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Page 1 of 3 GENERAL MEETING WEDNESDAY, SEPTEMBER 25, 2019 4:00 PM 2012 West 25 th Street, Cleveland, OH 44113 / Ohio Conference Room – 6 th Floor AGENDA 1. CALL TO ORDER / AUDIENCE INPUT ON AGENDA ITEMS – Rev. Benjamin F. Gohlstin, Sr., Board Chair 2. OATH OF OFFICE - Kelli Perk, Asst. Prosecuting Attorney, from the Office of Cuyahoga County Prosecutor Michael C. O’Malley CUYAHOGA COUNTY COUNCIL APPOINTMENT & REAPPOINTMENT: New Appointment: CRYSTAL L. BRYANT, ESQ., MS, LSW Reappointment: MAX M. RODAS, MA 3. RECOGNITION OF CLIENT ARTWORK DISPLAY: SEPTEMBER 2019 - Madison Scagnetti, External Affairs Officer INCARCERATED VETERANS’ ART PROGRAM 4. APPROVAL OF MINUTES: JULY 31, 2019 – Benjamin F. Gohlstin, Sr. 5. CHAIR’S REPORT – Benjamin F. Gohlstin, Sr. Board of Directors Retreat 6. NOMINATING COMMITTEE REPORT (Official Vote Required) – Elsie Caraballo, Committee Chair Recommendation for OhioMHAS Appointment Vacancy 7. COMMUNITY RELATIONS & ADVOCACY COMMITTEE REPORT – Harvey A. Snider, Esq., Committee Chair 8. JOINT FAITH-BASED OUTREACH AND PLANNING & OVERSIGHT COMMITTEE REPORT - Rev. Benjamin F. Gohlstin, Sr., Committee Vice Chair and Eugenia Kirkland, LSW, MSSA, CDCA, Committee Chair RESOLUTION NO. 19-09-01 AUTHORIZATION TO ISSUE A REQUEST FOR PROPOSAL (RFP) FOR SECURITY SERVICES FOR CY2020 RESOLUTION NO. 19-09-02 AUTHORIZATION TO ISSUE A REQUEST FOR PROPOSAL (RFP) FOR A NEEDS ASSESSMENT/ANALYSIS RESOLUTION NO. 19-09-03 AUTHORIZATION TO ISSUE A REQUEST FOR PROPOSAL (RFP) TO IDENTIFY A CONSULTANT FOR THE DEVELOPMENT OF A COMPREHENSIVE STRATEGIC PLAN
Transcript
Page 1: GENERAL MEETING WEDNESDAY, SEPTEMBER 25, 2019 4:00 PM …adamhscc.org/pdf_adamhscc/en-US/Agenda/9.25.19 combined... · 2019-09-20 · Page 1 of 3 GENERAL MEETING WEDNESDAY, SEPTEMBER

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GENERAL MEETING

WEDNESDAY, SEPTEMBER 25, 2019 4:00 PM

2012 West 25th Street, Cleveland, OH 44113 / Ohio Conference Room – 6th Floor

AGENDA

1. CALL TO ORDER / AUDIENCE INPUT ON AGENDA ITEMS – Rev. Benjamin F. Gohlstin, Sr., Board Chair

2. OATH OF OFFICE - Kelli Perk, Asst. Prosecuting Attorney, from the Office of Cuyahoga County Prosecutor Michael C. O’Malley CUYAHOGA COUNTY COUNCIL APPOINTMENT & REAPPOINTMENT: New Appointment: CRYSTAL L. BRYANT, ESQ., MS, LSW Reappointment: MAX M. RODAS, MA

3. RECOGNITION OF CLIENT ARTWORK DISPLAY: SEPTEMBER 2019 - Madison Scagnetti, External Affairs Officer

INCARCERATED VETERANS’ ART PROGRAM

4. APPROVAL OF MINUTES: JULY 31, 2019 – Benjamin F. Gohlstin, Sr. 5. CHAIR’S REPORT – Benjamin F. Gohlstin, Sr.

Board of Directors Retreat

6. NOMINATING COMMITTEE REPORT (Official Vote Required) – Elsie Caraballo, Committee Chair Recommendation for OhioMHAS Appointment Vacancy

7. COMMUNITY RELATIONS & ADVOCACY COMMITTEE REPORT – Harvey A. Snider, Esq., Committee Chair

8. JOINT FAITH-BASED OUTREACH AND PLANNING & OVERSIGHT COMMITTEE REPORT - Rev. Benjamin F. Gohlstin, Sr., Committee Vice Chair and Eugenia Kirkland, LSW, MSSA, CDCA, Committee Chair

RESOLUTION NO. 19-09-01 AUTHORIZATION TO ISSUE A REQUEST FOR PROPOSAL (RFP) FOR SECURITY SERVICES FOR CY2020

RESOLUTION NO. 19-09-02 AUTHORIZATION TO ISSUE A REQUEST FOR PROPOSAL (RFP) FOR A NEEDS ASSESSMENT/ANALYSIS

RESOLUTION NO. 19-09-03 AUTHORIZATION TO ISSUE A REQUEST FOR PROPOSAL (RFP) TO IDENTIFY A CONSULTANT FOR THE DEVELOPMENT OF A COMPREHENSIVE STRATEGIC PLAN

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9. FINANCE & OPERATIONS COMMITTEE REPORT – Steve Killpack, MS, Committee Chair CONSENT AGENDA - (Resolution Nos.19-09-04 through 19-09-06)

RESOLUTION NO. 19-09-04 – ACCEPTING THE REPORT OF THE CEO ON EXPENDITURES AND VOUCHERS PROCESSED FOR PAYMENT DURING JULY 2019 AND AUGUST 2019

RESOLUTION NO. 19-09-05 – APPROVAL AND RATIFICATION OF CONTRACTS: 1. OhioMHAS: Medication Addiction Treatment Program – Court Administrative Funds – $64,618.51

- Cleveland Municipal Drug Court - $6,076.98 - Cuyahoga County Common Pleas Drug Court - $35,449.02 - Cuyahoga County Common Pleas Recovery Drug Court - $23,092.51

2. US DHHS Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Mental Health Services (CMHS): Assisted Outpatient Treatment (AOT) Grant – $846,689.00

- FrontLine Service - $599,169.00 - CWRU Begun Center - $200,000.00 - Board Contracted Attorneys - $35,020.00

3. US DHHS Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Mental Health Services CMHS): Jail Diversion Grant – $326,340.00

- FrontLine Service - $260,340.00 - CWRU Begun Center - $66,000.00

4. Annual AOD Independent Peer Review as Required by OhioMHAS for the Federal Substance Abuse Prevention and Treatment (SAPT) Block Grant Funds: Residential Treatment Services

- Brown Consulting – Not to exceed $50,000.00 5. Specialized Docket Support – Payroll Subsidy – $410,000.00

- Cleveland Municipal Court - $180,000.00 - Cuyahoga County Common Pleas Court - $120,000.00 - Cuyahoga County Common Pleas Court-Juvenile Division - $70,000.00 - South Euclid Municipal Court - $40,000.00

6. Behavioral Health Juvenile Justice (BHJJ) Project – Fiscal Year 2020-2021 - Applewood Centers - Bellefaire Jewish Children’s Bureau - Cuyahoga County Common Pleas Court-Juvenile Division

7. Sponsorships: - Greater Cleveland Drug Court, Inc. Luncheon Contributing Sponsor (Friday, September 20, 2019, Holiday Inn-

Independence) - $500.00 - Every Brilliant Thing, Cleveland Playhouse (performance runs November – December 2019) - $1,250.00 - Greater Cleveland Urban Film Festival showing of A Tale of Two Mothers (September 12-20, 2019) - $1,500.00 - MHAC Public Officials Breakfast Bronze Sponsorship (October 11, 2019, Nuevo Restaurant) - $1,000.00 - Annual Grief Symposium Table Sponsor (October 4, 2019, Cuyahoga Valley Church) - $250.00 - “Remembering Our Babies” event hosted by the YWCA (October 15, 2019, Botanical Gardens) - $500.00

8. Online Mental Health Screening Renewal - $1,000.00

RESOLUTION NO. 19-09-06 – APPROVAL OF CONTRACT AMENDMENT: 1. Amendment to Resolution 18-05-04 OhioMHAS Addiction Treatment Program (ATP) – (Pass Through Funding) - $1,103,952.00

- Catholic Charities-Matt Talbot for Men and Women - Cleveland Treatment Center - Community Assessment and Treatment Services (CATS) - Hitchcock Center for Women - MetroHealth System - Moore Counseling - Recovery Resources - The Salvation Army - Stella Maris - Cuyahoga County Treatment Alternatives to Street Crime (TASC)

___________________________________________________________________________ End of Consent Agenda ________

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10. CHIEF EXECUTIVE OFFICER’S REPORT - Scott S. Osiecki, Chief Executive Officer

County Council Members Meetings

Diversion Center Update

Staff Update

OhioMHAS Director, Lori Criss, Visit

MetroHealth/Jail Partnership

Opioid Settlement

St. Vincent Charity Medical Center Chief Executive Officer Meeting

Crisis Intervention Team (CIT) Interactions

6 Year Community Capital Plan

SFY2019-2020 Community Plan

Community Transition Program (CTP) Update

Board of Health Overdose Grant

CY2020 Funding Update

11. OLD/NEW BUSINESS

12. AUDIENCE INPUT

BOARD OF DIRECTORS Rev. Benjamin F. Gohlstin, Sr., Chairperson

Eugenia Kirkland, LSW, MSSA, CDCA, Vice Chair ▫ J. Robert Fowler, Ph.D., Second Vice Chair Reginald C. Blue, Ph.D. ▫ Gregory X. Boehm, M.D. ▫ Erskine Cade, MBA ▫ Elsie Caraballo

Gwendolyn A. Howard, LSW, MSSA ▫ Katie Kern-Pilch, ATR-BC, LPC-S ▫ Steve Killpack, MS Max M. Rodas, MA ▫ Sharon Rosenbaum, MBA ▫ Harvey A. Snider, Esq. ▫ Mary M. Step, Ph.D.

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ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES (ADAMHS) BOARD OF CUYAHOGA COUNTY

RESOLUTION NO. 19-09-01

AUTHORIZATION TO ISSUE A REQUEST FOR PROPOSAL (RFP) FOR

SECURITY SERVICES FOR CY2020

WHEREAS, the ADAMHS Board has identified the need for an armed security presence at the administrative offices located at 2012 West 25th Street, as well as the Seasons of Hope building; and, WHEREAS, the need for security services includes, but is not limited to, responding to emergency situations, foot patrols, visual surveillance, visitor check-in and physical presence, participation in workplace violence reduction trainings and drills; and, WHEREAS, the ADAMHS Board’s Planning and Oversight Committee reviewed Board staff’s recommendation and recommends authorizing the issuance of a Request for Proposal for security services for calendar year 2020. NOW, THEREFORE, BE IT RESOLVED:

1. The ADAMHS Board of Directors approves the issuance of a Request for Proposal for security services for calendar year 2020.

2. The ADAMHS Board CEO is hereby authorized to appoint an RFP Committee to review

and evaluate the RFP proposals received, and to submit its recommendation to the Board of Directors.

On the motion of , seconded by , the foregoing resolution was

adopted. AYES: NAYS: ABSTAIN: DATE ADOPTED:

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Agenda Process Sheet Date: September 25, 2019

☐ Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee

Planning & Oversight Committee ☐ Finance & Operations Committee

☐ Executive Committee General Meeting

Topic: Approval to Issue a Request for Proposals (RFP) for Security Services for CY2020 Contractual Parties: To Be Determined Term: September 26, 2019 – October 31, 2019 for the RFP Process Funding Source(s): ADAMHS Board Operating Budget Amount: To Be Determined

☐ New Program ☐Continuing Program ☐Expanding Program Other: RFP Request

Service Description:

Armed security guard services at the ADAMHS Board’s administrative office located at 2012 West 25th Street, Cleveland, Ohio, as well as Seasons of Hope building.

Background Information:

The Alcohol, Drug Addiction and Mental Health Services (ADAMHS) Board of Cuyahoga County currently contracts with Safe Choice LLC for armed security guard services at the ADAMHS Board’s administrative office located at 2012 West 25th Street, Cleveland, Ohio, as well as Seasons of Hope building.

Safe Choice LLC is paid for services provided on an hourly basis for armed security officers at $17.50 per hour for regular hours, and $26.25 for overtime hours.

Duties include but are not limited to: building opening and closing inspections; foot patrol of building, visual surveillance, visitor check-in and physical presence in the ADAMHS’s Board entrance during employee arrival/departure times and evening meetings, responding to emergency situations, completing incident reports and daily logs, and participation in workplace violence reduction trainings and procedure drills.

The contract with Safe Choice LLC is from January 1, 2019 through December 31, 2019, with the option of a one year renewal through CY2020.

ADAMHS Board staff and Board of Directors would like to consider other security vendors and to begin the RFP process.

Number of Individuals to be Served: N/A Funding Use:

Funds will be used to contract with a security services company to provide armed security guard services for ADAMHS Board administrative office and Season’s of Hope.

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Client & System Impact:

Selection of a qualified security services company to provide safety of clients and staff, and de-escalation when needed.

Metrics (How will goals be measured)

Selection of a qualified security services company to provide security services.

Evaluation/ Outcome Data (Actual results from program)

N/A

Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): Request approval by the Board of Directors for the issuance of an RFP for the selection of a security services company to provide armed security guard services for ADAMHS Board administrative office and Season’s of Hope.

Approved by the Joint Faith-based Outreach and Planning & Oversight Committee on September 11, 2019.

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ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES BOARD OF CUYAHOGA COUNTY

RESOLUTION NO. 19-09-02

AUTHORIZATION TO ISSUE A REQUEST FOR PROPOSAL FOR

A NEEDS ASSESSMENT/ANALYSIS WHEREAS, the Alcohol, Drug Addiction and Mental Health Services Board of Cuyahoga County (ADAMHS Board) has identified a need for an independent evaluation contract to conduct a comprehensive needs assessment/analysis of the Cuyahoga County public behavioral health and recovery system; and, WHEREAS, the Ohio Department of Mental Health and Addiction Services (OhioMHAS) recommends that local Boards conduct a needs assessment at least every five years; and, WHEREAS, in order to provide a system of care that enables clients to access high quality, culturally competent, behavioral health services to manage their illness and improve their lives, it is necessary to conduct a comprehensive needs assessment; and, WHEREAS, the needs assessment will assist the Board in identifying the areas of greatest need for client services for planning, funding, evaluating, and advocacy purposes; and, WHEREAS, the ADAMHS Board Planning & Oversight Committee reviewed the ADAMHS Board staff’s recommendation and recommends authorization to issue a Request for Proposal for a needs assessment/analysis. NOW, THEREFORE, BE IT RESOLVED:

1. The ADAMHS Board of Directors approves the issuance of a RFP to solicit proposals to conduct a comprehensive Needs Assessment.

2. The ADAMHS Board CEO is hereby authorized to appoint the RFP Committee to review and evaluate the RFP proposals, and to submit for recommendation to the Board of Directors.

On the motion of , seconded by , the foregoing resolution was adopted. AYES: NAYS: ABSTAIN: DATE ADOPTED:

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Agenda Process Sheet Date: September 25, 2019

☐ Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee

Planning & Oversight Committee ☐ Finance & Operations Committee

☐ Committee of the Whole General Meeting

Topic: Approval to Issue a Request for Proposals (RFP) for an Independent Evaluation

Contractor to Conduct a Needs Assessment/Analysis Contractual Parties: To Be Determined Term: September 26, 2019 – December 31, 2019 for the RFP Process Funding Source(s): ADAMHS Board Operating Budget Amount: To Be Determined

☐ New Program ☐Continuing Program ☐Expanding Program Other: RFP Request

Service Description:

Approval to issue a Request for Proposal (RFP) for an independent evaluation contractor to conduct a comprehensive Needs Assessment/Analysis of the Cuyahoga County Public Behavioral Health and Recovery System.

Background Information:

The ADAMHS Board routinely conducts a system Needs Assessments/Analysis to ensure Cuyahoga County’s Public Behavioral Health and Recovery System continues to adapt to an environment of high service demands and that constrained resources are allocated appropriately.

The Needs Assessment/Analysis will assist the Board in identifying areas of greatest need for client services for planning, funding, evaluating, and advocacy purposes.

OhioMHAS, as well as general evaluation standards, suggest that local Boards conduct a thorough Needs Assessment/Analysis approximately every five years.

The Board’s last Community Needs Analysis was completed in 2016. In preparation for the development of the Board’s 2021–2025 Strategic Plan, Executive Staff and Board Members are requesting that the Needs Assessment/Analysis be completed by April 30, 2020.

Number of Individuals to be served: N/A Funding Use:

Funds will be used to engage an independent evaluation contractor to conduct a comprehensive Needs Assessment/Analysis.

Client & System Impact:

Selection of a qualified Independent Evaluation Contractor will result in a Needs Assessment/Analysis that will impacts the Board’s current and potential clients.

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Metrics (How will goals be measured)

Successful selection of an Independent Evaluation Contractor to Conduct a Needs Assessment/Analysis of Cuyahoga County’s Public Behavioral Health and Recovery System.

Evaluation/ Outcome Data (Actual results from program)

N/A

Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): Request approval by the Board of Directors for the issuance of an RFP for the selection of an Independent Evaluation Contractor to Conduct a Needs Assessment/Analysis of Cuyahoga County’s Public Behavioral Health and Recovery System.

Approved by the Joint Faith-based Outreach and Planning & Oversight Committee on September 11, 2019.

