kitsap county mh cd courts survey results april 2014 · substance abuse and mental health services...

Kitsap County has a retail sales tax to fund a county wide infrastructure for

behavioral health treatment programs and services. Substance abuse and mental health services are viewed as existing on a continuum of prevention, intervention,

treatment and recovery support services. The 2014 Kitsap County Behavioral Health Strategic Plan identified key recommendations to address local gaps in

these services and the community was asked to help us identify funding priorities for these local tax dollars. The survey was open from February 12, 2014 – April 7,

2014 and received 437 responses.

April 2014

CommunityChemicalDependencyandMentalHealthTaxRanking2014

1/21

1.37% 6

1.14% 5

1.14% 5

2.97% 13

6.64% 29

25.40% 111

2.06% 9

7.32% 32

3.66% 16

2.52% 11

1.60% 7

4.35% 19

8.47% 37

9.61% 42

6.41% 28

Q1Whichbestdescribesyourroleinplanningchemicaldependency,mental

healthand/orTherapeuticCourtservicesinKitsapCounty?Answered:437 Skipped:0

Concernedfamilymember

Concernedparent

Concernedcitizen

PreventionofSubstanceAbuseand/orMentalIllnessMentalHealth

TreatmentProvider

ChemicalDependencyTreatmentProvider

Medical

Education

SocialServiceNon-Treatment

CriminalJustice

LawEnforcement

AgingandLongTermCare

AnswerChoices Responses

AppointedmemberoftheStrategicPlanningTeam

AppointedmemberoftheCitizensAdvisoryBoard

Client/Consumer

Concernedfamilymember

Concernedparent

Concernedc itizen

PreventionofSubstanceAbuseand/orMentalIl lness

MentalHealthTreatmentProvider

ChemicalDependencyTreatmentProvider

Co-occurringTreatmentProvider

Business

Medical

Education

SocialServiceNon-Treatment

CriminalJustice


2/21

9.84% 43

3.20% 14

1.37% 6

0.92% 4

Total 437

LawEnforcement

AgingandLongTermCare

Veteran

Faithbasedorganization


3/21

Q2PleasechooseyourtopthreefundingprioritiesforPrevention,EarlyIntervention

andTraining.Answered:345 Skipped:92

Supportsharedplanthrough...

Trainallsystemson...

Educatethecommunityon...

Educatelocalbehav ioral...

Prov idebehav ioral...

Prov ideconsistent...


4/21

FirstPriority SecondPriority ThirdPriority

Embedstrategiesf...

Expandmentalhealthand...

Expandev idencebas...

Prov ideschool-based...

Conductprofessional...

EstablishSuicide...

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%


5/21

64.85%107

15.76%26

19.39%32

165

29.82%34

39.47%45

30.70%35

114

15.79%6

23.68%9

60.53%23

38

16.67%7

35.71%15

47.62%20

42

20.69%6

37.93%11

41.38%12

29

31.43%11

34.29%12

34.29%12

35

14.29%4

39.29%11

46.43%13

28

30.08%37

34.96%43

34.96%43

123

25.42%30

43.22%51

31.36%37

118

39.75%64

31.06%50

29.19%47

161

16.85%15

37.08%33

46.07%41

89

25.81%24

41.94%39

32.26%30

93

FirstPriority

SecondPriority

ThirdPriority

Total

Supportsharedplanthroughongoingcollaborationandincreasedcarecoordinationamongmentalhealth,substanceabuse,healthandjusticestakeholdersthroughjointprojects,blendedfunding,informationsharing,andcross-training.

Trainallsystemsoncommunityresourcesandbehavioralhealthtreatmentoptionsinc ludinginpatient,outpatient,medicationassisted,detoxificationservicesandcrisistriage.

EducatethecommunityonHealthyOptionServicesandMedicaidExpansion.

EducatelocalbehavioralhealthtreatmentprovidersonVeteran’sissuesandavailableresources.

Providebehavioralhealtheducationandtrainingtoprovidersworkingwiththeagingpopulation.

Provideconsistentbehavioralhealthconsultationtoprovidersworkingwiththeagingpopulation.

EmbedstrategiesforworkingwithindividualswithbehavioralhealthdisorderswithintheexistinglocalCNA/LPN/nursingcurriculum.

Expandmentalhealthandsubstanceabusepreventioncoalitionscountywide.

Expandevidencebasedmentalhealthandsubstanceabuseearlypreventionandinterventionparentprograms(Example:Nurse-FamilyPartnershipProgramandStrengtheningFamilies).

