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2005-89-Minutes for Meeting January 31,2005 Recorded 2/8/2005DESCHUTES COUNTY OFFICIAL RECORDS CJ 7445'89 NANCY BLANKENSHIP, COUNTY CLERK COMMISSIONERS' JOURNAL 02/08/2005 41:44;10 PM 1u1111 luMMlu011011l. 1. E1. 2005-80 DESCHUTES COUNTY CLERK CERTIFICATE PAGE This page must be included if document is re-recorded. Do Not remove from original document. ~`~TES e w ❑ -c Deschutes County Board of Commissioners 1300 NW Wall St., Bend, OR 97701-1960 (541) 388-6570 - Fax (541) 385-3202 - www.deschutes.orc MINUTES OF WORK SESSION DESCHUTES COUNTY BOARD OF COMMISSIONERS MONDAY, JANUARY 31, 2005 Commissioners' Hearing Room - Administration Building - 1300 NW Wall St.., Bend Present were Commissioners Tom De Wolf, Michael M. Daly and Dennis R. Luke. Also present were Mike Maier, County Administrator; Laurie Craghead and Mark Pilliod, Legal Counsel; Tom Anderson, George Read, Kevin Harrison and Matt Martin, Community Development; Bill Starks, Sunriver Service District; and one other citizen. No media representatives were in attendance. Chair De Wolf opened the meeting at 10: 00 a. m. 1. Before the Board was Citizen Input. None was offered. 2. Before the Board was a Discussion and Consideration of Signature of Document No. 2005-043, a Services Agreement with The Ferguson Group for Federal Lobbyist Services. Mike Maier reported that a conference call was held with The Ferguson Group, resulting in a CPI increased to $82,800, up from $80,000. After that the cost will go up to $87,000 and $91,200 for the second and third years. Mark Pilliod added that the contract has been forwarded to them for signature, subject to the Board's approval. There is an annual opt-out clause included. LUKE: Move approval, subject to the information provided today by Mike Maier and Mark Pilliod. DWEOLF: Second. Minutes of Board of Commissioners' Meeting Monday, January 31, 2005 Page 1 of 8 Pages VOTE: LUKE: Yes. DALY: Yes. DEWOLF: Chair votes yes. 3. Before the Board was a Discussion and Consideration of Approval of Findings on a Plan Amendment and Zone Change regarding a 57.5-Acre Parcel Located North of Bend (Change from EFU-TRB to MUA-10; Applicant. Duffin; Decision by Board Made 9120104). Matt Martin gave a brief overview of the issue. The adopting ordinances will come before the Board in a few weeks. LUKE: Move approval of the findings. DALY: Second. VOTE: LUKE: Yes. DALY: Yes. DEWOLF: Chair votes yes. 4. Before the Board was a Discussion and Consideration of Signature of Resolution No. 2005-016, Transferring Appropriations within the Deschutes County Sheriffs Office Fund (Machinery). LUKE: Move approval. DEWOLF: Second. VOTE: LUKE: Yes. DALY: Yes. DEWOLF: Chair votes yes. 5. Before the Board was a Discussion and Consideration of Signature of a Letter Reappointing Jim Diegel to the Deschutes County Fair Board, through December 31, 2009. LUKE: Move approval. DALY: Second. VOTE: LUKE: Yes. DALY: Yes. DEWOLF: Chair votes yes. Minutes of Board of Commissioners' Meeting Monday, January 31, 2005 Page 2 of 8 Pages 6. Before the Board was a Discussion and Consideration of Signature of Document No. 2005-011, Amending the Sunriver Service District Management Agreement. Bill Starks and Laurie Craghead explained the reasons for the amendment, which was originally discussed at a Board of Commissioners/Sunriver Service District joint meeting a few months ago. DE WOLF : Move approval. LUKE: Second. VOTE: LUKE: Yes. DALY: Yes. DEWOLF: Chair votes yes. CONVENED AS THE GOVERNING BODY OF THE SUNRIVER SERVICE DISTRICT 7. Before the Board was a Discussion and Consideration of Signature of Document No. 2005-011, Amending the Sunriver Service District Management Agreement. DALY: Move approval. LUKE: Second. VOTE: LUKE: Yes. DALY: Yes. DEWOLF: Chair votes yes. CONVENED AS THE GOVERNING BODY OF THE 9-1-1 COUNTY SERVICE DISTRICT 8. Before the Board was a Discussion and Consideration of Signature of Resolution No. 2005-013, Transferring Appropriations within the Deschutes County 9-1-1 County Service District Fund. Mike Maier explained that Laura Wolfe stated that they would likely put 12,000-15,000 miles annually on a vehicle, partly because of increased training available only in other parts of the State. He said the need appears to be there, and there are no other County vehicles that can be utilized for most of these instances. Minutes of Board of Commissioners' Meeting Monday, January 31, 2005 Page 3 of 8 Pages Ms. Wolfe has been working with Dennis Morris at the Road Department, and obtained three quotes for the purchase of a vehicle locally as the cost is less than purchasing one through the State. LUKE: Move approval. DEWOLF: Second. VOTE: LUKE: Yes. DALY: Yes. DEWOLF: Chair votes yes. 9. ADDITIONS TO THE AGENDA A. Laurie Craghead discussed a potential land use appeal regarding J Bar J. The deadline is fast approaching. Tom DeWolf said there is an ongoing issue with threats from J Bar J regarding the national use of a name similar to theirs (BARD) and is concerned that this will create a conflict. Commissioner Luke said he would have no problem hearing it as a land use issue. Kevin Harrison added that he isn't familiar enough about the appeal to know whether a policy issue is at stake. The question is the 150-day time limit, and whether the Board wants to deal with the appeal under these circumstances. The appeal is for a partition and a new use of the property in a rural residential area. The Hearings Officer found the proposed use is consistent with the zoning; however, her decision was late in coming. Laurie Craghead said that a ten-day notice is required before the Board hears it. Commissioner Luke asked that an informational packet be provided to the Board as soon as possible. It is likely that the time period will run out before the decision can be made and written. If the applicant appeals and will extend the clock; then it would be possible to hear it. Commissioner DeWolf asked why the Hearings Officer is taking so long to submit her decision. Tom Anderson said another Hearings Officer has been hired, but there is still a lot of work for the two of them to handle. As a policy decision, the Commissioners will wait until the end of the appeal period even if they are bumping up against the deadline. Minutes of Board of Commissioners' Meeting Monday, January 31, 2005 Page 4 of 8 Pages B. Mark Pilliod said he needs to schedule some time with the Board to go over public contracting, as changes are required on March 1. He will distribute a copy of the draft ordinance to the Board for possible further discussion at the Administrative Liaison this day. C. Mike Maier discussed the parking situation, since people are not parking in designated areas. The recommendation is to complete the existing remodel projects and then go back to the permit system, and then contract with Diamond Parking to enforce the parking policy. Commissioner DeWolf said that a notice should be sent out to everyone first, before jumping into enforcement. Mike Maier replied that this will require notifying local businesses whose employees are parking on County property. Commissioner DeWolf stated that perhaps someone could be hired part-time to enforce parking. Mr. Maier indicated that the situation will get worse once the County has leased out the old Deschutes Services Building. D. Mike Maier suggested that the County hire an outside consultant to work with department heads, and perhaps representatives of the cities and lay members of the budget committee and audit committee to discuss possible organizational changes. Commissioner DeWolf said he would want the groups to meet separately to get a variety of comments, since they all have a different knowledge base. Mr. Maier said that he has the names of two people who could provide this type of consulting expertise; perhaps a third or fourth person should be located and interviews set up with all of them. The cost would depend on whether the information would be obtained via the use of a questionnaire or if there would be person-to-person interviews conducted. Mr. Maier felt that it might take a week for the process once the arrangement has been determined. He said that someone could be hired on a part-time, hourly basis to handle the work. Commissioner Luke stated that he would be comfortable with Mr. Maier selecting a person to do the work, since he knows most of them. Mr. Maier replied that he does not know how these people might operate as a consultant for this type of process, however. He wants to make sure the Board is involved in the selection. Minutes of Board of Commissioners' Meeting Monday, January 31, 2005 Page 5 of 8 Pages Mark Pilliod said that there needs to be experience on a county level. Commissioner DeWolf added that the person should not be someone with any pre-conceived ideas on how things should operate. E. In regard to NACo conferences and other conferences taking place out of the area, Commissioner DeWolf said he is concerned about the media going after the County, looking for reasons why the Commissioners attend these functions There is a concern about the conference being in Hawaii this summer and the perception of the media and the public. Mike Maier stressed that this is a Board decision. Commissioner DeWolf said that although airline fares can be shopped, the room cost is high. Mike Daly said that the main hotel is already full, so options have to be used. He will shop for the best airline fare. Commissioner Luke said that Commissioner DeWolf compiles a report when he returns from conferences, and Commissioner Daly does not. Not doing so makes it harder to justify the expense. Commissioner Daly stated that he is on the