yolo county proposition 47 preliminary evaluation report · 2019-12-18 · yolo county health and...
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YoloCountyProposition47PreliminaryEvaluationReport
YoloCountyHealthandHumanServicesProp47PreliminaryEvaluationReport
August15,2019|i
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.
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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
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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
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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
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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.
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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
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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.
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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.
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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¬completingdiversionprogram• 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?