joint planning & finance committee meeting …adamhscc.org/pdf_adamhscc/en-us/sept 2018 revised...

JOINT PLANNING & FINANCE COMMITTEE MEETING

WEDNESDAY, SEPTEMBER 12, 2018 ♦ 4:00 P.M. 2012 West 25th Street ◦ United Bank Building (Sixth Floor) ◦ Ohio Room

_______________________________________________________________________________________________________

1. Call to Order – Steve Killpack, MS, Finance & Operations Committee Chair 2. Approval of Minutes: Joint Planning & Finance Committee Meeting – July 18, 2018

3. Early Childhood Mental Health (ECMH) Recommendations for CY2019 – Cuyahoga County Invest in Children

Funding - $669,552.00; ADAMHS Board funding - $672,930.00 (action request) – Linda Torbert - Achievement Centers - $437,590.00 - Applewood Centers - $110,602.00 - Beech Brook - $160,000.00 - Ohio Guidestone - $225,000.00 - Positive Education Program - $334,290.00 - Pipe Line to God - $75,000.00

4. Cuyahoga County Juvenile Court Intervention Center for Behavioral Health Services Recommendation

(action request) Linda Torbert / Maggie Spellman - Applewood Center – not to exceed $500,000.00

5. US Department of Health & Human Services (DHHS) Substance Abuse and Mental Health Services

Administration (SAMHSA) Center for Mental Health Services (CMHS) – Jail Diversion Grant - $330,000.00 (action request) - Carole Ballard

- FrontLine Service, Inc. - $260,340.00 - CWRU Begun Center - $66,000.00

6. Discussion: Ohio Issue 1: Drug & Criminal Justice Policies Initiative (Constitutional Amendment on the

November 6, 2018 ballot) – Rev. Benjamin F. Gohlstin, Sr., Board Chair

7. Review of Policy Statement Revisions/Renewals – (action request) o Appeal of Board Decision – Bob Garrity o Awarding Contracts for Non-Medicaid Services – Bob Garrity o Clients Rights & Grievance Policy – Bob Garrity o Sponsorship Requests – Bob Garrity

8. Finance Reports – (action request) – Felicia Harrison

- Board Voucher & Expenditure Reports – July 2018 and August 2018

9. Contracts - (action request) – Felicia Harrison (*Pass-Through) a) US DHHS Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Mental Health

Services (CMHS) – Assisted Outpatient Treatment (AOT) Grant - $846,689.00 - FrontLine Service, Inc. - $599,169.00 - CWRU Begun Center - $200,000.00 - Board Contracted Attorneys - $35,020.00

b) Ohio Mental Health and Addiction Services (OhioMHAS) funds for Youth-Led Prevention Funding for the Teen Institute Program - $12,231.00 with ADAMHSCC funding of $10,243.00

- Recovery Resources - $22,474.00 c) *OhioMHAS funding for Medication Addiction Treatment Program – Court Administrative Funds - $78,487.31

- Cleveland Municipal Court - $11,524.16 - Cuyahoga County Common Pleas Drug Court - $35,846.04 - Cuyahoga County Common Pleas Recovery Drug Court - $31,117.11

d) *OhioMHAS funding for Problem Gambling Treatment & Prevention – Casino Grant - Recovery Resources - $207,608.00

e) *OhioMHAS (General Revenue Funds) to assist Specialized Docket Support – Payroll Subsidy - $410,000.00 - Cleveland Municipal Court - $180,000.00 - South Euclid Municipal Court - $40,000.00 - Cuyahoga County Common Pleas Court - $120,000.00 - Cuyahoga County Common Pleas Court – Juvenile Division - $70,000.00

f) Cuyahoga County Common Pleas Court/Corrections Planning Board (CCPB) – Cuyahoga County Court of Common Pleas Veteran And Veteran Reentry Treatment Court – pooled funds; not to exceed $350,679.00

- Salvation Army/Harbor Light - Community Assessment & Treatment Services (CATS) - Catholic Charities/Matt Talbot - Recovery Resources

g) Cuyahoga County Common Pleas Court/Corrections Planning Board (CCPB) Medication Assisted Treatment (MAT) for Victims of Human Trafficking and Sexual Exploitation Presenting with Co-Occurring Trauma-based Mental Health Issues – pooled funds; not to exceed $132,909.00

- Salvation Army/Harbor Light - Community Assessment & Treatment Services (CATS) - Catholic Charities/Matt Talbot

h) Cuyahoga County Common Pleas Court/Corrections Planning Board (CCPB) – Provision of Sober Living Options for Felony Offenders under the Supervision of Cuyahoga County Probation – pooled funds; not to exceed $300,000.00; $150,000.00 to be provided by ADAMHSCC.

- Stella Maris - Cleveland Treatment Center

i) Renewal of Online Mental Health Screening - Screening for Mental Health, Inc. - $1,000.00

j) Sponsorships: - Epilepsy Association – Race to the River, Sunday, 9/16/18 - $850.00 - Remembering Our Babies event, Monday, 10/15/18 - - $500.00 - Center for Community Solution’s 2018 Celebration of Human Services, Friday, 10/26/18 - $500.00

k) Roads to Recovery Conference 2019 – Monday, 10/21/19 - Cleveland Airport Marriott – Not to exceed $38,000.00

10. Amendments - (action request) – Felicia Harrison a) Amendment of Resolution 18-05-03, Acceptance of OhioMHAS & ODYS (Ohio Department of Youth

Services) for Behavioral Health Juvenile Justice Project, Fiscal Year 2019 – $550,000.00 total; no change. - Cuyahoga County Juvenile Court – previous allocation- $310,712.00 – No Change - Bellefaire Jewish Children’s Bureau - $12,433.00 Decrease - Applewood Centers - $12,433.00 Increase

b) Amendment of Resolutions 18-01-05 and 19-01-06, Acceptance of funds from the Cuyahoga County Juvenile Court for Project CALM

- Applewood Centers - $7,220.45 Increase c) Amendment to Resolution 18-03-06, Approval and Ratification of Service Provider Contracts

- Emerald Development & Economic Network (EDEN) Inc. - $77,215.00 Increase d) Amendment to Resolution No. 17-11-06, Approval of CY2018 Service Provider Contracts

- Beech Brook – $55,652.00 Increase e) Amendment to Resolution No. 17-11-06, Approval of CY2018 Service Provider Contracts

- Epilepsy Association – $26,738.46 Increase f) Amendment to Resolution 17-11-06, Approval of CY2018 Service Provider Contracts – Reallocation of funds;

no net increase - Recovery Resources - $57,051.00 Decrease - Living Miracles Peer Empowerment Center - $57,051.00 Increase

11. Identify Consent Agenda - Steve Killpack, Committee Chair 12. Old/New Business

JOINT PLANNING & FINANCE COMMITTEE Steve Killpack, MS, Finance & Oversight Committee Chair

Eugenia Kirkland, LSW, MSSA, CDCA, Planning & Oversight Committee Chair Reginald C. Blue, Ph.D. ● Elsie Caraballo ● J. Robert Fowler, Ph.D. ● Rev. Benjamin F. Gohlstin, Sr. ● Kathleen Kern-Pilch,

MA, ATR-BC, LPC-S ● Sharon Rosenbaum, MBA ● Hugh B. Shannon ● Harvey A. Snider, Esq. ● Mary M. Step, Ph.D.

Agenda Process Sheet Date: September 12, 2018

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

☐ Planning & Oversight Committee ☐ Finance & Operations Committee

Joint Planning & Finance Committee ☐ General Meeting

Topic: Contract Recommendation - Early Childhood Mental Health (ECMH) Request For

Proposal (RFP) Contract Recommendations

Contractual Parties:

Contract With: (Pooled Funds)

Achievement Centers $437,590.00

Applewood Centers $110,602.00

Beech Brook $160,000.00

Ohio Guidestone $225,000.00

PEP $334,290.00

Pipe Line to God $75,000.00 Term: January 1, 2019 – December 31, 2019 Funding Source(s): Cuyahoga County, Invest in Children - $669,552.00; ADAMHS Board -

$672,930.00 Amount: $1,342,482.00

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

The provision of Early Childhood Mental Health (ECMH) services are delivered with a keen awareness relative to the significance of early brain development and the adverse effects of trauma, abuse, neglect, and other negative experiences that impact healthy emotional development. As such, early intervention services for children ages birth to six (6) are critical, as they address emotional, social and behavioral development which ensure that our community’s children are prepared for a successful start academically and socially.

Background Information:

ADAMHS Board staff received permission via the Board of Directors to release the ECMH Request For Programs (RFP) to vet additional early childhood service providers to increase capacity, as well as to procure additional evidenced based practices to enhance service delivery efforts.

Nine (9) agencies submitted proposals in response to the ECMH RFP. The RFP Review Committee comprised of ADAMHS Board staff, Invest in Children, Bright Beginnings, Cuyahoga County Board of Developmental Disabilities and Starting Point evaluated all eligible proposal submissions, and did not recommended any proposals below 70%.

Number of Individuals to be Served:

At least 600 children will be served

Funding Use:

Funding will be used to provide early childhood consultation, early intervention and treatment services.

Client & System Impact:

Increase access to ECMH services within the community

Build capacity for the provision of ECMH services

Social & emotional readiness for academic success

Program Goals or Objectives

For CY 2019, the ECMH program projects that at least 50% of the 600 children & parents projected to serve, through pre/post assessments, will demonstrate improvement in the 3 major scales and subscales below identified as Strength-Typical-Need utilizing the Devereux Early Childhood Assessment- Clinical version (DECA-C) & the DECA-Infant/Toddler (IT): Total Protective Factors (TPF)- DECA-C: TPF scale pre/post via the following sub-scales:

Initiative (IN):

Self-Regulation (SR)

Attachment (AT)

Withdrawal/Depression (WD)

Total Behavioral Concerns (TBC)-DECA-C: TBC scale pre/post via the following sub-scales:

Emotional Control Problems (ECP)

Attention Problems (AP)

Aggression (AG)

Total Protective Factors (TPF)-DECA-IT: TPF scale pre/post via the following sub-scales:

Initiative (IN):

Self-Regulation (SR)

Attachment/ Relationships (A/R)

Evaluation/ Outcome Data (Actual results from program)

In CY 2017, six hundred & fifty-seven (657) children were served, out of the 657 children, eighty-nine (89) children and parents successfully completed services measured by the DECA-C through a pre/post assessment inclusive of 2 scales- Total Protective Factors (TPF) & Total Behavior Concerns (TBC).

