yolo county proposition 47 preliminary evaluation report · 2019-12-18 · yolo county health and...

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YoloCountyProposition47PreliminaryEvaluationReport

YoloCountyHealthandHumanServicesProp47PreliminaryEvaluationReport

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YoloCountyProposition47PreliminaryEvaluationReport

ThisreportwasdevelopedbyResourceDevelopmentAssociatesundercontractwiththeYoloCountyHealthandHumanServicesAgency.

ResourceDevelopmentAssociates,2019

AboutResourceDevelopmentAssociates

ResourceDevelopmentAssociates(RDA)isaconsultingfirmbasedinOakland,California,thatservesgovernmentandnonprofitorganizationsthroughoutCaliforniaaswellasotherstates.Ourmissionistostrengthenpublicandnon-profiteffortstopromotesocialandeconomicjusticeforvulnerablepopulations.RDAsupportsitsclientsthroughanintegratedapproachtoplanning,grantwriting,organizationaldevelopment,andevaluation.


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TableofContents

ExecutiveSummary......................................................................................................................................1

Introduction.................................................................................................................................................3

StepstoSuccessPerformance.....................................................................................................................7

HowMuchDidWeDo?............................................................................................................................7

HowWellDidWeDoIt?.........................................................................................................................11

IsAnyoneBetterOff?.............................................................................................................................16

ConclusionandRecommendations............................................................................................................17

AppendixA.LocalAdvisoryCommitteeMemberList................................................................................18

AppendixB.GoalsandObjectives..............................................................................................................19

AppendixC.StepstoSuccessLogicModel.................................................................................................21


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ExecutiveSummaryInJune2017,YoloCountywasawarded$5.97millioninProp47fundsover38monthstodevelopandimplementtheStepstoSuccessProgram.1YoloCountyHealthandHumanServicesAgency(HHSA)isthelead agency managing Steps to Success, with program partners including local community-basedorganizations(CommuniCare,EmpowerYolo,andLegalServicesofNorthernCalifornia),theYoloCountyDistrictAttorney’sOffice,theYoloCountyProbationDepartment,andtheYoloCountyPublicDefender’sOffice.Ofthe$5.97millioninfundingreceivedbyYoloCounty,$4million(67%)is“passedthrough”tolocalcommunity-basedorganizations(CBOs)toprovidedirectservicestoprogramparticipants.

StepstoSuccessisavoluntarydiversionprogramthatusesrestorativejusticeandtrauma-informedcareprinciplesandpracticestoprovidetreatmentandwraparoundservicestoYoloCountyresidentswhoarefacingmisdemeanororlow-levelfelonycriminalchargesrelatedtotheirmentalhealthand/orsubstanceusecondition.Throughtheseservices—whichspancasemanagement,behavioralhealthtreatment,civillegalservices,employment,andhousingassistance—participantsreceiveintensivesupportstoaddresstheirbehavioralhealthneeds,increaseself-sufficiency,andreducejusticesysteminvolvement.

FromthebeginningofprogramimplementationinJune2018throughMarch2019,StepstoSuccesshasaccomplishedthefollowingachievements:

v Provided48individualswithintensivecasemanagementandwraparoundservicesv Engaged seven participants in restorative justice conferences, with five participants successfully

completingtherestorativejusticeprocessandtwostillengagedv Providedcivillegalservicesto42participantsandKnowYourRightsworkshopsto120individualsto

eliminatebarrierstocommunityintegrationv Assisted24participantswithnon-permanenthousingandplaced8participantsinpermanenthousing

Through interviews and focus groups with program leadership, community-based service providers,programparticipants,andpartners,stakeholdersidentifiedthefollowingprogramstrengths:

v Widearrayofavailableservices.ParticipantsappreciatethevarietyofadditionalservicesavailablethroughStepstoSuccess,whichincludelifeskills,credithelp,transportationassistance,andaccesstodocumentsandbasicnecessities (e.g., food,hygieneproducts).Theability to receivea suiteofservicesfromoneprogram—andtheeaseofserviceaccess—wasparticularlyvaluable.

v Supportiveandaccessibleprogramstaff.Participants’positive,trustingrelationshipswithprogramstaffarekeytosupportingtheirprogressandincreasedself-sufficiency.Staffworkwithparticipantsto develop individualized case plans, support participants to meet case plan goals, and makethemselvesaccessibletoparticipantsforinformalcheck-ins.

v Strongcommunicationandcollaborationacrossprogrampartners.ProgrampartnershaveasharedvisionaboutthegoalsandobjectivesofStepstoSuccessandproactivelycommunicatetoaddressgapsandbarrierswhentheyarise.

1YoloCountyaccepteda12-monthno-costextensiontoextendthegrantthroughAugust2021,


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AsevidencedbyYoloCounty’sprogress towardseachof itsobjectivesduring theprogram’s firstninemonthsofimplementation,StepstoSuccessisworkingasintendedandontracktomeeteachofitsgoals.

Throughacollaborativeapproach,YoloCountyisactivelyrefiningStepstoSuccesstoensureitisservingthepopulation that canbenefitmost from its services,meets theneedsofprogramparticipants, andoperatessmoothlyandefficiently.Keybarrierstheprogramhasaddressedorisworkingtomitigateare:

v Serving the target population. Individualswith seriousmental illness, orwho are chronicallyhomeless,wereinitiallyreferredtotheprogramathighrates.ThoughStepstoSuccessstillservesindividuals with severe behavioral health needs, there is now a shared understanding acrosspartnersthattheprogramisnotdesignedtoserveindividualswithhighbehavioralhealthneedsandadditionalpathwayshavebeendevelopedtoensuretheseindividualsaccessserviceswithmoreintensivesupports.

v Aligningdatasystems.Programpartnersuseseparatedatasystems,therebylimitingtheirabilitytoeasilyobtainacross-system,up-to-dateunderstandingofparticipanteligibilityandprogress.Tomitigatethesebarriers,partnershavedevelopeddatasharingtools(e.g.,referralforms,statusupdates)andareworkingonaligningdatasystemstostrengthencoordination.

v Findingaffordablehousinginthecurrenthousingmarket.Alackofaffordablehousingcreateschallengesforparticipantstoobtainandmaintainstablehousing.Tomitigatethisbarrier,StepstoSuccessprovideshousingplacementsupport,financialhousingassistance,andindividualizedcivillegalservicesrelatedtohousingdiscrimination.

Goal1:Providesupportservicestoeligibleparticipants

withahistoryofmentalhealthissuesand/orsubstanceuse

disorders.

•StepstoSuccessisontracktomeetorexceeditsobjectivestocontactandassess150individuals,provide200individualswithcivillegalservices,andassist30individualswithhousingeachyear.•StepstoSuccessisslightlyofftracktoreachitsobjectivetoprovidecasemanagementandtreatmentto75individualseachyear.Atcurrenttrends,theprogramisestimatedtoserve64individualsinYear1.

Goal2:Effectivelyandequablyengage

participantsintheprogramandprovideservicesinatimely

manner.

•StepstoSuccessisontracktomeetorexceedallobjectivesrelatedtothequalityofservices.Objectivesincludecompletingassessmentswithin30daysofinitialcontact,engagingparticipantsincasemanagementwithin30daysofenrollment,servingapopulationcomparablewiththedemographicsofthearresteepopulation,andachievinga50%participationrate.

Goal3:Improvethelivesofprogram

participants.