transportation committee and has attended these meetings for several years, building rapport with others on the committee. Commissioner Luke said that the federal lobbyist can provide the same information; and that Commissioner DeWolf belongs on the Juvenile Justice Committee and is very involved. He added that it is important to be able to justify the cost involved. Commissioner DeWolf said that there is an annual budget for each Commissioner to travel and it is never exceeded, but the problem with this particular conference is the location. In the end, each Commissioner has to be able to justify travel expenses to the public. Mike Maier added that the current group of Commissioners is more involved with NACo than others have been in the past, and are getting more involved at the national level on certain issues. As the County grows, these national issues are becoming more important. Commissioner Daly said that a requirement of joining NACo committees is a commitment to attend the meetings. In fact, he is the only Commissioner in Oregon who is involved in the transportation group at NACo. He is also interested in being involved in human services groups, and may decide to do that instead during the next few years. Minutes of Board of Commissioners' Meeting Monday, January 31, 2005 Page 6 of 8 Pages F. Mike Maier brought up the flex fund request from the Juvenile Department; they are anxious to find out how this is to be handled. They have been using this discretionary money for sex offender treatment services, and feel it is very valuable. Commissioner Luke noted that normally the individual amounts are not high. Commissioner Daly brought up the idea that it is just as important to the other departments to have this flexibility as well. He felt that the Board treated Dan Peddycord poorly at their last meeting. Commissioner DeWolf stated this was a reaction to Mr. Peddycord not doing what he originally said he would. Commissioner Luke stated that he is going to listen to audio tapes from last year's budget meetings to confirm that Mr. Peddycord has not followed through with what he said he would do at that time. Commissioner DeWolf said the Juvenile Department request is not for more money, but where it will be allocated. There is no easy way to gauge what is the most important place for the flex funding. Commissioner Daly said that he supports the Juvenile Deparmtent proposal, but feels that public health is important and should not be ignored. Commissioner Luke observed that the negative way Mr. Peddycord handled questions presented by the Commissioners was the basis for the conflict. LUKE: Move support of the Juvenile Department's use of flex funds in the amount of $2,000. DALY: Second. VOTE: LUKE: Yes. DALY: Yes. DEWOLF: Chair votes yes. Being no further items brought before the Board, the meeting adjourned at 11:30 a. m. Minutes of Board of Commissioners' Meeting Monday, January 31, 2005 Page 7 of 8 Pages DATED this 31St Day of January 2005 for the Deschutes County Board of Commissioners. Tom DeWolf, C Daly, (Commissioner ATTEST: Recording Secretary R. Luke, C-6mmissioner Attachment Exhibit A: Report on Justice & Public Safety Steering Committee Retreat (compiled by Commissioner DeWolf) Minutes of Board of Commissioners' Meeting Monday, January 31, 2005 Page 8 of 8 Pages Justice & Public Safety Steering Committee Retreat National Association of Counties January 19-22, 2005 Report by Deschutes County, Oregon Commissioner Tom DeWolf Table of Contents: 2: What Works in Preventing Violence; Delbert Elliott, PhD (violence, drugs and juvenile crime prevention) 3: Resources for Children & Families; Dennis Maloney 4: Lessons of Ghosts from the Nursery: Robin Karr-Morse (cycle of violence that begins at birth; brain development) 6: Fight Crime, Invest in Kids: Meredith Wiley (Nurse-Family Partnership; early brain development 8: Justice Department Re-entry initiative; Elizabeth Griffith, D.O.J. 9: "Invest in Children;" Michelle Katona, Cleveland, Ohio 10: Diverting non-violent mentally ill from jail; • Marvin Southard, Mental Health Director, L.A. County, CA • Sheriff Michael Corona, Orange County, CA • Peter Lukevich, Washington Partners in Crisis, Seattle, WA • Larry Spottsville, Juvenile Probation Director, Rapides Parish, Louisiana 14: Model Re-entry program; Robert Hunter, Hennepin County, MN ("Real Work and Real Pay") 15: Model Re-entry program; Christopher Fay, Eisenhower Foundation, Washington, DC ("The Delancey Street Replication Project") 16: "Assessment and Education;" Arthur Wallenstein, Montgomery County, Maryland 17: "The Cost Effectiveness of Re-entry;" Peter Greenwood, Ph.D. 20: "The Revolving Door for the Mentally Ill in the Justice System" Evelyn Lundberg Stratton, Justice, Ohio Supreme Court, Columbus, Ohio 21: "The Nevada Re-Entry Initiative" Jackie Crawford, Director, Department of Corrections; Nevada 23: Action Plan • Health Care Challenge • Additional Health Issues Power Point presentations: • "Selecting & Implementing Effective Prevention Programs" (attached) • "Invest in Children" (handed out at retreat) • "The Importance of Re-Entry" (attached) "What Works in Preventing Violence" Delbert Elliott, Ph.D., Director of Center for the Study and Prevention of Violence University of Colorado at Boulder Note: Power Point slides attached separately Dr. Elliott's primary focus is on violence, drugs and juvenile crime prevention. Elliott's group has looked at over 600 programs and 80% of them have no credible evaluation. This doesn't mean they don't work, just that we have no idea whether they work or not. The majority of the remaining 20%, which have been evaluated, don't work. There are some which are actually harmful and actually increase risk. A relatively small number meet very high standards of scientific credibility and they work. They reduce the onset of drugs, delinquency and violence by 50% or more. When speaking about "best practices" (see Attachment A, page 17), Elliott points out under `things that don't work' regarding Waivers into Adult Criminal Courts that there are states in which 10-year olds can be tried and sentenced as adults. There is often racial bias. These kids are more likely to be victimized and less likely to receive treatment. We know when they come out they are more likely to offend than if they'd gone through a juvenile program. When talking about Boot Camps, he points out that they have about the same recidivism as probation, which costs about one fourth as much as boot camps. When talking about the traditional DARE program, elementary school is simply too early for kids to understand the concepts presented. The New Dare, which involves 7tn-9th grade intervention, is working with proven practices. In `Gun Buy-Back' programs, 2/3 of guns turned in aren't functional and most people still have one at home that does work. There is no significant reduction in gun-related crimes as a result of this program. Finally, scare tactics generally don't work. On evidence for effectiveness of mental health strategies and approaches (Attachment A, page 19), Elliott points out that in residential treatment services, Multi- Systemic Treatment and Functional Family Treatment (which also often has positive effect on younger siblings) are effective Family preservation programs that show promise. When implementing proven, effective programs, it is critical that they are actually implemented properly. Use the whole "best practices" body of literature. Poorly implemented programs will fail. On page 31, RCT stands for Randomized Control Trial. On page 34, under Effective Programs, Nurse Family Partnership program is focused on young, typically teen, first-pregnancy mothers and is proven to work only with first pregnancies. In terms of cost effectiveness, investment in effective programs will pay for themselves. Look at the very high scientific, randomized-control trials and used Evidence Based Programs. You can invest in these programs and know they will work if they are implemented with fidelity. Website: www.colorado.edu/cspv Del Elliott Phone: (303) 492-1032 2 "Show Me the Money: Gaining new resources for Children and Families during difficult financial times" Dennis Maloney; project leader Civic Justice Corporation, Bend, Oregon Revenue/Programmatic Implementation Strategy • Redeployment of Current Expenditures • Purchasing power for children/private sector incentives (create a list for bidders on requirements that they are child/family friendly, such as: allow parenting training to be offered during lunchibreak times; companies provide family health screenings; referral service for families to needed family services) • Ounce of prevention • Base plus matching appropriations • Earmarked fees/fines (proposed Westlund legislation to charge offenders is their crime is committed in view of, or directly and negatively impacts children) • Dedicated business fees (Oregon's Conservation Corps funded by amusement machine/video arcade game proceeds) • Community service (rather than picking up trash on the highways, which accommodates the slobs who litter, implement programs like Deschutes County's Habitat for Humanity/Juvenile partnership and elevate that work to really serve the community; construction of Kids Center with help of offenders) Combining Solid Research and Common Sense to build a comprehensive Community Justice Continuum (early childhood development (0-5 years) • Universal Home Visitation (Model: Nurse family partnerships) • Effective Parenting (Model: Incredible Years) • Enriched Childcare (Model: High Scope Perry Pre-School) 3 Revisiting the Lessons from Ghosts of the Nursery: Implications for Local Government Robin Karr-Morse, founding director