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HomeMy WebLinkAbout05-083sO~~Q of suP~~vi~c~-Rs COUNTY- OF BUTTE, STATE OF CALIFORNIA KE'SOlUf10T1 NQ. 05-083 BOARD OF SUPERVISORS RESOLUTION APPROVING THE SUBSTANCE ABUSE AND CRIME PREVENTION ACT OF 2000 COUNTY PLAN AND FUNDING REQUEST FOR FY 2005-2006 WHEREAS, In November of 1999, California voters approved Proposition 36, the substance Abuse and Crime Prevention Act of 2000 which directs counties to implement a program to divert nonviolent persons convicted of drug possession or drug use into treatment and supervisions in lieu of incarceration; and WHEREAS, in order to receive funding pursuant to the Act, the Butte County Department of Behavioral Health has prepared a County Plan that will comply with the provisions of the Substance Abuse and Crime Prevention Act of 2000. NOW, THEREFORE, BE IT RESOLVED that the Butte County Board of Supervisors hereby, approves the county plan, completed pursuant to §9515, Title 9, California Code of Regulations, by the Butte County Department of Behavioral Health. PASSED AND ADOPTED by the Butte County Board of Supervisors this 28th day of June 2005, by the following vote: AYES: Supervisors Connelly, Dolan, Houx, Josiassen,and Chair Yamaguchi NOES: None ' ', ABSENT: None " NOT VOTING: None ~, Kim K. Yamaguchi, Chair Butte County Board of Supervisors ATTEST: Paul McIntosh, Chief Administrative Officer and Clerk of the Board of Supervisors By . ,r,; ; ~ . , deputy BUTTE COUNTY FY 2005-06 PLAN Substance Abuse and Crime Prevention Act of 2000 (SACPA) Date Submitted: April 28, 2005 Prepared by: Bradford R. Luz Director Sections cited in this document refer to Chapter 2.5 (commencing with §9500), Division 4, Title 9, California Code of Regulations (CCR). County SACPA plans are submitted pursuant fo Section 9515. For regulations see http://www.adp.ca.gov/SACPA/regindex.shfml. Department of Alcohol and Drug Programs Office of Criminal Justice Collaboration DLTE MAY 1, 2005 Substance Abuse and Crime Prevention Act of 2000 (SACPA) GUIDE to the Preparation, Submission, and Review of the Fiscal Year 2005-06 and Multi-Year County Plan Table of Contents Part I Fiscal Year Set Up The county selects the 2005-06 fiscal year and enters any accumulated carryover amounts. Part II Plan Questions This part is a series of questions about the county's SACPA program. Part III Plan Description: Narrative Description of Outline of County's FY 2005-06 SACPA Implementation Plan and Multi-Year Plan In this part, the county describes its SACPA program based on guidelines provided by the Department of Alcohol and Drug Programs (ADP). Exhibit A is the template for this part of the county plan. Part IV Projected Expenditures, Capacity Projections, and Client Projections Under this heading, the county enters data showing its projected expenditures, capacity, and client counts for FY 2005-06. There are four sections: ^ Entity Plan (Expenditures by Entity) ^ ServicelActivity Plan (Expenditures by ServicelActivity) ^ Gapacity Projections ^ Client Projections Part V County Board of Supervisors' Resolution In this part, the county submits documentation showing approval of the county plan by the county board of supervisors. Exhibit A Narrative Description Template Exhibit B Glossary Department of Alcohol and Drzrg Programs Part Fisca! Year Set Up Fiscal Year Selection The first step is to select the FY 2005-06. SACPA and SATTA allocations will be loaded into the SRIS system by ADP. Accumulated carryover funds must be entered at the SRIS "FISCAL YEAR SET UP" screen. If the county estimates it will have no carryover, then the county must enter a zero at the SRIS "Fiscal Year Set Up" screen. If further assistance is needed, please refer to the SRIS User Manual. Part II Plan Questions This part is a series of questions that summarize the county's SACPA plan. It is to be completed using the Plan Questions in the County Plan section of SRIS. 1. Is the county board of supervisors approval, or are the written board of supervisors delegation (by a written resolution, delegation of approval authority or order) and the county lead agency plan approval attached? [ref: §9515 {b)(3)] ^ Yes © No (expected date of approval: May 24, 2005 ) Review Note: If approval is not included and the "expected by" date is not shown, the OCJC county liaison will contact the county to ascertain the "expected by" date. The plan cannot be approved until this requirement is met. 2. Check the county agencies and other entities involved in developing the county plan. (Check all that apply) [ref. §9515(b)(2)]. If one or more of the required agencies or entities did not participate, please explain in Part III, Plan Description, Item I. REQUIRED ® County alcohol and other drug agency ® Court ® Parole Authority ® Probation Department OPTIONAL (Check all that apply) ® County Executive Office ® County Mental Health ^ County Office of Education ® County Public Health ^ County Social Services ® District Attorney ^ Police Department ® Sheriff ^ Workforce Investment Board ® Other (specify) Board of Supervisors & Public Defender (See Review Note on next page.) Department of Alcohol and Drug Programs Review Note: Input from the four required sources must be documented by a check mark, or their absence must be adequately explained in Part III, Plan Description, Item I. Counties should designate other impacted community parties that collaborated in the development of this county plan. [ref: §9515 (b)(2)] 3. Check the impacted