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Kitsap County has a retail sales tax to fund a county wide infrastructure for
behavioral health treatment programs and services. Substance abuse and mental health services are viewed as existing on a continuum of prevention, intervention,
treatment and recovery support services. The 2014 Kitsap County Behavioral Health Strategic Plan identified key recommendations to address local gaps in
these services and the community was asked to help us identify funding priorities for these local tax dollars. The survey was open from February 12, 2014 – April 7,
2014 and received 437 responses.
April 2014
CommunityChemicalDependencyandMentalHealthTaxRanking2014
1/21
1.37% 6
1.14% 5
1.14% 5
2.97% 13
6.64% 29
25.40% 111
2.06% 9
7.32% 32
3.66% 16
2.52% 11
1.60% 7
4.35% 19
8.47% 37
9.61% 42
6.41% 28
Q1Whichbestdescribesyourroleinplanningchemicaldependency,mental
healthand/orTherapeuticCourtservicesinKitsapCounty?Answered:437 Skipped:0
Concernedfamilymember
Concernedparent
Concernedcitizen
PreventionofSubstanceAbuseand/orMentalIllnessMentalHealth
TreatmentProvider
ChemicalDependencyTreatmentProvider
Medical
Education
SocialServiceNon-Treatment
CriminalJustice
LawEnforcement
AgingandLongTermCare
AnswerChoices Responses
AppointedmemberoftheStrategicPlanningTeam
AppointedmemberoftheCitizensAdvisoryBoard
Client/Consumer
Concernedfamilymember
Concernedparent
Concernedc itizen
PreventionofSubstanceAbuseand/orMentalIl lness
MentalHealthTreatmentProvider
ChemicalDependencyTreatmentProvider
Co-occurringTreatmentProvider
Business
Medical
Education
SocialServiceNon-Treatment
CriminalJustice
CommunityChemicalDependencyandMentalHealthTaxRanking2014
2/21
9.84% 43
3.20% 14
1.37% 6
0.92% 4
Total 437
LawEnforcement
AgingandLongTermCare
Veteran
Faithbasedorganization
CommunityChemicalDependencyandMentalHealthTaxRanking2014
3/21
Q2PleasechooseyourtopthreefundingprioritiesforPrevention,EarlyIntervention
andTraining.Answered:345 Skipped:92
Supportsharedplanthrough...
Trainallsystemson...
Educatethecommunityon...
Educatelocalbehav ioral...
Prov idebehav ioral...
Prov ideconsistent...
CommunityChemicalDependencyandMentalHealthTaxRanking2014
4/21
FirstPriority SecondPriority ThirdPriority
Embedstrategiesf...
Expandmentalhealthand...
Expandev idencebas...
Prov ideschool-based...
Conductprofessional...
EstablishSuicide...
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
CommunityChemicalDependencyandMentalHealthTaxRanking2014
5/21
64.85%107
15.76%26
19.39%32
165
29.82%34
39.47%45
30.70%35
114
15.79%6
23.68%9
60.53%23
38
16.67%7
35.71%15
47.62%20
42
20.69%6
37.93%11
41.38%12
29
31.43%11
34.29%12
34.29%12
35
14.29%4
39.29%11
46.43%13
28
30.08%37
34.96%43
34.96%43
123
25.42%30
43.22%51
31.36%37
118
39.75%64
31.06%50
29.19%47
161
16.85%15
37.08%33
46.07%41
89
25.81%24
41.94%39
32.26%30
93
FirstPriority
SecondPriority
ThirdPriority
Total
Supportsharedplanthroughongoingcollaborationandincreasedcarecoordinationamongmentalhealth,substanceabuse,healthandjusticestakeholdersthroughjointprojects,blendedfunding,informationsharing,andcross-training.
Trainallsystemsoncommunityresourcesandbehavioralhealthtreatmentoptionsinc ludinginpatient,outpatient,medicationassisted,detoxificationservicesandcrisistriage.
