finance operations committee wednesday, may 16,...

FINANCE & OPERATIONS COMMITTEE WEDNESDAY, MAY 16, 2018

4:00 P.M. 2012 West 25th Street O United Bank Building (Sixth Floor) 0 Ohio Room

Committee Mission Statement: To assist the full Board in fulfilling its fiduciary responsibility

by reviewing and overseeing financial and operational aspects of the system.

AGENDA

1. Call to Order- Rev. Benjamin F. Gohlstin, Sr., Committee Chair

2. Introduction of Felicia Harrison, Chief Financial Officer -Osiecki

3. Approval of Minutes: April 18, 2018- Rev. Gohlstin

4. Finance Reports - (Action Requested) - Harrison Board Voucher & Expenditure Reports - April 2018

5. Contracts - (Action Requested) - Harrison

a) Ohio Mental Health & Addiction Services (OhioMHAS) - CURES 2nd Year Federal Funding - Total: $1,375,013.00

Ascent - Connect. Hope. Live (Peer Support MetroHealth ED) $250,000.00

Ascent - Virtual App (Peer Recovery Support) $131,94.400

Catholic Charities - Clinically Managed High Intensity Residential Treatment Services (MAT) $296,913.00

Cleveland Treatment Center - Clinically Managed Low Intensity Residential Services (MAT)

$175,831.00

Community Action Against Addiction - MAT (Methadone) $100,000.00

I'm In Transition - Certified Peer Recovery Support Recovery Housing $4,544.00

Moore Counseling and Mediation Services Certified Peer Recovery Support Police Assisted Addiction

and Recovery Initiative (PAARi) Safe Passages East $52,500.00

The Woodrow Project - Certified Peer Recovery Support Police Assisted Addiction and Recovery

Initiative (PAARi) Safe Passages SW $52,500.00

The Woodrow Project - Certified Peer Recovery Supporter Recovery Housing $57,584.00

The Woodrow Project - Certified Peer Recovery Supporter Project SOAR City of Lakewood Quick

Response Team $29,571.00

Visiting Nurse Association - Ambulatory Withdrawal Management Services $223,626.00

b) OhioMHAS and Ohio Department of Youth Services (ODYS) Behavioral Health/Juvenile Justice Program -

Total $550,000.00 - Cuyahoga County Juvenile Court - $310,712.00

- Bellefaire Jewish Children's Bureau - $97,10.00 - Applewood Centers, Inc. - $142,18.800

c) Cuyahoga County Prosecutor Grant: Prevention, Education Program

Catholic Charities - - $184,727.35

d) Sponsorship: Pride in the CLE March and Festival, Saturday, June 2, 2018 - LGBT Community Center of Greater Cleveland - $1,000.00

e) Sponsorship of OACBHA Recovery Conference: October 1-2, 2018 - $1,500.00

6. Contract Amendments - (Action Requested) - Harrison

a) Amendment of Resolution 17-11-06, Approval of CY 2018 Service Provider Contracts - No change in annual

allocation to Frontline Service - Amend Safe Haven allocation - $77,264.00 increase for 11/01/18 -12/31/18 - Amend Flores House allocation - $386,324.00 decrease for 01/01/2018 -12/31/18

b) Amendment to Resolution 18-02-04 CURES Act Funding - Peer Recovery Support

- Ascent Metro ED - $20,000.00 Increase

c) Amendment of Resolution 16-04-02-OhioMHAS Pass-Through Funding: Addiction Treatment Program (ADT)

- $1,337,294.00 pooled funding to include additional provider listed below: Cuyahoga County TASC (Treatment Alternatives to Street Crime)

7. Identify Consent Agenda - Rev. Gohlstin

8. Priority Discussion - Osiecki / Garrity

Q: What kind of recovery support services are needed to complement treatment?

9. Old/New Business

Finance & Operations Committee

Rev. Benjamin F. Gohlstin, Sr., Committee Chair O J. Robert Fowler, Ph.D., Committee Vice Chari

Pythias D. Jones, M.D., Eugenia Kirkland, LSW, MSSA, COCA O Sharon Rosenbaum, MBA Hugh B. Shannon ° Harvey A. Snider, Esq. 0 Ericka L. Thoms

PERIOD: April 2018 CY 2018

Administrative Budget

{January 1 - December 31, 2018)

Projected 33.33%

Actual 29.73%

CY 2018

Budaet Cateaorv Budget Apr-18 Y-T-D Balance % Utilized

Salaries:

Salaries - Regular (0030) $ 1,265,000 $ 89,733 $ 385,181 $ 879,819 30.45%

Salaries - Part Time (0050) $ 20,000 $ 1,174 $ 4,596 $ 15,404 22.98%

Salaries - Union (0060) $ 1,570,000 $ 97,377 $ 474,024 $ 1,095,976 30.19%

Subtotal $ 2,855 000 $ 188,284 $ 863,801 $ 1,991,199 30.26%

Fringe Benefits:

Hospitalization (0152) $ 635,000 $ 46,105 $ 188,383 $ 446,617 29.67%

PERS - Retirement (0155) $ 384,950 $ 25,875 $ 104,292 $ 280,658 27.09%

Medicare (0157) $ 40,000 $ 2,641 $ 12,129 $ 27,871 30.32%

Subtotal $ 1,059,950 $ 74,622 $ 304,804 $ 755,146 28.76%

Operational Expenses:

Commodities:

Office Suoolies (0201) $ 6,000 $ 17 $ 217 $ 5,783 3.62%

Copy Supplies (0203) $ 20,000 $ 1,387 $ 6,131 $ 13,869 30.65%

Housekeeping Supplies (0224) $ 2,000 $ (255' $ 249 $ 1,751 12.43%

Food Supplies (0226)

Miscellaneous Suoolies (0229)

$ 11,000

$ 500

$ 629

$ - $ 3,779 $ 7,221

$ 500

34.35%

0.00%

Computer Suoolies (0289) $ 18,000 $ 3,885 $ 4,845 $ 13,155 26.92%

Utilities (0341l Subtotal

$ 68,000

$ 125,500

$ 4,848

$ 10 511

$ 22,131

$ 37 351

$ 45,869

$ 88,149

32.55%

29.76%

Contracts & Professional Services:

Prof & Tech Services - Consultants (0262) $ 216,000 $ 16,009 $ 55,304 $ 160,696 25.60%

Prof & Tech Services - Other (0264) $ 4,000 $ 50 $ 100 $ 3,900 2.50%

Contracted Services (0278) $ 75,000 $ 3,184 $ 17,857 $ 57,143 23.81%

Contract Services - Security (0273) $ 155,000 $ 13,954 $ 69,875 $ 85,125 45.08%

Assign Counsel (0280) $ 110,000 $ 9,177 $ 42,271 $ 67,729 38.43%

Tuition Reimbursement (0300)

Liability Insurance & Bond (0327)

$ 7,500

$ 58,000

$ 1,008

$ - $ 2,796

$ 7,009

$ 4,704

$ 50,991

37.28%

12.08%

Bldg. Grounds Maintenance (0361) $ 6,000 $ 615 $ 2,756 $ 3,244 45.93%

Equipment - Contract Maintenance (0363) $ 19,000 $ 4,963 $ 5,065 $ 13,935 26.66%

Office Rent (0391) $ 377,400 $ 31,870 $ 127,479 $ 249,921 33.78%

Subtotal $ 1,027,900 $ 80,829 $ 330,512 $ 697,388 32.15%

Controlled Services:

Data Processing

Subtotal

$ 3,000

$ 3,000

$ -

$ - $ -

$ - $ 3,000

$ 3,000 0.00%

0.00%

Equipment Expense

Equipment - Lease/Purchase (0726) $ 20,000 $ 2,593 $ 7,128 $ 12,872 35.64%

Computer Equip. & Furniture (0720) $ 20,000 $ 120 $ 5,988 $ 14,012 29.94%

Subtotal $ 40,000 $ 2 713 $ 13 116 $ 26,884 32.79% Other Operatin

Postaqe(0283) $ 15,000 $ - $ 442 $ 14,558 2.95%

Telephone (0287) $ 21,000 $ 1,696 $ 8,336 $ 12,664 39.69%

Travel - Duty Related (0305) $ 43,000 $ 2,190 $ 4,232 $ 38,768 9.84%

Travel - Seminars & Conferences (0307) $ 12,900 $ 1,500 $ 2,867 $ 10,033 22.22%

County Printing/Printinq (0378/0614) $ 3,000 $ - $ 1,138 $ 1,862 37.92%

County Suoolies (0370) $ 3,000 $ 590 $ 926 $ 2,074 30.88%

Other Expenses (0610) $ 100,000 $ 955 $ 10,385 $ 89,615 10.39%

Publications (0611) $ 750 $ 70 $ 70 $ 680 9.33%

Professional & Membership Dues (0617) $ 45,000 $ 21,679 $ 23,321 48.18%

Misc. Chqs & Obligations (0630) $ 5,000 $ - $ 5,000 0.00%

Advertisinq (0654) $ 40,000 $ 1,547 $ 5,944 $ 34,056 14.86%

Subtotal $ 288,650 $ 8,548 $ 56,019 $ 232,631 19.41%

Total $ 5,400,000 $ 365,507 $ 1,605,603 $ 3 794,397 29.73%

PAGE 1

PERIOD: April 2018 CY 2018

Administrative Budget

{January 1 - December 31, 2018)