community parties that collaborated in the development of this county plan. [ref: §9515 (b)(2)] REQUIRED ~ Providers of drug treatment services in the community ~® Representatives of drug treatment associations in the community Review Note: Document input from the two required sources with a check mark. If there are no provider associations in the county, provide additional input under Part III, Plan Description, Item 1, on how input was received from providers. OPTIONAL (Check all that apply) ~ Civic Groups ® Clients/Client groups ~ Colleges and Universities ^ Local Business Representatives ® Non-Profit Organizations ^ Parent Teacher GrouplParent Teacher Association ^ Workforce Investment Board ^ Youth Organizations ^~ Other (specify) __ . _ _ ___ 4. How was community input collected? [ref: §9515(b}(2)] p Community meetings ® County advisory groups ^ Focus groups ^ Other method(s) (explain briefly) Review Note: One or more of the types of community input must be checked. 5. If there are federally recognized American Indian tribe(s) located within your county, did they provide input to the development of this county plan? [ref: §9515(b}(2)] ® Yes - (required if such tribes are located in your county) ^ No- federally recognized American Indian tribe(s) in the county Review Note: If there are one or more American Indian tribes located in the county, the county must provide the tribe(s) opportunity for input. If the narrative section of the plan does not describe how input was obtained, OCJC will request further information from the county. Department of Alcohol and Drug Programs 6. During this FY, how often did entities and impacted community parties meet to develop this county plan? [ref: §9515(b)(2)(A)] ^ 1-2 times ® 3-4 times ^ 5 or more times Review Note: This question applies to planning activities conducted during FY 2004-05 for the FY 2005-06 plan year. 7. Specify how often entities and impacted community parties will meet during the implementation of this plan to continue ongoing coordination of services and activities. [ref: §9515(b)(2)(A) and 9520(a)] ® Every three months (minimum required) ^ 5-8 times ^ 9 or more times Review Note: This question applies to FY 2005-06. If fewer than four are scheduled, OCJC cannot approve the plan. 8. What services will be available to SACPA clients under this county plan? [ref: §9515(b)(2}(B); and Penal Code §1210.1 (c) and §3063.1(c)] REQUIRED ® Drug treatment ® Family counseling ® Literacy training ® Vocational training OPTIONAL ® Mental health ® Other (specify) Alcohol & Drug Free Housing (limited) Review Note: This question applies to FY 2005-06. 9. Identify the entity(ies) responsible for determining a SACPA client's level of need for, and placement in, drug treatment. [ref: §9515(b)(2)(C)] ^ O ^ County alcohol and other drug agency Drug treatment provider(s) Probation department Other (specify) Review Note: The county must check at least one response. Department of Alcohol and Drug Programs 10. Identify the entity(ies) responsible for assessing a SACPA client's level of need for and placement in additional services supplemental to treatment. [ref: §9515(b)(2)(C)] ~ County alcohol and other drug agency ® Drug treatment provider(s) ® Probation department ^ Other (specify) Review Note: The county must check at least one response. 11. What assessment tools will be used in your county for SACPA clients? [ref: §9515(b)(2}(C)] ® ASI (Addiction Severity Index) ® ASAM PPC (American Society of Addiction Medicine Patient Placement Criteria) ® Other (specify) LSI (Level Severity Index) Review Note: One or more assessment tools must be designated. 12. Will drug testing be required for SACPA clients in your county? [ref: §9515(b)(3)(A)] ~ Yes ^ No 13. What non-SATTA sources of funds, if any, will be used to pay for drug testing? [ref: §9530(1)] (Check all that apply. Do not include funds provided under the Substance Abuse Treatment and Testing Accountability (SATTA] program.) ® Client fees ^ Additional funds budgeted by the county ^ Other (specify) Review Note: Counties are not required to check a box. 14. Has there been a change in the Lead Agency designation? (Check one) ^ Yes ® No Review Note: If there has been a change, update your information in the County Information section in the SRIS system. Department of Alcohol and Drag Programs 6 Exhibit A -Page 1 Narrative Description: FY OS-06 County Plan Exhibit A Narrative Description Template 1. Collaborative Process. Describe the collaborative process used during the current fiscal year to plan services. Describe how county entities, community parties, and others participated in the development of this plan. If one or more of the required agencies or entities did not participate in the collaborative process (Part II, Plan Questions, Item 2), explain why. [ref: §9515(b)(2)(A)) County services for SACPA clients are coordinated through the collaborative planning efforts of the county workgroup, led by Brad Luz, Ph.D., Director, Department of Behavioral Health (lead agency). Beginning in January 2001, the workgroup met regularly to plan for implementation of Proposition 36 services. The workgroup includes members from the Board of Supervisors, the CAO's office, the Sheriff's Office, the Public Defender, the District Attorney, Probation, Parole, Courts, Public Health, and Behavioral Health. For the development of the 2005-06 County Plan, the workgroup provided: a.) recommendations on the types of treatment services needed, b.) a ratio of recommended