HomeMy WebLinkAboutMH Implementation Plan - FY 2011-13Deschutes County Board of Commissioners
1300 NW Wall St., Suite 200, Bend, OR 97701-1960
(541) 388-6570 - Fax (541) 385-3202 - www.deschutes.org
AGENDA REQUEST & STAFF REPORT
For Board Business Meeting of April 14, 2010
Please see directions for completing this document on the next page.
DATE: April 8, 2010.
FROM: Scott Johnson. Health Services 322-7502
TITLE OF AGENDA ITEM:
Consideration of Board adoption and Chair signature of the 2011-2013 Deschutes County Biennial
Implementation Plan for mental health, alcohol and drug, and gambling prevention and treatment
services.
PUBLIC HEARING ON THIS DATE? No
BACKGROUND AND POLICY IMPLICATIONS:
Each County Mental Health Authority in Oregon, including Deschutes County, is required to prepare
and submit to the Oregon Department of Human Services a Biennial Implementation Plan outlining
preliminary plans for mental health, alcohol and drug, and gambling prevention and treatment servLces
in the upcoming biennium. Deschutes County Health Services—Behavioral Health Division, in
consultation with several community groups, has prepared the proposed 2011-2013 Biennial Plan
(Document Number 2010-246) for Deschutes County.
The Deschutes County Commission on Children & Families has prepared the alcohol and drug
prevention plan on our behalf. The document is attached and is provided to the Deschutes County
Board of County Commissioners for review and adoption. NOTE: This Biennial Plan document
outlines only those elements of our work that are referenced in the State's Biennial Plan form. The full
Deschutes County Strategic Plan was adopted by the Board of County Commissioners in May, 2008.
Information outlined in this Biennial Plan is included in that more comprehensive and long-term
document.
FISCAL IMPLICATIONS:
This Plan relates to our financial priorities in fiscal years 2012 and 2013. Proposed financial plans and
expenditures will be outlined in the County Budgets for those years. Proposed budgets will be
consistent with the priorities and projects outlined in the Biennial Plan.
RECOMMENDATION & ACTION REQUESTED:
Adoption of the 2011-2013 Deschutes County Biennial Implementation Plan.
ATTENDANCE: Scott Johnson, Deschutes County Health Services
DISTRIBUTION OF DOCUMENTS:
Signed original to: Kathe Hirschman, Deschutes County Health Services, 2577 NE Courtney Drip, e,
Bend, OR 97701
DESCHUTES COUNTY DOCUMENT SUMMARY
(NOTE: This form is required to be submitted with ALL contracts and other agreements, regardless of whether the document is to be
on a Board agenda or can be signed by the County Administrator or Department Director. If the document is to be on a Board
agenda, the Agenda Request Form is also required. If this form is not included with the document, the document will be returned to
the Department. Please submit documents to the Board Secretary for tracking purposes, and not directly to Legal Counsel, the
County Administrator or the Commissioners. In addition to submitting this form with your documents, please submit this form
electronically to the Board Secretary.)
Date:
April 8, 2010
Please complete all sections above the Official Review line.
Contractor/Supplier/Consultant Name:
Contractor Contact:
N/A1
Department:
N/A1
Type of Document: Implementation Plan
Health Services
Contractor Phone #:
NMI
Goods and/or Services: Preparation (for adoption) of the 2011-2013 Deschutes
County Biennial Implementation Plan for mental health, alcohol and drug, and gambling
prevention and treatment services.
Background & History: Each County Mental Health Authority in Oregon, including
Deschutes County, is required to prepare and submit to the Oregon Department of
Human Services a Biennial Implementation Plan outlining preliminary plans for mental
health, alcohol and drug, and gambling prevention and treatment services in the
upcoming biennium. Deschutes County Health Services—Behavioral Health Division, in
consultation with several community groups, has prepared the proposed 2011-2013
Biennial Plan (Document Number 2010-246) for Deschutes County. The Deschutes
County Corrlmission on Children & Families has prepared the alcohol and drug
prevention plan on our behalf. The document is attached and is provided to the
Deschutes County Board of County Commissioners for review and adoption. NOTE:
This Biennial Plan document outlines only those elements of our work that are
referenced in the State's Biennial Plan form. The full Deschutes County Strategic Plan
was adopted by the Board of County Commissioners in May, 2008. Information outlined
in this Biennial Plan is included in that more comprehensive and long-term document.
Agreement Starting Date:
July 1,2011
Annual Value or Total Payment:
$9.5 million est.
Ending Date:
❑ Insurance Certificate Received check box)
Insurance Expiration Date:
June 30, 2013
Check all that apply: Not applicable
❑ RFP, Solicitation or Bid Process
❑ Informal quotes (<$150K)
❑ Exempt from RFP, Solicitation or Bid Process (specify – see DCC §2.37)
4/8/2010
Funding Source: (Included in current budget? ❑ Yes ❑ No Not applicable
If No, has budget amendment been submitted? I I Yes ❑ No
Is this a Grant Agreement providing revenue to the County? ❑ Yes ® No
Special conditions attached to this grant:
Deadlines for reporting to the grantor:
If a new FTE will be hired with grant funds, confirm that Personnel has been notified that
it is a grant -funded position so that this will be noted in the offer letter: I I Yes I I No
Contact information for the person responsible for grant compliance: Name:
Phone #:
Departmental Contact and Title: Scott Johnson, Director Phone #: 322-7502
Department Director Approval:
Signature Date
Distribution of Document: Who gets the original document and/or copies after it has
been signed? Include complete information if the document is to be mailed.
Signed original to: Kathe Hirschman, Deschutes County Health Services
Official Review:
County Signature Required (check one): ❑ BOCC 0 Department Director (if <$25K)
0 Administrator (if >$25K but <$150K; if >$150K, BOCC Order No. )
Legal Review Date
Document Number
4/8/2010
Deschutes County Health Services (DCHS)
7n7 7-7n7 R nahnvinral HaaIth Rinnnial Tmnlementatinn Plan
OVERVIEW
Department Description
Deschutes County Health Services (DCHS) was formed in 2009, as a consolidation of the County
Health and Mental Health Departments. Health Services offers services at more than 40
community locations including 26 public schools, health clinics in downtown Bend, Redmond and La
Pine, five school clinics, agencies such as the KIDS Center and State Department of Human
Services, area hospitals, care facilities and homes. Services are also provided through mobile
outreach.