Sixty-seven percent (67%) demonstrated improvement in the TPF Scale: Initiative (IN),Self-Regulation (SR), Attachment (AT), Withdrawal/Depression (WD) for an aggregate percentage categorized as Strength-Typical-Need:

Pre-Test Post-Test

Strength 4% n=4

Strength 12% n= 11

Typical 51% n=45

Typical 55% n=49

Need 45% n=40

Need 33% n=29

Fifty-three percent (53%) demonstrated improvement in the TBC Scale: Emotional Control Problems (ECP), Attention Problems (AP), Aggression (AG) for an aggregate percentage categorized as Strength-Typical Need:

Pre-Test Post-Test

Strength 0% n=0

Strength 0% n= 0

Typical 24% n=21

Typical 52% n=46

Need 76% n=68

Need 48% n=43

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

To recommend approval to the Board of Directors to accept funds from the Cuyahoga County Invest in Children in the amount of $669,552.00 and increase the ADAMHS Board’s funding contribution for the provision of early childhood services for Cuyahoga County in the amount of $672,930.00, and to contract with the following agencies in the following amounts for the period of January 1, 2019 through December 31, 2019:

Achievement Centers $437,590.00 Applewood Centers $110,602.00 Beech Brook $160,000.00 Ohio Guidestone $225,000.00 PEP $334,290.00 Pipe Line to God $75,000.00 Total $1,342,482.00

In CY 2017, six hundred & fifty-seven (657) children were served, out of the 657 children, seventy-three (73) children and parents successfully completed services measured by the DECA-IT through a pre/post assessment through the Total Protective Factors (TPF) scale:

Eighty-three percent (83%) demonstrated improvement in the TPF Scale: Initiative (IN),Self-Regulation (SR), Attachment (AT), Withdrawal/Depression (WD) for an aggregate percentage: for an aggregate percentage categorized as Strength-Typical-Need:

Total Protective Factors (TPF) which include the following sub-scales:

Pre-Test Post-Test

Strength 21% n=15

Strength 30% n= 22

Typical 53% n=39

Typical 53% n=39

Need 26% n=19

Need 16% n=12





Topic: Contract Recommendation - Cuyahoga County Juvenile Court (CCJC) Intervention

Center Behavioral Health Services RFP Contractual Parties: Accepting Funds From:

Cuyahoga County Juvenile Court (CCJC) Contract With:

Applewood Centers Term: January 1, 2019 – December 31, 2019 Funding Source(s): Cuyahoga County Juvenile Court (CCJC) Amount: Not to exceed $500,000.00

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

The Intervention Center’s behavioral health services will 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


The Cuyahoga County Juvenile Court (CCJC), through their recent Kaizen process mapping event, identified the need for earlier identification and diversion of youth with behavioral health needs into clinically appropriate services and supports.

CCJC invited the ADAMHS Board to participate in their Kaizen process as a key stakeholder and system partner, and requested the Board’s continued participation in the planning process for an Intervention Center which will serve all pre-adjudicated youth, with the goal being to limit or prevent deeper penetration into the juvenile justice system an alternative to detention intervention. As such, the Board has agreed to assist CCJC in developing clinical components of the Intervention Center, as well as to identify a dedicated behavioral health agency to deliver the proposed service array through a vetting process.

Once an agency is approved, the ADAMHS Board will provide contractual oversight and program monitoring to ensure the provision of services are fulfilled to meet the overarching goal to prevent further penetration into the juvenile justice system. The ADAMHS Board will collaborate with CCJC to provide quality assurance monitoring of the behavioral health service.

ADAMHS Board staff received full approval from ADAMHS Board of Directors on June 27, 2018 to release a Request For Proposals to vet a service provider for the CCJC Intervention Center for Behavioral Health Services. The RFP was released on July 2, 2018, and submissions were received by August 3, 2018.

Eight (8) agencies submitted proposals in response to the CCJC Intervention Center Behavioral Health Services RFP. The RFP Review Committee, comprised of staff of the ADAMHS Board and CCJC, evaluated all eligible proposal submissions, and did not recommended any proposals with an average rating of 70% or below on a 100 point scale.


Approximately 2,500 individuals are anticipated be served per year. 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.


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 by youth and families


The program goals of the CCJC Intervention Center are to:

Divert youth with behavioral health needs into clinically appropriate services and supports

Limit or prevent deeper penetration into the juvenile justice system

Identify behavioral health needs at the earliest point of contact with the juvenile justice system


N/A


To recommend approval to the Board of Directors to accept funds from Cuyahoga County Juvenile Court, and to contract with Applewood Centers for the CCJC Intervention Center Behavioral Health Services Program, in the amount not to exceed $500,000.00 for the period January 1, 2019 – December 31, 2019.





Topic: US DHHS Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Mental Health Services (CMHS)

Jail Diversion Grant Contractual Parties: Frontline Service, Inc. $260,340.00 CWRU Begun Center $66,000.00

Term: September 30, 2018-September 29, 2019

Funding Sources: US DHHS Substance Abuse and Mental Health Services Administration Center for Mental Health Services

Amount: $330,000.00 (the Board will retain $3,660 in Year 01 to cover mandatory

national travel expenses.) A 25% match is required; the Board is providing this on an in-kind basis through staff time and operations costs at the Crisis Stabilization Unit (CSU).

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


Outside of a transport to the county’s psychiatric emergency room for crises posing immediate danger, when encountering a person with Severe Mental Illness (SMI), Crisis Intervention Team (CIT) officers lack a consistent diversion point for a warm handoff to behavioral health providers who can provide a secure environment that is less restrictive than a hospital.

Service gaps include a need for immediate stabilization/pharmacological management, a comprehensive behavioral health assessment, and linkage to treatment/supportive housing within 48 hours of admission.

This award represents the first year of a five-year project totaling nearly $1 million. Number of Individuals to be served:

Up to 50 per year

Funding Use:

This pilot project would enhance the system’s Crisis Stabilization Unit services operated by Frontline Services with the staffing to allow it to function as an effective drop off location for the Severely Mentally Ill/Co-Occurring Disorder (SMI/COD) population, available to law enforcement officers from First and Second Districts of the Crisis Intervention Team Officers from the Cleveland Division of Police (CDP)

In this pilot project, direct services will be delivered by Frontline Service (FLS). The Board will contract with the Case Western Reserve University’s Begun Center for Violence Prevention, Research and Education (CWRU) for federally required evaluation and performance assessment services.


Clients would be provided immediate stabilization, linkage to treatment/case management, supportive housing, and ongoing Peer Support in the community.

Program Goals Year 01

Goal 1:

Increase capacity of the CSU to rapidly stabilize, engage, and link persons with SMI to peer support, treatment, and housing.

Goal 2:

Enhance capacity of CSU Peer Support staff to link, and remain involved with, the SMI client until he/she has been connected with community-based care and supportive housing opportunities.

Goal 3:

Demonstrate effectiveness of project through monitoring and evaluation of meaningful data.


N/A –new program


To recommend approval to the Board of Directors to accept funds from SAMHSA and to contract with Frontline Services in the amount of $260,340.00 and CWRU Begun Center in the amount of $66,000.00 for the first year of a five year project totaling nearly $1 million.

ALCOHOL, DRUG ADDICTION & MENTAL HEALTH SERVICES OF CUYAHOGA COUNTY

POLICY STATEMENT SUBJECT: APPEAL OF BOARD DECISION EFFECTIVE DATE: March 25, 2015 September 26, 2018 - (Tentative) __________________________________________________________________________

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PURPOSE To provide a method to appeal any decision made by the Alcohol, Drug Addiction and Mental Health Services Board of Cuyahoga County (ADAMHS BOARD) Board of Directors. POLICY It is the policy of the ADAMHS BOARD to provide a forum for an entity or individual, with whom the ADAMHS BOARD contracts, to appeal a Board of Directors’ (BOD) decision. Any appeal shall be made in accordance with the procedures and timelines described in this Policy. The ADAMHS BOARD BOD encourages resolution of disputes utilizing mediation and negotiation whenever possible and at progressive levels of the ADAMHS BOARD organizational chart. ADAMHS BOARD decisions may be changed or rescinded at the conclusion of an appeal of a Board decision as described in this Policy. Therefore, an entity shall not be deemed to be subjected to an “adverse determination” against it until or unless the entity has exhausted the ADAMHS BOARD appeal process as described in this Policy. PROCEDURE

PROCEDURE IN CASE OF PROPOSED TERMINATION OR NON-RENEWAL OF PROVIDER CONTRACT

A. WRITTEN NOTICE REQUIRED:

In accordance with R.C. 340.03(A)(8) 340.036, in the case that either the Board or the provider proposes to terminate, non-renew, or make substantial changes to an existing contract for the provision of community addiction or mental health services, the party intending to terminate, non-renew or make such changes must give the other party written notice no later than one hundred and twenty days before the expiration date of the contract. B. MEDIATION AND NEGOTIATION:

During the first sixty days of the one hundred twenty-day notice period, both parties shall

attempt to resolve any dispute through good faith collaboration and negotiation in order to continue to provide services to persons in need.



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C. THIRD-PARTY DISPUTE RESOLUTION:

If the dispute has not been resolved sixty days before the expiration date of the contract, either party may notify the Ohio Department of Mental Health and Addiction Services of the unresolved dispute. The Ohio Director of Mental Health and Addiction Services may require both parties to submit the dispute to a third party with the cost to be shared by the board and the facility or community mental health agency. The third party shall issue to the board, the facility or agency, and the department recommendations on how the dispute may be resolved twenty days prior to the expiration date of the contract, unless both parties agree to a time extension.

PROCEDURE IN OTHER CASES

A. NOTICE OF DISPUTE: 1. Within seven (7) working days of BOD’s decision or vote, Appealing Party shall

provide written notification of “intent to appeal” to the ADAMHS BOARD Chief Executive Officer and the ADAMHS BOARD Chairperson.

2. The written notification shall be sent through U.S. Certified Mail, return receipt requested.

3. The written notification shall include documentation regarding the following: i. the reasons for requesting an appeal;

ii. how the ADAMHS BOARD BOD decision being appealed affects the party and/or its interests; and,

iii. the specific issues to be addressed.

B. MEDIATION AND/OR NEGOTIATION PHASE: 1. Within ten (10) working days of receipt of written notification of “intent to

appeal,” ADAMHS BOARD CEO shall hold a mediation and/or negotiation meeting with Appealing Party.

2. Appealing Party will identify participants, including its recorder, if any, to attend the preliminary mediation/negotiations meeting

3. Board staff will be represented by the CEO and/or his designated staff. 4. The ADAMHS BOARD CEO shall timely notify the ADAMHS BOARD Chair of

the results of this phase.



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C. ADAMHS BOARD BOD APPEALS COMMITTEE LEVEL REVIEW:

If Appealing Party is not satisfied with the outcome of the Mediation and/or Negotiation Phase and desires to continue with an appeal, the Appealing Party shall notify the ADAMHS BOARD CEO and the ADAMHS BOARD BOD Chairperson, within five (5) days of the mediation/negotiation meeting, of its intent to proceed to the ADAMHS BOARD BOD Appeals Committee.

1. Formation of Appeals Committee: i. ADAMHS BOARD BOD Chairperson shall appoint five (5) BOD

members to create an ad hoc Appeals Committee. Three (3) BOD members shall constitute a quorum.

ii. ADAMHS BOARD BOD Chairperson shall appoint one of the five (5) BOD Appeals Committee members to serve as the Chair of that Committee.

