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MBR L ogistics Webinar July 2, 2014

Promoting Wellness and Recovery. John R. Kasich , Governor Tracy J. Plouck , Director. MBR L ogistics Webinar July 2, 2014. Agenda. SAPT Prevention plan ($5 million) Recovery housing ($5 million GRF, $5 million capital) Crisis and housing earmark ($20.1 million) RSS ($7.5 million)

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MBR L ogistics Webinar July 2, 2014

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  1. Promoting Wellness and Recovery John R. Kasich, Governor Tracy J. Plouck, Director MBR Logistics WebinarJuly 2, 2014

  2. Agenda SAPT Prevention plan ($5 million) Recovery housing ($5 million GRF, $5 million capital) Crisis and housing earmark ($20.1 million) RSS ($7.5 million) Specialty docket payroll subsidy ($4.4 million) Questions and concerns Next steps

  3. MBR Funding Distribution

  4. SAPT Support for the pass-through and direct providers is augmented in 3 ways: GRF ALI 507: $1.4M additional for women’s treatment GRF ALI 507: $1.5M additional for prevention SAPT Award: $1.3M supplement for other SAPT pass-through and direct providers (e.g. TASC, SAMI, Circle for Recovery programs, etc.)

  5. SAPT Result 1: During FY 15, direct and pass-through prevention grant providers will be funded at levels approximately 100% of FY 14. Result 2: During FY 15, direct and pass-through treatment grant providers will be funded at levels approximately $2.3 million less than FY 14. Result 3: Board allocation gap remains as published in November.

  6. Prevention: $5 million 13

  7. Prevention: Coalition Excellence • Designed for coalitions pursuing Ohio Coalition of Excellence (OCoE) designation & new/emerging coalitions seeking implementation of SPF & EBPs • Training, TA & peer coaching • Funds can be used for: prevention workforce development, training in EBPs, travel to regional trainings and mentoring/coaching sessions, community-based processes, SPCA and CADCA memberships, supplies, and sustainability planning. • (Note: $20,000-$30,000 grants would give an opportunity for approximately 20 coalitions)

  8. Prevention: Evidence-Based Practices (EBP) • According to a 2012 National Prevention Network survey, 78% of states fund a higher percentage of EBP than Ohio • 65% of states spend 61-100% of their prevention funds on EBP • Only 5 states reported a lower percentage of EBP than Ohio • Designed to increase prevention capacity to share &adopt EBPs demonstrating a high ROI • Note: Applications will be accepted for up to $100,000 each.

  9. Prevention: Ohio Youth-Led Prevention Network (OYLPN) • Designed to increase number of groups implementing Ohio’s evidence-based model of youth-led prevention and number of youth acquiring Ohio’s Youth Peer Prevention Certification (CSAP recommended) • New/emerging & established middle/high school student groups • Training, TA & peer coaching • Note: Preference will be given for schools with Start Talking Ambassador groups. A range of $10,000-$25,000 for each project which will fund approximately 20 OYLPN groups.

  10. Prevention RFPs • Release RFP4 for training and technical assistance for all areas (July). Award (August). • Release RFP5 for evaluation planning and EBP workgroup for all areas (July). Award (August). • Release RFP6 for four program areas (July). (Award September).

  11. Prevention: Survey • CSAP requirement for outcomes: • “States must be prepared to report the outcomes of their efforts on substance abuse-related attitudes and behaviors. This means that state-funded prevention providers will need to collect data and report this information to the state (SAMHSA, 2012).” • Need local data for assessment, planning & evaluation • We are aware of 59 survey efforts across Ohio out of 88 counties, 251 cities, 1,295 townships, 681 villages (2.5% of localities) as of the end of 2013

  12. Note: State & local funds can be used as match for DFCCs. Federal funds cannot be used to match federal grants. “The coalition must have a strategy to solicit substantial financial support from non-Federal sources to ensure that the coalition is self-sustaining. (21 U.S.C 1531 §1032 (a)(5)(C)) & (21 U.S.C 1531 §1032 (b)(1)(A)(i)) “

  13. Note: State & local funds can be used as match for DFCCs. Federal funds cannot be used to match federal grants. “The coalition must have a strategy to solicit substantial financial support from non-Federal sources to ensure that the coalition is self-sustaining. (21 U.S.C 1531 §1032 (a)(5)(C)) & (21 U.S.C 1531 §1032 (b)(1)(A)(i)) “

  14. Prevention: Survey • Convene Interagency Prevention Partners (July) & community partners (August) • Release Technical RFP1-Instrument, sample development, consent, IRB, expert advisory panel (July) • Release Recruitment & Training RFP2-School recruitment, assistance with selecting local survey items, development of packets &protocols for training on administering the survey & using data (July) • Release Data Capture & Reporting RFP3-Development of data capture methods, database and reporting Note: Although externally developed, Ohio will own. (July) • Award contracts (August) • Target date for fielding survey (Fall 2015)

  15. Recovery housing Recovery Housing is defined as housing for individuals recovering from a drug addiction that provides an alcohol and drug-free living environment, peer support, assistance with obtaining drug addiction services, and other drug addiction recovery assistance where the length of stay is not limited to a specific duration.