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ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES BOARD OF CUYAHOGA COUNTY

RESOLUTION NO. 19-09-03

AUTHORIZATION TO ISSUE A REQUEST FOR PROPOSAL (RFP) TO IDENTIFY A CONSULTANT FOR THE DEVELOPMENT OF A COMPREHENSIVE

STRATEGIC PLAN

WHEREAS, the Alcohol, Drug Addiction and Mental Health Services Board of Cuyahoga County (ADAMHS Board) has identified the need for an independent consultant for the development of a comprehensive strategic plan; and, WHEREAS, the ADAMHS Board utilizes the strategic plan to position the Board and its service delivery system for success in a recovery oriented system of care; and, WHEREAS, the strategic plan is intended to be a living document that will be reviewed and modified with the ever-changing environment; and, WHEREAS, the Strategic Plan will be based on the Board’s most recent Needs Assessment, changes in the role of ADAMHS Boards since the last comprehensive Strategic Plan, community input and the performance and capacity of the current provider network; and, WHEREAS, the Strategic Plan will inform program strategies and resource allocation decisions for 2021-2025; and, WHEREAS, the ADAMHS Board staff recommends and requests that the ADAMHS Board of Directors approves the issuance of a Request for Proposal to identify an independent consultant for the development of a comprehensive Strategic Plan. NOW, THEREFORE, BE IT RESOLVED:

1. The ADAMHS Board of Directors approves the issuance of a RFP to identify an independent consultant for the development of a comprehensive 2021-2025 Strategic Plan.

2. The ADAMHS Board CEO is hereby authorized to appoint the RFP Committee to review and issue the RFP and evaluate the proposals submitted for recommendation to the Board of Directors.

On the motion of , seconded by , the foregoing resolution was adopted. AYES:

NAYS:

ABSTAIN:

DATE ADOPTED:

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Agenda Process Sheet Date: September 25, 2019

☐ Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee

Planning & Oversight Committee ☐ Finance & Operations Committee

☐ Committee of the Whole General Meeting

Topic: Approval to Issue a Request for Proposals (RFP) Seeking a Consultant for the

Development of a 2021-2025 Strategic Plan for the ADAMHS Board of Cuyahoga County

Contractual Parties: To Be Determined Term: September 26, 2019 – December 31, 2019 for the RFP Process Funding Source(s): ADAMHS Board Operating Budget Amount: To Be Determined

☐ New Program ☐Continuing Program ☐Expanding Program Other: RFP Request

Service Description:

Approval to issue a Request for Proposal (RFP) Seeking a Consultant for the Development of a 2021-2025 Strategic Plan for the ADAMHS Board of Cuyahoga County.

Background Information:

The ADAMHS Board utilizes a Strategic Plan to position the Board and its service delivery system for success in a recovery oriented system of care that is continually changing and increasingly demanding.

The Strategic Plan is intended to be a living document that will be modified with the ever-changing environment and will be regularly reviewed and updated as needed by the ADAMHS Board of Directors and leadership staff.

The ADAMHS Board is currently operating under the 2017-2020 Strategic Plan. Executive Staff and Board Members are requesting to begin the process of developing the 2021-2025 Strategic Plan in the second quarter of 2020, with a completion date and approval by the Board of Directors during the November 18, 2020 General Meeting.

Number of Individuals to be served: N/A Funding Use:

Funds will be used to engage a consultant to develop the 2021-2025 Strategic Plan for the ADAMHS Board of Cuyahoga County.

Client & System Impact:

Selection of a qualified consultant will result in a Strategic Plan that will guide the success of the ADAMHS Board of Cuyahoga County in the continuation and development of quality behavioral health and recovery services.

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Metrics (How will goals be measured)

Successful selection of a Consultant to Develop the 2021-2025 Strategic Plan for the ADAMHS Board of Cuyahoga County.

Evaluation/ Outcome Data (Actual results from program)

N/A

Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): Request approval by the Board of Directors for the issuance of an RFP Seeking a Consultant for the Development of a 2021-2025 Strategic Plan for the ADAMHS Board of Cuyahoga County.

Approved by the Joint Faith-based Outreach and Planning & Oversight Committee on September 11, 2019.

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CONSENT AGENDA

Resolution Nos. 19-09-04 through No. 19-09-06

RESOLUTION NO. 19-09-04 ACCEPTING THE REPORT OF THE C.E.O. ON EXPENDITURES AND VOUCHERS FOR PAYMENT DURING JULY 2019 AND AUGUST 2019

RESOLUTION NO. 19-09-05 APPROVAL AND RATIFICATION OF CONTRACTS

(As listed on the General Meeting Agenda)

RESOLUTION NO. 19-09-06 APPROVAL OF CONTRACT AMENDMENT AMENDMENT TO RESOLUTION 18-05-04 – OHIOMHAS PASS-THROUGH FUNDING: ADDICTION TREATMENT PROGRAM (ATP)

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ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES BOARD OF CUYAHOGA COUNTY

RESOLUTION NO. 19-09-04

ACCEPTING THE REPORT OF THE CHIEF EXECUTIVE OFFICER

ON EXPENDITURES AND VOUCHERS PROCESSED FOR PAYMENT DURING JULY 2019 AND AUGUST 2019

WHEREAS, the Alcohol, Drug Addiction and Mental Health Services Board of Cuyahoga County (ADAMHS Board) in Resolution No. 18-11-07 appropriated funds for ADAMHS Board operations on a calendar year cycle; and, WHEREAS, the ADAMHS Board has authorized the Chief Executive Officer to disburse funds for the purpose specified in the appropriation; and, WHEREAS, the Chief Executive Officer certified that the vouchers on the attached list which were submitted to County Finance for payment during July 2019 and August 2019 are in conformance with the Board appropriation for CY2019. NOW, THEREFORE, BE IT RESOLVED THAT: 1. The report of the Chief Executive Officer be accepted and recorded in the

minutes. 2. The Chief Executive Officer acted within the authority of the Board Appropriation Resolution in processing the subject vouchers. On the motion of , seconded by , the foregoing resolution was adopted. AYES:

NAYS: ABSTAIN: DATE ADOPTED:

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PERIOD: July 2019 CY 2019

Administrative Budget

(January 1 - December 31, 2019)

Projected 58.33%

Actual 47.96%

Budget Category

CY 2019

Budget

B

u

d

g Jul-19 Y-T-D Balance % Utilized

Salaries:Salaries - Regular (0030) 1,370,000$ 89,295$ 705,582$ 664,418$ 51.50%

Salaries - Part Time (0050) 20,000$ 1,317$ 9,029$ 10,971$ 45.14%

Salaries - Union (0060) 1,615,000$ 102,973$ 758,928$ 856,072$ 46.99%

Subtotal 3,005,000$ 193,584$ 1,473,539$ 1,531,461$ 49.04%

Fringe Benefits: Hospitalization (0152) 665,000$ 40,862$ 296,046$ 368,954$ 44.52%

PERS - Retirement (0155) 426,750$ 26,330$ 197,813$ 228,937$ 46.35%

Medicare (0157) 41,300$ 2,708$ 20,636$ 20,664$ 49.97%

Subtotal 1,133,050$ 69,900$ 514,495$ 618,555$ 45.41%

Operational Expenses:

Commodities:Office Supplies (0201) 5,000$ -$ 1,378$ 3,622$ 27.56%

Copy Supplies (0203) 20,000$ 2,290$ 17,113$ 2,887$ 85.57%

Housekeeping Supplies (0224) 2,000$ -$ 1,040$ 960$ 52.01%

Food Supplies (0226) 10,600$ 206$ 9,240$ 1,360$ 87.17%

Miscellaneous Supplies (0229) 10,500$ -$ 1,231$ 9,269$ 11.72%

Computer Supplies (0289) 33,900$ 313$ 3,174$ 30,726$ 9.36%

Utilities (0341) 68,000$ 6,605$ 39,445$ 28,555$ 58.01%

Subtotal 150,000$ 9,415$ 72,621$ 77,379$ 48.41%

Contracts & Professional Services: Prof & Tech Services - Consultants (0262) 205,000$ 15,945$ 69,967$ 135,033$ 34.13%

Prof & Tech Services - Other (0264) 3,000$ -$ 963$ 2,037$ 32.10%

Contracted Services (0278) 75,000$ 9,065$ 56,685$ 18,315$ 75.58%

Contract Services - Security (0273) 148,500$ 9,503$ 76,355$ 72,145$ 51.42%

Assign Counsel (0280) 110,000$ 5,372$ 56,250$ 53,750$ 51.14%

Tuition Reimbursement (0300) 7,000$ 176$ 3,954$ 3,046$ 56.48%

Liability Insurance & Bond (0327) 60,000$ 15,893$ 22,716$ 37,284$ 37.86%

Bldg. Grounds Maintenance (0361) 18,000$ 618$ 9,570$ 8,430$ 53.17%

Equipment - Contract Maintenance (0363) 20,200$ -$ 5,433$ 14,767$ 26.90%

Office Rent (0391) 382,000$ 31,800$ 222,514$ 159,486$ 58.25%

Subtotal 1,028,700$ 88,371$ 524,408$ 504,292$ 50.98%

Controlled Services: Data Processing 3,000$ -$ -$ 3,000$ 0.00%

Subtotal 3,000$ -$ -$ 3,000$ 0.00%

Equipment Expense Equipment - Lease/Purchase (0726) 20,000$ 2,593$ 12,061$ 7,939$ 60.31%

Computer Equip. & Furniture (0720) 62,500$ 2,155 13,600$ 48,900$ 21.76%

Subtotal 82,500$ 4,748$ 25,661$ 56,839$ 31.10%

Other OperatingPostage (0283) 14,500$ -$ 302$ 14,198$ 2.08%

Telephone (0287) 21,000$ 1,600$ 11,389$ 9,611$ 54.23%

Travel - Duty Related (0305) 40,000$ 3,966$ 13,849$ 26,151$ 34.62%

Travel - Seminars & Conferences (0307) 15,960$ -$ 6,643$ 9,317$ 41.62%

County Printing/Printing (0378/0614) 4,000$ -$ 3,510$ 491$ 87.74%

County Supplies (0370) 3,000$ -$ 834$ 2,166$ 27.81%

Other Expenses (0610) 95,000$ 2,536$ 43,218$ 51,782$ 45.49%

Publications (0611) 750$ -$ -$ 750$ 0.00%

Professional & Membership Dues (0617) 45,000$ 200$ 19,064$ 25,936$ 42.36%

Misc. Chgs & Obligations (0630) 5,000$ -$ -$ 5,000$ 0.00%

Advertising (0654) 34,500$ 6,032$ 14,943$ 19,557$ 43.31%

Subtotal 278,710$ 14,334$ 113,751$ 164,959$ 40.81%

Total 5,680,960$ 380,353$ 2,724,475$ 2,956,485$ 47.96%

PAGE 1

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PERIOD: July 2019 CY 2019

Administrative Budget

(January 1 - December 31, 2019)

Projected 58.33%

Actual 47.96%

Summary Data

CY 2019

Budget Jul-19 Y-T-D Balance % Utilized

Salaries 3,005,000$ 193,584$ 1,473,539$ 1,531,461$ 49.04%

Fringe Benefits 1,133,050$ 69,900$ 514,495$ 618,555$ 45.41%

Subtotal 4,138,050$ 263,485$ 1,988,033$ 2,150,017$ 48.04%

Operational Expenses:

Commodities 150,000$ 9,415$ 72,621$ 77,379$ 48.41%

Contracts & Professional Svc 1,028,700$ 88,371$ 524,408$ 504,292$ 50.98%

Controlled Services 3,000$ -$ -$ 3,000$ 0.00%

Equipment Expense 82,500$ 4,748$ 25,661$ 56,839$ 31.10%

Other Expenses 278,710$ 14,334$ 113,751$ 164,959$ 40.81%

Subtotal 1,542,910$ 116,868$ 736,441$ 806,469$ 47.73%

Grand Total 5,680,960$ 380,353$ 2,724,475 2,956,485 47.96%

PAGE 2

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Description Vendor Name Amount Check Nbr=================================== =================================== ============ =========

CONTRACT OVERAGE 6/2019 ACE A DIVISION OF MERITECH 1,811.71 191410

TONER 7/16/19 ACE A DIVISION OF MERITECH 8.00 191519

TONER 7/24/19 ACE A DIVISION OF MERITECH 8.00 191618

COPY PAPER 7/24/19 VERITIV OPERATING COMPANY 462.70 191616

Total Xerox/Copy Supplies 2,290.41

FOOD FOR ACAC MEETING 6/27/19 DAVES SUPER MARKETS 41.80 191397

FOOD FOR CHIEF CLINCAL MTG 7/2 DAVES SUPER MARKETS 37.05 191613

FOOD SUPPLIES 7/30/19 DAVES SUPER MARKETS 7.38 191613

PURIFIED DRINKING WATER 7/11/1 PURE WATER TECHNOLOGY LLC 119.90 191526

Total Food Supplies 206.13

RESEARCH SOFTWARE 6/2019 LEXISNEXIS 297.00 191409

CREDIT CARD 6/27/19 FIFTH THIRD BANK 16.18 191556

Total Computer Supplies 313.18

ELECTRIC/HVAC 6/2019 UNITED TWENTY FIFTH BUILDING LLC 6,604.80 191525

Total Electric 6,604.80

CONSULTANT 6/23-6/29/19 LESLIE M. KOBLENTZ 2,700.00 191449

CONSULTANT 6/30-7/6/19 LESLIE M. KOBLENTZ 2,700.00 191580

CONSULTANT 7/7-7/20/19 LESLIE M. KOBLENTZ 5,400.00 191501

CONSULTANT 7/21-7/27/19 LESLIE M. KOBLENTZ 2,700.00 191629

SOFTWARE MATTER 6/30/19 CALFEE, HALTER & GRISWOLD LLP 2,375.00 191443

EMPLOYMENT VERIFICATION 7/1/19 SELECTION.COM 69.60 191406

Total Prof/Tech - Consultants 15,944.60

PRESENTATION 6/19/19 JOHN WARD 600.00 191435

PRESENTATION 7/16/19 COMPASS CONSULTING SERVICES LLC 600.00 191524

PRESENTATION 7/18/19 JULIA ELLIFRITT 600.00 191536

PRESENTATION 4/19/19-6/25/19 LIFE RECOVERY MINISTRIES 1,400.00 191609

IMPACT EAP 7/2019 IMPACT SOLUTIONS 300.00 191419

STORAGE 5/29-6/25/19 IRON MOUNTAIN 2,481.33 191398

SHREDDING & MONTHLY FEES 6/2019 IRON MOUNTAIN 417.57 191553

STORAGE 6/26-7/23/19 IRON MOUNTAIN 2,608.25 191614

MOOD MEDIA 8/2019 MOOD MEDIA NORTH AMERICA HOLDINGS 57.41 191517

Total Contractual Services 9,064.56

PAGE 3

BOARD VOUCHER REPORT

7/1/2019 THROUGH 7/31/2019

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Description Vendor Name Amount Check Nbr=================================== =================================== ============ =========

BOARD VOUCHER REPORT

7/1/2019 THROUGH 7/31/2019

SECURITY: ABHS 6/10/19-7/3/19 SAFE CHOICE LLC 3,622.50 191531

SECURITY: ADB 6/26/19-6/26/19 SAFE CHOICE LLC 70.00 191531

SECURITY: SOH 6/10/19-6/24/19 SAFE CHOICE LLC 2,940.00 191447

SECURITY: SOH 6/24/19-7/8/19 SAFE CHOICE LLC 2,870.00 191612

Total Security 9,502.50

CIVIL COMMIT HEAR 6/27-6/27/19 BARRY M. WARD 150.00 191515

EVALUATIONS 6/24-7/2/19 MARY E. SCARFO 324.45 191399

EVALUATIONS 7/10-7/16/19 MARY E. SCARFO 370.80 191516

EVALUATIONS 7/17-7/22/19 MARY E. SCARFO 185.40 191588

EVALUATIONS 7/22-7/25/19 MARY E. SCARFO 417.10 191600

EVALUATIONS 7/2/19 MARY S. JOHNSON 65.92 191412

EVALUATIONS 7/10-7/16/19 MARY S. JOHNSON 131.84 191522

CIVIL COMMIT HEAR 7/12/19 MICHAEL J. EVANS 400.00 191606

HEARINGS 6/15-6/28/19 PAUL M. FRIEDMAN 525.30 191554

HEARINGS 6/3-6/14/19 RONALD C. BALBIER 787.95 191400

HEARINGS 6/17/19-6/28/19 RONALD C. BALBIER 87.55 191555

HEARINGS 6/15-6/28/19 SCOTT J. FRIEDMAN 612.85 191437

HEARINGS 6/17-7/5/19 STEVE W. CANFIL 350.00 191558

HEARINGS 6/17-7/5/19 TED S. FRIEDMAN 963.05 191559

Total Assigned Counsel/Psych Eval 5,372.21

TUITION REIMBURSEMENT LONALYN DECHANT 56.23 191451

TUITION REIMBURSEMENT LONALYN DECHANT 120.08 191451

Total Tuition Reimbursement 176.31

INSURANCE 6/30/19-6/30/20 CHUBB AND SON, FEDERAL INSURANCE CO 15,834.00 191528

INSURANCE 7/18/19 PHILADELPHIA INSURANCE COMPANIES 59.00 191420

Total Liability - Insurance/Bonds 15,893.00

MAT SERVICES 7/1/19 UNIFIRST CORPORATION 225.43 191438

MAT SERVICES 7/15/19 UNIFIRST CORPORATION 196.49 191530

MAT SERVICES 7/29/19 UNIFIRST CORPORATION 196.49 191627

Total Bldgs/Grounds Maint. Repair 618.41

RENT/TAX/INSURANCE 8/2019 UNITED TWENTY FIFTH BUILDING LLC 31,799.88 191525

Total Office Rental 31,799.88

PAGE 4

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Description Vendor Name Amount Check Nbr=================================== =================================== ============ =========