Behavioral Health
Our projected Behavioral Health Division budget totals $15.5 million with 106 FTE. The Division
helps County residents who face serious mental health and addictions issues. Staff and contracted
agencies also help people with developmental disabilities and their families. Priority populations
include Oregon Health Plan members, uninsured County residents with nowhere else to turn and
people in crisis, who are often in unstable situations or are a danger to themselves or others. The
Division also coordinates services for County residents in care at the State Hospital or served
through other agencies or facilities. These services alleviate community problems, assist people in
need, promote client health and prevent more costly care and intervention. Behavioral Health will
help more than 4,000 County residents in FY 2011. Behavioral Health consists of five program
areas: Child and Family, Adult Treatment, Seniors Mental Health, Developmental Disabilities and
Business Services.
Public Health
Deschutes County Health Services also has a primary responsibility to address issues related to the
basic health and wellness of Deschutes County and its residents. The Public Health Division budget
totals $8.7 million with 69 FTE. The Division assesses, preserves, promotes, and protects the
public's health. A number of direct services are provided including immunizations, family planning,
prenatal care and school based health centers as well as nutrition to young children and their
mothers. Other services include disease control, disaster preparedness, tobacco prevention, health
education and monitoring of community health. Patient visits are projected to total more than
35,000 in FY 2011. Public Health consists of six program areas: Community Health, Reproductive
Health, Maternal Child Health, Women, Infants & Children (WIC), Environmental Health (a July
2010 transfer from the County Community Development Department) and Business Services.
2011-13 Preliminary Priorities in Behavioral Health
Deschutes County Health Services will place a continuing emphasis on departmental efficiencies,
service integration and better access to care. Recognized as a behavioral health integration project
by the State of Oregon through 2015, the Department will continue to work actively to improve the
overall health of our client populations by focusing on general community (public) health as well as
coordinated care between primary care and behavioral health. Examples: better coordination of
care with Mosaic Medical, La Pine Community Clinic, Volunteers in Medicine, Cascade Healthcare
Community (CHC) Behavioral Health, CHC acute care and area Emergency Departments. The
Department will integrate primary and behavioral healthcare in five school-based health centers
(including two new centers in Sisters and Redmond). 2011-12 plans also include expanding
behavioral health service capacity in Sisters, Redmond and La Pine as well as medical capacity in
the Bend area.
Page 1 of 15
In 2011-13, with sufficient resources, maintenance of effort will include (examples):
• Helping OHP members and the highest need uninsured residents;
• Servicing two treatment courts and our Bridge Program (post incarceration);
• Funding acute rare and operating mobile and day crisis services;
• Offering clinic, case management and outreach services throughout the County;
• Significantly expanding supported housing and residential treatment options;
• Continuing supported employment and homeless outreach services;
• Offering help to children and families at clinics, public schools and the KIDS Center;
• Offering mediation services at the Rosie Bareis Campus (Bend)
• Expanding the benefit of our Early Assessment & Support Alliance;
• Expanding the benefit of the Launch program (abuse prevention; wellness);
• Continuing to offer geriatric services through a small specialized team;
• Partnering with the Cascade Peer & Self -Help Center
• Developing peer support positions at multiple locations; and
• Contracting with numerous community providers.
Essential partnerships include work with all contracted providers, Health Matters, COIHS (the fully
capitated health plan) and Pacific Source, Accountable Behavioral Health Alliance, and the
Community Mental Health Programs in Crook (Lutheran Community Services NW) and Jefferson
(BestCare Treatment Services) counties. Other partnerships include the three area school districts
and the High Desert Education Service District, the Commission on Children & Families, local law
enforcement agencies, the Circuit Court (11th Judicial District), the Department of Human Services
(state and local), the new Oregon Health Authority and the Deschutes County Local Public Safety
Coordinating Council.
The Department is most grateful for the support and assistance of the Deschutes County Board of
Commissioners and the County Administrator as the local mental health authority for the County
and to the citizens serving on the 19 -member Deschutes County Addictions & Mental Health
Advisory Board. Financial support from the County General Fund increases our range and level of
services, particularly to uninsured residents of Deschutes County.
2010-11 Departmental Priorities
In addition to ongoing operation of a wide range of public health, behavioral health and support
services, we are in the process of identifying a number of critical projects that require special effort
in CY 2010. Our preliminary list is geared to developing and strengthening our new department. It
includes the following:
1. Public Health Accreditation - Selected as one of 19 counties nationwide, DCHS is using
Public Health Accreditation to assess our operation and strengthen our agency. Deliverables:
Assessment; improvement priorities, quality improvement project.
2. Budget FY 2011 - Prepare the 2011-12 budget based on operating costs and emerging
priorities, adjusting for potential funding reductions. Deliverable: Adopted budget.
3. Electronic Record Project - Begin a multi-year project to convert most DCHS operations to
an electronic system. Deliverable: 2010 selection and implementation.
4. Environmental Health transfer - Integrate the Environmental Health Unit in the Community
Development Dept. into DCHS. Deliverable: Transfer of budget and staff July 2010. Note:
Also requires relocation of some DCHS services to another Bend site.
5. Health Report - Publish the new 2010 Report. Deliverables: With the Advisory Boards,
review and select 1-3 projects for attention; disseminate the report; educate the public.
Page 2 of 15
6. Integration - A major collaborative regional project through 2015, develop a model to
integrate primary care and behavioral health services throughout Central Oregon. Deliverables:
Single point of accountability; infrastructure development; improve health outcomes, client
satisfaction and Vvo1containment.
7. Launch Development - As a major project through 2015, kick off our new child abuse
prevention and child wellness initiative (5-year Federal grant). Deliverable: Expand integrated
services at no less than three school-based health centers.
8. New Manager - Hire a new manager for Program Support Services with an emphasis on
strengthening our quality improvement, initiating our new service integration project, and
supporting our planning and evaluation activities. Deliverable: Hire in first quarter.
9. Plan: County Goals & Objectives - The County asks each Department to develop these
measures as part of the budget process. Deliverables: Post quarterly updates of our progress
in achieving 2009-10 objectives; propose 2011-12 goals and objectives.
10. Plan: Behavioral Health Biennial Implementation Plan - The State requires this plan
every two years. Deliverable: Develop and submit the adopted 2011-2013 plan to the State.
11. Plan: Public Health Annual Plan - The State requires this plan every year, with a
comprehensive plan due every three years. Deliverable: Develop and submit the adopted
2010-2011 plan to the State.
12, Policy Manual DCHS - Review prior behavioral health and public health policies guiding our
operation; update as needed. Deliverable: Policy manual.
13. Residential Development - Consistent with our housing continuum, increase affordable
housing for people with mental illness by 32 slots/units. De/iverab/e: Four projects completed
by December 2010 including three in Bend and one in Redmond.
14. Redmond 2011 - With the County, explore the feasibility of creating a Redmond Service
Center including a range of community based DCHS programs and services. Deliverable: A
plan of services to be offered in Redmond in 2011 or later.