of Oregon Children's Trust Fund and co- author of Ghosts from the Nursery, Traciniz the Roots of Violence; Portland, OR Just three years ago, before 9/11, our nation wasn't concerned about terror from abroad; we were worried about violence in our schools (Columbine, CO; Springfield, OR). As we study the kids who act out violently, there are early markers of risk. Even if we take all the typical factors (media violence, poverty, etc) we don't understand why kids develop thoughts, plan and then take violent action. The U.S. has the highest rate of incarceration (U.S. is 5% of world's population; we incarcerate 20% of world's prisoners) on earth. Prisons and jails are the third highest employer in U.S. behind General Motors and Wal-Mart. As of 2004, the number of people in U.S. prison is one out of 37 adults. In the future, the following number of babies will end up in prison: 1 in 17 babies; 1 in 3 African American babies; 1 in 6 Hispanic babies. From age zero to eighteen, the cost and intensity of treatment efforts to reverse problems increases dramatically while the likelihood of preventing children's original potential to be constructive citizens decreases dramatically. The cycle begins with babies. Too often, mother's have bruises on their bodies, are depressed, are teenagers in demeaning relationships. Too many babies are born hooked on the same substance the mother has used to mask her pain. We wait until kids have developed their anger to a point where they act out. We do too little, too late. It's expensive to allow kids to enter school damaged and angry. If we want to succeed with the little ones, we must start during the nine months in the womb and focus on the first twenty-four months of life. Violence can begin in the womb and be well rooted by preschool. Detached and enraged little brains comprehend guns and television violence far differently than those with older, more developed brains. It's not the finger that pulls the trigger, it's the brain. It's not the penis that rapes, it's the brain. Premature birth, drugs during gestation, domestic violence all impact brain growth. The brain is designed to require use from the child's world in order to develop. Completion of the brain is dependent on stimulation from the environment; every taste, sound, touch and other stimulation contributes to proper growth. Neglect and abuse are reflected in lack of development of the brain. The younger the child, the more difficult it is to control normal development of the brain. Under-stimulation of the higher, cortical brain (rational thinking) or over- stimulation of the lower brain (base brain; fundamental senses; fight or flight, etc) leads to abnormal development. We are born with unfinished brains. We are born with 25% of adult brain weight. At end of 24 months, our brains are 90% of adult weight. Chimpanzees are born with 40% of its adult brain weight. Macaw monkeys are born with 50%. The brain is use-dependent. When it comes to brain cells, use it or lose it. We would not be surprised to come across a teenager who has never been exposed to music that he can't play the piano. Why should be we surprised that kids who have been exposed only to neglect, abuse, gunfire, or the like, don't respect the rights of others and don't trust or respond to nurturing. Babies are at the key age for intensive care. Ignorance 4 about emotional development permeates our society. Technology (DVD; video games; computers) too often replaces simple nurturing. The most important stimulation babies need is: touch. Nurturing touch increases emotional connection and development of the cortical brain. Parts of the brain can be under-built due to neglect or over-built due to abuse. Searing fear creates a specific response as truly as nurturing love does in a different way. Following even one frightening experience, fundamental responses will be developed. Repeated similar experiences will create a trait within the child. Boys tend to act out. Girls tend to withdraw. The experience is not stored as language, in the cortical brain. It is stored in the limbic brain, the emotional center of the brain. Experience shapes brain tissue, chemistry and organization. IQ, school performance and relationships are all affected. This is not just a low-class, poverty issue. By saying it is, the rest of us can avoid seeing it has anything to do with me. Violent behavior permeates every class of people, sometimes more subtly than others. Karr-Morse and Wiley wrote Ghosts from the Nursery to put the face of babies on the impact of violence. Education begins at zero. Kids are the way they are because their parents are simply are, or are not, available to them. You cannot overestimate the huge, positive impact of having nurses involved with young mothers. High quality daycare (Perry pre-school spawned Head Start 30 years ago) is equally as important as elementary school. Enriched, nurturing, predictable, caring development is the key. The hand that rocks the cradle rules the world. All our children are at risk of emotional problems. Apply the Pediatric Health Model to all our children (The Parenting Institute). What makes a difference is applying the best of what we know to build healthy kids rather than fixing broken ones. Parenting is the hardest job we'll ever have. The book Silent Spring taught "poison at the front end, poison out the back end" in regards to our environment. We have a similar problem on the human system. When we neglect the problem, we contribute to the demise of ourselves. www.minneapolisfed.org: the ABC's of early childhood development. Meredith S. Wiley, NY State Director, "Fight Crime, Invest in Kids." Co-Author of Ghosts from the Nursery; Albany, NY "Fight Crime, Invest in Kids" is supported by Police, District Attorneys and Sheriffs across the nation. Violent criminals need to be locked up. But this is only a part of what needs to happen. We won't arrest and incarcerate our crime problem and solve it. When eleven year olds join gangs, or sixteen year olds kill schoolmates or five year olds act out, there's a reason. "Trim Tab" is a term coined by Buckminster Fuller. It's a very small addition to a rudder on a large battleship that drastically reduced the time it took to shift the direction of a large ship. What used to take several people then needed only one person's flick of a wrist. Trim Tabs are alterations that will exponentially improve outcomes with far less effort. The early brain development is a prime opportunity for a trim tab. Meredith has a grandson named Louis. He's nine. Her daughter had a normal birth and a non-drug, natural birth. Within hours of birth his screams were gigantic. He trembled and had trouble sleeping. He was highly sensitive to light and sound. He would not cuddle. Caroline became desperate and felt like a failure as a mother. This was her first baby. Robin Karr-Morse stepped in and helped Caroline. She helped Caroline build her confidence and to help her see Louis as adventurous and high-spirited rather than troubled. But something was amiss with this little guy. And Meredith and Robin were writing Ghosts and new they were time-limited with the development of Louis' brain. At three months, Caroline took Louis to a pediatrician and he recommended she go to a psychiatrist. She got pissed and spent the next few months searching nationwide for help. She was told far too often that the baby was too young to diagnose with anything. There was simply an unavailability of resources. After three more months, Caroline finally found someone less than ten miles from her home. Louis was a month and a half behind (at six months of age) normal development of movement, sitting and crawling. They began physical therapy and symptoms began to abate. Six weeks later, he began sucking normally, establishing eye contact and motor skills. But he was still behind at age ten months. An MRI showed a brain hemorrhage from when he was born. The doctor pointed out that he would've experienced massive headaches as a result. With continued therapy and knowledge, he continued to improve. By age four, he passed his motor-coordination tests with flying colors. Louis is now happy, outgoing, and playful and all the other well-documented things people are who will succeed in school. If he'd been left to grow out of his physical problems, he would never have developed properly. Intervention was critical. Getting a diagnosis was extraordinarily difficult. What would a less confident mother without the support system Caroline have done? What would the results have been? We simply don't pay close attention to babies the way we should. Babies don't exist for us until they are potty-trained, can walk, talk, hit other kids and shoot guns. We blame the mother. We hate the kid. We don't have a society that is interested in overcoming our neglect of these babies. Three percent of non-abused children are arrested for violent crime by age 18. Five percent of abused children will be arrested for violent crime by age 18. There are 8 6 million prisoners worldwide; 2 million are in the United States. We have the highest homicide rate in the world. To say we don't know what to do is untrue. We have the evidence. We do know what to do. The Nurse Family Partnership program has been studied. Four percent of kids who received home visitation by nurses committed crimes by age fifteen. Nineteen percent of kids who did not receive home visitation by nurses committed crimes by age fifteen. In 1998, Rand determined that four dollars was saved for every dollar spent. The brain's capacity for change is highest at age 0-3 when Head Start and Early Head Start will have the most impact. Where we actually spend the money to