT FOR CHIEF EXECUTIVE OFFICER SCOTT S. OSIECKI

Motion to approve Resolution No. 20-04-08 as amended. MOTION: H. Snider / SECOND: S. Rosenbaum / AYES: G. Boehm, C. Bryant, E. Caraballo, R. Fowler, G. Howard, P. James-Stewart, S. Killpack, R. Rodas, S. Rosenbaum, H. Snider, M. Van Voorhis / NAYS: K. Kern-Pilch / Motion passed. [Erskine Cade, MBA, entered the meeting and Rev. Max M. Rodas, MA, left the meeting.] 4. CHAIR’S REPORT Rev. Gohlstin reported that in lieu of time, he would forgo his report.

General Meeting Minutes April 22, 2020

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5. APPROVAL OF MINUTES - The minutes from the February 26, 2020 General Meeting were approved as submitted.

6. COMMUITY RELATIONS & ADVOCACY COMMITTEE REPORT Committee Chair, Mr. Harvey Snider, requested Vice Committee Chair, Ms. Katie Kern Pilch, to present the Community Relations & Advocacy Committee report. Ms. Kern-Pilch reported on the committee meeting, held on Wednesday, March 4, 2020, via conference call. She noted the following agenda items of discussion:

• Ms. Beth Zietlow-DeJesus, Director of External Affairs, highlighted several legislative bills itemized by the Ohio Association of County Behavioral Health Authorities (OACBHA) together with a brief description of each of the following:

o Senate Bill 3 Sentencing Reforms for Drug Laws / House Bill 1 Treatment in Lieu and Expungement o House Bill 443 Parity and Senate Bill 254 Mental Health Parity o House Bill 365 Chemical Dependency Counselor II License Revisions o House Bill 338 Mental Health Awareness and Violence Protection Act

• Milestone Autism Resources Presentation was provided by Ms. Haley Dunn, MA, LPC, Teen / Adult Manager, and Ms. Ilana Hoffer Skoff, MA, Executive Director, Milestones Autism Resources. It was noted that Milestones and the ADAMHS Board’s missions align through enhancing the quality of life, maintaining a person-centered approach, the network of community supports, accessibility to all and a seamless integrated system of care.

• LifeAct Requests were provided by Ms. Zietlow-DeJesus for the following: o Suicide Prevention Materials o 16th Annual Ito the Light Walk

• Aligning Efforts to Support a Recovery Community Report Presentation was provided by Ms. Zietlow-DeJesus. She reported that in 2019, the Addiction Recovery Advocacy meeting group strategized how Cuyahoga County can align its efforts with RecoveryOhio Governor DeWine’s statewide initiative to address mental health and substance use disorders.

• First Responder Appreciation Week Update was provided by Ms. Madison Greenspan, External Affairs Officer. She reported on the Board’s efforts to provide Thank you cards and calendars for distribution to First Responders during the first week of May.

• Ms. Zietlow-DeJesus reported that Mr. Scott Osiecki, Ms. Greenspan and she have had the opportunity to present to various groups and organizations throughout Cuyahoga County to promote Issue 33 – Cuyahoga County Health and Human Services Levy.

• Sponsorships o Cleveland International Film Festival (Postponed) o Intensive 2020 Mental Health and Ministry Conference (Postponed) o Women’s Recovery Center Miracles of Recovery Breakfast and Run, Jane, Run event (Postponed) o Northeast Ohio Black Health Coalition’s 6th Annual State of African American Family Disparities Conference o Greater Cleveland NAMIWalks

• Conference Proposals o 10th Annual Cuyahoga County Conference on Social Welfare o OACBHA’s Opioid Conference o 2020 Ohio Prevention Conference o Bureau of Justice Assistance’s Comprehensive Opioid Abuse Program National Forum

• Social Media Tracking Report indicated that the Board has added 142 new followers with a total of 4,011 fans now on Twitter, Facebook and Instagram. Total impressions for the time period (11/08/20 through 03/03/20) were seen 63,600 times.

• Media/Press Tracking Report from 1/07/20 through 03/03/20 indicated that the ADAMHS Board had a total of 38 media mentions; 32 were positive, 6 neutral and 0 negative. The total for calendar year 2020 is 39 mentions; 33 were positive, 7 neutral and 0 negative.

7. FAITH-BASED OUTREACH COMMITTEE REPORT Ms. Gwendolyn Howard, Committee Vice Chair, reported on the Faith-based Outreach Committee meeting held on Wednesday, April 1, 2020 via conference call. She noted the following agenda items of discussion:

a) 2019 Faith-based Outreach Program Report was provided by Mr. Thomas Williams, Evaluation & Research Officer. Mr. Williams highlighted accomplishments of each of the Faith-based outreach providers illustrated in the written Faith-based Programs Performance Outcomes 2019 Annual Report dated April 1, 2020.


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b) 2020 Faith-based Outreach Program was provided by Ms. Starlette Sizemore-Rice, Director of Special Projects. Ms. Sizemore-Rice reported on the CY2020 Faith-based Outreach Program Progress Report and provided an update on the progress and impact of COVID-19 on of each of the Faith-based provider programs thus far in CY2020.

c) Ms. Sizemore-Rice reported on the 2nd Chance Youth Program being proposed by Faith Community Supportive Services, Inc. (FCSS), which is located inside the Hough Community Multi-Purpose Building, and has been providing a variety of services/support to the Hough Community for many years; serving many neighborhoods, races, religions and all levels of income.

d) Ms. Sizemore-Rice reported that the Intensive 2020 Mental Health and Ministry Conference that was originally scheduled for Friday, May 1, 2020, at the Cleveland Clinic South Pointe Hospital has been postponed due to COVID-19.

e) Ms. Sizemore-Rice reported that a DESSA training was had during January 2020 and included the Board’s Faith-based providers and prevention providers. This training delved into strategies regarding the DESSA web-based system.

f) The next meeting is scheduled for Wednesday, June 3, 2020 8. NOMINATING COMMITTEE REPORT Ms. Elsie Caraballo, Nominating Committee Chair, reported on the Nominating Committee meeting held on Wednesday, April 8, 2020 via conference call. She noted the following agenda items of discussion:

a) The Board of Directors Appointment Term Roster was reviewed. Currently, there exists three vacant State appointments. Additionally, three County Board member original appointment terms will be expiring on Tuesday, June 30, 2020: Ms. Crystal Bryant, Esq., MS, LSW, Rev. Benjamin F. Gohlstin, Sr. and Ms. Megan Van Voorhis. Ms. Caraballo reported that she has contacted these Board members regarding their interest with Board member reappointment and was informed that all three Board members have expressed an interest in being reappointed for a second four-year term. As a result, Linda Lamp, Executive Assistant, was requested to forward email correspondence to the Director, Regional Collaboration, Office of County Executive Armond Budish, on behalf of the Nominating Committee that based upon their contributions and attendance, all three individuals be reappointed at the same time.

b) Mr. Steve Killpack will be completing his second term as a County appointment on Tuesday, June 30, 2020 and originally had not made a decision regarding further action with submitting his interest in becoming a potential State appointment but has since decided to submit his name as a potential State appointment.

c) Ms. Caraballo reported that her original County appointment expired on June 30, 2019 and noted that she has contacted the County to request an interview for reappointment.

d) Discussion followed on next steps to fill appointment vacancies. Consideration will be given to following the Board Member Recruitment Policy as well as forwarding an email to the community and posting a request for potential Board member applicants on the ADAMHS Board’s website.

e) The requirements per Ohio Revised Code (ORC) §340.02; stipulates that at least one member shall fill each of the six categories listed in the document titled ADAMHS Board of Cuyahoga County, Board of Directors Composition. Ms. Caraballo reported that the category of “At least one person who has received or is receiving addiction services” is currently vacant. As a result, potential Board member candidates will need to be vetted to fulfill this requirement.

f) Ms. Caraballo referenced the tentative timeline prepared for the work of the Nominating Committee regarding the recommended Slate of Officers for FY2021-FY2022. She noted that historically the Nominating Committee has solicited input from Board members regarding their interest in serving as an ADAMHS Board Officer. The deadline is Friday, May 1, 2020 for completing and submitting a Form of Intent. According to ADAMHS Board Bylaws, the Nominating Committee’s charge is to announce the recommended Slate of Officers for a two-year term at the May General Meeting scheduled for May 27, 2020.

g) The Nominating Committee is scheduled to meet next on Wednesday, May 13, 2020 at 3:00 p.m. when the agenda’s main focus will be to determine the recommended FY2021-2022 Slate of Officers.

9. PLANNING & OVERSIGHT COMMITTEE REPORT Ms. Katie Kern-Pilch, Planning & Oversight Committee Chair, reported on the Planning & Oversight Committee meeting held on April 8, 2020 via conference call. Committee members heard the following presentations:

a) Ms. Christina Bohuslawsky-Brown, Clients Rights Officer II, and Mr. Bill Hebble, Client Rights Officer II, presented the Client Rights Report that represents all data collected during CY2019. This data is aggregated from the 71 community agencies which the ADAMHS Board has a core contract with. All contract agencies satisfied their reporting requirements. Each contract agency is responsible for collecting and sharing this data with the ADAMHS Board. The ADAMHS Board reviewed and consolidated each individual data set into one comprehensive report showcased in the Client Rights Report.


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b) Ms. Allison Schaefer, Adult Behavioral Health Specialist II (Residential) provided an update on the Adult Care Facility (ACF) Residential Mini-grants. She reported that these funds will be utilized to provide ACF’s with mini-grants to assist with repairs and updates to contracted ACF’s that individuals utilizing the Board’s Residential Assistance Program (RAP) reside. It is the Board’s intent to approve use of these funds for repairs/updates which will support the ACF’s continued safety and habitability.

c) Mr. Larry Smith, Jr., Director of Programs, reported that the Substance Use Recovery and Workplace Safety Program (SURWSP) is a pilot program providing funding to local Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Boards. The Bureau of Workers’ Compensation will provide funding to the ADAMHS Board of Cuyahoga County to assist local employers hire workers that are in recovery.

d) Mr. Osiecki reported on the Cuyahoga County Opioid Crisis Mitigation Plan: Phase One in the amount of $10,501,207. He stated that ADAMHS Board staff and providers quickly responded to a request from the Cuyahoga County Executive’s Office to develop a plan and services for the best use of the Opioid Mitigation Phase One settlement; whereby, the ADAMHS Board was allocated just over $10,501,207. On October 10, 2019, Executive Budish announced Opioid Mitigation Plan Phase One, which invests the County’s $23 million in settlement funds in programs that work directly toward prevention, treatment and recovery related to this epidemic. On March 2, 2020, The Cuyahoga County Council Finance & Budgeting Committee voted for the plans regarding the Opioid Mitigation Phase One settlement and recommended its passage to the full County Council.

e) Mr. Smith reported that OhioGuidestone would provide four (4) residential treatment beds for youth ages 12 through 18 years who require intensive stabilization, assessment, intervention and treatment in a residential setting. Youth may have co-occurring issues and will require services responsive to cognitive, emotional and behavioral challenges. The services are needs-driven, offering flexible stays from 24 hours up to 90 days. The number of individuals to be served by these residential treatments beds is anticipated to be 10-12 youth in 2020.

f) Mr. Smith reported that the Court of Common Pleas is implementing a new Drug Court docket (Drug Court 4) utilizing Opioid Settlement funding to serve high risk/high need individuals. Drug Court 4 will provide services to individuals who have had greater than three felonies. Drug Court 4 will additionally target individuals presenting with an Opioid Use Disorder DSM 5 diagnosis. Funding will be made available for identified ADAMHS Board providers – Community Assessment & Treatment Services (CATS), Catholic Charities, Harbor Light and Sober Living Services through Stella Maris and Cleveland Treatment Center (CTC) using pooled funds.

10. FINANCE & OPERATIONS COMMITTEE REPORT Mr. Steve Killpack, Committee Chair, reported on the Finance & Operations Committee meeting held on April 15, 2020 via conference call and highlighted the Vouchers, Contracts and Amendments as listed below.

