2006-986-Minutes for Meeting October 02,2006 Recorded 10/30/2006FICIAL NANCYDESCHUBLANKENSHIPTES COUNTY CLERKS CJ 2006.986
COMMISSIONERS' JOURNAL
111 10/30/2006 02:23:13 PM
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Deschutes County Board of Commissioners
1300 NW Wall St., Suite 200, Bend, OR 97701-1960
(541) 388-6570 - Fax (541) 385-3202 - www.deschutes.orc
MINUTES OF MEETING
LOCAL PUBLIC SAFETY COORDINATING COUNCIL
MONDAY, OCTOBER 2, 2006
Commissioners' Conference Room - Administration Building, Second Floor - 1300 NW Wall St., Bend
Present were Judge Michael Sullivan; Mike Dugan, District Attorney; Charity
Hobold, Parole & Probation Department; Hillary Saraceno, Commission on
Children & Families; Bend Police Chief Andy Jordan; County Administrator Dave
Kanner; Bob Smit, KIDS Center; Lane Roberts, 9-1-1 County Service District; and
Bob Lacombe, Juvenile Community Justice Department.
Also in attendance were Scott Johnson, Mental Health Department; Tammy Baney,
Commission on Children & Families' Board of Directors; Jacques DeKalb,
Criminal Defense Attorney; Bob Warsaw, Oregon Youth Authority; Rick
Treleavan, BestCare Treatment Center; and Carl Rhodes and Tom Kipp, Oregon
State Police. Also present was Keith Chu of The Bulletin; no other members of the
public were present.
1. Call to Order & Introductions.
The meeting was called to order at 3:35 p.m., at which time the attendees
introduced themselves.
2. Approval of Minutes of the August 7, 2006 Meeting.
JORDAN: Move approval.
DEKALB: Second.
Approval was unanimous.
Minutes of LPSCC Meeting Monday, October 2, 2006
Page 1 of 4 Pages
3. Discussion of Continuation of "Jail Bridge" Program.
Scott Johnson explained that a work group from LPSCC is addressing this
program and other alternatives to incarceration. This program would benefit
public safety and complement what the Jail is doing. The group is drafting a
proposal in this regard.
He reviewed a memorandum at this time. (A copy is attached as Exhibit C.)
Input from LPSCC members was that the program is very successful and needs
to continue, and that although there are "up front" costs, it saves money in the
long run for the State, law enforcement, the Oregon State Hospital system and
the Courts. Funding sources will be sought to continue the program, but interim
funding is needed through June 2007.
DEKALB: Move that a request for continued funding through June 2007
be brought before the Board of Commissioners.
SULLIVAN: Second.
The vote was unanimous, with the exception of Dave Kanner, who abstained.
4. Update (continued) regarding Dedicated Courthouse Parking for Law
Enforcement Personnel & Emergency Vehicles.
Andy Jordan stated that no report is available at this time.
5. Update of TABOR Bill and State Spending Limit Initiative.
Hillary Saraceno said that there is nothing to report at this time.
6. Other Business and Items for the Next Meeting (Monday, November 6).
Scott Johnson presented a document on Family Drug Court, which needs to be
presented for the Governor's budget process. (A copy is attached as Exhibit D.)
Minutes of LPSCC Meeting Monday, October 2, 2006
Page 2 of 4 Pages
Rick Treleavan said the meth coalition subcommittee is encouraging
continuation of funding of the drug court in the next biennium and wants to see
other counties involved. Judge Sullivan added that even if just a few drug-
affected babies are saved, this saves hundreds of thousands of dollars in the
long term. However, it takes some time for a program to get up and running.
JORDAN: Move that LPSCC support continuation of the program.
TRELEAVAN: Second.
The vote was unanimous in favor.
Bob Smit reminded the group of the "Darkness to Light" prevention program,
which has been well-embraced in the tri-county area. There are 15 trainers at
this time who have trained over 800 adults on child abuse prevention and adult
responsibility in this regard. He pointed out that Bend is one of the front-
runners, along with the state of Georgia and New York City. There are more
trained facilitators here than in 34 other states and four countries. The program
is endorsed by many agencies, including law enforcement.