BOARD VOUCHER REPORT

7/1/2019 THROUGH 7/31/2019

LEASING CHARGES 4/30/19-7/29/19 PITNEY BOWES GLOBAL FIN. SER. LLC 1,621.80 191396

COPIER LEASE 7/12/19-8/11/19 DE LAGE LANDEN PUBLIC FINANCE 971.08 191411

Total Equipment - Lease/Purchase 2,592.88

TIMEFORCE 6/2019 CTR EMPLOYEE MANAGEMENT SERVICES IN 140.28 191590

Total Equipment - Office Machines 140.28

COMPUTER SUPPLIES 7/2/19 CDW GOVERNMENT INC 1,682.32 191551

4 Phone Cases - Amazon FIFTH THIRD BANK 109.95 191556

Computer Hardware FIFTH THIRD BANK 222.85 191556

Total Computer Equip - Furniture 2,015.12

FAX2MAIL 6/2019 OPEN TEXT INC 108.00 191574

CELLULAR Exec (7) 6/4 - 7/3/19 VERIZON WIRELESS 290.21 191520

CELLULAR Planning (4) 6/4 - 7/3/19 VERIZON WIRELESS 50.89 191520

CELLULAR Hotspot (2) 6/4 - 7/3/19 VERIZON WIRELESS 203.56 191520

CELLULAR Clinical (1) 6/4 - 7/3/19 VERIZON WIRELESS 58.89 191520

CELLULAR Finance (1) 6/4 - 7/3/19 VERIZON WIRELESS 80.34 191520

PLANS AND SERVICES 6/2019 AT&T 808.22 191492

Total Telephone 1,600.11

Hotel, Parking, Meals Opiate Conf FIFTH THIRD BANK 2,384.36 191556

EXPENSE REPORT BETH ZIETLOW-DEJESUS 551.56 191439

EXPENSE REPORT REGINA SPICER 380.98 191433

EXPENSE REPORT LINDSEY B. MCMILLION 173.77 191444

EXPENSE REPORT JESSICA M. TORRES 141.52 191436

EXPENSE REPORT WILLIAM HEBBLE 124.58 191440

EXPENSE REPORT CARMEN GANDARILLA 94.22 191442

EXPENSE REPORT MYRA HENDERSON 61.26 191518

EXPENSE REPORT MICHAELE SMITH 20.88 191626

EXPENSE REPORT MELENIE COLON 13.60 191565

EXPENSE REPORT CHRIS H. MORGAN 9.74 191605

EXPENSE REPORT YANCEY B QUINN 9.57 191421

Total Trans/Travel Duty Related 3,966.04

PAGE 5

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Description Vendor Name Amount Check Nbr=================================== =================================== ============ =========

BOARD VOUCHER REPORT

7/1/2019 THROUGH 7/31/2019

SPONSORSHIP REGISTRATION THE OHIO STATE UNIVERSITY/COSW 1,000.00 191452

ROOM RENTAL 6/24/19 CUYAHOGA COMMUNITY COLLEGE 627.50 191552

Credit Card Annual Fee FIFTH THIRD BANK 38.00 191556

City Club Event FIFTH THIRD BANK 37.00 191556

Start Meeting FIFTH THIRD BANK 6.95 191556

Service Fees FIFTH THIRD BANK 74.68 191556

Ice Maker & Protection Plan FIFTH THIRD BANK 128.72 191556

BH Redesign Coding Handbook FIFTH THIRD BANK 333.25 191556

PLAQUE 7/2/19 SETTA TROPHY INC 60.00 191523

MONTHLY PARKING COUNTY CHARGE 230.00 CE1900964

Total Other Expenses 2,536.10

ORGANIZATION MEMBERSHIP 2019 NAMI OHIO 200.00 191498

Total Prof Dues & Subscript 200.00

DRUG AWARENESS CAMPAIGN 6/5/19 VOICEITRADIO CORP. 1,500.00 191434

Facebook FIFTH THIRD BANK 224.88 191556

Twitter FIFTH THIRD BANK 86.80 191556

WIX.com FIFTH THIRD BANK 102.00 191556ADVERTISING 7/17/19 LA MEGA MEDIA, INC. 2,500.00 191533

ADVERTISING 7/17/19 PAGE ONE N.A., INC. 200.00 191529

YP ADVERTISING 6/2019 YP LLC 709.00 191428

YP ADVERTISING 7/2019 YP LLC 709.00 191568

Total Advertising 6,031.68

Total Admin. Operational Expenses 116,868.20

PAGE 6

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ADAMHS BOARD OF CUYAHOGA COUNTYINCOME STATEMENT

FOR THE PERIOD 1/1/19 THROUGH 12/31/19

Budget Jan-19 Feb-19 Mar-19 Apr-19 May-19 Jun-19 Jul-19 Total

Beginning Cash Balance 3,000,000 12,998,562 50,196,933 48,313,032 45,242,396 42,602,726 41,215,398 36,974,286 12,998,562

Federal Revenue

Medicaid 1915A Waiver Program - -

Substance Abuse Prevention & Treatment (SAPT) 4,891,942 1,222,986 1,222,986 2,445,971

Substance Abuse Prevention & Treatment Pass Through 2,276,250 210,452 267,452 304,636 181,895 530,311 212,054 32,757 1,739,558

SAPT DYS Aftercare 215,796 - -

Title XX 861,179 208,358 214,198 422,556

Projects Assistance Transition from Homelessness (PATH) 338,339 132,969 75,570 208,539

Mental Health Block Grant 839,814 209,954 209,954 419,907

Opportunities for Ohioans with Disabilities (OOD) - Case Service Contract 689,398 123,121 61,560 61,560 61,560 61,560 61,560 430,922

SAMHSA Federal Grant-AOT 846,689 144,547 144,547

SAMHSA Federal Grant-Jail Diversion 330,000 -

Cures Act 1,375,013 384,109 205,776 353,899 7,699 951,482

State Opioid Response (SOR) Funding 32,987 179,932 212,920

DOJ / BJA Data Grant 310,718 -

Total Federal 12,975,138 418,810 1,956,480 750,305 663,429 2,487,266 281,314 418,796 6,976,402

State Revenue

Mental Health System of Care 405,524 - 101,381 101,381 202,762

Behavioral Health Juvenile Justice 550,000 - 137,500 137,500 275,000

Continuum of Care-Community Investments 1,744,622 - 313,300 313,300 100,000 726,601

Transitional Assertive Community Treatment (ACT) 275,000 68,750 68,750

Early Childhood Mental Health Counseling 441,906 110,477 220,953 331,430

Forensic Monitoring 194,406 - 48,602 48,602 97,203

ATP 1,000,000 - -

AOD Recovery Housing 48,000 - -

AOD Per Capita Treatment 586,004 - 146,501 146,501 293,002

AOD Per Capita Prevention 119,995 - 23,799 23,799 47,598

AOD Pass Through Funding 311,461 51,881 5,947 17,333 84,833 6,250 30,888 6,250 203,383

Casino Gambling Treatment/Prevention 415,215 - 103,804 103,804 207,608

State Legislature New ADAMHS Board Funding 109,961 -

BHCJ Linkage 20,833 20,833 41,666

Community Capitol Replacements 9,922 9,922

Psychotropic Drug Reimbursement for County Jails 7,307 7,307

Multi System Youth 270,723 270,723

Access Success Operating Expenses 12,980 7,488 20,468

Total State Revenue 6,202,094 64,861 1,012,143 312,773 822,219 227,203 289,221 75,000 2,803,421

Local Revenue

Miscellaneous Rents/Misc/Private Grants 200,000 2,670 56,778 4,518 8,084 12,947 16,403 2,865 104,266

Invest in Children (Early Childhood Mental Health) 669,552 334,776 57,762 392,538

CCBDD Revenue 229,925 229,925

Correction Planning Board, Misc County Grants 1,500,000 7,857 68,338 148,106 50,847 55,442 66,160 396,750

Northeast Ohio Regional Collaborative-Lorain County 225,000 975,000 1,200,000

Subtotal Local 2,369,552 345,303 125,116 377,624 295,771 63,795 1,046,845 69,025 2,323,478

HHS Levy Revenue

ADAMHS Levy 39,363,657 39,363,659 39,363,659

Total Local & Levy Revenues 41,733,209 39,708,962 125,116 377,624 295,771 63,795 1,046,845 69,025 41,687,137

-

Grand Total Revenues 60,910,441 40,192,633 3,093,739 1,440,703 1,781,420 2,778,264 1,617,380 562,822 51,466,960

BEGINNING BALANCE & REVENUES

PAGE 7

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ADAMHS BOARD OF CUYAHOGA COUNTYINCOME STATEMENT

FOR THE PERIOD 1/1/19 THROUGH 12/31/19

Expenses Budget Jan-19 Feb-19 Mar-19 Apr-19 May-19 Jun-19 Jul-19 Total

Administrative Expenses

Salaries 216,937 214,998 193,575 195,656 273,887 184,901 193,584 1,473,539

Fringe Benefits 71,187 69,792 68,825 68,757 99,787 66,247 69,900 514,495

Commodities 9,339 10,814 9,404 12,810 11,946 8,895 9,415 72,621

Contracts & Professional Svc 81,331 76,090 63,921 59,059 88,852 66,783 88,371 524,408

County Data Processing -

Equipment Expense 3,919 2,063 1,859 7,245 4,563 1,263 4,748 25,661

Other Expense 12,701 5,720 10,975 8,846 34,342 26,833 14,334 113,751

Total Administrative Expenses 5,680,960 395,415 379,476 348,559 352,373 513,377 354,921 380,353 2,724,475

Direct Service Expenses

Provider Direct Services

MH Residential Services (0522) 318,969 827,255 1,063,919 110,123 1,353,985 68,693 3,742,944

SUD Residential Services (0522) 42,973 570,091 227,835 152,812 327,194 70,993 70,644 1,462,542

Employment Services (0523) 21,349 96,852 107,897 85,949 138,883 224,241 98,539 773,710

Non Medicaid Grants (0524) 488,823 1,455,972 805,159 1,273,150 968,716 1,713,262 835,949 7,541,030

Treatment Services - FFS (0525) 558,119 1,496,428 839,358 373,261 847,552 353,844 280,951 4,749,512

Peer / Family Support (0528) 203,293 161,772 79,751 146,076 204,802 506,675 117,459 1,419,828

Non Medicaid Prevention (0555) 90,665 10,885 103,340 87,090 125,829 162,477 19,172 599,458

Pass Thru Services (0576) 403,610 427,874 230,850 350,354 291,037 591,796 801,900 3,097,422

SUD Non Medicaid Treatment (0577) 46,280 172,057 186,025 82,976 66,640 45,156 36,695 635,830

50,695,284 2,174,080 4,391,933 3,407,470 3,615,587 3,080,776 5,022,428 2,330,001 24,022,276

Other Services

Non Medicaid Wrap Around Support (0587) 224,797 83,968 88,843 80,862 76,421 68,363 121,927 745,181

Wrap Refunds Credited towards Exp (200) (924) (1,629) (9,456) (6,124) (18,333)

Residential Placement Programs - BHJJ (434357-0522) 79,734 8,322 14,457 26,493 785 129,792

Healthcare Management Information System (0263) - 9,430 4,320 84,385 95 95 6,899 105,224

Board Properties - Bldgs & Grounds (0361) 21,190 9,605 30,140 12,282 11,128 19,385 11,800 115,529

Prevention Campaigns (Suicide, Gambling, Heroin, etc.) (0578) - 5,521 5,409 10,930

Other (Client Trg., Drug Court) (0610) 750 110 777 621 906 186 3,350

Evaluations 12,500 12,500

Total Other Services 3,725,000 326,271 107,600 144,234 192,763 86,636 105,786 140,882 1,104,172

OOD - Case Services

Employment Case Services (755900-0278) 26,484 1,096 88,505 94,861 28,515 96,319 27,486 363,266

Mandated Match to OOD (0523) 254,189 254,189

Total OOD - Case Services 1,248,252 26,484 1,096 342,695 94,861 28,515 96,319 27,486 617,455

Federal Grants

SAMHSA AOT (759118-0278) 1,926 2,802 81,842 55,701 125,823 77,464 2,663 348,222

SAMHSA Jail Diversion -

State Opioid Response (SOR) 49,747 163,173 239,709 452,628

DOJ/BJA Comprehensive Opiate Abuse Grant 22,812 22,812

DOJ COAP Grant 6,114 38,401 17,144 61,659

Cures Act (759514-0577) 70,086 94,733 186,538 86,993 274,605 - 712,955

Total Federal Grants 2,560,945 72,012 97,534 268,380 165,506 456,289 279,038 259,516 1,598,275

Grand Total Expenses 63,910,441 2,994,262 4,977,639 4,511,339 4,421,090 4,165,593 5,858,492 3,138,238 30,066,653

Revenues - Expenses + Beginning Balance - 50,196,933 48,313,032 45,242,396 42,602,726 41,215,398 36,974,286 34,398,869 34,398,869

PAGE 8

EXPENSES & ENDING BALANCE

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CY 2019

AssetsCurrent assets:

Cash $34,398,869

Pre-paid expenses 22,827Accounts Receivable - Due from Federal, State & County 214,198

Total current assets $34,635,894

Fixed assets:

Furniture and equipment, net $71,748Land - Bradley Manor 94,000

Land - Euclid Avenue 64,500

Land - W. 81st Street 19,200Land - Lakeshore Blvd. 5,333

Land - Bernard Avenue 875

Buildings - Bradley Manor, net 90,886

Buildings - Euclid Avenue, net 66,347

Buildings - W. 81st Street, net 21,965

Buildings - Lakeshore Blvd., net 21,173

Buildings - Bernard Avenue, net 3,749

Net fixed assets $459,775

Total Assets $35,095,668

Liabilities and Net AssetsCurrent liabilities:

Accounts payable - Estimated Due to Service Providers $7,565,078

Accrued wages:

Accrued Personal Days 17,848

Accrued Sick Time 69,741

Accrued Vacation 323,287

Accrued Compensatory Time 11,466

Accrued Payroll / Fringe Benefits 106,313

Long term liabilities:

ODMH Forgivable Mortgage - Euclid Avenue 198,621

ODMH Forgivable Mortgage - W. 81st. Street 17,174

ODMH Forgivable Mortgage - Lakeshore Blvd. 101,544

ODMH Forgivable Mortgage - Bernard Avenue 46,012

Total liabilities $8,457,084

Net assets:

Unassigned: $1,353,783

Nonspendable:

Prepaid Expenses 11,301

Restricted:

State, Federal, Local - Advance Receipt of Resources 25,273,500

Total Net assets $26,638,585

Total Liabilities and Net Assets $35,095,668

Balance SheetAlcohol, Drug Addiction & Mental Health Services Board

July 31, 2019

PAGE 9

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Other Properties:

Amount Vendor Description

8315 Detroit Ave. - EDEN

Routine: $0.00 Guardian Alarm (ADS) Security.

$668.84 City of Cleveland Water/NEORSD Water/Sewer charges.

$1,083.33 Iluminating Co. Electric.

$81.88 Dominion East Ohio Gas.

$487.92 Allied Waste Services (Republic) Trash removal.$0.00 Anthony Henderson Yardwork.

C.C. Mitchell Air conditioners, dishwashers.

Sub Total $2,321.97

Non Routine:

Sub Total $0.00

Total July $2,321.97

EDEN - W. 117th Street (Future Directions & Living Miracles)

$0.00 EDEN Consumer Operated Services W. 117th

Total July $0.00

Total July $2,321.97

Calendar Year 2019 YTD: $53,367.84

ALCOHOL, DRUG ADDICTION & MENTAL HEALTH SERVICES BOARD

Other Properties

Calendar Year 2019

For the Period July 1, 2019 through July 31, 2019

PAGE 10

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Amount Vendor Description

$0.00 City of Cleveland Building Dept. Annual elevator inspection.

Routine: $453.87 City of Cleveland Water/NEORSD Water/Sewer charges.

$111.77 Dominion East Ohio Gas

$1,328.22 Allied Waste Services (Republic) Trash removal.

$110.25 Guardian Alarm (ADS) Security.

$886.68 Iluminating Co. Electric.

$222.66 AT&T Phone service.$0.00 Waste Services (Republic) Trash removal.

Sub Total $3,113.45

Non Routine:

Sub Total $0.00

Total July $3,113.45

Y-T-D Total $22,615.72

25540 Euclid Property

Routine: $460.92 Waste Management Trash removal.

$100.00 Allied Exterminators Pest control.

$523.92 Iluminating Co. Electric.

$94.50 Guardian Alarm (ADS) Security

$221.18 City of Cleveland Water/NEORSD Water/Sewer charges.

Sub Total $1,400.52$0.00 Republic and Waste Mgt. Trash removal.

Non Routine: $0.00 EDEN, INC. (Reimbursements) Sidewalk/Driveway Repairs

Sub Total $0.00

Total July $1,400.52

Y-T-D Total $8,056.53

1466 W. 81st Property

Routine: $312.07 City of Cleveland Water/NEORSD Water/Sewer charges.

$309.19 Iluminating Co. Electric.

$167.87 Dominion East Ohio Gas.

$953.09 Waste Services (Republic) Trash removal.

$94.50 Guardian Alarm (ADS) Security

$321.86 AT&T Phone service.

Sub Total $2,158.58

Non Routine:

Sub Total $0.00

Total July $2,158.58

Y-T-D Total $17,209.74

10229 Bernard Ave

Routine: $209.39 City of Cleveland Water/NEORSD Water/Sewer charges.

Sub Total $209.39

Non Routine:

Sub Total $0.00

Total July $209.39

Y-T-D Total $1,786.98

18464 Lakeshore Blvd.

Routine: $662.31 Cleveland Public Power Electric.

$44.17 Dominion East Ohio Gas.

$113.76 City of Cleveland Water/NEORSD Water/Sewer charges.

$135.48 Guardian Alarm (ADS) Security

$583.96 Waste Services (Republic) Trash removal.

$417.54 AT&T Phone service.

Sub Total $1,957.22

Non Routine: $0.00 City of Cleveland Build./Housing Rental Registration

Sub Total $0.00

Total July $1,957.22

Y-T-D Total $9,154.77

Seasons of Hope 1339 E. 112th

Routine: $230.67 City of Cleveland Water/NEORSD Water/Sewer charges.