•Preliminaryqualitativeandquantitativedataindicatepositiveimpactsacrossrecidivism,housingstability,self-sufficiency,andbehavioralhealthoutcomes.Sinceparticipantshavebeenenrolledforanaverageoffivemonths,itisprematuretoreportonlong-termoutcomes.

Figure1.ProgressTowardStepstoSuccessGoalsandObjectives


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Introduction

ProgramBackgroundandOverview

InNovember2014,CaliforniavotersapprovedProposition(Prop)47,whichreclassifiedcertainlow-level,nonviolentfeloniesasmisdemeanors.DuetotheexpecteddecreaseintheState’sprisonpopulation,theCaliforniaLegislativeAnalyst’sOfficeestimatedannualstatecorrectionalsavingsbetween$150millionand$250million.Prop47requiresthesesavingstobeplacedintheSafeNeighborhoodsandSchoolsFundandmandates theBoardof StateandCommunityCorrections (BSCC) to allocate65%of the Fund formentalhealthandsubstanceabusetreatmenttoreducerecidivism,25%forcrimepreventionandsupportprogramsinschools,and10%fortraumarecoveryservicesforcrimevictims.

InadditiontothearrayofpartnersinvolvedinStepstoSuccessimplementation,YoloCountyestablishedaProp47LocalAdvisoryCommittee(LAC)toprovidestrategicguidanceandoversightofStepstoSuccess.TheLACincludesrepresentativesfrompublicagencies—includingsocialservicesandlawenforcement—andCBOs(seefulllistinAppendixA).

StepstoSuccess

StepstoSuccessisavoluntarydiversionprogramthatusesrestorativejusticeandtrauma-informedcareprinciples and practices to provide direct wraparound services to individuals who are facing criminalchargesrelatedtotheirmentalhealthand/orsubstanceusecondition.Throughtheseservices—whichspan case management, behavioral health treatment, civil legal services, employment, and housingassistance—participants receive intensive supports to address their behavioral health needs, increaseself-sufficiency,andreducejusticesysteminvolvement.IndividualsareeligibleforStepstoSuccessiftheyhave an openmisdemeanor or low-level felony case, live in Yolo County, andhavemild-to-moderatementalhealth conditionsand/or substanceusedisorders that contributed to their criminalbehavior.2MoredetailaboutthespecificservicesprovidedtoparticipantscanbefoundintheHowMuchDidWeDo?sectiononpage7.

2Individualsthataregangmembersorregisteredsexoffenders,havestrikeconvictions,orarefacingspecificcharges(i.e.,childabuse,sexualassault,domesticviolence,drivingundertheinfluence)arenoteligibleforStepstoSuccess.


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The majority of Steps to Success referralscome from the Yolo County Superior Court’sarraignment calendar, which staff from theDistrict Attorney’s (DA) Office review toidentify individuals who appear eligible forSteps to Success based on the individual’scharge(s) and criminal history. In addition tothe arraignment calendar, referrals can alsocome from other sources (i.e., PublicDefender’s Office, local law enforcementagencies, andCBOs). Individuals identifiedaseligible for Steps to Success are invited to aprogramorientation,whichtakesplacethreedaysperweekatdifferentlocationsacrosstheCounty. At orientation, staff from theProbation Department and CommuniCare—the CBO providing case management and wraparoundservices—provideanoverviewoftheprogramandaprobationofficerconductstheOhioRiskAssessmentSystem(ORAS)todeterminethepotentialparticipant’srisklevel.

After orientation, CommuniCare engages in a four- to six-week outreach and engagement process toassesstheneedsandstrengthsofpotentialparticipantsthroughevidence-basedassessmenttools(LevelofCareUtilizationSystem,AdultsNeedsandStrengthsAssessment,andAmericanSocietyofAddictionMedicine Placement Criteria). At any point during the eligibility determination or outreach andengagement process, potential participantsmay be referred to civil legal services or housing servicesfundedthroughProp47,aswellastheCounty’sotherdiversionprograms.

Afterconcludingtheoutreachandengagementprocess,eligibleindividualsareofferedtheopportunitytoenroll inStepstoSuccessintensivecasemanagement.StepstoSuccessintensivecasemanagementparticipantsmeetwithCommuniCare’sprogramteamtodevelopacomprehensive,individualizedcaseplan.Participantsreceiveintensivecasemanagementandbehavioralhealthinterventionscombinedwith,asneeded,linkagetocivillegalservices,employmentassistance,andsupporttoobtainandmaintainsafeandappropriatehousing.IndividualsreceivingintensivecasemanagementaresupervisedcollaborativelybetweenCommuniCare casemanagers and a Steps to Success probationofficer,whoprovide regularstatusupdatesonparticipants’progresstotheDA’sOffice.

Steps to Success aims to improve the lives of program participants by expanding the number ofparticipantswhosuccessfullycompletediversion,therebydecreasingtheircriminaljusticeinvolvementand increasing their housing stability, physical and behavioral health, and self-sufficiency. Utilizing aResultsBasedAccountability(RBA)framework,YoloCountydevelopedthreeStepstoSuccessgoalsand

Figure2.StepstoSuccessProcessandServices


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19associatedobjectivesthataddressRBA’sthreeevaluativequestions:(1)Howmuchdidwedo?,(2)Howwelldidwedoit?,and(3)Isanyonebetteroff?(seeTable1).

Table1.StepstoSuccessGoalsandObjectivesGoal ObjectivesProvidesupportservicestoeligibleparticipantswithahistoryofmentalhealthissuesand/orsubstanceusedisorders.(Howmuchdidwedo?)

150peoplewillbecontactedandassessedduringoutreacheachyear75peoplewillbeprovidedwithcasemanagementandtreatmenteachyear200peoplewillbeprovidedwithcivillegaleducationand/orserviceseachyear30peoplewillbeprovidedwithrapidre-housingassistanceeachyear

Effectivelyandequablyengageparticipantsintheprojectandprovideservicesinatimelymanner.(Howwelldidwedoit?)

90%ofpotentialprojectparticipantswillhaveandassessmentcompleted(ORAS, LOCUS, ASAM, ANSA, and/or VI-SPDAT as appropriate)within 30daysofinitialengagement50%ofindividualswhoarecontactedthroughoutreachanddeterminedtobeeligiblefortheprogramwillchoosetovoluntarilyparticipate90% of project participants will be engaged in case management andtreatmentserviceswithin30daysofenrollmentintheprojectDemographic makeup of project participants will be comparable todemographicmakeupofoverallarresteepopulationinYoloCounty

Improvethelivesofprojectparticipants.(Isanyonebetteroff?)