• RESOLUTION NO 20-04-01 –COVID-19 MODIFICATION TO ADAMHS BOARD PERSONNEL POLICIES - Families First Coronavirus Response Act (FFCRA) - Temporary Modification of ADAMHS Board Vacation Leave Policy

Motion to approve Resolution No. 20-02-01. MOTION: H. Snider / SECOND: K. Kern-Pilch / AYES: G. Boehm, C. Bryant, E. Cade, E. Caraballo, R. Fowler, G. Howard, P. James-Stewart, K. Kern-Pilch, S. Killpack, S. Rosenbaum, H. Snider, M. Van Voorhis / NAYS: None / Motion passed. [Rev. Max M. Rodas, MA, returned to the meeting.] CONSENT AGENDA: Resolution Nos.20-04-02 through 20-04-07

• RESOLUTION NO. 20-04-02 – CUYAHOGA COUNTY OPIOID CRISIS MITIGATION PLAN: PHASE ONE – $10,501,207 - Stella Maris - $5,433,207 - St. Vincent Charity’s Rosary Hall - $2,000,000 - Thrive Behavioral Health - $3,068,000

Mr. Killpack requested that Mr. Osiecki review the process that was utilized to select the three provider agencies for disbursement of $10,501,207 from Cuyahoga County’s Opioid Mitigation Phase One settlement. Mr. Osiecki reported that ADAMHS Board staff


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and providers quickly responded to a request from the Cuyahoga County Executive’s Office on developing a plan and services for the best use of the Opioid Mitigation Phase One settlement. Details of this plan and services included new residential treatment beds, increased Intensive Outpatient (IOP) and Partial Hospitalization Program (PHP) treatment and increased peer support. The selection of Stella Maris as a recipient of these funds was due to their reputation in the community and their willingness to facilitate the process of 32 new Residential Treatment Beds, expansion of PHP, IOP and Medication-Assisted Treatment (MAT) in a prompt manner. The selection of St. Vincent Charity Rosary Hall was due to the operation of St. Vincent Charity Medical Center’s Psychiatric Emergency Room. Additionally, the ADAMHS Board has a history of collaborating with this entity. St. Vincent Charity Rosary Hall, which is also an excellent agency within the community, will utilize these funds for the expansion of PHP and IOP, enhance 24-Hour Intake Assessment and expand Peer Support. The last of the three provider agencies selected, Thrive Behavioral Health, created Thrive ED to assist individuals in the emergency room get linked to behavioral health services. Mr. Osiecki reported that Ohio Revised Code (ORC) allows the ADAMHS Board to select provider agency participation without issuing a Request for Proposal (RFP). As a result, with less than a week’s notice, the Board selected providers that were capable of a quick turnaround and have expertise in their field. He emphasized that from the commencement of the contracts, timelines have been developed, site visits and conference calls scheduled, and very detailed metrics have been established.

• RESOLUTION NO. 20-04-03 – MURTIS TAYLOR HUMAN SERVICES SYSTEM ADVANCE FUNDING – $200,000 • RESOLUTION NO. 20-04-04 – STELLA MARIS ADVANCE FUNDING FOR SOBER LIVING NETWORK – $50,000 • RESOLUTION NO. 20-04-05 – ACCEPTING THE REPORT OF THE CEO ON EXPENDITURES AND VOUCHERS

PROCESSED FOR PAYMENT DURING FEBRUARY 2020 AND MARCH 2020 Mr. Killpack reported on the Voucher and Expenditure Report for February 2020. He indicated that relative to the Administrative Budget for the month of February, expenses were $362,545, which brings the year to date total of Administrative Expenses to $725,589, which is roughly 12.15% of the total Administrative budget that was approved for CY20. In February the Board received revenues of $2,375,018, which brings the year to date total revenues $47,081,813, which is 73.9% of the Board’s budgeted revenue and includes the Board’s full year of levy funds from the County. The total expenses for February were $2,185,599, bringing the total expenses for the year to $4,415.708. Mr. Killpack reported on the Voucher and Expenditure Report for March 2020. He indicated that relative to the Administrative Budget for the month of March, expenses were $423,404, which brings the year to date total of Administrative Expenses to $1,148,993, which is roughly 19.19% of the total Administrative budget that was approved for CY20. In March the Board received revenues of $1,783,416, which brings the year to date total revenues $48,865,229. The total expenses for March were $5,501,139, bringing the total expenses for the year to $9,916,847,which is 15% of the Board’s annual expenses.

• RESOLUTION NO. 20-04-06 – APPROVAL AND RATIFICATION OF CONTRACTS: 1. Substance Use Recovery and Workplace Safety Program (SURWSP) – Not to Exceed $200,000 per Quarter 2. OhioGuidestone Residential Treatment Beds - $125,000 3. Community Based Services for Drug Court 4 – Opioid Settlement – $100,000

- Community Assessment & Treatment Services (CATS) - Catholic Charities - Harbor Light - Stella Maris - Cleveland Treatment Center (CTC)

4. 2nd Chance Youth Program - Faith Community Supportive Services, Inc. - $20,000

5. Devereux Student Strengths Assessment (DESSA) Tool - Aperture Education Services - $23,800

6. OhioMHAS: Psychotropic Drug Grant Funds


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- Cuyahoga County Sheriff’s Department - $119,074 7. ADAMHS Board Website Design, Implementation & Hosting

- Granicus - $34,660.22 8. Consulting Contract for Financial System Transition

- Mark C. Sullivan - $10,000 9. Chief Clinical Officer Consultant

- Leslie M. Koblentz, M.D., J.D., M.S. - $135 per hour 10. Crisis Flex Funds Grant for the Roberto Flores Residential Treatment Program due to COVID-19

- FrontLine Service - $54,000 11. Northeast Ohio Collaborative: Withdrawal Management/Detoxification and Crisis Bed Expansion Grant – $98,115.80

- Ashtabula County MHRS Board - $19,623.16 - Geauga County MHRS Board - $19,623.16 - Lake County ADAMHS Board - $19,623.16 - Lorain County MHARS Board - $19,623.16 - Summit County ADM Board - $19,623.16

12. Sponsorships - LifeAct Suicide Prevention Materials – $6,500 - LifeAct’s 16th Annual Into the Light Walk, Rescheduled Date TBD – $1,000 - Intensive 2020 Mental Health and Ministry Conference, Rescheduled Date TBD – $1,000 - Women’s Recovery Center Miracles of Recovery Breakfast on Rescheduled Date TBD, and Run, Jane, Run

event on July 24, 2020 – $1,500 - Northeast Ohio Black Health Coalition’s 6th Annual State of African American Family Disparities Conference,

August 14-15, 2020 – $1,000 - Greater Cleveland NAMIWalks, September 19, 2020 – $2,500

Note: The ADAMHS Board does not pay sponsorships until the event is complete, which is indicated in our sponsorship contracts. If any of these events are not held, the sponsorships will not be paid.

• RESOLUTION NO. 20-04-07 – APPROVAL CONTRACT AMENDMENTS:

1. Amendment to Resolution 19-11-08, Y-Haven Contract Increase – $125,000 2. Amendment to Resolution 19-02-05, Accepting Funding for the Residential Treatment Services for Offenders

Supervised by the Adult Probation Department (Hereinafter Referred to as the RSAT Program) – Increase –$1,200,000

- Catholic Charities/Matt Talbot - Community Assessment & Treatment (CATS) - Stella Maris

3. Amendment to Resolution 20-02-05, Northeast Ohio Collaborative: Withdrawal Management/Detoxification and Crisis Bed Expansion - $975,000

- Windsor Laurelwood - $269,760 - Stella Maris - $147,143 - Lake County ADAMHS Board - $130,000 - Applewood - $125,000 - Ashtabula County Medical Center - $125,000 - Silver Maple Recovery, LLC - $178,097 (Adjustment to provider name and start date to October 1, 2019)

4. Amendment to Resolution 19-11-08, Recovery Housing Program – Reallocation of Awarded Funds - Hitchcock Center for Women

Rev. Max Rodas had several questions related to the Cuyahoga County Opioid Crisis Mitigation Phase One settlement. Mr. Osiecki provided additional details regarding the process with Cuyahoga County. He stated that ADAMHS Board staff and providers quickly responded to a request from the Cuyahoga County Executive’s Office on developing a plan and services for the best use of the Opioid Mitigation Phase One settlement. Mr. Osiecki also reported that additional provider agencies were presented to Cuyahoga County; however, this was the plan and services that was chosen.


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Motion to approve the Consent Agenda (Resolution Nos. 20-04-02 through 20-04-07). MOTION: S. Rosenbaum / SECOND: M. Van Voorhis / AYES: C. Bryant, E. Cade, E. Caraballo, R. Fowler, G. Howard, P. James-Stewart, K. Kern-Pilch, S. Killpack, S. Rosenbaum, H. Snider, M. Van Voorhis / NAYS: G. Boehm, M. Rodas / Motion passed.

11. CHIEF EXECUTIVE OFFICER’S REPORT - Scott S. Osiecki

• COVID-19 Update • COVID-19 Board Response • COVID-19 Provider Agency Response Update

- Mr. Osiecki reported that staff have been monitoring the COVID-19 situation closely. In the last five weeks, Board staff have participated in numerous conference calls with Board stakeholders, as well as the Ohio Association of County Behavioral Health Authorities (OACBHA).

- The ADAMHS Board has been providing COVID-19 Daily Updates to providers and the community at large with the message that behavioral health provider agencies are open.

- An ADAMHS Board All Provider meeting transpired on Tuesday, April 21, 2020 via Zoom with 100 participants. Participants shared that they are doing well and have made a successful transition to providing telehealth services, some with the option of video health.

- ADAMHS Board staff have been in contact with provider agencies on a regular basis to remain abreast of provider agency needs as they arise. Several provider agencies have submitted requests for technology for staff and clients.

- Provider agencies have been informed to reach out to Mr. Osiecki with any additional requests. - ADAMHS Board staff have provided prevention providers with ideas for maintaining services, such as preparing school

packets with resources in the community, in addition to following up with children and families via email and/or telephone.

- Cuyahoga County crisis services continue via telehealth; and the Warmline has been expanded for individuals to contact peers 24 hours a day.

- ADAMHS Board staff are in constant contact with the residential facilities and group homes. - Mr. Osiecki provided an update regarding a soap donation from Mr. Terry Russell, Executive Director, National Alliance

for Mental Illness, Ohio (NAMI Ohio), in addition to some Personal Protection Equipment (PPE) through the County’s Emergency Operations Center.

- The Emergency Operations Center has also asked the Board to coordinate requests from provider agencies for additional PPE.

- ADAMHS Board staff traveled to Columbus to pick up items from OACBHA for distribution in Cuyahoga County, as well as the Northeast Ohio Collaborative.

- The Board has also purchased masks for staff and provider agencies that have requested them. An additional order for 750 masks has been placed and once received, will be provided to the Board’s client operated services.

- Mr. Osiecki commended Board staff for their continued efforts relative to areas of responsibility. - An extension was granted to Cleveland State University for the ADAMHS Board’s Needs Assessment.

12. NEW BUSINESS

- Rev. Gohlstin commended Mr. Osiecki and staff for their efforts during these difficult times. - Rev. Gohlstin reported that during the last two weekends he has been assisting with the distribution of applications for

absentee ballots in hopes of increasing participation in the primary.

13. AUDIENCE INPUT - None

There being no further business, the meeting adjourned at 6:14 p.m. Submitted by: Linda Lamp, Executive Assistant Approved by: ________________________________________________________________________ Rev. Benjamin F. Gohlstin, Sr., Chairperson, ADAMHS Board of Cuyahoga County

CONSENT AGENDA

Resolution Nos. 20-05-01 through No. 20-05-03

• RESOLUTION NO. 20-05-01 ACCEPTING THE REPORT OF THE C.E.O. ON EXPENDITURES AND VOUCHERS PROCESSED FOR PAYMENT DURING APRIL 2020

• RESOLUTION NO. 20-05-02 APPROVAL OF CONTRACTS AND MEMBERSHIP DUES

(As listed on the General Meeting Agenda)

• RESOLUTION NO. 20-05-03 APPROVAL OF CONTRACT AMENDMENTS

(As listed on the General Meeting Agenda)

ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES BOARD OF CUYAHOGA COUNTY

RESOLUTION NO. 20-05-01

ACCEPTING THE REPORT OF THE CHIEF EXECUTIVE OFFICER

ON EXPENDITURES AND VOUCHERS PROCESSED FOR PAYMENT DURING APRIL 2020

WHEREAS, the Alcohol, Drug Addiction and Mental Health Services Board of Cuyahoga County (ADAMHS Board) in Resolution No. 19-11-07 appropriated funds for ADAMHS Board operations on a calendar year cycle; and, WHEREAS, the ADAMHS Board has authorized the Chief Executive Officer to disburse funds for the purpose specified in the appropriation; and, WHEREAS, the Chief Executive Officer certified that the vouchers on the attached list which was submitted to County Finance for payment during April 2020 are in conformance with the Board appropriation for CY2020. NOW, THEREFORE, BE IT RESOLVED THAT: 1. The report of the Chief Executive Officer be accepted and recorded in the

minutes. 2. The Chief Executive Officer acted within the authority of the Board Appropriation Resolution in processing the subject vouchers.

