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Fourth Quarter Report
October 1, 2018 – December 31, 2018
Kitsap County Mental Health, Chemical Dependency & Therapeutic Courts Program Quarterly Narrative Summary 12/31/18
Progress on Implementation and Program Activities: Agency: Agape Unlimited Program Name: Youth Treatment On October 1, 2018 Agape’ Unlimited/Juvenile Therapeutic Courts Treatment began with an enrollment of six Juvenile Drug Court referred patients and nine Kitsap County Probation supervised juvenile patients for a total of 15 individuals receiving outpatient and intensive outpatient services. From September 30th to December 31st, 2018 Agape’ Unlimited provided services to 28 Kitsap County Juvenile Justice involved youth. Agape' Unlimited is an active participate in the Kitsap Strong 2018/2019 Collaborative Learning Academy and attended fourth quarter workshops. In October, staff attended the Second Annual Olympic Community of Health Opioid Summit, the WSAJCA Statewide Juvenile Drug Court Training and the WSADCP State Conference. The Agape' Adolescent Drug Court Counselor and designated on call detention facility Chemical Dependency Professional has continued her close collaborative relationship with court officials and probation services. She continues to meet with the Kitsap County Juvenile Drug Court Team Thursday afternoons, followed by attendance at Juvenile Therapeutic Drug Court. She is available to provide assessments, update assessments and Level 3.5 inpatient referral interventions for youth in the detention facility. Agency: Kitsap County Aging and Long Term Care Program Name: Partners in Memory Care April 1- launched Dementia Specialists services to the community. Twenty-seven (27) consultations were provided during the fourth quarter. Nine Ancillary Provider Presentations and 1 Community Presentation (Annual Caregiver Conference with 80 audience members) were provided. Denise Hughes, the Dementia Consultant, provided information to a variety of organizations this quarter including Harrison Hospital Discharge Planners, Crisis Triage Center staff, Kitsap Connect program staff, Martha &Mary admissions team, Visiting Angels Home Care for referrals, Physical Therapists (reflexologist) for referrals, Kaiser Permanente staff, and Naval Hospital staff. Two successful Powerful Tools for Caregivers workshop series were completed, one at Martha & Mary in Poulsbo and one at Givens Community Center in Port Orchard. A total of 26 caregivers were supported between the two completed workshop series. Kitsap Aging plans to host at least one workshop in 2019 and network with churches and other caregiver support groups to recruit class leaders and expand availability of workshops in the community. Alzheimer’s Association staff report receiving great feedback about the Alzheimer Cafés supported through this project from participants. Individual participants received additional resources to help them with understanding dementia and supporting them with their caregiving. Overall, there were 59 service episodes for individuals and a total of 9 new individuals served this quarter through Alzheimer Cafés. There is no cost for the Alzheimer’s Café sites in Port Orchard and Silverdale. Both café opportunities have a dedicated volunteer and will continue facilitating beyond 2018. Agency: Bremerton Police Department Program Name: Crisis Intervention Training (CIO) This quarter no trainings were held, just Crisis Intervention Officer (CIO) meetings. The meetings have brought a lot of collaboration. Both the trainings and collaborating have brought tremendous success. The training has taught the officers/deputies how to deescalate a person in crisis. The collaboration has brought education in the resources available in Kitsap County. With the passing of the new mental health training bill we are hoping that training in the academy will be provided and eventually all the officers/deputies that have gone through the academy previously will complete the 40-hour class this grant is providing. Over the course of the last quester, a Designated Crisis Responder (DCR) has been responding to crisis calls in the field with CIOs. For example, two deputies went out to a call where a male was suicidal. Once the scene was safe, the DCR spoke with the individual and was able to get him the help he needed.
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Agency: Bremerton School District Program Name: Social and Emotional Learning This grant impacts all students PreK-12 and our community partners. For example, YKIDS, Girls and Boys Club. We used this grant to leverage funds to expand our MTSS system and reallocate resources. We have the curriculum now and we continue to provide training. We have made this work on our Tier I approach part of each school and District PreK-12th grade system of support. This is the first time in our educational history at Bremerton School District, all children/students are taught social and emotional skills, PreK-12 using an effective curriculum. One student who had not been successful in three districts and two schools, is now being served in a general education classroom with peers with additional support from the interventionist. This allows his parent to now seek employment and find stable housing for their family. The work we are doing in the area of social and emotional learning is truly life-changing. It requires a positive shift (mindset) on how we teach students, how we respond to the needs of students in the classroom, how we interact and partner with our community resources and how we collaborate with each other. We are shifting from a reactive model to a prevention model. With this grant, we provided a strong foundation for administrators and teachers. We have a deeper understanding of why students struggle (ACES) and as importantly, we have added tools and instructional strategies to help students. Agency: City of Poulsbo Program Name: Behavioral Health Outreach
This is the fourth quarter our program operated as a police partnership, or co-responder, program. We are currently partnering with officers in Poulsbo, Bremerton, Bainbridge Island, and Port Orchard. We also work with prosecutors to connect individuals with diversion agreements to services and treatment. According to a survey administered this quarter, 97% of our partners think the work we are doing is “extremely” important and 77% think navigators are “extremely” effective at connecting individuals to services and reducing police involvement. (100% of partners are either “satisfied” or “extremely satisfied” with navigators’ work.) Our team assisted 110 new contacts this quarter (and 213 total contacts) by identifying service/treatment options, enhancing communication between agencies, and overcoming obstacles to care. We were able to make 121 connections to treatment or other service providers and assist with 16 court supervised diversion agreements. Most of our contacts are assisted on a short-term basis, but there is a small but significant cohort of people (around 20%) we have repeat contact with (defined as 10 or more assists). Most people we assisted this quarter and year exhibit behavior consistent with mental illness or self-report as having a mental illness (appx 90%). Over half of the people we assisted have no treatment provider or have been dropped from their treatment provider. We have not begun our partnership with Kitsap County Sheriff’s Office at this point but remain optimistic we will work with them soon. Agency: The Coffee Oasis Program Name: Homeless Youth Intervention In the fourth quarter we have surpassed our crisis intervention goals with 48 contacts with youth in crisis and 75% engaging in ongoing services. We had projected reaching 140 youth in crisis for the year and we have reached a total of 191 with 67% engaging in ongoing services of housing, therapy, case management, emergency resources, and life skill classes. This quarter we have received 66 texts (unduplicated youth) through the 24-Hour Crisis Text line, which is an average of 22 a month. The most exciting piece has been that 74% were resolved this quarter through text and follow up phone call. In 2018 we received a total of 196 texts from youth and 169 and 86% were resolved without emergency services being called. The majority of the crisis texts are youth struggling with suicide and mental health issues. This quarter 16 youth engaged in onsite therapy with our partner Come Alive Youth Services therapists and 9 youth completed 8 or more therapy sessions resulting in an increase of building protective factors and healthy coping methods. In 2018, 63 youth participated in therapy and 29 youth (46%) completed 8 or more sessions, 42% of the youth participating in case management were literally homeless, of which 22% connected to permanent housing and 25% connected to emergency shelter or safe temporary housing. This year 24% of you participated in HOPE INC job preparation classes and 3 have acquired employment.
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Agency: Kitsap Community Resources Program Name: Housing Feasibility Study In January 2018, Kitsap Community Resources engaged Community Frameworks, a Seattle based non-profit housing developer to conduct a comprehensive assessment of the feasibility of constructing a Permanent Supportive Housing project in Kitsap County. Community Frameworks completed their feasibility assessment in July 2018, which included developing a recommended financial plan, pre-development timeline and project plan. Their assessment concluded that “this project is feasible and likely to succeed. It is well aligned with current public funder priorities and at an appropriate scale for the community.” It was agreed that Kitsap Mental Health Services (KMHS) would be the project owner and operator, which also was approved by KMHS Board of Directors. KMHS identified a 1.6 acre potential site within Bremerton City limits, made a purchase at the end of January 2019 and now has full site control. In 2019, the focus of the project will be securing the project architect (interviews are scheduled end of February) and begin making application to the major funding sources including the Federal Home Loan Bank ($750K), a combination of Housing Trust Fund and/or Legislative allocation ($4M) and Low Income Housing Tax Credits ($10.6M). KMHS must also identify at least an additional $3.1M in local funding sources that will include foundations, community partner organizations and county funding sources (i.e. Coordinated Grant and the 1/10th of 1% Mental Health Tax funds). Agency: Kitsap County District Court Program Name: Behavioral Health Court This quarter, the Behavioral Health Court (BHC) program experienced 3 admissions, 4 graduations, and 1 termination. As expected, there was an increase in program referrals after the doors to BHC were reopened. As more participants are reaching the conclusion of the diversion program, we continue to see a rise in graduation rates (24% at the end of the year). Most participants remain active in the program (52%) with our termination rate at 22%. The final 2% is accounted for by a participant who was transferred to more intensive services earlier this year with the Trueblood Program. The Program Manager is working with District Court to review a new case management/data tracking system. Journal Technologies offers an eProbation package that might allow for metric tracking for treatment courts. BHS Duthie had four of his assigned participants graduate this past quarter. He is glad that we are finally getting to see people finish the program, as well as see all the hard work participants have put into the program and themselves to improve their lives and health. He is impressed with how comfortable all of these individuals were towards the end when having to come to court, something that frightened them previously. Agency: Kitsap County Juvenile Court Program Name: Enhanced Juvenile Therapeutic Court During the fourth quarter, twenty-seven youth participated in Juvenile Therapeutic Court programs; 13 in Juvenile Drug Court (JDC) and 14 in Individualized Treatment Court (ITC). Since January 1, 2018, thirty-two youth have participated in Juvenile Therapeutic Court; 14 in JDC and 18 in ITC. In the last year, three youth have completed the ITC program. Two youth were terminated from the program for non-compliance. Three youth were terminated from the JDC program for non-compliance. One youth dropped out of the program after having been on the run for a long time. During the fourth quarter, 12 of the 14 ITC youth (86%) attended at least one therapy session with the current Behavioral Health Specialist (BHS). Sixty-five sessions with the current BHS have been provided to the ITC youth; an average of five sessions per youth. Six of the 13 JDC youth (46%) have attended therapy with the BHS, an average of seven sessions per youth. Since the beginning of the year, 16 of 18 ITC youth (89%) and 11 of 14 JDC youth (79%) have received mental health services from the BHS. During the year, the BHS attended 36 of 43 hearings (84%) and 33 of 43 pre-court meetings (77%). A total of eight urinalysis tests were administered for designer drugs (LSD, spice, bath salts) to eight JDC youth this quarter. All eight test results were negative. Since January 1, 2018, sixty-seven urinalysis tests have been administered for designer drugs to 13 youth. All sixty-seven test results were negative. Since July 2014, 54 youth have successfully completed a Juvenile Therapeutic Court (59%). Thirty-six of those youth completed the program at least 12 months ago. Twenty-nine of the 36 youth (81%) have not been convicted of a new offense. Thirty-two youth completed a therapeutic program 18 months ago. Twenty-five (78%) have not been convicted of a new offense.