2. Appeals Committee Process:

i. The Appeals Committee Chair shall establish the necessary procedural guidelines for processing the appeal or resolution in accordance with this Policy which shall incorporate the following provisions, as a minimum:

a. All parties shall submit five (5) copies of a position statement to the Appeals Committee Chair and one copy to the other party.

b. Within its notice of “intent to proceed,” the Appealing Party shall provide a written request to the Appeals Committee Chair for a hearing, if so desired. If no hearing is requested, the Appeals Committee may, in its discretion, make its decision based upon submitted documentation only or may choose to hold a hearing with the parties.

c. If a hearing is needed or requested, the Appeals Committee Chair shall schedule the hearing date.

d. Regarding the hearing, the Appeals Committee Chair shall: (1) Determine the length of time each party will have to

present information and answer questions; (2) Determine whether and when additional written

documentation shall be submitted to the Chair and other party;

e. Within seven (7) working days after the hearing, or if no hearing is held, within seven (7) working days after the Appeals Committee formally considers the appeal, the Appeals Committee Chair shall submit a written report to the ADAMHS BOARD BOD. Such



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report shall provide advice to the Board on whether to accept, reverse or modify the CEO’s proposed resolution of the appeal. The Chairperson shall present the committee’s findings and recommendations to the full Board at a regular General Meeting of the ADAMHS BOARD.

f. The Appeals Committee Chair may share final recommendation with both parties prior to full Board meeting.

D. BOARD OF DIRECTORS REVIEW AND DECISION

1. The Board of Directors shall accept the findings and recommendations of the

Appeals Committee unless, by a super-majority vote of two-thirds of the occupied board positions, the ADAMHS BOARD BOD votes to reverse or modify, in whole or in part, the findings and recommendations of the Appeals Committee. The Board may also, by majority vote, give further instruction to the Appeals Committee or ADAMHS BOARD CEO.

2. This appeal process shall not exceed ninety (90) days from the date of receipt of the “intent to appeal,” unless agreed to by both parties in writing. Neither party shall be compelled or required to agree to an extension of the appeal process.

Appendix: Not applicable Reference: ORC 340.03(A)(8)(a) 340.036 Supersedes and retires: “Appeal of Board Decision” adopted March 25, 20105. ____________________________________ __________________________________ Eugenia Cash, LSW, MSSA, CDCA William M. Denihan ADAMHS Board Chair ADAMHS Board Chief Executive Officer Rev. Benjamin F. Gohlstin, Sr., Board Chair Scott S. Osiecki, CEO 9/26/2018 – (Tentative) 09/2021 ____________________________________ ___________________________________ Approval Date Review Date

ADAMHS BOARD OF CUYAHOGA COUNTY

POLICY STATEMENT

SUBJECT: AWARDING CONTRACTS FOR NON-MEDICAID SERVICES EFFECTIVE DATE: MARCH 25, 2015 September 26, 2018 - Tentative _______________________________________________________________________________________

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PURPOSE

To define the processes by which Alcohol, Drug Addiction and Mental Health Services Board of Cuyahoga County (ADAMHS BOARD) may award contracts for non-Medicaid mental health, alcohol or other drug services or other necessary services. This policy shall not apply to the Procurement of goods and services that do not constitute mental health, alcohol or other drug services. (For the ADAMHS BOARD policies relating to such contracts, see the “ADAMHS Board of Cuyahoga County Purchasing Policy.”)

POLICY

When a community mental health, alcohol and other drug service need is identified or when the ADAMHS BOARD requires services, not subject to competitive bidding requirements, and, if funding is available, the ADAMHS BOARD may, at its discretion, utilize one of the following methods to allocate funds and award a contract for the necessary services:

1. Request for Information (RFI) is a solicitation made for the provision of information that will assist in decision making process to procure services that assist the ADAMHS Board in fulfilling its mission. An RFI can generate multiple ideas for service selection and/or service delivery and allow prospective providers who have both unique solutions to problems and expertise to provide the service. The RFI solicitation will be advertised in on the ADAMHS Board of Cuyahoga County’s website (http://adamhscc.org/). RFI’s will be conducted on an as-needed basis.

2. Request for Proposal (RFP): A process used to procure services in which service providers are

required to explain their qualifications and expertise, propose a plan to meet the service specifications, including a statement of how the services will be evaluated, and delineate the cost; or, is a solicitation made, for the provision of services that benefit individuals in need of Mental Health and/or Addiction Services. The RFP solicitation presents preliminary requirements for the service, and dictates the structure and format of the provider's response. Price alone is not the sole determining factor; a provider’s expertise, experience, ability to grasp the problem and propose a clear solution, and level of commitment to the project is also considered. The RFP solicitation will be advertised in on the ADAMHS Board of Cuyahoga County’s website (http://adamhscc.org/). RFP’s will be conducted on an as-needed basis.

2. Request for Qualifications (RFQ): A process which seeks out providers in specific disciplines to

submit a summary of qualifications to perform certain services and to obtain an understanding of the potential service provider’s project history, skills and abilities. After receiving the summary of qualifications, the ADAMHS BOARD may identify and invite only the qualified firms to submit proposals or may identify the qualified firm with which to contract.

RESPONSIBILITIES:

http://adamhscc.org/

http://adamhscc.org/


POLICY STATEMENT


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It is the responsibility of the ADAMHS BOARD of Directors (BOD) to: 1. Consult with ADAMHS BOARD staff regarding service needs. 2. Verify whether funds are available for identified needs. 3. If choosing to utilize the RFP or RFQ RFI or RFP process, adopt a resolution establishing the method by

which the ADAMHS BOARD staff should select a service provider for the award of the contract. In those instances where time is of the essence, the ADAMHS BOARD Chief Executive Officer, with approval of the BOD Chair, may direct that an RFP or RFQ RFI or RFP be prepared and issued.

It is the responsibility of the ADAMHS BOARD Chief Executive Officer (CEO) to: 1. Appoint a Contract Award Committee to orchestrate the process identified by the ADAMHS BOARD BOD

in selecting the service provider. The Contract Award Committee shall include at least one representative from the Clinical, Finance, Planning, and Risk Divisions, and any other person the ADAMHS BOARD CEO determines is appropriate.

2. Establish a RFP RFI Procedure and a RFQ RFP Procedure that includes, as a minimum, the following

components: a. Development of an RFQI packet detailing the qualifications information desired required to allow for

decision making process to fully inform of available opportunities perform the contract services and/or an RFP packet detailing specifications of the service;

b. Publicity and distribution of RFI and RFP or RFQ; c. Evaluation process; d. Summary of evaluation process and results of evaluation to the BOGD Executive Committee or Finance

and Operations Committee; and, e. Recommendation of best proposal or qualifications to ADAMHS BOARD BOGD.

3. If the Contract Award Committee does not possess adequate information to adequately draft the service

specifications, the Committee may issue an Request for Information RFI through which providers will be invited to provide the necessary information. Upon receipt of the information, the Committee may then proceed with the RFP or RFQ Procedure.

4. Notwithstanding the foregoing, nothing contained herein shall be construed as to prohibit the ADAMHS

Board, upon recommendation of the CEO, from approving contracts without following the processes outlined herein due to unusual or exigent circumstances that make it impossible or impracticable to engage in an RFQI or RFP process.


POLICY STATEMENT


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Supersedes and retires: Awarding Contracts for Non-Medicaid Services (adopted March 25, 2015 September 28, 2018) Reference: ORC 340.03 _______________________________________ _____________________________ Eugenia Cash, LSW, MSSA, CDCA William M. Denihan ADAMHS Board Chair ADAMHS Board Chief Executive Officer Rev. Benjamin F. Gohlstin, Sr., Board Chair Scott S. Osiecki, CEO 9/26/2018 – Tentative 9/2021 _______________________________________ ______________________________ Approval Date Renewal Date

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

POLICY STATEMENT --------------------------------

SUBJECT: CLIENTS RIGHTS AND GRIEVANCE POLICY EFFECTIVE DATE: January 23, 2013 September 26, 2018 - Tentative

PURPOSE To protect and enhance the rights and dignity of persons applying for or receiving services which are funded in whole or in part by the Alcohol, Drug Addiction and Mental Health Services Board of Cuyahoga County (ADAMHS Board) and to provide a mechanism whereby consumers, family members, and concerned individuals can grieve so that allegations of rights violations, abuse, and neglect might be investigated and resolved.

POLICY It is the policy of the ADAMHS Board to affirmatively plan for, assure the protection of, monitor, and fully respond to complaints or grievances concerning rights, granted by statute and/or regulation, of persons applying for or receiving services contracted by the ADAMHS Board. It is further the policy of the ADAMHS Board to fulfill its statutory obligations, through investigation and referral, regarding the alleged abuse and neglect of persons receiving services from those contracted by the ADAMHS Board. In addition, it is the policy of the ADAMHS Board to ensure Board compliance with all Federal laws, State laws, and administrative rules and regulations regarding client rights, which include, but are not limited to, confidentiality and access to services.

RESPONSIBILITIES It is the responsibility of the Chief Executive Officer to: 1. Develop and maintain a written procedure which identifies the process through which allegations of

violations of client rights, allegations of breach of confidentiality, allegations of client abuse and neglect, and all related grievances and complaints received within the ADAMHS Board system are handled.

2. Annually, or more often if requested by the ADAMHS Board of Directors (BOD), inform the BOD of the

activities of the client rights program and make recommendations for action by the ADAMHS Board to assure the protection of client rights.

3. Enforce procedures for compliance with confidentiality rules and for reporting abuse, neglect, or

discrimination of clients to the ADAMHS Board of Cuyahoga County office and to monitor as quality measures the ADAMHS Board of Cuyahoga County contract agencies’ other abuse reporting requirements under the Code of Federal Regulations, the Ohio Revised Code and Ohio Administrative Code.

Supersedes and retires: CCCMHB Client Rights and Grievance Policy, Effective July 1, 2009 January 23,

2013 DASBCC Consumer Rights, Effective June 2002 Reference: 42 CFR Part 2, ORC 340.03(A)(2), OAC 5122-26-18, OAC 5122:2-1-02, ORC 5101.61, OAC 3793:2-1-07, ORC 3793.1 _______________________________________ _______________________________________ Harvey A. Snider, Esq., Board Chair William M. Denihan, Chief Executive Officer ADAMHS Board of Cuyahoga County ADAMHS Board of Cuyahoga County Rev. Benjamin F. Gohlstin, Sr., Board Chair Scott S. Osiecki, Chief Executive Officer 9/26/2018 9/2021 __________________________________ _______________________________________ Approval Date Review Date

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

POLICY STATEMENT

SUBJECT: Sponsorship Requests EFFECTIVE DATE: February 25, 2015 September 26, 2018 - (Tentative)

PURPOSE

The purpose of this policy is to assist the ADAMHS Board and staff with determining the appropriateness of requests for sponsorships.

POLICY

The ADAMHS Board strives to increase public awareness, alleviate stigma and promote personal recovery from mental illness and dependency on alcohol and other drugs through various methods. Therefore, it is the Board’s policy to consider requests for sponsorship of events that create awareness about the needs of people living with mental illness and/or alcohol and other drug addictions. Sponsorship can be provided to an organization in a monetary or in-kind manner in exchange for the ADAMHS Board being recognized as a sponsor of the event as outlined in the requesting organization’s sponsorship proposal.

