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Approve Criminal Justice Treatment Account Work Plan with Health Care Authority BEFORE THE BOARD OF COUNTY COMMISSIONERS LEWIS COUNTY, WASHINGTON IN THE MATTER OF: RESOLUTION NO 19-353 APPROVING CRIMINAL JUSTICE TREATMENT ACCOUNT WORK PLAN BETWEEN LEWIS COUNTY AND HEALTH CARE AUTHORITY WHEREAS, the Board of County Commissioners (BOCC), Lewis County, Washington, reviewed the Criminal Justice Treatment Account Work Plan (CJTA) drafted by the local CJTA Panel in accordance with RCW 71 24 580; and WHEREAS, this Plan describes what Lewis County will do with the CJTA State funds from July 1, 2019 through June 30, 2021 based upon funding priorities established by the panel; and WHEREAS, the BOCC previously approved agreement #K3962 with Health Care Authority per Resolution No 19-277 on September 30, 2019 awarding $68,814 to Lewis County, and WHEREAS, the Work Plan for this agreement must be approved for two years by the County Legislative Authority before being submitted to HCA, and WHEREAS, it appears to be in the best public interest to approve the CJTA Work Plan. NOW THEREFORE BE IT RESOLVED that the BOCC of Lewis County approves the CJTA Work Plan with HCA for July 1, 2019 through June 30, 2021. DONE IN OPEN SESSION this 2nd day of December, 2019. APPROVED AS TO FORM. BOARD OF COUNTY COMMISSIONERS Jonathan Meyer, Prosecuting Attorney LEWIS COUNTY, WASHINGTON Amber Smith Robert C. Jackson By Amber Smith, Robert C. Jackson, Chair Deputy Prosecuting Attorney ATTEST RD OF AS�i Gary Stamper P '2, '1 Qary Stamper, Vice Chair SI�yCE ;: xs45 Rieva Lester �_,• ' '`ONm' `* Edna J J . Fund •sti�---ti. Rieva Lester, Edna J Fund, Commissioner Clerk of the Lewis County Board of County Commissioners 1. Describe in detail how substance use disorder treatment and support services will be delivered within the region In Lewis County, CJTA funding has traditionally been utilized most by the Adult and Juvenile Drug Court. Funding has been expanded to provide eligible individuals participating in therapeutic courts and incarcerated individuals who are interested in obtaining treatment and reside in Lewis County. Lewis County Public Health &Social Services (LCPHSS) contracts with two local mental health agencies to utilize CJTA funding and provide substance use disorder(SUD) treatment,group and individual treatment sessions Drug Court will also offer the following activities to all eligible participants: employment services and job training; relapse prevention, family/marriage education, peer-to-peer services, mentoring and coaching, self-help and support groups, housing support services (rent and/or deposits), life skills, spiritual and faith- based support; education, and parent education and child development Lewis County Jail works with Cascade Community Healthcare to provide Substance Use Disorder (SUD)Treatment to inmates, utilizing best practice programs such as Motivational Interviewing and other techniques Services consist of Assessments,groups(1 male and 1 female group session per week), Individual sessions, and outreach/referrals.The Jail also provides Medication Assisted Therapy(MAT). In an effort to focus this funding on SUD treatment for medically necessary individuals,the Lewis County Jail will maintain 12 to 15 constant participants in the MAT program, and all inmates with a desire for treatment will be eligible for an assessment and treatment. SUD treatment and support services will be delivered to active Drug Court participants through CJTA funds. Lewis County Drug Court contracts with the Eugenia Center and all services are delivered through that contract. Services include—assessments, individual sessions,group treatment and urinalysis(UA)testing.The Lewis County Drug Court requires that participants submit to random urinalysis testing through a call in hotline Participants are required to call in daily and report as directed Drug Court best practices are followed with the random UA line Further, participants must complete their entire treatment program in order to be eligible to graduate from the program.Treatment varies from inpatient, intensive outpatient, outpatient, and aftercare Participants in the Drug Court are held to a high level of accountability Any missed treatment activity is sanctioned in Court the following Monday If funding allows, Drug Court participants will be offered employment services,job training, housing support