75%ofparticipantswillnotrecidivatewhileengagedwiththeprogram75%ofparticipantswillnotrecidivatewithin12monthsofgraduatingtheprogram50%fewerdaysinjailforparticipantswhileintheprogram50%fewerarrests/ticketsforparticipantswhileintheprogram70%ofparticipantswillsecureand/ormaintainpermanenthousing80%ofparticipantswhosecurepermanenthousingwillremainhousedat6months50%feweremergencycarevisitswhileintheprogram,ascomparedtoyearpriortoenrollment75% fewer days in psychiatric hospitalization while in the program, ascomparedtoyearpriortoenrollment60%ofparticipantswillsecuremonthlyincome90%ofthoseeligiblewillenrollinCalFresh100%ofthoseeligiblewillenrollinhealthinsurance

EvaluationMethodology

ToassesstheimplementationandimpactofStepstoSuccess,ResourceDevelopmentAssociates(RDA)conductedamixed-methodprocessandoutcomeevaluation.Amixed-methoddesignmaximizesvalidityandprovidesdifferentperspectivesoncomplex,multi-dimensionalissues.Anevaluationdesignthatusesbothqualitativeandquantitativeapproachesoffer insightsthatmightbeoverlookedbyoneapproachalone. Individual-level and aggregate quantitative data were analyzed to calculate both process andoutcomemeasures, includingservicereceiptandrecidivismoutcomes.Descriptiveanalysesprovideanoverviewofthepopulationservedandtheservicesprovided,suchastheaveragerisklevelandduration


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ofserviceenrollment.Qualitativedatawerealsocollectedfromprogramadministrators,programstaff,programpartners,andparticipantstoprovidekeyinsightsandperspectivesintothefacilitators,barriers,andoutcomesofStepstoSuccess.

Thispreliminaryreportdescribesprogramimplementationandparticipantoutcomesfromthebeginningof Steps to Success implementation in June 2018 through March 2019 and assesses the program’sprogressinreachingitsintendedgoalsandobjectivesoverthistimeperiod.

RDAanalyzedqualitativeinformationinordertoprovidein-depthknowledgeandinsightintotheStepsto Success program. Data collection methods included interviews and focus groups with programleadership,community-basedserviceproviders,programparticipants,3programpartners,andmembersoftheLAC.Interviewsandfocusgroupsfocusedonprogramimplementation,strengthsandchallenges,servicesprovidedtoparticipants,andtheperceivedimpactoftheprogramontheparticipants.

RDA requested administrative data from CommuniCare, the DA’s Office, the Probation Department,HHSA,EmpowerYolo,andLegalServicesofNorthernCalifornia(LSNC)toreportontheservicesprovidedthrough Steps to Success, the participants receiving Steps to Success services, and the preliminaryoutcomes.DatawererequestedfromthebeginningofprogramimplementationthroughMarch2019.

Quantitativeanalysesincludedprogramretentionandcompletionrates,numberofparticipantsutilizingeach service such as housing, civil legal services and employment services, recidivism outcomes, andparticipantdemographics.

Though RDAmade efforts to collect qualitative data from a range of Steps to Success stakeholders,participationininterviewsandfocusgroupswasvoluntaryandthereforemaynotberepresentativeofallprogramstaff,participants,andpartners.SinceStepstoSuccessisanewprogram—onlylaunchinginJune2018—thereislimiteddatatodateregardingprogramoutcomes.AsofMarch2019,therehavebeennoprogramgraduates;therefore,alloutcomedatashouldbeviewedaspreliminary.Thefinalevaluation,tobesubmittedinSeptember2021,willprovideacomprehensiveassessmentofprogramoutcomes.

3Sevenprogramparticipantstookpartinthefocusgroupandwereprovidedwithgiftcardsascompensationfortheirtime.


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StepstoSuccessPerformance

BelowisanoverviewofStepstoSuccessimplementationtodate,assessingprogressinrelationtotheprogram’s stated goals and objectives, structured in alignmentwith the Results Based Accountability(RBA)framework’sthreeevaluativequestions:(1)HowMuchDidWeDo?,(2)HowWellDidWeDoIt?,and (3) Is AnyoneBetterOff? The first section “HowMuchDidWeDo?” details the Steps to Successprocessflow,includingadescriptionofthetypesandnumberofservicesthatwereprovidedtoStepstoSuccessparticipants.Thesecondsection“HowWellDidWeDoIt?”assessesthequalityoftheprogram(e.g.,timelinessofservices,levelofcommunicationandcollaboration,andwhethertheprogramisservingthetargetpopulation).Thefinalsection“IsAnyoneBetterOff?”reportsonpreliminaryprogramoutcomesbasedonrecidivismdataanalysesandstakeholders’perceptionofprogramimpact.

HowMuchDidWeDo?

This section describes the services and activities provided through Steps to Success’s five stages andserviceareas:(1)OutreachandAssessment,(2)DiversionProgram,(3)IntensiveCaseManagementandTreatment, (4)CivilLegalServices,and(5)PermanentHousingAssistance. ItbeginswithanupdateonYolo County’s progress toward its stated How Much Did We Do? Objectives, and then provides anoverviewoftheservicesprovidedandnumberofparticipantsservedthroughStepstoSuccessfromthestartofprogramimplementationinJune2018throughMarch2019.

YoloCountyidentifiedfourobjectivesrelatedtotheutilizationofservicesandactivities,showninFigure3.Asnotedbelow, theCounty ison track tomeetorexceedthreeof its fourHowMuchDidWeDo?objectives(seemoredetailinAppendixB).

Figure3.HowMuchDidWeDo?Objectives

OnTrack

OffTrack

Objective1:150individualswillbecontactedandassessedduring

outreacheachyear.

Objective2:75individualswillbeprovidedwithcasemanagementand

treatmenteachyear.

Objective3:200individualswillbe

providedwithcivillegaleducationand/orserviceseachyear.

Objective4:30individualswillbeprovidedwithrapidre-housingassistance

eachyear.


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From the inception of the programthrough March 2019, approximately576 individuals on the Yolo CountySuperior Court arraignment calendarwere identified by the DA’s Office aspotential Steps to Success participantsatanaveragerateof64individualspermonth.4 A small number of thoseindividuals ultimately enrolled in StepstoSuccessintensivecasemanagement.Of the total identified individuals,approximatelythree-quartersdidnotappearincourtatarraignmentandthereforecouldnotbeofferedparticipationinStepstoSuccess.Ofthosethatwereofferedtheopportunitytoparticipateatarraignment,approximately 80% indicated interest. After the initial eligibility and risk assessment, CommuniCarereceived172referralsforStepstoSuccessintensivecasemanagement.Ofthesereferrals,CommuniCarewasabletocontact112individuals(65%).With112individualscontactedduringthefirstninemonthsof program implementation, Steps to Success is on track to meet its objective of 150 individualscontactedandassessedeachyear.

Figure5presentsthenumberofindividualsperquarterfromJuly2018throughMarch2019whowerereferredtoCommuniCareandenrolledinStepstoSuccess.Thenumberofreferralshasdeclinedslightlyover time,with thenumber that subsequentlyenrolled fluctuatingbetweenapproximately four to sixindividualspermonth.

Figure5.StepstoSuccessReferralandEnrollmentOverTime

4Inadditiontothearraignmentcalendarreview(whichidentified576individualsaspotentiallyeligible),referralscanalsooriginatefrompolicedepartments,thePublicDefender’sOffice,andlocalCBOs.

58

50 47

11

20

11

0

10

20

30

40

50

60

70

July-Sep2018 Oct-Dec2018 Jan-Mar2019

ReferredtoCommuniCare EnrolledinStepstoSuccess

576IndividualsIdentifiedasPotentiallyEligibleforStepstoSuccess

172ReferredtoStepstoSuccess

112Contacted&Assessed

48EnrolledinStepstoSuccessIntensiveCaseManagement

Figure4.StepstoSuccessIntensiveCaseManagementReferralProcess

Note:PriortoJuly2018,16individualswerereferredtoStepstoSuccessand6individualsenrolled.