15. School-based health centers - Continue County efforts to expand school based centers
throughout the County. Deliverable: Open a second center in Redmond and the first center in
Sisters in the fall of 2010.
16. Strategic Plan - The Department currently has two adopted strategic plans. De/iverable:
Integrate and streamline the material into a single plan early in 2011.
17. Website Update - Recreate the current web sites into a single informative site that is easy to
navigate and serves the public well. Deliverable: Launch of new site in 2011
Page 3 of 15
STATE REQUIRED FORMAT AND INFORMATION
1. County/Community Mental Health Program (CMHP) Area Name: Deschutes
2. County/CMHP Physical Address: 2577 NE Courtney Drive, Bend, OR 97701
3. Addiction Treatment Services Contacts
1) Lori Hill, Adult Treatment Program Manager; 2) Scott Johnson, Director
2577 NE Courtney Drive, Bend, OR 97701
Email: 1) LoriH@deschutes.org; 2) ScottJ@deschutes.org
Phone: 1) 541-322-7535; 2) 541-322-7502 Fax: 1 & 2) 541-322-7565
4. Prevention Services Contacts
1) Jessica Kelly, Substance Abuse Prevention Coordinator
2) Hillary Saraceno, CCF Director
3) Scott Johnson, DCHS Director
1 & 2) 1130 NW Harriman, Suite A; 3) 2577 NE Courtney Drive
1,2,3 Bend, OR 97701
Email: 1) JessicaK@deschutes.org; 2) HiIS@deschutes.org; 3) ScottJ@deschutes.org
Phone: 1) 541-330-4632; 2) 541-317-3178; 3) 541-322-7502
Fax: 1 & 2) 541-385-1742; 3) 541-322-7565
5. Mental Health Services Contacts
1) Lori Hill, Adult Treatment Program Manager; 2) Barrett Flesh, Child & Family Program
Manager; 3) Kathy Drew, Senior Services Program Manager
1, 2 & 3) 2577 NE Courtney Drive; 1, 2 & 3) Bend, OR 97701
Email: 1) LoriH@deschutes.org; 2) BarrettF@deschutes.org; 3) KDrew@deschutes.org
Phone: 1) 541-322-7535; 2) 541-322-7591; 3) 541-322-7557
Fax: 1) 541-322-7565; 2 & 3) 541-322-7566
6. State Hospital/Community Co -Management Plan Contacts
1) Tara Gross, Housing Specialist: 2) Lori Hill, Adult Treatment Program Manager
1) 1128 NW Harriman; 2) 2577 NE Courtney Drive; 1 & 2) Bend, OR 97701
Email: 1) TaraG@deschutes.org; 2) LoriH@deschutes.org
Phone: 1) 541-317-3116; 2) 541-322-7535
Fax: 1) 541-330-4642; 2) 541-322-7565
7. Subcontractors: Note: All funding amounts are preliminary estimates only, reflecting 2009-
2010 contractors, Deschutes County and Deschutes County Health Services reserve the right to
modify this list of contractors and contracted amounts.
#1 Subcontractor Name: BestCare Treatment Services
Approval/ License #: 93-1269087
Amount of Funds: $233,000
Program Area: Alcohol & Drug Treatment --Adult
#2 Subcontractor Name: Commission on Children and Families
Approval/ License #: 93-6002292
Amount of Funds: $360,000
Program Area: Alcohol & Drug Prevention --Youth
Page 4 of 15
#3 Subcontractor Name: Pfeifer & Associates
Approval/ License #: 93-1254885
Amount of Funds: $542,000
Program Area: Alcohol &. Drug TreNtment--Add suit R Youth
#4 Subcontractor Name: Rimrock Trails Adolescent Treatment Center
Approval/ License #: 93-1019081
Amount of Funds: $80,000
Program Area: Alcohol & Drug Treatment --Youth
#5 Subcontractor Name: Cascade Healthcare Community, Inc.
Approval/ License #: 93-0602940
Amount of Funds: $2,211,000
Program Area: $Mental Health --Adult
#6 Subcontractor Name: Oregon Treatment Network
Approval/ License #: 93-1187763
Amount of Funds: $74,000
Program Area: Alcohol & Drug Treatment --Adult
#7 Subcontractor Name: Maple Star Oregon, Inc.
Approval/ License #: 93-1263318
Amount of Funds: $120,000
Program Area: Mental Health --Youth
#8 Subcontractor Name: Dr. Joseph Barrett
Approval/ License #: MD24477, expires 12/31/2011
Amount of Funds: $40,000
Program Area: Mental Health --Adult
#9 Subcontractor Name: Dr. Marc Williams
Approval/ License #: MD22829, expires 12/31/2011
Amount of Funds: $490,000
Program Area: Mental Health --Adult &Youth
#10 Subcontractor Name: Gayle Woosley
Approval/ License #: 200050099NP, expires 1/9/2012
Amount of Funds: $146,000
Program Area: Mental Health --Youth
#11 Subcontractor Name: Dr. Angelina Montoya
Approval/ License #: MD26047, expires 12/31/2011
Amount of Funds: $16,000
Program Area: Mental Health --Youth
#12 Subcontractor Name: Sarah Cota, QMHA
Approval/ License #: NPI: 1962597245
Amount of Funds: $16,000
Program Area: Mental Health --Youth
#13 Family Resource Center of Central Oregon
Amount of Funds: $16,824
Program Area: Mental Health—Youth
#14 Healthy Families of the High Desert
Amount of Funds: $12,000
Program Area: Mental Health—Youth
8. Signature pages for all who review and sign -off on this plan. This section will include the
reviews and comments by the Deschutes County Commission on Children & Families (March
18, 2010 review), the Deschutes County Local Public Safety Coordinating Council (April 5,
2010), approval of the Deschutes County Addictions & Mental Health Board (April 7, 2010),
Pat Carey, Regional DHS representative (March 31, 2010) and adoption by the Deschutes
County Board of Commissioners (April 14, 2010).
Page 5 of 15
9. County Planning Process
Page 6 of 15
Place X for
Priorities Identified
(in 56 555
Community Plan)
a
New Stratcyy Pi upuncu
Access to Care
X
Increase use of subcontracted services to
manage demand. Utilization management
process to better manage caseloads.
Adult Mental Health
X
Increase peer supports and peer delivered
services. Improve integration with primary
care.
Affordable Housing
X
Work with local housing authority to increase
supported/affordable housing options.
Children's Mental Health
X
Increase parent involvement and behavioral -
public health integration through use of
Parent -Child Interaction Therapy. Increase
suicide prevention activities in conjunction
with Commission on Children &
Families. Continue to develop Early
Assessment Support Alliance (EASA) program
for first break psychosis.