$43.27 Dominion East Ohio Gas.

$365.07 Cleveland Public Power Electric.

Sub Total $639.01

Non Routine: .

Sub Total $0.00

Total July $639.01

Y-T-D Total $3,337.29

ALCOHOL, DRUG ADDICTION & MENTAL HEALTH SERVICES BOARD

Board Owned Properites - Calendar Year 2019

For the Period July 1, 2019 through July 31, 2019

PAGE 11

Bradley Manor Property 3234 West Blvd

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PERIOD: August 2019 CY 2019

Administrative Budget

(January 1 - December 31, 2019)

Projected 66.67%

Actual 55.38%

Budget Category

CY 2019

Budget Aug-19 Y-T-D Balance % Utilized

Salaries:Salaries - Regular (0030) 1,370,000$ 95,187$ 800,769$ 569,231$ 58.45%

Salaries - Part Time (0050) 20,000$ 1,017$ 10,046$ 9,954$ 50.23%

Salaries - Union (0060) 1,615,000$ 103,106$ 862,034$ 752,966$ 53.38%

Subtotal 3,005,000$ 199,310$ 1,672,849$ 1,332,151$ 55.67%

Fringe Benefits: Hospitalization (0152) 665,000$ 39,166$ 335,212$ 329,788$ 50.41%

PERS - Retirement (0155) 426,750$ 26,697$ 224,510$ 202,240$ 52.61%

Medicare (0157) 41,300$ 2,795$ 23,431$ 17,869$ 56.73%

Subtotal 1,133,050$ 68,658$ 583,153$ 549,897$ 51.47%

Operational Expenses:

Commodities:Office Supplies (0201) 5,000$ 701$ 2,079$ 2,921$ 41.58%

Copy Supplies (0203) 26,550$ 2,036$ 19,150$ 7,400$ 72.13%

Housekeeping Supplies (0224) 2,000$ 333$ 1,373$ 627$ 68.64%

Food Supplies (0226) 16,350$ 2,472$ 11,712$ 4,638$ 71.63%

Miscellaneous Supplies (0229) 7,000$ -$ 1,231$ 5,769$ 17.58%

Computer Supplies (0289) 25,100$ 500$ 3,674$ 21,426$ 14.64%

Utilities (0341) 68,000$ 7,386$ 46,831$ 21,169$ 68.87%

Subtotal 150,000$ 13,428$ 86,050$ 63,950$ 57.37%

Contracts & Professional Services: Prof & Tech Services - Consultants (0262) 203,000$ 16,167$ 86,134$ 116,866$ 42.43%

Prof & Tech Services - Other (0264) 2,000$ -$ 963$ 1,037$ 48.15%

Contracted Services (0278) 77,000$ 6,413$ 63,098$ 13,902$ 81.95%

Contract Services - Security (0273) 148,500$ 8,934$ 85,289$ 63,211$ 57.43%

Assign Counsel (0280) 110,000$ 9,623$ 65,873$ 44,127$ 59.88%

Tuition Reimbursement (0300) 7,000$ -$ 3,954$ 3,046$ 56.48%

Liability Insurance & Bond (0327) 69,000$ 44,614$ 67,330$ 1,670$ 97.58%

Bldg. Grounds Maintenance (0361) 18,000$ 530$ 10,100$ 7,900$ 56.11%

Equipment - Contract Maintenance (0363) 12,200$ -$ 5,433$ 6,767$ 44.53%

Office Rent (0391) 382,000$ 31,800$ 254,314$ 127,686$ 66.57%

Subtotal 1,028,700$ 118,080$ 642,487$ 386,213$ 62.46%

Controlled Services: Data Processing 3,000$ -$ -$ 3,000$ 0.00%

Subtotal 3,000$ -$ -$ 3,000$ 0.00%

Equipment Expense Equipment - Lease/Purchase (0726) 20,000$ 971$ 13,033$ 6,967$ 65.16%

Computer Equip. & Furniture (0720) 62,500$ 3,386$ 16,986$ 45,514$ 27.18%

Subtotal 82,500$ 4,357$ 30,018$ 52,482$ 36.39%

Other OperatingPostage (0283) 14,500$ -$ 302$ 14,198$ 2.08%

Telephone (0287) 21,000$ 1,704$ 13,092$ 7,908$ 62.34%

Travel - Duty Related (0305) 40,000$ 2,067$ 15,916$ 24,084$ 39.79%

Travel - Seminars & Conferences (0307) 15,960$ 1,645$ 8,288$ 7,672$ 51.93%

County Printing/Printing (0378/0614) 4,000$ -$ 3,510$ 491$ 87.74%

County Supplies (0370) 3,000$ -$ 834$ 2,166$ 27.81%

Other Expenses (0610) 95,000$ 5,090$ 48,308$ 46,692$ 50.85%

Publications (0611) 750$ -$ -$ 750$ 0.00%

Professional & Membership Dues (0617) 45,000$ 6,400$ 25,464$ 19,536$ 56.59%

Misc. Chgs & Obligations (0630) 5,000$ -$ -$ 5,000$ 0.00%

Advertising (0654) 34,500$ 837$ 15,780$ 18,720$ 45.74%

Subtotal 278,710$ 17,744$ 131,495$ 147,215$ 47.18%

Total 5,680,960$ 421,577$ 3,146,052$ 2,534,908$ 55.38%

PAGE 1

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PERIOD: August 2019 CY 2019

Administrative Budget

(January 1 - December 31, 2019)

Projected 66.67%

Actual 55.38%

Summary Data

CY 2019

Budget Aug-19 Y-T-D Balance % Utilized

Salaries 3,005,000$ 199,310$ 1,672,849$ 1,332,151$ 55.67%

Fringe Benefits 1,133,050$ 68,658$ 583,153$ 549,897$ 51.47%

Subtotal 4,138,050$ 267,968$ 2,256,002$ 1,882,048$ 54.52%

Operational Expenses:

Commodities 150,000$ 13,428$ 86,050$ 63,950$ 57.37%

Contracts & Professional Svc 1,028,700$ 118,080$ 642,487$ 386,213$ 62.46%

Controlled Services 3,000$ -$ -$ 3,000$ 0.00%

Equipment Expense 82,500$ 4,357$ 30,018$ 52,482$ 36.39%

Other Expenses 278,710$ 17,744$ 131,495$ 147,215$ 47.18%

Subtotal 1,542,910$ 153,609$ 890,050$ 652,860$ 57.69%

Grand Total 5,680,960$ 421,577$ 3,146,052 2,534,908 55.38%

PAGE 2

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Description Vendor Name Amount Check Nbr=================================== =================================== ============ =========

OFFICE SUPPLIES 7/24/19 W.B. MASON CO., INC. 39.50 191686

OFFICE SUPPLIES 8/13/19 W.B. MASON CO., INC. 24.91 191801

OFFICE SUPPLIES 8/7/19 W.B. MASON CO., INC. 15.77 191767

TONER 8/21/19 QUALITY RIBBONS & SUPPLIES, CO 184.00 191789

Staples FIFTH THIRD BANK 17.16 191706

Office Supplies County Charge 133.88 JA1901706

Office Supplies County Charge 286.09 JA1900641

Total Office Supplies 701.31

CONTRACT OVERAGE 7/2/19-8/1/19 ACE A DIVISION OF MERITECH 2,036.39 191719

Total Xerox/Copy Supplies 2,036.39

JANITORIAL SUPPLIES 7/25/19 THE HOME DEPOT PRO/SUPPLYWORKS 101.90 191657

JANITORIAL SUPPLIES 8/6/19 THE HOME DEPOT PRO/SUPPLYWORKS 230.66 191788

Total Housekeeping Supplies 332.56

CAKE FOR MEETING 7/31/19 DAVES SUPER MARKETS 49.99 191639

FOOD SUPPLIES 8/16/19 W.B. MASON CO., INC. 64.05 191832

PEER SUPPORT 8/5/19 DAVES SUPER MARKETS 51.29 191639

PEER SUPPORT 8/5/19-8/9/19 HELP FOUNDATION INC 1,813.55 191699

PEER SUPPORT 8/6/19 DAVES SUPER MARKETS 53.98 191639

PEER SUPPORT 8/7/19 DAVES SUPER MARKETS 53.98 191639

PEER SUPPORT 8/8/19 DAVES SUPER MARKETS 51.29 191710

PEER SUPPORT 8/9/19 DAVES SUPER MARKETS 53.98 191710

ACAC Meeting 6/27 FIFTH THIRD BANK 120.13 191706

Daves - All Staff Meeting 7/10 FIFTH THIRD BANK 39.99 191706

PURIFIED DRINKING WATER 8/11 PURE WATER TECHNOLOGY LLC 119.90 191762

Total Food Supplies 2,472.13

Amazon FIFTH THIRD BANK 202.82 191706

RESEARCH SOFTWARE 7/2019 LEXISNEXIS 297.00 191653

Total Computer Supplies 499.82

ELECTRIC/HVAC 7/2019 UNITED TWENTY FIFTH BUILDING LLC 7,386.28 191761

Total Electric 7,386.28

PAGE 3

BOARD VOUCHER REPORT

8/1/2019 THROUGH 8/31/2019

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Description Vendor Name Amount Check Nbr=================================== =================================== ============ =========

BOARD VOUCHER REPORT

8/1/2019 THROUGH 8/31/2019

CONSULTANT 5/10-7/31/19 JEFFREY DAVID JOHNSON 5,021.50 191705

CONSULTANT 7/28-8/3/19 LESLIE M. KOBLENTZ 2,700.00 191700

CONSULTANT 8/4-8/10/19 LESLIE M. KOBLENTZ 2,700.00 191743

CONSULTANT 8/11-8/17/19 LESLIE M. KOBLENTZ 2,700.00 191806

CONSULTANT 8/18-8/24/19 LESLIE M. KOBLENTZ 2,700.00 191836

CONSULTANT 7/9-8/2/19 JAMES J. HAILEY 345.00 191701

Total Prof/Tech - Consultants 16,166.50

Survey Monkey FIFTH THIRD BANK 3,304.80 191706

PHOTOGRAPHY, VIDEO 6/3 & 7/25 WAKE UP CALL COMMUNICATIONS 1,750.00 191673

PRESENTATION 8/29/19 SIMERA CONSULTING 600.00 191849

IMPACT EAP 8/2019 IMPACT SOLUTIONS 300.00 191661

SHREEDDING 6/26/19-7/23/19 IRON MOUNTAIN 88.99 191641

MONTHLY FEES 7/2019 IRON MOUNTAIN 312.00 191711

MOOD MEDIA 9/2019 MOOD MEDIA NORTH AMERICA HOLDINGS 57.41 191784

Total Contractual Services 6,413.20

SECURITY: ABHS 7/8/19-7/19/19 SAFE CHOICE LLC 1,977.50 191742

SECURITY: ABHS 7/22/19-8/2/19 SAFE CHOICE LLC 2,012.50 191742

SECURITY: ABHS 8/5/19-8/16/19 SAFE CHOICE LLC 2,003.75 191835

SECURITY: SOH 7/8/19-7/14/19 SAFE CHOICE LLC 2,940.00 191742

Total Security 8,933.75

EVALUATIONS 7/31/19 MARY E. SCARFO 46.35 191643

EVALUATIONS 8/4/19 MARY E. SCARFO 162.22 191643

EVALUATIONS 8/7-8/10/19 MARY E. SCARFO 278.10 191712

EVALUATIONS 8/11-8/14/19 MARY E. SCARFO 185.40 191752

EVALUATIONS 8/18-8/22/19 MARY E. SCARFO 185.40 191783

EVALUATIONS 8/26/19 MARY E. SCARFO 46.35 191815

EVALUATIONS 8/28/19 MARY E. SCARFO 46.35 191841

EVALUATIONS 7/30-8/8/19 MARY S. JOHNSON 173.80 191721

EVALUATIONS 8/15-8/18/19 MARY S. JOHNSON 181.79 191787

HEARINGS 6/29-7/26/19 PAUL M. FRIEDMAN 1,413.20 191713

HEARINGS 7/27-8/9/19 PAUL M. FRIEDMAN 950.20 191816

HEARINGS 7/5-7/25/19 RONALD C. BALBIER 1,050.60 191714

HEARINGS 7/29-8/9/19 RONALD C. BALBIER 525.30 191817

HEARINGS 6/29-7/26/19 SCOTT J. FRIEDMAN 787.95 191738

HEARINGS 7/27-8/9/19 SCOTT J. FRIEDMAN 437.75 191833

HEARINGS 7/10-7/29/19 STEVE W. CANFIL 437.75 191718

HEARINGS 8/9-8/21/19 STEVE W. CANFIL 612.85 191821

HEARINGS 7/8-8/1/19 TED S. FRIEDMAN 1,225.70 191720

HEARINGS 8/5-8/16/19 TED S. FRIEDMAN 875.50 191822

Total Assigned Counsel/Psych Eval 9,622.56

PAGE 4

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Description Vendor Name Amount Check Nbr=================================== =================================== ============ =========

BOARD VOUCHER REPORT

8/1/2019 THROUGH 8/31/2019

INSURANCE 6/30/19-6/30/20 PHILADELPHIA INSURANCE COMPANIES 44,614.00 191662

Total Liability - Insurance/Bonds 44,614.00

WORK ORDER 7/26/19 UNITED TWENTY FIFTH BUILDING LLC 100.48 191670

MAT SERVICES 8/12/19 UNIFIRST CORPORATION 214.63 191768

MAT SERVICES 8/26/19 UNIFIRST CORPORATION 214.63 191834

Total Bldgs/Grounds Maint. Repair 529.74

RENT/TAX/INSURANCE 9/2019 UNITED TWENTY FIFTH BUILDING LLC 31,799.88 191761

Total Office Rental 31,799.88

COPIER LEASE 8/12/19-9/11/19 DE LAGE LANDEN PUBLIC FINANCE 971.08 191654

Total Equipment - Lease/Purchase 971.08

TIMEFORCE 7/2019 CTR EMPLOYEE MANAGEMENT SERVICES IN 136.94 191843

Total Equipment - Office Machines 136.94

COMPUTER EQUIPMENT 7/29/19 CDW GOVERNMENT INC 2,600.00 191638

Amazon Laptop & Hard Drives (2) FIFTH THIRD BANK 648.90 191706

Total Computer Equip - Furniture 3,248.90

FAX2MAIL 7/2019 OPEN TEXT INC 108.00 191683

CELLULAR Exec (5) 7/4 - 8/3/19 VERIZON WIRELESS 290.81 191755

CELLULAR Finance (1) 7/4 - 8/3/19 VERIZON WIRELESS 50.89 191755

CELLULAR Planning (5) 7/4 - 8/3/19 VERIZON WIRELESS 298.40 191755

CELLULAR Clinical (1) 7/4 - 8/3/19 VERIZON WIRELESS 58.89 191755

CELLULAR Hotspot (2) 7/4 - 8/3/19 VERIZON WIRELESS 80.34 191755

PLANS AND SERVICES 7/2019 AT&T 816.24 191715

Total Telephone 1,703.57

FIRST AID TRAINING MILE-PARKING CARMEN GANDARILLA 723.86 191693

HAMPTON HOTEL 6/24 FIFTH THIRD BANK 321.64 191706

EXPENSE REPORT LESHIA YARBROUGH 312.68 191642

EXPENSE REPORT 6 & 7/2019 JOHN F. COLEMAN 260.65 191782

EXPENSE REPORT MADISON SCAGNETTI 147.00 191803

OACBHA EXEC. COUNCIL RETREAT FIFTH THIRD BANK 112.10 191706

EXPENSE REPORT JACOB STEVEN ROSEBROCK 56.98 191774

SHUTTLE EXPRESS - TRANSPORTATION FIFTH THIRD BANK 50.90 191706

EXPENSE REPORT 7/2019 CARMEN GANDARILLA 37.90 191693

EXPENSE REPORT LAVEDIA SMITH 20.00 191773

EXPENSE REPORT MELENIE COLON 12.60 191707

PAGE 5

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Description Vendor Name Amount Check Nbr=================================== =================================== ============ =========

BOARD VOUCHER REPORT

8/1/2019 THROUGH 8/31/2019

PARKING FIFTH THIRD BANK 11.00 191706

Total Trans/Travel Duty Related 2,067.31

Garrison & Associates FIFTH THIRD BANK 145.00 191706

OHIO'S RECOVERY CONFERENCE 2019 OACBHA FOUNDATION 1,500.00 191820

Total Trans/Travel Conferences 1,645.00

Start Meeting FIFTH THIRD BANK 6.95 191706

MONTHLY PARKING COUNTY CHARGE 230.00 CD1905161

BACKUP GENERATOR MAINT. AGREE. 2 YRS. DC GROUP INC 4,853.48 PV1919100

Total Other Expenses 5,090.43

National Council for BH Membership Dues FIFTH THIRD BANK 4,400.00 191706

MEMBERSHIP DUES 2019 MENTAL HEALTH & ADDICT ADVOCACY COA 2,000.00 191799

Total Prof Dues & Subscript 6,400.00

Facebook FIFTH THIRD BANK 100.49 191706

Twitter FIFTH THIRD BANK 27.90 191706

ADVERTISING 8/2019 YP LLC 709.00 191729

Total Advertising 837.39

153,608.74

-

Total Admin. Operational Expenses 153,608.74

PAGE 6

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ADAMHS BOARD OF CUYAHOGA COUNTYINCOME STATEMENT

FOR THE PERIOD 1/1/19 THROUGH 12/31/19

Budget Jan-19 Feb-19 Mar-19 Apr-19 May-19 Jun-19 Jul-19 Aug-19 Total

Beginning Cash Balance 3,000,000 12,998,562 50,196,933 48,313,032 45,242,396 42,602,726 41,215,398 36,974,286 34,398,869 12,998,562