services, and c.) length of treatment as well as protocol for the movement of a client through the criminal justice system, from the District Attorney's identification, to Probation case management and supervision. Specifically, on March 8, 2005 changes to the SACPA work plan and court calendar scheduling/procedures were discussed. A subcommittee was formed to gather information from direct service staff and treatment providers, and to meet and resolve current treatment, probation, drug testing, and court issues. Public and provider input has been gathered through an ongoing series of public meetings, called the Community Alcohol and Drug Provider meeting. These three-hour meetings include a periodic updating of community treatment resources, as well as updating of the top ten prioritization of community needs. These provider meetings have continued on a quarterly basis throughout the current fiscal year. These quarterly meetings were used to disseminate ongoing information regarding treatment needs, and current available community ancillary services. The utilization of community-based programs, and spotlights of specific programs, provide more in-depth information regarding best practices within these community treatment programs. Information sharing regarding community needs for training, and assistance with SACPA client treatment, referral processes, and current issues are also discussed. Specifically, on April 6, 2005, the County SACPA Plan was discussed and input requested from the community for inclusion in the plan. Direct services staff including treatment and probation met on April 13, 2005 to make recommendations to the workgroup subcommittee regarding program and treatment modifications. The Workgroup subcommittee met on April 14, 2005 to discuss these recommendations, including court calendar issues. The SACPA Workgroup met on Department of Alcohol and Drug Programs Exhibit A -Page 2 Narrative Description: FY 05-06 County Plan April 19, 2005 to discuss any changes or modifications to the current program. Decisions were made and are included in the SACPA County Plan for 2005-06. This collaborative effort has made it possible to fine tune processes for ongoing program refinement and improvement. Although Parole is included in the workgroup, their attendance at the meetings this year has been infrequent, and therefore their input into the Work Plan was minimal. All other required members have attended meetings regularly. 2. Client Flow. (a) Describe how clients move from court or parole referral through completion of the program (referral, assessment, placement, court monitoring, supervision, etc.). A flow chart may be included. {b) Describe specific activities conducted by Criminal Justice entities, i.e., court monitoring, probation supervision, etc. Identify criminal justice activities funded under your plan as well as in-kind services and activities. [ref: §9515(b)(2)(E)] Client Intake Flow Probation: The initial legal screening for SACPA clients is done by the District Attorney's Office. SACPA clients who are found to be eligible for Proposition 36, will be offered the opportunity to participate in the County's education, treatment, and support services. If the defendant agrees to treatment services, the criminal Court Judge will refer the case to the next scheduled Proposition 36 calendar with the presiding Judge of Proposition 36 Court, Judge Robert Glusman. During their first court hearing, the judge sentences the defendant to probation pursuant to §1210 PC and imposes terms and conditions of probation. After sentencing, the judge orders the defendant to attend a group intake appointment with Butte County Department of Behavioral Health {BCDBH} and a group indoctrination appointment with Probation immediately following their Intake appointment. Both of these appointments are provided at the two Behavioral Health treatment facilities the week following initial sentencing. When necessary, intake assessments are conducted in the jail to ensure the smooth transition of clients into the appropriate level of services. For out of custody intakes, the client completes the initial intake assessment to determine the appropriate level of care. The client is given an ASI/ASAM assessment appointment within one week. The ASI-Cite assessment is utilized for this evaluation, and an appropriate treatment plan is developed. Treatment recommendations and level of treatment need is gathered from the ASI-Cite, the ASAM-PPC, and the clinical interview. The treatment recommendations are then implemented and reviewed in court. If the client fails to attend any scheduled appointments, there is an attempt to contact the client directly, and the Probation Officer is notified. The jointly staffed SACPA team, comprised of Behavioral Health and Probation staff, meet weekly to review, discuss Department of Alcohol and Drug Programs 2 Exhibit A -Page 3 Narrative Description: FY 05-06 County Plan and finalize treatment recommendations for SACPA clients (i.e., upcoming, current, and unamenable for treatment). Client Intake Flow Parolee: Parolees are identified as being eligible under the Substance Abuse and Crime Prevention Act of 2000 (SACPA) by the Board of Corrections, and offered substance abuse treatment under SACPA. Once the client accepts the terms of SACPA and agrees to treatment, a release of information is signed and a copy sent to BCDBH. A treatment intake appointment is scheduled for the following week with Butte County Department