Decrease Juvenile Arrests
Domestic Violence
Health Insurance
X
Resource to help with Health Kids and OHP
enrollment information and referral
Reduce Adult
Substance Abuse
X
Expand co-occurring disorder treatment
capacity. Maintain jail partnerships for alcohol
and drug treatment services to corrections
population.
Reduce Child Mistreatment
X
Maintain therapeutic services @ the KIDS Center
Reduce High School Drop
Out
X
Therapeutic services to homeless youth at Cascade
Youth & Family Services
Reduce Homelessness
X
Continue provision of PATH services. Work
with local housing authority to increase
supported/affordable housing
options. Contract with Cascade Youth &
Family Services providing therapeutic services
to homeless young adults in transition.
Reduce Adult Crime &
Recidivism
X
Maintain Mental Health and Family Drug
Courts and Jail Bridge Program; expand as
resources allow. Maintain jail partnerships for
alcohol and drug treatment services to
corrections population.
Reduce Juvenile
Delinquency & Recidivism
X
Offer safe school risk assessments as part of the
Safe School Alliance
Reduce Teen Pregnancy
X
Offer family planning services; special focus on
adolescents at our Downtown Health Center;
support services for Public Health My Future My
Choice Program for middle school youth
Runaway & Homeless Youth
X
See Cascade Y&F reference above
Page 6 of 15
10. Does your county have a written Cultural Competency Plan? (*) No, but we undertake a
number of activities to address cultural competency.
(11. If yes, and plan is complete, submit via U. S. mail along with all forms to be mailed
specified in question 8.)
12. If no, list strategies the CMHP will implement to ensure culturally competent services will be
provided, including developing a Cultural Competency Plan.
We emphasize the strengths inherent in all cultures and examine how our system can
effectively deal with cultural differences and related treatment issues. We view cultural
competence as a developmental process. We are sensitive and strive to adapt services in
response to cultural mores, appropriateness and efficacy of interventions. We try to include
the minority family and community in developing resources, setting goals and outlining action
steps. A percentage of staff attends cultural competency classes on an ongoing basis and
shares this training within the department. We have adjunct staff available who are fluent in
a variety of foreign languages, and interpreters are provided at no charge. We contract with
Latino Community Association to provide oral and written translation services, and cultural
competency trainings.
Each subcontractor is encouraged to attend cultural competency training each year. All local
programs are notified of cultural competency trainings as they become available. We
maintain alcohol and drug treatment for minority populations through our own services and
investment in local providers. BestCare Treatment Services is a valuable community resource
in these efforts. BestCare provides Spanish language, culturally specific, evidence -based
alcohol and drug treatment services in Bend and Redmond. These services are an essential
part of our Deschutes County system. We have initiated an internal work group to critically
review our operations and make recommendations for improving our cultural
competency. While we recognize more work is needed in this area, we will struggle to make
the improvements that are needed without resources. At a minimum, we will actively work to
attract qualified bilingual/bicultural staff over the next several years as called for in our
Strategic Plan. Any assistance possible from AMH and higher education institutions to recruit
and train qualified professionals will be greatly appreciated.
13. Check the data sources consulted that will demonstrate to us data driven planning responsive
to the needs of Oregonians.
(*) County Demographics
( ) Prevalence Data
(*) AMH Reports
( ) Minimum Data Sheets
(*) Problem Gambling Data
(*) Mental Health Data
(*) County Profiles
(*) Other: Youth behavior surveys, law enforcement record data, school district data,
environmental scans, community readiness assessments, internal data system.
14. List steps that link detox, outpatient and residential treatment services ensuring a
continuum of care in addiction treatment and recovery.
Deschutes County Health Services (DCHS) uses available resources to help fund local detox
and residential treatment, in addition to outpatient services, to help ensure access to a
continuum of care in Central Oregon. Clinicians primarily use local resources when clients
Page 7 of 15
are in need of detox and/or residential services, which helps to facilitate service
coordination. DCHS therapists, case managers and crisis staff regularly make referrals
when needed. Detox/residential facilities also coordinate discharge planning when referral
is to DCHS. DCHS also provides staff support to the Addictions Committee. a
back DCHS u�o.. i.rC. �.,.._, staff ...,rr-.. �....._...--'--•-"- --.......'---� -
committee of the County Addictions & Mental Health Advisory Board and a networking
vehicle for provider coordination.
15. In reference to ORS 430.420 and 430.630 (10) (J): check all populations that will continue
to be addressed through coordination and integration of care supported by this plan.
( ) Juvenile Drug Courts
(*) Adult Drug Court
(*) Mental Health Court
(*) Mental Health Jail Diversion
(*) Local Juvenile Detention
(*) Adult Jail
(*) Youth Offender Re-entry (local)
( ) Youth Offender Re-entry (OYA)
(*) Adult Offender Re-entry (local)
(*) Adult Offender Re-entry (DOC)
16. List the current functional linkages with the state hospital system including child and
adolescent program (SCIP and SAIP) and mental health acute care inpatient providers.
Acute Care: Weekly meetings of local acute care staff, community mental health program
(CMHP) staff, and the Extended Care Management Unit (ECMU) liaison to discuss
hospitalized clients with longer term needs. Treatment options are reviewed and discharge
planning discussed including state hospital transfers and diversions to community resources
when possible.
Adult Mental Health: CMHP crisis staff maintain regular coordination with the state hospital
when newly committed clients are transferred for long-term care. If a hospitalization
extends beyond several months, this role is transferred to the CMHP's residential
specialist. The residential specialist has regular meetings with state hospital and ECMU
liaison to facilitate discharge planning and community placements. The residential specialist
also maintains contact with other facilities if a county resident is placed in a facility outside
the county.
Child Mental Health: Children's System of Care Initiative is being implemented. When
child is unable to maintain placement in community, we engage Accountable Behavioral
Health Alliance (ABHA) children's care coordinator. Regular meetings with ABHA and
Greater Oregon Behavioral Health regarding continuity of care, placement concerns and
future planning to reduce residential, sub -acute and acute placements and to identify and
develop more local resources to support youth in their community. Use of ECSII and CASII
to assess acuity and levels of care necessary. We work closely from the time of placement
with residential, sub -acute and acute facilities, including SCIP and SAIP, to coordinate care
and assure a supportive and seamless transition back into community. We use local natural
supports such as parents, teachers, relatives, friends and families to support placements
and empower youth in successful transitions.
