Seneca county PIVOT drug court enhancement - the participating in victory of transition (PIVOT) enhancement 2024 project will serve adult offenders from the tiffin/fostoria municipal court & seneca…

Seneca county PIVOT drug court enhancement - the participating in victory of transition (PIVOT) enhancement 2024 project will serve adult offenders from the tiffin/fostoria municipal court & seneca county court of common pleas in collaboration with their main treatment provider, oriana house, INC. (OHI), as outlined in the MOU. We are requesting $2,000,000 to maintain current capacity, enhance health comorbidity services, and engage in program evaluation and monitoring. This project adds one behavioral health clinician (BHC) to expand available mental health treatment services; specialized mental health caseworker (SMHCW) to better serve clients with CO-occurring disorders; a partnership with a telehealth psychiatrist to reduce rural treatment barriers; & three new treatment groups for CO-occurring mental health aftercare, domestic violence, and grief. Our population is high risk/high need, post-adjudicated, adult misdemeanor and felony offenders with a primary substance use disorder diagnosis (SUD) of intensive outpatient or higher with a qualifying drug-related conviction in the PIVOT program. The demographics of this population are anticipated to be 95% caucasian, 56% male, 94% non-hispanic, and 90% heterosexual with an average age of 36 at intake based on court data from 2019-2024. We also anticipate that over 50% will be diagnosed with CO-occurring disorders based on the 2022 rate of occurrence with all drug court clients from participating courts. Number served. This project will serve 30 existing clients and 30 new clients totaling 60 clients in year one. Each consecutive year, an additional 40 clients will be served for a total of 220 unduplicated clients over the five year project. Strategies and interventions. To address gaps in mental health services access, OHI in collaboration with PIVOT will implement telehealth services in partnership with a contracted board-certified psychiatrist. Clients will work with one SMHCW and BHC who will provide mental health services and expansion of new treatment groups. The new SMHCW will be assisted by an existing caseworker to provide risk/need based case planning and behavioral interventions. Additionally, OHI's full time research continuous quality improvement specialist will conduct gpras and evaluate referral and intake client data to assess any potential disparities. Finally, the project director will provide a .20 level of effort and oversee all grant implementation. Goals and objectives. The five goals and corresponding objectives of the project are as follows: 1. Maintain capacity: 1.1) provide services to 40 new clients each year of the grant. 1.2) provide services to 220 clients by the end of the grant. 2. Adhere to best practice standard for CW/client ratio: 2.1) maintain a caseload of 33 clients or fewer each quarter of the grant. 3. All PIVOT clients have access to MHA: 3.1) 100% of clients will be screened for MH and referred if found in need. 3.2) 80% of all clients referred will complete the MHA. 4. Increase accessibility to psychiatric services: 4.1) 100% found in need will be referred. 4.2) 80% of referred clients will have a virtual appointment with the psychiatrist. 5. Expand CO-occurring disorder treatment: 5.1) add additional treatment groups of grief group, domestic violence perpetrators group, and CO-occurring aftercare by the 4TH month of the grant award. 5.2) 100% found in need will be referred. 5.3) 70% of referred clients will complete the assigned group(S). 6. Increase access to medical testing: 6.1) 100% of clients will be referred for testing for HIV/hepatitis. 7. Conduct gpra interviews: 7.1) 98% of all clients will complete an intake gpra. 7.2) 80% of all clients will complete a 6 month gpra. 7.3) 80% of all clients will complete the discharge gpra. 8. Ensure fidelity for ebps: 8.1)80% of staff will achieve a proficient rating in the use of evidence based interventions by 8 months of hire. 8.2) caseworkers will use epics II interventions in minimum of 70% of case management sessions.