of Behavioral Health. At the time of the intake interview, the client completes initial paperwork, signs a release of information for Parole, and the appropriate level of care is identified. The client is given an appointment date for an ASI-LITE/ASAM assessment. Following this assessment, an appropriate treatment plan is developed, and the client is referred to the appropriate level of care. The client's treatment plan and assessment are reviewed with client Parole officer within 30 days. . If the client does not attend scheduled appointments, BCDBH will attempt to contact the client directly, and the Parole officer is notified. Ongoing Flow Probation/Parole: 3-6 weeks after sentencing in Proposition 36 Court, the probationer client returns to court for their first review. Subsequent court reviews are scheduled as indicated by the clients' progress, or lack thereof, for the duration of the program. In terms of parolee clients, progress reviews are similarly sent to the assigned parole agent on a regular basis. Ranges of substance abuse treatment services are available for eligible defendants. Based upon an individual's assessed need and amenability, defendants receive a single level of service, or may participate in a continuum of levels of treatment services for up to 12 months. Clients may attend Aftercare groups for up to 6 months. 3. Drug Treatment Goals. Describe the county's treatment goals for SACPA clients. [ref: §9515(b)(2)(E)] SACPA clients will demonstrate increased lengths of sobriety and reduced contact with law enforcement. The following objectives will support these goals: • Obtain G.E.D. or achieve advanced educational goals • Enroll in a vocational program, or gain employment • Obtain medical coverage to access appropriate medical or psychiatric care. • Develop social, sober community supports and housing • Complete Prop 36 substance abuse treatment program • Develop and maintain stable relationships with family or significant others Department of Alcohol and Drug Programs Exhibit A -Page 4 Narrative Description: FY 05-06 County Plan 4. Drug Treatment and Aftercare Services. Describe the types of treatment and aftercare services (e.g., Level 1, 2, 3, 4; outpatient, residential; narcotic replacement therapy; etc.} to be provided. If services (e.g., residential, narcotic replacement therapy) are unavailable, identify how services will be provided to clients whose assessment indicates the services are needed. Describe the types of treatment providers and the services they will provide. (Names and descriptions of individual providers are not required.) [ref: §9515(b)(2)(B)] Prop 36 Levels and Phases of Treatment Assessment: The Butte County Department of Behavioral Health Proposition 36 treatment team provides intake and assessment to all clients entering treatment with Prop 36 for initial and ongoing referral into appropriate level of treatment. Level I -Readiness for Treatment Butte County Department of Behavioral Health Proposition 36 treatment team provides this initial level of treatment to all clients with minimal or no previous treatment. However, clients requiring higher levels of care will not attend this group, and are referred directly after initial intake. This orientation group provides information on risk factors and the harmful consequences of illicit drug use. The group also addresses basic education and etiquette on expected behavior when attending 12-step groups in the community. The nature of addiction and its impact on the individual and the family are also explored. Individuals meet once per week for up to 6 weeks. Group sessions last 1 hour. Level II -Outpatient Treatment The outpatient program is designed for those clients who have an identified drug and alcohol problem, with some demonstrated motivation for change. These clients have shown an ability to maintain abstinence and have community supports in place. The groups are designed to lead to permanent changes in the individual's addictive behavior. Denial and the progression of addiction, its impact on the individual and the family, will be confronted. Clients may have access to individual and family counseling and additional case management if needed (ancillary service). Phase 1: -Consists of 2 groups per week, 1 hour per group for 4 months. The focus of this group is to provide clients with education that increases their understanding of the addiction and recovery process and tools to manage relapse triggers, cravings and stress. Clients may remain in this level of care or be moved to a higher level of care if they demonstrate a lack of understanding of their addiction and/or continue to relapse. As well, clients may complete Phase 1 early if they demonstrate an improved understanding of their addiction and an ability to remain abstinent. Phase 2: -Consists of 1 group per week, 1.5 hours per group for 4 months. These individuals have developed a foundation of recovery, and are now able to address (more) process issues. The focus of this group is relapse prevention and sobriety maintenance skills. Clients may remain in this group or be moved to a higher level of care if they return to unhealthy patterns of behavior, including relapse or poor Department of Alcohol and Drug Programs 4 Exhibit A -Page 5 Narrative Description: FY 05-06 County Plan legal choices. As well, clients may complete Phase 2 early if they demonstrate an improved understanding of middle stage recovery issues, have created and maintained a positive, sober, support