Provideschool-basedmentalhealthandsubstanceusepreventioneducationforstudentstoinc ludeintervention,assessment,referralandtreatmentsupport.

Conductprofessionaldevelopmentforeducators,youthdevelopmentandcommunityagenciesonyouthmentalhealthandsubstanceabuseissues,concernsandsupportiveinterventionstrategies.

EstablishSuic idePrevention,ScreeningandReferraloptionsinschoolsandthecommunity.


6/21

Q3PleasechooseyourtopthreefundingprioritiesforCrisisInterventionandTriage.

Answered:327 Skipped:110

Developcountywideprotoco...

Conductcrisisintervention...

EstablishaMobileCrisi...

Prov idecrisistriage/respi...

Sustainanadultdivers...

Establishspecialized...


7/21

42.05%37

26.14%23

31.82%28

88

40.18%45

37.50%42

22.32%25

112

34.55%38

30.91%34

34.55%38

110


Establishspecialized...

Prov idebehav ioral...

Expandcapacityfor...

ExpandyouthInvoluntary...

Prov ideadvancebeds...

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

FirstPriority

SecondPriority

ThirdPriority

Total

Developcountywideprotocolsforfirstrespondersrespondingtoacallwherementali l lnessorsubstanceusemaybeafactor.

Conductcrisisinterventiontrainingforallfirstresponderscountywidetorespondtocallswherementali l lnessorsubstanceusemaybeafactor.

EstablishaMobileCrisisTeamandinfrastructuretohandleattemptsbylawenforcementormentalhealthoutreachteamstopreemptentryintothelegalsystem,jailorthehospital.


8/21

46.03%87

31.75%60

22.22%42

189

21.21%14

42.42%28

36.36%24

66

20.31%13

45.31%29

34.38%22

64

23.08%6

42.31%11

34.62%9

26

35.71%25

28.57%20

35.71%25

70

21.57%22

34.31%35

44.12%45

102

30.38%24

31.65%25

37.97%30

79

21.33%16

26.67%20

52.00%39

75

Providecrisistriage/respiteand/ordrop-offcenteralternativeforindividualswithbehavioralhealthneedsnoteligibleforacutehospitalorevaluationandtreatmentservicesbutareinneedofshortterm24hourservices,inc ludingassessmentandreferral.

Sustainanadultdiversionprogramforlowleveloffenderswithmentali l lnessorsubstanceabusedisorders.

Establishspecializedhomelessoutreachservices,inc ludingspecializedoutreachtoVeteranswithmentalhealthorsubstanceabuseissues.

Establishspecializedgeriatric outreachteamtoassistprovidersworkingwiththeagingpopulation.

Providebehavioralhealthscreening,briefintervention,andreferralfortreatmentforyouth,adultsandolderadultsinprimarycare.

Expandcapacityfor24hourcrisisresponseforyouththroughlawenforcementtraining,mobilecrisisteam,emergencyhousingandcrisistriage.

ExpandyouthInvoluntaryTreatmentAct/CrisisResponseservices,inc ludingcrisisresidentialcenter.

ProvideadvancebedsfordementiapatientswhoarenotcurrentlyacceptedbyWesternStateHospital,KitsapMentalHealthorotherproviders.


9/21

Q4PleasechooseyourtopthreefundingprioritiesforOutpatientTreatment.


Increasesubstanceab...

Increaseaccessand...

Increaseeffortsto...

ExpandCommunity...

Exploregeriatric...

Increasedual-certifi...


10/21

Expandtheuseofev idence...

Developshelter-base...

Prov ideon-site...

Expandbehav ioral...



Establishadedicated...


11/21

43.22%51

27.97%33

28.81%34

118

36.17%17

31.91%15

31.91%15

47

17.65%6

58.82%20

23.53%8

34

49.24%65

22.73%30

28.03%37

132

31.71%13

29.27%12

39.02%16

41

36.92%24

32.31%21

30.77%20

65

37.31%25

22.39%15

40.30%27

67

27.06%23

38.82%33

34.12%29

85

6.25%2

43.75%14

50.00%16

32

30.00%12

35.00%14

35.00%14

40

22.22%8

44.44%16

33.33%12

36

27.12%16

40.68%24

32.20%19

59

23.64%13

41.82%23

34.55%19

55

29.77%39

33.59%44

36.64%48

131


Enhancelinkageat...