RESPONSIBILITY It is the responsibility of the ADAMHS Board Chief Executive Officer to determine the eligibility of a sponsorship to be brought before the Board for approval or ratification based on the individual merit of each request and the following criteria:

• The sponsorship request should meet at least two of the following: o Complement the ADAMHS Board mission, vision, value statements, strategic plan, and/or Advocacy

Action Agenda. o Raise the overall public’s awareness of mental illness and/or alcohol and other drug addictions. o Strive to alleviate the stigma of living with a mental illness and/or alcohol and other drug addictions. o Promote recovery for all people living with a mental illness and/or alcohol and other drug addictions. o Not be political in nature, except for general advocacy events/efforts to raise awareness and funding

for behavioral health services.

• If the event is a fundraiser, the event proceeds must be used to provide services that benefit the overall community, such as suicide prevention, alcohol and other drug addiction prevention, mental health and alcohol and other drug addiction education, support, information and referral, and advocacy.

• If the Board is requested to purchase individual tickets or tables to events, such as annual meetings and fundraising benefits, the Board strives to provide support to the requesting organization with the attendance of Board members and/or staff, and will pay for the actual cost of the meal or event, minus any donation and/or contributions in the advertised ticket price, unless authorized by the Board.

• All requests for sponsorship and event tickets will be based on the availability of funding.

Supersedes and retires: “Sponsorship Requests” (adopted September 11, 2011 February 25, 2015)

_______________________________________ _____________________________ Eugenia Cash, LSW, MSSA, CDCA, Board Chair William M. Denihan, CEO Rev. Benjamin F. Gohlstin, Sr., Board Chair Scott S. Osiecki, CEO

__________________________________ ___________________________________ Date of Policy Review Date

09/26/2018 – (Tentative) 09/2021


☐ Community Relations & Advocacy Com. ☐ Faith-Based Outreach Committee



Topic: US DHHS Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Mental Health Services (CMHS) Assisted Outpatient Treatment (AOT) Grant – Year 3

Contractual Parties: Frontline Service, Inc. $599,169 CWRU Begun Center $200,000 Board Contracted Attorneys $35,020

Term: September 30, 2018-September 29, 2019

Funding Sources: US DHHS Substance Abuse and Mental Health Services Administration Center for Mental Health Services

Amount: $846,689.00

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

Background Information: Persons in the county who have been determined to be “mentally ill subject to court order,” are initially committed through the Probate process. Many Severely Mentally Ill persons require support and monitoring in order to remain in the community safely. Lacking those supports, many repeatedly cycle through the criminal justice and hospital systems. The Cuyahoga County Assisted Outpatient Treatment pilot project is designed to reduce the incidence and duration of inpatient psychiatric hospitalization, homelessness, and interactions with the criminal justice system among persons with SMI. This award represents the third year of a four-year project totaling over $3.4 million.

Number of Individuals to be served: Up to 100 per year; to date, this project has served 70 clients with Severe Mental Illness.

Funding Use: This project aims to:

create liaison positions to help families navigate the AOT process and facilitate communication among the Board, families, hospitals, clinicians and the Court;

establish a dedicated Assertive Community Treatment team and wraparound services for consumers; and

expand the Board’s capacity to handle an increased volume of hearings for non-compliance among persons under court order.

In this pilot project, direct services are delivered by FrontLine Service (FLS). The Board contracts with the Case Western Reserve University’s Begun Center for Violence Prevention, Research and Education (CWRU) for evaluation and performance assessment services. The Board has access to funding for Board-contracted attorneys in anticipation of an increased volume of hearings. The remaining $12,500 is allocated to the board for project administration.

Client & System Impact: The purposes of the Cuyahoga County AOT Pilot project are to reduce the incidence and duration of inpatient psychiatric hospitalization, homelessness, and interactions with the criminal justice system among persons with SMI.

Program Goals Year 02

1) Create awareness among jurists, hospitals, treatment agencies and the community of the availability of AOT and the requirements of Ohio law. 2) Maintain the infrastructure to monitor the progress of all clients in the AOT pilot program and facilitate communication among the Board, hospitals, clients, families, and the Court. 3) Expand treatment services to ensure a comprehensive, evidence-based continuum of treatment, wraparound recovery supports, monitoring and reporting to provide persons with SMI with the greatest opportunity to remain in the least restrictive setting.


1) Continued numerous informational sessions with Medical Directors and staff of several hospitals and treatment agencies; re: AOT law, forms, process & project during Year 02; addressed specific barriers to commitments. 2) Developed a form and process to document AOT clients’ sessions at Probate Court. Developed an AOT “Orders to Convey Background Form” and plan for its implementation, with the Cleveland Division of Police. Promoted program through NAMI’s monthly newsletter. 3) Successfully implemented AOT Person-Centered Planning and Treatment and wraparound referral processes. Daily monitoring, Motivational Interviewing and medication management continued to be used to ensure client success.

Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): To recommend acceptance of SAMHSA/CMHS funding in the amount of $846,689.00 over the next 12 months and to approve the allocation of funding to:

- FrontLine Service, Inc. in the amount of $599,169.00; - CWRU Begun Center in the amount of $200,000.00; - Board Contracted Attorneys in amount of $35,020.00.





Topic: Youth Led-Prevention Funding for the Teen Institute Program Contractual Parties: Accept Funds From:

Ohio Department of Mental Health and Addiction Services (OhioMHAS) Contract With:

Recovery Resources

Term: July 1, 2018 to June 30, 2019 Funding Source(s): Federal Per Capita Prevention and ADAMHS Board Amount: $22,474.00 (Federal Funding in the amount of $12,231.00, carved out of the Per Capita

Prevention allocation, and an ADAMHS contribution of $10,243.00)


Youth-Led Prevention is a planned sequence of activities that, through the practice and application of evidence-based prevention principles, policies, practices, strategies and programs, is intended to inform, educate, develop skills, alter risk behaviors, affect environmental factors and/or provide referrals to other services.

The purpose of the Teen Institute program is to build leadership skills in teens and reinforce the decision to be drug-free.

Teen Institute provides adolescent leaders with tools and information regarding high risk behaviors, and then engages them in designing and delivering programming for their peers that uses this knowledge to shape behavior change.

Peer Prevention is provided through healthy drug-free lifestyles by having students participate in programs and activities that provide safe environments and positive adult involvement. The students are positive peer role models for younger students to demonstrate that they are a needed and valuable part of the program.


Since 1981, Recovery Resources’ Teen Institute’s overall goal encourages students from Cuyahoga County to participate in training opportunities throughout the year in order to learn how to effectively implement prevention programs.

These trainings are highly effective; as students engage in activities that increase Alcohol, Tobacco and Other Drugs (ATOD) knowledge and as mentioned above learn leadership skills to become positive peer role models in their schools and communities.


Twenty (20) Peer Led Leaders and up to 500 youth will be served.

Funding Use:

The develop students as Peer Leaders to become equipped with knowledge & education to share with other students/peers to shape and change behaviors related to substances.


Creates healthy communities

Promotes social-emotional health toward leadership development

Permeates drug-free abstinence


For SFY 2019, Recovery Resources projects that 60% of the 500 youth (mentees) projected to serve & the 20 Peer Leaders to be identified will gain Alcohol and Other Drug (AOD) knowledge demonstrated the following milestones through Youth Led Prevention Mentees & Youth Led Prevention Mentors reported via the ADAMHS Board Prevention Workbook:

Identifies harmful effects from substance abuse

Identifies & participates in drug free alternative activities

Demonstrates leadership skills

Identifies harmful effects from substance abuse

Evaluation/ Outcome Data (Actual Results from program)

In SFY 2018, of the 200 students projected, five hundred & forty-two (542) were served through the Youth Led Prevention Mentees and approximately 79% gained AOD knowledge demonstrated by the following milestones achieved at or beyond the projected 60% identified below:

79% (430) of the 542 students identified harmful effects from substance abuse

79% (430) of the 542 students participated in drug free alternative activities In SFY 2018, of the 20 students projected for leadership, one-hundred & nine (109) were served through the Youth Led Prevention Mentors and approximately 98% gained AOD knowledge demonstrated by the following milestones achieved at or beyond the projected 60% identified below:

80% (87) of the 109 students demonstrated leadership skills

100% (109) of the109 students Identifies harmful effects from substance abuse

Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): For the Board of Directors to accept the amount of $12,231.00 and provide $10,243.00 of ADAMHS funds for

the Teen Institute Program and contract with Recovery Resources in the amount of $22,474.00 for the period July 1, 2018 through June 30, 2019.

Agenda Process Sheet

Date: September 12, 2018




Topic: Medication Addiction Treatment Program – Court Administrative Funds Contractual Parties: Cleveland Municipal Drug Court

Cuyahoga County Common Pleas Drug Court Cuyahoga County Common Pleas Recovery Drug Court

Term: SFY 2018 and SFY 2019 Funding Source(s): State Pass-Through funds from the Ohio Department of Mental Health and Addiction

Services Amount: $78,487.31

Service Description: ☐ New Program ☐Continuing Program ☐Expanding Program Other-Administrative

Funds Background Information:

The ADAMHS Board received authorization from the Ohio Department of Mental Health and Addiction Services to make payments of administrative funds to local Courts involved in the Medication Addiction Treatment Program (ATP).

The Department determined the following amounts based on the number of ATP clients served by each Court in during the following Fiscal Years:

SFY17: Cleveland Municipal Drug Court $ 728.16 Cuyahoga County Common Pleas Drug Court $18,932.04 Cuyahoga County Common Pleas Recovery Drug Court $14,563.11 To be paid in SFY18: $34,223.31 SFY18: Cleveland Municipal Drug Court $10,796.00 Cuyahoga County Common Pleas Drug Court $16,914.00 Cuyahoga County Common Pleas Recovery Drug Court $16,554.00 To be paid in SFY19: $44,264.00

The Department directed the ADAMHS Board to disburse these funds from the Board’s ATP allocation. These funds were accepted and approved by the Board of Directors in Resolutions #17-09-06 and #18-05-04.

Funding Use:

These funds may be utilized at the court’s discretion. The funds are intended to assist courts in serving more

clients and covering staff time for collaboration with other agencies involved in the ATP, notifying Managed Care

Plans, paperwork, evaluation data entry, and other responsibilities related to serving ATP clients. Once these

funds are disbursed to the Court, the Court is not to include this amount in any reporting back to the Board.


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.

Program/Service Goals:


To continue to collaborate with service providers involved in the Addiction Treatment Program.


In SFY 2018: The Cleveland Municipal Drug Court served 175 clients, the Cuyahoga County Common Pleas Drug Court served 182 clients, and the Cuyahoga County Common Pleas Recovery Drug Court served 181 clients.

Total clients served: 538.

Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): To approve agreements with the above-named Courts for Administrative Funds in amounts totaling $78,487.31,

for the period SFY 2018 and SFY 2019.