change brains is all later in K-12, Mental Health, Juvenile Justice, substance abuse treatment and so on. In comparative costs, locking someone up in prison costs $35,000 per year. Foster care costs $17,000 per year. Nurse Home Visitation program costs less than $4,000 per year. We spend $80 Billion annually dealing with the fallout from the neglect of children (mental health, juvenile, prisons, jails, treatment, etc). And there are other hidden costs we don't think about. Child welfare programs are failing nationwide. Longer sentences raise the already high cost of fighting crime. Between 1981 and 1992, the U.S. went from spending $8.3 billion per year in prison costs to $50 billion. The New York Times and Boston Herald have warned that al Qaeda is recruiting in our prisons and in gangs. Where better to recruit angry, young men? We've got to find a way to put the money up front. www.fi~,,,htcrime.org 7 The Justice Department's Re-entry Initiative A. Elizabeth Griffith, Associate Deputy Director for Policy Bureau of Justice Assistance; U.S. Department of Justice Ninety percent of people who go to prison will come back out into our communities. They'll return disproportionately to neighborhoods that don't have the resources to deal with them. Many have no close relationships with family. Lack of work history, literacy, job qualifications, housing, health and mental health issues and drug problems run strong in this population. "Serious and Violent Offender Initiative" is designed to help. On a national basis, DOJ is identifying the partners available to work with and support these efforts. Departments of Labor and Health and Human Services help with funding. There are training and technical assistance available. HUD and Veterans Affairs are partnering. Vets represent 15% of population and 15% of criminal population as well. Social Security Administration is at the table. They are working on the barriers, such as the reinstatement of benefits to parolees. They're looking at the concept of suspending, rather than eliminating benefits for prisoners. This loss of benefits is a huge issue for counties. The Initiative focuses primarily on prison issues. Model Prevention Program Michelle Katona, Director, "Invest in Children" Cuyahoga County (Cleveland), Ohio Michelle phone: (216) 698-2215 e-mail: cnmak(u www.cuyahoga.oh.us Note: Power point slides were handed out at retreat Cleveland was recently named the poorest city in the U.S. The uniqueness of "Invest in Children" is that it is universal, research-based, focused on home and neighborhood, proactive and wellness-oriented and built on a public-private partnership (including State of Ohio, Board of County Commissioners, local foundations and fenders and community-based organizations). Evaluation was required by the partnership and included customer satisfaction, performance, quality, outputs/production (numbers served) and outcomes (family behavior). The primary goals are helping to create effective parents, healthy children and quality child care, all the things Karr-Morse and Wiley spoke of during lunch. This appears to be an incredibly far-reaching campaign with the best of goals. They have a tax bond specifically for human services as a result of the success of their work that is seen in the community. Website: www.cuyahogacounly.us 9 Diverting the non-violent mentally ill from jail and juvenile detention: an intergovernmental challenge" Marvin Southard, Director of Mental Health Los Angeles County, California LA County has a billion dollar budget and 3,000 MH employees. Their largest MH facility is their jail, which is the largest MH facility in the nation. "Kobe Bryant factor: you can always do better if you play as part of a team." No matter how good each of the organizations is that works with mentally challenged people, they can't do it alone. Find partners and work with them. 2034 Program in California: LA, Stanislaus & Kern counties partnered with state of California and focused on homeless mentally ill and mentally ill in jail. They measured outcomes: fewer days homeless; fewer days incarcerated; two other measurements. Results were astounding. The program went from five million dollar pilot program to fifty-five million dollar annual program in most counties in California. Proposition 63 (to address issues of seriously mentally ill people) was approved in November. It taxes people who make over one million dollars annually 1% (taxes 2nd million and above). It will raise $700 million annually and will be accessed by all counties in California. Focus is transformation of MH system so mentally ill are safe in communities and communities are safe without having them in jail. It includes diversion of juveniles from system. There are three areas in the LA County plan: • First is true diversion. Make sure that people with true MH issues are dealt with at the court level, with judge and attorneys, to keep them out of jail and in programs and services. • Second area is prevention. One of the pre-cursors to mental health issues and substance abuse is being witness to extreme violence. Witnessing trauma affects the brain. MH interventions can help. They've found remarkable responses in middle school youth. • Third focus is on clear aftercare plan for folks to have housing and substance abuse and MH treatments as they come out of jail. LA County is creating an Aftercare Unit for this purpose. MH patients need partners as well. MH treatment and substance abuse treatment are completely separate in LA County. Without both, the patient will fail. Partnership is critical in order for people to have better lives. Over time, ongoing relationships that mentally ill people have with other people have proven to be more important in the curative process of mental illness than drug treatment programs. 10 Michael S. Carona, Sheriff Orange County, California Orange County has the 2nd largest Sheriff's county in California, and 5th largest in U.S. They have the 14th largest jail in U.S. $5.5 million annual budget. Orange County is the 31St largest economy in the world and 2nd or 3rd most expensive housing in the U.S. Proposition 63 is a windfall for people dealing with mentally ill offenders in California. Jails are being turned into mental health hospitals. Nearly 2/3 of the boys and 3/4 of the girls in jail in the U.S. have at least one mental health issue. Nearly 70% of MH inmates are dual diagnosed. 94% of mentally ill people in the nation's prison system recidivated if there was no aftercare available to them. The mentally ill have no voice. No one makes a case for them; no movie stars; no nationally recognized champion. We in public service need to be that champion. If mentally ill end up in jail, we need services available within the jail dedicated to getting them resources. Proposition 63 was one of the answers. We then need an aftercare system in place when they get out of jail. Orange County is working to create a Mental Health court. When police, prosecutors, courts and counties work together, solutions can be found for these people. Objective is to keep them out of jail and inside systems of support and control so they are safe and community is safe. 11 Peter M. Lukevich, Executive Director, Washington Partners in Crisis Seattle, Washington Jails: Asylums of the New Millennium Washington Partners in Crisis is a coalition of sheriffs, police chiefs, judges, prosecutors, defense lawyers, treatment providers and consumers who have a goal to do a better job of treating the mentally ill in Washington. When this group gathers together before legislators, things happen. In King County, 78% of GF budget is for law enforcement. 80% of the 78% is spent on jails. A group like this has not been part of the solution before. They now partner with Sheriff Raul Ramirez, Commissioner Lisa Naito and others who are doing the same thing in Oregon. They've seen a 90% reduction in recidivism with people who successfully access a full range of treatments (only currently available in two counties in Washington). They want to keep them out of jail, where they don't belong, except for seriously violent offenders, and get them the services they need. The burden falls immediately to counties to deal with these folks. It is in all our best interests We must insist that Oregon no longer terminate inmates from Medicaid; just suspend them so they aren't cut off when they get out. This is discrimination against the most vulnerable people: mentally ill, low-income, homeless, minority, etc. Find case managers who can access them before they leave jail so they are immediately receiving aftercare upon release. One of the most effective front-end solutions is to have officers properly trained in crisis intervention to recognize that an offender may be mentally ill and off their medication rather than just another offender. There are ways to keep people out of the system; they just need the support of these partnerships. The shortage of beds in the state hospital will lead to a shortage of beds in jails. It takes a cop, a commissioner, a judge, a sheriff, a group like LPSCC to make a difference. It takes you, who are reading this, now, to make a difference. It is no longer acceptable that mentally ill offenders spend twice the time in jail that non-mentally ill offenders committing the same offense. Peter Lukevich e-mail: picnwapic.org 12 Larry Spottsville, Director, Juvenile Probation Department Rapides Parish, Louisiana Prevalence of mental disorders among children (juvenile justice system) • 73% of children in national sample of public and private juvenile facilities reported mental health problems during screenings. 