EducatethecommunityonHealthyOptionServicesandMedicaidExpansion.
EducatelocalbehavioralhealthtreatmentprovidersonVeteran’sissuesandavailableresources.
Providebehavioralhealtheducationandtrainingtoprovidersworkingwiththeagingpopulation.
Provideconsistentbehavioralhealthconsultationtoprovidersworkingwiththeagingpopulation.
EmbedstrategiesforworkingwithindividualswithbehavioralhealthdisorderswithintheexistinglocalCNA/LPN/nursingcurriculum.
Expandmentalhealthandsubstanceabusepreventioncoalitionscountywide.
Expandevidencebasedmentalhealthandsubstanceabuseearlypreventionandinterventionparentprograms(Example:Nurse-FamilyPartnershipProgramandStrengtheningFamilies).
Provideschool-basedmentalhealthandsubstanceusepreventioneducationforstudentstoinc ludeintervention,assessment,referralandtreatmentsupport.
Conductprofessionaldevelopmentforeducators,youthdevelopmentandcommunityagenciesonyouthmentalhealthandsubstanceabuseissues,concernsandsupportiveinterventionstrategies.
EstablishSuic idePrevention,ScreeningandReferraloptionsinschoolsandthecommunity.
CommunityChemicalDependencyandMentalHealthTaxRanking2014
6/21
Q3PleasechooseyourtopthreefundingprioritiesforCrisisInterventionandTriage.
Answered:327 Skipped:110
Developcountywideprotoco...
Conductcrisisintervention...
EstablishaMobileCrisi...
Prov idecrisistriage/respi...
Sustainanadultdivers...
Establishspecialized...
CommunityChemicalDependencyandMentalHealthTaxRanking2014
7/21
42.05%37
26.14%23
31.82%28
88
40.18%45
37.50%42
22.32%25
112
34.55%38
30.91%34
34.55%38
110
FirstPriority SecondPriority ThirdPriority
Establishspecialized...
Prov idebehav ioral...
Expandcapacityfor...
ExpandyouthInvoluntary...
Prov ideadvancebeds...
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
FirstPriority
SecondPriority
ThirdPriority
Total
Developcountywideprotocolsforfirstrespondersrespondingtoacallwherementali l lnessorsubstanceusemaybeafactor.
Conductcrisisinterventiontrainingforallfirstresponderscountywidetorespondtocallswherementali l lnessorsubstanceusemaybeafactor.
EstablishaMobileCrisisTeamandinfrastructuretohandleattemptsbylawenforcementormentalhealthoutreachteamstopreemptentryintothelegalsystem,jailorthehospital.
CommunityChemicalDependencyandMentalHealthTaxRanking2014
8/21
46.03%87
31.75%60
22.22%42
189
21.21%14
42.42%28
36.36%24
66
20.31%13
45.31%29
34.38%22
64
23.08%6
42.31%11
34.62%9
26
35.71%25
28.57%20
35.71%25
70
21.57%22
34.31%35
44.12%45
102
30.38%24
31.65%25
37.97%30
79
21.33%16
26.67%20
52.00%39
75
Providecrisistriage/respiteand/ordrop-offcenteralternativeforindividualswithbehavioralhealthneedsnoteligibleforacutehospitalorevaluationandtreatmentservicesbutareinneedofshortterm24hourservices,inc ludingassessmentandreferral.
Sustainanadultdiversionprogramforlowleveloffenderswithmentali l lnessorsubstanceabusedisorders.
Establishspecializedhomelessoutreachservices,inc ludingspecializedoutreachtoVeteranswithmentalhealthorsubstanceabuseissues.
Establishspecializedgeriatric outreachteamtoassistprovidersworkingwiththeagingpopulation.
Providebehavioralhealthscreening,briefintervention,andreferralfortreatmentforyouth,adultsandolderadultsinprimarycare.