Topic: Problem Gambling Treatment and Prevention- Casino Grant

Contractual Parties: Recovery Resources

Term: July 1, 2018 to June 30, 2019

Funding Source(s): OhioMHAS - State Funds

Amount: $207,608.00


Funding from the Ohio Department of Mental Health & Addiction Services (OhioMHAS) is to support the continued growth and expansion of prevention and treatment services for problem and pathological gamblers in Cuyahoga County. This is accomplished in the following manner:

Web based learning and educational opportunities for professionals, including probation officers, behavioral health and physical healthcare providers;

Online screening tools to identify problem gambling behavior;

Community awareness and engagement through coalition efforts, including the Problem Gambling Speakers Bureau, Problem Gambling Awareness Month and the Problem Gambling Symposium;

Gambling prevention services to college and universities, Asian communities, youth and Substance Use Disorder (SUD) clients.


Since 2013, the ADAMHS Board has received funding from OhioMHAS and the former the Ohio Department of Alcohol & Drug Addiction Services (ADAS) to provide support to Cuyahoga County with regard to problem gambling and other addictions.

Also since 2013, Recovery Resources has been the sole provider for these dedicated funds, as they are certified to provide gambling prevention and treatment services for this target population.


Approximately 2,600 individuals will be served in Fiscal Year 2019

Funding Use:

Funding will be utilized for the provision of gambling treatment and prevention services


Increased capacity of professionals to identify and respond to problem gambling

Increased identification of behavioral health problems through online screening tools

Increased identification of problem gamblers and linkage to treatment

Increased community awareness of the issue of problem gambling


For Fiscal Year 2019, Recovery Resources projects to serve 2,600 individuals through

the Problem Gambling Treatment and Prevention Program, as measured by the

following:

500 professionals will be trained to identify and respond to problem gambling

600 individuals will be engaged in online screens for depression, substance use and gambling problems

100 individuals will be engaged through gambling coalition meetings and events

70% of the projected 1,400 individuals that participate in trainings will be able to identify risks associated with gambling


In Fiscal Year 2018, Recovery Resources served 3,797 individuals through the Problem Gambling Treatment and Prevention Program. Of those:

1359 professionals received training in identifying and responding to problem gambling. Of those:

382 professionals attended in-person trainings

977 professionals completed live webinars or home study courses

893 individuals completed online screenings depression, substance use and gambling problems

107 individuals were engaged through gambling coalition meetings and events. Of those:

86 individuals attended coalition meetings

21 individuals attended an awareness event through the Cuyahoga Problem Gambling Speakers Bureau

77% (1,101) of the 1,438 individuals that participated in trainings were able to identify risks associated with gambling. Of those:

517 college students were trained, of which 71% (367) were able to identify risks associated with gambling

13 members of the Asian community were trained, of which 77% (10) were able to identify risks associated with gambling

322 middle and high school students were trained, of which 90% (290) were able to identify risks associated with gambling

586 Behavioral Health clients were trained, of which 74% (434) were able to identify risks associated with gambling

Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): To recommend approval to the Board of Directors to accept the amount of $207,608.00 from OhioMHAS and to contract with Recovery Resources, Inc. for the Problem Gambling Treatment and Prevention program in the amount of $207,608.00 for the period July 1, 2018 through June 30, 2019.





Topic: Specialized Docket Support – Payroll Subsidy

Contractual Parties: Cleveland Municipal Court Cuyahoga County Common Pleas Court Cuyahoga County Common Pleas Court-Juvenile Division South Euclid Municipal Court

Term: July 1, 2018 to June 30, 2019

Funding Source(s): OhioMHAS - State General Revenue Fund

Amount: $410,000.00

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

These funds assist drug courts to effectively manage addicted offenders in the community thereby reducing commitments to the prison system.


As part of the State of Ohio SFY 2016-2017 biennial budget, the Ohio Legislature appropriated funds to the Ohio Department of Mental Health and Addiction Services (OhioMHAS) to assist specialized dockets with their operational costs in an effort to increase and expand these programs statewide.

In State Fiscal Years 2017 and 2018, The Department pushed the funds directly to the courts in one lump payment per Court.

The Department allocated these funds to ADAMH/CMH Boards beginning with SFY 2019. The ADAMHS Board of Cuyahoga County has received $410,000.00.

Funding Use:

The primary legislative intent of these funds is to assist courts with their payroll costs for specialized docket staff.

Based on the first SFY 18 reports from the courts covering the period of 7/1/17 through 12/31/17, over 95% of reported expenditures were for payroll costs. However, feedback received from these courts was a desire to have more flexibility for the use of these funds.

For expenditures other than payroll costs, these funds can only be used for individuals who are under the jurisdiction of the Court, and who have been admitted to the specialized docket. The only exception to this are diagnostic assessments to determine program eligibility.

Clinical services, including MAT, must be provided by agencies certified by the Department.

Per the Department, funds are to be be distributed to each Court as follows:

Court Docket Judge(s) Amount

Cleveland Municipal Court Drug Court Lauren Moore $50,000

Cleveland Municipal Court Human Trafficking Court Marilyn Cassidy $40,000

Cleveland Municipal Court Mental Health Court Emanuella Groves $50,000

Cleveland Municipal Court Veterans Court Charles Patton $40,000

$180,000

Cuyahoga County Common Pleas Court Drug Court David Matia $40,000

Cuyahoga County Common Pleas Court Drug Court Joan Synenberg $50,000

Cuyahoga County Common Pleas Court Veterans Court Michael Jackson $30,000

$120,000

Cuyahoga County Juvenile Court Juvenile Drug Court Denise Rini $40,000

Cuyahoga County Juvenile Court Juvenile Mental Health Court Kristin Sweeney $30,000

$70,000

South Euclid Municipal Court Mental Health Court Gayle Williams-Byers $40,000

$40,000

Client & System Impact: These funds will assist the Courts in managing the growing number of Specialized Docket cases due to the opioid crisis. Program/Service Goals:


Total number of clients carried over in the specialized docket from the previous reporting period.

Number of clients admitted to the specialized docket during the reporting period.

Number of clients who successfully completed the specialized docket during the reporting period

Number of clients who unsuccessfully discharged from the specialized docket during the reporting period

Number of clients maintained in the program that will be carried over to the next reporting period

Number of clients arrested for a new criminal offense while in the specialized docket.

Number of clients committed to Ohio Dept. of Rehabilitation & Corrections

Amount of funds spent on court personnel

Amount of funds spent on: o Addiction treatment o Drug/alcohol testing o Medication Assisted Treatment o Recovery Supports


New program. Twice each year, the Court is responsible for directly reporting the

measure listed above to OMHAS. The Board may request this data from OMHAS.


To accept Specialized Docket Payroll Subsidy funds in the amount of $410,000.00 from the Ohio Department of Mental Health and Addiction Services, and to approve agreements with the above-named Courts for Specialized Docket support in the amounts designated for the period July 1, 2018 through June 30, 2019.






Topic Cuyahoga County Court of Common Pleas Veteran and Veteran Reentry Treatment Court Contractual Parties: Accept Funds From:

Cuyahoga County Common Pleas Court/Corrections Planning Board (CCPB) Contract With: (Pooled Funds)

Salvation Army/Harbor Light Community Assessment & Treatment (CATS) Catholic Charities/Matt Talbot Recovery Resources

Term: Project Period – 09/30/2018 – 09/29/2023 Budget Period Associated with Initial Award – 09/30/2018 – 09/29/2021 Funding Sources: Cuyahoga County Corrections Planning Board Amount: Not to Exceed $350,679.00


Provide Substance Related Services for Substance Use Disorder diagnosed offenders participating in the Cuyahoga County Court of Common Pleas Veterans & Veterans Reentry Treatment Court. Ambulatory Mental Health Services will be made available to Veterans ineligible to obtain services from the Cleveland Veterans Administration Medical Center (VAMC).


The collaboration between the Courts, the ADAMHS Board and treatment providers intend to provide a comprehensive team approach to address substance abuse and behaviors associated with illicit activity which leads to the incarceration of Veterans.

The Veterans Treatment Court is a collaborative between the Cuyahoga County Common Pleas Court/Corrections Planning Board (CCPB), the ADAMHS Board and the selected provider(s) who will work with the VTC treatment team as related to service referrals, admission and discharge decisions. Length of any residential placement, discharge and re-admission under this contract shall be subject to team staffing.

The Corrections Planning Board monitors the use of the Residential pooled funds by utilizing, Catholic Charities Services (Matt Talbot), CATS and the Salvation Army/Harbor Light for SUD services. Mental Health services provided by Recovery Resources will additionally be monitored by the Corrections Planning Board.

Target population of the Veterans and Veterans Reentry Treatment Court funds are identified as Cuyahoga County Veterans/residents determined to be in need of SUD related treatment services as well as some who have a dual disorder - substance use and mental health disorder.


Approximately New Clients 30 per year. Estimate 8% female, 92% male.

Funding Use: Intensive Out-Patient Services, Residential Treatment Services, Medication Assisted Treatment (Vivitrol), Ambulatory Mental Health Services Client & System Impact: Program/Service Goals:

o To provide treatment services to justice system involved Veteran residents of Cuyahoga County in order to achieve sobriety, maintain long-term recovery, and divert from prison.

o To coordinate referral and linkage to existing IOP substance abuse providers following residential treatment in order to facilitate recovery.


Per stats from SAMHSA, 50% of people who seek substance abuse treatment successfully complete

Per National Institute of Justice, nearly 57% were arrested w/in the first year of release


New Program


To accept from Cuyahoga County Common Pleas Court/Corrections Planning Board additional funding for the Veterans and Veteran Reentry Court in an amount not to exceed $350,679.00, and allow for pooled funding for Substance Abuse Treatment through utilizing Salvation Army/Harbor Light, CATS and Catholic Charities Services (Matt Talbot); and ambulatory Mental Health services through Recovery Resources.






Topic Cuyahoga County Court of Common Pleas – Medication Assisted Treatment (MAT) for

Victims of Human Trafficking and Sexual Exploitation Presenting with Co-Occurring Trauma-based Mental Health

Contractual Parties: Accept Funds From:


Salvation Army/Harbor Light Community Assessment & Treatment (CATS) Catholic Charities/Matt Talbot

Term: September 30, 2018 through September 29, 2019 Funding Sources: Cuyahoga County Corrections Planning Board Amount: Not to exceed $132,909.00


Provide Substance Use Disorder and Mental Health Related Services for offenders participating in the Cuyahoga County Recovery Drug Court.


The collaboration between the Courts and treatment providers is intended to provide a comprehensive team approach to address substance abuse and behaviors associated with illicit activity which leads to incarceration.

The Recovery Drug Court is a collaborative between the Cuyahoga County Common Pleas Court/Corrections Planning Board (CCPB), the ADAMHS Board and the selected provider(s) who will work with the Recovery Court treatment team as related to admission and discharge decisions. Length of residence, discharge and re-admission under this contract shall be subject to team staffing.

The Corrections Planning Board monitors the use of the Residential pooled funds by utilizing, Catholic Charities Services (Matt Talbot), CATS and the Salvation Army/Harbor Light.