On the motion of , seconded by , the foregoing resolution was adopted. AYES: NAYS: DATE ADOPTED:

January 1 - December 31, 2020

Administrative Budget

April 2020

Projected 33.00%

Actual 25.46%

Budget CategoryCY 2020 Budget Apr-20 Y-T-D Balance % Utilized

Salaries:Salaries - Regular (50010) 1,400,000$ 93,096$ 379,827$ 1,020,173$ 27.13%Salaries - Part Time (50030) 25,000$ 974$ 3,684$ 21,316$ 14.74%Salaries - Union (50040) 1,762,000$ 110,779$ 459,992$ 1,302,008$ 26.11%

Subtotal 3,187,000$ 204,849$ 843,502$ 2,343,498$ 26.47%

Fringe Benefits: Hospitalization (51400) 695,064$ 45,002$ 126,750$ 568,314$ 18.24%PERS - Retirement (51100/100) 447,000$ 28,390$ 112,879$ 334,121$ 25.25%Medicare (51000) 45,000$ 2,873$ 11,846$ 33,154$ 26.32%

Subtotal 1,187,064$ 76,265$ 251,474$ 935,590$ 21.18%

Operational Expenses: Commodities:Office Supplies (52000) 7,000$ 68$ 1,005$ 5,995$ 14.36%Copy Supplies (52050) 25,000$ 780$ 11,067$ 13,933$ 44.27%Housekeeping Supplies (52200) 2,000$ 228$ 617$ 1,383$ 30.85%Food Supplies (52100) 12,500$ 225$ 3,013$ 9,487$ 24.10%Miscellaneous Supplies (52000) 5,500$ -$ 5,500$ 0.00%Computer Supplies (52600) 31,500$ 594$ 1,624$ 29,876$ 5.15%Utilities (57100) 70,500$ 5,856$ 23,165$ 47,335$ 32.86%

Subtotal 154,000$ 7,752$ 40,491$ 113,509$ 26.29%

Contracts & Professional Services: Prof & Tech Services -Consultants (55030) 205,000$ 9,477$ 65,797$ 139,204$ 32.10%Prof & Tech Services - Other (55130) 4,000$ 167$ 596$ 3,404$ 14.90%Contracted Services (55130) 80,000$ 8,800$ 22,579$ 57,421$ 28.22%Contract Services - Security (55130) 155,000$ 14,169$ 51,440$ 103,560$ 33.19%Assign Counsel (55050/200) 110,000$ 7,045$ 27,419$ 82,581$ 24.93%Tuition Reimbursement (55000) 7,000$ -$ 3,340$ 3,660$ 47.72%Liability Insurance & Bond (55110/200) 68,000$ -$ 6,498$ 61,502$ 9.56%Bldg. Grounds Maintenance (55220) 17,000$ 580$ 1,670$ 15,330$ 9.82%Equipment - Contract Maintenance (55220) 22,700$ 1,013$ 1,013$ 21,687$ 4.46%Office Rent (54400/100) 392,400$ 31,637$ 127,147$ 265,253$ 32.40%

Subtotal 1,061,100$ 72,887 307,498$ 753,602$ 28.98%

Controlled Services: Data Processing 3,000$ -$ -$ 3,000$ 0.00%

Subtotal 3,000$ -$ -$ 3,000$ 0.00%

Equipment Expense Equipment - Lease/Purchase (70000) 20,000$ 2,347$ 3,968$ 16,032$ 19.84%Computer Equip. & Furniture (70000) 62,500$ 144$ 35,941$ 26,559$ 57.51%

Subtotal 82,500$ 2,490$ 39,909$ 42,591$ 48.37%

Other OperatingPostage (54250) 14,000$ 170$ 194$ 13,806$ 1.39%Telephone (57300) 21,000$ 2,699$ 6,901$ 14,099$ 32.86%Travel - Duty Related (53100) 40,000$ 262$ 5,087$ 34,913$ 12.72%Travel - Seminars & Conferences (53000) 15,000$ 146$ 572$ 14,428$ 3.81%County Printing/Printing (54450) 3,000$ -$ 245$ 2,755$ 8.17%County Supplies (52000) 5,000$ -$ 591$ 4,409$ 11.82%Other Expenses (58600) 108,000$ 3,350$ 10,611$ 97,389$ 9.83%Publications (54000) 7,750$ -$ 5,162$ 2,588$ 66.61%Professional & Membership Dues (53200) 45,000$ -$ (2,389)$ 47,389$ -5.31%Misc. Chgs & Obligations (58600) 5,000$ -$ -$ 5,000$ 0.00%Advertising (54100) 35,000$ 909$ 10,923$ 24,077$ 31.21%

Subtotal 298,750$ 7,535.65 37,896$ 260,854$ 12.69%Total 5,973,414$ 371,779$ 1,520,772$ 4,452,642$ 25.46%

PAGE 1

January 1 - December 31, 2020

Administrative Budget

April 2020

Projected 33.00%

Actual 25.46%

Summary DataCY 2020 Budget Apr-20 Y-T-D Balance % Utilized

Salaries 3,187,000$ 204,849$ 843,502$ 2,343,498$ 26.47%Fringe Benefits 1,187,064$ 76,265$ 251,474$ 935,590$ 21.18%

Subtotal 4,374,064$ 281,114$ 1,094,976$ 3,279,088$ 25.03%Operational Expenses:Commodities 154,000$ 7,752$ 40,491$ 113,509$ 26.29%Contracts & Professional Svc 1,061,100$ 72,887$ 307,498$ 753,602$ 28.98%Controlled Services 3,000$ -$ -$ 3,000$ 0.00%Equipment Expense 82,500$ 2,490$ 39,909$ 42,591$ 48.37%Other Expenses 298,750$ 7,536$ 37,896$ 260,854$ 12.69%

Subtotal 1,599,350$ 90,666$ 425,795$ 1,173,555$ 26.62%

Grand Total 5,973,414$ 371,779$ 1,520,772$ 4,452,642$ 25.46%

PAGE 2

Description Vendor Name Amount Check Nbr====================================================================== ============ =========

OFFICE SUPPLIES 3/3/20 W.B. MASON CO., INC. 47.16 201081

OFFICE SUPPLIES 3/3/20 W.B. MASON CO., INC. 20.69 201082

Total Office Supplies 67.85

STAPLES 3/16/20 MERITECH INC. 367.88 201070

TONER 3/2/2020 MERITECH INC. 8.00 201069

COPY PAPER 3/9/20 VERITIV OPERATING COMPANY 404.60 201065

Total Xerox/Copy Supplies 780.48

JANITORIAL SUPPLIES 3/3/20 THE HOME DEPOT PRO/SUPPLYWORKS 228.47 201075

Total Housekeeping Supplies 228.47

CAKE FOR MEETING 2/28/20 DAVES SUPER MARKETS 30.00 201056

FOOD SUPPLIES 3/16/20 W.B. MASON CO., INC. 75.33 201251

PURIFIED DRINKING WATER 3/11/2 PURE WATER TECHNOLOGY LLC 119.90 201077

Total Food Supplies 225.23

RESEARCH SOFTWARE 2/2020 LEXISNEXIS 297.00 201071

RESEARCH SOFTWARE 3/2020 LEXISNEXIS 297.00 201401

Total Computer Supplies 594.00

ELECTRIC/HVAC 2/2020 UNITED TWENTY FIFTH BUILDING LLC 5,856.16 201031

Total Utilities 5,856.16

CONSULTANT 3/8/20-3/14/20 LESLIE M. KOBLENTZ 2,700.00 201049

CONSULTANT 3/15/20-3/21/20 LESLIE M. KOBLENTZ 2,700.00 201125

PROFESSIONAL SERVICES 3/20 HAYNES, KESSLER, MYERS & POSTALAKIS 425.00 201400

PROFESSIONAL SERVICES 3/20 JEFFREY DAVID JOHNSON 3,652.00 201391

Total Prof/Tech - Consultants 9,477.00

SUBSTANCE TEST 3/2/20 OCCUPATIONAL HEALTH CENTERS OF OHIO 129.50 201085

EMPLOYMENT VERIFICATION 3/4/20 SELECTION.COM 37.00 201064

Total Prof/Tech - Other 166.50

STORAGE 1/29/20-2/25/20 IRON MOUNTAIN 2,942.14 201059

MONTHLY FEE 2/2020 IRON MOUNTAIN 380.07 201060

SHREDDING 1/29/20-2/25/20 IRON MOUNTAIN 159.30 201058

STORAGE 2/26/20-3/24/20 IRON MOUNTAIN 2,954.89 201266

SHREDDING 2/26/20-3/24/20 IRON MOUNTAIN 61.36 201440

MONTHLY FEE 3/2020 IRON MOUNTAIN 335.14 201392

IMPACT EAP 3/2020 IMPACT SOLUTIONS 300.00 201076

PAGE 3

BOARD VOUCHER REPORT

4/1/2020 THROUGH 4/30/2020



4/1/2020 THROUGH 4/30/2020

MOOD MEDIA 4/2020 MOOD MEDIA NORTH AMERICA HOLDINGS 62.41 201267

ARTWORK PURCHASE 3/16/20 KIM ANGEL DOWLER 120.00 201089

IT CONSULTING 3/2020 CHRISTOPHER P TOMARO 1,484.38 201459

Total Contractual Services 8,799.69

SECURITY 2/8/20-2/21/20 WILLOW SECURITY, INC. 3,351.60 201051



SECURITY: 3/7/20-3/20/20 WILLOW SECURITY, INC. 1,835.40 201256

SECURITY: SOH 3/7/20-3/20/20 WILLOW SECURITY, INC. 3,331.65 201255

Total Security 14,169.49

EVALUATIONS 2/29-3/18/20 MARY S. JOHNSON 463.47 201073

EVALUATIONS 3/1-3/4/20 MARY E. SCARFO 278.10 201061

HEARINGS-2/18-2/28/20 STEVE W. CANFIL 875.50 201102

HEARINGS 3/2-3/13/20 RONALD C. BALBIER 963.05 201062

HEARINGS-2/4-2/18/20 TED S. FRIEDMAN 787.95 201103

HEARINGS 2/22-3/6/20 PAUL M. FRIEDMAN 612.85 201098

CIVIL HEARINGS 2/22-3/6/20 SCOTT J. FRIEDMAN 700.40 201122

HEARINGS 3/3-3/13/20 TED S. FRIEDMAN 700.40 201103


HEARINGS-2/18-2/28/20 RONALD C. BALBIER 612.85 201099


CIVIL HEARINGS 12/7-12/27/19 SCOTT J. FRIEDMAN 262.65 201122

Total Assigned Counsel/Psych Eval 7,045.17

WORK ORDER 12/24/19 UNITED TWENTY FIFTH BUILDING LLC 6.44 201032WORK ORDER 3/27/20 UNITED TWENTY FIFTH BUILDING LLC 78.58 201283

MAT SERVICES 3/9/20 UNIFIRST CORPORATION 164.92 201084



Total Bldgs/Grounds Maint. Repair 579.78

SERVICE CALL 3/31 WARWICK 788.00 201282

SERVICE CALL 4/6 WARWICK 225.00 201394

Total Equip Contract/Maintenance 1,013.00

RENT/TAX/INSURANCE 4/2020 UNITED TWENTY FIFTH BUILDING LLC 31,636.86 201030

Total Office Rent 31,636.86

COPIER LEASE 3/12/20-4/11/20 DE LAGE LANDEN PUBLIC FINANCE 1,173.30 201072

COPIER LEASE 4/12/20-5/11/20 DE LAGE LANDEN PUBLIC FINANCE 1,173.30 201270

Total Equipment - Lease/Purchase 2,346.60

PAGE 4



4/1/2020 THROUGH 4/30/2020

TIMEFORCE 2/2020 CTR EMPLOYEE MANAGEMENT SERVICES IN 143.62 201449

Total Equipment - Office Machines 143.62

DELIVERY SERVICES 3/2/20-3/8/2 BONNIE SPEED DELIVERY INC. 73.00 201053

DELIVERY SERVICES 3/9/20-3/15/ BONNIE SPEED DELIVERY INC. 49.50 201054

DELIVERY SERVICES 3/16/20-3/22 BONNIE SPEED DELIVERY INC. 47.00 201244

Total Postage/Delivery 169.50

CELLULAR PAYMENT 2/4/20-3/3/20 VERIZON WIRELESS 340.38 201014CELLULAR PAYMENT 2/4/20-3/3/20 VERIZON WIRELESS 50.67 201014