services, life skills and parent education Drug Court has the capacity to serve up to 55 participants at any given time 2. Match Lewis County Public Health &Social Services partners provide match dollars in the form of in- kind donations For example, Lewis County Jail is able to provide MAT medications at a cost of roughly$70,000 per year, and Cascade Community Healthcare and Eugenia Center provide professional support and incur many administrative costs. Limited funding is also available through the 1/10 of 1%sales tax in Lewis County to support mental health and substance abuse treatment This funding is allocated upon the discretion of the Board of County Commissioners. 3. Special Project a Describe the project and how it will be consistent with the strategic plan The Drug Court Treatment model, as well as providing MAT and counseling sessions in Jail, is consistent with LCPHSS's Strategic Plan and is supported in Goals 2 (Strengthen Community Engagement: Establish LCPHSS as a dependable,supportive, and knowledgeable community partner) and 3 (Promote Healthy Choices and Environments: Promote environments that enhance health equity) b. Describe how the project will enhance treatment services for individuals in the criminal justice system. Agency providers have found Substance Use Treatment that focuses on criminal thinking and education of the disease of addiction to be effective with both genders in recognizing the individuals' role/responsibility in social rules and norms as well as concern for others, which is a shift from the reasoning that often results in law enforcement encounters Offenders are spending less time in the jail system and are being directly connected with SUD treatment services, while making community connections to provide ongoing support during and after program completion In order to provide the most effective services and allow participants to achieve higher rates of success in their sobriety,the Lewis County Jail will prioritize Substance Use Treatment sessions to those already receiving MAT and offer it to all inmates when a request is made by the inmate. c Indicate the number of individuals who will be served using innovative funds The capacity of the Lewis County Drug Court is 55 participants and at any given time any of those participants could be served by these funds Roughly 40 individuals will be served in the Lewis County Jail each month for a potential of 95 individuals served per month. d If applicable, indicate plans for inclusion of MOUD within the county's Therapeutic Court programs The Lewis County Drug Court currently offers MAT The program works closely with participants who take part in MAT by having them sign an additional agreement.All pills and strips are counted a minimum of once a week, depending on where they are in the program. Further, all releases are signed with the medical provider and regular communication is key. Participants agree to use one doctor and pharmacist for their prescription. e. Address the Fiscal and programmatic Data Reporting requirements found in Section 7 of this Statement of Work. The Contractor at LCPHSS will submit three different quarterly reports The Quarterly Progress Report (QPR),the Revenue and Expenditure Report(R&E); and the Programmatic Treatment Report(PTR) The reports are to be submitted within 45 days of the end of each State Fiscal Quarter.The R&E will completed in the Excel spreadsheet provided by HCA.All reports will be submitted via the SFT.The Contractor will work with subcontractors to report success stories from individuals impacted by CJTA services BOCC AGENDA ITEM SUMMARY Resolution: BOCC Meeting Date: Dec. 2, 2019 Suggested Wording for Agenda Item: Agenda Type: Deliberation Approving Criminal Justice Treatment Account Work Plan between Lewis County and Health Care Authority Contact: Sandi Andrus Phone: 3607401148 Department: PHSS - Public Health & Social Services Description: Health Care Authority (HCA) requires agencies and counties receiving State Criminal Justice Treatment Account (CJTA) funds to update their CJTA Work Plan every two years This plan is drafted by our local CJTA Panel in accordance with RCW 71.24.580 and must be approved by County Legislative Authority before being submitted to HCA Approvals: Publication Requirements: Publications: User Status J.P. Anderson Pending C\+ V` PA's Office Approved Tawni Shepherd Pending Additional Copies Sandi Andrus, Alison Puckett, Stacey Loflin