Providing Successful, Evidence-Based Substance Abuse and Mental Health Treatment to Men, Women and Adolescents in Polk, Highlands and Hardee Counties for over 39 years. 1
Services Provided for Polk County Residents Detoxification Outpatient Substance Abuse & Mental Health Psychiatric and Medication Services Women's & Men s JASA Programs Integrated Primary/Behavioral Health Care Prevention Residential Levels II, III, and IV HUD Housing I, II, III, and IV Project to Aid Transition from Homelessness (P.A.T.H.) Aftercare DUI Services Food Handling/Job Training
Each of these services: strengthen individuals supports healthy families breaks the cycle of dependency for future generations.
Successful graduates of substance abuse and mental health treatment are more likely to achieve: a a stable & caring family life employment as taxpayers aa positive influence in their communities
Tri-County Agency-wide treatment census on any given day averages 800 individuals. 75 individuals in Detox or residential services 725 individuals In outpatient programs. 6
2012 2013 BUDGET Revenue Budget Nonprofit $10,479,342 89.54% Support Services Revenue Budget $1,223,689 10.46% Total Revenues $11,703,031 100% Charity Care Projection $440,132 4.20%
2012-2013 Nonprofit Revenue Budget State of Florida Contracts $6,667,521 63.63% Client Revenues $1,284,120 12.25% Polk County Revenues $584,632 5.85% Polk County JASA $450,000 4.29% Polk County In-Jail Evaluations $15,000 0.14% Highlands County Revenues $313,333 2.99% In-Kind Revenues $301,792 2.88% Federal Grants $375,432 3.58% Other Income $487,512 4.65% Total Revenue Budget Nonprofit $10,479,342 100% 8
2012-2013 Polk County Budget Request Polk County Revenue $584,632 Includes treatment in Outpatient, Integrated Care, Detox, RASUW, AGAPE and Florida Center Polk County JASA $450,000 Includes program for Men and Women Polk County Jail Evaluations $15,000 Total Budget Request $1,049,632 9
J.A.S.A. PROGRAM (Jail Alternative to Substance Abuse) Located in Bartow, Frostproof & Sebring Jails Provides in-jail substance abuse treatment and education Begins process of rehabilitation & links client to outside treatment Reduces recidivism Facilitates graduates return to their families and jobs in their community 12
JASA AWARDS AND COMMENDATIONS Commission on Accreditation of Rehabilitation Facilities (CARF) JASA EXEMPLARY PROGRAM 2004, 2007 and 2012 Florida Correctional Accreditation Commission JASA - EXEMPLARY PROGRAM OF POLK COUNTY JAIL 2008-2009 Florida Department of Children and Families and The Florida Alcohol and Drug Abuse Association Women s JASA Program Best Practice Award 2005 Male JASA Program Best Practice Award 2002 13
JASA = Lower Recidivism = Cost Savings Overall economic savings to the community when inmates successfully complete drug treatment is $68,000.00 per inmate. 1 Expansion of the South County Jail was reduced due to electronic monitoring, JASA programs, and expansion of the weekend program. 2 Independent auditors have reported savings of $1,000,000.00 for every 50 graduates of the JASA program. 3 14
According to The National Center on Addiction and Substance Abuse (CASA) 2010 report Behind Bars II: Substance Abuse and America's Prison Population Substance abuse and crime are inextricably linked.
According to this study, 65% of the estimated 2.3 million inmates meet the DSM* IV medical criteria for substance abuse or addiction. *(Diagnostic & Statistic Manual)
DSM IV = Need for Treatment Polk County Inmates 2012 = 32,443 65 % of this number = 21,087 in need of treatment
Why JASA? The report further indicted, If all inmates who needed treatment and aftercare received such services, the nation would break even in a year. As compared to non-substance involved inmates, prisoners with substance abuse problems were: i. More likely to be re-incarcerated; ii. likely to begin their criminal careers earlier and iii.have more contacts with the criminal justice system.
Why JASA? The study further found that alcohol and drugs are significant factors in the commission of many crimes.
Why JASA? Alcohol and drugs are involved in the following: 78% of violent crimes 83% of property crimes 77% of weapon offenses and 77% of probation or parole violations.
Susan E. Foster, CASA's Vice President, is quoted as stating, "We do not as a nation refuse to provide treatment for other chronic ailments like heart disease or diabetes.
We should do so for addictive disorders, especially when the added benefits of treatment for offenders include significant reductions in crime and its costs to society."