Projected 33.33%·

Actual 29.73%

Summary Data

Salaries FrinQe Benefits

CY 2018

Budget

$ 2,855,000 $ 1,059,950

Apr-18

$ 188,284 $ 74,622

Y-T-D

$ 863,801 $ 304,804

Balance

$ 1,991,199 $ 755,146

%

Utilized

30.26% 28.76%

Subtotal $ 3,914,950

Operational Expenses:

Commodities $ 125,500 $ 10,511 $ 37,351 $ 88,149 29.76%

Contracts & Professional Svc $ 1,027,900 $ 80,829 $ 330,512 $ 697,388 32.15%

Controlled Services $ 3,000 $ - $ - $ 3,000 0.00%

Equipment Expense $ 40,000 $ 2,713 $ 13,116 $ 26,884 32.79%

Other Expenses $ 288,650 $ 8,548 $ 56,019 $ 232,631 19.41% Subtotal $ 1,485,050 $ 102 601 $ 436,998

PAGE 2

BOARD VOUCHER REPORT

4/1/2018 THROUGH 4/30/2018

Description Vendor Name Amount Check Nbr

-------------------------------------------------------------------- ------------ ---------

OFFICE SUPPLIES 3/30/18 W.B. MASON CO., INC. 16.78 181138

Total Office Supplies 16.78

COPIER LEASE 3/2018 ACE (AMERICAN COPY EQUIPMENT, INC.) 1,387.43 180986

Total Xerox/Copy Supplies 1,387.43

Refund Credit Balance

Total Housekeeping Supplies

AM SAN LLC - 2 55.19 rr1805951

-255.19

SODA FOR MEETING 3/13/17 DAVES SUPER MARKETS 38.98 180977

All Providers Meeting 9/26/17 DAVES SUPER MARKETS 113.95 180977

CAKE FOR MEETING 9/27/17 DAVES SUPER MARKETS 85.98 180977

CAKE FOR MEETING 10/16/17 DAVES SUPER MARKETS 17.99 180977

FOOD FOR TRAINING 12/15/17 DAVES SUPER MARKETS 77.53 180977

FILTER CHANGE 4/7/18 PURE WATER TECHNOLOGY LLC 84.00 181127

PURIFIED DRINKING WATER 4/11 PURE WATER TECHNOLOGY LLC 179.85 181161

Phone Bank - Food Supplies W.B. MASON CO., INC. 30.94 181228

Total Food Supplies 629.22

Tablet Covers (22)

FIFTH THIRD BANK/AMAZON

384.77

181092

Total Computer Supplies 384.77

ELECTRIC-05/18

UNITED TWENTY FIFTH BUILDING LLC

4,847 .74

181198

Total Electric 4,847.74

SERVICES RENDERED 3/18-3/31

FARID SABET MD INC

5,304.00

181006

SERVICES RENDERED 4/ 1- 4/ 14 FARID SABET MD INC 5,304.00 181154

SERVICES RENDERED 4/ 15-4/ 28 FARID SABET MD INC 5,304.00 181235

EMPLOYMENT VERIFICATION SELECTION.COM 60.00 181087

BACKGROUND CHECK 4/16/18 SELECTION.COM 37.00 181159

Total Prof/Tech - Consultants 16,009.00

SUBSTANCE TEST 3/2018

OCCU CENTERS EAST SIDE

50.00

181105

Total Prof/Tech - Other 50.00

IT CONSULTING SERVICES 3/2018

CHRISTOPHER P. TOMARO

382.50

181236

STORAGE/SHREDDING 2/21-3/26 IRON M OUNTAIN 2,439.26 181082

ADMIN FEES 3/2018 IRON M OUNTAIN 309.44 181119

MOOD MEDIA 5/ 2018 MOOD M EDIA NORTH AMERICA HOLDINGS 52.35 181157

Total Contractual Services 3,183.55

PAGE 3


4/1/2018 THROUGH 4/ 30 / 20 18


---------------------------------- --------------------------------------------------------- EMAIL Subcription 4/2018 - 4/2019 LOGMEIN, INC. 3,499.99 181166

Total Computerized Software 3,499.99

SECURITY ADAMf-jS BO. 3/26-4/1/18

TENABLE PROTECTIVE SERVICES, INC.