17. List steps to collaborate with other child -serving providers that ensure services and supports
are comprehensive and well coordinated:
Page 8 of 15
Foster Care: Coordinate and implement a recertification process of Maple Star, a local
foster care agency, to assure quality services. Contract with Maple Star for respite and
therapeutic foster care services. Coordinate with Central Oregon regional CMHPs (Crook,
Jefferson and Deschutes). Work closely with local DHS regarding placement, treatment and
transition. Monthly meeting with MHOs, DHS, Maple Star and State regional placement
coordinator.
Early Intervention: Coordinated efforts with KIDS Center for children who have been
physically and/or sexually abused; therapy provided on-site by Deschutes County
Behavioral Health therapists. Monthly meetings with DHS to staff common cases and
interventions. Behavioral health services at School Based Health Clinics for youth 0-6 and
their families, in conjunction with Public Health. Linking Actions to Unmet Needs in
Children (LAUNCH) federal grant serving children 0-8 in Deschutes County who are at risk
for neglect and abuse, in conjunction with Public Health. Referral to Family Resource
Center for parenting classes.
Other: County DD child service coordinators meet with Child & Family behavioral health
providers to plan together for the best services for the child and family.
18. List steps to involve young adults in transition (age 14-25) in making decisions that impact
addictions and mental health services in your community.
Annual focus group brings transitional age youth consumers together with Addictions &
Mental Health Advisory Board members to discuss insights gained into delivery of behavioral
health services to this population. EASA (Early Assessment and Support Alliance) consumer
involvement in treatment planning and service delivery.
19. List steps to coordinate continuity of care over time and through episodes of care that
ensure children/youth remain at home, in school, out of trouble, and with friends.
In the Children's System of Care Initiative (CSCI), we offer wrap-around services in
community settings. Regular continuity of care wrap-around meetings include all parties
involved with each child: the child, parents, teacher, relatives, foster parent, DHS
caseworker, Deschutes County Behavioral Health Staff, Juvenile Justice, Family Court
Coordinator, coach, friends, etc. We use the services of Cascade Child Center for Day
Treatment Services as well as Maple Star for local foster and respite placements. With local
office of the State Department of Human Services, we coordinate therapeutic foster care
services provided by Maple Star.
Use of Qualified Mental Health Associate (QMHA) and Qualified Mental Health Professional
(QMHP) skills trainers and therapists (both in-house and contracted) to provide services in
home and community settings. Also work closely with local Family Court
coordinator. Regular monthly meetings with ABHA and GOBHI regarding continuity of care,
placement concerns and future planning to reduce residential, sub -acute and acute
placements and identify and develop more local resources to support youth in their
community. We use flexible funding to enhance positive experiences for children in the
community through involvement in sequential esteem building activities such as Healing
Reins equine therapy, Juniper Swim & Fitness, dance classes, etc. We work closely from the
time of placement with residential, sub -acute and acute care facilities to coordinate care and
assure a supportive and seamless transition back into our community. We use local natural
supports such as parents, teachers, relatives, friends and families to support placements
and empower youth in successful transitions.
Page 9 of 15
20. List steps the Mental Health Authority takes to ensure access to services, and interagency
coordination with the local Seniors and People with Disabilities.
C -...e work to develop good knowledge of State Seniors R Ponpla with Disabilities
�.aac nia nayciS uc ... �.. r. yC.... ..��.... �....7..... ..,...... .. _...... .. ,....._�._ with _.... _.
(SPD) services as well as to maintain good relationships with individual SPD workers. This
enables us to facilitate clients' access to benefits, including medical benefits and food
stamps. Clinicians and the supervisor in the Enhanced Care Outreach Services (ECOS)
program meet monthly with SPD staff to ensure coordinated services for shared
clients. There are increasing instances of adult mental health clients having significant
medical needs, and at times this can cause issues in terms of service eligibility between
agencies. Currently these situations are managed on a case-by-case basis. A regular
meeting with SPD and Behavioral Health would be helpful to better facilitate interagency
communication regarding these situations, at both the system and the individual levels. A
plan to establish this is in process.
21. List support services the Community Mental Health Program (CMHP) intends to purchase
with these funds during 2011-2013 for any of the populations included in this plan.
Housing: On-site case management at all supported housing sites. Help clients obtain
housing vouchers, work with landlords to secure stable housing. PATH services & work with
homeless shelters. Work with residential treatment providers and maintain capacity.
Education Assistance: none.
Employment Assistance: Supported Employment program will continue to operate with a
high fidelity score.
Transportation: Limited vouchers
22. List planned strategies to integrate mental health, physical health (including dental) and
addiction services for all populations, birth through older adult.
Deschutes County Health Services is a core partner in the Central Oregon Link 4 Health
(L4H) Health Integration Project, a state demonstration site for integration. (Contact Jane -
Ellen Weidanz at AMH for more information.) This pilot project will remain in place with
State technical assistance and support through at least 2015 and will focus on Triple -Aim
outcomes (i.e., health improvement, client experience and cost of care).
In addition, the federally funded Linking Actions to Unmet Needs in Children (LAUNCH)
Project will integrate behavioral health Parent -Child Interaction Therapy in School Based
Health Centers. Public health screening identifies women with pregnant -post -partum
depression and refers to behavioral health for counseling services. Intention is to maintain
proficiency in treating co-occurring disorders. Provide information and referral of behavioral
health clients to Living Well with Chronic Conditions program. Participate in grant -funded
program to place dental hygienists in WIC clinics. Visits by the Dental Van are announced
to behavioral health clients.
23. List steps taken to prioritize drug court participants.
Assessment within 24 hours of referral. Intensive addiction treatment, with 5 -phase system
of advancement toward graduation. Parenting skills training is required. Flexible funds help
with housing, transportation, dental services and child care. Deschutes County Health
Services provides grant administration with program support and coordination through the
11th Judicial District and the core treatment team.
Page 10 of 15
24. What is the amount of funding that the Community Mental Health Program (CMHP) contributes
to treatment court programs including both adolescent and adult drug courts, mental health
courts, etc.?
$490,767 annually
25. Complete the table for funding allocation for each service element: Subject to change.
26. Describe rationale for any changes in funding allocations from the 2009-2011 biennium. Not
applicable. These decisions will be assessed and finalized in the spring of 2011, based on
need, local investment decisions and the outcome of the 2011 Legislative Session.
