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The Jail Based Behavioral Health Services (JBBS) Program has been operational since October 2011 with funding from the Correctional Treatment Cash Fund pursuant to C.R.S.18-19-103 (5)(c)(V). The goal of the JBBS Program is to provide appropriate behavioral health services to inmates while supporting continuity of care within the community after release from incarceration. To carry out the JBBS program, sheriff departments may partner with local community provider(s) who can demonstrate the ability to provide services within the jail, and the capacity to provide or link individuals releasing from jail to free or low cost services in the community. This approach should result in shorter jail sentences and decreased recidivism through better identification and treatment of behavioral health needs.
In May 2018 the Colorado General Assembly passed Senate Bill 18-250, which allocated additional funding to the JBBS program to address gaps in services for mental health disorder screening, assessment, diagnosis and treatment. The funds can also support psychiatric prescription services and the purchase of medications. In accordance with the legislation, all funds are to be used to provide behavioral health services for adults (18 years of age and older) with mental health disorders or co-occurring substance use and mental health disorders.
Per SB 18-250 priority shall be given to rural and frontier counties for mental health services funds. The following rural and frontier counties are encouraged to apply for these funds: Alamosa, Baca, Bent, Clear Creek, Conejos, Crowley, Delta, Eagle, Elbert, Garfield, Grand, Gunnison, Kit Carson, La Plata, Lincoln, Logan, Mesa, Moffat, Montezuma, Montrose, Morgan, Otero, Pitkin, Prowers, Routt, San Miguel, Summit, Washington, Yuma.
A request for application (RFA) notification was sent out to 29 county jails across the state on Nov. 19, 2018. Funding applications were due on March 1, 2019.
Jail Based Behavioral Health Mental Health Expansion (SB 18-250) Request for Funding Informational Webinar - Nov. 30, 2018
(Click on the presentation image below to view the webinar.)
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Q: Summit County has an existing JBBS program. Your map shows that we don't.
A: Thank you, OBH has added Summit County to the map for the current JBBS program.
Q: Will the informational webinar be posted to the website?
A: Yes, a copy of the webinar has been made available on the website. Access it here: https://register.gotowebinar.com/recording/8960647427094354701
Q: Routt and Grand Counties that were invited to apply. Routt does not have a budget on the budget page. Grand County's budget is listed with Otero and Bent instead of with Garfield County.
A: Kerry Krause, OBH Manager of Criminal Justice Mental Health Services, will send out Routt and Grand’s budget information. OBH will move Grand’s budget under the correct catchment and post the updated Exhibit D to the website.
Q: How do you see the coordination of services between JBBS and the new mental health services?
A: Currently, we see these as separate funding sources. Jails can apply for funding separately depending on the structure they choose.
Q: Is telehealth acceptable?
A: Yes, telehealth is an option.
Q: Are performance payments included in base budget amount?
A: There is not a performance payout for this specific program at this time.
Q: Can start up costs be included?
Q: I am happy to see approval for program manager under Sheriff's office. As the treatment provider, we have increasing burden to coordinate services and programs (JBBS, Offender Behavioral Health Services, competency restoration). Can we include a funding request to cover management/program coordination for treatment providers under this expansion?
A: Yes, sheriff staff can oversee treatment staff, which can be a part of the budget.
Q: Please confirm that the listed amount for specific counties in Exhibit D - Budget Allocations is what we need to use when creating our budget?
A: Yes, you will look at the budget listed for your county on the spreadsheet and create two budgets for the designated fiscal year timeframes. Send an email directly to Kerry.Krause@state.co.us if you have specific questions about the budget allocations.
Q: It is our understanding that some portions of the new RFP dollars can be spent on client psychiatric medication. Can you tell us what percentage of the budget can be used for medication? Secondly, does the RFP pay for Medication Assisted Treatment medications such as suboxone?
A: We will allow for funding for any medications on the state formulary. MAT can be covered because they are part of the state formulary. There is not a specific percentage breakout. If you only need funding for medication, that’s fine if you only use the funding for that purpose.
Q: Can the current JBBS Program Manager serve as the point person in lieu of hiring someone from the Sheriff Office?
A: The RFP indicates hiring someone with knowledge of the program and in our current program it is the current manager. The Someone from within the sheriff’s department must be the contact person for this contract because our contract is with the sheriff’s department, not with the treatment provider.
Q: The RFP speaks of transitional services. Does any portion of the new RFP funding cover psychiatric transition services for the client once they are released from jail and begin center outpatient services?
A: No. This funding is not to be utilized for treatment services in the community. It can only be used in the jails.
Q: We are a small jail. Can construction of an office or interview room in these costs be included in costs?
A: You can’t pay for room modifications (i.e., construction), but you can budget resources for the actual room furnishings (i.e., furniture).
Q: I saw Gunnison jail was recommended to need 1 FTE for mental health. Can we also consider applying for nurse practitioner and medication funding for clients?
A: Yes, 1 FTE was just an estimate on our end. We want you to work with the final number you have on the budget sheet, but you tell us what you specifically need.
Q: The 7th judicial district will have new sheriffs in Delta, Montrose and Gunnison Counties. I’m sure the interest is there, but Dec. 17th is problematic due to the election and the fact that each county will have a new sheriff.