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SincethefirstenrollmentinJune2018,sixindividualshavebeendischargedfromStepstoSuccess.Twoof these individuals required a higher level or care orwere accepted to another Countywraparoundservice.Theremainingfourindividualseitherdeclinedservicesorstoppedengaging.Amongthesixthathaveexitedtheprogram,theaveragetimetoexitwas70days.AsofMarch2019,noparticipantshadyetcompletedallprogramrequirementsforsuccessfuldischarge.5

StepstoSuccessisadiversionprogramandallparticipantswhoenrollintheprogrammustparticipateinarestorativejusticeprocesstosuccessfullygraduatefromtheprogram.RestorativejusticeprovidestheopportunityforStepstoSuccessparticipantstoengageinafacilitatedconferencewithtrainedcommunitymember facilitatorsasanalternativetothetraditionalcourtprocess.YoloCounty’srestorative justicemodeltakesaholisticapproachtorepairtheharmcausedbycrime,focusingontheneedsofthevictimand utilizing a three-step framework that (1) recognizes the injustice committed, (2) restoresequity/makesthingsright,and(3)clarifiesfutureintentions.Restorativejusticeconferencesresultinthedevelopmentofanagreementthataddressestheharmscausedbythecrimeandemphasizesconnectionand engagement with community resources and services. Individuals who successfully complete therestorativejusticeprocesshavetheirchargesdroppedordismissedandwillnothavetodisclosethecaseonmostjobapplications.

SevenStepstoSuccessparticipants(15%)haveparticipatedinrestorativejustice.Fiveparticipantshavesuccessfullycompletedtherestorativejusticeprocess,withtwoparticipantsstillengagedinrestorativejustice panels. The sevenparticipantswhohaveparticipated in restorative justice began, on average,approximatelyfourmonthsafterenrollinginStepstoSuccess.

CommuniCare provides intensive case management and wraparound support to all Steps to Successparticipants.CommuniCare’sStepstoSuccessteamconsistsofaprogrammanager,twobehavioralhealthclinicians, two casemanagers, two peer advocates, and an employment specialist. In addition to theCommuniCarestaff,ahousingcasemanagerfromanotherCBO(EmpowerYolo)andaprobationofficerarepartoftheStepstoSuccessteamco-locatedintheCommuniCareoffice.

CommuniCare’sStepstoSuccessteamworkswitheachparticipanttodevelopanindividualizedcaseplanwhich includes treatment services and external referrals. Staff provide intensive case managementservices; connectparticipantswithbasicnecessities, documentation, andhealth insurance;offerpeermentorship; provide transportation to appointments; and create an accessible support network. Theemployment specialist supports participants with applying for jobs, driving participants to jobappointments,andassistingparticipantsinlocatingvolunteeropportunities.

5TwograduationstookplaceinMay2019,aftertheevaluationreportingperiod.


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Ofthe113individualswhowerereferredtoStepstoSuccessandthencontactedbyCommuniCare,48individuals(42%)eventuallyenrolledinStepstoSuccess.6Ifenrollmentcontinuesatthecurrentpace,Steps toSuccess isprojected toprovide casemanagement to64 individualswithin the first yearofimplementation, which is slightly lower than its objective of 75 individuals. All Steps to Successparticipants receive casemanagement and themajority (87%) were referred to or enrolled in otherservicessuchashousing,primarycare,civil legalservices,mentalhealthandsubstanceusetreatment,andemploymentservices.

At any point during the Steps to Success eligibility determination, outreach and assessment, andenrollment stage,participantswith civil legal issues canbe referred to the Legal ServicesofNorthernCalifornia (LSNC) to receive individualized legal assistance. LSNC helps participants address any non-criminal barriers to accessing services such as housing, healthcare, employment, and governmentbenefits.Civillegalserviceswereprovidedto42individuals.Halfoflegalservices(50%)wererelatedtohousing(e.g.,federalsubsidizedhousing,privatelandlord/tenantdisputes,housingdiscrimination),withtheremainingservicesrelatedtosupplementalsecurityincome(SSI),debtcollection,andcriminalrecordexpungement.Mostparticipants(59%)receivedcounselandadviceforcivillegalissues.

Through Prop 47, LSNC also offers civil legal classes for the community, including Know Your Rightsworkshops addressing hiring (criminal records and employment records), housing (tenant screening,creditreports,criminalbackgroundchecks,andaccesstohousing),publicbenefits,anddriver’slicensereinstatement. Between July 2018 and March 2019, LSNC provided 14 workshop sessions to 120individuals. These workshops took place at CommuniCare, Empower Yolo, and the Yolo County DayReportingCenter.

Withatotalof162individualsreceivingcivillegalservicesthroughStepstoSuccessduringthefirstninemonthsofimplementation,StepstoSuccessisontracktomeetitsgoalofprovidingcivillegalservicesto200individualseachyear.

At any point during the Steps to Success eligibility determination, outreach and assessment, andenrollment stage, individuals experiencing homelessness, at risk of homelessness, or requiring otherhousingsupportmaybereferredforhousingservicesthroughEmpowerYolo.Usingarapidre-housingmodel,EmpowerYolostrivestoconnectparticipantstosomeformofpermanenthousingwithtailoredpackagesthatincludetime-limitedfinancialassistanceandothersupportiveservices.EmpowerYolohasprovided housing or other supportive services to 43 individuals through Steps to Success, with themajority(65%)oftheparticipantsreferredthroughCommuniCare.

6Anadditional23individuals(19%)arecurrentlyintheoutreachandenrollmentstage.Theremaining41%didnotenroll.


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Empower Yolo has provided 24 participants with non-permanent housing, including motels andtransitionalhousing,andhasplaced8individualsinpermanenthousing.ThisputsStepstoSuccessontracktomeetitobjectiveofproviding30individualswithrapidre-housingassistanceeachyear.Acrossallparticipants,financialhousingsupporttotaled$155,769,includingrentalassistance($102,503),motelstayassistance($22,438),securitydepositassistance($13,875),practicalhousingassistance($12,297),andutilityassistance($4,643)throughMarch2019.

HowWellDidWeDoIt?

Thissectionassessesthestrengths,challenges,andotherfactorsthatimpactthequalityofservicesandhighlightskeymodificationsandrefinementsmadetoStepstoSuccesssinceprogramstart.Itiscomprisedof three sections: an update on Yolo County’s progress toward its stated How Well Did We Do It?objectives,adescriptionofthedemographicsandneedsofprogramparticipants,andanassessmentofkeystrengthsandchallengesaffectingprogramperformanceandprogress.

YoloCountyidentifiedfourobjectivesrelatedtothequalityofservices,showninFigure6.Asnotedbelow,throughMarch2019,theCountyisontracktomeetorexceedallofitsHowWellDidWeDoIt?objectives(seemoredetailinAppendixB).

Figure6.HowWellDidWeDoIt?Objectives

OnTrack

OffTrack

Objective5:90%ofpotentialprogramparticipantswill

haveanassessmentcompletedwithin30

daysofinitialengagement.

Objective6:50%ofindividualswhoarecontacedthroughoutreachand

determinedtobeeligibleforthe

programwillchoosetovoluntarilyparticipate.

Objective 7:90%ofprogramparticipantswillbeengagedincasemanagementandtreatment

serviceswithin30daysofenrollment.

Objective8:Demographic

makeupofprogramparticipantswillbecomparabletodemographic

makeupofoverallarresteepopulationinYoloCounty.