network and maintain abstinence. Aftercare: -Consists of 1 group per month, 1.5 hours per group, for up to 6 months. The focus of this group is ongoing support and sobriety maintenance. Clients will have the opportunity to check in with peers, and staff with whom they have worked during their course of treatment and will have either education or process-oriented group discussion. Clients may remain in this group until they have demonstrated an ability to utilize an outside support group to remain abstinent. As well, clients may be returned to a higher level of care if they relapse and demonstrate a lack of tools, supports or resources to maintain recovery or manage current life stressors. These services may be provided by a residential facility, if the client graduated from the residential facility to ensure continuity of care. Exit Plan :During Aftercare, and prior to petitioning court for dismissal, clients meet with counselor individually for afollow-up ASI and development of a concrete 3-month post-dismissal treatment plan for continued recovery. The counselor will complete a report for the court regarding the client's successful completion of treatment. In order to petition the court for dismissal, the client must have tested clean for 6 months. Level III -Intensive Outpatient Skyway House and Tri-county Treatment currently provide this level of service. Intensive Outpatient Treatment provides a minimum of 9 hours of intensive structured programming per week. Treatment is provided a minimum of three, and up to, five days per week, 3 hours per day, for up to 12 weeks. These services are geared towards the individual who has exhibited chronic dependence on illicit drugs. This service is targeted for clients requiring a more controlled environment than outpatient services, requiring increased assistance in managing ancillary needs, and have demonstrated an inability to implement the previously learned tools of recovery. Treatment includes 1 individual counseling session per week. Clients will be evaluated at 3-month intervals to determine progress and suitability for other services. Case management is provided. Level IV -Residential Treatment Short and long-term residential treatment services are designed for the individual requiring a safe and stable residential setting for recovery due to the severity of their drug use or because of other social factors. Depending upon the level of need determined at the initial assessment, the client will be referred to a 30 - 90 day residential treatment program. Case management is provided. Upon completion of residential services, the client will be reassessed to determine the appropriate level of continuing treatment necessary. Tri-County Treatment Center currently provides short-term residential services for SACPA clients. This level of treatment provides 3Q-45 days of residential treatment, designed for those clients who demonstrate an inability to create a lasting sobriety in an outpatient setting, but who have the community support and resources to maintain abstinence once it can be successfully initiated. In addition, Tri-county Treatment Department of Alcohol and Drug Programs Exhibit A -Page 6 Narrative Description: FY 05-06 County Plan Center provides a 14-day tune-up, for individuals who have already received residential treatment in the past and have had a recent relapse with difficulty regaining control over their addiction. Skyway House and Cherokee House will provide long-term residential services for SACPA clients. This level of care provides up to 90 days of residential treatment and is designed for those individuals who have demonstrated an inability to create a lasting sobriety in an outpatient setting. Individuals requiring this level of treatment have few community supports, and need assistance in identifying and accessing community resources. Included in these would be assistance with medical, legal, vocational, educational, and housing needs. Movement of clients between Phases, or back to a previous Phase, will be a Prop 36 Team decision. Client Phases and Levels of treatment will be designated in the Treatment court report. A medallion and a certificate of phase completion are awarded to clients who are progressing in their recovery development and have successfully competed Phases I/II. Clients successfully completing Prop 36 treatment and graduating from Prop 36 program will be awarded an Aftercare medallion at their graduation during court. The medallions coincide with the treatment focus during each phase. Phase 1 -medallion for honesty Phase 2 -medallion for openness Aftercare -medallion for willingness Program Completion: Once the client has completed treatment and all program criteria have been met of Prop 36, a follow-up ASI and athree-month exit plan are completed. A written report is completed by treatment staff including a petition for dismissal from Prop 36, signed by both treatment and probation, and then submitted to the court along with the probation report. 