57% reported previously received MH treatment. • In Maryland, 57% of youth have history of mental illness; 53% have at least one current mental disorder diagnosis. • In Virginia, 8-10% of youth in secure detention homes need immediate MH treatment. 77% of youth meet diagnostic criteria for mental disorder. • In Georgia, 61 % of youth admitted to detention centers had mental disorders, including substance abuse disorders. • 72% of youth in South Carolina Juvenile Justice facilities met full criteria for at least one mental disorder diagnosis. • In Toronto, 63% had two or more mental disorder with an additional 22% meeting diagnostic criteria for one mental disorder. Conclusions: • Prevalence of mental disorders among youth in juvenile facilities ranges from 50% to 75% in multiple, well-designed studies. • Nearly half of incarcerated girls meet criteria for PTSD and up to 19% of youth may be suicidal. • Children involved with juvenile justice system frequently have more than one co- occurring mental and/or substance abuse disorder. • Children involved with juvenile justice system have substantially higher rates of mental disorder than children in the general population. 13 Model County Re-entry Program "Real Work and Real Pay" Robert Hunter, Program Manager; Sentencing-to-Service Home Program Hennepin County, Minnesota In the 1990's, instead of probation or parole, certain individuals were going through STS program. Upon successful completion, they were released from P&P. These were typically low-risk, non-violent offenders and are with STS for several days of community work service. They expanded to include minimum-security prison inmates who would be with STS longer-term and worked with the city of Minneapolis to rehab rundown houses for low-cost housing. They worked with the Carpenter's Union to train and supervise inmate workers. After hearing about Deschutes County's efforts, they partnered with Habitat for Humanity and currently build thirty homes per year. Of the first six people they trained, five graduated and four entered the carpentry trade permanently. They eventually grew to four crews and one of them is all women from a women's minimum security prison. Now when they interview to start another new crew of 6-7 inmates, they interview 40-50 men and a dozen women. When they first started, they had a hard time getting a crew of seven; they ended up with six. Habitat now completely funds the women's crew. They have a 75% placement rate in new employment once inmates complete their service with STS. The word is out. STS is about the best thing going in construction training in the Minneapolis area. There's a lot of pride among the inmates. Priority is serving non- custodial fathers. They sign a contract to support their family when they get a job on the outside. Some construction companies have stopped advertising and now rely on STS for new workers. In addition to Habitat, STS has begun working for developers in the Twin Cities. They're bidding all the residential projects they can handle and the union supports their work (as long as they stay away from commercial). They will be self-sustaining within the next year. They've expanded to include juveniles in the program this year. They've expanded to include training in machine shop work. No one has failed in this program. In the construction program, they've trained two hundred participants. Fewer than ten have recidivated with either parole violations or new felonies. They originally thought the focus was on building homes. They learned they are really rebuilding lives and that a finished home was a nice byproduct. Seventy-five percent of their graduates are making a living in construction industry. 14 "The Delancey Street Replication Project" (Milton Eisenhower Foundation) Christopher Fay, Director Washington, DC Eisenhower Foundation's mission is to find model programs to reduce and prevent crime. In the past year, they wanted to find a program to rehabilitate inmates. Imagine a forty-five year old man who's on drugs for 20 years, started with petty crimes and graduated to major crimes. He's fathered six children by three different women. He did not graduate from high school. The only thing he can do well is commit crimes. Next, imagine going to a fine restaurant in San Francisco that is run entirely by ex-felons. Next door is a moving company operated for thirty years by ex-offenders without one problem. There is a very successful Christmas tree lot. There are 400 workers. 399 are offenders. Delancey projects are located in San Francisco, Los Angeles, Pueblo, New Mexico, Greensboro, North Carolina, Brewster, New York. These are not replications. Replications may not be exactly like the original five. Delancey believes they can transform people. They do this without tax dollars. They fund themselves through business income earned. These are businesses and they are schools. Imagine a person going into Delancey Street who commits to staying for two years. The average stay ends up being 3-4 years. Imagine that first man leaving Delancey Street with at least three marketable skills, a high school diploma and perhaps a college degree. He'll have worked driving trucks, cooking and so forth. He will have made contact with the three mothers and all his children. Child support payments were suspended due to the judicial system's belief in the Delancey program and then he transitions into steady employment and responsibility. During the first six months of his first job on the outside, half of his new salary from his new job goes back to Delancey and half goes into savings. By the time he's ready to transition back out on his own. He has money in the bank, a job, an education and has been mentored by tough ex-cons. He talks and thinks differently. He has an improved relationship with his family. Principle: each one, teach one. His first three months at Delancey, he learns to clean the floor. Next, he learns a new skill from another ex-offender while he teaches a new man at Delancey how to clean the floor. This program reverses the whole culture that has been learned in prison. This man actually wants to succeed. He won't just make some money; he'll make a living and impact his family and friends in very positive ways. The Eisenhower Foundation believes this program must and can be replicated. The program started in 1971 with seven offenders. Thirty four years later, they have five facilities and a portfolio worth fifty million dollars and a huge success story. They help both men and women. Eisenhower starts with the corrections community and local business community and college on bringing resources to the table in order to transform lives which need to be transformed for their sake, their family's sake and their community's safety sake. They change lives and they change minds. They face strong NIMBY concerns since they house a large group of ex-offenders supervised by ex-offenders. They don't have outcome measurements, as they aren't required to do so. Replication projects would be tested for typical outcomes by Eisenhower. Anecdotally, it appears to make a significant difference in the lives of offenders. 15 "Assessment and Education" Arthur Wallenstein, Director, Department of Corrections and Rehabilitation Montgomery County, Maryland Insist upon collaboration. Insist upon outcomes regarding re-entry of offenders. To this date, Wallenstein knows of no study that shows why a ten year sentence is better than an eight year or six year sentence. Safety in our communities requires that we know how to succeed with these people. Which offenders need to be incarcerated and for how long and what treatment programs will be most effective with them while they are incarcerated and what is available to them upon release? If we knew what worked, we wouldn't have the enormous challenges we face. High rates of recidivism and high cost of system of dealing with untrained, mentally ill, uneducated and drug-addicted people has led to the high interest in re-entry programs. 1.7 million mentally ill people are released from county jails in the U.S. annually. People always talk about prisons, where average stay is 42 months. Jail stays may be 42 minutes (typical max is 12 months) and the number of inmates served is far more significant than in prison. G.W. Bush, in last year's State of the Union was the first sitting president to ever mention prisons and re-entry in this context. There is no reason in any jail in the U.S. that an education cannot be provided. There is no reason GED programs can't be offered. It is cheap and it is easy. There is not a jailer in this country that should be able to stand in front of an enlightened board of county commissioners and claim otherwise. Total cost of education program in Montgomery County, hiring state licensed teachers, often retired, is $254,000 per year. There are Adult Education programs in most communities. This is a valid, non-mandated service. They buy services for $20-25 per hour. They do not hire full time teachers. They pay for hours worked and do not pay benefits (hence the focus on retirees). Volunteers are recruited to help with remedial reading skills. Support must come from the top and must include partnership with local education system. Politically, the issues must be engaged. Ask why we cannot provide this service. Reject the notion that security issues prevent the possibility. Get support from the state. Ten million people will come out of county jails this year versus 600,000 from state prisons. It is time to diminish the "dead time" in jails and bring these programs in. 16 The Cost Effectiveness of Re-entry Peter Greenwood, Ph.D. Founder of Rand's Criminal Justice Program "I have a 91-year old father who wasn't doing too