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Through March 2019, Steps to Success hasenrolled48participants.AsshowninTable2,thehighest proportion of participants were Non-HispanicWhite(38%),withanaverageageof36.The participant population is almost evenlydistributedacrossgender.

Overall, the composition of the participantpopulation is similar to the demographicdistribution of the arrestee population of YoloCounty(48%White,32%Hispanic,13%Black,and7% Other/Multiple Races); though Steps toSuccesshasaslightlyhigherproportionofBlackparticipants(19%comparedto13%)andalowerproportion of White and Hispanic individuals(38% compared to 48% and 25% compared to41%,respectively).7

Thesizeablemajority(80%)ofStepstoSuccessparticipantshavebeenassessedasmoderateorhighrisktorecidivateusingtheOhioRiskAssessmentSystem(ORAS).Slightlymorethanhalf(58%)ofparticipantshadprioropencasesbeforetoStepstoSuccessreferral,manyofwhichincludedahistoryofopencasesthatspanmultipleyears.Approximatelyhalfofopencasesincludeddrugcharges.Thesecharacteristicsindicateapopulationwithextendedcriminalhistoriesandmoderateorhighriskofrecidivism.

Steps to Success is designed for individuals with mild-to-moderate mental health conditions and/orsubstanceusedisorders.However,behavioralhealthdiagnosesandassessmentscoreresultsindicatethatSteps to Success may be serving individuals withmore acute behavioral health needs than theprogramisdesignedtoaddress.AsshowninTable3,between30-40%ofparticipantshadaseverementalhealth and/or severe substance use disorder. Themajority of participants (74%) had co-occurringdisorders, with both behavioral health andsubstance use diagnoses. Seven individuals had atleastonepsychiatrichospitalizationwithinoneyearpriortoStepstoSuccessenrollment.8

7IncomparisontothetotalYoloCountypopulation,Blackindividualsareoverrepresentedinthearresteepopulation(13%ofarrests,comparedto3%ofthepopulation).8Sinceallparticipants’healthrecordsarenotcapturedintheCounty’selectronichealthrecordsystem(AVATAR),thisnumbermaybeunderreported.

Table2.ParticipantCharacteristicsParticipantCharacteristics Race/Ethnicity(n=48) Non-HispanicWhite 38%Hispanic 25%Black 19%Other / Multiracial / AmericanIndian

12%

Asian 6%Gender(n=48) Male 52%Female 48%AverageAge(n=46) 36RiskofRecidivism(n=47) High 40%Moderate 40%Low 19%

Table3.BehavioralHealthDiagnoses(n=46) Mental

HealthSubstance

UseDisorderSevere 32% 39%Mild-Moderate 57% 44%Mild 2% 0%NoneReported 9% 17%


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Participants receive a number of assessments to develop level of care recommendations and casemanagementplans.AssessmentsincludetheLevelofCareUtilizationSystem(LOCUS),AdultNeedsandStrengthAssessment (ANSA),andAmericanSocietyofAddictionMedicine (ASAM)PlacementCriteria.Since the implementation of Steps to Success, 93% of individuals referred to CommuniCare havereceivedatleastoneassessmentwithin30daysofinitialengagement,meetingitsobjectiveof90%ofindividualsreceivinganassessmentwithinthistimeframe.9,10AsshowninTable4,approximatelyhalfofStepstoSuccessparticipantshaveaneedformoreintensiveresidentialorinpatientservices.

Table4.AssessmentDomainsfortheStepstoSuccessParticipantsAssessmentDomains %ASAMAssessmentDomains(n=35)

EarlyInterventionorOutpatientServices 60%ResidentialorInpatientServices 40%

LOCUSAssessmentDomains(n=31)11 Recovery&LowIntensityofCommunity-BasedServices 29%HighIntensityCommunity-BasedServices 23%SomeLevelofResidentialSubstanceSupport 48%

Steps toSuccess ison track tomeetorexceedalmostallof itsobjectives,buthasencounteredsomechallenges with reaching enrollment targets. This section describes Steps to Success’s strengths inadditiontochallengesandbarriersaffectingprogramprogressandperformance.Findingsarepresentedinthreeareas:OutreachandEngagement,CommunicationandCollaboration,andServiceDelivery.

OutreachandEngagement

Yolo County has refined the Steps to Success participant identificationprocess to support a sharedunderstandingacrossallpartnersabouttheindividualswhocanbenefitmostfromtheprogram.StepstoSuccessisdesignedforindividualswithmild-to-moderatementalhealthconditionsand/orsubstanceusedisorders.Individualswithhighermentalhealthneeds,orwhoarechronicallyhomeless,wereinitiallyreferred at high rates into Steps to Success. Though the program still serves individuals with severebehavioral health needs, there is now a shared understanding across programpartners that Steps toSuccessisnotdesignedtoserveindividualswithhighbehavioralhealthneedsandadditionalpathwayshave been developed to ensure these individuals access services with more intensive supports.Specifically,ifapotentialStepstoSuccessparticipantisassessedashavingaseriousmentalillness,theywill be referred to theCounty’sNavigationCenter todetermine themost appropriate treatment andservices.

9Assessmentdatesandscoreswerenotavailableforallindividualsforeachoftheassessments.Missingassessmentinformationmaybeattributabletoindividualsstoppingengagementpriortothescheduledassessment.10TheseassessmentsincludetheORAS,LOCUS,ASAM,andANSA.11WhiletheLOCUSwasadministeredtoallparticipants,scoreswereonlyavailablefor31participants.


August15,2019|14

StepstoSuccessisontracktoreachitsannualoutreachtarget,butenrollmentchallengeshaveresultedintheprogrambeingslightlybehindinreachingitsenrollmenttargetof75participantsperyear.Themajority of potential participants are informed that they may be eligible for Steps to Success atarraignment. However, 75% of individuals identified by the DA’s Office as potentially eligible for theprogramdonotshowuptoarraignment.Thoughahighpercentage(~80%)ofindividualswhoareofferedtheprogramatarraignmentindicatethattheyareinterested,asmallproportionultimatelyenroll.

Participants are oftentimes unclear aboutwhat Steps to Success entails until they start the program,potentiallyleadingtolowerenrollmentlevelsduetolackofunderstandingabouttheprogram.Toaddressthisinformationgap,peeradvocatesnowattendsomeStepstoSuccessorientationstohelpexplaintheprogramtopotentialparticipants.

CommunicationandCollaboration

Strongcommunicationandcollaborationwithinandacrossprogrampartners—includingcommunity-basedpartners andpublic agencies—facilitates problem solving to strengthen Steps to Success andsupportparticipantsholistically.AcrosstheCounty,keyprogrampartnershaveasharedvisionaboutthegoalsandobjectivesofStepstoSuccess.TheStepstoSuccessteamproactivelycommunicatestoaddressgapsandbarrierswhentheyarise and have developed structured check-insthrough weekly staff meetings, weekly phoneconferences with the DA’s Office, and monthlyprogrammeetings.

ServiceDelivery

Thelackofaffordablehousingcreateschallengesforparticipants to obtain and maintain stable housing.ThoughStepstoSuccessprovideshousingplacementsupport,financial housing assistance, and individualized civil legal services

Theindividualsareshockedwhentheystarttheprogrambecausetheydidnotknowpeopleareheretohelpthem.Sometimestheyhavenoconceptabouttheprogram;thebreakdownis

they’renotgettingenoughoffrontloadinformationaboutwhattheprogramisabout.

