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Plans, Reports, and Briefing Papers
MIDD 2 Plans
The adopted MIDD Service Improvement Plan (SIP), which is the blueprint for MIDD 2, links to the MIDD 2 Implementation Plan and Evaluation Plan. Both the Implementation Plan and the Evaluation Plan were approved by the Council in early 2018. Together these three documents outline the mission of MIDD and address key aspects of MIDD, from funding, to services, to evaluation.
The MIDD 2 Service Improvement Plan (SIP) brought together extensive collaborative work by a diverse range of County and community stakeholders. Shaped by values and guiding principles and ongoing strategic feedback from the MIDD Oversight (now Advisory) Committee, a multistage community-driven process was undertaken to shape programming recommendations for MIDD 2. This process included:
- Input from more than 1,000 King County residents
- 141 programming ideas generated through an open call for concepts
- 90 briefing papers analyzing potential new programming options
- Diverse community review panels that sorted programming options for funding consideration
County staff then aligned recommendations and identified funding levels in light of amended policy goals for MIDD 2. Initial recommendations were released for public comment and stakeholder review in April 2016, with revised recommendations released and reviewed in May 2016. Final programmatic and funding recommendations were transmitted to the Council as part of the MIDD 2 SIP in August 2016, along with a range of other planned improvements to MIDD operations and evaluation.
The SIP was approved by King County Council via Ordinance 18406 in November 2016. Updates to the SIP as of mid-2017 are described in detail in the MIDD 2 Implementation and Evaluation Plans.
The MIDD 2 Implementation Plan provides a point-in-time status report on the implementation of new MIDD 2 initiatives and planned changes to initiatives continuing from MIDD 1. It is a summary of planning efforts completed to date and a preview of the continued work ahead to implement MIDD 2. Including the updated initiative descriptions contained within it, the Implementation Plan addresses the following elements called for by King County Council Ordinance 18407:
- A schedule of implementation of initiatives, programs, and services outlined in the Service Improvement Plan
- Discussion of needed resources including staffing and provider contracts
- Outcomes and performance measures
- Procurement and contracting information
- Community engagement efforts
- How MIDD’s initiatives advance the county’s behavioral health policy goals
- Updated biennial spending plan and financial plans
An essential companion to the Service Improvement Plan (SIP) and the Implementation Plan is the MIDD 2 Evaluation Plan. The Evaluation Plan contains information about:
- Process and outcome evaluation components
- A proposed schedule for evaluations
- Performance measurement information including targets
- Data to be used for reporting
- Overarching principles, framing questions, and approaches for the evaluation of MIDD 2
The development of the MIDD Evaluation Plan was significantly informed by the principles of the Results-Based Accountability (RBA) framework. RBA is a national model and provides a disciplined, data-driven, decision-making process to help communities and organizations take action to solve problems by starting with desired ends and working backward toward strategies to get there.
MIDD 2’s evaluation approach begins by articulating the result desired from MIDD’s investments. Using an RBA performance measurement lens, the MIDD evaluation will seek to answer to what extent and in what ways MIDD helps to achieve the five adopted MIDD Policy Goals.
The Evaluation Plan will help ensure MIDD is accountable for performance of MIDD initiatives. The impact of MIDD initiatives on individuals and families directly served by programs will be assessed using performance measures. The evaluation approach will also ensure that MIDD-funded activities connect to desired population-level changes and contribute to those outcomes.
Past Reports
Recent MIDD Annual Reports
2021 Annual Report and 2021 Results Dashboard
| Older Annual Reports | Year |
|---|---|
| Seventh Annual Report |
Year 6 (2013-2014) |
| Sixth Annual Report |
Year 5 (2012-2013) |
| Fifth Annual Report | Year 4 (2011-2012) |
| Fourth Annual Report | Year 3 (2010-2011) |
| Third Annual Report | Year 2 (2009-2010) |
| Second Annual Report | Year 1 (2008-2009) |
| First Annual Report | 2008 |
| Progress Reports | Year |
|---|---|
| Year 8 Progress Report | (10-1-15 to 3-31-16) |
| Year 7 Progress Report | (10-1-14 to 3-31-15) |
| Year 6 Progress Report | (10-1-13 to 3-31-14) |
| Year 5 Progress Report | (10-1-12 to 3-31-13) |
| Year 4 Progress Report | (10-1-11 to 3-31-12) |
| Year 3 Progress Report | (10-1-10 to 3-31-11) |
| Year 2 Progress Report | (10-1-09 to 3-31-10) |
| Report | Year |
|---|---|
| MIDD I Comprehensive Retrospective Report | Transmitted 6-30-16 |
Briefing Papers
As part of the renewal of MIDD in early 2016, County staff prepared 95 briefing papers to facilitate community review of existing programming and new concepts. Each briefing paper brought together information from current services, MIDD evaluation reports, relevant academic research, community engagement efforts, and/or new concept authors in order to analyze each programming option for MIDD 2.
Four diverse review panels, corresponding to the four overarching MIDD 2 strategy areas, were convened in early March 2016 to review these briefing papers. Their work included sorting the strategies and concepts into high, medium, and low categories for potential funding consideration. The panels were constructed to bring in a diverse array of lived experiences, skills, knowledge, perspectives, and insights to the sorting process. Each review panel included a mix of community members and MIDD Advisory Committee members or their designees. These teams' sorting work, along with the discussions in the panels, informed MIDD 2 planning. (Other factors and input were also considered as final MIDD 2 funding decisions were made in 2016.)