Wednesday evening "Silent Message" will play at the Tower Theater. Warm
Springs Reservation is bringing fifty people, and it is expected the viewing will
be well-attended. A lot of the information came out of the Juvenile Community
Justice sex offender study; Jeff Johnson and Chuck Puch have been a great
help.
The Judge pointed out that if offenders are simply cited and released, they do
not get into the system. He advised law enforcement also to take care how
traffic stop cases are handled.
Being no further items discussed, the meeting adjourned at 4:30 p.m.
Respectfully submitted,
(~X~ (5_xk~.
Recording Secretary
Minutes of LPSCC Meeting Monday, October 2, 2006
Page 3 of 4 Pages
Attachments
Exhibit A: Sign-in sheets (1 page)
Exhibit B: Agenda (1 page)
Exhibit C: Memo to Board of Commissioners regarding Jail Bridge Program
Funding (12 pages)
Exhibit D: Letter to Gov. Kulongoski regarding Support of Drug Court Program
(1 page)
Minutes of LPSCC Meeting Monday, October 2, 2006
Page 4 of 4 Pages
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Q { Deschutes County Board of Commissioners
1300 NW Wall St., Suite 200, Bend, OR 97701-1960
(541) 388-6570 - Fax (541) 385-3202 - www.deschutes.ore
MEETING AGENDA
LOCAL PUBLIC SAFETY COORDINATING COUNCIL
3:30 P.M., MONDAY, OCTOBER 2, 2006
Commissioners' Conference Room - Administration Building, Second Floor
1300 NW Wall St.., Bend
1. Call to Order & Introductions
2. Approval of Minutes of Monday, September 11 Meeting
3. Discussion of Continuation of "Jail Bridge" Program - Scott Johnson
4. Update (continued) regarding Dedicated Courthouse Parking for Law
Enforcement Personnel & Emergency Vehicles - Ernie Mazorol, Andy Jordan
5. Update of TABOR Bill and State Spending Limit Initiative - Ernie Mazorol,
Hillary Saraceno
6. Other Business and Items for the Next Meeting (Monday, November 6)
~xl~ ~
To: Deschutes County Board of Commissioners
Dave Kanner, County Administrator
From: Scott Johnson, Director, Deschutes County Mental Health (DCMH)
Date: September 26, 2006
Subj: Potential closure of Deschutes County's Jail Bridge Program December 2006
Request for $40,000 of County funds to sustain the Program through June 2007
Cc: Deschutes County Local Public Safety Coordinating Council
Deschutes County Alternatives to Incarceration Committee
Deschutes County Mental Health, Alcohol & Drug Advisory Board
Jail Bridge Program Description
Deschutes County's Jail Bridge Program began in 2002 in cooperation with the Deschutes
County Sheriff's Office and Deschutes County Parole & Probation. The Program serves adults
with co-occurring disorders (mental illness and substance abuse) who are in the County jail or
under the supervision of Parole & Probation. Of the 233 clients served since the programs
inception, 83% have had no insurance. Staff provides intensive case management including:
• Linking clients with the Self Sufficiency Program, the Seniors and Persons with Disabilities
Program, Social Security, Vocational Rehabilitation, Housing Works and COCC.
• Assisting clients in connecting with psychiatric and medication management services.
• Working closely with local hospitals, crisis staff, jail mental health staff, and Parole and
Probation to find the least restrictive option for the clients.
• Diverting people from emergency hospitalizations and incarceration.
• Working with clients released from the state hospital, giving them added support and
reducing the chance of decompensation.
• Helping people coming out of prison connect with mental health and community supports.
• Completing drug / alcohol assessments in jail and referring to inpatient treatment facilities.
• Helping offenders and families who are struggling with mental health and addiction issues.
• Working the Deschutes County Family Court to establish a treatment plan that helps clients
regain custody of their children.
Our goal is to help people with mental illness successfully return to the community without
committing additional crimes.
The Problem:
A federal grant funding this program ends in September 2006. Due to the critical nature of this
Program, its benefit to high need clients and public safety, the Mental Health Department is
using reserves to keep the program operational until January 2007. This action is part of the
Department's overall use of reserves in the amount of approximately $850,000 to meet service
Bridge do request 9.06 Page 1 9/29/2006
needs in 2006-2007. In using reserves for three months, our hope was to allow sufficient time for
an assessment of the program's benefits and consideration of funding options through the work
of the Alternatives to Incarceration Committee, a work group of our Public Safety Coordinating
Council. The Alternatives Committee is scheduled to issue its report in the next 60 days.