CELLULAR PAYMENT 2/4/20-3/3/20 VERIZON WIRELESS 202.68 201014



STATE OF OHIO - 2/1/20-2/29/20 AT&T 490.00 201198

FAX2MAIL 2/2020 OPEN TEXT INC 108.00 201080

STATE OF OHIO - 3/1/20-3/31/20 AT&T 490.00 201441

FAX2MAIL 3/2020 OPEN TEXT INC 108.00 201396

PLANS AND SERVICES 2/20-3/1/20 AT&T 356.94 201247

PLANS AND SERVICES 2/20-3/1/20 AT&T 453.32 201248

Total Telephone 2,698.84

EXPENSE REPORT BETH PFOHL 7.00 201024

EXPENSE REPORT JOHN F. COLEMAN 212.93 201006

EXPENSE REPORT MELENIE COLON 19.28 201023

EXPENSE REPORT 4/8/20 MELENIE COLON 23.28 201453

Total Travel 262.49

EXPENSE REPORT NICHOLAS WEAVER 145.82 201257

Total Trans/Travel Conferences 145.82

PERFORMANCE END OF THE LINE IMPROBABLE PLAYERS, INC. 2,500.00 201086

PRESENTATION 2/18/20-3/3/20 LATOYA LOGAN 600.00 201079

PARKING COUNTY CHARGE 250.00 201566

Total Other Expense 3,350.00

ADVERTISING 3/12/2020 PAGE ONE N.A., INC. 200.00 201083

ADVERTISING 3/2020 YP LLC 709.00 201078

Total Advertising 909.00

Total Admin. Operational Expenses 90,665.55

PAGE 5

ADAMHS BOARD OF CUYAHOGA COUNTYINCOME STATEMENT

FOR THE PERIOD 1/1/20 THROUGH 12/31/20

BudgetJan-20 Feb-20 Mar-20 Apr-20 May-20 Jun-20 Total

Beginning Cash Balance 19,852,867 62,329,553 62,518,972 58,801,249 - - 19,852,867

Federal RevenueSubstance Abuse Prevention & Treatment (SAPT) 1,222,986 1,222,986 2,445,971 Substance Abuse Prevention & Treatment Pass Through 587,941 139,427 - 326,308 - - 1,053,675 SAPT DYS Aftercare 18,135 - 68,085 - - - 86,220 Title XX - - 117,075 - - - 117,075 Projects Assistance Transition from Homelessness (PATH) 70,343 70,343 Mental Health Block Grant 209,954 209,954 419,907 Opportunities for Ohioans with Disabilities (OOD) - Case Service Contract 125,379 125,379 250,757

SAMHSA Federal Grant-AOT AB205205 119,881 119,881 SAMHSA Federal Grant-Jail Diversion AB205225 - State Opioid Response (SOR) Funding AB205215 283,858 218,282 478,607 443,294 1,424,041 DOJ / COAP AB205225 - MH Housing 85,000 85,000

Total Federal 889,934 2,071,370 909,026 2,202,540 - - 6,072,870

State RevenueMental Health System of Care 101,381 - - - - - 101,381 Behavioral Health Juvenile Justice - - 54,953 - - - 54,953 Community Investments 726,601 363,300 - - - 1,089,901 Continuum of Care-Community InvestmentsCommunity Investments - ADAMHS Board FundingTransitional Assertive Community Treatment (ACT) 137,500 137,500 Early Childhood Mental Health Counseling 110,477 110,477 Forensic Monitoring 48,602 - - - - - 48,602

ATP 81,250 - 81,250 - - - 162,500 AOD Recovery Housing 11,475 - 11,475 - - - 22,950

Specialized Docket Support-Drug Courts - AOD Per Capita Treatment - Continuum of Care 146,501 - - - - - 146,501 AOD Per Capita Prevention 23,799 - - - - - 23,799 AOD Pass Through Funding 68,905 - 6,250 - - - 75,155 Casino Gambling Treatment/Prevention 103,804 - - 103,804 - - 207,608 BHCJ Linkage 20,833 20,833

Psychotropic Drug Reimbursement for County Jails 119,074 119,074 K - 12 Prevention 786,180 786,180 1,572,359 Access Success Operating Expenses 4,800 - - - - - 4,800 Crisis Flex Funds - Community Transition Program 25,000 25,000

Total State Revenue 2,149,129 247,977 636,303 889,983 - - 3,923,392

Local Revenue Miscellaneous Rents/Misc/Private Grants 1,386 46,538 26,879 - - - 74,803 Invest in Children (Early Childhood Mental Health) - - 167,388 - - - 167,388 CCBDD Revenue - Overdose to Action Grant (Board of Health) - Correction Planning Board, Misc County Grants 52,687 9,134 43,821 - - - 105,641

Northeast Ohio Regional Collaborative-Lorain County 1,250,000 1,250,000 Subtotal Local 1,304,072 55,672 238,087 - - - 1,597,832

HHS Levy Revenue ADAMHS Levy 40,363,659 - - - - - 40,363,659

Total Local & Levy Revenues 41,667,731 55,672 238,087 - - - 41,961,491 -

Grand Total Revenues 44,706,794 2,375,018 1,783,416 3,092,523 - - 51,957,752

BEGINNING BALANCE & REVENUES

PAGE 6

ADAMHS BOARD OF CUYAHOGA COUNTYINCOME STATEMENT

FOR THE PERIOD 1/1/20 THROUGH 12/31/20

Expenses Jan-20 Feb-20 Mar-20 Apr-20 May-20 Jun-20 Total

Administrative ExpensesSalaries 219,560 197,666 221,428 204,849 - - 843,502 Fringe Benefits 48,402 48,907 77,901 76,265 - - 251,474 Commodities 8,491 7,182 17,066 7,752 - - 40,491 Contracts & Professional Svc 69,135 70,898 94,578 72,887 - - 307,498 County Data Processing - Equipment Expense 3,959 33,460 - 2,490 - - 39,909 Other Expense 13,498 4,432 12,431 7,536 - - 37,897

Total Administrative Expenses 363,044 362,545 423,404 371,779 - - 1,520,772

Direct Service Expenses

Provider Direct ServicesMH Residential Services 18,070 241,188 952,946 627,856 - - 1,840,059 SUD Residential Services 52,011 100,508 194,496 289,606 - - 636,621 Employment Services 24,605 72,759 146,437 177,946 - - 421,747 Non Medicaid Grants 634,942 593,983 1,121,808 983,538 - - 3,334,271 Treatment Services - FFS 344,911 336,560 920,293 1,978,076 - - 3,579,840 Peer / Family Support 227,263 31,975 294,828 469,045 - - 1,023,111 Non Medicaid Prevention 56080 28,485 80,626 71,804 286,697 - - 467,611 Pass Thru Services 56090 246,546 39,375 583,417 1,326,463 - - 2,195,801 SUD Non Medicaid Treatment 70,881 2,415 - - - - 73,296

Hosp Pymt, Contract Purchase of Service 1,647,713 1,499,387 4,286,028 6,139,228 - - 13,572,357

Other Services Non Medicaid Wrap Around Support 56050 54,631 70,535 12,242 142,677 - - 280,085

Wrap Refunds Credited towards Exp - (719) (1,796) - - - (2,515) Residential Placement Programs - BHJJ - 29,367 - 27,042 - - 56,408 Healthcare Management Information System 171 - 1,241 - - - 1,412 Board Properties - Bldgs & Grounds 55220 10,258 14,881 7,748 19,863 - - 52,748 Prevention Campaigns (Suicide,Gambling,Heroin,etc.) 1,250 11,355 1,800 100 - - 14,505 Other (Client Trg., Drug Court) 2,170 - - 250 - - 2,420 Computerized Software 54300 / 200 586 586 586 5,568 7,326 Bus Tickets and Taxi and Misc - 69,065 126,004 21,821 195,499 - - 412,390

OOD - Case Services Employment Case Services AB205200 - 57,386 92,628 59,207 - - 209,222 Mandated Match to OOD - Total OOD - Case Services - 57,386 92,628 59,207 - - 209,222

Federal Grants SAMHSA AOT AB205205 788 - 114,596 39,931 - - 155,315 SAMHSA Jail Diversion AB205225 35,750 57,230 5,274 98,254 State Opioid Response (SOR) AB205215 132,085 99,118 465,687 420,206 1,117,096 DOJ/BJA Comprehensive Opiate Abuse (COAP) AB205225 17,413 5,409 39,745 22,848 85,416 Total Federal Grants 150,286 140,276 677,258 488,260 - - 1,456,080

Grand Total Expenses 2,230,109 2,185,599 5,501,139 7,253,974 - - 17,170,821

Revenues - Expenses + Beginning Balance 62,329,553 62,518,972 58,801,249 54,639,799 - - 54,639,799

PAGE 7

EXPENSES & ENDING BALANCE

Other Properties:Amount Vendor Description

8315 Detroit Ave. - EDENRoutine:

$830.78 Guardian Alarm (ADS) Security.$322.13 City of Cleveland Water/NEORSD Water/Sewer charges.

$1,304.74 Iluminating Co. Electric.$285.21 Allied Waste Services (Republic) Trash removal.$0.00 Anthony Henderson Yardwork.

Sub Total $2,742.86Non Routine:

$0.00 Sub Total $0.00Total April $2,742.86

EDEN - W. 117th Street (Future Directions & Living Miracles)

$2,779.27 EDEN Consumer Operated Svcs W.117thTotal April $2,779.27

Total April $5,522.13

Calendar Year 2020 YTD: $17,716.20

ALCOHOL, DRUG ADDICTION & MENTAL HEALTH SERVICES BOARDOther Properties

Calendar Year 2020For the Period April 1, 2020 through April 31, 2020

PAGE 8

Amount Vendor Description

$0.00 City of Cleveland Building Dept. Annual elevator inspection.Routine: $649.96 City of Cleveland Water/NEORSD Water/Sewer charges.

$1,412.18 Dominion East Ohio Gas$799.90 Allied Waste Services (Republic) Trash removal.$115.77 Guardian Alarm (ADS) Security.

$1,930.67 Iluminating Co. Electric.$221.78 AT&T Phone service.

$1,260.00 City of Cleveland Rental RegistrationSub Total $6,390.26

Non Routine: Sub Total $0.00 Total April $6,390.26

Y-T-D Total $14,355.9925540 Euclid PropertyRoutine:

$50.00 Allied Exterminators Pest control.$462.79 Iluminating Co. Electric.$109.78 Guardian Alarm (ADS) Security

$214.57 City of Cleveland Water/NEORSD Water/Sewer charges.$197.44 Dominion East Ohio Gas.$511.67 Waste Management Trash removal.

Sub Total $1,546.25$0.00 Republic and Waste Mgt. Trash removal.Non Routine: $0.00 EDEN, INC. (Reimbursements) Sidewalk/Driveway Repairs

Sub Total $0.00Total April $1,546.25

Y-T-D Total $4,252.701466 W. 81st Property Routine: $1,115.97 Dominion East Ohio Gas.

$620.63 Iluminating Co. Electric.$428.83 City of Cleveland Water/NEORSD Water/Sewer charges.

$1,253.65 Waste Services (Republic) Trash removal.$94.50 Guardian Alarm (ADS) Security

$221.78 AT&T Phone service.$490.00 City of Cleveland Rental Registration

Sub Total $4,225.36Non Routine:

Sub Total $0.00 Total April $4,225.36

Y-T-D Total $9,623.1110229 Bernard AveRoutine: $60.62 City of Cleveland Water/NEORSD Water/Sewer charges.

Sub Total $60.62Non Routine:

Sub Total $0.00Total April $60.62

Y-T-D Total $434.7518464 Lakeshore Blvd.Routine:

$310.87 Dominion East Ohio Gas.$51.87 City of Cleveland Water/NEORSD Water/Sewer charges.

$222.20 Cleveland Public Power Electric.$142.29 Guardian Alarm (ADS) Security$581.98 Waste Services (Republic) Trash removal.$367.47 AT&T Phone service.

Sub Total $1,676.68Non Routine: $0.00 City of Cleveland Build./Housing Rental Registration

Sub Total $0.00Total April $1,676.68

Y-T-D Total $4,651.61Seasons of Hope 1339 E. 112th Routine: $130.28 Cleveland Public Power Electric.

