Okaloosa County BOCC — January 17, 2017 — Sheriff Office Agenda Request — reading text

Sheriff Larry Ashley, Okaloosa County Sheriff Headquarters: 50 2™ Street, Shalimar Florida 32579-1234 Phone: (850) 651-7410, Email: Sheriff@sheriff-okaloosa.org December 21, 2016 Agendarequest: LETF disbursement request; January 3, 2017 To: Mr. John Hofstad, County Administrator From: Ron Gay, Major Administration, Okaloosa County Sheriff's Office Re: Law Enforcement Trust Fund Request board consideration of trust fund disbursement in support of: 1. 2 3. 4, Mental Health Association of Okaloosa Walton Inc., Student Brain Health Initiative Program $3,000.00 Mental Health Association of Okaloosa Walton Inc.,, Emergency Psychiatric Treatment & Medication Program $5,000.00 Crestview High School Wrestling Team $100.00 Concerns Of Police Survivors (C.0.P.S.) $2,500.00 Total disbursement request: $10,600.00 The Okaloosa County Sheriff’s Office is accredited by the Commission for Florida Law Enforcement Accreditation / “The Okaloosa County Sheriff’s Office provides equal access and equal opportunity in employment and services and does not discriminate” OKALOOSA COUNTY LETF APPLICATION PROGRAM INFORMATION Program Title: Student Brain Health Initiative Program Name/ Title of Contact: | Virginia Glyn Barr Address: 571 Mooney Rd., NE Phone: 850-244-1040 City « Zip Code: Fort Walton Beach, FL 32547 Fax: 850-244-2573 Total Program Budget: |$6,000.00 E-mail: mhaowfl@mhaoy.org . New [ Renewal [ | Amount i Frogramiss Requested: W_{ 3 IQOO (&4 If renewal, circle number of years this program has been funded thru LETF? 1 Year APPLICANT AGENCY INFORMATION Applicant Agency Legal Name: Mental Health Association of Okaloosa Walton Counties, Inc Program Name: Brain Health Initiative Main Administrative Address: 571 Mooney Rd., NE City & State: Ft, Walton Beach, FL Zip Code: 32547 Telephone Number: 850-244-1040 Fax Number: 850-244-2573 Website: www.mhaow.org CEO/Executive Director: Virginia Glynn Barr Office Phone Number: 850-244-1040 E-mail Address: mhaowfl@mhaow.org Federal Identification Number: 59-3282067 ) ] LETF CATEGORY (Place an “X” to the left of one program area for which you Intend to Apply): v ERERR 1. Crime Prevention 2. Drug Abuse Prevention/Education 3. Safe Neighborhood 4. School Resource Officer S. Other Law Enforcement Purpose (specify below) PROPOSED PROGRAM INFORMATION j Program Summary (1-3 sentences): Provide an overview of program services. The Brain Health Initiative is an early identification, assessment, and treatment program for uninsured 12 to 21 years of age who are experiencing symptoms of undiagnosed mental illness or substance abuse. These symptoms and associated behaviors have resulted in involuntary psychiatric hospitalizations, academic failure, and student suicides in Okaloosa schools. Law enforcement has been involved in calls from Okaloosa schools which result in student Baker Act commitments. One in every § youth has a diagnosable mental health condition, yet only 1/3 receive treatment. Untreated mental health conditions have seized national attention with mass shootings as the result of bullying, paranoia, alienation and suicide. The Brain Health Project is a collaboration with Okaloosa schools to identify, assess, provide treatment intervention before academic and career failure become mental health tragedies. The Brain Health Initiative requests $6,000.00 to provide psychiatric treatment and prescription services for uninsured students exhibiting symptoms of mental illness in the Okaloosa school system. 2: Program Purpose (1-3 sentences): Pleasc identify the services, target population and how many will be served while completing the following statement. The purpose of this program is to reduce the number of Law Enforcement assisted student mental health commitments or student Baker Act calls. This reduction will also lower the student suicide rate. Students served by this program are between the ages of 12 to 21 years and are either uninsured, under-insured, or are unable to afford the cost of treatment & medications which may be prescribed to stabilize the student to return to the classroom learning environment. The Brain Health Initiative anticipates working with twenty- five students who are not currently in treatment. Professional treatment provider services range in cost between $75 to $200, up to $700. 3. Proposed use of LETF proceeds: Please identify the proposed use(s) of LETF proceeds and specify how it fulfills the statutorily authorized uses set forth in Section 932.7055, Florida Statutes. These proceeds shall not be utilized to meet normal operating needs of the applicant agency/organization. This program meets the required Florida Statutes by reducing crime, while promoting community and law enforcement safety. The requested funds are not part of programs, services and operating costs normally provided or utilized by the Mental Health Association. 4. Has your agency received funding from LETF within the last three (3) years? (If yes, identify the source of that funding, when it was received and the dollar amount that the agency has received). Yes, The Association has received $5,000 from the LETF, Fine & Forfeiture Fund in Mar. 2014 $3,000 from the LETF, Fine & Forfeiture Fund in Apr. 2015 $5,000 from the LETF, Fine & Forfeiture Fund in Dec. 2015 5. Have you applied for funding for this program from any other entity or agency? (If yes, identify the source from which the funding was sought, the dollar amount requested from the source and provide the outcome of that application). The Mental Health Associations has applied for Brain Health Initiative funding from the Destin Charity Wine Auction Foundation. No funds will be determined or awarded until August 2017. The Association also applied for an Impact100 of NWF grant and was not selected for funding. Additionally, funds have been requested from the White Wilson Women's Health grant, Upon completing this application