Expandcapacityfor24hourcrisisresponseforyouththroughlawenforcementtraining,mobilecrisisteam,emergencyhousingandcrisistriage.
ExpandyouthInvoluntaryTreatmentAct/CrisisResponseservices,inc ludingcrisisresidentialcenter.
ProvideadvancebedsfordementiapatientswhoarenotcurrentlyacceptedbyWesternStateHospital,KitsapMentalHealthorotherproviders.
CommunityChemicalDependencyandMentalHealthTaxRanking2014
9/21
Q4PleasechooseyourtopthreefundingprioritiesforOutpatientTreatment.
Answered:314 Skipped:123
Increasesubstanceab...
Increaseaccessand...
Increaseeffortsto...
ExpandCommunity...
Exploregeriatric...
Increasedual-certifi...
CommunityChemicalDependencyandMentalHealthTaxRanking2014
10/21
Expandtheuseofev idence...
Developshelter-base...
Prov ideon-site...
Expandbehav ioral...
Expandbehav ioral...
Expandbehav ioral...
Establishadedicated...
CommunityChemicalDependencyandMentalHealthTaxRanking2014
11/21
43.22%51
27.97%33
28.81%34
118
36.17%17
31.91%15
31.91%15
47
17.65%6
58.82%20
23.53%8
34
49.24%65
22.73%30
28.03%37
132
31.71%13
29.27%12
39.02%16
41
36.92%24
32.31%21
30.77%20
65
37.31%25
22.39%15
40.30%27
67
27.06%23
38.82%33
34.12%29
85
6.25%2
43.75%14
50.00%16
32
30.00%12
35.00%14
35.00%14
40
22.22%8
44.44%16
33.33%12
36
27.12%16
40.68%24
32.20%19
59
23.64%13
41.82%23
34.55%19
55
29.77%39
33.59%44
36.64%48
131
FirstPriority SecondPriority ThirdPriority
Enhancelinkageat...
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
FirstPriority
SecondPriority
ThirdPriority
Total
IncreasesubstanceabusetreatmentfundingforyouthandadultswhoarenoteligibleforMedicaid,inc ludingindividualsonMedicare,Veteransanddonothaveprivateinsurance.
Increaseaccessandoptionsformedicationassistedtreatment.
IncreaseeffortstoattractmoreproviderswithinKitsapCountytoprovidepainandaddictionconsultations.
ExpandCommunityMentalHealthCenterservicestoinc ludeindividualswhoarenoteligibleforMedicaid.
Exploregeriatric populationneeds.
Increasedual-certificationamongmentalhealthandsubstanceabusetreatmentprovidersforaddressingalloftheindividualsbehavioralhealthneeds.
Expandtheuseofevidenceandresearchbasedprogramsfoundtodecreasedepression,suic idalbehaviorandsubstanceabuseamongjuvenilejusticeinvolvedyouth.
Developshelter-basedbehavioralhealthprevention,outreach,assessment,intervention,referralandtreatment.
Provideon-sitebehavioralhealthscreeningandreferraltoSuperior,Munic ipalandDistric tCourts.
Expandbehavioralhealthoutreach,assessment,intervention,referralandtreatmentinthejail.
Expandbehavioralhealthoutreach,assessment,intervention,referralandtreatmentinexistingadulttherapeutic courts.
Expandbehavioralhealthprevention,outreach,assessment,intervention,referralandtreatmentwithinthejuvenilejusticesystem.
Establishadedicatedbehavioralhealthspecialisttoservethejuveniledetentionfac il i ty,IndividualizedTreatmentCourtandbeavailableforconsultationtoProbationCounselorsdealingwiththegeneralprobationpopulation.
Enhancelinkageatdischargetocomprehensiveservicesinc ludingcarecoordination,accesstomedication,promptaccesstobenefits,healthcare,housingwith/withoutsupportiveservices,andmentalhealth&substanceabusetreatment.