Federal Revenue

Medicaid 1915A Waiver Program - -

Substance Abuse Prevention & Treatment (SAPT) 4,891,942 1,222,986 1,222,986 2,445,971

Substance Abuse Prevention & Treatment Pass Through 2,276,250 210,452 267,452 304,636 181,895 530,311 212,054 32,757 306,151 2,045,709

SAPT DYS Aftercare 215,796 - -

Title XX 861,179 208,358 214,198 214,198 636,754

Projects Assistance Transition from Homelessness (PATH) 338,339 132,969 75,570 123,113 331,652

Mental Health Block Grant 839,814 209,954 209,954 419,907

Opportunities for Ohioans with Disabilities (OOD) - Case Service Contract 689,398 123,121 61,560 61,560 61,560 61,560 61,560 430,922

SAMHSA Federal Grant-AOT 846,689 144,547 144,547

SAMHSA Federal Grant-Jail Diversion 330,000 -

Cures Act 1,375,013 384,109 205,776 353,899 7,699 951,482

State Opioid Response (SOR) Funding 32,987 179,932 360,557 573,476

DOJ / COAP 310,718 116,249 116,249

Total Federal 12,975,138 418,810 1,956,480 750,305 663,429 2,487,266 281,314 418,796 1,120,269 8,096,671

State Revenue

Mental Health System of Care 405,524 - 101,381 101,381 101,381 304,143

Behavioral Health Juvenile Justice 550,000 - 137,500 137,500 - 275,000

Continuum of Care-Community Investments 1,744,622 - 313,300 313,300 100,000 726,601

Transitional Assertive Community Treatment (ACT) 275,000 68,750 68,750 137,500

Early Childhood Mental Health Counseling 441,906 110,477 220,953 331,430

Forensic Monitoring 194,406 - 48,602 48,602 48,602 145,805

ATP 1,000,000 - 81,250 81,250

AOD Recovery Housing 48,000 - 22,950 22,950

Specialized Docket Support-Drug Courts 290,000 290,000

Evidence Based Prevention 24,800 24,800

AOD Per Capita Treatment 586,004 - 146,501 146,501 146,501 439,503

AOD Per Capita Prevention 119,995 - 23,799 23,799 23,799 71,396

AOD Pass Through Funding 311,461 51,881 5,947 17,333 84,833 6,250 30,888 6,250 203,383

Casino Gambling Treatment/Prevention 415,215 - 103,804 103,804 103,804 311,411

State Legislature New ADAMHS Board Funding 109,961 -

BHCJ Linkage 20,833 20,833 20,833 62,500

Community Capitol Replacements 9,922 9,922

Psychotropic Drug Reimbursement for County Jails 7,307 7,307

Multi System Youth 270,723 270,723

Access Success Operating Expenses 12,980 7,488 23,568 44,036

Total State Revenue 6,202,094 64,861 1,012,143 312,773 822,219 227,203 289,221 75,000 956,237 3,759,658

Local Revenue

Miscellaneous Rents/Misc/Private Grants 200,000 2,670 56,778 4,518 8,084 12,947 16,403 2,865 6,481 110,747

Invest in Children (Early Childhood Mental Health) 669,552 334,776 57,762 167,388 559,926

CCBDD Revenue 229,925 229,925

Correction Planning Board, Misc County Grants 1,500,000 7,857 68,338 148,106 50,847 55,442 66,160 396,750

Northeast Ohio Regional Collaborative-Lorain County 225,000 975,000 1,200,000

Subtotal Local 2,369,552 345,303 125,116 377,624 295,771 63,795 1,046,845 69,025 173,869 2,497,347

HHS Levy Revenue

ADAMHS Levy 39,363,657 39,363,659 39,363,659

Total Local & Levy Revenues 41,733,209 39,708,962 125,116 377,624 295,771 63,795 1,046,845 69,025 173,869 41,861,006

-

Grand Total Revenues 60,910,441 40,192,633 3,093,739 1,440,703 1,781,420 2,778,264 1,617,380 562,822 2,250,375 53,717,335

BEGINNING BALANCE & REVENUES

PAGE 7

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ADAMHS BOARD OF CUYAHOGA COUNTYINCOME STATEMENT

FOR THE PERIOD 1/1/19 THROUGH 12/31/19

Expenses Budget Jan-19 Feb-19 Mar-19 Apr-19 May-19 Jun-19 Jul-19 Aug-19 Total

Administrative Expenses

Salaries 216,937 214,998 193,575 195,656 273,887 184,901 193,584 199,310 1,672,849

Fringe Benefits 71,187 69,792 68,825 68,757 99,787 66,247 69,900 68,658 583,153

Commodities 9,339 10,814 9,404 12,810 11,946 8,895 9,415 13,428 86,050

Contracts & Professional Svc 81,331 76,090 63,921 59,059 88,852 66,783 88,371 118,080 642,487

County Data Processing -

Equipment Expense 3,919 2,063 1,859 7,245 4,563 1,263 4,748 4,357 30,018

Other Expense 12,701 5,720 10,975 8,846 34,342 26,833 14,334 17,744 131,495

Total Administrative Expenses 5,680,960 395,415 379,476 348,559 352,373 513,377 354,921 380,353 421,577 3,146,052

Direct Service Expenses

Provider Direct Services

MH Residential Services (0522) 318,969 827,255 1,063,919 110,123 1,353,985 68,693 455,205 4,198,148

SUD Residential Services (0522) 42,973 570,091 227,835 152,812 327,194 70,993 70,644 133,827 1,596,369

Employment Services (0523) 21,349 96,852 107,897 85,949 138,883 224,241 98,539 12,457 786,167

Non Medicaid Grants (0524) 488,823 1,455,972 805,159 1,273,150 968,716 1,713,262 835,949 720,408 8,261,439

Treatment Services - FFS (0525) 558,119 1,496,428 839,358 373,261 847,552 353,844 280,951 660,799 5,410,311

Peer / Family Support (0528) 203,293 161,772 79,751 146,076 204,802 506,675 117,459 214,459 1,634,287

Non Medicaid Prevention (0555) 90,665 10,885 103,340 87,090 125,829 162,477 19,172 171,371 770,830

Pass Thru Services (0576) 403,610 427,874 230,850 350,354 291,037 591,796 801,900 636,931 3,734,353

SUD Non Medicaid Treatment (0577) 46,280 172,057 186,025 82,976 66,640 45,156 36,695 10,251 646,080

50,695,284 2,174,080 4,391,933 3,407,470 3,615,587 3,080,776 5,022,428 2,330,001 3,015,708 27,037,984

Other Services

Non Medicaid Wrap Around Support (0587) 224,797 83,968 88,843 80,862 76,421 68,363 121,927 68,704 813,885

Wrap Refunds Credited towards Exp (200) (924) (1,629) (9,456) (6,124) (625) (18,958)

Residential Placement Programs - BHJJ (434357-0522) 79,734 8,322 14,457 26,493 785 129,792

Healthcare Management Information System (0263) - 9,430 4,320 84,385 95 95 6,899 95 105,319

Board Properties - Bldgs & Grounds (0361) 21,190 9,605 30,140 12,282 11,128 19,385 11,800 27,654 143,182

Prevention Campaigns (Suicide, Gambling, Heroin, etc.) (0578) - 5,521 5,409 6,975 17,905

Other (Client Trg., Drug Court) (0610) 750 110 777 621 906 186 10,993 14,343

Evaluations 12,500 12,500

Total Other Services 3,725,000 326,271 107,600 144,234 192,763 86,636 105,786 140,882 113,796 1,217,968

OOD - Case Services

Employment Case Services (755900-0278) 26,484 1,096 88,505 94,861 28,515 96,319 27,486 95,538 458,804

Mandated Match to OOD (0523) 254,189 254,189

Total OOD - Case Services 1,248,252 26,484 1,096 342,695 94,861 28,515 96,319 27,486 95,538 712,993

Federal Grants

SAMHSA AOT (759118-0278) 1,926 2,802 81,842 55,701 125,823 77,464 2,663 60,657 408,879

SAMHSA Jail Diversion 47,097 47,097

State Opioid Response (SOR) 49,747 163,173 239,709 130,663 583,291

DOJ/BJA Comprehensive Opiate Abuse Grant 22,812 22,812

DOJ COAP Grant 6,114 38,401 17,144 40,612 102,270

Cures Act (759514-0577) 70,086 94,733 186,538 86,993 274,605 - 712,955

Total Federal Grants 2,560,945 72,012 97,534 268,380 165,506 456,289 279,038 259,516 279,029 1,877,305

Grand Total Expenses 63,910,441 2,994,262 4,977,639 4,511,339 4,421,090 4,165,593 5,858,492 3,138,238 3,925,648 33,992,302

Revenues - Expenses + Beginning Balance - 50,196,933 48,313,032 45,242,396 42,602,726 41,215,398 36,974,286 34,398,869 32,723,596 32,723,596

PAGE 8

EXPENSES & ENDING BALANCE

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CY 2019

AssetsCurrent assets:

Cash $32,723,596

Pre-paid expenses 61,343Accounts Receivable - Due from Federal, State & County 214,198

Total current assets $32,999,137

Fixed assets:

Furniture and equipment, net $71,748Land - Bradley Manor 94,000

Land - Euclid Avenue 64,500

Land - W. 81st Street 19,200Land - Lakeshore Blvd. 5,333

Land - Bernard Avenue 875

Buildings - Bradley Manor, net 90,103

Buildings - Euclid Avenue, net 66,110

Buildings - W. 81st Street, net 21,207

Buildings - Lakeshore Blvd., net 21,086

Buildings - Bernard Avenue, net 3,733

Net fixed assets $457,896

Total Assets $33,457,033

Liabilities and Net AssetsCurrent liabilities:

Accounts payable - Estimated Due to Service Providers $5,975,078

Accrued wages:

Accrued Personal Days 16,063

Accrued Sick Time 62,767

Accrued Vacation 290,958

Accrued Compensatory Time 10,319

Accrued Payroll / Fringe Benefits 138,737

Long term liabilities:

ODMH Forgivable Mortgage - Euclid Avenue 197,921

ODMH Forgivable Mortgage - W. 81st. Street 16,637

ODMH Forgivable Mortgage - Lakeshore Blvd. 101,155

ODMH Forgivable Mortgage - Bernard Avenue 45,835

Total liabilities $6,855,472

Net assets:

Unassigned: $1,316,759

Nonspendable:

Prepaid Expenses 11,301

Restricted:

State, Federal, Local - Advance Receipt of Resources 25,273,500

Total Net assets $26,601,560

Total Liabilities and Net Assets $33,457,033

Balance SheetAlcohol, Drug Addiction & Mental Health Services Board

August 31, 2019

PAGE 9

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Other Properties:

Amount Vendor Description

8315 Detroit Ave. - EDEN

Routine: $0.00 Guardian Alarm (ADS) Security.

$598.00 City of Cleveland Water/NEORSD Water/Sewer charges.

$2,623.14 Iluminating Co. Electric.

$75.51 Dominion East Ohio Gas.

$243.96 Allied Waste Services (Republic) Trash removal.$0.00 Anthony Henderson Yardwork.

C.C. Mitchell Air conditioners, dishwashers.

Sub Total $3,540.61

Non Routine:

Sub Total $0.00

Total August $3,540.61

EDEN - W. 117th Street (Future Directions & Living Miracles)

$16,259.76 EDEN Consumer Operated Svcs W.117th 4 Months

Total August $16,259.76

Total August $19,800.37

Calendar Year 2019 YTD: $73,168.21

ALCOHOL, DRUG ADDICTION & MENTAL HEALTH SERVICES BOARD

Other Properties

Calendar Year 2019

For the Period August 1, 2019 through August 31, 2019

PAGE 10

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Amount Vendor Description

$0.00 City of Cleveland Building Dept. Annual elevator inspection.

Routine: $582.38 City of Cleveland Water/NEORSD Water/Sewer charges.

$105.35 Dominion East Ohio Gas

$691.56 Allied Waste Services (Republic) Trash removal.$0.00 Guardian Alarm (ADS) Security.$2,440.51 Iluminating Co. Electric.$0.00 Waste Services (Republic) Trash removal.

Sub Total $3,819.80

Non Routine:

Sub Total $0.00

Total August $3,819.80

Y-T-D Total $26,435.52

25540 Euclid Property

Routine:

$50.00 Allied Exterminators Pest control.

$520.88 Iluminating Co. Electric.

$246.58 City of Cleveland Water/NEORSD Water/Sewer charges.

$27.77 Dominion East Ohio Gas.

Sub Total $845.23$0.00 Republic and Waste Mgt. Trash removal.

Non Routine: $0.00 EDEN, INC. (Reimbursements) Sidewalk/Driveway Repairs

Sub Total $0.00

Total August $845.23

Y-T-D Total $8,442.71

1466 W. 81st Property

Routine: $368.72 City of Cleveland Water/NEORSD Water/Sewer charges.

$1,012.15 Iluminating Co. Electric.

$165.50 Dominion East Ohio Gas.

$480.53 Waste Services (Republic) Trash removal.

Sub Total $2,026.90

Non Routine:

Sub Total $0.00

Total August $2,026.90

Y-T-D Total $19,236.64

10229 Bernard Ave

Routine: $273.18 City of Cleveland Water/NEORSD Water/Sewer charges.

Sub Total $273.18

Non Routine:

Sub Total $0.00

Total August $273.18

Y-T-D Total $2,060.16

18464 Lakeshore Blvd.

Routine: $490.97 Cleveland Public Power Electric.

$42.18 Dominion East Ohio Gas.

$156.26 City of Cleveland Water/NEORSD Water/Sewer charges.

$147.83 AT&T Phone service.

Sub Total $837.24

Non Routine: $0.00 City of Cleveland Build./Housing Rental Registration

Sub Total $0.00

Total August $837.24

Y-T-D Total $9,992.01

Seasons of Hope 1339 E. 112th

Routine: $244.85 City of Cleveland Water/NEORSD Water/Sewer charges.

$40.36 Dominion East Ohio Gas.

$225.17 Cleveland Public Power Electric.

Sub Total $510.38

Non Routine: .

Sub Total $0.00

Total August $510.38

Y-T-D Total $3,847.67

ALCOHOL, DRUG ADDICTION & MENTAL HEALTH SERVICES BOARD

Board Owned Properites - Calendar Year 2019

For the Period August 1, 2019 through August 31, 2019

PAGE 11

Bradley Manor Property 3234 West Blvd

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ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES BOARD OF CUYAHOGA COUNTY

RESOLUTION NO. 19-09-05

APPROVAL AND RATIFICATION OF CONTRACTS:

1. OhioMHAS Medication Addiction Treatment Program - Court Administrative Funds 2. Substance Abuse Mental Health Services Administration – Assisted Outpatient Treatment

(AOT) Grant 3. Substance Abuse Mental Health Services Administration – Jail Diversion Grant 4. Independent Peer Review Contract for AOD Residential Treatment Services 5. OhioMHAS Specialized Docket Support – Payroll Subsidy 6. Behavioral Health Juvenile Justice (BHJJ) Project – Fiscal Years 2020-2021 7. Sponsorships:

- Greater Cleveland Drug Court, Inc. Luncheon - Every Brilliant Thing, Cleveland Playhouse - Greater Cleveland Urban Film Festival – A Tale of Two Mothers - MHAC Public Officials Breakfast - Annual Grief Symposium - Remembering Our Babies hosted by the YWCA

8. Online Mental Health Screening

WHEREAS, funding has been made available to the Alcohol, Drug Addiction and Mental Health Services Board of Cuyahoga County (ADAMHS Board) for the following programs:

1. OhioMHAS Medication Addiction Treatment Program – Court Administrative Funds for the time period July 1, 2019 to June 30, 2020 in the amount of $68,618.51 for the following Courts:

a. Cleveland Municipal Drug Court - $6,076.98 b. Cuyahoga County Common Pleas Drug Court - $35,449.02 c. Cuyahoga County Common Pleas Recovery Drug Court - $23,092.51; and,

2. US DHHS Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Mental Health Services (CMHS) Assisted Outpatient Treatment (AOT) Grant for the time period September 30, 2019 to September 29, 2020 in the amount of $846,689.00 for the following projects:

a. FrontLine Service - $599,169.00 b. Case Western Reserve University Begun Center - $200,000.00 c. Board Contracted Attorneys - $35,020.00; and,

3. US DHHS Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Mental Health Services (CMHS) Jail Diversion Grant for the time period September 30,2019 to September 29, 2020 in the amount of $326,340.00 for the following projects:

a. FrontLine Service - $260,340.00 b. Case Western Reserve University Begun Center - $66,000.00; and,

4. Independent Peer Review Contract for AOD Residential Treatment Services for the time period October 1, 2019 to January 31, 2020 in the amount not to exceed $50,000.00 for the following contract:

a. Brown Consulting, Ltd; and,

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5. OhioMHAS Specialized Docket Support – Payroll Subsidy for the time period July 1, 2019 to June 30, 2020 in the amount of $410,000.00 for the following courts:

a. Cleveland Municipal Court - $180,000.00 b. Cuyahoga County Common Pleas Court - $120,000.00 c. Cuyahoga County Common Pleas Court-Juvenile Division - $70,000.00 d. South Euclid Municipal Court - $40,000.00; and,

6. Behavioral Health Juvenile Justice (BHJJ) Project funding from the Ohio Department of Youth Services (ODYS) for the time period July 1, 2019 to June 30, 2021 in the amount of $579,000.00 for the following projects:

a. Applewood Centers - $351,749.00 (FY2020 $174,112; FY2021 177,637) b. Bellefaire Jewish Children’s Bureau (BJCB)- $224,451.00 (FY2020 $108,488;

FY2021 $115,963) c. Cuyahoga County Juvenile Court - $2,800.00 (FY2020 $1,400; FY2021 $1,400); and,

7. Sponsorships: - Greater Cleveland Drug Court Awards Luncheon - $500.00 - Every Brilliant Thing, Cleveland Playhouse - $1,250.00 - Greater Cleveland Urban Film Festival; A Tale of Two Mothers - $1,500.00 - Mental Health & Addiction Advocacy Coalition (MHAC) Annual Public Officials Breakfast

Reception - $1,000.00 - Cornerstone Of Hope’s Annual Grief Symposium - $250.00 - Remembering Our Babies hosted by the YWCA – $500.00; and,

8. Online Mental Health Screening Contract for the time period September 15, 2019 to September 15, 2020 in the amount of $1,000.00 for the following contract:

a. Mindwise Innovation; and,

WHEREAS, the Planning & Oversight Committee and the Finance & Operations Committee have reviewed the ADAMHS Board staff’s recommendation and recommend that the Board of Directors accept the funding and authorize the ADAMHS Board to pay the required local match and enter into any necessary contractual agreements.