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

FirstPriority

SecondPriority

ThirdPriority

Total

IncreasesubstanceabusetreatmentfundingforyouthandadultswhoarenoteligibleforMedicaid,inc ludingindividualsonMedicare,Veteransanddonothaveprivateinsurance.

Increaseaccessandoptionsformedicationassistedtreatment.

IncreaseeffortstoattractmoreproviderswithinKitsapCountytoprovidepainandaddictionconsultations.

ExpandCommunityMentalHealthCenterservicestoinc ludeindividualswhoarenoteligibleforMedicaid.

Exploregeriatric populationneeds.

Increasedual-certificationamongmentalhealthandsubstanceabusetreatmentprovidersforaddressingalloftheindividualsbehavioralhealthneeds.

Expandtheuseofevidenceandresearchbasedprogramsfoundtodecreasedepression,suic idalbehaviorandsubstanceabuseamongjuvenilejusticeinvolvedyouth.

Developshelter-basedbehavioralhealthprevention,outreach,assessment,intervention,referralandtreatment.

Provideon-sitebehavioralhealthscreeningandreferraltoSuperior,Munic ipalandDistric tCourts.

Expandbehavioralhealthoutreach,assessment,intervention,referralandtreatmentinthejail.

Expandbehavioralhealthoutreach,assessment,intervention,referralandtreatmentinexistingadulttherapeutic courts.

Expandbehavioralhealthprevention,outreach,assessment,intervention,referralandtreatmentwithinthejuvenilejusticesystem.

Establishadedicatedbehavioralhealthspecialisttoservethejuveniledetentionfac il i ty,IndividualizedTreatmentCourtandbeavailableforconsultationtoProbationCounselorsdealingwiththegeneralprobationpopulation.

Enhancelinkageatdischargetocomprehensiveservicesinc ludingcarecoordination,accesstomedication,promptaccesstobenefits,healthcare,housingwith/withoutsupportiveservices,andmentalhealth&substanceabusetreatment.


12/21

Q5PleasechooseyourtopthreefundingprioritiesforMedicalandSub-Acute

Detoxification.Answered:312 Skipped:125

32.42%83

29.69%76

37.89%97

256

17.46%22

35.71%45

46.83%59

126


Educatefirstresponders,...

Dedicatefundsforoutof...

Prov idelocaloptionsfor...

Enhancelinkagesat...

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

FirstPriority

SecondPriority

ThirdPriority

Total

Educatefirstresponders,mentalhealthandhousingprogramproviders,andcriminaljusticestaffonavailableEmergencyHousing,DetoxificationandCrisisTriagebedsatKitsapRecoveryCenter.

Dedicatefundsforoutofcountymedicaldetoxificationservicesforyouthandadults,inc ludingthoseinthecriminaljusticesystem.


13/21

41.76%114

32.97%90

25.27%69

273

33.10%93

35.94%101

30.96%87

281

Providelocaloptionsformedicaldetoxification.

Enhancelinkagesatintakeanddischargetocomprehensiveservicesinc ludingcarecoordination,accesstomedication,promptaccesstobenefits,healthcare,andmentalhealth&substanceabusetreatment.


14/21

Q6PleasechooseyourtopthreefundingprioritiesforAcuteInpatientTreatment.


Educatefirstresponders,...

Increasenumberoflo...


Increasecapacityfor...


Expandfamilyeducation,...


15/21

31.40%27

26.74%23

41.86%36

86

57.61%106

24.46%45

17.93%33

184

47.34%80

35.50%60

17.16%29

169

19.72%14

40.85%29

39.44%28

71

24.32%36

36.49%54

39.19%58

148

17.31%18

34.62%36

48.08%50

104

16.03%25

37.82%59

46.15%72

156


Enhancelinkagesat...

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

FirstPriority

SecondPriority

ThirdPriority

Total

Educatefirstresponders,mentalhealthandhousingprogramproviders,andcriminaljusticestaffonavailableinpatientsubstanceabusetreatmentbedsatKitsapRecoveryCenter.

Increasenumberoflocalresidentialsubstanceabusetreatmentbedsforyouthandadults.

Increasenumberoflocalmentalhealthinpatientbedsforadults,inc ludinggero-psychiatricbeds.

IncreasecapacityforProgramforAssertiveCommunityTreatment(targeting18-40yearsoldswithAxis2diagnosis).

Increasenumberoflocalco-occurringdisorderresidentialsubstanceabuse/mentalhealthtreatmentbeds.