well. He was in a rest home after a bad spell in the hospital and he was going down hill. But he's a Red Sox fan. He's doing great now." "If the evidence is there, why aren't we doing it?" First, we are a nation that wants fast solutions. Intervention and prevention are all about the future. If we lock someone up, they're gone. Issue solved, many believe. But we can't even pay our current bills. We're building up bills that our grandkids will be paying. This is not a great time to be talking about long-term benefits of intervention and prevention programs. Second, we're not talking about building a bridge; you're talking about preventing crime. Five years from now, you're going to have a bunch of people who would have been victims and they don't know it. This is invisible. Ten years ago, only the techies were making movies on computers. Now you're kids are at home doing exactly this. You can buy a disc from the people who created the technology and just do it. This is exactly what we're proposing in prevention and intervention. Prevention began before the Civil War. By 1994, the experts from National Academy of Sciences concluded there wasn't a single program that worked consistently to prevent violence. But in the past ten years, the world has changed. The research has proven that certain things actually do work. The standard is, if you do one test you have evidence that it works. The Elmira Project first started in the 1970's. David Olds invented the nurse home visitation program. He followed these kids for fifteen years. Through that long follow up, it showed that it worked in preventing child abuse, but it also proved a bunch of unexpected byproducts like fewer unwanted subsequent pregnancies, better prepared kids going to school and so on. How do we train other people to replicate what David Olds did? How do we weed out the programs that don't work? How do you insure that we are building the most effective models? Olds' program costs $7,000 per year. Other programs were doing much the same thing for $25,000, but they certainly weren't four times as effective. Functional Family Therapy takes four months and costs $2,500 per family. It saves government seven times as much as is invested. It is very cost-effective and is supposed to reduce recidivism by thirty percent. In California, "three strikes your out" has resulted in lots of people receiving life sentences. Studies have shown there are far more cost-effective solutions than locking people up. Cost Effectiveness Lesson: Pay for the program/training. There's an upfront cost to get the benefit from the program. FFT training lasts four days. You know nothing about it on Monday and on Friday you're seeing your first family. Most important is that the program be implemented appropriately, according to the evidence based training. FFT, Inc builds in quality assurance and fidelity to the design of the program. 17 FFT, MST and Treatment Foster Care are the three most cost-effective programs currently being used regularly. They all provide $7-10 in savings to the local jurisdiction (Treatment Foster Care ($10 saved for every $1 invested.), FFT ($7), MST ($6), Nurse Home Visitation ($5)). You save money by avoiding government expenditures. Once you've got the program, you follow the kids over time and study them for several years. Compare these kids with kids who haven't been through the same programs. Figure in a 30% reduction in recidivism and then measure the savings in mental health, health, corrections, unemployment benefits, housing subsidies and other areas. This information is visible. It's replicable. This is a very powerful instrument. The Reentry Roundtable just published (January 2005) an 850 page report. It's got every good idea that anyone thinks is great. It's a quagmire. You need a David Olds to boil it down to the five or six things that are scientifically proved to work. Where does the money come from? We have the money. We have enough money to put every single at-risk and adjudicated kid through an effective program. But it's being spent somewhere else. Example: DARE doesn't work. It never worked. L.A. police and L.A. School District partnered to create DARE in the 1970's. It grew like wildfire nationwide and got an $800 million dollar federal earmark. They published studies that showed it worked, but scientists said the studies weren't valid. When two separate, random, scientific studies were done, they learned DARE made no difference. But so many powerful people were committed that they could barely get the study published. Eventually, DARE admitted that their program could be improved and Robert Wood Johnson Foundation is funding the improvements. One thing they learned was that fourth and fifth graders weren't typically old enough to comprehend the DARE education. The new DARE program will focus on seventh and eighth graders. They had to revamp the optimal age for the kids. Two members defended DARE anecdotally as implemented in their own counties. They claim it has worked well for them. The man who monitored the DARE earmark at the Department of Justice pointed out a few problems with DARE included that they quit training kids right at the age when the real threat began. Also, in far too many jurisdictions, officers were using DARE as a way to increase overtime. It was very rigidly designed and didn't allow enough flexibility to include other aspects that would have helped it. The new DARE program is apparently going to be much-improved. Scared Straight has been showed to not reduce proclivity toward criminal behavior. David Huffman, Sheriff from North Carolina shows how and why Scared Straight does work. Here's the crux of the challenge. All these programs have their champions, whether the science shows that they work or not; or work less well than other options. And why do we keep doing things that aren't terribly effective (like electronic monitoring; DARE; Scared Straight)? Because we like it; because it seems logical that it should work; because we've been doing it this way; because we're invested in them. But things are changing. And they'll continue to change. More people are beginning to understand and accept the evidence. If we aren't going to give up on all the programs that have been proven not to be effective, at least begin to move toward, or implement aspects of, programs that are clearly proven to work (FFT, MST, etc). 18 The optimal model for implementation of programs is that practices would all be evidence based. All practices would be regularly assessed for outcomes. Proven programs would be available to those who need them. With new, unproven programs, you'd implement assessment tools from the outset so within a few years, you'd know if it works. What keeps us from doing this? First, the key people need to truly understand this work and it isn't that complicated. Peter has everything we need to know on two pages. We can sort out what programs need to include in order to be considered evidence-based. We don't have any evidence on re-entry yet. We will. "I'm very positive about this meeting. You people get it! Ken Mayfield! Republican! From Texas! (laughter) This group gets it!" Check website for WSIPP (Washington State Institute on Public Policy) 19 "The Revolving Door for the Mentally Ill in the Justice System" The Honorable Evelyn Lundberg Stratton, Justice, Ohio Supreme Court Columbus, Ohio "You don't need money to start; just a strong will. You don't need a lot of knowledge; just surround yourself with those who do." Supreme Court Justice Evelyn Lundberg was born in Thailand to missionary parents. She came to the United States when she turned eighteen and went to college. She became a lawyer and then a judge and was appointed to the Supreme Court. She lives and works in Columbus. She made it her own mission to change the way the mentally ill were dealt with in the prison system in Ohio. The key points for success include: • Collaboration: find committed partners in all related fields, including law enforcement, mental health and so forth. Be sure to include judges. Have them lead the effort. They carry key clout to assemble people and accomplish change. • Statistics: NACo publications have statistics that are very persuasive for decision makers and funders ("Ending the Cycle of Recidivism"). Use your local university to do studies and create accountability measures for programs. • Crisis Intervention Training (CIT): Introduce police and sheriff's deputies to mental health professionals. They need to learn how to best deal with mentally ill people. Jail diversion is where to start. This is critical, but you must have alternatives to jail in place. CIT training is available in every county in Ohio for cops, parole and probation officers, campus police and so forth. Mental Health courts have been established in Ohio. They are voluntary for the offender to be involved. The program lasts one to two years. They are extremely effective. Their websites (www.sconet.state.oh.us/ACMIC; www. specdocsgsconet. state. oh. us) have related articles. Mental Health courts are not actually separate courts in Ohio, they are specialized dockets. Ongoing training and education are available for cops, judges and other partners. There is an annual conference in Ohio in May that combines CIT and MH courts. She says it's open to anyone from any state. She raised a variety of options to seek funding. Butler County is developing a Mental Health Court manual. There are many people with personal wealth who have mentally ill family members. The Corporation for Public Housing is an option. Land Banking can turn county properties into housing for the mentally ill. Check to see if there is a Central State Pharmacy in Oregon where counties can buy in bulk by tagging onto the state contract to save money. Steal ideas from other counties and adopt them for ourselves. It's important to avoid the syndrome where you spend three years developing a "white paper." Act! Make a difference. Use building blocks from others and build up from there. 