NOW, THEREFORE, BE IT RESOLVED:

A. The ADAMHS Board of Directors accepts the funds and authorizes payment of any required local match for the following:

1. OhioMHAS Medication Addiction Treatment Program – Court Administrative Funds for the

time period July 1, 2019 to June 30, 2020 in the amount of $68,618.51 for the following Courts:

a. Cleveland Municipal Drug Court - $6,076.98 b. Cuyahoga County Common Pleas Drug Court - $35,449.02 c. Cuyahoga County Common Pleas Recovery Drug Court - $23,092.51; and,

2. US DHHS Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Mental Health Services (CMHS) Assisted Outpatient Treatment (AOT) Grant for the time period September 30, 2019 to September 29, 2020 in the amount of $846,689.00 for the following projects:

a. FrontLine Service - $599,169.00 b. Case Western Reserve University Begun Center - $200,000.00 c. Board Contracted Attorneys - $35,020.00; and,

3. US DHHS Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Mental Health Services (CMHS) Jail Diversion Grant for the time period September 30,2019 to September 29, 2020 in the amount of $326,340.00 for the following projects:

a. FrontLine Service - $260,340.00 b. Case Western Reserve University Begun Center - $66,000.00; and,

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4. Independent Peer Review Contract for AOD Residential Treatment Services for the time period October 1, 2019 to January 31, 2020 in the amount not to exceed $50,000.00 for the following contract:

a. Brown Consulting, Ltd; and, 5. OhioMHAS Specialized Docket Support – Payroll Subsidy for the time period July 1, 2019

to June 30, 2020 in the amount of $410,000.00 for the following courts: a. Cleveland Municipal Court - $180,000.00 b. Cuyahoga County Common Pleas Court - $120,000.00 c. Cuyahoga County Common Pleas Court-Juvenile Division - $70,000.00 d. South Euclid Municipal Court - $40,000.00; and,

6. Behavioral Health Juvenile Justice (BHJJ) Project funding from the Ohio Department of Youth Services (ODYS) for the time period July 1, 2019 to June 30, 2021 in the amount of $579,000.00 for the following projects:

a. Applewood Centers - $351,749.00 (FY2020 $174,112; FY2021 177,637) b. Bellefaire Jewish Children’s Bureau (BJCB)- $224,451.00 (FY2020 $108,488;

FY2021 $115,963) c. Cuyahoga County Juvenile Court - $2,800.00 (FY2020 $1,400; FY2021 $1,400); and,

7. Sponsorships: - Greater Cleveland Drug Court Awards Luncheon - $500.00 - Every Brilliant Thing, Cleveland Playhouse - $1,250.00 - Greater Cleveland Urban Film Festival; A Tale of Two Mothers - $1,500.00 - Mental Health & Addiction Advocacy Coalition (MHAC) Annual Public Officials Breakfast

Reception - $1,000.00 - Cornerstone Of Hope’s Annual Grief Symposium - $250.00 - Remembering Our Babies hosted by the YWCA – $500.00; and,

8. Online Mental Health Screening Contract for the time period September 15, 2019 to September 15, 2020 in the amount of $1,000.00 for the following contract:

a. MindWise Innovations; and,

B. The ADAMHS Board Chief Executive Officer is authorized to execute any necessary contractual agreements.

On the motion of , seconded by , the foregoing resolution

was adopted. AYES:

NAYS: ABSTAIN: DATE ADOPTED:

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Agenda Process Sheet Date: September 25, 2019

☐ Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee

☐ Planning & Oversight Committee Finance & Operations Committee

☐ Committee of the Whole General Meeting

Topic: Medication Addiction Treatment Program – Court Administrative Funds Contractual Parties: Cleveland Municipal Drug Court

Cuyahoga County Common Pleas Drug Court Cuyahoga County Common Pleas Recovery Drug Court

Term: July 1, 2019-June 30, 2020 Funding Source(s): State Pass-Through funds from the Ohio Department of Mental Health and

Addiction Services (OhioMHAS) Amount: $64,618.51

☐ New Program ☐Continuing Program ☐Expanding Program Other Administrative

Funds Service Description: The ADAMHS Board received authorization from the Ohio Department of Mental Health and Addiction Services to make lump sum payments of administrative funds to local Courts involved in the Medication Addiction Treatment Program (ATP). Background Information: OMHAS determined the following dollar amounts based on the number of ATP clients served by each Court

Cleveland Municipal Drug Court $6,076.98 Cuyahoga County Common Pleas Drug Court $35,449.02 Cuyahoga County Common Pleas Recovery Drug Court $23,092.51

Number of Individuals to be served: It’s estimated up to 320 clients may receive ATP services through these Courts in SFY20. Funding Use: Per OMHAS, these funds may be utilized at the court’s discretion. The funds are intended to assist courts in serving more clients and covering staff time for collaboration with other agencies involved in the ATP, notifying Managed Care Plans, paperwork, and other responsibilities related to serving ATP clients.

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Client & System Impact: ATP enables increased access to medication assisted treatment (MAT) and outpatient treatment services to Drug Court involved individuals diagnosed with SUD.

Metrics (How will goals be measured)

To continue to support the Court’s collaboration with service providers involved in the Addiction Treatment Program to serve up to 320 clients in SFY 20

Evaluation/ Outcome Data (Actual results from program)

In SFY 19, 392 clients were served across all Courts participating in the ATP.

Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): To accept OhioMHAS funding in the amount of $64,618.51 for Medication Assisted Treatment Program Court Administrative Funds and approve agreements with the following courts:

Cleveland Municipal Drug Court - $6,076.98

Cuyahoga County Common Pleas Drug Court - $35,449.02 Cuyahoga County Common Pleas Recovery Drug Court - $23,092.51

Approved by the Finance & Operations Committee on September 18, 2019.

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Agenda Process Sheet Date: September 25, 2019

☐ Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee

☐ Planning & Oversight Committee Finance & Operations Committee

☐ Committee of the Whole General Meeting

Topic: US DHHS Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Mental Health Services (CMHS)

Assisted Outpatient Treatment (AOT) Grant – Year 4 Contractual Parties: FrontLine Service $599,169.00 CWRU Begun Center $200,000.00 Board Contracted Attorneys $35,020.00

Term: September 30, 2019-September 29, 2020

Funding Sources: US DHHS Substance Abuse and Mental Health Services Administration Center for Mental Health Services

Amount: $846,689.00

☐ New Program Continuing Program ☐Expanding Program ☐Other

Service Description: The Cuyahoga County Assisted Outpatient Treatment pilot project is designed to reduce the incidence and duration of inpatient psychiatric hospitalization, homelessness, and interactions with the criminal justice system among persons with SMI.

Background Information: Residents of Cuyahoga County who have been determined to be “mentally ill subject to court order,” are initially committed through the Probate process. Many Severely Mentally Ill persons require support and monitoring in order to remain in the community safely. Lacking those supports, many repeatedly cycle through the criminal justice and hospital systems. This award represents the fourth year of a four-year project totaling over $3.4 million.

Number of Individuals to be served: Up to 100 per year; to date, this project has served 102 clients with Severe Mental Illness.

Funding Use:

To create liaison positions to help families navigate the AOT process and facilitate communication among the Board, families, hospitals, clinicians and the Court;

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To establish a dedicated Assertive Community Treatment team and wraparound services for consumers; and

To expand the Board’s capacity to handle an increased volume of hearings for non-compliance among persons under court order.

In this pilot project, direct services are delivered by FrontLine Service (FLS). The Board contracts with the Case Western Reserve University’s Begun Center for Violence Prevention, Research, and Education (CWRU) for evaluation and performance assessment services. The Board has access to funding for Board-contracted attorneys in anticipation of an increased volume of hearings. The remaining $12,500 is allocated to the board for project administration.

Client & System Impact: The purposes of the Cuyahoga County AOT Pilot project are to reduce the incidence and duration of inpatient psychiatric hospitalization, homelessness, and interactions with the criminal justice system among persons with SMI.

Metrics (How will goals be measured)

1) Create awareness among jurists, hospitals, treatment agencies and the community of the availability of AOT and the requirements of Ohio law. 2) Maintain the infrastructure to monitor the progress of all clients in the AOT pilot program and facilitate communication among the Board, hospitals, clients, families, and the Court. 3) Expand treatment services to ensure a comprehensive, evidence-based continuum of treatment, wraparound recovery supports, monitoring and reporting to provide persons with SMI with the greatest opportunity to remain in the least restrictive setting.

Evaluation/ Outcome Data (Actual results from program)

1) Continued informational sessions in community re: AOT law, forms, process & project during Year 03; addressed specific barriers to commitments. Two in information sessions were held; one with 23 Adult Protective Services Case Managers; and one attended by 5 Jail Liaisons. 2) The progress of all clients in the AOT pilot program was monitored, and communication was facilitated among the Board, hospitals, clients, families, and the Court on a monthly, weekly, and, as needed, daily basis. 3) Implemented AOT Person-Centered Planning and Treatment and wraparound referral processes. Monitoring, Motivational Interviewing and medication management continued to be used to ensure client success.

Evaluation data to date shows that the average length of time a client is on AOT is 256 days.

Of those clients who have been discharged (n=69), approximately 50% successfully graduated from AOT and/or their commitment expired and they were transitioned to the Frontline Services ACT team.

Virtually all clients enter the program from a psychiatric hospitalization.

Once stable enough, client consent for participation in the evaluation is sought and those consenting are interviewed at baseline and then either during a six-month assessment or at the time of discharge.

For those have consented and who have been discharged, 94% reported no homelessness within six months prior to their discharge. 74% reported staying out of the a hospital within the past six months for

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mental health care and no clients reported being arrested within the six months prior to their assessment.

Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): For the Finance Committee to recommend approval to the Board of Directors to accept SAMHSA/CMHS funding in the amount of $846,689.00.

Approved by the Finance & Operations Committee on September 18, 2019.

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Agenda Process Sheet Date: September 25, 2019

☐ Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee

☐ Planning & Oversight Committee Finance & Operations Committee

☐ Joint Planning & Finance Committee General Meeting

Topic: US DHHS Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Mental Health Services (CMHS)

Jail Diversion Grant Contractual Parties: FrontLine Service, Inc. $260,340.00 CWRU Begun Center $66,000.00

Term: September 30, 2019-September 29, 2020

Funding Sources: US DHHS Substance Abuse and Mental Health Services Administration Center for Mental Health Services (SAMHSA)

Amount: $326,340.00

A 25% match is required; the Board is providing this on an in-kind basis through staff time and operations costs at the Crisis Stabilization Unit (CSU).

☐ New Program Continuing Program ☐Expanding Program ☐Other

Service Description:

The CIT P.L.U.S. Jail Diversion Pilot Project provides referral/linkage and support services to persons in crisis who are diverted from jail by using alternative resources such as the Crisis Stabilization Unit. Mental health staff as well as Peer Support Staff from Frontline Services work collaboratively with Crisis Intervention Team Officers (CIT).

Background Information:

SAMHSA funding is intended to divert adults with SMI from jail by providing an alternative.

Crisis Intervention Team (CIT) officers lack a consistent diversion point for a warm handoff to behavioral health providers who can provide a secure environment that is less restrictive than a hospital and/or jail.

Service gaps include a need for immediate stabilization/pharmacological management, a comprehensive behavioral health assessment, and linkage to treatment within 48 hours of admission.

This award represents the second year of a five-year project totaling nearly $1 million.

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During the first year of program operations, referral mechanisms have been piloted and refined. CDP officers have received training and information regarding the project’s target population and the availability of the CSU.

Referrals have begun to increase as officers recognize the CSU as a potential diversion point for clients with SMI.

Number of Individuals to be served:

Up to 30 in the first year; Up to 55 per year in successive years.

Funding Use:

This pilot project expands resource options for CIT officers by having access to other alternatives to jail such as the use of the Crisis Stabilization Bed operated by FrontLine Services.

In this pilot project, direct services are delivered by FrontLine Service (FLS). The Board contracts with the Case Western Reserve University’s Begun Center for Violence Prevention, Research and Education (CWRU) for federally required evaluation and performance assessment services.

Client & System Impact:

Clients are to be provided immediate stabilization, linkage to treatment/case management and ongoing Peer Support in the community.

Metrics (How will goals be measured)

Goal 1: Increase access to less restrictive settings as a diversion point such as the use of Crisis Stabilization Unit for people in crisis. Goal 2: Increase engagement with persons in crisis through coordination and referral activities by mental health and peer support staff of Frontline Services. Goal 3: To demonstrate effectiveness of the pilot project through monitoring and evaluation data collected and analyzed by CWRU Begun Center.

At the point of the six month interview following enrollment:

70% of clients will report dealing effectively with daily problems

70% of clients will report feeling they are more in control of their life

70% of clients will report able to deal with crisis

70% of clients will report symptoms not bothersome

70% of clients will report getting along with family

70% of clients will report doing well in social situations

Evaluation/ Outcome Data (Actual results from program)

1) Increase in collaboration among the homeless shelters. 2) Expanded access to the facility to every police district in Cleveland. 3) Incorporated information about the program through CDP In Service Training. 4) Eight referrals from three police districts since March. 5) Increase in clients returning to the CSU without police intervention. Note: No clients have reached the 6 month interview point.

Recommendation to Board of Directors from Board Staff and/or from Board Committee(s):

To recommend approval to the Board of Directors to accept funds from SAMHSA and to contract with Frontline Services in the amount of $260,340.00 and CWRU Begun Center in the amount of $66,000.00 for the second year of a five year project totaling nearly $1 million.

Approved by the Finance & Operations Committee on September 18, 2019.

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Agenda Process Sheet Date: September 25, 2019

☐ Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee

Planning & Oversight Committee Finance & Operations Committee

☐ Committee of the Whole General Meeting

Topic: Independent Peer Review of AOD Residential Treatment Services

Contractual Parties: Brown Consulting, Ltd.

Term: October 1, 2019 – January 31, 2020

Funding Source(s): ADAMHS Board Funds Amount: Up to $50,000.00

☐ New Program ☐Continuing Program ☐Expanding Program Other Independent Review

Service Description: Independent review of contract agencies’ records to determine the quality and appropriateness of AOD residential treatment services delivered to clients. Background Information:

The Ohio Department of Mental Health and Addiction Services requires that Boards conduct an independent peer review annually on AOD provider agencies that receive Federal SAPT Block Grant funds. Each year a different Level of Care in service is reviewed. This year’s review will focus on AOD Residential Treatment Services.

Agencies to be reviewed include: Catholic Charities, Community Assessment and Treatment Services (CATS), Hispanic UMADAOP, Hitchcock Center for Women, New Directions, ORCA House, and Signature Health.

Number of Individuals to be served: n/a Funding Use: Implement comprehensive Independent Peer / Utilization Review Plan to assess the quality, appropriateness, and efficacy of selected Outpatient & Intensive Outpatient treatment providers Client & System Impact: Improved quality of client AOD services by ensuring correct documentation of appropriate care.

Metrics (How will goals be measured)

Full provider reviews to include a representative sampling (95% Confidence Level) of clinical records to determine quality and appropriateness of treatment services from both an agency and service system perspective.

The completed project will include a system wide report / analysis with recommendations plus agency specific reports / analysis with recommendations for each participating organization.

Evaluation/ Outcome Data

n/a

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(Actual results from program)

Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): To request approval by the Board of Directors to contract with Brown Consulting, Ltd. up to $50,000.00.

Approved by the Joint Faith-based Outreach and Planning & Oversight Committee on September 11, 2019.

Approved by the Finance & Operations Committee on September 18, 2019.

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Agenda Process Sheet Date: September 25, 2019

☐ Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee

☐ Planning & Oversight Committee Finance & Operations Committee

☐ Joint Planning & Finance Committee General Meeting

Topic: Specialized Docket Support – Payroll Subsidy

Contractual Parties: Cleveland Municipal Court Cuyahoga County Common Pleas Court Cuyahoga County Common Pleas Court-Juvenile Division South Euclid Municipal Court

Term: July 1, 2019 to June 30, 2020

Funding Source(s): OhioMHAS - State General Revenue Fund

Amount: $410,000.00

☐ New Program Continuing Program ☐Expanding Program ☐Other

Service Description: These funds assist drug courts to effectively manage addicted offenders in the community thereby reducing commitments to the prison system.

Background Information:

As part of the State of Ohio SFY 2016-2017 biennial budget, the Ohio Legislature appropriated funds to the Ohio Department of Mental Health and Addiction Services (OhioMHAS) to assist specialized dockets with their operational costs in an effort to increase and expand these programs statewide.

In State Fiscal Years 2017 and 2018, The Department pushed the funds directly to the courts in one lump payment per Court. The Department allocated these funds to ADAMH/CMH Boards beginning with SFY 2019.

Funding Use:

The primary legislative intent of these funds is to assist courts with their payroll costs for specialized docket staff.

Historically, over 95% of reported expenditures were for payroll costs. However, feedback received from these courts was a desire to have more flexibility for the use of these funds. Therefore, allowable expenses now include behavioral health treatment services, medication assisted treatment (MAT) medications, urinalysis, and recovery supports. A document identifying allowable expenses is attached.