27. How much Beer and Wine tax funding does your CMHP area receive annually?
Approximately $125,500
Page 11 of 15
AMH Funding
Amount
Programs/Projects
Funded
Amount of
County MOE
Matching
Funds
Planned Expenditure of
MOE Funds
SE 60
SE 61
SE 61A
SE 62
SE 66
[ 1,182,452 ]
[ 51,844 ]
[ Outpatient addictions
treatment ]
SE 67
SE 67A
SE70
[282,000]
[0]
SE 71
SE 80
[ 89,051 ]
[ 0 ]
SE81
[70,000]
[0]
SE 1
[ 222,372 ]
[ 0 ]
SE 20
[ 2,078,202 ]
[ 0 ]
SE22
[618,428]
[0]
SE 24
[ 1,731,342 ]
[ 0 ]
SE 25
[ 744,198 ]
[ 0 ]
SE 28
[ 885,440 ]
[ 0 ]
SE30
[84,704]
[0]
SE 31
[ 436,992 ]
[ 0 ]
SE 34
[ 842,376 ]
[ 0 ]
SE 35
[ 18,734 ]
[ 0 ]
SE 36
[ 20,072 ]
[ 0 ]
SE 38
[ 298,584 ]
[ 0 ]
SE 39
SE201
[43,526]
[0]
The following are new service elements; include in table if we are requesting to use them
A&D 72
A&D 73
MHS 26
MHS 27
Peer -led
26. Describe rationale for any changes in funding allocations from the 2009-2011 biennium. Not
applicable. These decisions will be assessed and finalized in the spring of 2011, based on
need, local investment decisions and the outcome of the 2011 Legislative Session.
27. How much Beer and Wine tax funding does your CMHP area receive annually?
Approximately $125,500
Page 11 of 15
28. List how beer and wine tax money is allocated:
$16,000 allocated to Adolescent residential
$4/,00n allnratori to Aril lit riatnx
$67,500 allocated to Adult outpatient services
29. Check whether the Community Mental Health Program (CMHP) has alcohol & drug, gambling
prevention and/or treatment services and/or supports in place to reach the following
populations of interest. If yes, list strategies for each:
Children (0-6): (*) Yes 1) Evidence based parenting curriculum (Incredible Years);
2) Development and distribution of a parent resource guide; 3) Support for Family
Resource Center
Youth: (*) Yes 1) Drug and alcohol assessment; 2) Counseling and referral services;
3) Toward No Drug Abuse and gambling prevention program 4) Evidence based
curricula in schools; 5) Training and support for prevention coalitions; 6) Community
mobilization of stakeholders, community partners and members; 7) Retailer training
for proper sale of alcohol; 8) Reward -Reminder and minor compliance checks of
alcohol; 9) Social norming and media awareness campaigns; 10) Advocacy for
evidence based strategies as a standard; 11) Support for the Community Schools
Initiative and Family Resource Center
Young Adults in Transition (14-25 y/o): (*) Yes 1) Drug and alcohol assessment; 2)
Counseling and referral services; 3) Toward No Drug Abuse and gambling prevention
program.
Cultural Groups: (*) Yes We maintain alcohol and drug treatment for minority populations
through our own services and investment in local providers. BestCare Treatment
Services is a valuable community resource in these efforts. BestCare provides
Spanish language, culturally specific, evidence -based alcohol and drug treatment
services in Bend and Redmond. These services are an essential part of our
Deschutes County system.
Co-occurring Disorders: (*) Yes Deschutes County Health Services provides mental
health, alcohol and drug, and gambling treatment services in house. Many staff are
dually credentialed so that services are integrated within the agency and often with a
single provider.
Veterans: (*) No specialized program. Some veterans served.
Older Adults: (*) Yes Addiction issues are usually addressed by the geriatric specialist
working with the individual. The therapist would have access to consult with other
therapists in the agency who have expertise in treating substance abuse or
gambling.
30. Check whether CMHP has mental health treatment services and/or supports in place to
reach the following populations of interest. If yes, describe strategies for each:
Children (0-6): (*) Yes 1) Assessment and diagnosis; 2) Individual, family and group
counseling and intensive wrap-around services available in schools, School Based
Health Centers, main clinic and homes; 3) Skills training; 4) Safe School
Assessments; 5) Suicide prevention; 6) Parenting Wisely curriculum.
Page 12 of 15
Youth: (*) Yes 1) Assessment and diagnosis; 2) Individual, family and group counseling
and intensive wrap-around services available in schools, School Based Health
Centers, main clinic and homes; 3) Skills training; 4) Safe School Assessments; 5)
Suicide prevention; 6) Parenting Wise..!y n..irrin....h...i.m
.
Young Adults in Transition (14-25 y/o): (*) Yes 1) Assessment and diagnosis; 2)
Individual, family and group counseling and intensive wrap-around services available
in schools, School Based Health Centers, main clinic and homes; 3) Skills training; 4)
Safe School Assessments; 5) Suicide prevention; 6) Parenting Wisely curriculum; 7)
Early Assessment and Support Alliance (EASA) early intervention program for first
break psychosis.
Cultural Groups: (*) Yes We strive to adapt services in response to cultural mores,
appropriateness and efficacy of interventions. We try to include the minority family
and community in developing resources, setting goals and outlining action steps.
Staff attend cultural competency classes. We have Spanish speaking therapists on
staff and adjunct staff available who are fluent in a variety of foreign languages, and
interpreters are provided at no charge.
Co-occurring Disorders: (*) Yes Deschutes County Health Services provides mental
health, alcohol and drug, and gambling treatment services in house. Many staff are
dually credentialed so that services are integrated within the agency and often with a
single provider.
Veterans: (*) No specialized program. Federal VA community clinic is located next door
to the primary Bend location of Deschutes County Health Services. Some veterans
served in DCHS programs.
Older Adults: (*) Yes Deschutes County Health Services has four QMHPs and one QMHA
who have received special training in providing mental health services and supports
to the older adult population. Group and individual services are provided in addition
to consultation with physicians, residential providers and families. Most of these
services are provided at the client's place of residence, and transportation is
coordinated or provided for groups.
31. Mental Health carry over funds amount: It is difficult to project possible carry over funding
in June 2011. Richard Harris, AMH Director, has expressed an interest in removing grant
funding streams to support our pilot integration efforts and we are supportive of this change
if it is made operational. This could allow us to invest additional dollars in integration
efforts. We are specifically requesting this change. Potential areas for carry-over include
EASA.
32. Alcohol and drug carry over funds amount: None
33. Select the top three prevention priorities from Comprehensive Plan (SB555) by clicking on
three choices and complete the table in Question 34.
(*) Reduce teen alcohol use
(*) Increase parent disapproval of substance use
(*) Increase community engagement
Page 13 of 15
34. Prevention Priorities: Developed through a partnership with the Deschutes County
Commission on Children & Families.
Identified
priorities from
question 33.