I am providing this memo now to allow sufficient time for public safety and mental health
groups to review this matter and (hopefully) assist us in finding alternative funding. The loss of
this program is likely to affect the public safety system by increasing criminality and bed days at
the Deschutes County jail. It will also place added demands on Parole & Probation staff.
Conversely, sustaining the Program and even expanding it in the future could reduce the need for
jail beds and help more people with mental illness live constructively in our community.
Evidence:
The Alternatives Committee has engaged in fact finding activities since the spring of 2006 in an
effort to identify critical programs and services that help provide for public safety, reduce
incarceration needs in an overburdened county jail and help people with mental illness and
substance abuse succeed as members of our community.
Testimony to the Alternatives Committee about the Jail Bridge Program has been
overwhelmingly positive, particularly from the Parole & Probation Department which supervises
Bridge clients. Based on data submitted to the State of Oregon Office of Mental Health &
Addiction Services in January 2006, the program serves approx. 24 people at any given time, and
has helped 233 since January 2002. 87 clients (37%) received significant services with 59 clients
(68%) having reduced jail bed days in the year after entering the program. While we recognize
that a variety of factors may have been involved in this decrease in bed days, with Jail Bridge
services being one of those factors - potential bed day savings for those 59 individuals was
estimated at $280,588. 1
The January 2006 report to OMHAS is attached to this memorandum.
Request to the Deschutes County Board of Commissioners:
In a recent meeting to discuss the Deschutes County Mental Health Court, another important
alternative to incarceration, the Commissioners were reminded of the lack of funds to keep the
Bridge Program going. I am requesting a review of this material and the potential for added
County General Fund support in 2006-07. We project that $40,000 will keep this program going
through June 2007. This will allow us to keep our staff in the field providing services while the
Alternatives Report receives a full airing and priorities are set for future years.
1 January 15, 2006 Deschutes County Mental Health Report to the Office of Mental Health and Addiction Services. Savings
estimate based on bed day rate of $77. Author. Kara Cronin, Jail Bridge Coordinator / Mental Health Specialist DCMH.
Bridge do request 9.06 Page 2 9/29/2006
Deschutes County Mental Health
Stan Mazur-Hart 1.15.06
Office of Mental Health and Addiction Services
Oregon Department of Human Services
500 Summer Street NE, E-86
Salem, Oregon 97301-1118
Mr. Mazur-Hart,
This letter is the 15th quarterly report regarding the expenditure of MHS 20 funds
received to provide services to adults with co-occurring disorders within the jail and community
corrections system in Deschutes County. These funds continue to be utilized to support my
Mental Health Specialist I (QMHA) position.
Bridge Program Services
• Provide intensive case management to qualified clients.
• Assist clients with setting up community supports such as: Self Sufficiency Program,
Seniors and Persons with Disabilities, the Social Security Administration, Vocational
Rehabilitation, Central Oregon Regional Housing Authority, Central Oregon Community
College, AA/NA Community, and health care services.
• Assist qualified clients with connecting with psychiatric and medication management
services.
• Working closely with the local hospitals, crisis staff, jail mental health staff, and Parole
and Probation to find the least restrictive option for the clients.
• Divert hospitalization/incarceration through intensive case management and outreach
services.
• Working closely with criminally involved clients recently released from the State
Hospital, in order to give the client added support and reduce the chance of
decompensation and/or new charges. This includes some individuals released under the
jurisdiction of the Psychiatric Security Review Board.
• Assisting clients coming out of prison in connecting with mental health and community
supports.
• Completing ASAM drug and alcohol assessments in the jail, and making appropriate
referrals to inpatient drug and alcohol treatment facilities.
Bridge do request 9.06 Page 3 9/29/2006
• Working with at risk offenders and their families struggling with mental health issues and
addictions.
• Facilitating a weekly treatment group for individuals with co-occurring disorders.
• Working in combination with family court and Ready-Set-Go to help establish a
treatment plan for helping these clients regain custody of their children by helping them
follow through with recommended treatment/classes.
• Provide case management support for the Deferred Sentencing Program.
