MBR Logistics WebinarJuly 2, 2014

John R. Kasich, GovernorTracy J. Plouck, Director

Promoting Wellness and Recovery

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Agenda1. SAPT2. Prevention plan ($5 million)3. Recovery housing ($5 million GRF, $5 million

capital)4. Crisis and housing earmark ($20.1 million) 5. RSS ($7.5 million)6. Specialty docket payroll subsidy ($4.4 million)7. Questions and concerns8. Next steps

MBR Funding Distribution

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SAPT-related prevention; $1.5 Statewide Prevention; $5.0

Residential State Sup-plement program im-

provements; $7.5

Recovery housing, $5.0***

SAPT-related women's network/ residential; $1.5Payroll for specialty dockets; $4.4

Gaps in care emphasizing crisis and housing**;

$21.6

Distribution of of ALI $47.5 million for FY 15

* amounts in millions**includes $1.5 M to continue AoD "hot spots“***Plus $5 M capital funding earmark

SAPTSupport for the pass-through and direct providers is augmented in 3 ways:1. GRF ALI 507: $1.4M additional for

women’s treatment2. GRF ALI 507: $1.5M additional for prevention

3. SAPT Award: $1.3M supplement for other SAPT pass-through and direct providers (e.g. TASC, SAMI, Circle for Recovery programs, etc.) 4

SAPTResult 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.

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Prevention: $5 millionObjective Amount Uses Disposition

Community

coalitions

$3 million

Training & TA for coalitions; regional workforce development; evaluation of statewide network

Competitive bid and grants

Evidence-based

prevention

Collaborative workforce development for evidence-based practice

Competitive grants

Youth-led prevention

Training & TA for youth groups; regional & statewide network development; evaluation planning

Competitive bid and grants

Statewide student survey

$2 million

Instrumentation, sampling, school recruitment and training, consent, IRB, data capture

Competitive bid

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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)

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Prevention: Evidence-Based Practices (EBP)

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Total Percentage of Prevention Services that are Evidence-Based by

Year2011 2012 201327.3% 28.4% 32.1%

• 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.

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.

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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).

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Prevention: Survey• CSAP requirement for outcomes:

o “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 & evaluationo 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 11

12Note: 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)) “

13Note: 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)) “

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)

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Recovery housing

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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.

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

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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, 2014o 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

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Recovery housing• Eligible Uses of Funds ($5 million GRF)

o Straight purchaseo Direct recovery housing operations support

• Process/Timelineo Funding announcemento Proposals due o Notifications o Awards

• Priority o Will be given to projects in underserved

counties or counties that do not currently have recovery housing. 18

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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.” 21

General process

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

$20.1 million – remaining

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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

Collaborative Region

Amount

Appalachia $1,685,989Central $4,101,344

Heartland $2,983,510Northeast $4,406,890Northwest $3,002,233Southwest $3,920,035

Grand Total $20,100,000

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

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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

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RSS – Allowable fees

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Living Arrangement Type

Monthly Allowable Fee

Adult Family Home $774Adult Foster Home $774Adult Group Home $877Residential Care Facility/Assisted Living

$877

Program changes:Open enrollmentLicensed homes < 16 individuals

Increased allowable fees & RSS benefits

RSS Review Implementation

Specialty docketsPurpose: 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

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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)

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Specialty docketsWho 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

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Specialty docketsWho 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. 31

Specialty docketsFunding 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.

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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.

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More information

http://www.mha.ohio.gov/

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