$159.70 Dominion East Ohio Gas.$151.06 City of Cleveland Water/NEORSD Water/Sewer charges.$0.00 Cuyahoga County Treasurer Real Estate Taxes

Sub Total $441.04

Non Routine: . Sub Total $0.00Total April $441.04

Y-T-D Total $1,713.79

ALCOHOL, DRUG ADDICTION & MENTAL HEALTH SERVICES BOARDBoard Owned Properites - Calendar Year 2020

For the Period April 1, 2020 through April 29, 2020

PAGE 9

Bradley Manor Property 3234 West Blvd



APPROVAL OF CONTRACTS AND MEMBERSHIP DUES:

1. Cleveland Division of Police Co Responder Project 2. Strive for 5 Media Campaign 3. YWCA Greater Cleveland, First Year Cleveland Pregnancy and Infant Loss Committee – Grief

Recovery Paraprofessional Training 4. Sponsorships:

- LGBTQ Center’s Pride in the CLE March and Festival - Wave of Light Remembering Our Babies Memorial Event

5. Ohio Association of County Behavioral Health Authorities (OACBHA) Membership Dues

WHEREAS, funding has been made available to the Alcohol, Drug Addiction and Mental Health Services Board of Cuyahoga County (ADAMHS Board) for the following programs:

1. Cleveland Division of Police Co Responder Project for the time period October 1, 2019 through September 30, 2022 in the amount not to exceed $523,800 from the City of Cleveland and $333,950 from the ADAMHS Board for a project total of $857,750 for the following contracts:

a. FrontLine Service - $514,650 b. Murtis Taylor Human Services System - $343,100; and,

2. Strive for 5 Media Campaign for the time period May 28, 2020 through April 30, 2021 for Voice It Radio and the time period of May 28, 2020 through August 31, 2020 for all other vendors in the amount of $31,000 for the following contracts:

a. Advance Media - $2,000 b. Call and Post - $2,000 c. Radio One Cleveland - $5,000 d. Voice It Radio - $7,500 e. iHeart Radio - $7,500 f. Fox 8 - $2,000 g. El Toro - $1,000 h. Lamar Advertising - $4,000; and,

3. YWCA Greater Cleveland, First Year Cleveland Pregnancy and Infant Loss (PAIL) Committee – Grief Recovery Paraprofessional Training for the time period June 1, 2020 through May 31, 2021 in the amount of $20,000; and,

4. Sponsorships: a. LGBTQ Center’s Pride in the CLE - $1,000 b. Wave of Light Remembering Our Babies event - $500; and,

5. Ohio Association of County Behavioral Health Authorities (OACBHA) Membership Dues for the time period July 1, 2020 through June 30, 2021 in the amount of $18,275; and,

WHEREAS, the ADAMHS Board staff recommends that the Board of Directors accept the funding and authorize the ADAMHS Board to pay any required local match and enter into any necessary contractual agreements. NOW, THEREFORE, BE IT RESOLVED:

A. The ADAMHS Board of Directors accepts the funds and authorizes payment of any required local

match for the following:

1. Cleveland Division of Police Co Responder Project for the time period October 1, 2019 through

September 30, 2022 in the amount not to exceed $523,800 from the City of Cleveland and $333,950 from the ADAMHS Board for a project total of $857,750 for the following contracts:

a. FrontLine Service - $514,650 b. Murtis Taylor Human Services System - $343,100; and,

2. Strive for 5 Media Campaign for the time period May 28, 2020 through April 30, 2021 for Voice It Radio and the time period of May 28, 2020 through August 31, 2020 for all other vendors in the amount of $31,000 for the following contracts:

a. Advance Media - $2,000 b. Call and Post - $2,000 c. Radio One Cleveland - $5,000 d. Voice It Radio - $7,500 e. iHeart Radio - $7,500 f. Fox 8 - $2,000 g. El Toro - $1,000 h. Lamar Advertising - $4,000; and,

3. YWCA Greater Cleveland, First Year Cleveland Pregnancy and Infant Loss (PAIL) Committee – Grief Recovery Paraprofessional Training for the time period June 1, 2020 through May 31, 2021 in the amount of $20,000; and,

4. Sponsorships: a. LGBTQ Center’s Pride in the CLE - $1,000 b. Wave of Light Remembering Our Babies event - $500; and,

5. Ohio Association of County Behavioral Health Authorities (OACBHA) Membership Dues for the time period July 1, 2020 through June 30, 2021 in the amount of $18,275.

B. The ADAMHS Board Chief Executive Officer is authorized to execute any necessary contractual agreements.

On the motion of , seconded by , the foregoing resolution was adopted. AYES: NAYS: DATE ADOPTED:

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Agenda Process Sheet Date: May 27, 2020

☐ Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee Planning & Oversight Committee Finance & Operations Committee ☐ Committee of the Whole General Meeting Topic: Cleveland Division of Police Co Responder Project Contractual Parties: FrontLine Service

Murtis Taylor Human Services Systems Term: October 1, 2019 to September 30, 2022 Funding Source(s): City of Cleveland, Bureau of Justice Assistance Grant and ADAMHS Board Amount: $857,750 Total Project (3 Year Period)

$523,800 City of Cleveland, BJA Grant $333,950 ADAMHS Board

New Program ☐Continuing Program ☐Expanding Program ☐Other _______________ Service Description:

• Cleveland Police Co Responder Team will respond to crisis calls received via Cleveland Division of Police Dispatch for mental health related crisis in the community.

• The Co Responder Team will operate 40 hours per week second shift. • The crisis specialist will be paired with a CIT officer in single cars in order to respond to the calls. • The crisis specialist in collaboration with the CIT officer will engage and respond to the person’s needs, provide

assessment and triage to the least restrictive options in the community. • The Co Responder Team will provide follow up on crisis calls from other officers within their assigned police

district as well as engage high utilizers of service in order to decrease the need for public safety assistance. • Frontline Services would be assigned to Districts 1, 2 & 3. Murtis Taylor would be assigned to Districts 4 & 5. • Crisis Specialist along with CIT officers will work collaboratively together with other aspects of public safety such

as EMS and dispatch in order to reduce the high utilizers of service by proving ongoing monitoring and support.

Background Information: • Cleveland Police indicated through their data collection that more than half of the clients at SVCH Emergency

Department are brought in by police. • 97% of those who are brought in by police are from the Cleveland Division of Police. • BJA study indicates that police spend up to 7% of their time responding to call crisis calls. • Crisis calls are disproportionately time consumers, most are not as a result of criminal behavior but an emotional

crisis in the community. • Across the country, the police departments report that the jails and prisons are the largest defacto mental health

facilities in the county. • The purpose of the Co Responder Team is to divert people in crisis to the least restrictive alternative and linkage

to services.

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• Data analyzed from 2020 CIT stat sheets completed by police officers engaged 1,397 people from January 1,

2020 to April 30, 2020. This data indicates about 279 direct contacts with people in crisis per district. Number of Individuals to be served:

• Serve up to 800 per year. Funding Use:

• City of Cleveland is seeking to contract with the ADAMHS Board for up to $523,800 for a three-year grant process. Year One: 2020 funding is for $120,000 for start up. Year Two 2021 and Year Three 2022 funding is for $201,900 per year.

• The funding enables the ADAMHS Board to contract with Frontline Services for 2.0 FTE as well as Murtis Taylor for 1.0 FTE.

• The ADAMHS Board will be providing a match for the project of $333,950. This additional funding will allow for the implementation of two additional co responder teams and therefore cover all five districts. Year One: 2020 funding is for $71,400 for 2.0 crisis specialist and start up. Year Two 2021 and Year Three Funding is $131,275 per year. The total cost will be $1,750 per person to cover

Client & System Impact: • To reduce the use of emergency rooms and jails and link people to services. • To increase collaboration and problem solving with behavioral health. • To reduce the number of calls for service to public safety.

Metrics (How will goals be measured)

• This Co Responder Team represents a revision from a previous Co Responder Project in 2016. The new Co Responder Team will serve more people per district increase in individualized care and support.

• The number of calls per district assigned to the Co Responder Team • The number of CIT calls diverted from jail. • The number of CIT calls referred and linked to services.

Evaluation/ Outcome Data (Actual results from program)

• New program - N/A currently

Recommendation to Board of Directors from Board Staff and/or from Board Committee(s):

• Board staff recommends accepting the BJA funds from the City of Cleveland for the CIT Co Responder Team of $523,800. Board staff recommends that the ADAMHS Board provide additional funds of $333,950 in support of the Co Responder Team.

• Approved by the Planning & Oversight Committee on May 13, 2020.

• Approved by the Finance & Operations Committee on May 20, 2020.

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☐ Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee ☐ Planning & Oversight Committee Finance & Operations Committee ☐ Committee of the Whole General Meeting

Topic: Strive for 5 Public Awareness Campaign: May, June and July 2020

Contractual Parties: Advance Media, 1801 Superior Ave., STE 100, Cleveland, 44114 Call and Post, 11800 Shaker Blvd, Cleveland, 44120 Radio One Cleveland, 6555 Carnegie #4619, Cleveland, 44103 Voice It Radio, 17325 Euclid Ave., #4046, Cleveland, 44112 IHeart Radio, 6200 Oak Tree Blvd., Independence, 44131 Fox 8, 5800 S. Marginal Road, Cleveland, 44103 El Toro, 124 N. 1st Street, Louisville, KY 40202 Lamar, 12222 Plaza Dr., Parma, 44130

Term: May 28, 2020 – August 31, 2020 for all but VoiceItRadio. VoiceItRadio Term is May 28, 2020 – April 30, 2021 (they offered a full year’s proposal to support this and all ADAMHS Board efforts).

Funding Sources: ADAMHS Board Operating Budget (Suicide Prevention Media Campaign)* *Applied for FEMA Grant to help cover the cost of this campaign, no decision yet on awards

Amount: To: For: Amount Advance Media Plain Dealer Print/digital Ads $2,000 Call and Post Print Ads $2,000 Radio One Cleveland Radio Buy $5,000 Voice It Radio Radio, Web, Social Media Buy $7,500 iHeart Radio Radio Buy $7,500 Fox 8 Television Ads $2,000 El Toro Digital Geo Marketing $1,000 Lamar Advertising Billboards $4,000

Total Strive for 5 Campaign $31,000

Service Description: Strive for 5 Public Awareness Campaign

☐ New Program ☐Continuing Program ☐Expanding Program Other Awareness Campaign

Background Information: • We’ve learned from other disasters and crisis situations that there is an increased need for mental

health services and addiction treatment and recovery support.

• Last month, Governor DeWine and Ohio Department of Mental Health and Addiction Services Director Criss announced the Strive for 5 campaign, which challenges Ohioans to connect with 5 people every day for 30 days.

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• The challenge began in New York and is designed to help all people feel connected as well as reduce feelings of isolation and loneliness during the COVID-19 outbreak.

• The Ohio Strive for Five campaign can be specifically adapted for our County.

• The campaign includes a media buy for print, social media/geo marketing, radio and television to make people aware of this challenge and local resources in Cuyahoga County including the peer-to-peer warmline (440-886-5950), crisis, suicide prevention and information and referral hotline (216-623-6888) and crisis text 741741.

• The strive for 5 campaign encourages people to reach out to people in recovery from addictions and or living with mental illness, as well as those experiencing new stresses and trauma related to the pandemic (like job loss, child care/schooling at home).

• A message of connectedness and encouraging people to seek help will be beneficial during this challenging time.

• NOTE: Since the pandemic is affecting the entire community, we asked our vendors for a further reduction in cost or an added value. This request resulted in a reduction of $28,700 cost and many added value elements including: 120 free spots on three stations and free ads for May on seven stations, a free on-air interview that will air multiple times on two radio stations, and extended billboard time.

• Internet and terrestrial radio messages will be combined with targeted social media and print ads. o 30-second spot: Strive for 5 is a challenge to connect with others when we can’t be

together. Isolation can increase stress, anxiety and depression. When you choose your five think about those who may need extra support right now. Someone who lives alone, lives with mental illness or in recovery. Maybe someone who has recently lost a loved one or a job. Call, text or send a letter. Be there for someone and reach out if you need help, call 216-623-6888.

o 15-Second Spot: Strive for 5 is a challenge to connect with others when we can’t be together. Call, text or send a letter. Be there for someone and reach out if you need help, call 216-623-6888 for help and services.

o Messaging for commercial, media stories and social will include information on recognizing signs of trauma, relapse, and suicide as well as information on how to connect to each other and treatment.

o Sample print, social media and geo marketing ads:

Number of Individuals to be Served: • Based on estimated impressions, hundreds of thousands of individuals will be exposed to the

campaign, with millions of impressions.

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Funding Use: • Funding has been set-aside in the Board’s CY2019 Operating Budget for prevention campaigns

focusing on heroin, suicide and gambling prevention and awareness. The ADAMHS Board is receiving the not-for-profit/government/public awareness rates. If we did not receive that discounted rate, the cost of the campaign would be much higher. The Board has applied for a grant from FEMA to cover this campaign but has not received an award at this time.

Purchases include: • Advance Media, June 2020 ($2,000, Matched at $2,000): 1 full color, ¼ page Sunday Plain

Dealer ad and 145,454 Digital impressions on Cleveland.com and neighborhood online papers

• Call and Post, June 2020 ($2,000, reduced cost savings of $1,200): 8 full color ¼ page ads

• Radio One, June 2020 ($5,000, value added 120 free spots and free interview on two stations): 732 30-second spots on three stations

• iHeart Radio, June 2020 ($7,500, savings of $19,500 and free spots in May): 628 spots on 7 stations in June

• Voice It Radio: Ads will run 200 times/month for entire year (interchangeable); 30/60-second personal audio spots and programs promoted by hosts on social media and at events; 100 live reads per month from show hosts; 100 audio commercials per month during repeat broadcasts; daily social media blasts on Facebook, Twitter and Instagram; Video PSAs recorded by hosts and distributed through social media; ADAMHS ad with link on homepage; ADAMHS logo with link on preferred business directory; one on-air forum (In-studio), 1 on-location live broadcast (at an event), Unlimited on-air interview with ADAMHS Board reps. Note in-person offers will roll over until it is safe to return to public activities.