1,017.56

181088

SECURITY ADAMHS BO. 4/16-4/22/18 TENABLE PROTECTIVE SERVICES, INC. 1,0 17.56 181245

SECURITY ADAMHS BO. 4/ 2-4/ 8/ 1 8 TENABLE PROTECTIVE SERVICES, INC. 1,013 .1 5 181144

SECURITY ADAMHS BO. 4/9-4/15/18 TENABLE PROTECTIVE SERVICES, INC. 1,057.21 181220

SECURITY 1466 W. 81ST 3/26-4/1/18 TENABLE PROTECTIVE SERVICES, INC. 959 .48 181088

SECURITY 1466 W. 81ST 4/ 16-4/ 22/ 18 TENABLE PROTECTIVE SERVICES, INC. 895.48 181245

SECUR ITY 1466 W. 81ST 4/2-4/8/18 TENABLE PROTECTIVE SERVICES, INC. 895.48 181144

SECURITY 1466 W. 81ST 4/9-4/15/18 TENABLE PROTECTIVE SERVICES, INC. 895.48 181220

SECURITY HITCHCOCK C.NT. 3/26-4/1/18 TENABLE PROTECTIVE SERVICES, INC. 1, 621.04 181088

SECURITY HITCHCOCK CNT. 4/16-4/22/18 TENABLE PROTECTIVE SERVICES, INC. 1,515.32 181245

SECURITY HITCHCOCK CNT. 4/ 2-4/ 8/ 18 TENABLE PROTECTIVE SERVICES, INC. 1,515.32 181144

SECURITY HITCHCOCK CNT. 4/ 9-4/ 15/ 18 TENABLE PROTECTIVE SERVICES, INC. 1, 515.32 181220

SECURITY NAMI 4/16-4/22 (2) Hours TENABLE PROTECTIVE SERVICES, INC. 35.24 181245

Total Security 13,953.64

HEARINGS 3/2018 BARBARA E. SALTZMAN 87.55 180988

EVALUATIONS 3/8-4/3/18 MARY E. SCARFO 185.39 180980

EVALUATIONS 4/5-4/8/18 MARY E. SCARFO 278.09 181083

EVALUATIONS 4/ 10 -4/ 15/ 18 MARY E. SCARFO 185.40 181178

EVALUATIONS 4/17-4/22/18 MARY E. SCARFO 208.57 181 217

EVALUATIONS 4/26/18 MARY E. SCARFO 46.35 181244

EVALUATIONS 3/31/18 MARY S. JOHNSON 13 9.05 180991

EVALUATIONS 4/ 4-4/ 8/ 18 MARYS. JOHNSON 278.08 181094

EVALUATIONS 4/10-4/16/18 MARYS. JOHNSON 185.39 181179

EVA LUATIONS 4/12-4/22/18 MARY S. JOHNSON 440.30 181225

EVALUATIONS 4/24-4/25/18 MARYS. JOHNSON 139.04 181247

HEARINGS 3/19-3/30/18 PAUL M. FRIEDMAN 875.50 181158

HEARINGS 4/ 2-4/ 13 / 18 PAUL M. FRIEDMAN 612.85 181218

HEARINGS 3/ 12 -3/ 23/ 18 RONALD C. BALBIER 1,050.60 180983

HEARINGS 3/26-4/6/18 RONALD C. BALBIER 437.75 181085

HEARINGS 4/9-4/20/18 RONALD C. BALBIER 437.75 181219

HEARINGS 3/ 19 -3 / 30/ 18 SCOTT J. FRIEDMAN 350 .20 181168

HEARING S 4/ 2-4/ 13/ 18 SCOTT J. FRIEDMAN 700.40 181230

HEARINGS 4/ 9-4/ 1 8/ 18 STEVE W. CANFIL 262.65 181222

HEARINGS 3/13-3/23/18 TED S. FRIEDMAN 525.30 180987

HEARINGS 3 / 26 -4/ 5/ 18 TED S. FRIEDMAN 963.05 181093

HEARINGS 4/6-4/20/18 TED S. FRIEDMAN 787.95 181223

Total Assigned Counsel/Psych Eval 9,177.21

PAGE4


4/1/2018 THROUGH 4/30/2018

Description Vendor Name Amount Check Nb r

------------ ---------

TUITION REIMBURSEMENT MELENIE COLON 1,000.00 180999

TUITION REIMBURSEMENT BETH PFOHL 8.00 181212

Total Tuition Reimbursement 1,008.00

Paint Supplies for Office FIFTH THIRD BANK/Sherwin Williams 42.43 181092

LIGHTBULBS REPLAC.ED 8th FLOOR 4/9 UNITED TWENTY FIFTH BUILDING LLC 56.17 181252

LIGHTBULBS REPLACED 4/20 UNITED TWENTY FIFTH BUILDING LLC 7.40 181252

MATSERVICES 4/9/18 UNIFIRST CORPORATION 254.55 181115

MATSERVICES 4/23/18 UNI FIRST CORPORATION 254.55 181215

Total Bldgs/Grounds Maint. Repair 615.10

MAINT. AGREEMENT TELEPHONES

WARWICK COMMUNICATIONS, INC.

4,963.04

181151

Total Equipment Contract 4,963.04

RENT/TAX/INSURANCE 5/2018

UNITED TWENTY FIFTH BUILDING LLC

31,869.79

181198

Total Office Rental 31,869.79

LEASING CHARGES 1/ 30 -4/ 29/ 18

PITNEY BOWES

1,621.80

180976

COPIER LEASE 4/12-5/11/18 DE LAGE LANDEN PUBLIC FINANCE 971.08 180989

Total Equipment - Lease/Purchase 2,592.88

TIMEFORCE 3/2018

CTR EMPLOYEE MANAGEMENT SERVICES IN

119.70

181209

Total Equipment - Office Machines 119.70

FAX2MAIL 3/2018

EASYLINK SERVICES INTERNATIONAL COR

100.56

181009

CELLULAR PAYMENT 3/ 4/ 18 -4/ 3/ 18 VERIZON WIRELESS 372.40 181146

CELLULAR PAYMENT 3/4/18-4/3/18 VERIZON WIRELESS 50.29 181146



CELLULAR PAYMENT 3/ 4/ 18 -4/ 3/ 18 VERIZON WIRELESS 40.17 181146

PLANS AND SERVICES 3/2018 AT&T 806.22 181086

Total Telephone 1,696.46

Milage 3/2018

WILLIAM HEBBLE

52.97

181071

Milage 1/ 11 - 4/20 VICTORIA L. ROEMER 72.76 181224

Milage 3/2018 MELENIE COLON 23.80 180999

Milage, Parking, Meals 4/23 RALPH PIATAK 161.29 181207

Milage 1/4 -3/ 23 M ICHAEL DOUD 407.66 180981

Milage 2/14 - 3/28 JOHN F. COLEMAN 200.02 180979

Milage 3/2018 MAGGIE J. SPELLMAN 65.40 181070

Milage 1/ 11 -3/ 29 DERRICK E. KIRKLEN 115.98 181069

PAGE 5


4/ 1/ 2018 THROUGH 4/30/2018


WB MASON 12/2017 OFFICE SUPPLIES

WB MASON 1/2018 OFFICE SUPPLIES

Total County Office Supplies

COUNTY CHARGE

COUNTY CHARGE

448.62 IN1800249

141.73 IN1800347

590.35

ANNUAL M EETING 5/10/18 NAMI GREATER CLEVELAND 198.00 181123

SPONSOR: SURVIVORSOF VIOLENCE STARMAKERS COMMUNICATIONS 750.00 181238

Start Meeting 3/5/2018 FIFTH THIRD BANK 6.95 181092

Total Other Expenses 954.95

SUBSCRIPTION RENEWAL: 2-YEAR

CRAIN'S CLEVELAND BUSINESS

70.00

180992

Tota l Publications 70.00

PU BLICATION MAY/JUNE 2018

YOUR TEEN INC

150.00

181103

1/2 Page (Pd . With Crisis Text Grant) YOUR TEEN INC 500.00 181103

ADVERTISING 4/4/18 VP LLC 896.50 181106

Total Advertising 1,546.50

Total Admin. Operat iona l Expenses 102,600.52

PAGE6

------------ ---------

Milage ORH Conf 1/4 MICHAEL DOUD 154.24 181084

M ilage COHHIO Conf 4/10 MICHAEL DOUD 154.24 181120

Milage ECMH Conf. 4/23 TONYA L. BIRNEY 137.34 181233

Parking Columbus (2) FIFTH THIRD BANK 23.00 181092

Airfare NATCON Conf. 4/22 M. Doud FIFTH THIRD BANK/UNITED 510.60 181092

Meals - OMHAS Meeting M. Doud FIFTH THIRD BANK 7.31 181092

Airfare 5/25 M. Doud (Crisis Related) FIFTH THIRD BANK 103.00 181092

Total Trans/Trave l Duty Related 2,189.61

2018 CIT CONFERENCE

C_IT INTERN ATIONAL, INC.

400.00

181200

Housing Conf 4/9 - 4/11Regist M . Doud FIFTH THIRD BANK 260.00 181092

Trauma Informed Workshop (3) FIFTH THIRD BANK 40.00 181092

Trauma Informed Conf. Dr. C. Vrabel MENTAL HEALTH SERVICESFOR HOM PER 150.00 181249

Trauma Informed Conf. T. Bosanac OR IANA HOUSE 150.00 181250

Trauma Informed Care Conf 4/26 COMM UNITY SUPPORTS 500.00 181257

Total Trans/Travel Conferences 1,500.00

ADAMHS BOARD OF CUYAHOGA COUNTY

INCOM E STATEMENT

FOR THE PER IO D 1/ 1/ 18 THROUGH 12/31/18

I - - - - - - - - - - - - - - - - - - - - - - - - -

Budaet Jan-18 ,Feb -118 Mar-'1·8

Be g innin g Cash Balance 2,500,000 * 12, 252,529 7,622,713 3,571,493 B,105 ,172 1 2,252,529

F ed eral R even u e 1

SAMHSA Federal Grant 846,689 315,185 315,185

Cures Act 2,125,000

Total Federal 18,143,879 335,428 3,390,538 427,132 2,696,017 - - 6, 8 4 9, 11 4

S t a t e R e v e nue

Menta l Health System of Care 405,524 101,381 101,381 202,762

Behavioral Health Juvenile Justice 550,000 137,500 137,500 137,500 412,500

Continuum of Care-Community Investments 1,353,201 - 109,961 109,961

Transitional Assertive Community Treatment /ACTl 275,000 68,750 68,750

Early Childhood Mental Health Counseling 441,906 110,476 110,476

AOD Recovery Housing 48,000 - - Forensic Monitoring 194,406 48,601 48,603 97,204

AOD Per Capita Treatment 586,004 146,501 146,501 293,002

AOD Per Capita Prevention 95,195 23,798 23,801 47,599

AOD Pass Through Funding 311,461 4 907 4 564 9,471

Casino Gambling TreatmenUPrevention 415,215 103,803 103,806 207,609

State Legislature New ADAM HS Board Funding 115,000 - Psychotrooic Dru□ Reimburse for Countv Jails 7,226 7,226

To tal State Revenu e 4,790,912 561,584 252,883 75,976 676,117 - - 1,566,560

Loca l Revenue

Miscellaneous Rents/Misc/Private Grants 200,000 5,403 5,470 35,921 4,861 51,655

Family Children First Council 203,949 -

Invest in Children (Early Childhood Mental Health} 669,552 -

Correction Planning Board Various Proarams 1,500,000 27,752 290,087 400 464,523 782,762

Law Enforcement Trust Fund 184,727 184,727

Subtotal Local 2,573,501 33,155 295,556 36,321 654,111 - 1,0 19,144

HH S L evv Revenu e

ADAMHS Levv 39,363,657 9,840,915 9,840,915 19,6 81,830

Total Local & Levv Revenues 41,937,158 33,155 295,556 9,877,236 10,495,026 - 20,700,973

; r.ana''Tpf IRevenues 64,871, 949 930,167 3,938,976 10,380,344 13,867,160 . . 29,1 6,646