Expandfamilyeducation,involvementandsupportactivitiesforindividualsinresidentialsubstanceusedisordertreatment.

Enhancel inkagesatintakeanddischargetocomprehensiveservicesinc ludingcarecoordination,accesstomedication,promptaccesstobenefits,healthcare,andmentalhealth&substanceabusetreatment.


16/21

Q7PleasechooseyourtopthreefundingprioritiesforRecoverySupportServices.


Prov idefundingfor...

Increaseprojectbase...

Prov ideappropriate...

Establishstabilizatio...

Establishflexibleren...

Addressbarriersto...


17/21

Identifytransportati...

Expandparentandfamily...

Increasewrap-around...

Increasesupportive...

Explorelocalreimbursemen...

Explorelocalcursory...

Recruitexisting...


18/21

43.86%50

25.44%29

30.70%35

114

21.28%10

48.94%23

29.79%14

47

46.49%53

30.70%35

22.81%26

114

31.65%25

35.44%28

32.91%26

79

19.57%9

36.96%17

43.48%20

46

42.31%44

40.38%42

17.31%18

104

22.73%15

30.30%20

46.97%31

66

23.08%18

39.74%31

37.18%29

78

37.08%33

33.71%30

29.21%26

89

29.55%13

29.55%13

40.91%18

44

16.67%3

22.22%4

61.11%11

18

14.29%2

35.71%5

50.00%7

14

25.00%10

22.50%9

52.50%21

40

32.08%17

30.19%16

37.74%20

53


Assessthementalhealt...

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

FirstPriority

SecondPriority

ThirdPriority

Total

Providefundingforrecoverysupportiveservicesforindividualsintreatmentinc ludingchildcare,transportationandemployment.

IncreaseprojectbasedsubsidizedhousingvouchersforindividualsinBehavioralHealthtreatment.

ProvideappropriatetailoredsubsidizedhousingandsupportservicesforhomelessindividualsorpersonsatriskofhomelessnesswithBehavioralHealthissues.

Establishstabil izationtransitionhousingforindividualswithBehavioralHealthissuesmovingfromjailtotreatment.

EstablishflexiblerentalassistancefundsforindividualswithBehavioralHealthneeds.

AddressbarrierstoaccessingtreatmentbyincreasingtreatmentoptionsandlocationsinBainbridgeIsland,NorthandSouthKitsap.

Identifytransportationbarrierstogettingtotreatmentandincreasetransportationoptions.

Expandparentandfamilyeducation,involvementandsupportactivitiesforyouthandadultsinbehavioralhealthtreatment.

Increasewrap-aroundservicesforseriousemotionallydisturbedyouth.

Increasesupportiveservices,casemonitors,UAcollection,incentivesandpro-socialactivitiesinallJuvenileTherapeutic Courts.

ExplorelocalreimbursementoptionsimplementedinPierceandClallamCounties.

Explorelocalcursorycompetencyevaluationforoutofcustody,lowriskoffenders.

Recruitexistingorganizations/individualstodevelopamentalhealthsupportgroupsimilartoAA/NA.

Assessthementalhealthserviceneedsofanagingpopulation.


19/21

Q8Pleaserankorderyourfundingprioritiesforthefullcontinuumofcare(1beingthehighestpriorityand6beingthe

lowest.Answered:301 Skipped:136

Behav ioralHealth...

CrisisIntervention...

OutpatientTreatment-...


20/21

1 2 3 4 5 6

MedicalandSub-Acute...

AcuteInpatientCare

RecoverySupport...

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%


21/21

34.55%104

14.62%44

10.96%33

6.64%20

13.29%40

19.93%60

301

26.91%81

27.91%84

20.27%61

11.30%34

8.97%27

4.65%14

301

15.95%48

24.25%73

21.93%66

18.94%57

14.62%44

4.32%13

301

2.66%8

10.63%32

15.95%48

22.92%69

19.93%60

27.91%84

301

14.29%43

12.96%39

15.61%47

22.92%69

18.27%55

15.95%48

301

5.65%17

9.63%29

15.28%46

17.28%52

24.92%75

27.24%82

301

1 2 3 4 5 6 Total

BehavioralHealthPrevention,EarlyInterventionandTraining

CrisisInterventionandTriage

OutpatientTreatment-Psychiatry,MedicalandMedicationManagement,andCounseling

MedicalandSub-AcuteDetoxification

AcuteInpatientCare

RecoverySupportServices

kitsap county mh cd courts survey results april 2014 · substance abuse and mental health services...

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