The Four County ADAMhs Board has received one of the 23 Criminal Justice Behavioral Linkage grants awarded by the Ohio Mental Health and Addiction Services Department to provide opiate treatment services for CCNO inmates from the four county area as part of their community re-integration plan.
The two-year grant totals $300,000 and will be used primarily to fund pre-release medication assisted treatment, counseling, and establish appointments for post-release treatment. CCNO inmates who are identified as having used or abused opiates such as heroin or prescription pain medication prior to their incarceration are eligible for grant-funded services if they agree to the treatment protocols.
Treatment at the jail will be provided by Recovery Services of Northwest Ohio. However, the post-release treatment protocol will require attendance at multiple counseling and support group sessions every week, frequent drug testing to prove the person is clean, and monthly injections of Vivitrol, a non-opiate medication that effectively blocks any high that a drug such as heroin would cause.
The Vivitrol injection can cost as much as $1,000 a month.
Les McCaslin, ADAMhs Board CEO, explained that opiate addiction is typically very difficult to break and relapse is usually the norm. However, when all protocols associated with the use of Vivitrol are followed it has a success rate of nearly 90 percent. Those protocols, however, require the abuser to be fully committed to recovery.
A contract with Recovery Services of Northwest Ohio to implement the grant at CCNO was approved at last Thursday’s meeting of the Four County ADAMhs Board.
At the meeting, the board also learned that the Ohio Mental Health and Addiction Services Department has granted Family Services of Northwest Ohio up to $400,000 of the $900,000 that is needed to build a 10-bed adult crisis stabilization unit at the Comprehensive Crisis Care program in Napoleon that Family Services operates.
The ADAMhs Board approved a grant to the agency for up to $500,000 to complete the project.
McCaslin told the board that the expansion, which is expected to be completed by next summer, would provide enough short-term psychiatric beds to meet nearly 60 percent of the board’s needs locally. He said the investment should pay for itself within five years.
Community Crisis Care, formerly First Call for Help, had operated a 10-bed crisis stabilization unit for adults for many years at its Napoleon location. However, earlier this year that unit was converted to a crisis stabilization unit for youth since there were few options in the area for youth needing 24 hour observation and treatment.
The board also approved:
A one-year contract with Secure Telehealth at a cost of $11,000 to provide secure video-conferencing for psychiatrists and behavioral health organizations. The service is primarily used for telepsychiatry and therapy sessions.
One year contracts with the Defiance and Williams county sheriff departments costing $7,500 each to support the departments’ DARE programs.
One year contracts with each of the four county Family and Children First Councils costing a total of $8,000 or $2,000 for each council.
During his report to the board, McCaslin noted that the board is 73 days under its bed day usage budget at the state psychiatric hospital in Toledo through the first quarter of the fiscal year.
He also said that most of the board’s contract providers are able to schedule a client’s first appointment within four days; however, due to the number of clients seeking opiate treatment at Fresh Start, a men’s residential program in Alvordton, there is a one month waiting list.
Jerry Stollings, court administrator of the Williams County Juvenile Court, updated the board on the family intervention court that is being established across all four counties. The court has been operational in Williams County since August.
He explained the court is a specialty docket that emphasizes intervention for the entire family. If the family agrees to participate, instead of being sent to a juvenile detention center, the juvenile and their family participates in counseling and other programs as determined by the court and the treatment team.
Weekly treatment team meetings are held with the court during Phase 1 to evaluate their progress. When the treatment team determines the family is ready to move on to Phase 2, the team meetings are held every other week and so on until the meetings are held monthly. Stollings said the program is planned to last from 9 to 18 months.
Although only two families are currently in the court now, he said progress is being made and several other families have been identified to participate.
He added that the program has not started in the other three counties; however, those counties are continuing to move forward and have family intervention courts approved as a specialty docket for their juvenile courts.
Two new board members attended their first ADAMhs Board meeting on Thursday. Both are Fulton County residents who have been appointed by the Ohio Mental Health and Addiction Services Department.
Fulton County Sheriff Roy Miller was appointed to a full four year term. Michelle Oyer-Rose, a probation officer with the Fulton County Court Eastern District, was appointed to fill a vacancy through June 30, 2017.
The board concluded the meeting with an executive session to consider the purchase of property.