Target population of the Recovery Court funds are identified as Cuyahoga County residents identified as having been a victim of human trafficking and/or sexual exploitation and presenting with substance use disorder and co-occurring trauma related mental health disorders.


Approximate New Clients 45 per year. Estimate 95% female, 5% male. Funding Use: Intensive Out-Patient Services, Residential Treatment Services, Medication Assisted Treatment (Vivitrol)

Client & System Impact: Program/Service Goals:

o To provide treatment services to opioid addicted justice system involved residents of Cuyahoga County in order to achieve sobriety, maintain long-term recovery, and divert from prison.

o To coordinate referral and linkage to existing IOP substance abuse providers following residential treatment in order to facilitate recovery.


Per stats from SAMHSA, 50% of people who seek substance abuse treatment successfully complete

Per National Institute of Justice, nearly 57% were arrested w/in the first year of release


Year One (1) data will not be available until 6 month GPRAs are completed – March 2019


To accept from Cuyahoga County Common Pleas Court/Corrections Planning Board additional funding for the Adult Probation Substance Abuse Residential Treatment Services in an amount not to exceed $132,909.00 and allow the continued pooled funding for Substance Abuse Treatment through utilizing Salvation Army/Harbor Light, Community Assessment & Treatment Services, and Catholic Charities Services (Matt Talbot).






Topic Provision of Sober Living Options for Felony Offenders under the Supervision of

Cuyahoga County Probation Contractual Parties: Accept Funds From:


Stella Maris Cleveland Treatment Center (CTC)

Term: Project Period – 10/01/2018 – 06/30/2020 Funding Sources: Cuyahoga County Corrections Planning Board ADAMHS Board Funds Amount: Pooled Funds; not to exceed $300,000.00;

- $150,000.00 from CCPB - $150,000.00 from ADAMHSCC


Provide Sober Living options to probationers who have completed a residential substance treatment program and do not have a safe environment to return home to; (or) probationers who have completed an IOP substance treatment program and immediately relapsed in their home environment.


The Corrections Planning Board in collaboration with ADAMHS Board formerly funded Sober Living. The grant cycle for the Corrections Planning Board’s funding ended March 30th 2018.

The Sober Living program is a collaborative between the Cuyahoga County Common Pleas Court/Corrections Planning Board (CCPB), the ADAMHS Board and the “Master” provider(s) who will work with Sober Houses to provide this service in Cuyahoga County.

Target population of Sober Living is Substance Use Disorder diagnosed individuals. In the original pilot, almost 100% of Court referrals for Sober Living had an Opioid Use Disorder diagnosis. The length of stay in a sober house is not to exceed 3 months unless there is a case conference held, and the stay authorized for an extension.

Number of Individuals to be served:

Approximately 110 clients with an average length of stay of 90 days. Estimate 45% female, 55% male. Funding Use: To provide Sober Living options to SUD clients presenting without a safe residence to return to in the community.

Client & System Impact: Program/Service Goals:

o To provide sober living alternatives to justice system involved residents of Cuyahoga County in order to achieve sobriety, maintain long-term recovery, and divert from prison.

o To coordinate community linkages following residential treatment in order to facilitate recovery.


80% of clients referred to Sober Living will maintain sobriety.

While in Sober Living 100% of clients will identify a long-term stable living environment to transition to


Unlike treatment programs (i.e.) Outpatient, Residential, etc., no actual program results were collected during the pilot Sober Living program period. Once the original funding was exhausted, multiple Common Pleas Court Judges requested the Corrections Planning Board explore new funding options because of successes observed by them in their respective courtrooms.


To accept from Cuyahoga County Common Pleas Court/Corrections Planning Board funding in an amount not to exceed $150,000.00 and provide $150,000.00 of ADAMHS funds to restart Sober Living as a supportive service for recovering court-involved clients and to allow for pooled funding to Stella Maris and Cleveland Treatment Center.



Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee



Topic: Online Mental Health Screening Contractual Parties: Screening for Mental Health, Inc. Term: September 15, 2018 to September 15, 2019 Funding Source(s): ADAMHS Board Amount: $1,000.00

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

Screening for Mental Health, Inc. (SMH), the pioneer of large-scale mental health screening for the public, provides innovative mental health and substance abuse resources, linking those in need with quality treatment options. Our programs, offered online and in-person, educate, raise awareness, and screen individuals for common mental and behavioral health disorders, and suicide.


The ADAMHS Board has been utilizing the online screenings since 2014.

Last year, more than 1,200 people took the online screenings.

Screening for Mental Health has changed their subscription pricing. In 2017, the ADAMHS Board paid $650 to use the service. This year, they are charging by population using the tool. The lowest cost option is $1,000, which covers up to 1,499 screenings.

Number of Individuals to be Served: 1,200 Funding Use: Pay for access to and analytics of the online mental health screening links. Client & System Impact: Awareness, education and connection to services for mental illness and addictions.


Provide mental health and substance use screenings to at least 1,200 people.


Last year, 1207 screening were completed in all. The top screening taken were: 516 for depression, 299 for generalized anxiety, 141 for bipolar, 86 for disordered eating, 71 for PTSD, 27 for adolescent depression and 20 for substance use.

Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): The ADAMHS Board staff is recommending funding online mental health screening at the new cost of $1,000.00. Approved by the Community Relations & Advocacy Committee on September 5, 2018.





Topic: ADAMHS Board of Cuyahoga County’s Sponsorship of the Epilepsy

Association’s Race to the River (formerly eRACE)

Contractual Parties: Epilepsy Association 2831 Prospect Avenue Cleveland, OH 44115 Term: September 1, 2018 – October 31, 2018

Funding Sources: ADAMHS Board Funding

Amount: $850.00


Sponsorship Background Information:

The Epilepsy Association is hosting its annual Race to the River 10K, 5K and 1 Mile race (formally called eRACE) at Merwin’s Wharf in Cleveland on Sunday, September 16.

The ADAMHS Board previously sponsored the Epilepsy Association’s Run at the $1,200 Program Sponsor Level. Since our available funding for sponsorships has been reduced, staff recommends a sponsorship at the $850.00 Supporter Level.

Benefits of the Supporter sponsorship:

o Complimentary registration for 2 participants o Company name on fundraiser t-shirt o Company vendor table (provided by Epilepsy Association) o Distribution rights of company promotional items or promotion materials included in runner bags o Post run recognition o Opportunity for signage at the race events (provided by sponsor) o Listing in the 2018 Annual Report


The event host anticipates over 300 local participants from Northeast Ohio. The Epilepsy Association serves 55,000 individuals affected by epilepsy in Northeast Ohio. The goal of the race is to raise awareness of epilepsy.

Funding Use:

Supporter Level Sponsorship funds will help the Epilepsy Association raise awareness of epilepsy.

Proceeds from this event will be used to continue services and programs, including mental health peer- led programming for individuals living with epilepsy.


The goal of this event is to attract as many participants to build awareness and reduce the stigma associated with epilepsy.

Raise funds to support the programs and services of the Epilepsy Association, including adult mental health case management, individualized support for children & families to increase quality of life, and community education to promote awareness.

Metrics (How will success be measured)

Number of people in attendance at Race the River event.

Ensuring ADAMHS Board Supporter Level Sponsorship Benefits

Evaluation/ Outcome Data (Actual data from program)

The 2017 eRace attracted over 300 participants.


The ADAMHS Board should continue to support efforts that bring an awareness of conditions that impact mental health and help people learn to thrive and live successful lives despite a diagnosis to the general public. Therefore, staff recommends that the ADAMHS Board of Cuyahoga County sponsor The Epilepsy Association’s Race to the River on Sunday, September 16, 2018, at the $850.00 Supporter Level.

Approved by the Community Relations & Advocacy Committee on September 5, 2018.

Agenda Process Sheet Date: September 12, 2018 - Revised




Topic: Sponsorship of “Remembering Our Babies” hosted by the YWCA

Contractual Parties: YWCA of Greater Cleveland 4019 Prospect Ave E, Cleveland, OH 44103

Term: September 27, 2018 – November 30, 2018


Amount: $500.00

Service Description: New Program ☐Continuing Program ☐Expanding Program

Other: Sponsorship 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, 2018, to create awareness of infant loss and prevention strategies to combat infant loss.


150 families that have been through an infant loss and 100 community leaders, nonprofits and advocates are expected to attend the “Remembering Our Babies” event being held on October 15, 2018. The location is yet to be determined.

Funding Use:

Funds will be used to provide food, flyers and other promotional materials for the event.


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.


Number of people in attendance at the event on October 15, 2018.

Social media metrics through promotion by FYC to evaluate reach, impressions and awareness of FYC and the October 15 event.


Board staff recommends sponsorship of the “Remembering Our Babies” event to be held on October 15, 2018 in the amount of $500.00.


Agenda Process Sheet - Revised





Topic: Sponsorship of the 2018 Celebration of Human Services: October 26, 2018

at the Hilton Garden Inn, 1100 Carnegie Avenue, Cleveland, OH

Contractual Parties: The Center for Community Solutions 1501 Euclid Avenue, Suite 310 Cleveland, Ohio 44115

Term: September 27, 2018 – November 30, 2018


Amount: $500.00

Service Description: New Program ☐Continuing Program ☐Expanding Program

Other: Sponsorship Background Information:

The Center for Community Solutions has provided nonpartisan research, analysis and recommendations regarding public policy for 105 years.

The 2018 celebration of Human Services will highlight nonpartisan human services-related issues that will likely be front and center in the 2018 general election including Health Care Coverage and Cost, Behavioral Health and Criminal Justice Reform and Poverty and Opportunity. These issues are important to the Cuyahoga County Continuum of Care.

Advocacy on behalf of our clients is a function of the ADAMHS Board and it is important that we are included in conversations regarding legislative issues that impact the clients in our system.

As a sponsor, ADAMHS Board of Cuyahoga County will be:

Listed as a sponsor on all marketing materials


350 people attended this event last year. Funding Use:

Funds raised help cover costs of the event.

Provide complimentary tickets for students and some human services professionals/volunteers.


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

Advocacy Action Agenda. o Not be political in nature, except for general advocacy events/efforts to raise awareness and

funding for behavioral health services.


Number of people in attendance at the 2018 Celebration of Human Services on Friday, October 26, 2018.


Board staff recommends sponsorship of The Center for Community Solutions’ 2018 Celebration of Human Services event to be held at the Hilton Garden Inn on October 26, 2018 in the amount of $500.00.






Topic: Date Selection and Operational Contract with the Cleveland Airport Marriott

for the Roads to Recovery ’19 Conference Contractual Parties: Cleveland Airport Marriott Term: September 27, 2018 – November 30, 2019

Service Description: Roads to Recovery ’19 Conference: October 21, 2019 Funding Sources: ADAMHS Board Funding

Amount: Not to exceed $38,000 in food, beverage, service charge, conference room rental, audio/visual rental and guest room pick-up

NOTE: The conference is paid for by registration fees, sponsorships, display table sales and net revenue from the Training Institute.