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Agency: Kitsap County Sheriff’s Office Program: RideAlong/Behavioral Health Unit Kitsap County Sheriff Office Crisis Intervention Officers (CIOs) are currently using the RideAlong Application. The Sheriff’s Office has been working with all the locals Leads from the cities and developed 30 response plans to front-load. It was helpful to have everyone at the table to share the information they have on these individuals. Of the 15 CIOs using this, the templates have been used and another 40 people have been identified as high-utilizers. This quarter was a success for the Behavioral Health Units (BHU) as painting has been completed. In 2019 we can begin the transition to the official BHU units and begin providing individual and group therapy in the units. We worked with K&K painting company that helped provide the painting services in the jail at a reduced price. We will begin to look for tablets for the units and find a vendor that can meet our needs. Once the behavioral pod is fully operational, it will sustain and continue to improve over time. Agency: Kitsap County Superior Court Program Name: Adult Drug Court This quarter there were 191 participants in the program. Thirty-three participants received cooccurring disorder treatment services. Nine participants graduated, and twelve participants were discharged. 100% of new participants were screened by the Vocational Navigator within the first 90 days of participation in the Adult Drug Court and 100% of all program participants were either employed and/or involved in educational/vocational services upon graduation from the Adult Drug Court. In order to stay in compliance with Washington’s Administrative Code, beginning May 21st,2018, the Adult Drug Court partnered with two new providers: Agape Unlimited and West Sound Treatment Center. Every participant will have the right to choose the agency that meets individual location needs and a variety of ancillary services such as child care, parenting classes, and evening groups to accommodate our participants individual needs.
Agency: Kitsap County Superior Court Program Name: Veterans Therapeutic Court There were 22 active Veterans Court participants during the third quarter. 100% of program participants screened using the ASAM criteria within one week of admission into the VTC. 100% of participants who screen positive for needing substance use treatment are placed either at the VAMC American Lake or KRC services within two weeks of that determination. There was a reduction in the number of positive urinalysis testing for 79% of program participants who screen positive for substance use disorders. 95% of individuals completing VTC remain conviction-free during the 5 years post-graduation. There were no terminations during the fourth quarter. Agency: Kitsap Mental Health Services (KMHS) Program Name: Crisis Triage Center The Crisis Triage Center was operationalized August 16, 2018. During the fourth quarter 160 people received crisis triage services. The average length of stay was 4 days. Overall Client Satisfaction Rating this quarter is 91%. We are awaiting the SBHO to finalize policy and procedure so that this data can be released to KMHS. Once we have this data we should be able to cross reference it and be able to see if there is an overall reduction in incarceration days. As discussed in the meeting with the 1/10th group we will be removing the metric for 30/90 day follow ups. Sarah has done a fine job in reaching out to stakeholders for this program and has made a concerted effort to train the first responder community of local law enforcement and the Bremerton Fire Department. This is working well and there appears to be a solid feedback loop in place so that we can troubleshoot any referrals that were clunky for either the referral party, the client, or for CTF. PHRC and KMHS are working on the transitioning from the BHO system of care into a managed care environment. This will mean setting up contracts and infrastructure with the five Managed Care Organizations (MCOs) who will authorize and pay for services such as ours. This will be completed before 1/1/2020, and this will be what funds the operation of the facility for the foreseeable. We are awaiting a return phone call from Housing Solution Center with their data. I will send this out via email as soon as it arrives for both PHRC and for CTF.
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Agency: Kitsap Public Health District Program Name: Improving Health & Resiliency This funding continues to contribute to our entire Nurse Family Partnership Program (total of 2.0 FTE nurses). The current funding allocation ensures that at least 12 mothers and infants receive services. During the fourth quarter our NFP program served 48 mothers and 37 infants with a total of 179 visits. During these visits, NFP families were linked to 82 community resources including governmental assistance programs, health services including dental care, education, employment and childcare, mental health, and crisis intervention. For 2018 we had small number of graduates for evaluation (n=7), due to this we were not able to meet our objective of 90% of graduating clients exhibiting improvement in mental health, substance use or caretaking parenting problem. With a total number of 7, we would have had to have all 7 improve in order to meet these criteria. For future evaluation we plan to accumulate our graduate data over time to have a larger number for more stable data. In addition to the small numbers issue, we also realized that the clients that did not show improvement (4 out of 7) had an initial assessment level greater than 3 (on a scale of 1-5). This denotes that the clients were starting at an adequate and appropriate level of knowledge and behavior leaving less room to demonstrate large increases. Level 5 on this scale includes superior and consistently appropriate knowledge and behavior, which we rarely find with any of our clients. We have maintained fidelity to the Nurse Family Partnership model as evidenced by the attached letter of verification from the NFP National Service Organization. Due to funding to serve 12 additional clients (awarded by the Division of Children and Family Services) beginning December 2018, we were able to increase the number of NFP nurses in this program to 2.5 FTE. Agency: Kitsap Public Health District Program Name: Kitsap Connects Twenty-six clients were formally enrolled in Kitsap Connect services throughout 2018. Additionally, 69 referrals and linkages to services were provided to non-clients. Currently, there are 16 clients actively enrolled with tailored care plans, including one new client this quarter. Combined client and non-client referrals and linkages totaled 119 this quarter, bringing the total number of linkages to 408 for 2018. Of 11 Client Participant Surveys collected for the quarter, 100% of clients reported a moderate to high level of satisfaction with Kitsap Connect services resulting in a 92% satisfaction rate for the year. We met the majority of our outcomes for the year. As a cohort, 87%-95% of our clients have experienced improved knowledge, behavior, and status in problem areas such as Substance Use, Mental Health, Residence, Healthcare Supervision, and/or Income. Additionally, 67% of our clients met the outcome of a 20% reduction in the use of costly-services, though this reduction did not quite reach statistical significance (P=0.059, criteria for significance P < 0.050). We significantly reduced the number of jail bed nights our clients by 72% (from 751 nights in jail prior to enrollment to 210 nights while in services). Since our inception in August 2016, we estimate we have saved the community over $200,000 in reduced Emergency Room visits, ambulance rides, and jail bed nights alone. For 2019, we plan to extend our estimated cost-savings to include reductions in inpatient hospital stays, which cost over $3500/day, in addition to reduced ER visits. Agency: Kitsap Recovery Center Program Name: Outpatient Substance Abuse Tx and
Trauma Informed Care The Kitsap Recovery Center (KRC) outpatient program has reach its maximum capacity of 25 clients and a few on the waitlist. The outpatient clinician has developed community partnerships such as Department of Corrections and Work release referral source. The outpatient program has become self-sustainably after the grant period ended on 12/31/2018. KRC Trauma Informed Care assisted with assessments for the Human Trafficking Diversion program within the county jail decreasing the length of stay in custody and faster access to services and treatment needs. Since the grant has started, we have completed 10 in custody assessments and made referrals for these participants for safety and treatment needs. Although the grant ended in December, Kitsap Recovery Center continues to be at the staffing table of the Human Trafficking Diversion Program and is supportive of these participants.
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Agency: Olympic Educational Service District 114 Program Name: School Based Behavioral Health The projected number of elementary and high school students served is 372 for the grant cycle; to date 515 students (232 elementary and 283 high school) have been served. In addition to the 515 students served, staff reported 1,105 drop in visits by students in need of crisis intervention, brief support and/or information, and 22 middle school students received behavior health screening and referral services. 52% of high school students who failed 1+ classes in the first semester of 2018 have demonstrated academic improvement. 44% of secondary students and 51% of elementary students have demonstrated improvement in class attendance. 84% of high school students served reported they are more likely to attend regularly because of the program. The OESD Student Services and Support Department has continued with providing training to school teams as part of The Collaborative Learning Consortium of school district/schools specific to addressing adverse childhood experiences, trauma-informed practices, and building resiliency with an emphasis on equity. In addition, this quarter, the Student Services and Support Department hosted a half day training for school counselors on how to support students, faculty and parents when a crisis happens (i.e. student/faculty/parent dies by suicide, car accident or terminal illness). The OESD Student Services and Support Department also has continued their involvement with the Bremerton and North Kitsap Substance Abuse Prevention Coalitions, Kitsap Strong, and Kitsap Public Health’s Youth Marijuana Prevention Education Program. This past quarter, the OESD worked with the YMPEP Program Manager to educate adolescent health care providers on accessing school-based Student Assistance Program Services for their patients. In addition, the OESD Program Manager is working with Bainbridge Island School District to host a parent training focused on substance use prevention. OESD did receive the grant award Kaiser Permanente for assistance in analyzing and assist with securing a behavioral health license with the State of Washington to provide both school-based mental health and substance use treatment services in Kitsap County. This work will start at the first of the year 2019. Agency: West Sound Treatment Center Program Name: New Start Year to date, 258 eligible applications from individuals in the Kitsap County Jail were screened for New Start services. Ninety-five individuals participated in New Start Jail Treatment Services and 171 participated in New Start Reentry Services. Twenty-eight individuals were housed in New Start Housing. One participant went through New Start and utilized all support services, is now 18 months clean and has gotten custody of her child, owns her own business and home, and is an inspiration to others through speaking about her story to her current clients and friends. Staff continue to be involved with routine monthly meetings with Re-Entry Task Force, routine meetings with In-Jail Administrative Staff. CORE Program funded by the Salish Behavioral Health Organization is a wraparound service that we provide to all New-Start Participants. Currently, we are experiencing issues with duplication and proper tracking of new individuals based on our current tracking method. There are inconsistencies present in the format in which data is entered, and the system is inefficient at properly capturing the information required for reporting. We have developed a sufficient course of action and reviewed with the Kitsap Public health District for feedback and clarification.