  16. Recovery housing • $5M GRF earmark • $5M Capital earmark • The purpose of these funds is to increase state and community capacity to provide recovery housing to individuals with a substance use disorder, including co-occurring drug addiction • New due date for boards’ capital plan: Friday, July 11th, 2014

  17. Recovery housing • $5M earmark for Capital use related to recovery housing: • Distribution of dollars will follow existing capital processes • Deadline to revise capital projects has been extended to Friday, July 11, 2014 • Both revisions to existing projects and new projects will be accepted • Targeted to underserved/areas without recovery housing • Projects that are ready to proceed will be given priority • MHAS will be looking for a 50% local match

  18. Recovery housing • Eligible Uses of Funds ($5 million GRF) • Straight purchase • Direct recovery housing operations support • Process/Timeline • Funding announcement • Proposals due • Notifications • Awards • Priority • Will be given to projects in underserved counties or counties that do not currently have recovery housing.

  19. MBR language • “The remainder of the foregoing appropriation 335507, Community Behavioral Health, an amount up to $24.1M, in FY 15 shall be invested in addiction and mental health recovery supports, with an emphasis on crisis and housing. • These investments shall prioritize funding projects that fill gaps in the continuum of care established by [ADAMH boards] under ORC 340.03(A)(11). • Projects shall be identified in consultation with & may be implemented by the boards except in areas for which the Director of OhioMHAS identifies unmet needs.”

  20. General process $24.1 million – “up to” amount in MBR $ 2.5 million – proposed set aside for AOD hot spots $ 1.5 million – women’s treatment providers (SAPT) _________________ $20.1 million – remaining

  21. OhioMHAS MBR SFY 2015 GRF 507 Budget Planning - $20.1 M by Region Note: Amount by region is calculated using 2012 Ohio County population estimates provided by the Department of Development Services http://development.ohio.gov/files/research/P5007.pdf

  22. General process • Soliciting general suggestions via our stakeholder network regarding how to address current system gaps • Survey Monkey • Suggestions may be broad or specific • OhioMHAS, in consultation with boards, can use this information to inform decisions regarding FY 15 and/or FYs 16/17 budget planning

  23. What is RSS? • Financial assistance for adults with low incomes • Have disabilities and/or are at least age 60, but do not require long-term care at a nursing facility • Accommodations, supervision and personal care services at community residences • Present eligibility criteria: Age 18 or older; enrolled in Medicaid (not a waiver program); receiving Social Security, SSI and/or SSDI; and currently receiving treatment in a nursing home and planning for discharge

  24. RSS – Allowable fees

  25. RSS Review Implementation Program changes: • Open enrollment • Licensed homes < 16 individuals • Increased allowable fees & RSS benefits

  26. Specialty dockets Purpose: The $4.4M in FY 15 is to defray a portion of the annual payroll cost associated with the employment of one full-time or full-time equivalent specialty docket staff member by a court of Common Pleas, a Municipal Court, or a county court including Juvenile or Family Courts that currently have or anticipate having a Family Dependency Treatment Court

  27. Specialty dockets • Timeline: Funding will be initiated to the courts no later than mid-September, 2014; however, additional eligible courts could receive funding throughout the year when eligible • Project Lead: Joani Moore (Supervisor Bob Baker)

  28. Specialty dockets • Who is eligible? • Common Pleas, Municipal and County Courts including Juvenile or Family Courts that have or anticipate having a Family Dependency Treatment Court certified by the Supreme Court of Ohio for a specialized docket that targets participants with a drug addiction or dependency; and

  29. Specialty dockets • Who is eligible? • The specialty docket staff must be trained or educated in alcohol and other drug addiction, abuse and recovery and demonstrate an understanding of their training to engage a person in treatment and recovery as well as understand other health care systems, social service systems and the criminal justice systems.

  30. Specialty dockets • Funding methodology (as defined in the legislation): One-time direct funding to the courts • The amount of compensation and fringe benefits (total payroll cost) of a FTE or FTE equivalent will be proportionally reflected in the specialized docket duties and responsibilities or $78,000 (the lesser of the two) and the state’s share of the total compensation shall be up to 65% of the payroll cost not to exceed $50,700.

  31. Other MBR Items in language • Legislation establishing requirements for a continuum of care (House Bill 369) were amended into the MBR bill. • Major provisions of this language take effect in two years. Will be a planning focus starting later this summer.

  32. More information http://www.mha.ohio.gov/ Join our OhioMHAS e-news list-serv for all of the latest updates!

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