CommunityChemicalDependencyandMentalHealthTaxRanking2014
12/21
Q5PleasechooseyourtopthreefundingprioritiesforMedicalandSub-Acute
Detoxification.Answered:312 Skipped:125
32.42%83
29.69%76
37.89%97
256
17.46%22
35.71%45
46.83%59
126
FirstPriority SecondPriority ThirdPriority
Educatefirstresponders,...
Dedicatefundsforoutof...
Prov idelocaloptionsfor...
Enhancelinkagesat...
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
FirstPriority
SecondPriority
ThirdPriority
Total
Educatefirstresponders,mentalhealthandhousingprogramproviders,andcriminaljusticestaffonavailableEmergencyHousing,DetoxificationandCrisisTriagebedsatKitsapRecoveryCenter.
Dedicatefundsforoutofcountymedicaldetoxificationservicesforyouthandadults,inc ludingthoseinthecriminaljusticesystem.
CommunityChemicalDependencyandMentalHealthTaxRanking2014
13/21
41.76%114
32.97%90
25.27%69
273
33.10%93
35.94%101
30.96%87
281
Providelocaloptionsformedicaldetoxification.
Enhancelinkagesatintakeanddischargetocomprehensiveservicesinc ludingcarecoordination,accesstomedication,promptaccesstobenefits,healthcare,andmentalhealth&substanceabusetreatment.
CommunityChemicalDependencyandMentalHealthTaxRanking2014
14/21
Q6PleasechooseyourtopthreefundingprioritiesforAcuteInpatientTreatment.
Answered:306 Skipped:131
Educatefirstresponders,...
Increasenumberoflo...
Increasenumberoflo...
Increasecapacityfor...
Increasenumberoflo...
Expandfamilyeducation,...
CommunityChemicalDependencyandMentalHealthTaxRanking2014
15/21
31.40%27
26.74%23
41.86%36
86
57.61%106
24.46%45
17.93%33
184
47.34%80
35.50%60
17.16%29
169
19.72%14
40.85%29
39.44%28
71
24.32%36
36.49%54
39.19%58
148
17.31%18
34.62%36
48.08%50
104
16.03%25
37.82%59
46.15%72
156
FirstPriority SecondPriority ThirdPriority
Enhancelinkagesat...
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
FirstPriority
SecondPriority
ThirdPriority
Total
Educatefirstresponders,mentalhealthandhousingprogramproviders,andcriminaljusticestaffonavailableinpatientsubstanceabusetreatmentbedsatKitsapRecoveryCenter.
Increasenumberoflocalresidentialsubstanceabusetreatmentbedsforyouthandadults.
Increasenumberoflocalmentalhealthinpatientbedsforadults,inc ludinggero-psychiatricbeds.
IncreasecapacityforProgramforAssertiveCommunityTreatment(targeting18-40yearsoldswithAxis2diagnosis).
Increasenumberoflocalco-occurringdisorderresidentialsubstanceabuse/mentalhealthtreatmentbeds.
Expandfamilyeducation,involvementandsupportactivitiesforindividualsinresidentialsubstanceusedisordertreatment.
Enhancel inkagesatintakeanddischargetocomprehensiveservicesinc ludingcarecoordination,accesstomedication,promptaccesstobenefits,healthcare,andmentalhealth&substanceabusetreatment.
CommunityChemicalDependencyandMentalHealthTaxRanking2014
16/21
Q7PleasechooseyourtopthreefundingprioritiesforRecoverySupportServices.
Answered:302 Skipped:135
Prov idefundingfor...
Increaseprojectbase...
Prov ideappropriate...
Establishstabilizatio...
Establishflexibleren...
Addressbarriersto...
CommunityChemicalDependencyandMentalHealthTaxRanking2014
17/21
Identifytransportati...
Expandparentandfamily...
Increasewrap-around...
Increasesupportive...
Explorelocalreimbursemen...
Explorelocalcursory...
Recruitexisting...