Conference BACKGROUND INFORMATION: The biennial Roads to Recovery Conference has been successfully held in 2005, 2007, 2009, 2011, 2013, 2015 and 2017. Based on the tremendous success of these seven conferences, the Community Relations & Advocacy Committee and staff agreed that it is a worthwhile endeavor that should be held every other year. The Recovery Conference attracts between 300 and 400 people from throughout Ohio and neighboring states. The purpose of the Roads to Recovery Conference is to educate consumers, family members, providers, mental health professionals, alcohol and other drug addiction professionals, media and legislators that personal recovery from mental illness and alcohol and other drug addiction is possible. Specifically, the goals and objectives of the conference include:

Illustrating successful mental health and alcohol and other drug addiction recovery models and best practices.

Implementing successful mental health and alcohol and other drug addiction recovery models into daily practice for consumers and professionals.

Establishing a trusting relationship between consumers, family members, and providers to foster recovery.

Educating the public that personal recovery from mental illness and alcohol and other drug addiction is possible.

The Recovery Conference illustrates the ADAMHS Board’s commitment to recovery and that the Board has fully embraced the concept of personal recovery from mental illness and alcohol and other drugs. Staff recommends that Monday, October 21 2019, would be the best day to hold the conference because it does not interfere with any religious or national holidays, and is the similar week that prior conferences have been held.

Over the years, Board staff reviewed multiple venues that would be able to accommodate the conference throughout downtown and the suburbs and the Marriott Cleveland Airport was selected for the conferences in 2011, 2013, 2015 and 2017. Staff recommends that the 2019 conference also be held at the Cleveland Airport Marriott based on its accessibility, quality meeting space and services, free parking and competitive pricing. Number of Individuals to be served:

Approximately 350 people.

Funding Use: To defray the costs of Recovery Conference Expenses not covered by ticket sales.


The 2017 Recovery Conference was held on October 23, 2017, and 366 individuals attended the conference including 25 staff and presenters.

Opportunity to strengthen and improve the local behavioral health workforce and system through training that meets local needs.


Number of people in attendance at the Recovery Conference.

Total cost to the Board after ticket sales.

Evaluation/ Outcome Data (Actual data from program)

366 people attended 2017 Recovery Conference.

$25,174.64 was raised through ticket sales.

Total cost to the Board for the conference was $11,789.02


Approval for the ADAMHS Board to host the Roads to Recovery Conference ’19 on October 21, 2019, and enter into an Operational Contract with the Airport Marriott not to exceed $38,000.00.






Topic: Amendment of Resolution 18-05-03, Behavioral Health Juvenile Justice (BHJJ) Project Fiscal Year 2019 Contractual Parties: 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 Term: July 1, 2018 – June 30, 2019 Funding Sources: State funding from ODYS Amount: $550,000.00 Total (no change)

Cuyahoga County Juvenile Court - $310,712.00 (no change) Bellefaire Jewish Children’s Bureau – $12,433.00 decrease (from $97,100.00 to $84,667.00) Applewood Centers - $12,433.00 increase (from $142,188 to $154,621.00)


The Behavioral Health Juvenile Justice (BHJJ) project is housed within the Cuyahoga County Juvenile Court’s Phoenix/Mental Health Court Specialized Docket, and serves court-involved youth, ages 10 to 18, with a behavioral health diagnosis. Youth and their families are served through one of the following evidenced-based treatment models: Integrated Co-Occurring Treatment (ICT), Multi-Systemic Therapy (MST), and Trauma Focused-Cognitive Behavioral Therapy (TF-CBT). The project also includes Juvenile Court staff which provide intensive probation monitoring and care coordination in support of the identified treatment models.

The BHJJ service continuum also includes the specialized diversion program, Coordinated Approach to Low Risk Misdemeanors Project (Project CALM), which diverts youth with diverts youth with low-level domestic violence offenses from the Cuyahoga County Juvenile Detention Center and other out-of-home placements. Services include assessment, case management, and linkage to respite when necessary.


The Behavioral Health Juvenile Justice (BHJJ) project derives from the Ohio Department of Youth Services (ODYS) Targeted, Reasoned & Equitable, Community & Local Alternatives to the Incarceration of Minors (Targeted RECLAIM) funding initiative, with the overarching goal to prevent deeper involvement into the juvenile justice system by diverting youth away from admissions to correctional facilities or detention centers and into comprehensive, community-based behavioral health treatment services.

An amendment to the current contracts is requested to revise the allocations for Bellefaire and Applewood, due to the submission of a decreased budget amount for Fiscal Year 2019 by Bellefaire.


Approximately 50 youth will be served by BHJJ, and 200 youth will be served by Project CALM in Fiscal Year 2019

Funding Use:

Funding will be utilized for staffing for the provision of care coordination and intensive monitoring (CCJC), Integrated Co-Occurring Treatment and Trauma Focused-Cognitive Behavioral Therapy services (Bellefaire), & Project CALM assessments, case management, and linkage to respite when necessary (Applewood).


Increased community safety

Increased self-awareness and behavioral health stability

Reduced commitments to juvenile correctional institutions and admissions to the Detention Center

Diversion and prevention of deeper juvenile justice system involvement


For Fiscal Year 2019, at least 50% of the 50 youth projected to be served by the Cuyahoga County Behavioral Health Juvenile Justice (BHJJ) project, evaluated by Case Western Reserve University (CWRU), Juvenile Court staff will provide data to evaluate the following measures annually:

Successfully complete treatment

Improved mental health functioning, problem severity, and trauma symptom severity

Caregiver satisfaction with services

Avoid new felony charges one year after termination

Not be at risk for out of home placement

For Fiscal Year 2019, at least 50% of the 15 clients involved with BHJJ projected to be served by Bellefaire, through Integrated Co-Occurring Treatment (ICT) or Trauma Focused-Cognitive Behavioral Therapy (TF-CBT), will demonstrate the following on the Ohio Scales at discharge:

Complete services successfully

Reduced problem severity

Improved functioning

For Fiscal Year 2019, at least 80% of youth served by Applewood through the Coordinated Approach to Low Risk Misdemeanors Project (Project CALM) will demonstrate the following measures:

Diverted from court intervention or admission to the Detention Center

Avoid re-offending with a new domestic violence charge

Avoid detainment for low-level domestic violence offenses


From FY 2005 to FY 2017, CRWU reported that the BHJJ project served 453 youth. Of those:

68% successfully completed treatment

Statistically significant improvements in mental health functioning, problem severity, and trauma symptom severity was achieved across the entire sample from intake to termination

85% of caregivers were satisfied with the services their child received

76% successfully avoided new felony charges one year after termination

74% were not at risk for out of home placement at termination

From July 2017 through June 2018, Bellefaire admitted 13 clients involved with BHJJ to ICT or TF-CBT, and 9 clients were discharged. Of those:

67% (6 of 9) completed services successfully at discharge

56% (5 of 9) demonstrated reduced problem severity at discharge

56% (5 of 9) demonstrated improved functioning at discharge

From January 2017 through June 2018, Project CALM served 65 youth. Of those:

85% (55 of 65) were diverted from court intervention or admission to the Detention Center

89% (58 of 65) avoided re-offending with a new domestic violence charge

89% (58 of 65) avoided detainment for low-level domestic violence offenses

Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): To recommend approval to the Board of Directors to amend Resolution 18-05-03 and the contracts with the

following organizations in the following amounts for the Behavioral Health Juvenile Justice (BHJJ) project for the period July 1, 2018 through June 30, 2019:

o Bellefaire Jewish Children’s Bureau – $12,433.00 decrease (from $97,100.00 to $84,667.00)

o Applewood Centers – $12,433.00 increase (from $142,188 to $154,621.00)





Topic: Amendment of Resolutions 18-01-05 & 18-01-06, Cuyahoga County Juvenile Court – Project CALM

Contractual Parties: Accept Funds From: Cuyahoga County Juvenile Court

Contract With: Applewood Centers

Term: January 1, 2017 – June 30, 2019 Funding Source(s): Cuyahoga County Juvenile Court (CCJC) Amount: $7,220.45 Increase (From $50,874.99 to $58,095.44)


The Coordinated Approach to Low-Risk Misdemeanors Project (Project CALM) diverts youth with low-level domestic violence offenses from the Cuyahoga County Juvenile Detention Center and other out-of-home placements. Services include assessment, case management, and linkage to respite when necessary.


Project CALM began in 2014 as a pilot program between Cuyahoga County Juvenile Court (CCJC) and the Cleveland Police Department (CPD) 4th and 5th Districts, with the goals of reducing inappropriate admissions into the Detention Center of youth with low-level domestic violence offences, and to reduce or prevent their interaction with detainees admitted for high-level cases such as rape, burglary, and murder. Due to positive responses received during the pilot, CCJC made plans to strategically expand Project CALM across all five CPD Districts, in partnership with the ADAMHS Board.

Due to the ADAMHS Board’s existing contract with Applewood Centers for the provision of services within the Mental Health in the Detention Center Project, it was suggested, in effort to maintain continuity in care and seamless management of the program, to additionally contract with Applewood for Project CALM services. This contract amendment was approved by the ADAMHS Board of Directors in January 2017.

In May 2018, the ADAMHS Board of Directors approved the allocation of additional funds to Project CALM as part of the Behavioral Health Juvenile Justice (BHJJ) project, funded by the Ohio Department of Youth Services (ODYS) and Ohio Mental Health and Addiction Services (OhioMHAS). This allocation allowed Project CALM to continue expanding to serve additional police districts in Cuyahoga County, as well as transition the program to being housed at one of Applewood’s sites as a true alternative to detainment.

An amendment to the current agreement was requested by CCJC, as the amount and term have increased.


Approximately 200 youth in Fiscal Year 2019

Funding Use:

Funding will be utilized for staffing of Project CALM clinicians for the provision of assessment, case management, and linkage to respite when necessary.


Increased community safety

Improved relations between police departments and the community

Reduced inappropriate admissions into the Detention Center

Diversion and prevention of deeper juvenile justice system involvement

Program Goals For Fiscal Year 2019, at least 80% of youth served by Applewood through the Coordinated Approach to Low Risk Misdemeanors Project (Project CALM) will demonstrate the following measures:

Diverted from court intervention or admission to the Detention Center

Avoid re-offending with a new domestic violence charge

Avoid detainment for low-level domestic violence offenses


From January 2017 through June 2018, Project CALM served 65 youth. Of those:

85% (55 of 65) were diverted from court intervention or admission to the Detention Center

89% (58 of 65) avoided re-offending with a new domestic violence charge

89% (58 of 65) avoided detainment for low-level domestic violence offenses


To recommend approval to the Board of Directors to amend Resolutions 18-01-05 and 18-01-06 to accept the additional funds in the amount of $7,220.45 from Cuyahoga County Juvenile Court, and to amend the contract with Applewood Centers for the provision of Project CALM, increasing the contract in the additional amount of $7,220.45 for the period January 1, 2017 through June 30, 2019.




Joint Planning and Finance Committee ☐ General Meeting

Topic: Amendment to Resolution 18-03-06 – Emerald Development & Economic Network

(EDEN) Inc. Operating Costs W.117th Contractual Parties: Emerald Development & Economic Network (EDEN) Inc. Term: January 1, 2018 – December 31, 2018 Funding Source(s): Local Funds - ADAMHS Board Budget Amount: $77,215.00 Increase (From $2,897,675.00 to $2,974,890.00)


Property management expenses for EDEN’S W.117th property.