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Success Stories Olympic Educational Service District – School Based Behavioral Health Our Student Assistance Professional was referred a student for leaving campus to smoke marijuana with two other students. The student had just transferred from out of state to live with other family after falling getting into trouble back home. It appeared like he was about to follow down the same path at his new school. The student stated he wanted our school to be a fresh start but hadn't made any friends which made him vulnerable when the two boys asked him to smoke with them that day. We began working with him and his family. The student has gotten a job at a local restaurant, is helping with the youth group at his church, and was given the responsibility of being a main office assistant when he needed a schedule change. We continue to meet with the student periodically to discuss his goals. The SAP was so encouraged by the changes in the student, she called home to share her observations with his aunt. This story illustrates the kind of positive outcome that's possible when we intervene at the right moment and can work together as a staff with the student and family. Kitsap Public Health District – Kitsap Connect Bob is a 64-year-old man who was initially brought into Kitsap Connect services on 1/31/17 after being kicked out of a nursing home into homelessness as a result of receiving an assault charge against a caregiver at the facility. He is a chronic alcoholic who came to us with 1.5 years of sobriety but began drinking after becoming homeless again. He suffers from dementia, anxiety, emphysema, heart disease, and chronic pain. From January through October of 2018 this client averaged 3.6 ambulance/emergency room visits per month. After assisting him in finding an apartment unit to rent on his own, an in-home caregiver, and reconnection with primary care and specialists, we graduated this client from Kitsap Connect. However, this client had difficulty maintaining sobriety and continued to call 911 and frequent the emergency department after graduation despite his support system. After multiple requests from Emergency Medical Services, Harrison ER, and KCR’s housing support specialist, we took this client back into Kitsap Connect services in July 2018, only 4 months after he graduated. Shortly thereafter, he lost his apartment due to his behaviors in conjunction with miscommunications between his payee, KCR, and the landlord resulting in rent payments being late. We assisted him in moving into Bremerton Inn where he lived for 3 months with his own funds, and donations from The Salvation Army and multiple individual community members. Through working closely with his caregiver agency, his payee, primary care, and his caseworker at the Area of Aging we were able to secure him a long-term bed at Bremerton Health and Rehabilitation in November. Since he moved into this facility, where all of his needs are met, he is no longer drinking alcohol and he has not been to the emergency room or called EMS/911 even one time. Kitsap Connect now stays engaged with the case managers at the facility and provides minimal emotional support and reorientation to the client. He is doing so well the facility is working with Kitsap Connect to move him into an assisted living facility where he will continue to receive the needed supports to remain successfully housed. City of Poulsbo – Behavioral Health Navigators Andrea was discovered, on the side of the road, by a Bainbridge Island Police Officer in Spring of 2018. Andrea was intending to kill herself, but because of the officer’s intervention, she was transported to Harrison Hospital. Navigator Kelsey was unable to speak to her before discharge, and there was no contact number. In November, Andrea attempted to end her life again, but this time the officer contacted Kelsey quickly and she was able to do an outreach after hospital admission. Kelsey has been working with Andrea to connect to treatment, find housing, and re-enroll at a local college. Andrea was very moved that police and Kelsey had such a high level of concern for her.
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Success Stories City of Poulsbo – Behavioral Health Navigators John is well known, to Port Orchard (PO) police, as a troubled youth struggling with addiction. During a recent jail stay, Navigator Melissa was able to work with one of the PO sergeants to visit him there and discuss available options through West Sound Treatment Center (WSTC). Melissa worked with WSTC to create a discharge plan including treatment and housing services. Ron is a homeless man based in Bremerton who has frequent police involvement and anger management issues. Navigator Laurel has worked with the LEAD group, throughout the quarter, to help Ron stay in compliance with a court agreement. Thanks to Laurel (and LEAD) Ron is paying fines, attending required classes, and pursuing housing and employment opportunities. Ron has not been easy to work with—he finds it difficult to take responsibility and stick to a plan—but having Laurel in his life has given him some accountability and structure. It has also helped other people involved in Ron’s care coordinate actions and responses. Coffee Oasis – Homeless Youth Intervention We had a young lady text into the crisis text line. She found one of our touch cards at school. She said that she was having difficulty with depression and anxiety over family relational issues. Her mom has a diagnosis that flares up and when it does her mom becomes distant to the family. Our crisis responder talked with her by text and then one of the team members met with her at the school to complete a referral for our Come Alive Youth Services (CAYS) therapists. She is currently working with a CAYS therapist and as of the most recent check-in by text, she reports that she is doing a lot better. Kitsap Public Health District – Nurse Family Partnership Melanie transferred to Kitsap Nurse Family Partnership (NFP) from an out of state NFP program. She was homeless and living between a shelter and acquaintances’ homes. We were only able to complete one visit before she moved out of county to another shelter and enrolled in another NFP program. During this time, she remained engaged in the NFP program with good communication between the two NFP programs. I received notice that Melanie delivered at 28 weeks gestation and would be moving back to Kitsap County following the infant’s hospital discharge. She lost her parental rights due to claims of neglect during her baby’s hospital stay. We were able to connect by televisit while she stayed close to the hospital and her baby. The infant was discharged to the custody of her paternal grandmother and Melanie could live in the same home helping with her baby’s care but not as the primary custodian. Melanie worked hard to increase her knowledge of caretaking and parenting. She welcomed multiple home visitors including developmental specialists from Holly Ridge, a CPS mandated parenting program visitor and Nurse Family Partnership. She scheduled and took her infant to all her well child and specialty appointments. She was an active participant during NFP home visits, asking many appropriate questions. If a topic like childproofing the home was discussed, Melanie would work on that between visits and, when I returned for a follow up visit, she was eager to show the progress she had made towards creating a safe, explorable environment for her infant. She kept in touch with her Child Protective Services case worker asking questions about what she needed to do to regain custody of her infant. This mom was aware of community resources and utilized them. She was proactive in her own self-care, attending counseling twice weekly, keeping appointments with her primary care and also with her dental provider. With all of Melanie’s hard work she regained full custody of her child. She has continued to remain engaged in the Nurse Family Partnership program and has made great progress towards reaching personal goals in all areas of her life including parenting, healthcare and employment. Melanie recently received notice that she has been hired at a new job and has obtained subsidized childcare for infant.