5. Drug Treatment Assessment Process. Describe the assessment process and tools that will be used to determine clients' level of need for drug treatment. [ref: §9515(b)(3)(B)] The Butte County Department of Behavioral Health Proposition 36 treatment team provides intake and assessment to all clients entering treatment with Prop 36 for initial and ongoing referral into appropriate level of treatment. Once the client accepts the terms of SACPA and agrees to treatment, a treatment intake appointment is scheduled for the following week with Butte County Department of Behavioral Health. The client completes the initial intake assessment to open their case, and then is given an ASI/ASAM assessment appointment within one week. The ASI-Cite assessment is utilized for this evaluation, and an appropriate treatment plan is developed. Treatment recommendations and level of treatment need is gathered from the ASI-Cite, the ASAM-PPC, and the clinical interview. The treatment recommendations are then implemented and reviewed in court. Department of Alcohol and Drug Programs Exhibit A -Page 7 Narrative Description: FY 05-06 County Plan When necessary, intake assessments are conducted in the jail to ensure the smooth transition of clients into the appropriate level of services. Additionally, clients identified as high risk are on occasion referred directly from custody, during court proceedings, or during initial intake appointment. 6. Additional Services. Describe the types of additional services supplemental to treatment (e.g., vocational training, literacy training, family counseling, etc.) to be available, and describe the providers of these services. [ref: §9515(b)(2)(E)] As part of the current Proposition 36 plan, ancillary services for participants were developed, and community services identified. Mental Health Services: The Proposition 36 team staff members provide Mental Health and family counseling. Mental Health and family counseling services are provided by employees who are licensed Clinical Social Workers, Marriage Family Therapists, or are interns receiving supervised hours toward licensure. Those individuals experiencing co-occurring mental health disorders are identified by the Proposition 36 intake team and referred to the mental health clinician on staff. The clinician provides these individuals with a full mental health assessment and, if needed, refers them to Butte County Behavioral Health for a medication evaluation with a psychiatrist and psychiatric technician. Behavioral Health then provides medication treatment and monitoring when appropriate. If client symptoms are assessed as warranting less intensive mental health treatment, they are referred to their Primary Medical Physician for medication. The Proposition 36 clinician provides all group and individual counseling. Mental Health Services include: • Crisis Intervention • Initial Mental Health Assessment • Psychiatric Referral • Medications • Group/Individual/Family counseling/education • Case Management to ensure medication compliance Literacy Training: Literacy training is provided by Butte Community College Adult School and the Butte County Library. Vocational Services: The following community-based agencies provide vocational services and employment services identified as most appropriately meeting the needs of the recipient. Clients are referred to the Private Industry Counsel (PIC) or the Employment Development Department (EDD) for employment services. Additionally, when appropriate, referrals are made to the County Welfare Department for Medi-Cal, GA, or CaIVllorks. Services provided could include resume development and application for employment training; job training, referrals for current employment opportunities. If CalWorks eligible, services necessary to remove barriers to employment are provided. The State Department of Vocational Rehabilitation is utilized for those individuals who qualify due Department of Alcohol mid Drug Programs Exhibit A -Page 8 Narrative Description: FY 05-06 County Plan to a current disability. Services include interest assessments, job training, educational services, job coaching, and employment opportunities. Housing: Clients are currently referred to the Housing Authority or Independent Living Services of Northern California to obtain low cost housing listings. Contracts have been developed with Cherokee House and Skyway House for Alcohol and Drug Free Housing for SACPA clients who are homeless, but requiring only outpatient levels of care. These funds will be provided on an emergency basis for 1-2 months while the client obtains ongoing resources to maintain housing. 7. Additional Services Assessment Process. Describe the assessment process and tools that will be used to determine clients' level of need for additional services supplemental to treatment. [ref: §9515(b)(3)(B)] The assessment team through the ASI/ASAM assessment process and clinical interview identifies client need for additional services. These assessments are developed into treatment plans through which goals and timelines are identified. All case management information, including ASI/ASAM recommendations and treatment plans for additional services with recommendations for community service referrals are faxed to the probation and/or parole officer. 8. Coordination of ServiceslCase Management. Describe how the county will coordinate the provision of treatment and additional services and conduct case management. During Probation and Behavioral Health weekly meetings, and prior to client court reviews, treatment plan, progress in treatment, and current challenges are discussed. Additional service needs are included through the Court review process. A court report for client reviews is provided by Behavioral Health to the entire Proposition 36 team (Public Defender, Judge, DA) and includes current treatment compliance, case management needs, additional services needs, and recommendations for treatment changes if needed. Probation, Parole and Behavioral Health staff provides client case management services. Case management needs are identified by the assessment team through the ASI/ASAM assessment process, by Probation through their intake and LSI assessment, and by parole during their individual meetings with clients. Probation schedules clients regularly for appointments, and case management and additional service needs are identified and shared through the weekly review process. Ongoing contact with the parole officer is managed through the client's counselor to ensure treatment coordination. 