In the Fall of 2017, The Living Miracles and Future Directions (Consumer Operated Services) occupied a newly renovated EDEN facility located at W. 117th.

EDEN submitted an estimated 2018 budget to the ADAMHS Board to cover the projected operating costs associated with the property for CY 2018.

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

To reimburse EDEN for operating costs at the W.117th facility. Client & System Impact: N/A


N/A


N/A


To approve the amendment of the contract with Emerald Development & Economic Network (EDEN) Inc. Increasing the contract by an additional $77,215.00 in calendar year 2018, from $2,897,675.00 to $2,974,890.00.





Topic: Amendment of Resolution 17-11-06, Approval of CY 2018 Service Provider Contracts Contractual Parties: Beech Brook – Assertive Community Treatment (ACT) Team

Term: January 1, 2018 to December 31, 2018 Funding Source(s): Local Grant Funds Amount: $ 55,652.00 (Increase allocation for Beech Brook’s ACT Team)


The Assertive Community Treatment (ACT) Team is an evidenced-based practice that improves outcomes for individuals with severe mental illness ages 16 to 25 years old. ACT programming is considered a “hospital without walls.” The goals of ACT is to decrease hospital days, improve community engagement and quality of life, reduce substance abuse, improve symptom management, increase school completion and opportunities for employment.

The ACT Team is a multidisciplinary team that provides “assertive” outreach in the community with a person-centered focus that yield positive outcomes to improve the quality of life of individuals served. Research indicates that the ACT model reduces hospitalizations, increases housing stability, and improves the quality of life for individuals with the most severe symptoms of mental illness.


Prior to the Ohio Department of Medicaid’s Behavioral Health (BH) Redesign, the Beech Brook ACT Team was the first and only certified ACT team in Cuyahoga County to provide intensive multi-disciplinary services, to fidelity, for transitional youth. Since the implementation of BH Redesign, the ACT model, is Medicaid reimbursable via authorization from the state and soon by the Managed Care Organizations (MCO’s).

Beech Brook currently has a caseload that includes youth not covered by Medicaid, who are covered by Medicaid and ineligible for ACT per the State’s requirements, or who meet the diagnostic criteria but not the condition that requires a transition from a facility (correctional institution, hospital, etc.) in the last 24 months.

As Beech Brook continues to diligently transition youth, within the aforementioned scenarios, to a lower level of care, it is their belief that the remaining clients meet the ACT criteria as defined by best practice despite the State’s definition of eligibility.

Number of Individuals to be served: Up to 11 children/adolescents Funding Use:

Continued ACT programming to avoid a disruption in service


Community preservation

Improved symptom management

Performance Measures:


For CY 2018, Beech Brook proposes to maintain11 clients for which 60% upon discharge will maintain the same level of care or progress to a lower level of care determined by the Youth & Adult Ohio Scales and other tracking tools measured by the following:

Youth/Adult Ohio Scales

to measure improvements in mental health functioning, including system distress, quality of life, empowerment, and activities of daily living

Internal Program Tracking Data

to measure improvements in employment, housing, psychiatric hospitalizations, and crisis episodes and stability


Thus far in CY 2018, six (6) clients discharged from the Beech Brook ACT Team and measured by the following:

Adult Ohio Scales Outcomes Change is measured by comparing consumers’ scores at intake to their most recent scores.

Symptom Distress: 54% of consumers showed a decrease in system distress, and 52% showed a clinically meaningful decrease of 2 or more points

Quality of Life: 63% of consumers showed an increase in their quality of life scores between intake and their most recent assessment, and 26% showed a clinically meaningful increase of 0.5 or more.

Empowerment: 50% of the consumers showed improvement on the empowerment measure, and 28% met the empowerment threshold at the most recent administration.

Activities of Daily Living: 65% of the consumers either stayed the same or improved their daily living skills from intake to the most recent assessment.

Consumers Discharged in first 6 months of 2018: 6

The average length of stay for the discharged consumers was 822 days (2 years).

Did not meet target*: 3 out of the 6 (50%) discharged consumers were discharged to the same level of care or lower.

o 2 (33%) were discharged to a lower level of care. o 1 (17%) was discharged to the same level of care. o *3 (50%) left the ACT Team on their own accord without joint planning.

Their current level of care is uncertain but not necessarily at a higher level of care than an ACT Team.

Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): Amend Resolution 17-11-06 and the agreements with Beech Brook to increase the allocation for the ACT Team by $55,652.00.





Topic: Amendment of Resolution 17-11-06, Approval of CY 2018 Service Provider Contracts Contractual Parties: Epilepsy Association – Mental Health Treatment

Term: January 1, 2018 to December 31, 2018 Funding Source(s): Local Grant Funds Amount: $ 26,738.46 (Increase allocation for mental health treatment)



The Epilepsy Foundation provides mental health treatment services to individuals with no insurance who are living with severe epilepsy and comorbid mental illness. Services include:

o Information/Referral o Mental Health Assessment o Community Psychiatric Supportive Treatment Services o Individual Counseling/Therapy o Family Support Groups.

The agency notified us that the CY18 Non-Medicaid contract utilization on a year to date basis is running well above the reduced contract amount and anticipate running out of funds.

The agency pursues Medicaid coverage for all clients and maintaining benefits is a continual part of its service to clients.

The agency has requested an additional $26,738.46 – which is the difference between the $29,750 provided through the CY18 contract and the projected year-end total of $56,488.46.


Up to 100 adults without insurance. Funding Use:

To continue to provide and increase mental health services to individuals living with epilepsy and mental illness.

Client & System Impact: Performance Measures:


Increase the quality of life for individuals living with epilepsy and mental illness.

Reduce the incidents of depression for individuals living with epilepsy and mental illness.


68 individuals served through programming during the first 6-months of 2018.

o Of the 68 individuals, there are 53 individuals (78%) who remained open for treatment, 10 new consumers (15%) opened for service during this period, and 5 consumers (7%) closed to service.

Mild depressive symptoms reported among consumers.

Case management program has had success in helping consumers manage anti-epileptic medication side effects which are often debilitating.

Consumer Satisfaction survey score for the reporting period was 4.73 out of 5. Compared to the average for the same time period last year (4.66), consumers are reporting slightly higher levels of satisfaction with agency service.

Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): Amend Resolution 17-11-06 and the agreements with Epilepsy Association to increase the allocation by $26,738.46, raising the total allocation for CY18 to $56,488.46.





Joint Planning and Finance Committee ☐ General Meeting

Topic: Amendment of Resolution 17-11-06, Approval of CY 2018 Service Provider Contracts Contractual Parties: Recovery Resources

Living Miracles Peer Empowerment Center Term: October 1, 2018 – December 31, 2018 Funding Source(s): ADAMHS Board Funding Amount: $57,051.00 (Reallocation of funds-no net increase)


Warmline is an anonymous telephone peer support line that offers compassionate listening, support, resources and referrals to callers throughout Cuyahoga County. Services are provided by trained peers from the mental health and addiction treatment community.

Warmline is available 7 days per week from 9:00AM to 1:00AM. Staffing consists of nine part-time peer support staff and one peer support staff as Team Lead.


The Alcohol, Drug Addiction & Mental Health Services Board of Cuyahoga County (ADAMHS Board) has contracted with Recovery Resources for the Warmline program for many years.

In May 2018, Recovery Resources informed ADAMHS Board staff that they would not continue the contract for the Warmline beyond September 30, 2018.

ADAMHS Board staff identified the Living Miracles as the new provider of the Warmline. The Living Miracles has many years of experience providing peer support and offers a variety of services that promote recovery, wellness, social connectedness, advocacy, and education to the community to help reduce stigma about mental illness and addiction.

Living Miracles is located at 2070 W. 117th Street in Lakewood. Program hours are Monday through Friday from 12:00PM to 5:00PM for peer facilitated education and support groups and twice per month on Saturdays for a variety of activities. The Warmline program will begin to operate at Living Miracles effective October 1, 2018.

Number of Individuals to be Served: Approximately 13,000 consumers will be served in 2018. Funding Use: Salaries and program equipment and supplies for the operation of the Warmline. Client & System Impact: Individuals will have access to support via telephone 7 days per week.


Warmline will operate 7 days per week from 9:00AM to 1:00AM and provide support to callers via telephone.

Staffing consists of nine part-time peer staff, with one peer staff as Team Lead.


Living Miracles will submit quarterly reports and annual report to the ADAMHS Board.

CY2017, Warmline peer support staff answered 13,700 calls from consumers in Cuyahoga County.

Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): To approve the reallocation of funds to operate the Warmline program. Decrease the allocation to Recovery Resources and increase the allocation to Living Miracles Peer Empowerment Center in the amount of $57,051.00 to cover the period of October 1, 2018 through December 31, 2018.



☐ Planning & Oversight Committee Joint Planning & Finance Committee

Executive Committee ☐ General Meeting

Topic: Reconfiguration of ADAMHS Board Office Space Contractual Parties: Sander Contracting, Inc. Term: September 27, 2018 – December 31, 2018 Funding Source(s): ADAMHS Board Operating Budget Amount: Not to Exceed $30,000

Service Description: ☐ New Program ☐Continuing Program ☐Expanding Program Other - Renovation

Background Information: To promote a sense of team work, collaboration, and inclusion, the Chief Executive Officer recommended moving staff from the 7th floor to the 8th floor, thus requiring a reconfiguration of the 8th floor office space. This also allows for NAMI to move from the 6th floor to the 7th floor and have a larger space.

Plans for the NAMI space on the 6th floor are being developed, but may include a computer training lab and space for utilization by peer support workers.

ADAMHS Board staff contacted ten construction companies for proposals. Out of the ten construction companies that were contacted, only five responded and confirmed appointments to review the space. Three companies actually kept their appointments and two of those three companies submitted written proposals.

The recommendation is to go with Sander Contracting, Inc. for the following work:

All scope of work listed below includes labor and materials

Relocate and fabricate 3 desks to fit office space 829 $1,050

Demo and reassemble cabinets and counter tops to fit in new offices $1,850

Frame, drywall, finish and paint new center wall office 847 $3,450

New door frame, hardware to match existing for office 740 $1,400

Frame, drywall, finish and paint new center wall office 740 $5,190

Cut countertop for printer relocation $300

Demo and rebuild wall in front of men’s restroom to act as a screen wall $2,800

Modify 2 desks to fit in new offices $700

Permits and plans if necessary $2,300

Outlets X6 data X2 power to desk divider $2,100

Tie into HVAC add 2 diffusers and add 2 occupancy light switches office 740/847 $2,200

New carpet squares in new office space 210 sf. Includes cove base $1,900

Includes temporary partitions to protect existing offices from dust and debris

Includes removal of all demo and construction debris offsite

TOTAL $25,240

joint planning & finance committee meeting …adamhscc.org/pdf_adamhscc/en-us/sept 2018 revised...

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