20 "The Nevada Re-entry Initiative" Jackie Crawford, Director, Nevada Department of Corrections Carson City, Nevada Note: Power point slides attached separately Ms. Crawford is introduced as one of the most progressive people in the U.S. working in the area of re-entry. She requests that we spend a lot of money, because it goes into her budget. Nevada is known for bars and bullets. Their prison population grew dramatically during the 1990's. They soon learned they couldn't build themselves out of their problem. Their budget is $440 million for the biennium with 2,600 employees. 6.9 million people were on probation, in jail, prison or on parole at year-end 2003. 3.2% of all U.S. adult residents (1 out of 32) are incarcerated. In 1980, parole failures accounted for 17% of new admissions. In 1999, it was 35 By 2002, it was 41%. In 2004, there were more than 5,000 new admissions into Nevada prisons. 75% were for new crimes. 25% for parole violations (69% of these were technical violations). This was when the accreditation movement caught fire, because of the huge increase in lawsuits that resulted from so many new admissions. 97% of inmates are coming back home some day. Combined with recidivism rates, re-entry programs have become critical to community safety. Nevada Offender Characteristics • 58% have no GED or high school diploma • 45% function below 8th grade level • 15% have some form of mental illness • 72% have children (imagine what happens with these children...) • 80-90% drug or alcohol problems (girls are beginning using meth as a diet aid to stay thin; meth is huge problem) • 65% have no job training or work skills Public attitudes toward rehabilitation and punishment • Policy makers consistently overestimate the public's punitive attitudes • Citizens want criminals to be punished, but they also support rehabilitation as a major purpose of corrections (California public opinion currently shows 82% support prevention and 12% support the building of more prisons) Correctional realities include the facts that offenders often have no social net and no marketable skills. More prisoners are "maxing out" in their sentences. Longer sentences mean fewer community connections. There is a lack of adequate housing and treatment programs and there are many restrictions on public welfare assistance. What we know is that treatment works. National studies have shown that effective intervention can reduce recidivism by 30%. Prison does not have to be purely punitive to have an appreciable impact on behavior. Benefits of treatment include decrease in prison misconduct, prison violence, drug use and anti-social attitudes as well as an increase in pro-social skills, positive behaviors and a safer environment for everyone. This is good public safety policy. 21 Leadership must embrace re-entry in order for it to work. The attitude must come from the top down. The goals of Nevada's "Going Home Prepared" Program are to reduce recidivism, increase public safety and coordinate existing community resources. They have an 80% success rate in the past year and a half since the GHP program has been operational. The 20% who have failed have all failed due to technical violations. There have been no new crimes committed by anyone who has completed the GHP program. Dana Serrata; re-entry coordinator (702) 879-3800; ext 295 E-mail: dserrata@,doc.nv.gov 22 Action Plan Health Care challenge Current situation is that offenders are cut off from health care by federal government (Medicaid, housing benefits, SSI, SSDI, VA benefits) and the result is that burden falls onto counties to pay full freight for the health care of inmates. The cost is not the rates insurance companies pay or Medicaid pays; the cost is the full, retail cost. Then, when they are released, they are not put back onto assistance, they are without medical coverage. Many counties are required to report the names of all people who are arrested and held in jail to Social Security and they receive a "bounty" as a reward. Many counties rely on these funds to supplement their jail budgets while long-term the costs to the counties end up being much higher due to the lost of benefits. What should happen is that when someone is on federal medical (and other) assistance, they should maintain their benefits after arrest until they are convicted of a crime. Health benefits should continue until conviction. Even after conviction counties are stuck with medical costs for inmates, but it is not politically likely to have full benefits continue after conviction. It will be hard enough to get changes just for those who lose benefits upon arrest only. One possibility is to get legislation that will allow counties to pay a lower rate than full freight for inmates. Additional health issues Hepatitis B, AIDS, Tuberculosis and drug addiction are growing problems in the U.S. due to prison conditions. Many people enter prison without disease and contract them while in prison. Illegal drugs do not enter prisons via visitors. They have no direct contact with the prisoners. The drugs can only be obtained by inmates via sworn law enforcement officers. Think about the healthy, young man who enters prison for stealing a car. Too often, he leaves prison a few years later diseased, drug-addicted, tattooed and gang-affiliated. 23 %e, E S 4J~ LLl ~ C { Deschutes County Board of Commissioners 1300 NW Wall St., Bend, OR 97701-1960 (541) 388-6570 - Fax (541) 385-3202 - www.deschutes.ors WORK SESSION AGENDA DESCHUTES COUNTY BOARD OF COMMISSIONERS 10:00 A.M., MONDAY, JANUARY 31, 2005 Commissioners' Hearing Room - Administration Building 1300 NW Wall St.., Bend 1. CITIZEN INPUT This is the time provided for individuals wishing to address the Board regarding issues that are not already on the agenda. Visitors who wish to speak should sign up prior to the beginning of the meeting on the sign-up sheet provided. Please use the microphone and also state your name and address at the time the Board calls on you to speak. 2. DISCUSSION and Consideration of Signature of Document No. 2005-043, a Services Agreement with The Ferguson Group for Federal Lobbyist Services - Mark Pilliod, Legal Counsel 3. DISCUSSION and Consideration of Approval of Findings on a Plan Amendment and Zone Change regarding a 57.5-Acre Parcel Located North of Bend (Change from EFU-TRB to MUA-10; Applicant: Duffin; Decision by Board Made 9/20/04) - Matt Martin, Community Development Department 4. CONSIDERATION of Signature of Resolution No. 2005-016, Transferring Appropriations within the Deschutes County Sheriff's Office Fund (Machinery) - Marty Wynne, Finance Department 5. DISCUSSION and Consideration of Signature of a Letter Reappointing Jim Diegel to the Deschutes County Fair Board, through December 31, 2009 6. CONSIDERATION of Signature of Document No. 2005-011, Amending the Sunriver Service District Management Agreement - Laurie Craghead, Legal Counsel Board of Commissioners' Work Session Agenda Monday, January 31, 2005 Page 1 of 10 Pages CONVENE AS THE GOVERNING BODY OF THE SUNRIVER SERVICE DISTRICT 7. CONSIDERATION of Signature of Document No. 2005-011, Amending the Sunriver Service District Management Agreement - Laurie Craghead, Legal Counsel CONVENE AS THE GOVERNING BODY OF THE 9-1-1 COUNTY SERVICE DISTRICT 8. CONSIDERATION of Signature of Resolution No. 2005-013, Transferring Appropriations within the Deschutes County 9-1-1 County Service District Fund - Marty Wynne, Finance Department 9. ADDITIONS TO THE AGENDA Deschutes County conducts meetings in locations that are wheelchair accessible. Deschutes County also provides reasonable accommodations for persons with disabilities. For persons who are deaf or who have hearing or speech impairments, dial 7-1-1 to access the State transfer relay services for TTY. At meetings of the Board of County Commissioners, the County will provide an interpreter for hearing impaired persons who make their request at least 48 hours' notice. Written information can be made available in large print or in audio format; to request these services, please call (541) 388-6571. FUTURE MEETINGS: (Please note: Meeting dates and times are subject to change. All meetings take place in the Board of Commissioners' meeting rooms at 1300 NW Wall St., Bend, unless otherwise indicated. Ifyou have questions regarding a meeting, please call 388-6572.) Monday, January 31, 2005 10:00 a.m. Board of Commissioners' Work Session 1:30 p.m. Administrative Liaison 5:30 p.m. Public Hearing on the Bureau of Land Management Proposed Badlands Wilderness Designation Board of Commissioners' Work Session Agenda Monday, January 31, 2005 Page 2 of 10 Pages Tuesday, February 1, 2005 8:30 a.m. Conference Call with The Ferguson Group regarding Federal Lobbying Issues 1:30 p.m. Regularly Scheduled Update with Information Technology Wednesday, February 2, 2005 10:00 a.m. Board of Commissioners' Meeting 11:30 a.m. Luncheon with Governor Kulongowski (location to be determined) Thursday, February 3 2005 8:00 a.m. Meeting with Judge and Court Staff regarding Courtroom Technology Equipment 9:00 a.m. Regular Meeting regarding Inside Deschutes County Video Newsmagazine 12:00 noon Redmond Economic Development Lunch, at Eagle Crest Monday, February 7, 2005 10:00 a.m. Board of Commissioners' Work Session 1:30 p.m. Administrative Liaison 3:30 p.m. Meeting of Local Public Safety Coordinating