9. Assurance of Meeting Clients' Assessed Needs. Describe the process the county will use to assure that clients receive the drug treatment and additional services determined to be necessary by their individual treatment assessments. [ref: 9515(b)(3)(E)] Department of Alcohol and Drug Programs Exhibit A -Page 9 Narrative Description: FY 05-06 County Plan Treatment plans are provided to clients at least every 3 months. Clients are scheduled regularly for drug testing, treatment and probation appointments. Additionally, clients are scheduled regularly for court reviews. Clients having difficulty in lower levels of care, or not showing improvement are reassessed for service needs. 10.Quality of Treatment Services. Describe the criteria the county will use to monitor and ensure the effectiveness of treatment services. If treatment services are provided by contract, what additional tools are available to the county through contract enforcement to monitor and enforce the quality of services? [ref: §9515(b)(3)(C)] Monitor checklists have been created for all contract services. Treatment sites are reviewed on a quarterly basis to ensure quality of services. Any identified infractions, that do not impact client safety, will be presented in writing to treatment provider for correction within 30 days. In addition all providers must obtain and report client satisfaction questionnaires (in aggregate form) every 6 months. Monitoring will be accomplished through client satisfaction questionnaires and follow up ASI administration upon discharge from the outpatient treatment program. Additionally, data on retention and treatment outcomes data are used in program planning and redesign. 11.Quality of Additional Services. Describe the criteria the county will use to monitor and ensure the effectiveness of additional services supplemental fo treatment. If additional services are provided by contract, what additional tools are available to the county through contract enforcement to monitor and enforce the quality of those additional services? [ref: §9515(b)(3)(C)J For monitoring purposes, the follow-up ASI is utilized to measure and demonstrate the effectiveness of additional services. In addition, follow-up treatment plans are done at three-month intervals to ensure that vocational, psychiatric, housing, social, medical and/or legal issues are being appropriately addressed. 12. Drug Testing as a Treatment Tool. When drug testing for SACPA clients is funded under the Substance Abuse Treatment and Testing Accountability (SATTA) Program, the results must be used as a treatment tool. Describe what policies or guidelines the county has in place to assure drug testing using SATTA funds is used for treatment rather than punitive purposes. [ref: §9515(b)(3)(D)] Current drug testing efforts, utilizing SB 223 funds, are contracted to the Probation department. Probation instructs clients to call-in to determine if they have been selected for drug testing (by random number selection or scheduled testing) and completes tests at the Probation Department and at one of the Behavioral Health offices. The names of clients who have not shown for testing are provided to Behavioral Health Treatment staff as are the positive test results for clients whose test results indicate illicit use of substances. These results are then processed with clients in order to determine whether or not a higher level of care is indicated and/for whether additional services are needed. 13. Drug Testing and Individual Treatment Plan. Drug testing funded under SATTA must be part of an individual client's treatment plan. Describe how drug testing is included in the client's treatment plan. [ref: §9515(b)(2)(D)&(E)] Department of Alcohol a~sd Drug Programs 9 Exhibit A -Page 10 Narrative Description: FY 05-06 County Plan Drug testing will be used to support the individual's clinical need for treatment. Frequency of testing will be based on the individual's severity of abuse, progress in treatment, or relapse potential, as determined by the SACPA team. Drug testing may be conducted on either a random basis or a regularly scheduled basis throughout the length of the program. 14. Drug Testing Type and Frequency. Describe the types of drug testing that treatment providers will use and how frequently clients are tested. [ref: §9515(b)(3)(A)] Frequency of testing is based on the individual's severity of abuse, progress in treatment, or relapse potential, as determined by the SACPA team. Drug testing may be conducted on either a random basis or a regularly scheduled basis throughout the length of the program. Probation randomly (through the use of a call in system) administers a presumptive eye scan on all clients approved to use the eye scanner approximately 3 times per month. If the test result is questionable, the client is directed to submit a urine sample. In addition, clients are also required to submit random urine samples regardless if their eye scan result is questionable. If clients are not approved to utilize the eye scanner, they are randomly directed (through the use of a call in system) to submit urine samples approximately 3 times per month. If a client's treatment plan requires, they need to be required to submit to scheduled testing (combination of scan and urine) 3 to 5 days a week. All urine samples are collected by probation staff and sent to a toxicology laboratory for analysis. Drug test results are subsequently forwarded to the probation department within 48 hours. On a case-by-case basis, clients are also required to submit to Breathalyzer testing to detect the use of alcohol. 