PAGE 7

M edic aid 19 15A Waiver Proqram 4,500,000 1,741,374 608,760 2,350,134

Substance Abuse Prevention & Treatment (SAPT} 5,107,738

1,222,984

1,222,990

2,445,974

Substance Abuse Prevent ion & Treatment Pass

Through (SAPT Pass-Through) 2,860,241 120,002 6,552 199,504 326,057

Title XX 861,179 156,083 146,699 302,782

Projects Assistance Transition from Homelessness

(PAT H} 305,723 76, 431 76,431 152,862

Mental Health Block Grant 839,814 209,953' 209,955 419,908

Mental Health Block Grant - Housinq/Emolovment 3,097 1,549 1,549

Mental Health Block Grant - Housina 209,675 209,675

CABHI Demonstration 83,768 83,768

Opportunities for Ohioans with Disabilities (000) -

Case Service Contract

689,398

59,343

118,685

59,343

237,371

Access to Recovery 5,000 3,850 3,850

ADAMHS BOARD OF CUYAHOGA COUNTY

INCOME STATEMENT

FOR THE PERIOD 1/1/18 THROUGH 12/31/18

j

PAGE 8

Expenses

Administrative Expenses

EXPEN Budget

SES & EN Jan-18

DING BALANCE Feb-18 Mar-18

Apr-18

,May-1,

a

Jun-18

Total

Salaries 282,070 199,403 194,043 188,284 863,801

FrinQe Benefits 78,657 75,872 75,654 74 622 304,804

Commodities 7,055 11,449 8,336 10,511 37,351

Contracts

County Data Processing

79,346

- 91,789 78,549 80,829 330,512

-

Eauipment Expense 2,593 1,447 6,364 2,713 13,116

Other Expense

Subtotal Administrative Expenses

Direct Service Expenses

MEDICAID WAIVER PROGRAM

MH Medicaid Waiver 1915A FFS

MH Medicaid Waiver 1915A Grant

TOTAL MEDICAID WAIVER

PROVIDER DIRECT SERVICES

MH Residential·services /0522)

AOD Residential Services /0522\

MH Non Medicaid Employment Services (0523)

AOD MH Non Medicaid Services - FFS /0525\

MH Non Medicaid Grants /0524\

MH Peer/Family Suooort (0528l

AOD Non Medicaid Prevention /0555\

AOD MH - Pass Thru (0576\

AOD Non Medicaid Treatment (0577\

TOTAL PROVIDER DIRECT SERVICE

OTHER BEHAVIORAL HEALTH SERVICES

MH Non Medicaid Wrap Around Support {0529}

Wrap Refunds Credited towards Exo

Residential Assistance Programs (0587)

ResidentialPlacement(BHJJ, MRDD &

ODYS)434357,0514&0521

SHARES Management System

Board Properties - Bldgs & Grounds

Prevention Campaigns

Fami ly Centered Services & Supports (FCSS)

Other (Client Trg., Drug Court & Youth In-Patient)

Evaluations - Assessment Tool

TOTAL OTHER BEHAVIORAL HEALTH SERVICES

OOD - CASE SERVICE CONTRACT

Employment Services

Mandated Match lo OOD

TOTAL OOD - CASE SERVICE CONTRACT

Federa l Grants

SAMHSA Expenses (759118-0278)

Cures Act (759514-0577)

TOTAL FEDERALGRANTS

Total 201,a Exoenses

2017 Contract Pavments Made in 2018

(i$rafi'.cJiTotal Exoenses

Revenues - Expenses + Beainnina Balance

26,006

5,400,000 475,726

196,322

3,000,000 196,322

175,473

158,833

74,803

480,697

845,007

77,513

60,683

132,730

.

51,233,381 2,005,740

249,833

-

119,680

3,601

3,578,948 373,114

1,187,931 -

s4s,6ss I

2,125,000 4,167

2,971,689 4,167

67 371 949 3 055,069

- 2,504,914

5 559 983

- 7,622 713

10,780

390,738

41,049

158,496

199,544

743,471

565,503

214,921

1,180,747

1,604,852

175,714

156,434

350,783

27,008

5,019,433

225,457

(5,721)

7,132

17,487

1,937

246,291

57,875

320,021

377,896

300

118,743

119,043

6,352 946

1,637,250

7 990 196

3,571,493

10,685

373,632

658,352

267,238

925,590

624,935

268,357

69,785

759,032

921,105

184,596

68,821

277,641

29,433

3,203,705

216,497

1775\

7,726

28,280

251,728

32,211

32,211

103,358

447,312

550,670

5 337;53'7

509,128

5 846·665

8,105,172

:

1

8,547

365,506

401,335

401,335

629,571

415 045

138,331

920,261

1,371,521

209,181

100,038

366,926

11,620

4,162,493

205,988

179,889

136,739

121 489

62,358

63,413

174

30,600

800,650

.

77,205

127,684

204,889

s 934 874

105,537

6040411

5 931,921

-

-

.

-

-

- .

-

-

-

-

-

.

.

56,018

1,605,603

895,723

827,068

1,722,791

2,173,449

1 407,739

497,840

3,340 737

4,742,486

647,004

385,976

1,128,080

68,061

14,391,372

897,775

(6,496)

179,889

151,596

241,169

111,726

.

63,413

2,111

30,600

1,671 ,782

90,086

320,021

410,107

180,863

697,906

878,769

20 680 425

4,756,830

25-437,254

15 931,921

Bud!let Cateao

• Direct Service Expenses

I 92 .06 %

IOther - Consumer Training, Drug Court & Adolescent in-Patient

Subtotal Direct Services EXJJenses

Employment Services

Mandated Match to OOD

SAMHSA Ex_[Jenses

Cures Act

TOTAL OOD, SAMHSA, & CURES

Tota l Direct Services Non MCD Expenses

4,81s,ooIo $

_$_

-I$

24 938

5,627: 449 11 116 .80%

$

SERVICES RENDERED CV2017 AND PAID IN 2018

MH Non Medicaid Residential Services (0522)

MH Non Medicaid Employment Services (0523)

AOD MH Non Medicaid Services - FFS (05251

MH Non Medicaid Grants (0524)

MH Non Medicaid Family Support (0528)

AOD Non Medicaid Prevention (0555)

AOD MH - Pass Thru (0576)

AOD Non Medicaid Treatment (0577)

TOTAL NON-MED SERVICES

Other Behaviora l Heath Services

MH Non Medicaid Wrap Around Support (0529)

59,201,504

89,826

781

11,760

3,171

1 $ 105,537

3,784,977

1,192,211

17,735,318

21,169,125

2,441,951

825,673

4,941,230

2,410,747

$ 54 501 232 I

3,175,353

Wral) Refunds Credited towards Exp (51,795)

Residential Assistance Programs (0587) 511,373

Residential Placement Pm9_ra ms (BHJJ, MRDD & ODYS 637,099

SHARES Manage1T1en t System 420,429

Misc Training (BH Redesign 56,000

Program Evaluations 121,729

Board Properties - Bldas & Grounds 334,657

Prevention Campaigns "193,708

Family Center Service & Support (FCSS) ( 050 9) 203,959

PAGE9

Ii $6,562,958

Balance Sheet Alcohol, Drug Addiction & Mental Health Serv,ices Board

Assets Current assets:

Cash $15,931,921

Pre-paid expenses 2J1§0§

Accounts Receivable - Due from Federal, State & County 0

Total current assets $15,955,727

Fixed assets:

Furniture and equil)rnent, net

Land - Bradley Manor

Land - Euclid Avenue

Land - W. 81st Street

Land - Lakeshore Blvd.

Land - Bernard Avenue

Buildin_g_s - Bradley Manor, net

Buildings - Euclid Avenue, net:

Buildings - W. 81st Street, net

Buildings - Lakeshore Blvd., net

Buildings - Bernard Avenue, net

Net fixed assets

Total assets

Liabilities and Net Assets Current liabilities:

$63,271 94,000

64,500

19,200

333 875

102,636

691888

3Jl325

221469

3_L978

$4 9_A7S

$1'6,435,28 2

Accounts pa','able - Estimated Due to Service Providers $5,500,000

Accrued wages:

Accrued Personal Da_y-s 22,311 Accrued Sick Time 91,548

Accrued Vacation 402,756

Accrued Com_p_ensatory Time 10,776

Accru d Payroll 145,197

Long Term liabilities:

ODMH Forgivable Mortgci_ge - Euclid Avenue 209,111

ODMH Forgivable Mortgage - W. 81st. Street 25,224 ODMH Forgivable Mortgage - Lakeshore Blvd. 107,379

ODMH Forgivable Mortgage - Bernard Avenue

Total liabilities

Net assets:

48,656

Unassigned: $3,284,548

Nonspendable:

Pre_ aid Expenses 23,806

Restricted:

State, Federal, Local - Advance Receipt of Resources

Total Net assets

Total liabilities and net assets $

6,563,890

,9,872 244

16,435,202

PAGE 10

ALCOHOL, DRUG ADDICTION & MENTAL HEALTH SERVICES BOARD

Board Owned Properites

Calendar Year 2018

For the Period April 1, 2018 through April 30, 2018

Bradley Manor Property Routine:

Sub Total

Non Routine:

Sub To tal

Total April

Y-T-0 Total

Euclid Property Routine:

Sub Total

Non Routine:

Amount Vendor Descrigtion

$509.08 City of Cleveland Water/NEORSD Water/sewer charges.