• Fox 8 ($2,000, Cost Savings $4,000) Run 32 (all news), 15-second ads: Early Morning News 4-6am 10 ads; Evening News 4-7:30pm 4 ads; Late News 10pm 4 ads; Weekend News 7-11am 4 ads; Late Late News 1-2am 10 ads

• El Toro Digital Geo Marketing, June 2020 ($1,000): Digital IP ads with 160,000 impressions.

• Lamar Advertising, June 2020 (extended time on boards left unpurchased) ($4,000, savings, value added -standard billboards will remain up as long as they are not purchased): 1 digital billboard and 10 standard neighborhood billboards.

Client & System Impact:

Program/Service Goals: • The purpose of this campaign is to keep people connected during this time of physical

distancing and raise awareness of how to recognize warning signs for suicide, relapse and trauma and get help when needed through local resources like the Crisis Hotline, Warmline and crisis text.

Program Goals or Objectives

o Promote connection with the Strive for 5 Campaign to decrease social isolation

o Raise awareness of signs of trauma, suicide and relapse o Promote Cuyahoga County’s 24-hour Crisis Hotline: 216-

623-6888. Evaluation/ Outcome Data (Actual results of program)

o Number of calls to the Cuyahoga County’s 24-hour Crisis Hotline: 216-623-6888 and Warmline: 440-886-5950.

o Number of clicks to links on social media as well as engagement rates and impressions made in digital content

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• The concept of the Awareness Campaign was approved by the Community Relations and Advocacy Committee on May 6, 2020. Staff recommends the approval of the launch of the Strive for 5 Campaign to run in June of 2020 via the above listed media at a total amount of $31,000 – reduced from $59,700 – a savings of $28,700.


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Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee ☐ Planning & Oversight Committee Finance & Operations Committee ☐ Committee of the Whole General Meeting Topic: Community Mental Health Support-Pregnancy and Infant Loss (PAIL)-Grief Recovery

Paraprofessional Training Contractual Parties: YWCA Greater Cleveland, First Year Cleveland Pregnancy and Infant Loss Committee Term: May 2020 through May 2021 Funding Source(s): ADAMHS Board Amount: Not to exceed $20,000

New Program ☐Continuing Program ☐Expanding Program ☐Other _______________ Service Description:

• This is a community partnership between the ADAMHS Board, First Cleveland and the YWCA Greater Cleveland to support the education and training of up to 10 African American therapists, social workers and or counselors to be trained and certified in Grief Recovery Method Training Program (GRM).

• The Pregnancy and Infant Loss (PAIL) mission is to provide awareness, support, and hope to those who have experienced miscarriage, stillbirth or death of a baby before the age of one.

• Grief Recovery Method Training facilitates healing by infusing mental health paraprofessionals into the community and providing culturally appropriate behavioral health support services for Black women and men who have experienced loss, especially miscarriage, still birth and infant loss.

• The GRM is a four-day evidenced based training and retreat experience that is best suited for ministers, funeral home directors, therapists, other healthcare providers, and families who have personally experienced loss and/or who work with those who have a loss.

• The ADAMHS Board of Cuyahoga County will provide funding for training 5 African American therapists as well as 5 PAIL members in the GRM project.

Background Information: • African American infants are more than two times more likely to die compared to that of non-Hispanic Caucasian

babies. • Reasons suggested for this disparity include structural and historic racism, the environment in which a mother

lives, nutrition deficiencies and long-term toxic stress. • Community based paraprofessionals once trained through GRM will provide immediate and supplemental

support as well as advocacy to mothers and their significant others for their personal recovery. • The goal of PAIL is to promote emotional and mental wellness among African American families through grief

support and advocacy. • This unique partnership between the ADAMHS Board and PAIL will enhance the mental health of families

affected by pregnancy and infant loss.

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• In March 2020, the inaugural GRM class included 14 men and women who have made a commitment to help African American families in Cleveland and Cuyahoga County.

• The funds from the ADAMHS Board will enable the second class for 2020. Number of Individuals to be served:

• Up to 10 people will be trained in GRM. Funding Use:

• Funding to cover professional development, costs of existing therapists, as well as the costs of the community members. These costs will cover the facilitator’s presentation fee and related travel expenses.

• The total cost will be $1,750 per person to cover the cost of this certification training.

Client & System Impact: • To help families move forward in life and relationships without feeling like they are forgetting or neglecting the loss

of their baby; • To provide culturally appropriate grief recovery and support to families in the community. • To enhance and sustain unique community partnerships.


• The number of paraprofessionals recruited for the GRM training. • The number of actual people who complete GRM training.


• New program - N/A currently


• Board staff recommends providing up to $20,000 for the training in a collaborative partnership with First Cleveland and the YWCA Greater Cleveland.

• Approved by the Community Relations & Advocacy Committee on May 6, 2020.


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Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee ☐ Planning & Oversight Committee Finance & Operations Committee ☐ Committee of the Whole General Meeting Topic: ADAMHS Board of Cuyahoga County Co-Sponsorship of the Pride in the CLE march and festival Contractual Parties: LGBT Community Center of Greater Cleveland 6600 Detroit Ave. Cleveland, OH 44102 Term: May 28, 2020 – October 31, 2020 Funding Sources: ADAMHS Board Operating Budget Amount: $1,000 ☐ New Program Continuing Program ☐Expanding Program Other Service Description: Sponsorship of Pride in the CLE, a march and festival, being held September 12, 2020 on Mall C in Cleveland. Background Information:

• The LGBT Community Center of Greater Cleveland offers a safe space for resources, support, connections, and programming that supports the LGBTQ+ community, including education to reduce stigma and health services that advance the overall well-being of the LGBTQ+ community. Pride in the CLE requested that we sponsor this event, which is an all-day festival and march on September 12, 2020 at on Mall C in Cleveland.

• The LGBT Community Center of Greater Cleveland’s mission is to enrich the lives of the diverse LGBTQ+

community through advocacy, support, education and celebration.

• Sponsorship of this event is recommended because it: o Complements the ADAMHS Board mission, vision, value statements, strategic plan and/or advocacy by

supporting the Board’s focus on cultural competency and suicide prevention efforts for special/minority populations.

o Strives to alleviate the stigma of living with a mental illness and/or alcohol and other drug addictions. Supports the LGBTQ+ community that already faces stigma and discrimination regularly, which is

compounded when individuals are living with addictions and/or mental illness. NAMI says: This fear of coming out and being discriminated against for sexual orientation and gender

identities can lead to depression, posttraumatic stress disorder, thoughts of suicide and substance abuse.

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o Raises the overall public’s awareness (specifically for this event the LGBTQ+ community) of mental illness and/or alcohol and other drug addictions. The National Institute on Drug Abuse states that the LGBTQ populations face a greater risk of

harassment and violence (trauma), substance use disorders and mental illness.

Suicide risk according to NAMI: For LGBTQ people aged 10–24, suicide is one of the leading causes of death. LGBTQ+ youth are 4 times more likely and questioning youth are 3 times more likely to attempt suicide, experience suicidal thoughts or engage in self-harm than straight people. Between 38-65% of transgender individuals experience suicidal ideation.

o Promotes recovery for all people living with a mental illness and/or alcohol and other drug addictions. With

risk factors this high, it is important that the community know how to access resources and seek assistance/recovery from mental illness and addictions.

• Benefits of the $1,000 Yellow Partner include:

o Listing as a partner on Pride in the CLE webpage o Logo placement on website and name listed on partner pages/lists o Name listed on partnership page in Pride in the CLE Pride Guide o Resource table at the event

Number of Individuals to be Served:

• The event had more than 30,000 attendees last year. • LGBT Community center has helped thousands of Cuyahoga County residents seek acceptance and assistance

from discrimination, stigma and by advocating for change to support this community. Funding Use:

• Yellow Partner Sponsorship of the PRIDE in the CLE march and festival defrays the cost of hosting the event and raises awareness for issues impacting the LGBT community, including mental health and addictions.

Client & System Impact: • The purpose of this event is to get education and information about mental health and substance use to the

LGBT community, which has a higher rate of suicide (in teens) and increased issues with substance use including alcohol and drugs. This event raises funding for the programs offered through LGBT Center, provides an event that offers the LGBT community to come together and celebrate safely in a culturally competent environment, and increases awareness of the discrimination, stigma and health and wellness issues that face the LGBT community.

Metrics (How will success be measured)

• Number of people in attendance at the Pride in the CLE march and festival. • Ensuring ADAMHS Board Co-sponsorship Benefits

Evaluation/ Outcome Data (Actual data from program)

• This was the second time the ADAMHS Board of Cuyahoga County served as a sponsor of this event and we handed out thousands of pieces of literature.


• The ADAMHS Board should support efforts that educate on substance abuse and suicide prevention to the

LGBTQ+ community because this community is at greater risk or trauma (from discrimination and stigma), suicide (teens) and substance abuse (all ages). Therefore, staff recommends that the ADAMHS Board sponsor the LGBT Community Center’s Pride in the CLE march and festival with a $1,000 yellow partner sponsorship.


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Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee ☐ Planning & Oversight Committee Finance & Operations Committee ☐ Committee of the Whole General Meeting Topic: Sponsorship of “Remembering Our Babies” hosted by the YWCA Contractual Parties: YWCA of Greater Cleveland

4019 Prospect Ave E, Cleveland, OH 44103

Term: May 28, 2020 – November 30, 2020

Funding Sources: ADAMHS Board Funding Amount: $500 ☐ New Program Continuing Program ☐Expanding Program ☐Other Service Description: This is a sponsorship in the amount of $500 to offset the costs of hosting the Remembering our Babies event being held on Pregnancy and Infant Loss (PAIL) Day, October 15, 2020. Background Information:

• First Year Cleveland (FYC) is a multi-sector collaborative working towards a unified strategy to reduce infant mortality and racial disparities in Cuyahoga County.

• The goal is to lower infant deaths by end of 2020 by addressing three strategic areas: (1) reduce racial disparities, (2) address extreme prematurity, (3) and eliminate sleep related deaths.

• The FYC PAIL committee exists to create an opportunity for African American families who are impacted by loss to be heard and to be connected to vital mental health and supportive services.

• The “Remembering Our Babies” event will provide a forum in which the community at large and public officials can hear directly from African Americans who have experienced pregnancy and infant loss (PAIL).

• Engaging Black families to share their experiences of loss will help inform comprehensive efforts to achieve equity in birth outcomes and empower systems and providers to deliver the best services possible and support Black families during their pregnancy and/or infant loss journey.

• This event is being held on Pregnancy and Infant Loss Remembrance Day, October 15, 2020, to create awareness of infant loss and prevention strategies to combat infant loss.

Number of Individuals to be Served:

• Approximately 200 families that have been through an infant loss and community leaders, nonprofits and advocates are expected to attend the “Remembering Our Babies” event being held on October 15, 2020 at the Botanical Gardens.

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Funding Use:

• Funds will be used to provide food, flyers and other promotional materials for the event. Client & System Impact:

• Sponsoring this conference will: o Complement the ADAMHS Board mission, vision, value statements, strategic plan, and/or

Advocacy Action Agenda. o The event is culturally specific and addresses health disparities in the African American

community, while connecting families with the supportive services needed during pregnancy and after an infant loss.

Metrics (How will success be measured)

• Number of people in attendance at the event


• 175 families were in attendance, who honored 101 babies and the event reached 387 followers via Facebook live videos.


• Board staff recommends sponsorship of the “Remembering Our Babies” event to be held on October 15,

2020 in the amount of $500.



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☐ Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee ☐ Planning & Oversight Committee Finance & Operations Committee ☐ Committee of the Whole General Meeting Topic: OACBHA FY2021 Membership Dues Contractual Parties: Ohio Association of County Behavioral Health Authorities (OACBHA) Term: July 1, 2020 to June 30, 2021 Funding Source(s): ADAMHS Board Amount: $18,275

☐ New Program ☐Continuing Program ☐Expanding Program Other Membership Dues Service Description:

• Membership dues to the Ohio Association of County Behavioral Health Authorities (OACBHA), the statewide organization that represents the interests of Ohio’s ADAMHS Boards at the state level. Each member ADAMHS Board pays annual membership dues to OACBHA to support its operations, advocacy and educational efforts.

Background Information:

• OACBHA works to provide education, develop policies and seek support for initiatives that will expand and enhance mental health and substance abuse prevention, treatment and recovery support services.

• OACBHA provides a forum to address statewide issues and provides Boards with a single voice to communicate with a variety of governmental bodies to promote a Recovery Oriented System of Care.

• Membership dues have been kept at the same rate since FY2017. • OACBHA has been a vital source of information, resources and advocacy with OhioMHAS during the COVID-19

pandemic.