The multi-disciplinary team continues to meet to review difficult cases referred to the jail
bridge case manager and to review the Bridge Program's effectiveness in general. The following
individuals are members of this team: Pat Tabor (Parole & Probation), Julianne Fouts, LCSW
('Jail), Kara Cronin, QMHA (Jail Bridge Case Manager), and Elisabeth Huyck, M.A. (DCMH
Supervisor). The team meets once a month to discuss global barriers for this population,
individual referrals, the referral process, revocations, diverting revocations, and treatment
planning for the individuals served in the Bridge Program.
Deschutes County Mental Health and our partners believe implementation of the Bridge
position has provided us with the ability to improve our services to individuals with co-occurring
disorders who are involved with the criminal justice system. The Bridge position appears to be
increasing the success rate of the client's ability to remain out of the criminal justice system
while remaining in treatment. The Bridge position has also greatly improved communication and
cooperation between agencies.
If you have any question, please do not hesitate to contact me at 541-322-7526.
Sincerely,
Kara Cronin, BA CADCI
Bridge Program Case Manager
Deschutes County Mental Health
1!128 NW Harriman St.
Bend, OR 97701
(541) 322.7526
Enclosure:
Bridge Program Statistical Report
Bridge Grant Tracking Sheets
Bridge do request 9.06 Page 4 9/29/2006
Bridge Program Statistical Report (January 2006)
Since June P2002, 233 clients with co-occurring disorders have received services under
this program. Of these clients, the following are current statistics:
Open/Closed
24 of the 233 clients are currently open and receiving services from the Jail Bridge case
manager.
Vocational Involvement
7 of the 24 clients currently open under the bridge program are currently working. None
are involved in Vocational Rehabilitation.
Gender
168 of the clients are male and 65 are female.
Ethnic Identity
201 clients opened under the bridge program identify themselves as Caucasian, 4 identify
themselves as Native American, 4 as African American, 5 as Hispanic, and 1 as other.
Ethnic Identity
6%
■ Non-Caucasian
0 Caucasian
94%
Bridge do request 9.06 Page 5 9/29/2006
Age Breakdown
At the time of opening; 73 clients were from ages 18-25, 71 were from ages 26-36, 61
were from ages 36-45, 24 were from ages 46-55, and 4 clients were 56 or older.
Age
71
- 61 ■ Ages 18-25
® Ages 26-35
Ages 36-45
24 ■ Ages 46-55
■ Ages 56+
a
L4
Referral Sources
110 clients were referred from Deschutes County Adult Jail, 104 were referred from
Deschutes County Adult Probation, and 19 were referred from Deschutes County Mental
Health.
Referral sources
120-
100-
80.
IN DCJ
60
S Probation
40
a DCMH
20.
0
Bridge do request 9.06 Page 6 9/29/2006
Funding
At the time they were opened for services in the bridge program, 32 clients had OUP, 1
had private insurance, 1 had VA benefits, and 6 had Medicare. The remaining 193 had no
insurance.
Funding
1 OHP
1 S Medicare
6
®VA
3 193 0 private
■ Self Pay
Service Hours
233 clients opened under the bridge program received 11,761 total service hours from
DCMU. 2,702 are service hours provided by the bridge case manager.
DCMH services hours
12,000
10,000
8,000
6,000
11,76`1
4,000
2,000
0
Total Service Bridge CM Hours
Hours
Bridge do request 9.06 Page 7 9/29/2006
Recidivism
In tracking recidivism, the scope has been narrowed to those clients who have received
"significant services". I have defined significant services as: 8 or more bridge case
management hours, and/or, 20 or more total service hours from DCMH.
Clients who received significant services
87 of the 233 clients opened under the bridge program meet the criteria for "significant
services".
Clients who received "significant
services"
The following charts are statistics regarding jail days for these 87 clients for the 12 months prior
to being opened under the bridge program, and the 12 months after being opened under the
program. Overall there is a 26% reduction in jail days.
Jail day count of clients who received
"significant services"
■ 12 month prior ®12 months after
Bridge do request 9.06 Page 8 9/29/2006
113 Total # of clients served ■ Significant services
Jail day cost for clients who received
"significant services"
$392,396
$246,862
$400,000
$200,000
$0
IN 12 months prior ®12 months post
Recidivism
Of the 87 Clients who received significant services and who are being tracked for
recidivism; 36 have had no new arrests, 23 decreased their number of jail days, and 28
increased their number of jail days.