A: Yes, we are aware the timing of the election is problematic for meeting the application due date. If your county is interested in applying but is affected by an election and the onboarding of a new sheriff around the application due date, let us know. In accordance with Senate Bill 18-250, the counties in rural and frontier areas that are listed above will receive priority for funding. In accordance with Senate Bill 18-250, the counties in rural and frontier areas that are listed above will receive priority for funding. By March, if there are any undispersed funds, OBH will reach out to additional counties who have expressed interest in the funds but are not on the priority list. Separately, OBH will be in contact with larger jails in urban areas to discuss possibilities for meeting their needs through other means.
Q: Is it possible to apply for these funds individually?
A: If that’s what is comfortable for you, that’s fine. If you were originally part of a catchment and you know your needs differ from that of the catchment you can apply individually for the funding.
Q: Can funds be used for recruiting costs to get a psychiatric provider?
A: Please specify what the details are about this request.
Q: Can we include a signing bonus?
A: If you have data to support this as something you want to put in at the start, we are willing to consider it.
Q: There is an FTE for admin for each county. Is this for the sheriff’s staff? Can this be combined with an FTE for multiple jails?
A: Yes, this money is for the sheriff’s department. We want each of the jails to have representation for the program coordination group that is now required for this new program.
Q: How does it work with how the contractor's costs are shown on the budget? Our current budget has Center staff, travel costs, etc.
A: All those costs will be under the section of the contractor or consultant section of the budget for reimbursement as the subcontractor.
Q: If the sheriff’s office doesn’t want to take the funds out of the program for the program manager position, can they choose to give it to services instead?
A: Absolutely. It’s a resource that’s given to the counties if they need it. If you don’t need the administrative cost, then you can use it for the services at your jail.
Q: Where did the salary estimates come from, and should jails reach out to providers to verify salary costs for budget worksheet?
A: The salaries were an estimate from the average salary for each position in the state of Colorado at the time the budget was created. If you would prefer to verify the actual salary cost you can certainly do that and use it in your budget worksheet.
Q: Can clients be dual that we are presently serving or do they have to be mental health-only unique clients?
A: The clients can be Dual Diagnosis or mental health-only to utilize these funds.
Kerry Krause, Manager of Criminal Justice Mental Health Services
Office of Behavioral Health
firstname.lastname@example.org | 303.866.7480
The Office of Behavioral Health was allotted $5,256,185 for the Jail Based Behavioral Health Services (JBBS) Substance Use Disorder (SUD) Program for FY 2018-19. The JBBS program supports county sheriffs in providing screening, assessment and treatment for substance use disorders and co-occurring substance use and mental health disorders to people who need such services while they are in jail. The program also creates partnerships for continuity of care in the community for individuals needing services upon release from jail. The is funded through HB 10-1352, and expanded in October 2012 through SB 12-163.
The JBBS program funds provision of evidence-based behavioral health services, with continuity of care extending into the community. Sheriff departments are recipients of these funds, either individually, or as multiple county sheriff departments as a partnership. In accordance with the legislation, all funds are used to provide behavioral health services for adults with substance use disorders or co-occurring substance use and mental health disorders.
Sheriff departments have partnered with local community providers who are currently licensed by OBH to provide services within the jail and have the capacity to provide free or low-cost services in the community to inmates upon release. Most programs have at least a clinician position to offer screenings, assessment and treatment in the jail and a case manager position dedicated to transitional care and a seamless re-entry in treatment services in the community. Treatment providers screen all inmates for presence of substance use disorders, mental health disorders, trauma and traumatic brain injury and identify inmates with active duty or veteran military status.
County jails using a JBBS SUD program are:Adams, Alamosa, Arapahoe, Archuleta, Baca, Bent, Boulder, Cheyenne, Clear Creek, Conejos, Crowley, Delta, Denver, Douglas, Eagle, Elbert, El Paso, Hinsdale, Garfield, Grand, Gunnison, Jefferson, Kiowa, Kit Carson, La Plata, Larimer, Logan, Moffat, Morgan, Montrose, Montezuma, Mesa, Otero, Ouray, Phillips, Pitkin, Pueblo, Prowers, Routt, San Miguel, Washington, Weld and Yuma.
Download the 2015 Annual Report
Download the 2017 Annual Report
JBBS Statewide Evaluation Executive Summary
Introduction to Medication-Assisted Treatment (MAT) in Correctional FacilitiesPresented March 22, 2019
Dr. Lesley Brooks, Chief Medical Officer with Sunrise Community Health and Assistant Medical Director for North Colorado Health Alliance, presents on the unique benefits to providing treatment for substance use disorders (SUD) in correctionalfacilities. The presentation details the medications approved by the U.S. Food and Drug Administration and describes the basic pharmacology of medications used in MAT. The session also covers the National Commission on Correction Health Care recommendations for treatment of incarcerated people with SUD. View the webinar and download the presentation slides.
Substance Use Disorder (SUD)Treatment in Correctional Facilities: Initial StepsPresented April 4, 2019
Dr. JK Costello, Senior Health Care Consultant with the Steadman Group, walks correctional facilities considering using MAT through initial planning and implementation steps. These include selecting goals for SUD treatment; determining the appropriate medications to reach the goals; evaluating local resources available to assist with treatment; and identifying considerations for assembling a team of law enforcement professionals and community members to realize the program. View the webinar and download the presentation slides.
Joel Miller, Manager of Criminal Justice Substance Use Disorder Services
Office of Behavioral Health
email@example.com | 303.866.7519