Per Polk County Justice Assistance Grant (JAG) 2012-2013 The following statistics demonstrate a need for additional treatment for inmates. From 2000 through 2011, Polk County experienced a 21.45% increase in its average daily jail population. From 2000 to 2011, the jail bookings increased 13.46%. In 2012, Polk County received 32,443 inmate bookings through its jail doors. The average daily inmate population in 2011 was 2,109 inmates. However, for the first three months of 2012 that average increased to 2,264. 4
Recidivism Rates As of December 31 st, 2010, of inmates completing the program, 83% have not been rearrested in Polk County within one year. Yearly statistics thereafter have remained steady, not fluctuating by more than 2% each year. The JASA Program continues to be very effective in lowering recidivism rates. 4
JASA s Success Story 1/1/2012 thru 12/31/2012: Over 600 Screenings 158 Case Management Services 222 Admissions for treatment services 312 Hours of Individual Therapy 355 hours Psychosocial Assessments completed 12,220 Client hours of Educational Groups 6,966 Client hours of Group Therapy 158 Men and women graduated the program 71% of those entering treatment in 2012 completed
JASA Investment Opportunity for Polk County taxpayers Total annual budget: $450,000.00 Total Program Cost per day: $450,000.00 / 365 days = $1,232.87 Cost per person served/per day: $1,232.87/ 65* = $18.96 per day *Based on average daily population
Return on Investment to Polk County Taxpayers: $4,461,800.00 Cost for two years if we consider only graduates: $900,000.00 323 graduates completing 84 days treatment 83% 5 completion rate non-return to Polk County jail in less than two years: 323 x.83 = 268 persons Auditor 3 estimates of $1,000,000.00 per 50 graduates = 268/50 = $5,361,800.00 Savings: $4,461,800.00
Why JASA?
Treatment Works for Those Entering JASA Due to sentence time limitations, 607 inmates were not in treatment long enough to formally complete the 84-day program. However, a random sampling of these inmates shows that treatment is beneficial in lowering recidivism rates. Time in Treatment: Non-Return Non-Return to Polk County Jail >1 yr to Polk County Jail >2 yrs <30 days 71% 68%
Global Assessment of Functioning Scale (GAF) The Global Assessment of Functioning (GAF) is a numeric scale (0 through 100) used by mental health clinicians and physicians to rate the social, occupational, and psychological functioning of adults, e.g., how well or adaptively one is meeting various problems in living.
GAF Improvement Scores of Polk County Jail Inmates Less Than 12 Weeks of Treatment Individuals participating in the JASA Program show a 12% increase in GAF scores from time of admission to time of discharge. This applies to all JASA participants.
Global Assessment of Functioning Scale (GAF) Identifies Social Functioning Those entering the JASA Program enter with a GAF Score averaging 44 which means: 41-50 Serious symptoms OR any serious impairment in social, occupational, or school functioning (e.g., no friends, unable to keep a job). Upon discharge, inmate GAF Scores Improve by 12% which means: 51-60 Moderate symptoms OR moderate difficulty in social, occupational, or school functioning (e.g., few friends, fewer conflicts with peers or co-workers).
IN CONCLUSION Treatment is effective! Treatment pays for itself! Treatment helps change the lives of individuals and families throughout Polk County. Thank you for your continued support Tri-County Human Services, Inc. Positive Support for Positive Change 33
Bibliography 1 Polk County Sheriff s Office 2 Polk County Sheriff s Office 3 Bolduc & Associates, Tallahassee, FL 4 JAG Grant 2012-13, 13, Fred DeLoach, Polk County Sheriff s Office Grant Writer 5 Polk County Sheriff s Office Arrest Records
Polk County Persons Served 2011-2012 Treatment 3,111 JASA Programs 222 7% Florida Center 145 5% 5-Bed 17 1% RASUW 116 4% Transitional Living 10 0% AGAPE 26 1% MH/SA Outpatient 1876 60% Detox 699 22%
Polk County Revenues 2011-12 RASUW (Women's Unit) 98,3026.95 17% Detox 190,733.58 33% Dual Diagnosis Residential 254,559.56 43% Outpatient 41,011.91 7%
Polk Revenue JASA Women and Men Programs 2011-12 Womens JASA 196,136.98 44% Mens JASA 253,863.02 56%
% of Adult Successful Completers in Polk County % Adult Unsuccessful 627 24% % Adult Successful 1,962 76%
% Adolescent Successful Completers in Polk County % Adolescent Unsuccessful 65 29% % Adolescent Successful 160 71%
% of Live Births Without Drugs Present in Polk County Live Births With Drugs Present 0% Live Births Without Drugs Present 100%
Dollars Billed through Charity Care Amt Billed to Medicaid HMO $179,676 Amt Billed to Medicaid $295,055 Amt of Charity Care $432,993
% Adults Employed At Discharge in Polk County Unemployed 22% Employed 78%
Percent of persons served in Polk County by Gender Total: 3,111 Female 1,636 53% Male 1,475 47%