Evidence -based
Program/Tribal Best Practice
Projected
Funding
Outcomes Be Specific
Reduce teen
alcohol use
1. Communities Mobilizing
for Change on Alcohol
2. Friendly Peersuasion
3. Positive Social Norming
campaign
$37,000
la. Increase retailer ID checking skills by
20% as a result of training. lb. Achieve
8O% or higher retailer compliance as
measured by minor compliance checks or
reward/ reminder initiatives. lc. Conduct
assessment of alcohol messaging by doing
an environmental scan of alcohol
establishments, advertising and prevalence
at community events. 2. 75% of
participating girls will report an increased
knowledge of coping and resistance skills.
3. Implement a positive social norming
campaign that reaches 8O% of 8th graders
in Deschutes County. Collaborate with
regional partners—Jefferson & Crook
counties—as possible.
Increase parent
disapproval of
substance use
1. Strategic media
awareness
2. Parenting forums
$9,000
1. Implement a strategic media awareness
approach that reaches 80% of parents of
school aged youth. 2. 70% of participating
parents will report an increased knowledge
of how to implement prevention strategies in
their home.]
Increase
community
engagement
1. Community based
coalitions
2. Community
mobilization
$138,000
1. Provide ongoing technical assistance,
funding and training to 5 local coalitions.
la. 5 local coalitions will have work plans
grounded in the strategic prevention
framework. 2a. Advocate for and assist
with developing consistent policies and laws
around AOD use, possession, enforcement
and referral. 2b. Support school district
implementation of prevention curriculum and
policy/environmental strategies known to be
effective. 2c. Provide and support training
to increase the community's ability to
address the issues. 2d. Assist in resource
development and bringing community
resources together to work on the issue. 2e.
Employ media campaigns to inform the
public on important issues. 2f. Assist the
community in applying the strategic
prevention framework to all prevention
work.
Page 14 of 15
35. Prevention Strategies
Identified
Priority
List strategies to support
and maintain Inca!
coalitions
Projected
Funding
Outcomes
Strategy 1
Assist in resource
development and bringing
community resources
together to work on the
issue.
$200,000
Apply for grant funds to assist in
prevention coalition activities in local
communities and school districts
Strategy 2
Provide ongoing technical
assistance, funding and
training to 5 local
coalitions.
$90,000
5 local coalitions will have work plans
grounded in the strategic prevention
framework.
Strategy 3
Provide and support
training to increase the
community's ability to
address the issues.
$10,000
Provide 3 training opportunities to
community coalitions. Participants will
return to the community and apply new
knowledge.
36. List planned strategies the prevention program will use to address gender and cultural
considerations.
Deschutes County will continue to support programs and services for adolescent
girls. Strategies include implementation of Friendly Peersuasion, Girls Circle and the Girls
Summit. In addition, contractors and employees are encouraged to attend cultural
competency training each fiscal year. All local programs are notified of cultural competency
trainings as they are made available.
37. Is the county Prevention Coordinator CPS Certified? (*) Yes
4/8/2010
\\ ZEUS \katheh\MY DOCUMENTS\ANNUAL REPORTS\IMPLEMENTATION PLANS\Implementation Plan \2011-2013\2011-2013 Biennial Imp Plan to BOC 040810.doc
Page 15 of 15
Addictions and Mental Health Division — Attachment 1
BOARD OF COUNTY COMMISSIONERS REVIEW AND APPROVAL
County: Deschutes
In accordance with ORS 430.258 and 430.630, the Board of County Commissioners has
reviewed and approved the mental health and addiction services County Biennial
Implementation Plan for 2011-2013. Any comments are attached.
Name of Chair:
Address:
Telephone Number:
Signature:
Date:
Addictions and Mental Health Division — Attachments 2 and 3
LOCAL ALCOHOL AND DRUG PLANNING COMMITTEE
AND
LOCAL MENTAL HEALTH ADVISORY COMMITTEE
REVIEW AND COMMENTS
County: Deschutes
Deschutes County's Addictions & Mental Health Advisory Board serves as the following
mandated boards and committees:
(1) The Mental Health Advisory Board, as mandated by Oregon Administrative Rule
309-014-0020;
(2) The Local Alcohol and Drug Planning Committee, as mandated by Oregon
Revised Statues 430.290, 430.342, and 430.350; OAR 415-012-0030; and by
Deschutes County Code Chapter 2.40.1 Section 2.40.020-2.40-040; and
(3) The Quality Management Committee, as mandated by Oregon Administrative
Rules 309-032-0595 and 309-032-1200.
Attach a list of committee members. Identify members that are consumers with a "C" and
members that are family members with an "F." Use an asterisk (*) next to the name to identify
members who are minorities (ethnics of color according to the U. S. Bureau of Census.)
In accordance with ORS 430.342, the Deschutes County Addictions & Mental Health Advisory
Board, established in accordance with ORS 430.630(7), recommends acceptance of the 2011-
2013 Biennial County Implementation Plan and recommends the state funding of alcohol and
drug treatment services as described in the Plan. Further comments and recommendations are
attached.
Name of Chair: Glenda Lantis
Address: 2577 NE Courtney Drive
Bend, OR 97701
Telephone Number: (541) 318-3753
Signature:
Date:
5//7/°ze/U
DESCHUTES COUNTY
ADDICTIONS AND MENTAL HEALTH ADVISORY BOARD
2010 ROSTER
Glenda Lantis, Chair "F"
Darrel Wilson, Vice Chair
Pat Croll
Dolores Ellis
Mary Fuller
Chuck Hemingway
Jennifer McKague
Marty Miller "F"
Roger Olson "F"
Kristin Powers
Lee Ann Ross "F"
Nancy Ruel
Julie Rychard
Marianne Straumfjord
Lindsay Stevens"F"
Bert Swift
Patricia von Riedl "C"
4/1/2010
\\ZEUS'katheh\MY DOCUMENTSWNNUAL REPORTS\LMPLEMENTATION PLANSUmplementation Plan \2011-2013\AMHAB Sign Of Sheet in Word.doc
Addictions and Mental Health Division — Attachment 4
COMMISSION ON CHILDREN & FAMILIES
REVIEW AND COMMENTS
County: Deschutes
The Deschutes County Commission on Children & Families has reviewed and
approved the alcohol and drug abuse prevention and treatment portions of the
County Biennial Implementation Plan for 2011-2013. Any comments are attached.
Name of Chair: John McLaughlin
Address: 1130 NW Harriman, Suite A
Bend, OR 97701
Telephone Number: (541) 317-3178
Signature:
Date: April 5, 2010
Comments and Recommendations:
1) Overall the plan is comprehensive and complete and the inclusion of prevention efforts in
the planning is greatly appreciated.
2) Appreciated local efforts from DCHS, JCJ and CCF to coordinate surveys for the JCP
Plan, the AMH Plan and the Comp Plan updates thereby reducing duplication and making
it less time consuming and confusing for local agencies to participate (resulting in an
82% return rate on the combined survey).