For expenditures other than payroll costs, these funds may only be used for individuals who are under the jurisdiction of the Court, and who have been admitted to the specialized docket. The only exception to this are diagnostic assessments to determine program eligibility.

Clinical services, including MAT, must be provided by agencies certified by the Department. Per OhioMHAS, funds are to be distributed to each Court as follows:

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Court Docket Judge(s) Amount

Cleveland Municipal Court Drug Court Lauren Moore $50,000

Cleveland Municipal Court Human Trafficking Court Marilyn Cassidy $40,000

Cleveland Municipal Court Mental Health Court Emanuella Groves $50,000

Cleveland Municipal Court Veterans Court Charles Patton $40,000

$180,000

Cuyahoga County Common Pleas Court Drug Court David Matia $40,000

Cuyahoga County Common Pleas Court Drug Court Joan Synenberg $50,000

Cuyahoga County Common Pleas Court Veterans Court John Russo $30,000

$120,000

Cuyahoga County Juvenile Court Juvenile Drug Court Thomas O’Malley $40,000

Cuyahoga County Juvenile Court Juvenile Mental Health Court Kristin Sweeney $30,000

$70,000

South Euclid Municipal Court Mental Health Court Gayle Williams-Byers $40,000

$40,000

Client & System Impact: These funds will assist the Courts in managing the growing number of Specialized Docket cases due to the opioid crisis. Program/Service Goals:

Metrics (How will goals be measured)

Total number of clients carried over in the specialized docket from the previous reporting period.

Number of clients admitted to the specialized docket during the reporting period.

Number of clients who successfully completed the specialized docket during the reporting period

Number of clients who unsuccessfully discharged from the specialized docket during the reporting period

Number of clients maintained in the program that will be carried over to the next reporting period

Number of clients arrested for a new criminal offense while in the specialized docket.

Number of clients committed to Ohio Dept. of Rehabilitation & Corrections

Amount of funds spent on court personnel

Amount of funds spent on: o Addiction treatment o Drug/alcohol testing o Medication Assisted Treatment o Recovery Supports

Evaluation/ Outcome Data (Actual Results from program)

Requested from OhioMHAS and have not received.

Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): To accept Specialized Docket Payroll Subsidy funds in the amount of $410,000.00 from the Ohio Department of Mental Health and Addiction Services, and to approve agreements with the above-named Courts for Specialized Docket support in the amounts designated for the period July 1, 2019 through June 30, 2020.

Approved by the Finance & Operations Committee on September 18, 2019.

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1

Specialized Dockets Subsidy Project – Allowable Expenses

Payroll costs for specialized dockets staff

Behavioral health treatment services: addiction and mental health. Please note: this does not include: domestic

violence assessment/treatment, sex offender assessment/treatment and driver intervention programs (DIPs).

Pursuant to O.R.C 5119.36(B), the allowable behavioral health services must be delivered by community

addiction service providers and/or community mental health service providers certified by Ohio MHAS.

- Assessments

- Outpatient and intensive outpatient treatment

- Residential treatment

- Case management

- Detoxification services

- Integrated treatment for co-occurring mental health and substance use disorders

Medication assisted treatment (MAT) medications

Urinalysis

- Drug testing supplies: instant tests, reagents, rubber gloves, etc.

- Payments to laboratories

Recovery Supports

- Housing

- Recovery Housing

- Rent Deposits

- Short-term housing

- Utilities

- Transportation

- Bus passes

- Gas cards

- Cab/Uber fare

- Automotive maintenance (i.e. tires, brakes, etc.) auto insurance and outstanding traffic ticket/court costs

are not allowable

- Emergency basic needs

- Food vouchers

- Clothing vouchers

- Hygiene products

- Peer support/recovery coaching

- Childcare

- Employment

- Job training/educational services

- Job uniform/attire

- Interview attire

- Vocational certifications

- Supportive employment

- License reinstatement fees

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2

- Private insurance co-pays

- Identification

- Driver license

- Social Security card

- Birth certificate

Please be advised that that the expenses listed in this document are general in nature and are not exclusive. Provided are some examples:

1. Urinalysis - only drug testing supplies (instant tests, reagents, rubber gloves, etc.) and payments to laboratories are allowable. Your court could use the funds to pay for hair tests, blood tests, saliva tests and any other means to determine the presence of illegal substance use and/or the presence of required MAT medications, i.e. buprenorphine. However, SCRAM, interlock devices and eye scan/pupillometry equipment are not allowable expenditures for this project.

2. Medication Assisted Treatment (MAT) medications – This includes not only all Mat medications, but also the

medical expenses involved including: physical exam and diagnosis, lab work associated with the physical exam, and injection administration (Vivatrol©). These funds cannot be used to pay the monthly $200 to $300 some medical practitioners charge patients to obtain monthly Suboxone© prescriptions.

3. Recovery Supports – Emergency basic needs – The word “emergency” is not to be taken literally such as in the event of a flood or fire. The intent of recovery supports is to remove barriers to treatment and self-help support group meeting attendance and achieving abstinence/maintaining sobriety/sustaining recovery. Many participants are living in shelters, recovery housing or residential treatment while others are in need of leaving their current environment and need to establish a sober residence. Some participants are in a suitable residence but are unable to work or only work part-time due to treatment and court schedules. Any of the emergency basic need items can be purchased as incentives/rewards as well. Furthermore, in addition to vouchers, food items can be obtained through direct purchase by the court, purchase orders and grocery store gift cards.

4. Recovery Supports – Employment – This includes fees or equipment/supplies needed for a job training program and/or apprenticeship program offered through a Workforce Innovation and Opportunities ACT (WIOA) program that is provided by a county Job and Family Services Department’s Office of Workforce Development, or Veterans Opportunities to Work (VOW) administered by the Veterans Administration. The following are also allowable expenses:

a. Educational services such as GED testing (now High School Equivalency Test). This fee is approximately $120.00. Voucher codes (voucher is worth $80 for first-time test takers) are available by contacting one of your local Career Technical Planning Districts Offices http://education.ohio.gov/Topics/Career-Tech/HSE-CTPD . Your court’s allocation funding can pay for all or part of the cost of the GED test. These funds can also pay for the cost of SAT and/or ACT tests for participants who wish to attend college. Unallowable expenses include: college and trade school tuition, computer devices such as lap tops and tablets, room and board, activity/lab fees as well as parking tickets and outstanding balances with a college or trade school.

b. Clothing vouchers – in addition to vouchers, clothing can be purchased through the same means as explained above for food (under emergency basic needs). Other allowable clothing expenditures include uniforms, attire (i.e. “scrubs”, steel-toed boots, position-appropriate apparel and interview attire).

5. Recovery Supports – Child Care – These funds can be used to pay for child care when the person is attending treatment and self-help groups. These funds cannot be used to pay for employment-related child-care needs.

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Agenda Process Sheet Date: September 25, 2019

☐ Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee

☐ Planning & Oversight Committee Finance & Operations Committee

☐ Joint Planning & Finance Committee General Meeting

Topic: Behavioral Health Juvenile Justice (BHJJ) Project Fiscal Years 2020-2021 Contractual Parties: Accepting Funds From: Ohio Department of Youth Services (ODYS) Contract With: Applewood Centers Bellefaire Jewish Children’s Bureau Cuyahoga County Juvenile Court Term: July 1, 2019 – June 30, 2021 Funding Sources: State funding from ODYS Amount: $579,000.00 Total (FY2020-FY2021)

Applewood Centers – $351,749.00 (FY2020 $174,112; FY2021 177,637) Bellefaire Jewish Children’s Bureau –$224,451.00 (FY2020 $108,488; FY2021 $115,963) Cuyahoga County Juvenile Court - $2,800.00 (FY2020 $1,400; FY2021 $1,400)

☐ New Program Continuing Program ☐Expanding Program ☐Other

Service Description:

The Behavioral Health Juvenile Justice (BHJJ) project is housed within the Cuyahoga County Juvenile Court’s Phoenix/Mental Health Court Specialized Docket, and serves court-involved youth, ages 10 to 18, with a behavioral health diagnosis. Youth and their families are served through one of the following evidenced-based treatment models: Integrated Co-Occurring Treatment (ICT), Multi-Systemic Therapy (MST), and Trauma Focused-Cognitive Behavioral Therapy (TF-CBT). The project also includes Juvenile Court staff which provide intensive probation monitoring in support of the identified treatment models.

The BHJJ service continuum also includes the specialized diversion program, Coordinated Approach to Low Risk Misdemeanors Project (Project CALM), which diverts youth with diverts youth with low-level domestic violence offenses from the Cuyahoga County Juvenile Detention Center and other out-of-home placements. Services include assessment, case management, and linkage to respite when necessary.

Background Information:

The Behavioral Health Juvenile Justice (BHJJ) project derives from the Ohio Department of Youth Services (ODYS) Targeted, Reasoned & Equitable, Community & Local Alternatives to the Incarceration of Minors (Targeted RECLAIM) funding initiative, with the overarching goal to prevent deeper involvement into the juvenile justice system by diverting youth away from admissions to correctional facilities or detention centers and into comprehensive, community-based behavioral health treatment services.

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An amendment to the current contracts is requested to revise the allocations for Juvenile Court and Applewood, in order to provide for one (1) dedicated Level IV foster care respite bed to be utilized by Applewood for Project CALM.

Number of Individuals to be Served:

Approximately 215 youth will be served by BHJJ, and 150 youth will be served by Project CALM

Funding Use:

Integrated Co-Occurring Treatment and Trauma Focused-Cognitive Behavioral Therapy services (Bellefaire), & Project CALM assessments, case management, and linkage to respite when necessary (Applewood).

Client & System Impact:

Increased community safety

Increased self-awareness and behavioral health stability

Reduced commitments to juvenile correctional institutions and admissions to the Detention Center

Diversion and prevention of deeper juvenile justice system involvement

Metrics (How will goals be measured)

For Fiscal Year 2019, at least 50% of the 50 youth projected to be served by the Cuyahoga County Behavioral Health Juvenile Justice (BHJJ) project, evaluated by Case Western Reserve University (CWRU), Juvenile Court staff will provide data to evaluate the following measures annually:

Successfully complete treatment

Improved mental health functioning, problem severity, and trauma symptom severity

Caregiver satisfaction with services

Avoid new felony charges one year after termination

Not be at risk for out of home placement

For Fiscal Year 2020, at least 50% of the 15 clients involved with BHJJ projected to be served by Bellefaire, through Integrated Co-Occurring Treatment (ICT) or Trauma Focused-Cognitive Behavioral Therapy (TF-CBT), will demonstrate the following on the Ohio Scales at discharge:

Complete services successfully

Reduced problem severity

Improved functioning

For Fiscal Year 2020, at least 50% of youth served by Applewood through the Coordinated Approach to Low Risk Misdemeanors Project (Project CALM) will demonstrate the following measures:

Diverted from court intervention or admission to the Detention Center

Avoid re-offending with a new domestic violence charge

Avoid detainment for low-level domestic violence offenses

Evaluation/ Outcome Data (Actual results from program)

From FY 2005 to FY 2017, CRWU reported that the BHJJ project served 453 youth. Of those (FY19 data is not available at this time from CRWU):

68% successfully completed treatment

Statistically significant improvements in mental health functioning, problem severity, and trauma symptom severity was achieved across the entire sample from intake to termination

85% of caregivers were satisfied with the services their child received

76% successfully avoided new felony charges one year after termination

74% were not at risk for out of home placement at termination

From July 2018 through June 2019, Bellefaire admitted 20 clients involved with BHJJ to ICT or TF-CBT, and 12 clients were discharged from previous quarters. Of those:

58% (7 of 12) completed services successfully at discharge

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66% (8 of 12) demonstrated reduced problem severity at discharge

58% (7 of 12) demonstrated improved functioning at discharge on the Ohio Scales

From July 2018 through June 2019, Project CALM served 78 youth. Of those:

55% were successfully diverted from Juvenile Court intervention or admission to the Detention Center

98% of youth successfully avoided re-offending with a new domestic violence charge within six months of Project CALM involvement

96% of youth and caregivers reported satisfaction with services

Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): To recommend to the Board of Directors to accept ODYS funding in the amount of $579,000.00 for the Behavioral Health Juvenile Justice (BHJJ) project for the period July 1, 2019 through June 30, 2021 and enter into contracts with the following organizations in the following amounts:

Applewood Centers – $351,749.00 (FY2020 $174,112.00; FY2021 $177,637.00)

Bellefaire Jewish Children’s Bureau – $224,451.00 (FY2020 $108,488.00; FY2021 $115,963.00)

Cuyahoga County Juvenile Court – $2,800.00 (FY2020 $1,400.00; FY2021 $1,400.00)

Approved by the Finance & Operations Committee on September 18, 2019.

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Agenda Process Sheet Date: September 25, 2019

Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee

☐ Planning & Oversight Committee Finance & Operations Committee

☐ Committee of the Whole General Meeting

Topic: Greater Cleveland Drug Court Awards Luncheon Contractual Parties: Greater Cleveland Drug Court, Inc.

PO Box 94894 Cleveland, Ohio 44101-4894

Term: September 26, 2019 – October 31, 2019 Funding Source(s): ADAMHS Board Funding Amount: $500.00

New Program ☐Continuing Program ☐Expanding Program ☐Other _______________

Service Description: The Greater Cleveland Drug Court is holding an Awards Luncheon on September 20, 2019, at 11:30 am at the Holiday Inn Independence to celebrate the 20 year anniversary of the first Drug Court graduations by honoring those who have worked tirelessly in the field of recovery. Background Information:

The Greater Cleveland Drug Court is a treatment court that focuses on substance use recovery and reducing recidivism.

The Greater Cleveland Drug Court has graduated over 1,700 participants since its inception 21 years ago.

As a Silver Sponsor, the ADAMHS Board of Cuyahoga County will receive: o 8 tickets to the luncheon o ADAMHS Board logo on program

Number of Individuals to be served:

The Greater Cleveland Drug Court has graduated over 1,700 participants since its inception. Funding Use:

To support and defray the cost of the luncheon. Client & System Impact:

An opportunity for the ADAMHS Board of Cuyahoga County to support the Greater Cleveland Drug Court, its graduates and luncheon awardees.

Metrics (How will goals be measured)

Number of attendees at the luncheon.

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Evaluation/ Outcome Data (Actual results from program)

n/a

Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): Board staff requests approval of the $500 Silver Sponsorship for the Greater Cleveland Drug Court Awards

Luncheon on September 20, 2019.

Approved by the Community Relations & Advocacy Committee on September 4, 2019.

Approved by the Finance & Operations Committee on September 18, 2019

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Agenda Process Sheet Date: September 25, 2019

Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee

☐ Planning & Oversight Committee Finance & Operations Committee

☐ Joint Planning & Finance Committee General Meeting

Topic: Every Brilliant Thing Play Sponsorship November 23 – December 22, 2019

Contractual Parties: Cleveland Playhouse 1407 Euclid Avenue

Cleveland, Ohio 44115

Term: September 26, 2019 – January 31, 2020

Funding Sources: ADAMHS Board Funding

Amount: $1,250.00

New Program ☐Continuing Program ☐Expanding Program Other: Sponsorship

Service Description: If you were to make a list of things that make life worth living, what would be at the top? Ice cream? Family? The even numbered Star Trek films? Who would you share your list with? For our character in this uplifting solo performance, it’s his mother. This surprising and immersive theatrical experience speaks openly about depression, mental illness, and suicide. With poignant humor and joy, Every Brilliant Thing takes us on a journey through grief, healing, falling in love, and (re)discovering all that life has to give.

Background Information:

The play, Every Brilliant Thing, addresses mental illness and suicide in a theater setting.

As a sponsor, the ADAMHS Board of Cuyahoga County will receive: o A quarter page ad in the playbill o Logo on all e-blasts about the show o 6 tickets to the performance o Share Mental Health and Addiction resources to attendees of the shows

Number of Individuals to be Served:

This play will be performed 32 times from November 23 – December 22, 2019 at the Outcalt Theatre at Playhouse Square, which holds about 300 people.

Funding Use:

To support and defray the cost of the play.

Client & System Impact:

An opportunity for the ADAMHS Board of Cuyahoga County to share information on where to get help, raise awareness of mental illness and suicide, and decrease stigma.

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Metrics (How will success be measured)

Number of people that attend show

Evaluation/ Outcome Data (Actual data from program)

n/a

Recommendation to Board of Directors from Board Staff and/or from Board Committee(s):

Board staff requests approval of the $1,250.00 for sponsorship of Every Brilliant Thing being performed 32 times from November 23 – December 22, 2019 at the Outcalt Theatre at Playhouse Square.

Approved by the Community Relations & Advocacy Committee on September 4, 2019.

Approved by the Finance & Operations Committee on September 18, 2019.

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Agenda Process Sheet Date: September 25, 2019

Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee

☐ Planning & Oversight Committee Finance & Operations Committee

☐ Committee of the Whole General Meeting

Topic: 8th Annual Greater Cleveland Urban Film Festival Sponsorship of A Tale of Two Mothers Contractual Parties: Greater Cleveland Urban Film Foundation 11802 Buckeye Road Cleveland, OH 44120 Term: September 26, 2019 – October 31, 2019 Funding Source(s): ADAMHS Board Funding Amount: $1,500.00

☐ New Program Continuing Program ☐Expanding Program ☐Other _______________

Service Description: Greater Cleveland Urban Film Foundation (GCUFF) is hosting its 8th Annual Greater Cleveland Urban Film Festival September 12 – 20, 2019. The ADAMHS Board has been asked to serve again as a sponsor for this year’s film A Tale of Two Mothers, at the $1,500 sponsorship level. The film will be shown on Monday, September 16, 2019 at 5:45 pm at Atlas Cinemas – Theater 3. Background Information:

GCUFF is a premier, cinematic event that exposes Greater Clevelanders to innovative and unique films that are either written, produced, or directed by someone of minority decent or featuring a diverse cast.