$556.41 Dominion East Ohio Gas.

$105.00 Guardian Alarm (ADS) Security.

$691.31 lluminating Co. Electric.

$310.52 AT&T Phone service.

$598.01 Waste Services (Republic) Trash removal.

$2,770.33

$15,336.00 EDEN, INC. (Reimbursements) Licensure

$15,336.00

$18,106.33

$34,864.88

Sub Total $0.00

Total April $1,463.22

Y-T-D Total $15,868.18

W.81stPro Routein:

$219 .33 lluminating Co. Electric.

$60.10 City of Cleveland Water/NEORSD Water/Sewer charges.

$726 .88 Dominion East Ohio Gas.

$205.90 Guardian Alarm (ADS) Security / Smoke Detector

Sub Total


$1,593.78

Non Routine:

Sub Total

Total April

Y-T-D Total

Bernard Avenue Routine:

Sub Total

$30,909.60 EDEN, INC. (Reimbursements) Vinyl Tile/Licensure

$32,503.38

$41,153.20

$284.13 City of Cleveland Water/NEORSD Water/Sewer charges.

$284.13

Non Routine:

Sub Total

Total April

Y-T-D Total

Lakeshore Blvd. Routine:

$0.00

$284.13

$1,089.13

Sub Total

Non Routine:

Sub Total

Total April

Y-T-D Tota l

$0.00

$1,266.89

$5,730.06

PAGE12

$289.82 lluminating Co. Electric.


$50.00 Allied Exterminators Pest control.

$90.00 Guardian Alarm (ADS) Secrity.

$699.59 City of Cleveland Water/NEORSD Water/sewer charges.


$1,463.22

$0.00 EDEN, INC. (Reimbursements) Sidewalk/Driveway Repairs

$234.93 ClevelandPublic Power Electric.


$120.12 City of Cleveland Water/NEORSD Water/Sewercharges.

$399.00 Guardian Alarm (ADS) Security/Phone Line Repair


$76.15 AT&T Phone service.

$1,266.89

4 A D A M H S , BOARD OF CUYAHOGA COUNTY

ALCOHOL, DRUG ADD ICTION & MENTAL HEALTH SERVICES

CONTRACTS

and

CONTRACT AMENDMENTS

Finance & Operations Committee

May 16, 2018

l A. D A. H S \ B O A R D OF CUYAHOGA COUNTY

ALCOHOL. DRUG ADDICTION & M EN TAL H EALTH SERVICES

Agenda Process Sheet Date: May 16, 2018

□ Community Relations & Advocacy Committee □ Faith-Based Outreach Committee

■ Planning & Oversight Committee ■ Finance & Operations Committee

□ Committee of the Whole □ General Meeting

Topic: CURES Act 2nd Year Funding

Contractual Parties: Accept Funds from Ohio Department of Mental Health and Addiction Services

(OhioMHAS)

Term: May 1, 2018 through April 30, 2019

Funding Source(s): Federal Funding

Amount: $1,375,013.00

Service Description: ■ New Program □Continuing Program □ExpandingProgram □Other

• OhioMHAS provided the Cuyahoga County ADAMHS Board with Cures Act funding to address the opioid epidemic in the community. The categories of service supported by OhioMHAS are Certified Peer Recovery Support,

Medication Assisted Treatment (MAT) and Recovery Supports Services.

• 2nd Year funding to support the following initiatives:

o Ascent - Connect. Hope. Live (Peer Support MetroHealth ED) $250,000

o Ascent - Virtual App (Peer Recovery Support) $131,944

o Catholic Charities - Clinically Managed High Intensity Residential Treatment Services (MAT) $296,913

o Cleveland Treatment Center- Clinically Managed Low Intensity Residential Services (MAT) $175,831

o Community Action Against Addiction - MAT (Methadone) $100,000

o I'm In Transition - Certified Peer Recovery Support Recovery Housing $4,544

o Moore Counseling and Mediation Services Certified Peer Recovery Support Police Assisted Addiction and

Recovery Initiative (PAARi) Safe Passages East $52,500

o The Woodrow Project - Certified Peer Recovery Support Police Assisted Addiction and Recovery Initiative

(PAARi) Safe Passages SW $52,500

o The Woodrow Project- Certified Peer Recovery Supporter Recovery Housing $57,584

o The Woodrow Project - Certified Peer Recovery Supporter Project SOAR City of Lakewood Quick

Response Team $29,571

o Visiting Nurse Association - Ambulatory Withdrawal Management Services $223,626

Background Information:

• Federal program passed by Congress to combat the prescription opioid and heroin crisis.

• Ohio applied and will receive $26 million for 2 years. Year 1 funding ended April 30, 2018.

• The purpose of the funds to increase access to MAT and recovery supports

• Cuyahoga was notified that our allocation will be$ 1,375,013.00 Year 2 beginning May 1, 2018.

1

p

Number of Individuals to be Served:

• It is anticipated 2nd Year 2517 individuals will be served. 1st Year 855 individuals will be served.

Funding Use: Medical Assisted Treatment, Quick Response Protocol and Recovery Supports

Client & System Impact:

Program Goals or Objectives

1. Serve 2517 individuals 2. Maintain Quick Response Protocols to fast-track individuals into Withdrawal

Management Services or substance use disorder treatment programs

3. Establish Recovery Supports in Recovery Housing environments.

4. Contract service providers will be required to submit OMHAS State Targeted

Response (STR). These include Number of Persons Served (Unduplicated Count)

for Opioid Use Disorder Recovery Support Services by Age, Sex and Race/Ethnicity.

Evaluation/

Outcome Data

{Actual results

from program)

Between July 2017 and the end of February 2018, the project reports serving 1,585

clients (duplicated count). This includes in-person peer support in recovery housing,

Metro ED and at Quick Response Team sites, virtual support contacts and MAT

services (duplicated count). Overall 66% of clients are male and 34% female, 65% are

Caucasian, 28% are African American, and 6% identify as Hispanic. The majority of

clients (57%) are between the ages of 25-44.

o Ascent - Connect. Hope. Live {Peer Support MetroHealth ED)

From November 2017 through March 2018, the program reports:

• 524 calls for peer support were received,

• 563 persons were actually seen through the Metro ED;

• 323 persons initiated treatment services; and

• 284 persons initiate non-peer recovery support services.

o Ascent - Virtual App (Peer Recovery Support)

From November 2017 through March 2018, the program reports:

• 822 Inbound contacts for peer support were received through

the app, • 3,083 Outbound contacts for peer support were sent out

through the app.

o I'm In Transition - Certified Peer Recovery Support at Recovery Housing

From December 2017 through March 2018, the program reports:

• 21 requests for peer support were received,

• 8 persons were seen;

• 3 persons initiated treatment services; and • 13 persons initiated non-peer recovery support services.

o Moore Counseling and Mediation Services Certified Peer Recovery

Support Police Assisted Addiction and Recovery Initiative (PAARi) Safe

Passages East

From January through March 2018, the program reports:



• 7 persons initiated treatment services; and • O persons initiated non-peer recoverv support services.