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83
.82
$
2
9.0
0%
25
5,9
66
.62
$
2
4,2
75
.38
$
KC
R F
easi
bili
ty S
tud
y2
7,0
00
.00
$
1
9,3
85
.71
$
71
.80
%-
$
0.0
0%
-$
0.0
0%
7,6
14
.29
$
28
.20
%2
7,0
00
.00
$
-
$
KC
R H
ou
sin
g St
abili
ty &
Su
pp
ort
12
8,0
00
.00
$
2
0,2
06
.31
$
15
.79
%1
1,6
39
.28
$
9.0
9%
13
,92
3.8
7$
10
.88
%5
4,5
26
.43
$
4
2.6
0%
10
0,2
95
.89
$
2
7,7
04
.11
$
Kit
sap
Co
un
ty D
istr
ict
Co
urt
14
9,6
97
.76
$
2
1,4
23
.31
$
14
.31
%3
4,7
01
.92
$
23
.18
%2
9,8
86
.50
$
1
9.9
6%
29
,83
9.9
0$
19
.93
%1
15
,85
1.6
3$
33
,84
6.1
3$
Juve
nile
Th
erap
euti
c C
ou
rts
20
4,1
89
.00
$
4
7,9
79
.93
$
23
.50
%3
4,2
98
.13
$
16
.80
%4
4,5
06
.75
$
2
1.8
0%
44
,95
8.5
1$
22
.02
%1
71
,74
3.3
2$
32
,44
5.6
8$
Kit
sap
Co
un
ty S
her
iff'
s O
ffic
e1
65
,84
0.0
0$
-$
0
.00
%7
5,0
00
.00
$
45
.22
%-
$
0
.00
%2
6,1
25
.00
$
1
5.7
5%
10
1,1
25
.00
$
6
4,7
15
.00
$
Kit
sap
Su
per
ior
Co
urt
(D
rug
Co
urt
)4
83
,54
6.0
0$
69
,17
1.0
5$
1
4.3
0%
61
,92
9.3
8$
1
2.8
1%
68
,83
6.1
5$
14
.24
%7
3,4
87
.67
$
1
5.2
0%
27
3,4
24
.25
$
2
10
,12
1.7
5$
Kit
sap
Su
per
ior
Co
urt
(V
eter
ans)
68
,19
7.0
0$
7,9
25
.11
$
11
.62
%1
4,5
44
.66
$
21
.33
%1
1,7
50
.80
$
1
7.2
3%
9,6
01
.93
$
14
.08
%4
3,8
22
.50
$
2
4,3
74
.50
$
KM
HS
Cri
sis
Tria
ge C
ente
r-
$
-
$
N/A
-$
N
/A-
$
N
/A-
$
N
/A-
$
-
$
KP
HD
Kit
sap
Co
nn
ects
34
3,4
56
.00
$
6
0,5
38
.00
$
17
.63
%9
0,2
90
.18
$
26
.29
%7
1,0
83
.58
$
2
0.7
0%
91
,99
0.0
6$
26
.78
%3
13
,90
1.8
2$
29
,55
4.1
8$
KP
HD
NFP
& M
SS1
24
,76
2.0
0$
28
,89
1.7
8$
2
3.1
6%
32
,53
4.9
6$
2
6.0
8%
33
,61
9.8
3$
26
.95
%2
9,7
15
.42
$
2
3.8
2%
12
4,7
61
.99
$
0
.01
$
KR
C O
utp
atie
nt
Trea
tmen
t1
19
,13
3.0
0$
25
,95
0.0
0$
2
1.7
8%
25
,95
0.0
0$
2
1.7
8%
-$
0.0
0%
-$
0.0
0%
51
,90
0.0
0$
67
,23
3.0
0$
KR
C T
rau
ma
Info
rmed
Car
e1
24
,32
2.1
7$
25
,95
0.0
0$
2
0.8
7%
25
,95
0.0
0$
2
0.8
7%
25
,95
0.0
0$
20
.87
%2
5,9
50
.00
$
2
0.8
7%
10
3,8
00
.00
$
2
0,5
22
.17
$
Oly
mp
ic E
SD 1
14
60
0,0
00
.00
$
7
3,3
84
.11
$
12
.23
%1
55
,10
2.9
6$
25
.85
%1
05
,97
6.6
1$
1
7.6
6%
13
9,7
01
.94
$
2
3.2
8%
47
4,1
65
.62
$
1
25
,83
4.3
8$
Wes
t So
un
d T
reat
men
t C
ente
r3
02
,50
0.0
0$
68
,70
1.6
4$
2
2.7
1%
59
,60
1.4
2$
1
9.7
0%
71
,95
9.7
4$
23
.79
%7
5,5
75
.32
$
2
4.9
8%
27
5,8
38
.12
$
2
6,6
61
.88
$
Tota
l4
,00
0,5
90
.47
$
6
60
,63
0.7
1$
16
.51
%9
33
,70
5.4
5$
23
.34
%7
22
,73
3.2
4$
1
8.0
7%
93
2,5
71
.23
$
2
3.3
1%
3,2
49
,64
0.6
3$
7
50
,94
9.8
4$
20
18
Re
ven
ue
: $
5,1
34
,43
2.3
0
9
Kit
sap
Co
un
ty M
enta
l He
alth
, Ch
em
ica
l De
pen
de
ncy
an
d
The
rap
eu
tic
Co
urt
Pro
gram
s Q
uar
terl
y Fi
scal
Re
po
rt J
an
ua
ry 1
, 20
18
- D
ece
mp
er
31
, 20
18
# P
arti
cip
ants
Firs
t Q
T %
Se
con
d Q
T%
Th
ird
Qt
%
Fou
rth
Qt
%
20
18
To
tal
Aga
pe
Un
limit
ed4
51
12
4.4
4%
12
26
.67
%1
84
0.0
0%
12
26
.67
%2
8
Agi
ng
and
Lo
ng
Term
Car
e5
00
00
.00
%8
31
6.6
0%
10
2.0
0%
57
11
.40
%1
50
Bre
mer
ton
Po
lice
Dep
artm
ent
40
00
.00
%3
28
0.0
0%
18
45
.00
%0
0.0
0%
50
Bre
mer
ton
Sch
oo
l Dis
tric
t5
00
45
19
0.2
0%
40
.80
%2
65
.20
%6
31
2.6
0%
51
7
Cit
y o
f P
ou
lsb
o6
60
49
7.4
2%
65
9.8
5%
22
73
4.3
9%
13
22
0.0
0%
36
9
The
Co
ffee
Oas
is5
02
60
11
.95
%8
31
6.5
3%
85
16
.93
%7
51
4.9
4%
30
4
KC
R F
easi
bili
ty S
tud
y0
0N
/A0
N/A
0N
/A0
N/A
0
KC
R H
ou
sin
g St
abili
ty &
Su
pp
ort
20
13
65
.00
%2
31
15
.00
%1
78
5.0
0%
17
85
.00
%2
6
Kit
sap
Co
un
ty D
istr
ict
Co
urt
50
32
64
.00
%3
36
6.0
0%
33
66
.00
%3
16
2.0
0%
50
Juve
nile
Th
erap
euti
c C
ou
rts
20
17
85
.00
%1
78
5.0
0%
15
75
.00
%2
01
00
.00
%2
5
Kit
sap
Co
un
ty S
her
iff'
s O
ffic
e7
50
0.0
0%
00
.00
%0
0.0
0%
00
.00
%0
Kit
sap
Su
per
ior
Co
urt
(D
rug
Co
urt
)5
01
72
34
4.0
0%
17
23
44
.00
%1
81
36
2.0
0%
19
13
82
.00
%2
18
Kit
sap
Su
per
ior
Co
urt
(V
eter
ans)
25
19
76
.00
%2
28
8.0
0%
22
88
.00
%2
28
8.0
0%
34
KM
HS
Cri
sis
Tria
ge C
ente
r2
00
0N
/A0
N/A
61
N/A
16
0N
/A2
11
KP
HD
Kit
sap
Co
nn
ects
30
22
73
.33
%2
37
6.6
7%
17
56
.67
%4
41
46
.67
%4
4
KP
HD
NFP
& M
SS2
12
70
33
.02
%5
82
7.3
6%
56
26
.42
%9
44
4.3
4%
21
1
KR
C O
utp
atie
nt
Trea
tmen
t5
01
93
8.0
0%
23
46
.00
%1
83
6.0
0%
25
50
.00
%7
4
KR
C T
rau
ma
Info
rmed
Car
e2
07
35
.00
%1
05
0.0
0%
94
5.0
0%
11
55
.00
%1
1
Oly
mp
ic E
SD 1
14
35
02
70
77
.14
%2
67
76
.29
%1
04
29
.71
%2
62
74
.86
%5
15
Wes
t So
un
d T
reat
men
t C
ente
r6
80
13
92
0.4
4%
13
51
9.8
5%
32
4.7
1%
54
7.9
4%
26
6
4,0
29
13
51
10
62
94
91
27
03
10
3
Thir
d Q
uar
ter:
Ju
ly 1
, 20
18
- S
ep
tem
be
r 3
0, 2
01
8
10
K
itsa
p C
ou
nty
Me
nta
l He
alth
, Ch
em
ical
De
pe
nd
en
cy &
Th
era
pe
uti
c C
ou
rt P
rogr
ams
Qu
arte
rly
Sum
mar
y O
utp
uts
an
d O
utc
om
es
Re
po
rt
Oct
ob
er
1, 2
01
8 –
De
cem
be
r 3
1, 2
01
8
Age
ncy
Fo
urt
h Q
T O
utp
uts
Fo
urt
h Q
T O
utc
om
es
Aga
pe
Un
limit
ed
B
asel
ine:
Un
du
plic
ated
nu
mb
er o
f in
div
idu
als
serv
ed d
uri
ng
the
qu
arte
r
12
en
rolle
d y
ou
th: o
utp
atie
nt.
2
sec
ure
d a
dm
issi
on
(b
ed d
ates
) fo
r yo
uth
inp
atie
nt.
3
4 o
utp
atie
nt
trea
tmen
t gr
ou
ps
pro
vid
ed.
2 S
ub
stan
ce U
se D
iso
rder
ass
essm
ents
pro
vid
ed.
28
en
rolle
d y
ou
th in
Ou
tpat
ien
t to
dat
e.
69
% o
f Ju
ven
ile ju
stic
e in
volv
ed y
ou
th a
sses
sed
as
in n
eed
of
ou
tpat
ien
t an
d in
ten
sive
ou
tpat
ien
t tr
eatm
ent
rece
ive
d s
ervi
ces
wit
h t
he
Aga
pe
Un
limit
ed Y
ou
th T
reat
men
t P
rogr
am.
16
% o
f yo
uth
ad
mit
ted
to
th
e A
gap
e U
nlim
ited
Ad
ole
scen
t O
utp
atie
nt
Trea
tmen
t P
rogr
am d
emo
nst
rate
d a
bst
inen
ce in
th
e la
st 3
mo
nth
s o
f th
eir
pro
gram
as
reve
aled
th
rou
gh u
rin
alys
is m
on
ito
rin
g p
rogr
am.
10
0%
of
clie
nts
rep
ort
bei
ng
mo
der
atel
y o
r h
igh
ly s
atis
fied
wit
h s
ervi
ces
pro
vid
ed b
y A
gap
e U
nlim
ited
.
Kit
sap
Co
un
ty A
gin
g an
d L
on
g Te
rm
Car
e
Bas
elin
e: U
nd
up
licat
ed n
um
ber
of
ind
ivid
ual
s se
rved
du
rin
g th
e q
uar
ter
57
ind
ivid
ual
s o
f fo
cus.
2
0 f
acili
ty s
taff
. 4
tra
ined
fac
ilita
tors
. 5
caf
es.
27
co
nsu
ltat
ion
s p
rovi
ded
to
ind
ivid
ual
s.
9 c
on
sult
atio
ns
pro
vid
ed t
o f
acili
ty s
taff
. 2
wo
rksh
op
s co
nd
uct
ed.
1 c
om
mu
nit
y p
rese
nta
tio
n.
Pro
vid
ed c
on
sult
atio
ns
to in
div
idu
als
at h
om
e an
d 2
co
nsu
ltat
ion
s to
fa
cilit
y st
aff
a m
on
th.
Mai
nta
ined
4 t
rain
ed w
ork
sho
p f
acili
tato
rs.
2 g
rou
ps
(26
par
tici
pan
ts)
com
ple
ted
th
e w
ork
sho
p.
Es
tab
lish
ed o
ne
add
itio
nal
Caf
é in
Kit
sap
Co
un
ty t
his
qu
arte
r.
Incr
ease
d s
up
po
rt g
rou
p a
nd
Caf
é at
ten
dan
ce b
y 5
9 in
div
idu
als.
9
5%
clie
nts
rep
ort
a m
od
erat
e to
hig
h s
atis
fact
ion
wit
h s
ervi
ces
rece
ived
as
mea
sure
d b
y th
e cl
ien
t sa
tisf
acti
on
su
rvey
s.