Number of Individuals to be served: N/A Funding Use:

• Funds will be used to pay annual OACBHA membership dues for FY2021 (July 1, 2020 – June 30, 2021). Client & System Impact:

• OACBHA decisions and actions are guided by compassion and the needs and experiences of people living with mental illness and/or addictions, as well as the desire to improve their quality of life.

• Advocating for system funding to provide mental health and addiction treatment and recovery services to clients. • Influencing legislation for the best interest of clients. • Providing educational opportunities for clients, providers and ADAMHS Board Directors and staff. • Offers Culture of Quality Board certification to ensure best practices at the Board level.

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• Continued updates and discussions about legislation impacting mental health and/or addiction treatment and recovery services, in the new normal of COVID-19.

• Continued advocacy efforts before the legislature. •


• OACBHA has been a vital source of information, resources and advocacy with OhioMHAS during the COVID-19 pandemic.

• Passage of the SFY 20/21 State Budget that positively impacted funding for mental health and/or addiction treatment and recovery services.

• Continued successful hosting of Opioid and Recovery Conferences in SFY20. • OACBHA has been successful in fulfilling its mission to provide leadership as the

unifying voice promoting local Recovery Oriented Systems of Care that provide mental health and addiction prevention, treatment, and supports services for all Ohioans.

• OACBHA continues to provide excellent services to Boards, such as one-on-one consultation, answering questions, providing information and education to all involved with the behavioral health system and the legislature, advocacy, new CEO and Board orientation, representing Board and clients interests to the state departments, legislative testimony preparation, providing legislative updates, organizing statewide conferences, etc.


• Approval of payment to the Ohio Association of County Behavioral Health Authorities (OACBHA) for annual membership dues for FY2021 (July 1, 2020 – June 30, 2021).in the amount of $18,275.




APPROVAL OF CONTRACT AMENDMENTS

1. Amendment to Resolution 20-02-06, Cuyahoga County Juvenile Court Intervention Center

Behavioral Health Services 2. Amendment to Resolution 19-11-08, Women’s Recovery Center Expansion 3. Amendment to Resolution 19-11-08, Hitchcock Center for Women Residential Treatment

Funding 4. Amendment to Resolution 19-10-03, Community Transition Program (CTP) 5. Amendment to Resolution 19-11-08, Life Long Transportation, LLC 6. Amendment to Resolution 19-06-05, Cuyahoga County Division of Children and Family

Services – Treatment Foster Care/Kinship Care

WHEREAS, the Alcohol, Drug Addiction and Mental Health Services Board of Cuyahoga County (ADAMHS Board) Chief Executive Officer (CEO) has determined it necessary and within the administrative and operational budget to amend the contracts with the following entities:

1. Amendment to Resolution 20-02-06, accepting additional funding from the Cuyahoga County Juvenile Court to increase funding for Intervention Center Behavioral Health Services by $200,000 and extending the time period through June 30, 2021. All other terms of the contract remain the same for the following contract:

a. Applewood Centers; and, 2. Amendment to Resolution 19-11-08, Women’s Recovery Center for the time period May 1,

2020 through December 31, 2020 to increase funding by $56,840. All other terms of the contract remain the same; and,

3. Amendment to Resolution 19-11-08, Hitchcock Center for Women to add funding for Residential Treatment for the time period June 1, 2020 through December 31, 2020 in the amount of $250,000; and,

4. Amendment to Resolution 19-10-13 Community Transition Program (CTP) to add funding for the time period July 1, 2019 through June 30. 2020 in the amount of $75,000. All other terms of the contract remain the same for the following contract:

a. FrontLine Service; and, 5. Amendment to Resolution 19-11-08, Life Long Transportation, LLC for additional funding for

the time period May 28, 2020 through December 31, 2020 in the amount of $10,000; and, 6. Amendment to Resolution 19-06-05, Cuyahoga County Division of Children and Family

Services – Treatment Foster Care/Kinship Care project to extend the time period until June 30, 2021 to expend the balance of the contract of $190,812 for the following contract:

a. Catholic Charities; and,

WHEREAS, the ADAMHS Board Finance and Operations Committee reviewed the ADAMHS Board staff’s recommendation and recommends that the Board of Directors approve or ratify said contracts amendments.

NOW, THEREFORE, BE IT RESOLVED: A. The ADAMHS Board of Directors authorizes amending the ADAMHS Board resolutions listed

below: 1. Amendment to Resolution 20-02-06, accepting additional funding from the Cuyahoga County

Juvenile Court to increase funding for Intervention Center Behavioral Health Services by

$200,000 and extending the time period through June 30, 2021. All other terms of the contract remain the same for the following contract:

b. Applewood Centers; and, 2. Amendment to Resolution 19-11-08, Women’s Recovery Center for the time period May 1,

2020 through December 31, 2020 to increase funding by $56,840. All other terms of the contract remain the same; and,

3. Amendment to Resolution 19-11-08, Hitchcock Center for Women to add funding for Residential Treatment for the time period June 1, 2020 through December 31, 2020 in the amount of $250,000; and,

4. Amendment to Resolution 19-10-13 Community Transition Program (CTP) to add funding for the time period July 1, 2019 through June 30. 2020 in the amount of $75,000. All other terms of the contract remain the same for the following contract:

a. FrontLine Service; and, 5. Amendment to Resolution 19-11-08, Life Long Transportation, LLC for additional funding for

the time period May 28, 2020 through December 31, 2020 in the amount of $10,000; and, 6. Amendment to Resolution 19-06-05, Cuyahoga County Division of Children and Family

Services – Treatment Foster Care/Kinship Care project to extend the time period until June 30, 2021 to expend the balance of the contract of $190,812 for the following contract:

a. Catholic Charities; and, B. The ADAMHS Board Chief Executive Officer is authorized to execute any necessary contractual

agreements.

On the motion of , seconded by , the foregoing resolution was adopted. AYES:

NAYS: DATE ADOPTED:

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☐ Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee ☐ Planning & Oversight Committee Finance & Operations Committee ☐ Joint Planning & Finance Committee General Meeting Topic: Amendment to Resolution No. 20-02-06 - Cuyahoga County Juvenile Court (CCJC)

Intervention Center Behavioral Health Services Contractual Parties: Applewood Centers Term: July 1, 2020 – June 30, 2021 Funding Source(s): Cuyahoga County Juvenile Court (CCJC) Amount: $200,000 Increase ☐ New Program Continuing Program ☐Expanding Program ☐Other Service Description: • Cuyahoga County Juvenile Court extended the project period with the ADAMHS Board for the Intervention Center

Behavioral Health contract and increased the project by $200,000. • The Intervention Center’s behavioral health services include:

o Assessment & Brief Behavioral Health Screening o Case management o Referral to Respite services for crisis intervention o Navigation & Linkage to appropriate services and supports

Background Information: • The Cuyahoga County Juvenile Court (CCJC) invited the ADAMHS Board to participate in their 2018 Kaizen which

identified the need for earlier identification and diversion of youth with behavioral health needs into clinically appropriate services and supports. The Intervention Center for Behavioral Health Services was part of the continuum of services developed by CCJC to divert pre-adjudicated youth identified with behavioral health needs away from further penetration into the juvenile justice system and link to appropriate behavioral health services.

• The ADAMHS Board participated in selecting the Behavioral Health Provider to implement the program, provided contractual oversight and program monitoring to ensure the provision of services are fulfilled. The ADAMHS Board and CCJC partner to monitor quality assurance of the Intervention Center’s behavioral health service.

• ADAMHS Board approved contracting with Applewood Centers on September 26, 2018.

• During the first two years, CCJC, Applewood Centers and the ADAMHS Board partnered to implement and develop the Intervention Center for Behavioral Health Services to identify pre-adjudicated youth with mental health needs, connect them to behavioral health services and divert youth away from CCJC’s Detention Center and juvenile justice system involvement.

Number of Individuals to be Served: • Approximately 100% of youth referred by CCJC, approximately 350 youth, for diversion through the Intervention

Center.

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Funding Use: • Funding will be utilized for staffing of clinicians within the CCJC Intervention Center for the provision of assessment,

screening, and linkage to diversionary or behavioral health services and supports. Client & System Impact: • Cross-system partnership between the juvenile justice and behavioral health systems • Early identification and diversion of youth away from the juvenile justice system • Improved access to behavioral health services and supports for youth and families Metrics (How will goals be measured)

In SFY 2020, the Behavioral Health Assessors in the Intervention Center Program will serve 100% of youth referred, approximately 350 youth, for behavioral health symptoms/challenges. Of those:

75% of youth at discharge/4 week follow up will demonstrate the following outcomes: • Follow-through with referrals/recommendations

• Improved relationships with family members

• Improved relationships with peers

• Improved relationships with adults at school/work • No new legal charges


In the first 3 quarters of SFY 2020 from July 1, 2019 through March 31, 2020: • 349 youth were served

• At report, 274 were due for 4 week survey. 90 parents/guardians were unreachable

or declined to take survey; 180 parents/guardians completed satisfaction surveys,

Of those:

• 87.2% youth followed through with referrals/recommendations

• 90.6% youth reported improved relationships with family members

• 88.06% youth reported improved relationships with peers

• 83.6% youth reported improved relationships with adults at school/work

• 93.1% youth reported no new legal charges

Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): • To amend Resolution No. 20-02-06 to extend the contract with Applewood Centers for the CCJC Intervention

Center Behavioral Health Services Program, and to increase the project by $200,000 for the period July 1, 2020 through June 30, 2021.


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☐ Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee Planning & Oversight Committee Finance & Operations Committee ☐ Committee of the Whole General Meeting Topic: Women’s Recovery Center Expansion Contractual Parties: Women’s Recovery Center Term: May 1, 2020 – December 31, 2020 Funding Source(s): ADAMHS Board of Cuyahoga County Amount: $56,840 (prorated for May to December cost)

☐ New Program ☐Continuing Program Expanding Program ☐Other _______________

Service Description:

• Women’s Recovery Center provides Outpatient Treatment services with pooled funding. The treatment curriculum is a minimum of 17 weeks and is comprised of Phase One Intensive Outpatient (IOP), Phase Two is Relapse Prevention-Non-Intensive Outpatient (NIOP) and Phase Three is Aftercare.

• Therapeutic modalities include cognitive behavioral therapy, motivational interviewing, mindfulness and brief theory interventions.


• Since 1986 Women’s Recovery Center has provided a safe space for women on the near Westside of

Cleveland Women’s Recovery Center provides services that address the unique and complex needs for women who abuse alcohol and other drugs.

• The Women’s Recovery Center operates a morning, afternoon and evening, three phase treatment program that addresses the comprehensive recovery needs for women and families.

• On-site childcare is also available. In addition to treatment the Women’s Recovery Center provides onsite childcare, HIV education, nutrition and housing assistance.

Number of Individuals to be served:

• 96 (Prorated from May – December 2020 estimated numbers, 25% census increase from 2019 state

fiscal year)

Funding Use:

• This funding will be used to hire one Clinical Director/Group Counselor Full Time. In the long term, the organization will benefit from having a full-time clinical director. However, for the short-term, the

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proposal of a full-time position split between clinical director and counseling duties will be a great help as the organization grows under the new leadership.

• The individual who fulfills this position will eventually transition to serving as full-time dedicated clinical director.


• With hiring a Clinical Director/Group Counselor Women’s Recovery Center will be able to treat more

women in 2020.The plan is to treat conservatively 25% more women. • As more of the increased staffing needs are addressed, Women’s Recovery Center anticipates

increased referrals, increased group sizes and increased assessments.


• Number of clients enrolled

• Number of referrals to program

• Number of assessments

• Number of clients completing the program

• Number of clients who remain sober 90 days post treatment


• Number of clients enrolled in 2019 (state fiscal year): 115

• Number of referrals to program in 2019 (state fiscal year): 182

• Number of assessments in 2019 (state fiscal year): 104

• Number of clients completing the program in 2019 (state fiscal year): 17

• Number of clients who remain sober 90 days post treatment in 2019 (state fiscal year): 8


• To approve the contract with Women’s Recovery Center in the amount of $56,840 to provide one full-

time Clinical Director/Group Counselor.

• Approved by the Planning & Oversight Committee on May 13, 2020.


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☐ Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee Planning & Oversight Committee Finance & Operations Committee ☐ Committee of the Whole General Meeting Topic: Hitchcock Residential Treatment Funding Contractual Parties: Hitchcock Center for Women (HCFW) Term: June 1, 2020 through December 31, 2020 Funding Source(s): ADAMHS Board of Cuyahoga County Amount: $250,000.00

☐ New Program ☐Continuing Program Expanding Program ☐Other _______________

Service Description:

• Hitchcock Center for Women has been providing substance use treatment services to women, including those who are pregnant and those with children for over 40 years.

• They are one of the few agencies that allow women to live with their children while in treatment. Additionally, they accept women on any form of Medication Assisted Treatment (MAT) as well as those who are taking various psychotropic medications.