2

o The Woodrow Project - Certified Peer Recovery Support Police Assisted

Addiction and Recovery Initiative (PAARi) Safe Passages SW

11 New program in Year 02.

o The Woodrow Project - Certified Peer Recovery Supporter at Recovery

Housing

From September 2017 through March 2018, the program reports:




• O persons initiated non-peer recovery support services.

o The Woodrow Project- Certified Peer Recovery Supporter Project SOAR

City of Lakewood Quick Response Team

From December 2017 through March 2018, the program reports:



• 8 persons initiated treatment services; and • 5 persons initiated non-peer recovery support services.

o Catholic Charities - Clinically Managed High Intensity Residential

Treatment Services (MAn

From July 2017 through March 2018, the program reports the total number of

persons receiving the following services as:

• Buprenorphine - 62

• Naltrexone-lnjectable - 44

• Naltrexone-Oral - 3

• Rehabilitation/Residential - 336

o Cleveland Treatment Center - Clinically Managed Low Intensity

Residential Services (MAT)

From August 2017 through March 2018, the program reports the total number

of persons receiving the following services as:

• Buprenorphine-Combo - 1

• Methadone -16 • Rehabilitation/Residential - 25

• Outpatient/ IOP - 2

• Recovery Support -45

o Community Action Against Addiction - MAT (Methadone)

From January through March 2018, the program reports the total number of


• Buprenorphine-Combo - 2

• Methadone - 121

• Outpatient/ IOP - 123

3

o Visiting Nurse Association - Ambulatory Withdrawal Management

Services

From July 2017 through March 2018, the program reports the total number of


• Naltrexone-Oral 11

• Ambulatory-Detox - 93

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

• To accept the amount of $1,375,013.00 from OhioMHAS for the CURES Act 2nd Year funding for the period

May 1, 2018 through April 30, 2019 to support the programs illustrated under Service Description.

• Approved by the Planning & Oversight Committee on May 9, 2018.

4

, ReF A t ;t

ALCOHOL. DRUG ADDICTION & MENTALHEALTH SERVICES

Agenda Process Sheet

Date: May 16, 2018

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

Topic:

Contractual Parties:

Term:

Funding Sources:

Amount:

Memorandum of Understanding for the Behavioral Health Juvenile Justice (BHJJ) Project

Fiscal Year 2019 Model Update

Accepting Funds From:

Ohio Mental Health and Addiction Services (OhioMHAS)

Ohio Department of Youth Services (ODYS)

Contract With:

Cuyahoga County Juvenile Court

Bellefaire Jewish Children's Bureau

Applewood Centers

July 1, 2018 - June 30, 2019

State funding from ODYS

$550,000.00 Total Cuyahoga County Juvenile Court - $310,712.00

Bellefaire Jewish Children's Bureau - $97,100.00

Applewood Centers - $142,188.00

Service Description: □ New Program ■Continuing Program □Expanding Program □Other

• The Behavioral Health Juvenile Justice (BHJJ) project derives from the Ohio Department of Youth Services

(ODYS) Targeted, Reasoned & Equitable, Community & Local Alternatives to the l_ncarceration of Minors

(Targeted RECLAIM) funding initiative, which encourages juvenile courts to develop or purchase a range of

community based options to meet the needs of each juvenile offender or youth at-risk for offending.

• The goal is to prevent deeper involvement into the juvenile justice system by diverting admissions away from

ODYS correctional facilities and local detention centers and into comprehensive, community-based mental and

behavioral health treatment services. The intent of the BHJJ initiative is to transform the local systems' ability to

identify, assess, evaluate, and treat multi-need, multi-system youth and_their families, as well as to identify

effective programs, practices, and policies.

• As such, the inclusion and local expansion of the specialized diversion program, Coordinated Approach to Low

Risk Misdemeanors Project (Project CALM) currently contracted through Applewood Centers, is consistent with

the intent of the BHJJ initiative.

• Project CALM is a collaborative effort between Juvenile Court and the Cleveland Police Department (CPD) to

divert youth with first-time offenses, typically domestic violence, from the Cuyahoga County Detention Center.

Project CALM services include assessment, case management, and access to respite if necessary. The project

will be housed at one of Applewood's sites as an alternative to detainment.

• The expansion will allow all police departments across Cuyahoga County to utilize Project CALM.


• The Cuyahoga County BHJJ program is housed within the Phoenix Mental Health Court Docket and serves

court-involved youth between 10-18 years of age with a mental health, substance use or co-occurring behavioral

health diagnosis. Youth and their families are served through an evidenced-based treatment model as an initial

intervention utilizing Integrated Co-Occurring Treatment (ICT) and Multi-Systemic Therapy (MST). The projected

number to serve is fifty (50) youth.

• In addition to the aforementioned treatment staff, the program model includes, three (3) Probation Intervention

Specialists, three (3) Care Coordinators, one (1) Clinical Coordinator, and a Program Manager totaling 8

Juvenile Court staff to support the treatment efforts of ICT and MST through care coordination and assessment.

• The ADAMHS Board, as the program manager and fiscal agent, in partnership with Juvenile Court submitted the

FY 2018/2019 BHJJ grant application. Upon review, ODYS Leadership raised concerns relative to the

sustainability of Cuyahoga County's BHJJ program based upon the number of court staff and their inability to bill

Medicaid in light of Behavioral Health (BH) Redesign and the duplication of services. The aforementioned staff

composition consumes 95% of the BHJJ allocation in its current state.

• Through the process of attrition, four (4) positions would not be filled and remaining funds would be utilized for

other specialized initiatives within the Court. The aforementioned would assist the BHJJ project to become

sustainable through a community-based behavioral health agency with the capability of generating Medicaid

revenue before the next grant cycle, which begins July 1, 2019.

• In preparation for the model change, towards the latter part of 2017, Juvenile Court began to assess their entry

points, identify barriers relative to their intake process, and the impact on specialized programs such as BHJJ.

ODYS recommended a process mapping event utilizing KAIZEN. This process facilitated the Court to review the

staffing composition of BHJJ and, per ODYS request, for the Board to identify available funds from vacant

positions for FY19.

• The revised budget for FY19 allowed for the local expansion of the specialized diversion program, Project

CALM, currently contracted through Applewood Centers.


• Approximately fifty (50) youth will be served by BHJJ, and 400 youth will be served by Project CALM

Funding Use:

• Provide effective evidence-based, culturally-appropriate treatment

• Provide community based services in the least restrictive environment

• Provide assessment, care coordination, case management, intensive probation, and respite


• Increased community safety

• Increased self-awareness and behavioral health stability

• Reduced commitments to juvenile correctional institutions

• Diversion and prevention of deeper juvenile justice system involvement

Program Goals

or Objectives

For all youth served by BHJJ in Fiscal Year 2019, at least 50% will:

1. Successfully complete treatment 2. Show improvement in mental health functioning & problem severity

3. Have overall satisfaction with services

4. Show reduction in trauma symptoms

5. Demonstrate reduction of substance use 6. Have decrease in criminogenic risk as evidenced by no new felony charges

7. Have increased school attendance

8. Have improvement in grades

9. Not be at risk for out of home placement

For all youth served by Project CALM in Fiscal Year 2019, at least 80% will:

1. Be diverted from court intervention or admission to the Detention Center

2. Not re-offend with a new domestic violence charge

3. Avoid detainment

Evaluation/

Outcome Data

(Actual results

from program)

Of the 371 youth served by BHJJ between FY 2005 and FY 2015:

1. 68% successfully completed treatment 2. Statistically significant improvement in mental health functioning & problem severity

scores was achieved across the entire sample from intake to termination 3. 87% of caregivers were satisfied with the services their child received

4. Statistically significant improvement in trauma symptoms was achieved across the

entire sample from intake to termination

5. 70% demonstrated reductiori in substance use 6. 89% avoided new felony charges one year after termination

7. 62% showed improved school attendance 8. 57% earned mostly A's, B's, or C's at termination, as compared to 37% at intake

9. 80% were not at risk for out of home placement at termination

Of the 45 youth served by Project CALM in FY 2017: 1. 80% (36/45) were successfully diverted from court intervention or admission to the

Detention Center 2. 84% (38/45) did not re-offend with a new domestic violence charge

3. 84% (38/45) avoided detainment


• To recommend approval to the Board of Directors to accept the amount of $550,000.00 from ODYS and to

contract with the following organizations in the following amounts: o Cuyahoga County Juvenile Court in the amount of $310,712.00 for the period July 1, 2018 through June 30,

2019 o Bellefaire Jewish Children's Bureau in the amount of $97,100.00 for the period July 1, 2018 through June

30, 2019 o Applewood Centers in the amount of $142,188.00 for the period July 1, 2018 through June 30, 2019



Date: May 16, 2018

□ Community Relations & Advocacy Committee ■ Planning & Oversight Committee □ Committee of the Whole

□ Faith-Based Outreach Committee

■ Finance & Operations Committee □ General Meeting

Topic:


Term:

Funding Source(s):

Amount:

Expansion of Community Prevention and Education Programs

Catholic Charities

June 1, 2018 to December 31, 2018

Law Enforcement Trust Fund

$184,727.35

Service Description: □ New Program □ContinuingProgram ■Expanding Program □Other

• Catholic Charities is a full-service behavioral health organization that provides prevention and treatment

services for children and adults. Catholic Charities' community-based prevention program uses a

science-based comprehensive approach. Their services include information dissemination, education,

problem identification and referral (PIR), and outreach services.