Bre
me
rto
n P
olic
e D
ep
artm
en
t B
asel
ine:
Un
du
plic
ated
nu
mb
er o
f in
div
idu
als
serv
ed d
uri
ng
the
qu
arte
r
0 C
IT t
rain
ings
(8
ho
ur)
. 0
CIT
tra
inin
gs (
40
ho
ur)
. 0
CIT
tra
inin
g (e
nh
ance
d, 2
4. h
ou
r).
0 T
rain
ed.
N/A
% c
apac
ity
of
law
en
forc
emen
t at
ten
d C
risi
s In
terv
enti
on
tra
inin
g (4
0h
r).
N/A
Incr
ease
kn
ow
led
ge, a
ttit
ud
e, a
nd
ski
ll sc
ore
s %
fro
m b
asel
ine
at
con
clu
sio
n o
f 4
0h
r C
risi
s In
terv
enti
on
Tra
inin
g.
N/A
Incr
ease
d t
he
mo
nth
ly C
IO c
alls
th
at a
re a
nn
ota
ted
N
/A B
HU
-sp
ecif
ic o
ffic
ers
atte
nd
40
-ho
ur
CIT
tra
inin
g.
Bre
me
rto
n S
cho
ol D
istr
ict
Bas
elin
e: U
nd
up
licat
ed n
um
ber
of
ind
ivid
ual
s se
rved
du
rin
g th
e q
uar
ter
21
SEL
tea
ms
trai
ned
(A
CEs
par
t 2
) to
dat
e.
12
psy
cho
logi
sts
trai
ned
to
dat
e.
42
6 t
each
ers
trai
ned
to
dat
e.
22
ad
min
istr
ato
rs t
rain
ed t
o d
ate.
1
6 c
lass
roo
ms
in w
hic
h S
EL c
urr
icu
lum
is u
sed
4 t
imes
w
eekl
y.
15
7 f
amili
es t
rain
ed t
o d
ate.
6
str
ateg
ies
and
inte
rven
tio
ns
imp
lem
ente
d b
y SE
L te
ams.
6
tra
inin
gs p
rovi
ded
by
SEL
team
s.
Teac
her
s an
d a
dm
inis
trat
ors
, Pre
K-1
2 h
ave
rece
ived
tra
inin
g o
n S
EL,
stan
dar
ds,
AC
ES p
art
1 t
his
fir
st y
ear.
SE
L te
ams
at e
ach
bu
ildin
g, p
arti
cip
ated
in a
TO
T tr
ain
ing
on
ho
w t
o t
each
so
cial
ski
lls u
sin
g th
e so
cial
ski
lls c
urr
icu
lum
(Se
con
d S
tep
s (P
-5),
Y T
ry
& A
VID
(se
con
dar
y), K
nig
hts
Cre
ed (
seco
nd
ary)
(R
and
y Sp
rick
).
SEL
team
s p
arti
cip
ated
in im
ple
men
tati
on
tra
inin
gs (
AC
ES p
art
2).
El
emen
tary
SEL
tea
ms
uti
lized
SW
IS d
ata
to a
nal
yze
the
effe
ctiv
enes
s an
d
cCre
ate
succ
essf
ul p
roac
tive
str
ateg
ies
and
inte
rven
tio
ns.
SE
L Te
ams
wo
rked
wit
h o
ur
SEL
con
sult
ants
mo
nth
ly t
o le
arn
ho
w t
o
pre
par
e a
lear
nin
g en
viro
nm
ent
that
acc
ou
nts
fo
r st
ud
ent’
s em
oti
on
al
nee
ds.
11
Age
ncy
Fo
urt
h Q
T O
utp
uts
Fo
urt
h Q
T O
utc
om
es
Cit
y o
f P
ou
lsb
o
Bas
elin
e: U
nd
up
licat
ed n
um
ber
of
ind
ivid
ual
s se
rved
du
rin
g th
e q
uar
ter
11
0 in
div
idu
als
invo
lved
wit
h p
olic
e re
ceiv
ed N
avig
ato
r su
pp
ort
wit
h li
nka
ge t
o s
ervi
ces
(en
gage
or
reen
gage
) B
rief
. 2
2 in
div
idu
als
invo
lved
wit
h p
olic
e re
ceiv
ed N
avig
ato
r su
pp
ort
wit
h li
nka
ge t
o s
ervi
ces
(en
gage
or
reen
gage
):
On
goin
g.
0 n
on
-po
lice
refe
rral
s re
ceiv
ed.
43
8 p
olic
e re
late
d r
efer
rals
rec
eive
d.
37
5 r
efer
rals
BH
O p
rogr
am m
ade
to s
oci
al s
ervi
ce a
nd
hea
lth
ca
re a
gen
cies
. 3
8 s
oci
al s
ervi
ce o
r B
HI a
gen
cy m
eeti
ngs
to
dis
cuss
div
ersi
on
an
d a
cces
s to
car
e.
2 c
ou
rt m
eeti
ngs
to
dis
cuss
div
ersi
on
an
d a
cces
s to
car
e.
17
fir
st r
esp
on
der
mee
tin
gs t
o d
iscu
ss d
iver
sio
n a
nd
acc
ess
to c
are.
Year
to
dat
e 3
10
ind
ivid
ual
s in
volv
ed w
ith
po
lice
rece
ived
Nav
igat
or
sup
po
rt w
ith
lin
kage
to
ser
vice
s (e
nga
ge o
r re
enga
ge)
Bri
ef.
Year
to
dat
e 5
9 in
div
idu
als
invo
lved
wit
h p
olic
e re
ceiv
ed N
avig
ato
r su
pp
ort
wit
h li
nka
ge t
o s
ervi
ces
(en
gage
or
reen
gage
): O
ngo
ing.
4
7%
of
ind
ivid
ual
s re
ceiv
ing
on
goin
g su
pp
ort
fro
m N
avig
ato
rs (
def
ined
as
ove
r 1
0 c
on
tact
s) a
fter
po
lice
con
tact
hav
e re
du
ced
invo
lvem
ent
wit
h
po
lice
afte
r in
itia
l Nav
igat
or
con
tact
. 7
7%
of
po
lice
and
pro
secu
tors
wh
o u
sed
Nav
igat
or
serv
ices
rep
ort
th
e n
ew p
re-c
har
gin
g d
iver
sio
n p
rogr
am is
eff
ecti
ve.
10
0%
of
the
Nav
igat
ors
rep
ort
imp
rove
d e
ffec
tive
nes
s o
f th
e n
ew p
re-
char
gin
g d
iver
sio
n s
trat
egie
s.
Ass
iste
d in
est
ablis
hin
g 3
0 c
ou
rt s
up
ervi
sed
div
ersi
on
agr
eem
ents
. 6
th S
tree
t C
olla
bo
rati
ve m
et m
on
thly
.
Co
ffe
e O
asis
B
asel
ine:
Un
du
plic
ated
nu
mb
er o
f in
div
idu
als
serv
ed d
uri
ng
the
qu
arte
r
48
cri
sis
inte
rven
tio
n o
utr
each
. 1
6 b
ehav
iora
l hea
lth
th
erap
y.
11
inte
nsi
ve c
ase
man
agem
ent.
6
6 c
alls
to
cri
sis
ph
on
e lin
e.
48
cri
sis
inte
rven
tio
n o
utr
each
co
nta
cts.
2
33
beh
avio
ral h
ealt
h t
her
apy
sess
ion
s.
17
4 in
ten
sive
cas
e m
anag
emen
t se
ssio
ns.
10
0%
of
you
th in
cri
sis
con
tact
ed r
ecei
ved
info
rmat
ion
or
refe
rral
s.
66
% o
f yo
uth
in c
risi
s co
nta
cted
en
gage
d in
on
goin
g (a
t le
ast
two
co
nta
cts-
cal
l an
d/o
r te
xt)
cris
is s
ervi
ces.
Es
tab
lish
ed 2
4-h
ou
r yo
uth
cri
sis
text
lin
e in
co
nju
nct
ion
wit
h t
he
ph
on
e lin
e.
86
% o
f cr
isis
cal
ls a
nd
tex
ts w
ere
reso
lved
ove
r th
e p
ho
ne
wit
h
con
vers
atio
n a
nd
pro
visi
on
of
com
mu
nit
y re
sou
rces
an
d r
efer
rals
. 6
3 y
ou
th w
ere
serv
ed b
y th
e th
erap
ists
to
dat
e.
10
0%
of
you
th e
nro
lled
in h
ealt
h in
sura
nce
wer
e se
rved
by
ther
apis
t.
10
0%
of
you
th c
om
ple
tin
g 8
or
mo
re s
essi
on
s w
ith
th
e th
erap
ist
will
sh
ow
im
pro
ved
ove
rall
hea
lth
an
d w
ellb
ein
g.
79
% o
f h
om
eles
s yo
uth
wo
rkin
g w
ith
th
erap
ist
par
tici
pat
ed in
cas
e m
anag
emen
t se
rvic
es.
10
0%
of
ho
mel
ess
you
th w
ith
in c
ase
man
agem
ent
serv
ices
co
mp
lete
d
ho
usi
ng
stab
ility
pla
n.
22
% o
f h
om
eles
s yo
uth
co
mp
lete
d c
ase
man
agem
ent
serv
ices
an
d e
xite
d
into
per
man
ent
ho
usi
ng.
4
2%
of
ho
mel
ess
you
th w
ith
in c
ase
man
agem
ent
serv
ices
an
d s
epar
ated
fr
om
th
eir
fam
ily w
ere
reu
nif
ied
(liv
ing
toge
ther
).
24
% o
f h
om
eles
s yo
uth
wit
hin
cas
e m
anag
emen
t se
rvic
es p
arti
cip
ated
in
a jo
b t
rain
ing
pro
gram
. 2
5%
yo
uth
in jo
b-t
rain
ing
pro
gram
acq
uir
e em
plo
ymen
t.
87
% o
f h
om
eles
s yo
uth
ser
ved
by
the
ther
apis
t ag
ree
or
stro
ngl
y ag
ree
that
th
ey a
re s
atis
fied
wit
h p
rogr
am s
ervi
ces
qu
arte
rly.
