1. Presentation to the Durham BOCC May 6, 2013 Serving Durham, Wake, Cumberland and Johnston Counties

2. Introduction Serving Durham, Wake, Cumberland and Johnston counties Total population of 1.7+ million 186,000 Medicaid lives Alliance is the largest MCO in North Carolina Serving Durham, Wake, Cumberland and Johnston Counties

3. Key Accomplishments Seating of new Board of Directors Merger with Wake County Implementation of new IT system Hiring of new staff Began Waiver contract February 1 Serving Durham, Wake, Cumberland and Johnston Counties

4. Consumers Served Serving Durham, Wake, Cumberland and Johnston Counties SOURCE: Medicaid and State Service Claims Data for the one year period: October 1, 2011 to September 30, 2012 based on claims paid through January 31, 2013. Persons with multiple disabilities (e.g. MH and SA, MH and DD, etc.) were counted in all applicable categories.

5. Key Durham Local Functions Care Coordination provides additional support for special, high-risk populations o MH/SA Care Coordination Supervisor and 15 Care Coordinators o I/DD Care Coordination Supervisor and 10 Care Coordinators Community Relations providers outreach and education to consumers and partners o Community Relations Supervisor and six staff with focus areas throughout the community Serving Durham, Wake, Cumberland and Johnston Counties

6. Alliance Funding Serving Durham, Wake, Cumberland and Johnston Counties $303.4 million (Durham-$61.7 million) $44.2 million (Durham-$13.2 million) $38.1 million

7. Durham County Funding Major components of our $6,661,442 allocation o Crisis services – $2,139,459 o System of Care – $273,351 o Criminal Justice Resource Center – $651,732 o Peer Drop-In Center – $350,000 o Non Medicaid Services – $2,331,104 o Pharmacy services – $120,000 Serving Durham, Wake, Cumberland and Johnston Counties

8. Admissions to Crisis Services Serving Durham, Wake, Cumberland and Johnston Counties SOURCE: NCDMHDDSAS QMT NCDETECT Report dated 4/24/12, Provider Reports, and HEARTS Database through December 31, 2013

9. Durham Crisis Collaborative Participating organizations from hospitals, outpatient clinics, first responders and community partners Work to find cost-effective strategies to decrease ED costs without compromising care Share data to define who are high utilizers, common characteristics and points of intersect, and to develop targeted interventions Serving Durham, Wake, Cumberland and Johnston Counties

10. CJRC Staff co-located at CJRC provide mental health support to the criminal justice population o Senior Psychologist o Jail Mental Health Clinician o Part-time Jail Case Manager o Drug Treatment Court Case Coordinator o MH/SA Care Manager Supervisor o Office Assistant Serving Durham, Wake, Cumberland and Johnston Counties

11. Peer Drop-In Serving Durham, Wake, Cumberland and Johnston Counties Offers a variety of recovery-based programming Provides a welcoming environment and opportunity for social interactions without an appointment Trains and certifies Peer Support Specialists

12. Pharmacy Programs Patient Assistance Program provided almost $3 million in no-cost name brand psychotropic medications last year 900+ consumers receive reduced-cost medicines per month Connect consumers while in inpatient care to pharmacy programs to ensure continuity of medications Serving Durham, Wake, Cumberland and Johnston Counties

13. Non-Medicaid Services Outpatient therapy Community Support Team Intensive In-Home Assertive Community Treatment Teams Multi-systemic therapy Residential supports Personal Assistance Adult Day Vocational Program Employment services Serving Durham, Wake, Cumberland and Johnston Counties

14. Training CIT (40 hour course) Mental Health 101 (8 hour course) Mental Health First Aid (2 day curriculum) Trauma-Informed Care Cross-Agency orientation Real World simulation Care Review orientation Housing orientation Serving Durham, Wake, Cumberland and Johnston Counties

15. Housing Programs Independent Living Initiative – offers short-term financial assistance Embrace Durham – a Supportive Housing program serving formerly homeless families DASH – a Supportive Housing program serving chronically-homeless individuals Home Again – Shelter Plus Care Program for formerly homeless individuals and families Serving Durham, Wake, Cumberland and Johnston Counties

16. Housing Expenditures Independent Living Initiative o $199,000 budgeted, 178 households served Embrace Durham o $110,500 budgeted, 25 adults/children served DASH o $110,500 budgeted, 4 adults served Home Again o 14 individuals/families served Serving Durham, Wake, Cumberland and Johnston Counties