–CommuniCareStaff

It would be nice to have anoutlineofwhatreallyhappensin the program, not knowingwhat to expect can hinderpeople from wanting to jointheprogram.

–Participant

“WorkingwithCommuniCarehasshownthegoodcollaborationbetweenlawenforcementandcommunityagencies.StepstoSuccesshasbroughtusall

togetherforthecommongoalofprovidingservicesforthe

participants.”–Probation


August15,2019|15

related to housing, the tough housing market—particularly for individuals with criminal justiceinvolvement—createsbarrierstoparticipants’maintaininghousingstability.

Participantsappreciatetheindividualizationofservicestoaddresstheirspecificneedsandthearrayofwraparound services and supports available through Steps to Success. Participants highlighted howSteps to Success supports their behavioral health,employment,andhousingneedsthroughdirectservices and additional supports includinglife skills, credit help, transportationassistance, and access to documentsand basic necessities (e.g., food,hygiene products). The ability toreceive a suite of services from oneprogram—and the ease of serviceaccess—was particularly valuable toparticipants.

While participants appreciate how Steps toSuccess is tailored to address their individual needs,someparticipantssuggestedthatadditionalclarityregardinggraduationrequirementswouldassisttheminunderstandinghowtomeasuretheirprogress, inadditiontoprovidinggreaterawarenessofall theservicesavailablethroughtheprogram(e.g.,referralstocivillegalservices).

Participants’ positive, trusting relationships with CommuniCare staff are key to supporting theirprogressandincreasedself-sufficiency.ParticipantsvaluehowStepstoSuccesscasemanagersworkwiththem to develop individualized case plans, support them to meet their case plan goals, and makethemselvesaccessible.Theavailabilityofstaffandwillingnesstoassistwithsmalltasks(e.g.,replacingalightbulb,receivinghygieneproducts)wasparticularlymeaningfultoparticipants.

“TheStepstoSuccessteamhavebeenthereformeandhavegottenmethehelpandservicesthatIneed.Ifeelbetterafter

meetingwithacasemanagerandjustbeingabletotalktothem…Talkingtothecounselor

hasbeenhelpful,Iwasabletogetrecommendedtoapsychiatristandthathas

beenreallyhelpfulforme.”–Participant

“Thepeersupporthasreallybeenawesomeandhashelpedwith

transportationandgettingmybirthcertificate.IfIneedtoreachouttosomebodyifIaminacrisisorIamhavingabreakdown,Icallmypeersupporttohelpmeandtheytakemetomeetingsorjusttalktome.”

–Participant

“OnceIgotintotheprogramandhad

everythingofferedtome,itreallymadea

hugedifference.Icannotbelieveallthe

helpthatIgot;theyhelpedmegetmybirth

certificateandsocialsecuritycardthatthey

paidforandtheyhelpedmegetmyIDand

helpedwithjobs.Thisistheonlyprogram

andplaceIcangetalltheseservicesdone

formesoeasily."–Participant


August15,2019|16

IsAnyoneBetterOff?

ThissectiondescribesthepreliminaryimpactsoftheStepstoSuccessprogram.SinceStepstoSuccesshasbeen implemented for less than a year, it is premature to report on long-term outcomes. However,preliminaryresultsindicatepositiveimpactsandprogramparticipantsandstaffidentifiedanassortmentofpositiveimpactsincludingincreasedhousingstability,self-sufficiency,andbehavioralhealthoutcomes.TheStepstoSuccessfinalevaluationreport,whichwillcapturethreeyearsofprogramimplementation,willprovideamorecomprehensiveunderstandingofshort-andlong-termparticipantoutcomes.

Recidivism: From program implementation in June 2018 through March 2019, 48individualshaveenrolledinStepstoSuccess.Theseparticipantshavebeenenrolledforanaverage of five months. Of the 48 participants, only one (2%) has recidivated sinceenrolling in the program.12 During approximately the three years prior to program

implementation, 43 participants had arrests, 12 participants spent time in jail, and 10 participantsreceived tickets/citations. After referral to Steps to Success, seven participants were arrested, threeparticipantsspenttimeinjail,andoneparticipantreceivedaticket/citation.Thoughthedifferenttimeperiodpre-andpost-enrollmentinStepstoSuccesspreventsadirectcomparison,initialtrendsindicateadecreaseinarrests,jailtime,andtickets/citations.

Housing: Steps to Success provides housing placement and financial assistance toparticipants including rentalassistance, securitydepositassistance,andutilityassistance.Through March 2019, eight individuals were placed in permanent housing. Threeparticipants have been off financial support for sixmonths and all of them (100%) have

maintainedpermanenthousingafterthisfinancialsupportended.

ParticipantPerspectives:StaffandparticipantsidentifiedahostofwaysinthatStepstoSuccesshaspositively impactedparticipants’behaviorand lives in theareasofhousingstability,mentalhealth,day-to-dayfunctioning,self-sufficiency,andjusticeinvolvement.

12Recidivismisdefinedasthecommitmentofanewoffensethatresultedinaconvictionofafelonyormisdemeanor.

“Thisprogramhasdonesomuchformylife...Iamnowabletohave

thatconfidenceandfunctionasanindividualonadailybasis.Since

Istartedtheprogram,mymentalhealthhasimproved,Iamso

hopeful,mynightmareshavestopped…andIhaveincreased

productivity.Thisprogramhashelpedmeovercomemydrug

addictionandevenimprovedmyhealth.”—Participant


August15,2019|17

ConclusionandRecommendationsYoloCountyhasinvesteditsProp47fundinginStepstoSuccess,adiversionprogramwithcomprehensive,

wraparoundservicestoaddressparticipants’behavioralhealthneeds,increasetheirself-sufficiency,and

reduce future justice system involvement. Through a collaborative approach, Yolo County is actively

refiningtheprogramtoensureitisservingthepopulationthatcanbenefitmostfromitsservices,meets

theneedsofprogramparticipants,andoperatessmoothlyandefficiently.AsevidencedbyYoloCounty’s

progresstowardseachofitsobjectives,YoloCountyiscurrentlymeetingeachofitsgoals:

YoloCounty isproactivelystrengtheningandenhancingSteps toSuccess,withplanned improvements

including increasing staff capacity (i.e.,hiring, trainings),developing internal communicationprotocols

and tools, implementing new participant assessments, and expanding the group services available to

participants.Basedonevaluationfindings,additionalareasofopportunityare:

1. Refinetheparticipanteligibilityandorientationprocess.Currently,asmallproportionofindividuals

who are identified as potentially eligible for the program appear at arraignment, are able to be

contacted,andultimatelyenroll.Developingtoolsandprocessestotargetindividualswhoaremost

appropriate for the program could help increase the efficiency of the eligibility and orientation

process.Programparticipants suggested thatengaging successfulprogramgraduatesasprogram

ambassadorstoexplaintheprogramatorientationwouldalsoincreaseinterestinStepstoSuccess.

2. IncreasethevisibilityandunderstandingofStepstoSuccess.Whilekeypartnersunderstandwho

StepstoSuccessisintendedtoserveandhowitcomparestootherdiversionandbehavioralhealth

programs, broadening awareness and promoting the program (e.g., through a website, flyers,

newspaper articles, and program summary documentation) to potential referral partners and

participants can help increase appropriate program referrals and provide stakeholders a clear

understandingofprogramservices.3. CreatemorewaysfortheLACtobemoreinvolvedinsupportingprogramimplementation.