9
5%
of
ho
mel
ess
you
th w
ith
in c
ase
man
agem
ent
agre
e o
r st
ron
gly
agre
e th
at t
hey
are
sat
isfi
ed w
ith
pro
gram
ser
vice
s q
uar
terl
y.
12
Age
ncy
Fo
urt
h Q
T O
utp
uts
Fo
urt
h Q
T O
utc
om
es
Kit
sap
Co
mm
un
ity
Re
sou
rces
H
ou
sin
g Fe
asib
ility
Stu
dy
Bas
elin
e: U
nd
up
licat
ed n
um
ber
of
ind
ivid
ual
s se
rved
du
rin
g th
e q
uar
ter
The
feas
ibili
ty a
sses
smen
t co
mp
lete
d, i
ncl
ud
ing
site
iden
tifi
cati
on
an
d
reco
mm
end
atio
n a
s to
ove
rall
con
cep
t fe
asib
ility
by
5/3
1/1
8.
The
arch
itec
tura
l des
ign
eva
luat
ion
is c
om
ple
ted
, in
clu
din
g re
com
men
dat
ion
to
pro
ceed
by
12
/31
/18
.
Kit
sap
Co
mm
un
ity
Re
sou
rces
H
ou
sin
g St
abili
ty S
up
po
rt
Bas
elin
e: U
nd
up
licat
ed n
um
ber
of
ind
ivid
ual
s se
rved
du
rin
g th
e q
uar
ter
17
ind
ivid
ual
s.
10
ho
use
ho
lds.
1
0 h
ou
sin
g u
nit
s fi
lled
. 3
ref
erra
ls t
o m
enta
l hea
lth
ser
vice
s.
0 r
efer
rals
to
SU
D s
ervi
ces.
1
ref
erra
l to
pri
mar
y ca
re.
1 r
efer
ral t
o e
mp
loym
ent/
trai
nin
g se
rvic
es.
4 r
efer
rals
to
ho
usi
ng.
Acc
epte
d r
efer
rals
to
mai
nta
in a
cas
elo
ad o
f 1
0 h
ou
seh
old
s.
Enga
ged
18
% o
f ap
plic
able
ho
use
ho
lds
into
men
tal h
ealt
h s
ervi
ces
(sta
tem
ent
of
enga
gem
ent
by
MH
co
un
selo
r).
Enga
ged
0%
of
app
licab
le h
ou
seh
old
s in
to S
UD
ser
vice
s (s
tate
men
t o
f en
gage
men
t b
y M
H c
ou
nse
lor)
. En
gage
d 0
% o
f ap
plic
able
ho
use
ho
lds
into
co
-occ
urr
ing
MH
an
d S
UD
se
rvic
es (
stat
emen
t o
f en
gage
men
t b
y M
H c
ou
nse
lor)
. En
gage
d 0
% o
f ap
plic
able
ho
use
ho
lds
into
su
bst
ance
use
tre
atm
ent
(en
rollm
ent)
. En
gage
d 6
% o
f h
ou
seh
old
s in
to p
rim
ary
care
ser
vice
s (h
avin
g a
PC
P).
En
gage
d 6
% o
f h
ou
seh
old
s in
to e
mp
loym
ent
and
tra
inin
g se
rvic
es.
% h
ou
seh
old
s m
ain
tain
ho
usi
ng
for
at le
ast
six
mo
nth
s b
y 1
2/3
1/2
018
(o
nly
ho
use
ho
lds
fille
d b
y 6
/30
/20
18
are
elig
ible
fo
r th
is m
easu
re).
%
of
clie
nts
rep
ort
bei
ng
mo
der
atel
y o
r h
igh
ly s
atis
fied
wit
h s
ervi
ces
pro
vid
ed b
y K
CR
.
Kit
sap
Co
un
ty D
istr
ict
Co
urt
B
asel
ine:
Un
du
plic
ated
nu
mb
er o
f in
div
idu
als
serv
ed d
uri
ng
the
qu
arte
r
31
Pro
gram
par
tici
pan
ts.
24
ref
erra
ls p
rovi
ded
. 1
ind
ivid
ual
ho
use
d.
Year
to
dat
e 6
6 r
efer
rals
wit
h 5
0 p
arti
cip
atin
g in
th
e p
rogr
am.
10
0%
of
curr
ent
par
tici
pan
ts r
emai
n c
har
ge f
ree.
M
ain
tain
ed (
or
red
uce
) re
cid
ivis
m (
char
ge)
rate
s fo
r p
rogr
am p
arti
cip
ants
: •
6 m
on
ths:
14
%
• 1
2 m
on
ths:
25
%
• 1
8 m
on
ths:
0%
R
atio
of
ince
nti
ves
to c
on
seq
uen
ces
80
/16
fo
r cu
rren
t p
rogr
am
par
tici
pan
ts.
Pro
gram
par
tici
pan
ts r
egai
ned
/ o
bta
ined
th
eir
ind
epen
den
ce b
y:
• O
bta
inin
g a
job
or
re-e
nga
gin
g w
ith
ed
uca
tio
n: 6
9%
" •
Ob
tain
ing
a d
rive
r’s
licen
se: 8
8%
" 1
2 in
div
idu
als
succ
essf
ully
co
mp
lete
d t
he
pro
gram
an
d a
void
co
nvi
ctio
n.
10
0%
of
pro
gram
par
tici
pan
ts r
epo
rt f
avo
rab
le f
eed
bac
k ab
ou
t se
rvic
e ex
per
ien
ce.
60
% o
f p
rogr
am p
arti
cip
ants
rep
ort
fav
ora
ble
ou
tco
mes
fo
r th
e fo
llow
ing:
So
cial
rel
atio
nsh
ips.
7
2%
of
pro
gram
par
tici
pan
ts r
epo
rt f
avo
rab
le o
utc
om
es f
or
the
follo
win
g:
Ove
rall
life
sati
sfac
tio
n.
13
Age
ncy
Fo
urt
h Q
T O
utp
uts
Fo
urt
h Q
T O
utc
om
es
Juve
nile
Se
rvic
es
The
rap
euti
c C
ou
rt
Bas
elin
e: U
nd
up
licat
ed n
um
ber
of
ind
ivid
ual
s se
rved
du
rin
g th
e q
uar
ter
•
13
- (
JDC
) Ju
ven
ile D
rug
Co
urt
•
14
- (
ITC
) In
div
idu
aliz
ed
Trea
tmen
t C
ou
rt
14
ITC
Par
tici
pan
ts S
erve
d b
y B
HS.
6
Dru
g C
ou
rt p
arti
cip
ants
ser
ved
by
BH
S.
5 B
HS
sess
ion
s w
ith
ITC
par
tici
pan
ts.
7 B
HS
sess
ion
s w
ith
Dru
g C
ou
rt p
arti
cip
ants
. 8
UA
s te
stin
g fo
r d
esig
ner
dru
gs.
10
0%
of
you
th in
ITC
rec
eive
ser
vice
s fr
om
th
e d
edic
ated
Beh
avio
ral
Hea
lth
Sp
ecia
list.
9
0%
of
ITC
wee
kly
pre
-co
urt
mee
tin
gs a
nd
hea
rin
gs a
tten
ded
by
the
Beh
avio
ral H
ealt
h S
pec
ialis
t.
38
% o
f yo
uth
in J
uve
nile
Dru
g C
ou
rt r
ecei
ve m
enta
l hea
lth
tre
atm
ent
serv
ices
by
the
Beh
avio
ral H
ealt
h S
pec
ialis
t.
10
0%
of
you
th s
cree
ned
fo
r th
e u
se o
f d
esig
ner
dru
gs t
est
neg
ativ
e.
Kit
sap
Co
un
ty S
he
riff
’s O
ffic
e
Be
hav
iora
l He
alth
Un
it (
BH
U)
Bas
elin
e: U
nd
up
licat
ed n
um
ber
of
ind
ivid
ual
s se
rved
du
rin
g th
e q
uar
ter
47
BH
U o
ffic
ers
trai
ned
. 4
7 o
f B
HU
inm
ates
sh
ifte
d.
0 s
egre
gati
on
un
its
tran
siti
on
ed t
o B
HU
s.
0 in
mat
es id
enti
fied
as
fitt
ing
beh
avio
ral h
ealt
h m
od
el.
By
Dec
emb
er 3
1, 2
01
9, c
om
ple
te t
ran
siti
on
fro
m 4
0 c
urr
ent
segr
egat
ion
u
nit
s to
beh
avio
ral h
ealt
h u
nit
s in
ord
er t
o b
egin
ho
usi
ng
beh
avio
ral
hea
lth
inm
ates
.
Kit
sap
Co
un
ty S
he
riff
’s O
ffic
e
Rid
eA
lon
g A
pp
licat
ion
B
asel
ine:
Un
du
plic
ated
nu
mb
er o
f in
div
idu
als
serv
ed d
uri
ng
the
qu
arte
r
15
use
rs.
30
ind
ivid
ual
s en
tere
d.
"Lau
nch
th
e R
ideA
lon
g ap
plic
atio
n t
o t
he
law
en
forc
emen
t ag
enci
es in
K
itsa
p C
ou
nty
, an
d h
ave
it u
sed
on
th
e fo
llow
ing
per
cen
t o
f ca
lls
invo
lvin
g in
div
idu
als
in t
he
app
: •
By
3/3
1/2
018
: %
• B
y 6
/30
/20
18: %
•
By
9/3
0/2
018
: %
• B
y 1
2/3
1/2
01
8: %
"
Kit
sap
Su
pe
rio
r C
ou
rt
Ad
ult
Dru
g C
ou
rt
Bas
elin
e: U
nd
up
licat
ed n
um
ber
of
ind
ivid
ual
s se
rved
du
rin
g th
e q
uar
ter
19
1 A
ctiv
e D
rug
Co
urt
par
tici
pan
ts.
33
Dru
g C
ou
rt p
arti
cip
ants
rec
eivi
ng
CO
D s
ervi
ces.
1
2 D
rug
Co
urt
par
tici
pan
ts d
isch
arge
d.