in its entirety, please read the following statement and affix your signature accordingly. I have read, fully understand and agree to be bound by Okaloosa County’s Operating Procedures for Law Enforcement Trust Fund and applicable state statutes. I have completed this application fully and accurately and have not misrepresented any information contained herein. I certify that the requested funds will be used for the purposes set forth in this application and in conformity with Florida law. I agree to submit proper supporting documentation within ninety (90) days of expending the LETF proceeds, which establishes that such proceeds were expended for the purposes they were approved and in conformity with Florida law. I further agree that should I fail to provide such documentation within the specified time period, I will be responsible for reimbursing Okaloosa County for the amounts received. Virginia Glynn Barr o521 081575 0000 - December 6, 2016 Signature of Applicant Date of Application Virginia Glynn Barr Print Name of Applicant OFFICIAL USE ONLY I, Larry R. Ashley, do hereby certify that the aforementioned request for LETF proceeds is in compliance with Section 932.7055, Florida Statutes. ) shley (/ Sheriff LarryR. A Board of County Commissioners: Approved/Disapproved Date: Amount approved: § OKALOOSA COUNTY LETF APPLICATION PROGRAM INFORMATION Program Title: Emergency Psychiatric Treatment & Medication Program Name/ Title of Contact: Virginia Glyn Barr Address: 571 Mooney Rd., NE Phone: 850-244-1040 City » Zip Code: Fort Walton Beach, FL 32547 Fax: 850-244-2573 Total Program Budget: |$6,000.00 E-mail: mhaowfl@mhaow.org .. New Renewa@ Amount Program is: D Rejuestesk: $6J9,Oe/06 {5 0(90 If renewal, circle number of years this program has been funded thru LETF? -More APPLICANT AGENCY INFORMATION Applicant Agency Legal Name: Mental Health Association of Okaloosa Walton Counties, Inc Program Name: Emergency Psychiatric Treatment & Medication Program Main Administrative Address: 571 Mooney Rd., NE City & State: F{, Walton Beach, FL Zip Code: 32547 Telephone Number: 850-244-1040 Fax Number: 850-244-2573 Website: www.mhaow.org CEO/Executive Director: \/irginia Glynn Barr Office Phone Number: 850-244-1040 E-mail Address: mhaowfl@mhaow.org Federal Identification Number: 59-3282067 LETF CATEGORY (Place an “X” to the left of one program area for which you Intend to Apply): ANERR 1. Crime Prevention 2. Drug Abuse Prevention/Education 3. Safe Neighborhood 4. School Resource Officer S. Other Law Enforcement Purpose (specify below) . 58 PROPOSED PROGRAM INFORMATION 1. Program Summary (1-3 sentences): Provide an overview of program services. The Mental Health Association requests $6,000.00 dollars to fund the Emergency Psychiatric Appointment and Medication Program. The program serves Okaloosa residents who must take psychotropic medicines to remain well stabilized, but who occasionally are unable to afford the cost of purchasing the prescriptions and sometimes unable to afford the appointment with the prescribing physician. Citizens who can not afford mental health medications are most frequently the subject of Law Enforcement involved Baker Act Crisis calls. This program reduces the number of Law Enforcement calls as well as reducing the frequency of Baker Act in-patient psychiatric hospitalizations. 2. Program Purpose (1-3 sentences): Please identify the services, target population and how many will be served while completing the following statement. The purpose of this program is to reduce the number of Law Enforcement involved Baker Act calls by purchasing psychiatric prescription appointments as well as purchasing psychiatric medications. It is estimated that 60 persons with mental illnesses will be served within a 12 month time frame. The number of persons assisted will depend on the cost of psychiatric medications, which range in price from $20.00 to $800.00 per medication and will also depend upon the number of persons requiring a psychiatry appointment of $250.00 to prescribe the medicine. This program is a bridge program to promote safety, reduce acute crisis, crime, and assist in the reduction of emergency Baker Act in-patient hospitalizations. 3. Proposed use of LETF proceeds: Please identify the proposed use(s) of LETF proceeds and specify how it fulfills the statutorily authorized uses set forth in Section 932.7055, Florida Statutes. These proceeds shall not be utilized to meet normal operating needs of the applicant agency/organization. This program meets the required Florida Statutes by reducing crime while promoting community and Law Enforcement safety. The requested funds are for direct services which are not part of the everyday operating costs of the Mental Health Association. 4. Has your agency received funding from LETF within the last three (3) years? (If yes, identify the source of that funding, when it was received and the dollar amount that the agency has received). Yes, The Association has received $5,000 from the LETF, Fine & Forfeiture Fund in Mar. 2014 $3,000 from the LETF, Fine & Forfeiture Fund in Apr. 2015 $5,000 from the LETF, Fine & Forfeiture Fund in Dec. 2015 5. Have you applied for funding for this program from any other entity or agency? (If yes, identify the source from which the funding was sought, the dollar amount requested from the source and provide the outcome of that application). The Association has received a "Women only" Medication/Treatment grant of $6,208 in Oct. 2015 & $7,000 in Oct. 2016, which includes Walton County from the White-Wilson Community Foundation. Upon completing this application in its entirety, please read the following statement and affix your signature accordingly. I have read, fully understand and agree to be bound by Okaloosa County’s Operating Procedures for Law Enforcement Trust Fund and applicable state statutes. I have completed this application fully and accurately and have not misrepresented any information