ThoughtheLAChasprovidedhigh-leveloversightoftheprogram,thereisopportunitytocapitalize

onthegroup’sexpertisebyengagingthemmoredirectlytotroubleshootissuestoimprovethe

program.IdentifyingaclearissuefortheLACtoaddressandprovidingdatatosupportdecision-

makingcanhelpmaximizetheLAC’sinvolvement.4. Builddatacapacitytosupportprogramcoordination.Programpartnersuseseparatedata

systems,therebylimitingtheirabilitytoeasilyobtainacross-system,up-to-dateunderstandingof

participanteligibilityandprogress.Partnershavedevelopeddatasharingtools(e.g.,referralforms,

statusupdates)tomitigatethesebarriers,butthereisstillaneedforadditionaldataalignmentto

increaseprogramefficiencyandcoordination.

Stepsto

Success

Goals

• Providesupportservicestoeligibleparticipantswithahistoryofmental

healthissuesand/orsubstanceusedisorders.

• Effectivelyandequablyengageparticipantsintheprogramandprovide

servicesinatimelymanner.

• Improvethelivesofprogramparticipants.


August15,2019|18

AppendixA.LocalAdvisoryCommitteeMemberList

Name JobTitle/Role Agency/Organization/AffiliationLisaA.Baker ChiefExecutiveOfficer YoloCountyHousing

SueBarton,Ph.D.,Psy.D. Emerita Clinical Professor of Family

andCommunityMedicine

University of California, Davis, School of

Medicine;CityofDavisResident

AmandaBerlin AssistantCityManager CityofWestSacramento

DaninFruchtenicht ChiefProbationOfficer YoloCountyProbation

MichaelGreen Lieutenant UCDPoliceDepartment

BillHabicht Pastor DavisCommunityChurch

KarenLarson,LMFT Mental Health Director; Drug and

AlcoholAdministrator

Yolo County Health and Human Services

Agency

GarthLewis SuperintendentofSchools YoloCountyofficeofEducation

SallyMandujan MentalHealthAdvocate;Community

Advocate

Yolo County Local Mental Health Board;

YoloCountyChapteroftheNationalAlliance

onMentalIllness;CityofWestSacramento

Resident

LisaMedina Peer Support Advocate; Community

Advocate

CityofWoodlandResident

TracieOlson PublicDefender YoloCountyPublicDefender’sOffice

JenniferPerez CommunityResident CityofWestSacramentoResident

DarrenPytel ChiefofPolice CityofDavis

JeffReisig DistrictAttorney YoloCountyDistrictAttorney’sOffice


August15,2019|19

AppendixB.GoalsandObjectives

AsofMarch2019,StepstoSuccesshasbeenoperationalfor9months.Assuch,programobjectivesforoneyearareexpectedtobeapproximately75%complete.Thefollowingtabledescribesprogresstowardstheprogramobjectives.

Goal Objective StatusProvidesupportservicestoeligibleparticipantswithahistoryofmentalhealthissuesand/orsubstanceusedisorders.

Objective1:150peoplewillbecontactedandassessedduringoutreacheachyear

112individualshavebeencontactedandassessedthroughMarch2019.At75%oftheobjective,StepstoSuccessisontracktoreachthisobjectiveatoneyear.

Objective 2: 75 people will be provided withcasemanagementandtreatmenteachyear

48individualshavereceivedcasemanagementandtreatment.At65%oftheobjective,StepstoSuccessisslightlybehindscheduletoreachthisobjectiveatoneyear.

Objective3:200peoplewillbeprovidedwithcivillegaleducationand/orserviceseachyear

162individualshavereceivedcivillegaleducationand/orservices.At81%oftheobjective,StepstoSuccessisontracktoreachthisobjectiveatoneyear.

Objective 4: 30 people will be provided withrapidre-housingassistanceeachyear

32 individuals have received rapid re-housing assistance. At 107% of theobjective,StepstoSuccesshascompletedandexceededthisobjective.

Effectivelyandequablyengageparticipantsintheprojectandprovideservicesinatimelymanner.

Objective 5: 90% of potential projectparticipants will have an assessmentcompletedwithin30daysofinitialengagement

Ofthe112individualscontactedbyCommuniCare,104individuals(93%)hadat leastoneassessmentwithin30daysoffirstcontact.StepstoSuccess iscurrentlyreachingthisobjective.

Objective 6: 50% of individuals who arecontactedthroughoutreachanddeterminedtobe eligible for the program will choose tovoluntarilyparticipate

Of the 112 individuals contacted by CommuniCare, 48 (43%) voluntarilyenrolled in Steps to Success. While this is slightly lower than the statedobjective,19%oftheseindividualsarestillinoutreachandengagementwithongoingeffortstoenrolltheseindividuals.

Objective7:90%ofprojectparticipantswillbeengaged in case management and treatmentserviceswithin30daysofenrollment

All participants (100%) receive case management and connection totreatmentaspartoftheenrollmentprocess.

Objective 8: Demographic makeup of projectparticipants will be comparable todemographic makeup of overall arresteepopulationinYoloCounty

The arrestee population in Yolo County is 48%White, 32%Hispanic, 13%Black,and7%Other/MultipleRaces,whichissimilartotheStepstoSuccessparticipantpopulation(38%Non-HispanicWhite,25%Hispanic,19%Black,6%Asian,and12%Other/Multiracial/AmericanIndian).

Objective 9: 75% of participants will notrecidivatewhileengagedwiththeprogram

98% of Steps to Success participants have not recidivated (defined as anarrest resulting in new conviction for a felony or misdemeanor) whileengagedintheprogram.


August15,2019|20

Improvethelivesofprojectparticipants.

Objective 10: 75% of participants will notrecidivatewithin12monthsofgraduatingtheprogram

As of March 2019, no participants have graduated Steps to Success;therefore,thisobjectiveisnotcurrentlyapplicable.

Objective 11: 50% fewer days in jail forparticipantswhileintheprogram

ThreeyearspriortoStepstoSuccessimplementation,12participantsspenttimeinjail(3,824days).AfterreferraltoStepstoSuccess,threeparticipantsspenttimeinjail(215days).ParticipantshavenotbeenenrolledinStepstoSuccessforalongenoughperiodtoconductapre/postanalysis.

Objective 12: 50% fewer arrests/tickets forparticipantswhileintheprogram

Threeyearsprior toSteps toSuccess implementation,43participantshadarrests and 10 participants received tickets. After enrollment in Steps toSuccess, 7 participants have been arrested and 1 participant received aticket. Participants have not been enrolled in Steps to Success for a longenoughperiodtoconductapre/postanalysis.

Objective 13: 70% of participants will secureand/ormaintainpermanenthousing

EightparticipantssecuredpermanenthousingthroughStepstoSuccess.

Objective 14: 80%of participantswho securepermanent housing will remain housed at 6months

Ofthethreeparticipantswhosecuredpermanenthousingformorethansixmonths, all (100%) maintained permanent housing for six months afterhousingassistancefromStepstoSuccessended.

Objective15:50%feweremergencycarevisitswhileintheprogram,ascomparedtoyearpriortoenrollment

Data on the number of participants with emergency care visits was notavailable for the preliminary evaluation but will be reported in the finalevaluation.ParticipantshavenotbeenenrolledinStepstoSuccessforalongenoughperiodtoconductapre/postanalysis.