9 D
rug
Co
urt
gra
du
ates
. 1
Ed
uca
tio
n /
Vo
cati
on
al -
Att
end
ing
Co
llege
. 3
Ed
/Vo
c -
O.C
. GED
. 9
Ed
/Vo
c -
Cre
ated
Res
um
e.
16
Ed
/Vo
c -
Ob
tain
ed E
mp
loym
ent.
0
Ed
/Vo
c -
Bu
sn E
d S
up
po
rt T
rain
ing
(BES
T).
6 E
d/V
oc
- H
ou
sin
g A
ssis
tan
ce.
13
Ed
/Vo
c -
Lice
nsi
ng/
Edu
cati
on
. 3
2 E
d/V
oc
- Jo
b S
ervi
ces.
1
2 E
d/V
oc
- N
ew P
arti
cip
ants
. 1
0 E
d/V
oc
- G
rad
uat
es S
een
. 2
Ed
/Vo
c -
Emp
loye
r Id
enti
fica
tio
n N
um
ber
. 2
9 E
d/V
oc
- Le
gal F
inan
cial
Ob
ligat
ion
. 4
Ed
/Vo
c –
Bu
dge
t.
17
Ed
/Vo
c –
CO
RE
Serv
ices
.
6%
ter
min
atio
n r
ate
- R
edu
ce t
erm
inat
ion
rat
e to
no
mo
re t
han
20
% b
y D
ecem
ber
31
, 20
18
. 1
29
dru
g co
urt
par
tici
pan
ts in
tre
atm
ent
at K
RC
1
7%
of
Ad
ult
Dru
g C
ou
rt p
arti
cip
ants
rec
eive
d o
ngo
ing
(en
gage
d w
ith
th
erap
ist)
psy
chia
tric
ser
vice
s.
17
% o
f p
rogr
am p
arti
cip
ants
wit
h c
o-o
ccu
rrin
g d
iso
rder
s gr
adu
ated
at
the
sam
e ra
te a
s th
ose
par
tici
pan
ts w
ho
do
no
t re
ceiv
e th
ose
ad
dit
ion
al
serv
ices
. 1
00
% o
f al
l pro
gram
par
tici
pan
ts a
re e
ith
er e
mp
loye
d a
nd
/or
invo
lved
in
edu
cati
on
al/v
oca
tio
nal
ser
vice
s u
po
n g
rad
uat
ion
fro
m t
he
Ad
ult
Dru
g C
ou
rt.
10
0%
of
new
par
tici
pan
ts s
cree
ned
by
the
Vo
cati
on
al N
avig
ato
r w
ith
in
the
firs
t 9
0 d
ays
of
par
tici
pat
ion
in t
he
Ad
ult
Dru
g C
ou
rt.
14
Age
ncy
Fo
urt
h Q
T O
utp
uts
Fo
urt
h Q
T O
utc
om
es
Kit
sap
Su
pe
rio
r C
ou
rt
Ve
tera
ns
Co
urt
B
asel
ine:
Un
du
plic
ated
nu
mb
er o
f in
div
idu
als
serv
ed d
uri
ng
the
qu
arte
r
22
Act
ive
vete
ran
s co
urt
par
tici
pan
ts.
0 V
eter
ans
Co
urt
par
tici
pan
ts d
isch
arge
d.
0 V
eter
ans
Co
urt
gra
du
ates
. 3
mili
tary
tra
um
a sc
reen
ings
. 3
tre
atm
ent
pla
cem
ents
at
VA
MC
or
KM
HS.
4
ref
erra
ls f
or
men
tal h
ealt
h.
3 S
UD
scr
een
ings
. 3
ref
erra
ls f
or
SUD
tre
atm
ent.
10
0%
of
pro
gram
par
tici
pan
ts s
cree
ned
usi
ng
the
ASA
M c
rite
ria
wit
hin
o
ne
wee
k o
f ad
mis
sio
n in
to t
he
VTC
. 1
00
% o
f p
arti
cip
ants
wh
o s
cree
n p
osi
tive
fo
r n
eed
ing
sub
stan
ce u
se
trea
tmen
t ar
e p
lace
d e
ith
er a
t th
e V
AM
C A
mer
ican
Lak
e o
r K
RC
se
rvic
es w
ith
in t
wo
wee
ks o
f th
at d
eter
min
atio
n.
10
0%
of
par
tici
pan
ts’ t
reat
men
t p
lan
s re
view
ed a
nd
rev
ised
if n
eces
sary
b
y cl
inic
al p
rovi
der
acc
ord
ing
to V
A r
eco
mm
end
atio
n e
very
nin
ety
day
s to
en
sure
th
e in
div
idu
al is
rec
eivi
ng
the
clin
ical
ly in
dic
ated
leve
l o
f tr
eatm
ent.
1
00
% o
f p
rogr
am p
arti
cip
ants
scr
een
ed f
or
mili
tary
tra
um
a w
ith
in o
ne
wee
k o
f ac
cep
tan
ce in
to t
he
VTC
.
10
0%
of
par
tici
pan
ts w
ho
scr
een
po
siti
ve f
or
nee
din
g m
enta
l hea
lth
se
rvic
es a
re p
lace
d in
tre
atm
ent
serv
ices
eit
her
at
VA
MC
or
KM
HS
wit
hin
30
day
s o
f as
sess
men
t.
93
% o
f in
div
idu
als
com
ple
tin
g V
TC r
emai
n c
rim
e-fr
ee d
uri
ng
the
5 y
ears
p
ost
-gra
du
atio
n: C
on
vict
ion
. 0
% t
erm
inat
ion
rat
e -
Red
uce
ter
min
atio
n r
ate
to n
o m
ore
th
an 2
0%
by
Dec
emb
er 3
1, 2
01
8.
Kit
sap
Pu
blic
He
alth
Dis
tric
t K
itsa
p C
on
ne
ct
Bas
elin
e: U
nd
up
licat
ed n
um
ber
of
ind
ivid
ual
s se
rved
du
rin
g th
e q
uar
ter
1 c
om
ple
ted
inta
ke.
1 e
ligib
le f
or
serv
ices
. 1
clie
nt
acce
pti
ng
serv
ices
. 1
clie
nt
wit
h e
stab
lish
ed c
are
pla
ns.
1
7 r
efer
rals
pro
vid
ed t
o n
on
-cas
e lo
ad in
div
idu
als.
1
00
ref
erra
ls p
rovi
ded
to
cas
e lo
ad c
lien
ts.
17
0 c
lien
t co
nta
cts
for
inta
ke, s
ervi
ces,
cas
e m
anag
emen
t.
6 c
are
con
fere
nce
s w
ith
par
tner
s.
To d
ate,
44
hig
hly
vu
lner
able
, co
stly
clie
nts
wit
h e
stab
lish
ed c
are
pla
ns.
To
dat
e, 1
00
% o
f cl
ien
ts r
epo
rt m
od
erat
e to
hig
h le
vel o
f sa
tisf
acti
on
wit
h
pro
gram
as
mea
sure
d q
uar
terl
y an
d a
t d
isch
arge
wit
h t
he
inte
rnal
Sa
tisf
acti
on
Su
rvey
. 9
5%
par
tici
pan
ts im
pro
ved
kn
ow
led
ge.
87
% p
arti
cip
ants
imp
rove
d b
ehav
ior.
8
9%
par
tici
pan
ts im
pro
ved
sta
tus.
6
6%
(co
mb
ined
ED
, 91
1, E
MS,
an
d ja
il ev
ents
) h
ave
red
uce
d t
hei
r u
se o
f co
stly
ser
vice
s co
mp
ared
to
bas
elin
e.
53
% r
edu
ced
th
eir
EMS
call
uti
lizat
ion
. 5
2%
red
uce
d t
hei
r ED
uti
lizat
ion
. Th
e n
um
ber
of
jail
bed
day
s fo
r en
rolle
d p
arti
cip
ants
(at
leas
t n
on
/co
nse
cuti
ve t
hre
e m
on
ths)
dec
reas
ed f
rom
75
1 b
ed d
ays
to 2
01
b
ed d
ays.
Kit
sap
Pu
blic
He
alth
Dis
tric
t Im
pro
vin
g H
eal
th a
nd
Re
silie
ncy
B
asel
ine:
Un
du
plic
ated
nu
mb
er o
f in
div
idu
als
serv
ed d
uri
ng
the
qu
arte
r
48
mo
ther
s se
rved
in N
FP.
37
infa
nts
ser
ved
in N
FP.
46
mo
ther
s w
ith
CH
W o
utr
each
/cas
e m
gmt.
1
72
NFP
nu
rsin
g vi
sits
. 7
BH
S vi
sits
. 1
10
CH
W o
utr
each
co
nta
cts/
pre
sen
tati
on
s fo
r re
ferr
als.
86
% r
eten
tio
n r
ate.
4
3%
wit
h p
ote
nti
al o
r id
enti
fied
men
tal h
ealt
h p
rob
lem
hav
e sh
ow
n
imp
rove
men
t in
KB
S at
gra
du
atio
n.
75
% w
ith
po
ten
tial
or
iden
tifi
ed s
ub
stan
ce u
se p
rob
lem
hav
e sh
ow
n
imp
rove
men
t in
KB
S at
gra
du
atio
n.
71
% w
ith
po
ten
tial
or
iden
tifi
ed p
aren
tin
g/ca
reta
kin
g p
rob
lem
hav
e sh
ow
n im
pro
vem
ent
in K
BS
at g
rad
uat
ion
.
15
Age
ncy
Fo
urt
h Q
T O
utp
uts
Fo
urt
h Q
T O
utc
om
es
Kit
sap
Re
cove
ry C
en
ter
Ou
tpat
ien
t Tr
eat
me
nt
Bas
elin
e: U
nd
up
licat
ed n
um
ber
of
ind
ivid
ual
s se
rved
du
rin
g th
e q
uar
ter
25
ind
ivid
ual
s se
rved
by
CD
P.
0 in
div
idu
als
serv
ed in
MR
T.