• The aforementioned continuum of services will be provided to the general public and high-risk individuals

that are incarcerated and in need of referral services. In addition, they will be provided a six-week

educational program using an evidenced-based universal peer refusal and decision-making approach to

reduce substance use behaviors.

• As a compliment to the educational groups and forums, Catholic Charities will develop and distribute

information and referral resources and materials (i.e. flyers and brochures) identifying the risks for

substance use disorders; signs and symptoms and steps to take to access treatment services and recovery

supports.


• On January 24, 2018, the ADAMHS Board of Cuyahoga County accepted funding from the Cuyahoga County

Prosecutor 's office to expand community prevention education programming for children and adults to provide

education regarding the dangers associated with the use of alcohol and other drugs and access to treatment

services if appropriate.

Number of Individuals to be Served: Catholic Charities projects to serve approximately 600 children and adults.

Funding Use:

• To promote awareness and education relative to the harmful effects of alcohol and other drugs use/abuse.


• An informed community relative the risk factors and dangers associated with the use of alcohol and other drugs

• Increase awareness of substance use disorders and access to referral services for treatment and recovery

supports.

• Improvement in decision making and peer refusal skills of youth and adults.

Program Goals

or Objectives

For CY2018, Catholic Charities projects to serve approximately 600 children and

adults for the following outcomes:

Eighty percent (80%) of the 600 children and adults who receive community

prevention and education services will increase their knowledge of the risk factors

and dangers associated with the use of alcohol and other drugs.

One hundred percent (100%), of the 600 children and adults will be receive materials

identifying the risks for substance use disorders; signs and symptoms and steps to

take to access treatment services and recovery supports.

Seventy-five percent (75%) of the appropriate children and adults participating in the

6 week universal peer refusal and decision-making skills education group will

increase their knowledge of the dynamics of addiction and substance use disorders.

Seventy-Five Percent (75%), of the incarcerated children and adults screened as

being eligible for services will be referred for treatment and support services.

Evaluation/

Outcome Data

(Actual results from proqram)

Not yet determined


• To recommend approval to the Board of Directors to enter into a contract with Catholic Charities in the amount

of $184,727.35 for the period June 1, 2018 through December 31, 2018.



Date: May 16, 2018

■ Community Relations & Advocacy Committee

□ Planning & Oversight Committee

□ Committee of the Whole

□ Faith-Based Outreach Committee ■ Finance & Operations Committee □ General Meeting

Topic: ADAMHS Board of Cuyahoga County Co-Sponsorship of the Pride in the CLE march and festival


Term:

Funding Sources:

Amount:

LGBT Community Center of Greater Cleveland

6600 Detroit Ave.

Cleveland, OH 44102

May 30, 2018 - July 30, 2018

ADAMHS Board Operating Budget

$1,000

Service Description: ■ New Program □Continuing Program □Expanding Program ■Other


• 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 takes place May 31- June 3, 2018, with the march and festival on June 2, 2018 at Public Square 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.

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.

• The 2015 data from the National Survey on Drug Use and Health indicated that adults in this population

were twice as likely to have used illicit drugs.

• The Census survey from 2013 indicated that 4/5 LGBTQ persons had engaged in binge drinking.

• 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 Blue Level Small Business/Non-Profit Sponsorship:

• Pride Guide Thank you listing on Donor Page

• ADAMHS Board name and logo displayed on Pride in the CLE website

• 10 Pride in the CLE t-shirts

• Sponsor recognition in e-newsletter to 6,000 readers

• Resource table at the festival

• Recognition on the Sponsor's Banner (main stage).


• The event had more than 5,000 attendees last year and is expected to double this 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:

• Blue Level Small Business 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.


• 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.


• 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 Blue level small business sponsorship.

• Approved by the Community Relations & Advocacy Committee on May 2, 2018.

Metrics (How

will success be

measured)

Evaluation/

Outcome Data

(Actual data

from program)

• •

•

•

Number of people in attendance at the Pride in the CLE march and festival.

Ensuring ADAMHS Board Co-sponsorship Benefits

This is the first time the ADAMHS Board of Cuyahoga County has served as a

sponsor of this event.

The 2017 Pride in the CLE event included over 5,000 attendees and is

expected to double due to collaboration with other LGBTQ+ organizations.


□ Community Relations & Advocacy Committee

□ Planning & Oversight Committee

□ Joint Planning & Finance Committee


Topic:


Term:

Sponsorship of the Ohio Association of County Behavioral Health Authorities

(OACBHA) Recovery Conference: October 1-2, 2018

OACBHA

175 South Third Street, Suite 900,

Columbus, Ohio 43215

May 24, 2018 - November 30, 2018

Funding Sources:

Amount:

ADAMHS Board Funding

$1,500

c-.t

Service Description: □ New Program ■Continuing Program □Expanding Program ■Other: Sponsorship


• OACBHA, in partnership with OhioMHAS, will be hosting its 3rd annual statewide recovery conference on October

1-2, 2018, at the Hyatt Regency in Columbus. The target audience of this conference is individuals in recovery

from a mental illness and/or addiction, family members, peers working in the field and associated professionals.

• The ADAMHS Board of Cuyahoga County was a sponsor of the 2016 and 2017 conferences, which have been

great successes, which can be attributed in part to the contributions of the ADAMHS Boards. OACBHA Executive

Council recommended to the association's membership that each Board once again provide a sponsorship of

$1,500.The $1,500 sponsorship provides:

o Board logo and/or name in conference program and signage.

o Ten complimentary guaranteed slots to the conference, with eight of the ten slots to be individuals or family

members of individuals in recovery, as this is the focus of the Recovery Conference.


• Over 1,000 individuals in recovery from a mental illness and/or addiction, family members, peers working in the

field, and associated professionals.

Funding Use:

• To defray the costs of hosting the conference and offer as many free slots to individuals in recovery from a mental

illness and/or addiction, family members, and peers working in the field.


• The purpose of the conference is to strengthen the recovery community in Ohio, offer education on topics relevant

to recovery from a mental illness and/or addiction and Celebrate Recovery.


• $1,500 sponsorship of the OACBHA 3rd Annual Recovery Conference on October 1-2, 2018.

Metrics (How will

success be measured} •

Evaluation/

Outcome Data (Actual data from

program)

•

Number of people in attendance at the OACBHA 3rd Annual Recovery Conference on

October 1-2, 2018.

In September of 2016 and 2017, over 1,100 individuals in recovery and associated

behavioral health professionals attended.


□ Community Relations & Advocacy Committee □ Planning & Oversight Committee □ Committee of the Whole


Topic:


Term:

Funding Source(s):

Amount:

Amendment of Resolution 17-11-06, Approval of CY 2018 Service Provider Contracts

Frontline Service

January 1, 2018 to December 31, 2018

Local Grant Funds

$ 77,264.00 (Increase allocation to Safe Haven I, 11/01/2018-12/31/2018) $386,324.00 (Decrease allocation to Flores Home, 01/01/2018-12/31/2018)

No change in annual allocation

Service Description: □ New Program □Continuing Program ■Expanding Program □Other

• Funding currently used to subsidize the Roberto Flores Home will be reallocated to support provision of services

at Safe Haven I. • The Flores Home will continue to serve individuals experiencing co-occurring mental illness and substance use

disorder with low-intensity residential services, Partial Hospitalization, and Intensive Outpatient treatment.

• Safe Haven I will continue to operate as a Safe Haven serving individuals who meet the HUD definition of chronic

homelessness and have a severe and persistent mental illness and co-occurring substance use disorder, under

the harm reduction and Housing First model.


• Changes in services and reimbursement resulting from Ohio Medicaid redesign has provided Frontline with the

opportunity to increase fee for service revenue at Flores Home.

• Flores will become mostly self-sustaining through fee for service revenue through Medicaid.

• The reallocation of Flores funding will support continued operations at Safe Haven I through the end of CY2018,

when HUD funding expires.

Number of Individuals to be Served: 25

Funding Use:

• Safe Haven provides housing for chronically homeless, dual diagnosed individuals under a harm reduction,

Housing First model, with no conditions for treatment.

• Funds at Flores Home will be used to provide effective, evidence-based treatment in the most appropriate

environment based on ASAM level of care


• If approved, these changes in funding allocation will increase access to dual diagnosis treatment with low

intensity residential support, as well as the availability of safe haven for chronically homeless, disabled

individuals in Cuyahoga County.

Performance Measures:

Program Goals Flores Home:

• To provide treatment services to dual disorder clients in order to

achieve sobriety and maintain long-term recovery.

