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The MIDD 2 Framework is an accountability structure driven by the results policymakers and stakeholders want to see in the community as the result of investment of MIDD funds; the indicators that the county will use to signal that it is headed down the right path to get there; and the actions the county and its partners will take to create the change stakeholders want to see. The MIDD 2 Framework organizes the work of MIDD.

The MIDD 2 Framework includes:

  • MIDD Result – the overarching purpose of MIDD 2
  • Adopted MIDD 2 Policy Goals – King County Council’s direction for MIDD 2 via Ordinance 18407:
    • Divert individuals with behavioral health needs from costly interventions, such as jail, emergency rooms, and hospitals.
    • Reduce the number, length, and frequency of behavioral health crisis events.
    • Increase culturally appropriate, trauma-informed behavioral health services. 
    • Improve health and wellness of individuals living with behavioral health conditions.
    • Explicit linkage with and furthering the work of, King County and community initiatives.
  • Theory of Change – what’s going to happen as a result of the application of MIDD 2 funds
  • Strategy Areas – five distinct areas that organize MIDD 2’s services and programs into a continuum of services
  • Sample Performance Measures*– examples of how service capacity, service quality, and individual outcomes will be measured for MIDD 2 programs.

* “Sample Performance Measures” are not intended to capture an exhaustive list of outcomes. They are a representative example of the types for the strategy areas. It is expected that outcomes will change over time, including during MIDD 2 implementation, based on community and stakeholder feedback.

The MIDD 2 Framework is a living document that will continue to be updated over the life of MIDD 2 to reflect specific programmatic and services or other drivers. The MIDD Advisory Committee reviews and discusses this framework at its meetings, providing input on any revisions.

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