0 in
div
idu
als
serv
ed in
See
kin
g Sa
fety
. 2
5 in
div
idu
als
serv
ed in
Rel
apse
Pre
ven
tio
n.
0 in
div
idu
als
serv
ed in
Nu
rtu
rin
g P
aren
tin
g.
20
ind
ivid
ual
ses
sio
ns
wit
h C
DP
. 0
ses
sio
ns
MR
T.
0 s
essi
on
s Se
ekin
g Sa
fety
. 2
0 s
essi
on
s R
elap
se P
reve
nti
on
. 0
ses
sio
ns
Nu
rtu
rin
g P
aren
tin
g p
rogr
am.
10
0%
of
clie
nts
ref
erre
d t
o a
pp
rop
riat
e tr
eatm
ent
serv
ices
init
iate
se
rvic
es (
atte
nd
ed a
pp
oin
tmen
t) w
ith
in 2
wee
ks o
f re
ferr
al
10
0%
of
clie
nts
ref
erre
d t
o in
sura
nce
are
en
rolle
d.
32
% o
f cl
ien
ts r
efer
red
to
med
ical
ser
vice
s in
itia
te s
ervi
ces
(att
end
ed
app
oin
tmen
t) w
ith
in 3
wee
ks o
f re
ferr
al.
33
% o
f cl
ien
ts r
efer
red
to
M.A
.T. s
ervi
ces
init
iate
ser
vice
s w
ith
in 3
wee
ks
of
refe
rral
. Th
is in
clu
des
bo
th e
xist
ing
clie
nts
at
Pen
insu
la C
om
mu
nit
y H
ealt
h S
ervi
ces
or
po
ten
tial
ly n
ew c
lien
ts t
o t
he
PC
HS
syst
em.
10
0%
of
clie
nts
ser
ved
in R
elap
se P
reve
nti
on
(as
dee
med
ap
pro
pri
ate)
. 1
00
% o
f in
div
idu
als
hav
e fa
vora
ble
sta
tuse
s co
nce
rnin
g al
l rel
evan
t m
easu
res
follo
win
g gr
adu
atio
n.
35
gra
du
ates
.
Kit
sap
Re
cove
ry C
en
ter
Trau
ma
Info
rme
d C
are
Bas
elin
e: U
nd
up
licat
ed n
um
ber
of
ind
ivid
ual
s se
rved
du
rin
g th
e q
uar
ter
11
TIC
ind
ivid
ual
s.
1 in
div
idu
al s
erve
d in
See
kin
g Sa
fety
. 1
ind
ivid
ual
ser
ved
in R
elap
se P
reve
nti
on
. 2
ass
essm
ents
. 1
ses
sio
n S
eeki
ng
Safe
ty.
1 s
essi
on
Rel
apse
Pre
ven
tio
n.
Of
tho
se e
nga
ged
, 10
0%
are
ass
esse
d f
or
elig
ibili
ty o
f se
rvic
es.
10
0%
of
clie
nts
ref
erre
d t
o a
hea
lth
car
e p
rovi
der
att
end
at
leas
t o
ne
hea
lth
car
e ap
po
intm
ent
wit
hin
on
e m
on
th.
45
% o
f p
arti
cip
ants
will
rec
eive
th
e Se
ekin
g Sa
fety
ed
uca
tio
n (
no
n-
man
dat
ed)
wh
ile e
nro
lled
. 4
5%
of
par
tici
pan
ts r
ecei
ve r
elap
se p
reve
nti
on
ed
uca
tio
n w
hile
en
rolle
d.
2 g
rad
uat
es.
Oly
mp
ic E
du
cati
on
al S
erv
ice
Dis
tric
t 1
14
B
asel
ine:
Un
du
plic
ated
nu
mb
er o
f in
div
idu
als
serv
ed d
uri
ng
the
qu
arte
r
•
45
Ele
men
tary
stu
den
ts
•
12
1 H
igh
sch
oo
l stu
den
ts
14
1 E
lem
enta
ry s
tud
ents
. 1
21
Hig
h s
cho
ol s
tud
ents
. 4
5 E
lem
enta
ry r
efer
rals
into
ser
vice
s.
23
5 H
igh
sch
oo
l ref
erra
ls in
to s
ervi
ces.
8
84
Ele
men
tary
ses
sio
ns.
5
07
Hig
h s
cho
ol s
essi
on
s.
90
Ele
men
tary
Dro
p In
ses
sio
ns.
2
06
Hig
h S
cho
ol D
rop
In s
essi
on
s.
36
8 E
lem
enta
ry s
taff
co
nta
cts.
1
85
Hig
h s
cho
ol s
taff
co
nta
cts.
2
37
Ele
men
tary
par
ent
con
tact
s.
11
1 H
igh
sch
oo
l par
ent
con
tact
s.
36
Ele
m o
ther
pro
fess
ion
al c
on
tact
s.
14
Hig
h s
cho
ol o
ther
pro
fess
ion
al c
on
tact
s.
To d
ate,
36
4 s
tud
ents
will
rec
eive
ser
vice
s at
tar
gete
d e
lem
enta
ry a
nd
h
igh
sch
oo
ls m
easu
red
by
pro
ject
dat
a.
66
% e
lem
enta
ry s
tud
ents
co
mp
leti
ng
8 o
r m
ore
ses
sio
ns
wh
o h
ave
had
st
atis
tica
lly s
ign
ific
ant
imp
rove
men
t in
ove
rall
hea
lth
an
d w
ellb
ein
g.
30
% e
lem
enta
ry s
tud
ents
co
mp
leti
ng
8 o
r m
ore
ses
sio
ns
wh
o h
ave
had
st
atis
tica
lly s
ign
ific
ant
imp
rove
men
t in
Ho
pe
Scal
e.
75
% s
eco
nd
ary
stu
den
ts c
om
ple
tin
g 8
or
mo
re s
essi
on
s w
ho
hav
e h
ad
stat
isti
cally
sig
nif
ican
t im
pro
vem
ent
in H
op
e Sc
ale.
5
2%
hig
h s
cho
ol s
tud
ents
ser
ved
wh
o f
aile
d 1
+ cl
asse
s in
fir
st s
emes
ter
of
20
18
an
d h
ave
dem
on
stra
ted
aca
dem
ic im
pro
vem
ent
(fai
ling
few
er
clas
ses.
4
4%
sec
on
dar
y st
ud
ents
ser
ved
wh
o h
ave
dem
on
stra
ted
imp
rove
men
t in
cl
ass
atte
nd
ance
(3
0 d
ays
at in
take
co
mp
ared
to
last
30
day
s o
f sc
ho
ol)
. 2
6%
red
uct
ion
in o
ffic
e re
ferr
als
and
su
spen
sio
ns
for
elem
enta
ry s
tud
ents
co
mp
leti
ng
8 o
r m
ore
ses
sio
ns.
5
1%
ele
men
tary
stu
den
ts s
erve
d w
ho
hav
e d
emo
nst
rate
d im
pro
vem
ent
in c
lass
att
end
ance
(3
0 d
ays
at in
take
co
mp
ared
to
last
30
day
s o
f sc
ho
ol)
.
16
Age
ncy
Fo
urt
h Q
T O
utp
uts
Fo
urt
h Q
T O
utc
om
es
Oly
mp
ic E
du
cati
on
al S
erv
ice
Dis
tric
t 1
14
84
% h
igh
sch
oo
l stu
den
ts s
erve
d w
ho
sta
ted
th
at t
hey
do
no
t (o
r d
id n
ot)
at
ten
d s
cho
ol r
egu
larl
y, a
nsw
ered
att
end
ance
qu
esti
on
, &re
po
rted
th
ey a
re m
ore
like
ly t
o a
tten
d r
egu
larl
y b
ecau
se p
rogr
am.
74
% e
lem
enta
ry s
taff
wh
o a
nsw
ered
aca
dem
ic s
ucc
ess
surv
ey q
ues
tio
n
and
rep
ort
ed t
hat
ser
vice
s h
ave
imp
rove
d s
tud
ents
’ aca
dem
ic s
ucc
ess.
8
6%
hig
h s
cho
ol s
taff
wh
o a
nsw
ered
aca
dem
ic s
ucc
ess
surv
ey q
ues
tio
n
and
rep
ort
ed t
hat
ser
vice
s h
ave
imp
rove
d s
tud
ents
’ aca
dem
ic s
ucc
ess.
8
6%
ele
men
tary
sta
ff w
ho
an
swer
ed s
ervi
ces
surv
ey a
nd
rep
ort
ed t
hat
se
rvic
es h
ave
po
siti
vely
infl
uen
ced
th
e cl
assr
oo
m c
limat
e.
84
% h
igh
sch
oo
l sta
ff w
ho
an
swer
ed s
ervi
ces
surv
ey a
nd
rep
ort
ed t
hat
se
rvic
es h
ave
po
siti
vely
infl
uen
ced
th
e cl
assr
oo
m c
limat
e.
We
st S
ou
nd
Tre
atm
en
t C
en
ter
Bas
elin
e: U
nd
up
licat
ed n
um
ber
of
ind
ivid
ual
s se
rved
du
rin
g th
e q
uar
ter
61
inm
ates
fly
a k
ite
(ap
ply
fo
r N
ew S
tart
).
56
elig
ible
ap
plic
atio
ns
scre
ened
fo
r N
ew S
tart
. 2
2 in
-jai
l New
Sta
rt p
arti
cip
ants
3
2 r
e-en
try
New
Sta
rt p
arti
cip
ants
. 1
8 C
ou
rt m
and
ated
ass
essm
ents
.
90
% o
f in
mat
es d
eem
ed e
ligib
le b
y as
sess
men
t to
en
ter
pro
gram
wh
o
enro
lled
in s
ervi
ces
wit
hin
1 m
on
th o
f as
sess
men
t.
77
% r
e-en
try
par
tici
pan
ts w
ho
are
em
plo
yed
or
in s
cho
ol a
t gr
adu
atio
n.
98
% in
carc
erat
ed p
arti
cip
ants
wh
o h
ave
rem
ain
ed s
ob
er.
17