MIDD 2 Briefing Paper Review Panel Sorting Results
Briefing papers considered by the different review panels are linked below. Please note that some existing programs and new concepts moved to different overarching strategy areas during later phases of the recommendation and budget allocation process.
For information about MIDD 2’s 53 funded programs, please visit the MIDD 2 Initiative Descriptions page.
- 2-1-1
- King County Zero Suicide Initiative
- Family Intervention and Restorative Services (FIRS)
- Eastside Housing Response
- Area Prevention Network
- Prevention of Serious Mental Health Problems in Young Children
- Early Intervention for Young Adults
- Infant Early Child Home Base Mental Health Services
- Expanded Crisis Responses for Youth
- Mobile Medical Program
- Coordinated Entry for ALL (CEA) Regional Hubs
- Embedding Behavioral Health Supports within the Opportunity Youth Re-engagement System
- Mental Health First Aid
- Equity Academy
- Youth Mental Health Alternatives to Secure Detention
- Hoarding Disorder Treatment Program
- Aging with Pride – Mental Health Prevention Program for Behavioral Health Needs LGBTQ Midlife and Older Adults
- Screening, Brief Intervention, and Referral to Treatment (SBIRT) for Substance Abuse, Depression and/or Anxiety in Emergency Departments, Primary Care, and Community Behavioral Health Centers
- Parent Partner Family Assistance
- Prevention/Early Intervention Mental Health and Substance Abuse Services for Adults Age 50+
- Comprehensive Substance Use Disorder (SUD) Outpatient Services to Parents in Recovery and Prevention Services for Children of Substance Abuse
- Collaborative School-based Behavioral Health Services for Middle School and High School Students
- Juvenile Justice Youth Assessments Expansion
- Domestic Violence/Mental Health Services and System Coordination
- Children's Domestic Violence Response Team-Expansion
- Immediate Care for Mental Health Emergency
- Law Enforcement Assisted Diversion (LEAD)
- Homelessness – Youth and Young Adults
- South County Crisis Center
- Familiar Faces Culturally Responsive Care Management Teams
- Community Hospital Partnership on Single-bed Certifications (SBCs)
- Mental Health Crisis Consultation for Family Caregivers
- Threat Assessment System
- Diversion and Alternative Sentencing Pilot
- Developmental Disabilities Crisis Diversion Housing
- Risk Awareness, De-escalation, and Referral (RADAR)
- Behavioral Health Urgent Walk-in Care Clinic
- Familiar Faces
- Outreach for Older Adults in Psychiatric Crisis
- Mental Health Crisis Next-Day Appointments
- Geriatric Assessment Team
- Wrap Around for Youth
- Youth Crisis Services and Enhancements
- Crisis Intervention Training for First Responders
- Adult Crisis Diversion Center Mobile Behavioral Health Crisis Team
- High Utilizer Care Teams
- Crisis Intervention Team Mental Health Professional Partnership Pilot
- Prison Pre-release Opiate Treatment
- Veteran's Court Mentor Program
- Hospital Step Up/Step Down
- Peer Support in Substance Use Disorder (SUD) Treatment
- Actuarial Risk and Need Assessment in King County Jails
- Jail-based Substance Abuse Treatment / Maleng Regional Justice Center (MRJC)
- Peer Bridgers for Community Corrections
- Day Shelter for Behavioral Health-Involved Individuals/Competency Stabilization
- Medically Fragile Short-term Shelter
- South King County Community Court
- Seattle Sobering Service Enhancement/Replacement, Sobering Center Transportation
- Clubhouse Model
- Recovery Café
- Rapid Rehousing – Oxford House
- Mobile Juvenile Mental Health
- Employment Services for Individuals with Mental Illness and Chemical Dependency and Supportive Employment Program
- Supportive Housing and Capital
- Reception Centers for Youth in Crisis; Respite Cottages
- Family Treatment Court
- Juvenile Drug Court Modification
- Regional Mental Health Court; Services; Continuous Quality Improvement (CQI) Anlayst
- Competency Continuum – Seattle Mental Health Court,10.77 Triage Project, Incompetent and Uncommitted, Seattle Municipal Court Dismiss and Refer (D&R) Triage
- Hospital Respite Beds Expansion
- Reentry Programs /Behavior Modification Classes for Community Center for Alternative Programs (CCAP) Clients
- Expansion and Enhancement of Recovery Support Services Adult Drug Court
- Safe Housing and Treatment for Children in Prostitution
- Psychiatrists into Agencies
- Telepsychiatry
- Improving access to Behavioral Health Services in Rural King County
- Central Access and Open Access
- Coordinated Care for High Risk Older Adults and Disabled Adults
- Coordination Across Homeless Outreach Services
- Stigma Reduction/Recovery Coalition
- County Opioid Response
- Multi-pronged Opioid Strategies
- Developmental Disabilities and Crisis Response System Collaboration
- Developmental Disabilities and Juvenile Justice Partnership
- Increase Substance Use Disorder/Co-occurring Disorder Residential Treatment, Detox and Recovery House Facilities
- Eastside Homeless Outreach
- Increase Evaluation and Treatment (E&T) Facilities Capacity Capital and Start Up
- Community-Driven Behavioral Health Grants for Cultural and Ethnic communities
- Increase Access to Community Mental Health and Substance Abuse Treatment
- Outreach and Inreach System of Care
- Outreach, Engagement, and Referral Services to Individuals with Opiate Dependency and/or HIV
- Behavioral Health Workforce Development Plan
- Caseload Reduction for Mental Health
- Jail Re-entry System of Care
- Sexual Assault Mental Health Services and System Coordination