3) State agencies/DHS need to continue to work on coordination of time lines for the
various plans so that they happen at the same time.
4) Recommend the state standardize the planning process so that all organizations are
utilizing a similar format and process.
5) Due to declining resources and capacity, continue to simplify and streamline planning
and reporting processes.
Addictions and Mental Health Division - Attachment 5
OY FUNDS
MAINTENANCE OF EFFORT ASS TR A NCF.
County: Deschutes
As required by ORS 430.359(4), I certify that the amount of County funds
allocated to alcohol and drug treatment and rehabilitation programs for 2011-2013
is not projected to be lower than the amount of County funds expended during
2009-2011. The County Budget process occurs annually and future revenue
available to Deschutes County is uncertain. Final amounts are subject to the
recommendations by the County Administrator and the annual County Budget
Committee process as well as final action by the Board of Commissioners. The
County has consistently supported health services with County General Fund and
discretionary resources. While the County's contribution is not expected to
decline, some cuts could occur if circumstances warranted. This information is
available in June of each year at the time of budget adoption.
Scott Johnson, Director
Signatur
Ato Si 200
Date
Addictions and Mental Health Division — Attachment 6
REVIEW AND COMMENTS BY THE LOCAL CHILDREN, ADULTS
AND FAMILIES DISTRICT MANAGER FOR THE DEPARTMENT OF
HUMAN SERVICES
County:
As Children, Adults and Families District Manager for the Department of Human Services,
I have reviewed the 2011-2013 Biennial County Implementation Plan and have recorded
my recommendations and comments below or on the attached document.
Name of District Manager
3 -5I -J(9
Date
Addictions and Mental Health Division — Attachment 7
REVIEW AND COMMENTS BY THE LOCAL PUBLIC SAFETY COORDINATING
COUNCIL
County:
The local Public Safety Coordinating Council has reviewed the 2011-2013 Biennial
County Implementation Plan. Comments and recommendations are recorded below or are
provided on the attached document.
No G�rnn2eNs
Name of Chair: ThicoicecP 1 C. S,J1 ✓/vN
Address:
noo N,w l doruA
9770/
Telephone Number: .5--q/ 3fff? Li1300 65, ate✓/ U
Signature:
Date:
J 6
eui 206 a
{
Partner Inclusion Matrix
Partner/Stakeholder
T pe of Participation
1�2 3 4 5 6 7
Partici • ation Level
8
None
Low
Med
High
Community Members
Consumer & Families
Advocates
X
People w/special needs
Cultural groups (spec
fY)
Local Public Safety Coordinating Council
X
Local Mental Health Advisory Committee
Mental Health Organization (MHO)
x
Local Alcohol & Drug Planning Committee
Governor's Council on A & D Programs
External Qual
X
ty Improvement Committee
Local Services Delivery Area (SDA)
Tribal Council
x
Local Commission on Children & Families
X
Local Workforce Investment Board
Chamber of Commerce
x
x
Business Partners
Faith Communities
Education Partners
School Board
X
Local Schools/School Districts
x
x
x
x
Early Intervention/Early Childhood Special Ed
ESD
PTA
Services & Social Support Providers
Housing
x
Employment
X
Community Action Agency
Transportation
Mental Health & Addiction Treatment Providers
Child Care Resources
X
Medical Commun
ty
Fully Capitated Health Plans
Primary Care Provider Organization
Public Health Department
X
x
x
Adult & Juvenile Justice/Corrections
OYA
X
Community Justice: Adult Probation
x
Community Justice: Juvenile Division
County Jail
Local Law Enforcement Agency (Sheriff/City Police)
Participation Key
1= Advisory Board
2= Community Planning Partner
3= Mental Health Planning Partner
4= Client Referral Only
5= Consul ation Only
6= Joint Case Planning/Consultation
7= Collateral Service Provision
8= On -Site Co -Delivery of Service
Involvement and Follow-up
High= consistent, active
Medium= Occasional
Low= Infrequent or minimal
None= Not involved at this time
Deschutes County Mental Health Department
Sliding Fee Schedule
Reduced fees may be available for families experiencing financial difficulties. Your fee is
determined by your ability to pay. Family income and number of dependents will be considered
when assessing your fee. Individuals seeking only a formal evaluation (written report) and not
seeking treatment will not be offered a sliding scale fee.
OIIUtI IlJ 1 cc ../lelIr.MMI'.
Number in
Household
Gross Monthly
Income
1
$3.00
2
$0.00
3
$0.00
4
$0.00
5
$0.00
6
$0.00
7+
$0.00
$ 0 - $867.
$ 868.- $1167.
$3.00
$3.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1168.- $1467.
$6.00
$3.00
$3.00
$0.00
$0.00
$0.00
$0.00
$1468.- $1767.
$9.00
$6.00
$3.00
$3.00
$0.00
$0.00
$0.00
$1768. - $2067.
$12.00
$9.00
$6.00
$3.00
$3.00
$0.00
$0.00
$2068. - $2367.
$15.00
$12.00
$9.00
$6.00
$3.00
$3.00
$0.00
$2368. - $2667.
$18.00
$15.00
$12.00
$9.00
$6.00
$3.00
$3.00
$2668. - $2967.
$21.00
$18.00
$15.00
$12.00
$9.00
$6.00
$3.00
$2968. - $3267.
$24.00
$21.00
$18.00
$15.00
$12.00
$9.00
$6.00
$3268. - $3567.
$27.00
$24.00
$21.00
$18.00
$15.00
$12.00
$9.00
$3568. - $3867.
$54.00
$51.00
$48.00
$45.00
$42.00
$39.00
$36.00
$3868. - $4167.
$57.00
$54.00
$51.00
$48.00
$45.00
$42.00
$39.00
$4168. - $4467.
$60.00
$57.00
$54.00
$51.00
$48.00
$45.00
$42.00
$4468. - $4767.
$63.00
$60.00
$57.00
$54.00
$51.00
$48.00
$45.00
$4768. - $5067.
$66.00
$63.00
$60.00
$57.00
$54.00
$51.00
$48.00
$5068. - $5367.
$69.00
$66.00
$63.00
$60.00
$57.00
$54.00
$51.00
$5368. - $5667.
$72.00
$69.00
$66.00
$63.00
$60.00
$57.00
$54.00
$5668. +
$120.00
Deschutes County Mental Health is committed to offering affordable services. No person
will be refused care due to an inability to pay. We promise to make every effort to obtain
public dollars to assist in reducing our sliding scale fees.
Sliding Fee Schedule FY O8-09