15. Recipients of Drug Testing Results. Name the county department(s) or agency(s), in addition to treatment providers, that will receive the results of drug testing using SATTA funds. [ref: §9515(b)(3)(D)] Drug testing results are included in the probation report, and reviewed in court by the entire court team (DA, PD, Judge, BH, Probation). 16. Use of Drug Testing Results. Describe how the results will be used to make any changes to the client's treatment and other services or activities. Include the consequences or results of positive drug tests to individual clients. [refit§9515(b)(3)(D)] Drug testing is used to support the individual's clinical need for treatment. Positive drug tests, after the client has been engaged in the treatment process, are used to assist the client and court team to communicate openly regarding client need for additional services or a higher level of care. On a case-by-case basis, clients testing positive for substances are re-evaluated for additional services or higher levels of care. The results of drug testing are not used as the basis for the imposition of new criminal charges. A single drug test is not the sole basis for determining a lack of amenability to treatment, or revocation of probation. Department of Alcohol and Drug Programs 10 Exhibit A -Page 11 Narrative Description: FY 05-06 County Plan 17. Evaluation of Client Progress. Describe what aspects of the client's treatment program, in addition to the results of drug testing, will be considered in evaluating a client's progress in treatment? [ref: §9515(b)(3)(D)] In addition to drug testing results, client's attendance and participation in treatment, attendance and participation with Probation, and identified treatment needs or barriers are all considered in evaluating the client's progress. 18.Client Fee Assessment. Describe the county's procedure for ensuring that its SACPA treatment providers assess client fees. What is your projected client fee revenue for FY 2005-06? [ref: §9532(b)] The County maintains the client billing for both County and contract providers. Treatment fees are assessed on a sliding scale. The projected client fee revenue for FY2004-05 is $2000. 19. Plan Changes from FY 2004-05 County Plan. Identify any changes from the FY 2004-05 county plan to the FY 2005-06 county plan. Entries should be all projections from the county plan. Do not include actuals. a. Narrative: Describe changes in SACPA collaboration, length of treatment, availability and types of services, waiting lists, etc., or refer to other sections of your plan. No changes are expected to the program for next year. b. Entity Plan: Complete the table below. Describe any increases or decreases. Planned SACPA Ex enditures FY 2004-05 County Plan* FY 2005-06 Count Plan* Drug Treatment $ 523,813 $ 793,424 Other Services $ 17,402 $ 13,314 Criminal Justice $ 343,618 $ 418,106 Total Planned Expenditures $ 884,883 $ 1,224,844 *Entries in this column should be the same as those in the SRIS Entity Plan. Do not enter actuals. Department of,4lcohol and Drug Programs 11 Exhibit A -Page 12 Narrative Description: FY 05-06 County Plan c. Service/Activity Plan: Describe any changes (below) in planned expenditures for services and activities. The Butte County Prop 36 program has a designated court day. Due to the number clients in the program, and ongoing court reviews, the court contract was increased. d. Capacity Proiections: Complete the table below. Explain any increases or decreases. Capacity =the number of slots or beds. (See attached glossary.) Our current capacity is based on number of groups available and number of intake slots. There are no expected changes to our capacity from last year's actual. We do not have a waiting list to enter the program, and therefore all clients referred to Prop 36 are provided services. Treatment Planned Capacity FY 2004-05 Coun Plan** FY 2005-06 Coun Plan** Existin Slots 387 360 Planned Additional 0 0 Total Planned SACPA Ca aci 387 360 ~`*Entries in this column should be the same as those in the SRIS Capacity Plan. There are no expected changes next year. Our capacity in 2004-05 was less than protected, and therefore reductions were made based on this year's actual client counts. e. Client Proiections: Com lete the table below. Ex lain an increases or decreases. Client Projections (new clients onl) FY 2004-05 Count Plan*** FY 2005-06 Coun Plan*** Parolees 22 23 Probationers 343 337 Total Client Projections 365 360 ***Entries in this column should be the same as those in the SRIS Client Projections section. Next dears client projections are based on current client counts. Department of Alcohol and Drug Programs 12 ('7 C r [~ O ~ ~ C Q ~ U Q r.+ CO ~o ui L O W u C O Q .~ N d D d w R Z 0 U Q R, w 0 [~. cC 3 a~ a~ -~'o w a a> U K LZl 4".. 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