Council (LPSCC) Wednesday, February 9, 2005 10:00 a.m. Board of Commissioners' Meeting 11:30 a.m. Legislative Update - Conference Call 1:15 p.m. Regularly Scheduled Meeting with the Forestry Specialist, at Road 1:30 p.m. Regularly Scheduled Meeting with the Director of the Road Department, at Road 2:15 p.m. Regularly Scheduled Meeting with the Director of Solid Waste, at Solid Waste 3:30 p.m. Regularly Scheduled Meeting with the Director of the Health Department, at Health 4:15 p.m. Regularly Scheduled Meeting with the Director of the Mental Health Department, at Mental Health Thursday, February 10, 2005 3:00 p.m. Regular Meeting of the Fair Board, at the Fairgrounds Board of Commissioners' Work Session Agenda Monday, January 31, 2005 Page 3 of 10 Pages Tuesday, February 15, 2005 11:00 a.m. Regular Meeting of Employee Benefits Advisory Committee 1:30 p.m. Administrative Liaison 3:00 p.m. Regularly Scheduled Meeting with the Manager of the Fair & Expo Center Friday, February 18, 2005 9:30 a.m. Regularly Scheduled Meeting with the Director of Community Development 11:30 a.m. Economic Development for Central Oregon Luncheon, at St. Charles Medical Center, Bend Monday, February 21, 2005 Most County offices will be closed to observe Presidents' Day. Tuesday, February 22, 2005 2:30 p.m. Administrative Liaison Wednesday, February 23, 2005 9:00 a.m. Regular Meeting with the Director of Tax & Finance 10:00 a.m. Board of Commissioners' Meeting 11:30 a.m. Legislative Update Conference Call 1:45 p.m. Regularly Scheduled Meeting with Parole & Probation, at Parole & Probation 2:45 p.m. Regularly Scheduled Meeting with the Sheriff, at the Sheriffs Office 4:00 p.m. Regularly Scheduled Meeting with Juvenile Community Justice, at Juvenile Thursday, February 24, 2005 10:00 a.m. Budget Kick-off Meeting and Performance Measures Training Monday, February 28, 2005 8:30 a.m. Regularly Scheduled Meeting with the Director of the Commission on Children & Families 10:00 a.m. Board of Commissioners' Work Session 2:00 p.m. Meeting with Sheriff's Office Corrections Needs Assessment Committee, at the Sheriffs Office (MAC Center) Board of Commissioners' Work Session Agenda Monday, January 31, 2005 Page 4 of 10 Pages Tuesday, March 1, 2005 1:30 p.m. Administrative Liaison Wednesday, March 2, 2005 10:00 a.m. Board of Commissioners' Meeting Monday, March 7, 2005 3:30 p.m. Meeting of Local Public Safety Coordinating Council (LPSCC) Wednesday, March 9, 2005 11:30 a.m. Legislative Update Conference Call Monday, March 14, 2005 1:30 p.m. Administrative Liaison 3:00 p.m. Regularly Scheduled Meeting with Community Development Tuesday, March 15, 2005 10:00 a.m. Regularly Scheduled Meeting with the Director of the Mental Health Department 11:00 a.m. Regular Meeting of Employee Benefits Advisory Committee 1:00 P.M. Preliminary Budget Meetings with Various Departments 3:00 p.m. Regularly Scheduled Meeting with Manager of Fair/Expo Center Wednesday, March 16, 2005 10:00 a.m. Board of Commissioners' Meeting Thursday, March 17, 2005 1:00 P.M. Preliminary Budget Meetings with Various Departments Monday, March 21, 2005 10:00 a.m. Board of Commissioners' Work Session 1:30 p.m. Administrative Liaison Board of Commissioners' Work Session Agenda Monday, January 31, 2005 Page 5 of 10 Pages Wednesday, March 23, 2005 9:00 a.m. Regular Meeting with the Director of Tax & Finance 10:00 a.m. Board of Commissioners' Meeting 11:30 a.m. Legislative Update Conference Call 1:45 p.m. Regularly Scheduled Meeting with Parole & Probation 2:45 p.m. Regularly Scheduled Meeting with the Sheriff Thursday, March 24, 2005 7:00 a.m. Regularly Scheduled Meeting with the Redmond City Council, Redmond Fire Hall 11:30 a.m. Regularly Scheduled Meeting with the City of Bend Council, at the County Monday, March 28, 2005 10:00 a.m. Board of Commissioners' Work Session 2:00 p.m. Meeting with Sheriff's Office Corrections Needs Assessment Committee, at the Sheriffs Office (MAC Center) Tuesday, March 29, 2005 1:30 p.m. Administrative Liaison 3:00 p.m. Regularly Scheduled Meeting with the Director of the Commission on Children & Families 3:45 p.m. Regularly Scheduled Meeting with Juvenile Community Justice Wednesday, March 30, 2005 10:00 a.m. Board of Commissioners' Meeting Monday, April 4, 2005 10:00 a.m. Board of Commissioners' Work Session 1:30 p.m. Administrative Liaison 3:30 p.m. Meeting of Local Public Safety Coordinating Council (LPSCC) Wednesday, April 6, 2005 10:00 a.m. Board of Commissioners' Meeting Board of Commissioners' Work Session Agenda Monday, January 31, 2005 Page 6 of 10 Pages Thursday, April 7, 2005 8:00 a.m. Regular Meeting with the City of Sisters Council, in Sisters Monday, April 11, 2005 10:00 a.m. Board of Commissioners' Work Session 1:30 p.m. Administrative Liaison 3:00 p.m. Regularly Scheduled Meeting with the Director of Community Development Tuesday, April 12, 2005 1:30 p.m. Regularly Scheduled Update with Information Technology Wednesday, April 13, 2005 10:00 a.m. Board of Commissioners' Meeting 11:30 a.m. Legislative Update - Conference Call 1:30 p.m. Regularly Scheduled Meeting with the Forestry Specialist 1:45 p.m. Regularly Scheduled Meeting with the Director of the Road Department 2:15 p.m. Regularly Scheduled Meeting with the Director of Solid Waste 3:30 p.m. Regularly Scheduled Meeting with the Director of the Health Department 4:15 p.m. Regularly Scheduled Meeting with the Director of the Mental Health Department Thursday, April 14, 2005 12 noon Regular Meeting of Audit Committee Friday, April 15, 2005 1:00 P.M. Review of Requested Budgets Monday, April 18, 2005 12 noon Regular Meeting of Board of Commissioners and Department Heads 1:30 p.m. Administrative Liaison Tuesday, April 19, 2005 11:00 a.m. Regular Meeting of Employee Benefits Advisory Committee 3:00 p.m. Regularly Scheduled Meeting with the Manager of the Fair & Expo Center Board of Commissioners' Work Session Agenda Monday, January 31, 2005 Page 7 of 10 Pages Monday, April 25, 2005 9:00 a.m. Regularly Scheduled Meeting with the District Attorney 10:00 a.m. Board of Commissioners' Work Session 2:00 p.m. Meeting with Sheriff's Office Corrections Needs Assessment Committee, at the Sheriffs Office (MAC Center) Tuesday, April 26, 2005 1:30 p.m. Administrative Liaison 3:00 p.m. Regularly Scheduled Meeting with the Director of the Commission on Children & Families 3:45 p.m. Regularly Scheduled Meeting with Juvenile Community Justice Wednesday, April 27, 2005 9:00 a.m. Regular Meeting with the Director of Tax & Finance 10:00 a.m. Board of Commissioners' Meeting 11:30 a.m. Legislative Update Conference Call 1:45 p.m. Regularly Scheduled Meeting with Parole & Probation 2:45 p.m. Regularly Scheduled Meeting with the Sheriff Monday, May 2, 2005 10:00 a.m. Board of Commissioners' Work Session 1:30 p.m. Administrative Liaison 3:30 p.m. Meeting of Local Public Safety Coordinating Council (LPSCC) Wednesday, May 4, 2005 10:00 a.m. Board of Commissioners' Meeting Monday, May 9, 2005 10:00 a.m. Board of Commissioners' Work Session Tuesday, May 10, 2005 1:30 p.m. Administrative Liaison 3:00 p.m. Regularly Scheduled Meeting with the Director of Community Development Board of Commissioners' Work Session Agenda Monday, January 31, 2005 Page 8 of 10 Pages Wednesday, May 11, 2005 10:00 a.m. Board of Commissioners' Meeting 11:30 a.m. Legislative Update - Conference Call 1:15 p.m. Regularly Scheduled Meeting with the Forestry Specialist, at Road 1:30 p.m. Regularly Scheduled Meeting with the Director of the Road Department, at Road 2:15 p.m. Regularly Scheduled Meeting with the Director of Solid Waste, at Solid Waste 3:30 p.m. Regularly Scheduled Meeting with the Director of the Health Department, at Health 4:15 p.m. Regularly Scheduled Meeting with the Director of the Mental Health Department, at Mental Health Thursday, May 12, 2005 7:00 a.m. Regularly Scheduled Meeting with the Redmond City Council, Redmond Fire Hall Monday, May 16, 2005 9:00 a.m. Administrative Liaison 1:00 P.M. Budget Committee Meeting Tuesday, May 17, 2005 10:00 a.m. Regularly Scheduled Meeting with the Manager of the Fair & Expo Center 11:00 a.m. Regular Meeting of Employee Benefits Advisory Committee 1:00 P.M. Departmental Budget Presentations Wednesday, May 18, 2005 1:00 P.M. Departmental Budget Presentations Thursday, May 19, 2005 1:00 P.M. Departmental Budget Presentations Friday 20, 2005 1:00 P.M. Budget Approval Meeting Board of Commissioners' Work Session Agenda Monday, January 31, 2005 Page 9 of 10 Pages Monday, May 23, 2005 10:00 a.m. Board of Commissioners' Work Session 1:30 p.m. Administrative Liaison 3:00 p.m. Regularly Scheduled Meeting with the Director of the Commission on Children & Families Thursday, May 26, 2005 11:30 a.m. Regularly Scheduled Meeting with the City of Bend Council, at the City Wednesday, May 25, 2005 9:00 a.m. Regular Meeting with the Director of Tax & Finance 10:00 a.m. Board of Commissioners' Meeting 11:30 a.m. Legislative Update Conference Call 1:45 p.m. Regularly Scheduled Meeting with Parole & Probation 2:45 p.m. Regularly Scheduled Meeting with the Sheriff 4:00 p.m. Regularly Scheduled Meeting with Juvenile Community Justice Monday, May 30, 2005 Most County offices will be closed to observe Memorial Day. Monday, May 31, 2005 1:30 p.m. Administrative Liaison Deschutes County meeting locations are wheelchair accessible. Deschutes County provides reasonable accommodations for persons with disabilities. For deaf, hearing impaired or speech disabled, dial 7-1-1 to access the state transfer relay service for TTY. Please call (541) 388-6571 regarding alternative formats or for further information. Board of Commissioners' Work Session Agenda Monday, January 31, 2005 Page 10 of 10 Pages