CommunityChemicalDependencyandMentalHealthTaxRanking2014
18/21
43.86%50
25.44%29
30.70%35
114
21.28%10
48.94%23
29.79%14
47
46.49%53
30.70%35
22.81%26
114
31.65%25
35.44%28
32.91%26
79
19.57%9
36.96%17
43.48%20
46
42.31%44
40.38%42
17.31%18
104
22.73%15
30.30%20
46.97%31
66
23.08%18
39.74%31
37.18%29
78
37.08%33
33.71%30
29.21%26
89
29.55%13
29.55%13
40.91%18
44
16.67%3
22.22%4
61.11%11
18
14.29%2
35.71%5
50.00%7
14
25.00%10
22.50%9
52.50%21
40
32.08%17
30.19%16
37.74%20
53
FirstPriority SecondPriority ThirdPriority
Assessthementalhealt...
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
FirstPriority
SecondPriority
ThirdPriority
Total
Providefundingforrecoverysupportiveservicesforindividualsintreatmentinc ludingchildcare,transportationandemployment.
IncreaseprojectbasedsubsidizedhousingvouchersforindividualsinBehavioralHealthtreatment.
ProvideappropriatetailoredsubsidizedhousingandsupportservicesforhomelessindividualsorpersonsatriskofhomelessnesswithBehavioralHealthissues.
Establishstabil izationtransitionhousingforindividualswithBehavioralHealthissuesmovingfromjailtotreatment.
EstablishflexiblerentalassistancefundsforindividualswithBehavioralHealthneeds.
AddressbarrierstoaccessingtreatmentbyincreasingtreatmentoptionsandlocationsinBainbridgeIsland,NorthandSouthKitsap.
Identifytransportationbarrierstogettingtotreatmentandincreasetransportationoptions.
Expandparentandfamilyeducation,involvementandsupportactivitiesforyouthandadultsinbehavioralhealthtreatment.
Increasewrap-aroundservicesforseriousemotionallydisturbedyouth.
Increasesupportiveservices,casemonitors,UAcollection,incentivesandpro-socialactivitiesinallJuvenileTherapeutic Courts.
ExplorelocalreimbursementoptionsimplementedinPierceandClallamCounties.
Explorelocalcursorycompetencyevaluationforoutofcustody,lowriskoffenders.
Recruitexistingorganizations/individualstodevelopamentalhealthsupportgroupsimilartoAA/NA.
Assessthementalhealthserviceneedsofanagingpopulation.
CommunityChemicalDependencyandMentalHealthTaxRanking2014
19/21
Q8Pleaserankorderyourfundingprioritiesforthefullcontinuumofcare(1beingthehighestpriorityand6beingthe
lowest.Answered:301 Skipped:136
Behav ioralHealth...
CrisisIntervention...
OutpatientTreatment-...
CommunityChemicalDependencyandMentalHealthTaxRanking2014
20/21
1 2 3 4 5 6
MedicalandSub-Acute...
AcuteInpatientCare
RecoverySupport...
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
CommunityChemicalDependencyandMentalHealthTaxRanking2014
21/21
34.55%104
14.62%44
10.96%33
6.64%20
13.29%40
19.93%60
301
26.91%81
27.91%84
20.27%61
11.30%34
8.97%27
4.65%14
301
15.95%48
24.25%73
21.93%66
18.94%57
14.62%44
4.32%13
301
2.66%8
10.63%32
15.95%48
22.92%69
19.93%60
27.91%84
301
14.29%43
12.96%39
15.61%47
22.92%69
18.27%55
15.95%48
301
5.65%17
9.63%29
15.28%46
17.28%52
24.92%75
27.24%82
301
1 2 3 4 5 6 Total
BehavioralHealthPrevention,EarlyInterventionandTraining
CrisisInterventionandTriage
OutpatientTreatment-Psychiatry,MedicalandMedicationManagement,andCounseling
MedicalandSub-AcuteDetoxification
AcuteInpatientCare
RecoverySupportServices