Objective 16: 75% fewer days in psychiatrichospitalization while in the program, ascomparedtoyearpriortoenrollment

TheCounty’selectronichealthrecordsystemdocumentssevenparticipantshavingpsychiatrichospitalizationinthepastyearpriortoenrollmentintheprogram, though this number may be underreported. None of theparticipants reported psychiatric hospitalization after enrollment in theprogram.ParticipantshavenotbeenenrolledinStepstoSuccessforalongenoughperiodtoconductapre/postanalysis.

Objective 17: 60% of participants will securemonthlyincome

Dataonparticipantswhosecuredmonthlyincomewasnotavailableforthepreliminaryreportbutwillbereportedinthefinalevaluation.

Objective18:90%ofthoseeligiblewillenrollinCalFresh

Data on participants who enrolled in CalFresh was not available for thepreliminaryreportbutwillbereportedinthefinalevaluation.

Objective19:100%ofthoseeligiblewillenrollinhealthinsurance

Dataonparticipantswhoenrolledinhealthinsurancewasnotavailableforthepreliminaryreportbutwillbereportedinthefinalevaluation.


August15,2019|21*OutputsandOutcomesinreddenoteYoloCountyobjectives

AppendixC.StepstoSuccessLogicModel

Process OutcomesInputs

Whatdowecontributetoaccomplishouractivities?

ActivitiesWhatactivitiesdoesourprogramareadoto

accomplishourgoals?

OutputsOnceweaccomplishouractivities,

whatistheevidenceofservicedelivery?

Short-&Middle-TermWhatchangesdoweexpecttoseeduringengagement

period?

Long-TermWhatchangesdoweexpecttosee

duringengagementperiod?Funding• BSCCProp47grantfunding• Leveragedfunds

Leadership,Oversight,andStaffing• Partnerships

o HealthandHumanServices

o Probationo DistrictAttorneyo LawEnforcemento CBOs

• LocalAdvisoryCommittee• Dedicatedstaff

o 1HHSAAnalysto 1Paralegalo 1ProbationOfficer

Equipment• 7Countyvehicles• 1passengervan

EBPs• MotivationalInterviewing• IntegratedBehavioralHealth

Treatment• SeekingSafety• WellnessRecoveryAction

Plans(WRAP)• MoralReconationTherapy• 12StepFacilitationTherapy• HousingFirstmodeland

RapidRehousing• FamilyPsychoeducation

ProgramPlanning• Developmentofdiversion

programeligibilitycriteria• Lawenforcementtraining

OutreachandAssessment• Referralsbylawenforcementorother

agencies(DA’sOffice,Probation)todiversionprogram

• OhioRiskAssessmentSystem(ORAS)• LevelofCareUtilizationSystem(LOCUS)• AmericanSocietyofAddictionMedicine

(ASAM)PlacementCriteria• VulnerabilityIndexandService

PrioritizationDecision• AssistanceTool(VI-SPDAT)• AdultNeedsandStrengthsAssessment

(ANSA)• SelfSufficiencyMatrix(SSM)

Diversion• Diversioncourts&programs• Restorativejusticeactivities(e.g.,case

conferences,accountabilitycircles)IntensiveCaseManagementandTreatment

• Casemanagement• Substanceabusetreatment• Mentalhealthtreatment• Permanenthousingsearchand

placementassistance• Peermentorship• Employmentassistance

CivilLegalServices• Civillegalassistancetoaddressissues

thatmayposeabarrierinaccessingbasicnecessities

• “Knowyourrights”educationalworkshops

PermanentHousing• Rentalsubsidies• Financialassistancewithdeposits,

utilities,andhouseholditems

OutreachandAssessment• #referrals,byreferralsource• Offensetype• #ofeachassessmentconducted/datecompleted

• 150peoplecontactedandassessedduringeachyear• 90%ofallpotentialparticipantshaveallassessmentscompleted

within30daysofinitialengagement• ORASscores• Demographicsofindividualswhoreceivedassessment• Referralsto1)restorativejustice&civillegalservicesand2)

restorativejusticeonly• #eligiblefordiversionw/intensivesupports&w/ointensivesupports• Demographicbreakdownofparticipants

• ParticipantdemographicscomparabletooverallarresteedemographicsinYoloCounty

Diversion• #choosingtoparticipateindiversionprogram

• 50%ofindividualswhoareeligiblewillparticipateIntensiveCaseManagementandTreatment

• #participantsreceivingcasemanagement&treatment• 75peopleprovidedwithcasemanagementandtreatment/yr.• 90%ofparticipantsengagedincasemanagement&treatment

within30daysofenrollment• #receivingeachtypeofserviceandassistance(mentalhealth

treatment,substanceabusetreatment,peermentorship,securingID&documents,enrollinginbenefits,housingplacement)

CivilLegalServices• #participantsreceivingeachtypeofcivillegalassistanceservice

(criminalrecords,landlorddisputes,educationalsessions)• 200peopleprovidedwithcivillegaleducationand/orservices/yr.

PermanentHousing• #receivinghousingsupportsservicesand#perservice&valueofeach

service(securitydepositassistance,utilitypaymentassistance,movingassistance)• 30peopleprovidedwithrapidre-housingassistance/yr.

CriminalJustice(CJ)Involvement• #completing&notcompletingdiversionprogram• CJinvolvementforparticipantsengagedinthe

program:• 75%ofparticipantswillnotrecidivate• 50%fewerdaysinjail• 50%fewerarrest/tickets(forfelonies&

misdemeanors)BehavioralandPhysicalHealth

• Engagementinbehavioralandphysicalhealthtreatment• #successfullycompletingcaseplan• #steppingdowntolowerlevelofcare• #connectedtoprimarycase

• Reductionsinemergencycarevisits• 50%feweremergencycarevisitswhileinthe

programascomparedtoyearpriortoenrollment

• Reductionsinpsychiatrichospitalization• 75%fewerdaysinpsychiatrichospitalization

whileintheprogramascomparedtoyearpriortoenrollment

Self-Sufficiency• Increasedknowledgeofsupportiveresourcessuch

aslegal,financial,andhealth• Accesstobasicnecessities

• 90%ofthoseeligiblewillenrollinCalFresh• 100%ofthoseeligiblewillenrollinhealth

insurance• Increasedemployment

• 60%ofparticipantswillsecuremonthlyincome(employmentorpermanentbenefit)

HousingStability• #placedinstablehousing

• 70%ofparticipantswillsecureand/ormaintainpermanenthousing

CriminalJusticeInvolvement• Recidivismevery6monthsafter

programcompletion• 75%ofparticipantswillnot

recidivatewithin12monthsofgraduatingtheprogram

HousingStability• Maintainedhousingstability

• 80%ofparticipantswhosecurepermanenthousingwillremainhousedat6months

BehavioralandPhysicalHealth• Maintainedengagementin

treatment• Positiveoutcomesrelatedto

physicalhealthtreatment• Positiveoutcomesrelatedto

behavioralhealthtreatmentSelf-Sufficiency

• Maintainedaccesstobasicnecessities

• Maintainedmonthlyincome

Howmuchdidwedo?Howwelldidwedoit? Isanyonebetteroff?

yolo county proposition 47 preliminary evaluation report · 2019-12-18 · yolo county health and...

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