• Hitchcock Center for Women recently completed a yearlong engagement with the National Council for Behavioral Health in the Trauma-Informed, Resilience-Oriented Approaches Learning Community and they look forward to further incorporating skills and processes that will further support clients in their recovery.


• Hitchcock Center for Women has for the past year and a half been providing Residential and Outpatient

Treatment Services through use of Medicaid funding and Women’s Treatment funding in addition to funding through the ADAMHS Board.

• In CY2018 they admitted 214 women into residential treatment. In CY2019 they have admitted 188 women into residential treatment.

• The organization has transitioned to billing Medicaid Managed Care Organizations during the last two (2) years and has recently started Partial Hospital programming to further extend a women’s time in a recovery environment.


• Year to date CY2020 Hitchcock Center for Women have admitted 76 women into residential treatment. • During March and April 2020, they have experienced a sharp decline in referrals and in turn admissions into

residential due to the COVID-19 crisis. • Recently a slight increase in referrals and admissions have been noted. We anticipate serving a total of 200

women in residential treatment for CY2020.

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Funding Use:

• General operating including ongoing payroll, utilities, support services including IT and other essential

contracts.


• To continue to provide the life-saving treatment to the women and children Hitchcock Center for Women needs the additional funding during the ongoing COVID-19 situation. Hitchcock Center for Women would struggle to maintain operations without such funding.

Metrics

(How will goals

be measured)

Treatment Completion/Retention Rate defined as percentage of clients that complete treatment without ASA, rejecting services or requiring transfer to other facilities for medical or psychiatric reasons.

• Successful treatment completion is defined as client demonstrating the following:

• being drug-free • being engaged in positive and supportive relationships and

environments • Hitchcock Exit Interview Checklist to evaluate client perception of

services. • Number of referrals to residential treatment • Number of clients entering residential treatment • Number of successfully discharged from residential treatment • Average length of residential treatment

Evaluation/

Outcome Data

(Actual results from program)

Treatment Completion Rate/Retention: • 70% or higher completion rates for residential programs based on

Board target and consistent with agency expectations • 50% or higher for outpatient programs based on national data from

the Substance Abuse and Mental Health Services Administration (SAMHSA) Treatment Episodes Data Set (TEDS).

• Results of Hitchcock Exit Interview Checklist • Number of referrals to residential treatment (To be determined) • Number of clients entering residential treatment (To be determined) • Number of successfully discharged from residential treatment (TBD) • Average length of residential treatment (To be determined)


• To approve a contract with Hitchcock Center for Women in the amount of $250,000 to augment residential

treatment and support services for women, including those who are pregnant and those with children.

• Approved by the Planning & Oversight Committee on May 13, 2020. • Approved by the Finance & Operations Committee on May 20, 2020.

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☐ Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee ☐ Planning & Oversight Committee Finance & Operations Committee ☐ Committee of the Whole General Meeting Topic: Amendment to Resolution No. 19-10-03 Contract for Community Transition Program

(CTP) Contractual Parties: FrontLine Service Term: July 1, 2019 – June 30, 2020 Funding Source(s): The Ohio Department of Mental Health and Addiction Services (OhioMHAS) Amount: $75,000 Increase

☐ New Program ☐Continuing Program Expanding Program ☐Other _______________ Service Description:

• The Ohio Department of Mental Health & Addiction Services (OhioMHAS) has awarded the Cuyahoga County ADAMHS Board an additional $75,000 of funding for SFY2020. Therefore, it is requested that the contract be amended to reflect this addition to the allocation.

• The Community Transition Program (CTP) connects clients released from prison with Severe Mental Health (SMI) and or Substance Use Disorders (SUD) that are being released from prison to behavioral health services in the community. This program provides support and assistance to improve each person’s ability to successfully reintegrate back into the community.

• Provides direct treatment services prior to (in-reach) and upon release to increase engagement post-release, as well as a variety of Substance Use Disorder treatment and recovery services.

• Additionally, recovery supports, a form of assistance intended to help an individual with mental health needs, or a member of the family of such an individual, to initiate and sustain the individual’s recovery is provided. Common recovery supports might include, but are not limited to: housing, employment services, peer recovery support, transportation, life skills, spiritual support, and other reentry needs. The provided supports are specific to the participant’s needs


• Frontline Services is the sole provider of the Community Transitions Program (CTP) for the adult prison population who are returning to Cuyahoga County. CTP started as Mental Health Prison Reentry, a pilot program with Frontline Services in July 2018. Frontline Services is expanding the CTP to include referrals to those in need of Substance Use Disorder (SUD) treatment and services.


• Based on previous referral amounts, the program estimates to receive 180 referrals and serve approximately 50% of those referrals.

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Funding Use:

• OhioMHAS collaborates with the Ohio Department of Rehabilitation and Correction to provide community linkage services for offenders with severe mental illness (SMI) and substance use disorders (SUD). The OhioMHAS Community Transition Program (CTP) works with offenders prior to release from prison to assure continuity of care. Individuals with SMI and SUD continue to experience various barriers to successful reintegration. The contracted agency will receive referrals from ODRC community linkage workers and link those offenders with community mental health and/or substance use disorder agencies.


• The Community Transition Program (CTP) offers a transition benefit meant to provide resources in the community to assist with housing, work, transportation, and recovery supports upon the offenders release to the community. This is done by ensuring appropriate referrals for mental health and substance abuse disorder treatment and services.


• Under the direction of OhioMHAS, data will be collected by the provider, at baseline, every six months, and at discharge through a web-based data collection and reporting tool.

• The uniform data collection tool will be provided by OhioMHAS (TBD). • Provider will report to the Board, on a quarterly basis, the number of clients served, and

the types of treatment and recovery supports provided.


• Since its beginning in 2018, Frontline’s Community Transition Program has had 189 referrals and, of those, 98 admissions.

• Since 2016, Substance Use Disorder-related referrals to Frontline have consisted of 171

referrals and 96 admissions.


• To amend resolution 19-10-03 to accept additional funding from OhioMHAS in the amount of $75,000 for the Community Transition Program (CTP) and to increase the contract with FrontLine Service for this program.


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☐ Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee ☐ Planning & Oversight Committee Finance & Operations Committee ☐ Committee of the Whole General Meeting Topic: Amendment to Resolution 19-11-08, Life Long Transportation, LLC Contractual Parties: Life Long Transportation, LLC Term: May 28, 2020 – December 31, 2020 Funding Source(s): Alcohol, Drug Addiction & Mental Health Services Board of Cuyahoga County Amount: $10,000

☐ New Program Continuing Program ☐Expanding Program ☐Other _______________ Service Description:

• Life Long Transportation, LLC provides non-emergency transportation services to clients in ADAMHS Board funded group homes and residential facilities for medical appointments.

• Life Long Transportation, LLC provides non-emergency transportation services to substance use disorder

clients associated with ADAMHS Board funded treatment and recovery support services agencies for medical appointments related to treatment and/or recovery.

• Life Long Transportation, LLC ensures that drivers have a brief understanding of behavioral health

symptomology to reduce risk and increase attendance rates for appointments and improved functioning.

Background Information: • Recovery support such as transportation services facilitate recovery, wellness, coordination and linkage among

service providers, and other supports shown to improve quality of life for individuals seeking or currently in the recovery process, and their families.

• It is critical that recovery support services are culturally and linguistically appropriate to assist individuals and families to work toward recovery from mental and/or substance use problems.

• With that said, the ADAMHS Board contracted with Life Long Transportation, LLC in 2019 and 2020 to provide the above-mentioned non-emergency transportation services.

Number of Individuals to be served: Approximately 45 Funding Use: Non-emergency transportation services to clients receiving treatment services from provider agencies. Client & System Impact: Clients will have greater access to mental health and treatment services.

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• Number of provider agencies referring clients • Number of clients served • Number trips provided


• Number of provider agencies referring clients: For CY20, four providers agencies have utilized transportation services provided by Life Long Transportation: Community Action Against Addiction (CAAA); Magnolia Clubhouse; Mommie and Me Too; and Northern Ohio Recovery Association (NORA).

• Number of clients serviced: 45 • Number of trips provided: 1,013


• To recommend approval of the Board of Directors to amend Resolution 19-11-08 to increase funding for Life Long Transportation, LLC in the amount of $10,000.


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☐ Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee ☐ Planning & Oversight Committee Finance & Operations Committee ☐ Committee of the Whole General Meeting Topic: Amendment to Resolution 19-06-05 Cuyahoga County Division of Children and Family

Services (CCDCFS) Treatment Foster Care/Kinship Care Pilot Contract Extension Contractual Parties: Catholic Charities Term: July 1, 2020 to June 30, 2021 Funding Source(s): Cuyahoga County Division of Children & Family Services (CCDCFS) Amount: $190,812 (Balance of Contract)

☐ New Program Continuing Program ☐Expanding Program ☐Other _______________ Service Description:

• The Treatment Foster Care Pilot is a pilot program that provides intensive home-based support inclusive of the Trust Based Relational Intervention® (TBRI®) model, which is an evidenced based intervention, to be utilized concurrently with behavioral health services and support. TBRI® is a trauma-informed intervention and parenting model designed for children who have experienced relationship-based traumas.

• The staffing composition for the pilot includes Master’s Level Clinicians and Child Welfare staff that will participate in regular staffings and weekly team meetings, as well as collaborative training opportunities with CCDCFS staff relative to behavioral health and trauma-informed care while utilizing TBRI as a compliment.

• The clinical services provided are the following: o Assessment & Screening o Therapeutic Interventions o Psychiatric Assessments and Pharmacological Services o Case Management and Care Coordination for behavioral health support o Crisis Intervention

• Due to the limited number of homes identified, in addition to the delay in service provision, CCDCFS requested a contract extension to fully execute services to demonstrate the program’s effectiveness. CCDCFS set a goal to license five (5) treatment foster families by December 2020 through utilizing newly approved online training for recruitment.

• The original contract amount was $251,000 and the balance of the contract is currently $190,812. Background Information:

• The Cuyahoga County Division of Children and Family Services (CCDCFS) identified a critical need within their system to expand its current foster care programming to include treatment foster homes, as well as the provision of timely individualized behavioral health interventions with children/youth stepping down from a residential placement or placed with a relative/kinship caregiver.

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• As such, CCDCFS staff requested the ADAMHS Board’s assistance in developing a clinical model to support children and their families in foster care and relative/kinship placements. As such, the Board agreed to assist in developing a model to “pilot” the intensive level of support in tandem with a dedicated behavioral health agency, which would be identified through a vetting process. Once an agency is identified, the ADAMHS Board will provide contractual oversight and program monitoring to ensure the provision of services are fulfilled to meet the overarching goal to divert and decrease the length of stay in the child welfare system.

• ADAMHS Board staff received full approval from ADAMHS Board of Directors on March 28, 2018 to release a Request For Proposals to vet a service provider for the Treatment Foster Care/Kinship Care Pilot. The RFP was released on April 6, 2018, and submissions were received by May 4, 2018 and Catholic Charities was identified as the selected agency for the provision of services for this pilot.


• Approximately 25 clients will be served Funding Use:

• Funding will be used to provide intensive clinical and supportive services Client & System Impact:

• Cross-System partnership between the child welfare and behavioral health systems • Decreased rate of placement disruptions, residential placements, and hospitalizations • Decreased rate of trauma exposure • Diversion and decreased length of stay in the child welfare system


In SFY 2021, Treatment Foster Care/Kinship Care program will serve 80% of clients referred, approximately 25 clients, for intensive home-based treatment services to avoid disruption and further penetration in the child welfare system. Of those:

80% of clients at discharge will complete treatment services successfully and demonstrate the following outcomes:

• Eighty-percent (80%) reduction re: Trauma Symptom Severity on the Post Traumatic Stress Disorder (PTSD) checklist

• Eighty-percent (80%) reduction re: Problem Severity on the Ohio Scales (8 point or more reduction)

• Eighty-percent (80%) improvement re: Functioning on the Ohio Scales (4 point or more increase)


In SFY 2019 between July 1, 2019 to September 2019, the Treatment Foster Care/Kinship Care Program served 6 clients. Of the 6 clients served, 2 clients were successfully discharged. Of those:

• 2 clients (100%) reported a reduction re: Trauma Symptom Severity on the Post Traumatic Stress Disorder (PTSD) checklist

• 1 client (50%) reported a reduction re: Problem Severity on the Ohio Scales (8 point or more reduction)

• 1 client (50%) reported improvement re: Functioning on the Ohio Scales (4 point or more increase)

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• To recommend approval to the Board of Directors to amend Resolution 19-06-05 to extend the Treatment Foster Care/Kinship Care Pilot with the Cuyahoga County Division of Children and Family Services for the period July 1, 2020 through June 30, 2021 and to extend the ADAMHS Board’s contract with Catholic Charities to fully execute services approved through this contract.


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