Opening night reception and film screening will be held at the Breen Center for the Performing Arts. The remainder of the film festival will be held at Shaker Square Cinemas.

Founded in 2012 as a nonprofit 501© organization, the GCUFF is dedicated to the preservation and promotion of independent films that are written, directed, produced or featuring diverse casts. GCUFF is working towards foster a deeper appreciation of the arts as well as increasing awareness and dialogue around important issues and stories from within our communities.

GCUFF is dedicated to increasing awareness and dialog around important issues and stories from within our communities- such as mental illness, addiction and recovery, while offering educational opportunities to encourage and inspire students and individuals interested in pursuing a career in the film industry. GCUFF offers film screenings, panel discussions, workshops and community engagement opportunities.

A Tale of Two Mothers is a documentary about two mothers from different backgrounds who experience the same grief of losing their sons to suicide. This documentary explores the correlations between bullying, mental health and suicide. Prevention methods are discussed as well as alternative methods of wellness and spirituality.

Sponsor Benefits include: o 30 tickets to the screening of A Tale of Two Mothers o Listed as sponsor of the film A Tale of Two Mothers o Ability to speak prior to the screening of the documentary o Ability to have literature at the table next to the theater

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Number of Individuals to be served:

Anticipated attendance of 5,000 individuals Funding Use:

To cover the cost to allow GCUFF to show a film dealing with depression at no cost to the public.

To support local talented minority independent filmmakers, screenwriters and actors using film as an opportunity to promote recovery and to help eliminate the stigma too often associated with mental illness and addiction by sharing stories of mental illness, addiction and recovery.

Client & System Impact:

An opportunity for the ADAMHS Board of Cuyahoga County to share information, raise awareness of mental illness and suicide, and decrease stigma.

Metrics (How will goals be measured)

Number of individuals who attend the GCUFF.

Ensuring ADAMHS Board Sponsorship Benefits.

Evaluation/ Outcome Data (Actual results from program)

Since inception in 2012, the Greater Cleveland Urban Film Festival has highlighted over 170 featured films and over 174 short films and 15 student films to almost 14,500 attendees.

Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): The ADAMHS Board should continue to support efforts that bring an awareness of recovery from mental illness, alcohol and other drugs to the general public. Therefore, staff recommends that the ADAMHS Board of Cuyahoga County sponsor the 8th Annual Greater Cleveland Urban Film Festival screening of A Tale of Two Mothers that will be shown on Monday, September 16, 2019 at 5:45 pm – at the Sponsorship Level of $1,500.00.

Approved by the Community Relations & Advocacy Committee on September 4, 2019.

Approved by the Finance & Operations Committee on September 18, 2019.

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Agenda Process Sheet Date: September 25, 2019

Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee

☐ Planning & Oversight Committee Finance & Operations Committee

☐ Committee of the Whole General Meeting

Topic: Sponsorship of the Mental Health & Addiction Advocacy Coalition’s (MHAC) 16th Annual

Public Officials Breakfast Reception Contractual Parties: MHAC 4500 Euclid Ave.

Cleveland, OH, 44103 Term: September 26, 2019 – November 30, 2019 Funding Source(s): ADAMHS Board Funding Amount: $1,000.00

☐ New Program Continuing Program ☐Expanding Program ☐Other _______________

Service Description: The MHAC is hosting its 16th Annual Public Officials Breakfast Reception on October 11, 2019 at Nuevo restaurant located on the waterfront, East 9th Street Pier. This annual event provides an opportunity for representatives from the behavioral health treatment, recovery and advocacy community to interact with local, state and federal public officials to talk informally about funding and legislation that impact our community. Background Information:

The $1,000 Bronze sponsorship provides: o Announced at event as a Bronze Sponsor o Listing in event program as supporter o Listing as supporter on MHAC website for one year o Logo displayed a minimum of two times in video loop shown at the reception

Number of Individuals to be served:

Over 150 individuals in attendance at the Public Officials Breakfast Reception, as well as the clients and families that may benefit from discussions between the public officials and the representatives from the behavioral health treatment, recovery and advocacy community.

Funding Use:

To defray the cost of hosting the Public Officials Breakfast Reception. Client & System Impact:

An opportunity for representatives from the behavioral health treatment, recovery and advocacy community to interact with public officials to discuss funding and legislative issue while reducing the stigma associated with mental illness and/or addiction to have a positive impact on clients and families.

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Metrics (How will goals be measured)

Number of people in attendance at the 16th Annual Public Officials Breakfast Reception.

Evaluation/ Outcome Data (Actual results from program)

The 2018 MHAC Public Officials Breakfast Reception attracted over 175 attendees, including 70 public officials.

Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): Board staff requests approval of the $1,000.00 Bronze Sponsorship for the MHAC’s 16th Annual Public Officials

Breakfast Reception on October 11, 2019.

Approved by the Community Relations & Advocacy Committee on September 4, 2019.

Approved by the Finance & Operations Committee on September 18, 2019.

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Agenda Process Sheet Date: September 25, 2019

Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee

☐ Planning & Oversight Committee Finance & Operations Committee

☐ Committee of the Whole General Meeting

Topic: Sponsorship of Cornerstone of Hope’s Annual Grief Symposium Contractual Parties: Cornerstone of Hope 5905 Brecksville Rd,

Independence, OH 44131 Term: September 26, 2019 – November 30, 2019 Funding Source(s): ADAMHS Board Funding Amount: $250.00

New Program ☐Continuing Program ☐Expanding Program Sponsorship

Service Description: Cornerstone of Hope is hosting its first Annual Grief Symposium through the Bereavement Training Institute. The Symposium will be held on Friday, October 4, 2019 at the Cuyahoga Valley church from 8 a.m. – 4 p.m. This event description reads: “The frequency of suicide, students’ self-injury and violence in school settings requires preventative and responsive policies and procedures for the safety and protection of faculty and students. This program will provide school counselors, psychologists, social workers, teachers, administrators and pastors with information on assessing risk. In addition, guidelines will be presented on how to respond to these crises in practical and proactive manners that minimize risk and/or impact on the school community.” Background Information:

The $250.00 Table Sponsorship provides: o Name listed in the program o Resource table at the event

Number of Individuals to be served:

Cornerstone of Hope is expecting 200 individuals to attend the Annual Grief Symposium. Funding Use:

To defray the cost of hosting the Annual Grief Symposium. Client & System Impact:

This training opportunity will expand knowledge of suicide risk, assessment and how to properly respond to grief to school, faith-based and other community partners.

Metrics (How will goals be measured)

Number of people in attendance at the Annual Grief Symposium.

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Evaluation/ Outcome Data (Actual results from program)

n/a

Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): Board staff requests approval of the $250.00 Table Sponsorship for Cornerstone of Hope’s Annual Grief

Symposium on October 4, 2019.

Approved by the Community Relations & Advocacy Committee on September 4, 2019.

Approved by the Finance & Operations Committee on September 18, 2019.

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Agenda Process Sheet Date: September 25, 2019

☐ Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee

☐ Planning & Oversight Committee Finance & Operations Committee

☐ Committee of the Whole General Meeting

Topic: Sponsorship of “Remembering Our Babies” hosted by the YWCA

Contractual Parties: YWCA of Greater Cleveland 4019 Prospect Ave E, Cleveland, OH 44103

Term: September 26, 2019 – November 30, 2019

Funding Sources: ADAMHS Board Funding

Amount: $500.00

☐ New Program Continuing Program ☐Expanding Program ☐Other

Service Description: This is a sponsorship in the amount of $500 to offset the costs of hosting the Remembering our Babies event being held on Pregnancy and Infant Loss (PAIL) Day, October 15, 2019. Background Information:

First Year Cleveland (FYC) is a multi-sector collaborative working towards a unified strategy to reduce infant mortality and racial disparities in Cuyahoga County.

The goal is to lower infant deaths by end of 2020 by addressing three strategic areas: (1) reduce racial disparities, (2) address extreme prematurity, (3) and eliminate sleep related deaths.

The FYC PAIL committee exists to create an opportunity for African American families who are impacted by loss to be heard and to be connected to vital mental health and supportive services.

The “Remembering Our Babies” event will provide a forum in which the community at large and public officials can hear directly from African Americans who have experienced pregnancy and infant loss (PAIL).

Engaging Black families to share their experiences of loss will help inform comprehensive efforts to achieve equity in birth outcomes and empower systems and providers to deliver the best services possible and support Black families during their pregnancy and/or infant loss journey.

This event is being held on Pregnancy and Infant Loss Remembrance Day, October 15, 2019, to create awareness of infant loss and prevention strategies to combat infant loss.

Number of Individuals to be Served:

Approximately 200 families that have been through an infant loss and community leaders, nonprofits and advocates are expected to attend the “Remembering Our Babies” event being held on October 15, 2019 at the Botanical Gardens.

Funding Use:

Funds will be used to provide food, flyers and other promotional materials for the event.

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Client & System Impact:

Sponsoring this conference will: o Complement the ADAMHS Board mission, vision, value statements, strategic plan, and/or

Advocacy Action Agenda. o The event is culturally specific and addresses health disparities in the African American

community, while connecting families with the supportive services needed during pregnancy and after an infant loss.

Metrics (How will success be measured)

Number of people in attendance at the event

Evaluation/ Outcome Data (Actual results from program)

Approximately 150 people attended the event on October 15, 2018 and more than 60 babies were recognized.

Recommendation to Board of Directors from Board Staff and/or from Board Committee(s):

Board staff recommends sponsorship of the “Remembering Our Babies” event to be held on October 15, 2019 in the amount of $500.00.

Approved by the Finance & Operations Committee on September 18, 2019.

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Agenda Process Sheet

Date: September 25, 2019

Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee

☐ Planning & Oversight Committee Finance & Operations Committee

☐ Committee of the Whole General Meeting

Topic: Online Mental Health Screening Contractual Parties: MindWise Innovations (formerly Screening for Mental Health, Inc.) 270 Bridge Street, Suite 205

Dedham, MA 02026 Term: September 15, 2019 to September 15, 2020 Funding Source(s): ADAMHS Board Amount: $1,000.00

☐ New Program Continuing Program ☐Expanding Program ☐Other

Service Description: MindWise Innovations (formerly Screening for Mental Health, Inc.) provides large-scale mental health screening for the public, innovative mental health and substance abuse resources, and links individuals in need with quality treatment options. Our programs, offered online and in-person, educate, raise awareness, and screen individuals for common mental and behavioral health disorders, and suicide. The screenings are offered in Spanish and English.

Background Information:

The ADAMHS Board has been utilizing the online screenings since 2014.

In 2018 (January 1 – December 31) 1,447 people took the online screenings.

We are renewing last year’s subscription, the lowest contract amount, for $1,000. Number of Individuals to be Served: 1,400 Funding Use: Pay for access to and analytics of the online mental health screening links. Client & System Impact: Awareness, education and connection to services for mental illness and addictions.

Metrics (How will goals be measured)

Provide mental health and substance use screenings to at least 1,200 people.

Evaluation/ Outcome Data (Actual results from program)

In 2018, 1,447 screening were completed in all. The top screening taken were: 656 for depression, 352 for generalized anxiety, 137 for bipolar, 84 for disordered eating, 105 for PTSD, 34 for adolescent depression and 79 for alcohol and substance use.

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Recommendation to Board of Directors from Board Staff and/or from Board Committee(s): The ADAMHS Board staff is asking for the board to ratify the cost of renewing the online mental health screening in the amount of $1,000.00.

Approved by the Community Relations & Advocacy Committee on September 4, 2019.

Approved by the Finance & Operations Committee on September 18, 2019.

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ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES BOARD OF CUYAHOGA COUNTY

RESOLUTION NO. 19-09-06

APPROVAL OF CONTRACT AMENDMENT

1. Amendment to Resolution 18-05-04 – Approval and Ratification of Contracts, OhioMHAS

Addiction Treatment Program (ATP)

WHEREAS, the Alcohol, Drug Addiction and Mental Health Services Board of Cuyahoga County (ADAMHS Board) Chief Executive Officer (CEO) has determined it necessary and within the administrative and operational budget to amend the contracts with the following entities:

1. Amendment to Resolution 18-05-04 – Approval and Ratification of Contracts, OhioMHAS Addiction Treatment Program (ATP). Project total funding - $1,103,852.00 (carry-over funding of $778,952.00 and FY2020 funding of $325,000.00). Extending the time period of the project until June 30, 2020 with the following provider agencies: a. Catholica Charities-Matt Talbot for Men and Women b. Cleveland Treatment Center c. Community Assessment and Treatment Services (CATS) d. Hitchcock Center for Women e. MetroHealth System f. Moore Counseling and Mediation Services g. Recovery Resources h. The Salvation Army i. Stella Maris j. Cuyahoga County Treatment Alternatives to Street Crime (TASC); and,

WHEREAS, the ADAMHS Board Finance and Operations reviewed the ADAMHS Board staff’s recommendation and recommends that the Board of Directors approve or ratify said contract amendment.

NOW, THEREFORE, BE IT RESOLVED: A. The ADAMHS Board of Directors authorizes amending the ADAMHS Board resolutions listed

below: 1. Amendment to Resolution 18-05-04 – Approval and Ratification of Contracts, OhioMHAS

Addiction Treatment Program (ATP). Project total funding - $1,103,852.00 (carry-over funding of $778,952.00 and FY2020 funding of $325,000.00). Extending the time period of the project until June 30, 2020 with the following provider agencies: a. Catholica Charities-Matt Talbot for Men and Women b. Cleveland Treatment Center c. Community Assessment and Treatment Services (CATS) d. Hitchcock Center for Women e. MetroHealth System f. Moore Counseling and Mediation Services g. Recovery Resources h. The Salvation Army i. Stella Maris j. Cuyahoga County Treatment Alternatives to Street Crime (TASC)

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B. The ADAMHS Board Chief Executive Officer is authorized to execute any necessary contractual agreements.

On the motion of , seconded by , the foregoing resolution

was adopted. AYES:

NAYS: ABSTAIN: DATE ADOPTED:

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Agenda Process Sheet Date: September 25, 2019

☐ Community Relations & Advocacy Committee ☐ Faith-Based Outreach Committee

Planning & Oversight Committee Finance & Operations Committee

☐ Joint Planning & Finance Committee General Meeting

Topic: Amendment to Resolution 18-05-04 Addiction Treatment Program (ATP) Contractual Parties: Catholic Charities-Matt Talbot for Men and Women Cleveland Treatment Center (CTC) Community Assessment and Treatment Services (CATS) Hitchcock Center for Women The MetroHealth System

Moore Counseling Recovery Resources

The Salvation Army Stella Maris Cuyahoga County TASC (Treatment Alternatives to Street Crime) Term: July 1, 2019 – June 30, 2020 Funding Sources: Pass-through funding from Ohio Mental Health & Addiction Services

(OhioMHAS) administered by the ADAMHS Board as a service to the Drug Court Programs Amount: $1,103,952.00 (includes unspent dollars as of 07/01/2019)

☐ New Program Continuing Program ☐Expanding Program ☐Other

Service Description:

The Alcohol, Drug Addiction and Mental Health Services Board of Cuyahoga County (ADAMHS Board) and Drug Court Programs with specialized docket(s) is addressing the need for addiction treatment to individuals who are offenders within the criminal justice system.

OMHAS has expanded eligibility to any client with a SUD, not only those with OUD or alcohol use disorders.

The client will receive SUD treatment and recovery support services as necessary.

Clients will be enrolled by Drug Court staff and services will be provided by ADAMHS Board contacted agencies certified by OhioMHAS.

The ADAMHS Board will act as the fiscal agent to draw down funds in the OhioMHAS grant system and pass the funds to the contracted providers for services rendered.

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Background Information:

OhioMHAS provided the ADAMHS Board of Cuyahoga County $325,000.00 for the Addiction Treatment Program for the period July 1, 2019 – June 30, 2020 (SFY 2020).

OhioMHAS has approved $778,952 in carryover funds into the next fiscal year.

ADAMHS Board staff also requests for the addition of Cleveland Treatment Center, Hitchcock Center for Women, Recovery Resources to the panel of providers approved for the MAT program.

Number of Individuals to be Served: Estimated up to 320 clients in SFY 2020. Funding Use:

SUD treatment and recovery supports, inclusive of Medication Assisted Treatment Medications (MAT) used to treat Substance Use Disorder (SUD) clients with opioid addiction (primarily Vivitrol /naltrexone), assessments, Intensive Outpatient Services (IOP), Outpatient Services (OP), urinalysis, recovery supports, including recovery housing, transportation, ID services, employment/training, peer support and assisting in Medicaid applications.

Client & System Impact:

To provide increased access to medication assisted treatment and recovery support services to Drug Court involved opioid addicted individuals under contract with the ADAMHS Board.

Performance Measures:

Metrics

(How will goals be measured)

OMHAS requires ATP Projects to report:

Total number of ATP clients in the docket at the beginning of SFY 2020

Number of new clients admitted to ATP each Quarter

Total number of ATP clients served by the docket each Quarter

Amount of Allocation funds used during the reporting period for Treatment

Amount of Allocation funds used during the reporting period for Recovery Supports

Evaluation/Outcome Data

(Actual Results From Program)

In SFY 2019: 392 Clients were served through the ATP program 49% of funds were expended on Treatment Services; the remaining 51% covered clients’ recovery support needs including housing, clothing, food and transportation.

Recommendation to Board of Directors from Board Staff and/or from Board Committee(s):

To approve the amendment to Resolution 18-05-04 to accept OHIOMHAS additional funding in the amount of $325,000.00 for the period July 1, 2019 through June 30, 2020 (SFY 2020), to accept $778,952.00 carryover funding from the period July 1, 2018 through June 30, 2019 (SFY 2019), and to add CTC, Hitchcock Center for Women, and Recovery Resources to the panel of approved providers for the Addiction Treatment Program.

Approved by the Joint Faith-based Outreach and Planning & Oversight Committee on September 11, 2019.

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Approved by the Finance & Operations Committee on September 18, 2019.


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