Recidivism of clients who received "significant
services"
32 0
77.
rt 2%
26%
® No jail days
® Decreased jail days
■ Increased Jail days
Bridge do request 9.06 Page 9 9/29/2006
Clients with No Recidivism
Of these 87 clients identified as receiving significant service hours; 36 have had no new
arrests in the 12 months following MH treatment. In the twelve months prior to being
opened under the Bridge program these 36 clients accounted for 1,849 jail bed days, with
an estimated cost of $142,373.
Jail day cost for 36 clients with no
recidivism
$142,373
$150,000
■Jail day cost 12
$100,000 months prior to
services
$50,000 ■Jail day cost 12
$0 months after
$0 services
Clients with Reduced Jail Days
23 of the 87 clients being tracked reduced their number of jail days from 2355 in the 12
months prior to services, to 560 in the 12 months following treatment services. This is a
potential savings of $138,215.
Bridge do request 9.06 Page 10 9/29/2006
Types of charges for clients with reduced jail
days
R Probation
35 0 Violations only
■ Misdemeanor
charges only
■ New felony charges
26%
Clients with Increased Jail Days
28 clients increased their bed average from 31.82 days in the 12 months prior to services
to 94.5 in the 12 months after services.
Jail days served for clients with increased jail days
N 12 months prior to
services
■ 12 months after services
Bridge do request 9.06 Page 11 9/29/2006
Types of charges for the 28 clients with
increased jail days
39% 6%
25%
1 Probation
Violations only
■ Misdemeanor
charges only
■ New felony charges
11 clients increased their jail bed days and were also convicted of new felonies. These 11 clients
account for 1,750 of the total 3,206 (55%) jail days served by all 87 clients in the 12 months after
receiving services. For 3 of these clients, their mental illness appeared to be the driving force
behind their crimes. 3 of these 11 are labeled "Baby Armed Career Criminals" and 2 others
served prison sentences for their crimes.
Jail days served by 11 clients with
increased jail days and new felonies
46%
56%
® Jail days served by 11 clients with increased jail days and new
felonies in the 12 months after being opend
■ Jail Days served by the other 76 clients 12 months after being
opened
Bridge do request 9.06 Page 12 9/29/2006
Deschutes County
Local Public Safety Coordinating Council
October 2, 2006
Governor Kulongoski
160 State Capitol
900 Court Street
Salem, OR 97301-4047
Dear Governor Kulongoski
As Chairman of the Deschutes County Local Public Safety Coordinating Council, I am writing to
respectfully seek your support to continue the funding of drug courts in Oregon. Our Council is
unanimous in our support of treatment courts and believes strongly that current.state investment
in this public safety and treatment initiative must continue in the next biennium.
The Deschutes County Family Drug Court started on August 1, 2006. The Court has broad
community support of elected officials and all key staff in our child welfare, public safety and
treatment systems. The Court accepts referrals when a child is removed from the home because
of drug issues, usually use of methamphetamine by family members. This is a tough population
to treat, but evidence-based practices support working with difficult families in extreme crisis. The
Court's treatment team is composed of staff from child welfare, prosecution, defense, drug
treatment, probation and parole, mental health and the court.
Four families have been accepted into our new Family Drug Court in the first few weeks. We
expect future referrals to grow quickly as Deschutes County is facing significant challenges
related to child welfare and methamphetamine use.
We are confident that we will see positive results from our Family Drug Court and are very
grateful to have treatment available upon demand. We ask that you support the Deschutes
County Family Drug Court and other treatment court programs in Oregon by including them in
your base budget request to the Legislature in 2007. Your consideration of our request is greatly
appreciated.
Sincerely,
Michael Sullivan, Chairman
Deschutes County Local Public Safety Coordinating Council
Presiding Circuit Court Judge, 11th Judicial District
cc: Tom Lininger, Chair, Criminal Justice Commission
Craig Prins, Criminal Justice Commission
Dr. Bruce Goldberg, Department of Human Services
Judge Alta Brady
Deschutes County Board of Commissioners