• To coordinate referral and linkage to existing mental health and or

substance abuse providers following residential treatment in order to

facilitate recovery.

• Maximum length of stay at Flores Home is twelve months.

Safe Haven:

• To provide shelter for chronically homeless, dual-diagnosed individuals

under harm reduction/Housing First model.

• Safe Haven will continue to operate with no maximum length of stay, on

a no ejecUno reject policy.

Frontline Service will submit a Brief Addiction Monitor (BAM) outcomes at

admission and at discharge for all clients who receive addiction services The

BAM measures clinical improvement in addiction risk and recovery,

Frontline Service will submit an Ohio Mental Health Outcomes for Adults at

admission and at discharge for all clients who receive addiction services, This

measures clinical improvement in symptom distress, quality of life and other

areas.

Evaluation/Outcome

Data (Actual results from program)

N/A

Flores Home - Medicaid

Safe Haven - New Program


Amend Resolution 17-11-06 and the agreements with Frontline Service to reallocate $77,264.00 to Safe Haven,

effective 11/01/2018, and reduce CY2018 allocation to Flores Home to $386,324.


Date: May 16, 2018

□ Community Relations & Advocacy Committee □ Planning & Oversight Committee

□ Joint Planning & Finance Committee


Topic: Amendment to Resolution 18-02-04 CURES Act Funding

Contractual Parties: Ascent Metro ED - Peer Recovery Support

Term: January 1, 2018- April 30, 2018

Funding Sources: Federal - CURES Act Funding

Amount: $20,000.00 Increase (From $90,000.00 to $110,000.00)

Service Description: □ New Program ■Continuing Program □Expand ing Program □Other


• In June, the Ohio Department of Mental Health and Addiction Services (OMHAS) awarded 21st Century

CURES Act funding to the Alcohol, Drug Addiction and Mental Health Services Board of Cuyahoga County

(ADAMHS) for implementation of an aggressive action plan to tackle the heroin epidemic in Cuyahoga

County. CURES Act funding shall be used for treatment and recovery supports, including peer services.

• For FFY2017, the CURES Act funding total award is $2,125,000. Of this amount, $625,000 is earmarked for

peer recovery supports. Funding allocations to contract providers to begin on September 1, 2017.

• Each CURES Act funded recovery support services project will be required to complete OMHAS & SAMHSA

reporting requirements.

• ADAMHS Board staff reviewed the current allocation and recommends the following contracts to address the

needs of the opioid population:

1) Ascent, in partnership with The MetroHealth System (AscentED), seeks to help individuals brought to

The MetroHealth System's Emergency Department with an opioid overdose.

2) Salvation Army seeks to provide Medication Assisted Treatment to an individual's reentry into the

community after a period of incarceration.

3) Community Action Against Addiction will provide Methadone Treatment (Opioid Treatment Program)

services to the uninsured and underinsured population in Cuyahoga County.

4) Cleveland Treatment Center to provide recovery housing to individuals successfu lly completing

substance use disorder treatment services.

5) Moore Counseling & Mediation Services, Inc. to provide recovery housing to individuals successfully

completing substance use disorder treatment services.

6) *The MetroHealth System to provide medication assisted treatment and transportation.

7) Cuyahoga County Corrections Planning Board to provide assessments to individuals incarcerated

within the county jail.

Number of Individuals to be served: 250

Funding Use: Per OMHAS requirements, CURES Act funding shall be used for treatment and recovery

supports, including peer services.

Client & System Impact: Clients with opioid use disorder will have greater access to assessment,

medication assisted treatment, recovery housing and peer recovery services provided by the agencies

identified above.

Program Goals or Objectives • Contract service providers will be required to submit

OMHAS State Targeted Response (STR). These

include Number of Persons Served (Unduplicated

Count) for Opioid Use Disorder Recovery Support

Services by Age, Sex and Race/Ethnicity.

Evaluation/Outcome

Data (Actual Results

from Program)

Ascent began reporting in November 2017 for its Metro ED

program. From November 2017 through March 2018, the

program reports:

• 524 calls for peer support were received,

• 563 persons were actually seen through the Metro

ED;


• 284 persons initiate non-peer recovery support

services.


• To amend Resolution 18-02-04 to increase funding in the amount of $20,000.00 for Ascent Metro ED

from $90,000.00 to $110,000.00 for Peer Recovery Support Services.

R feA tc u ALCOHOL. DRUG ADDICTION&MENTALHEALTHSERVICES


Date: May 16, 2018

□ Community Relations & Advocacy Committee □ Faith-Based Outreach Committee

□ Planning & Oversight Committee ■ Finance & Operations Committee

□ Joint Planning & Finance Committee □ General Meeting

Topic:


Term:

Funding Sources:

Amount:

Amendment to Resolution 16-04-02 Addiction Treatment Program (ATP)

Catholic Charities-Matt Talbot for Men and Women

Community Assessment and Treatment Services (CATS)

Metrohealth Hospital

Moore Counseling

The Salvation Army

Stella Maris

Cuyahoga County TASC (Treatment Alternatives to Street Crime)

May 1, 2018 - June 30, 2019

Pass-through funding from Ohio Mental Health & Addiction Services

(OhioMHAS) administered by the ADAMHS Board as a service to the

Drug Court Programs

$1,337,294 (includes unspent dollars as of 05_/0_8_/2',_)---0-_1-8 - - -

Service Description: □ New Program ■ Continuing Program □Expanding Program □Other

• The Alcohol, Drug Addiction and Mental Health Services Board of Cuyahoga County (ADAMHS Board)

and Medication Assisted Treatment (MAT) Drug Court Programs with specialized docket(s) is

addressing the need for addiction treatment to individuals who are offenders within the criminal justice

system for clients with dependence on opiates/heroin.

• The client will receive MAT medications along with outpatient treatment.

• Clients will be enrolled by Drug Court staff and services will be provided by ADAMHS Board contacted

agencies certified by OhioMHAS.

• The ADAMHS Board will act as the fiscal agent to draw down funds in the OhioMHAS grant system and

pass the funds to the contracted providers for services rendered.


• OhioMHAS provided the ADAMHS Board of Cuyahoga County $950,000.00 for the Addiction

Treatment Program for the period January 1, 2016 - June 30, 2017 (SFY2017).

• These funds were rolled over through SFY 2018, initially with no additional allocation from the state.

• On May 8, 2018, OhioMHAS awarded additional Addiction Treatment Program funds in the amount of

$337,294 to complete SFY 2018.

• OhioMHAS has extended the unspent funds into the next fiscal year for the ADAMHS Board to spend.

• OhioMHAS has selected Treatment Research Institute (TRI) Science & Addiction as the evaluator for

this project. OhioMHAS & TRI have identified the outcomes to be reported by the treatment providers.

• ADAMHS Board staff requests to also add Cuyahoga County Treatment Alternatives to Street Crime

(TASC) to the panel of providers approved for the MAT program.

Number of Individuals to be Served: Up to 235 clients over the life of the program.

Funding Use:

• Medication Assisted Treatment Medications (MAT) used to treat Substance Use Disorder (SUD) clients

with opioid addiction (primarily Vivitrol /naltrexone), assessments, Intensive Outpatient Services (IOP),

Outpatient Services (OP), urinalysis and assist those who are eligible to apply for Medicaid.


• To provide increased access to medication assisted treatment (MAT) and outpatient treatment services

to Drug Court involved opioid addicted individuals under contract with the ADAMHS Board.

Performance Measures:

Note: All performance is reported through OhioMHAS mandated vendor. Board only has access to

outcome data identified based on percentage success.


• To approve the amendment to Resolution 16-04-02 to accept OHIOMHAS additional funding in the

amount anticipated to be $337,294 for the period May 8, 2018 through June 30, 2018, to accept an

additional $1,000,000 allocation for the period July 1, 2018 through June 30, 2019 (SF2019), and to

add Cuyahoga County TASC to the panel of approved providers for the Medication Addiction

Treatment Program.

Program Goals or

Objectives

Evaluation/Outcome Data

(Actual Results From

Program)

• • •

•

•

• • •

• •

50% of participants will complete treatment.

50% of participants will graduate from drug court.

50% of participants will maintain sobriety/abstinencefrom

alcohol and/or drugs.

50% of participants have reduced recidivism in criminal

justice system.

50% of participants will become eligible for medical benefits

including Medicaid.

75% completed treatment

75% graduated from Drug Court

73% maintained sobriety/abstinence from alcohol and/or

drugs as evidence by clean urine.

48% reduced recidivism in the criminal justice system

68% became eliQible for medical benefits

finance operations committee wednesday, may 16,...

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