2007-414-Minutes for Meeting March 05,2007 Recorded 4/3/2007DESCHUTES COUNTY OFFICIAL RECORDS 200■4l4
NANCY BLANKENSHIP, COUNTY CLERK
COMMISSIONERS' JOURNAL
04/03/2007 02:20:42 PM
2007-414
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Deschutes County Clerk
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~vTES L,
Deschutes County Board of Commissioners
1300 NW Wall St., Suite 200, Bend, OR 97701-1960
(541) 388-6570 - Fax (541) 385-3202 - www.deschutes.org
MINUTES OF MEETING
LOCAL PUBLIC SAFETY COORDINATING COUNCIL
MONDAY, MARCH 5, 2007
Commissioners' Conference Room - Administration Building, Second Floor - 1300 NW Wall St., Bend
Present were Judge Michael Sullivan; Commissioner Tammy Baney; Becky
Wanless, Parole & Probation Department; County Administrator Dave Kanner;
Acting Sheriff Larry Blanton; Rick Treleaven, Best Care Treatment Services; Bob
LaCombe, Juvenile Community Justice Department; Bob Smit, KIDS Center; Scott
Johnson and Lori Hill, Mental Health Department; Jack Blum, citizen member;
Andy Jordan, Bend Police Department; Hillary Saraceno, Commission on
Children & Families; Roger Olson, representing NAMI; Carl Rhodes, Oregon
State Police; Ernie Mazorol, Courts; and citizens Bob Marble and Pam Marble,
representing NAM[; Also present was media representative Cindy Powers of The
Bulletin.
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 January 8, 2007 Meeting.
DEKALB: Move approval of the minutes.
RHODES: Second.
VOTE: Unanimous.
Minutes of LPSCC Meeting Monday, March 5, 2007
Page 1 of 6 Pages
3. Discussion of Mental Health Mobile Crisis Team Concept
Scott Johnson said he is looking at a different model, and the mobile crisis team
concept is being considered. (His memo regarding this idea is attached.)
This is in the assessment stage, but there could be advantages in terms of
resources; and this might be included in the proposed budget.
Lori Hill added that they are providing crisis services now; each county is
responsible twenty-four hours a day, seven days a week. The daytime team
responds to the hospital and the walk-in clinic. After hours, this work is
managed by clinicians in addition to their full-time jobs, as there are not enough
volunteers. Therefore, eight to ten clinicians receive extra pay for this work.
Situations don't come up that often, and the clinicians rotate about every eight
weeks on weekends. Crook and Jefferson counties have a similar arrangement.
Crisis work is more difficult, but the idea is to try to keep people out of the
hospital.
The mobile team would be a small group of full-time staff on twenty-four hour
shifts; this would be in addition to the daytime team. The intent is to provide
mobile outreach, and respond to the emergency room, the jail, and clinics;
sometimes in homes after considering safety issues. This group would be
smaller and well trained and have good connections with partners. One
question is the response time if the team is more regional in nature.
Mr. Johnson stated that hypothetically there would be one month of intensive
training, including working with law enforcement on protocols. Staffing would
be paid through the overtime hours now expended. There are State grant
dollars for acute care services. The work will be mandatory, not voluntary, and
would augment first responders.
Deschutes County manages the grant, and the three counties make decisions on
their own expenditures. The shifts and workload would be similar to what is
being done at this time; this would provide for a better response. Mr. Johnson
added that the team will need to make judgment calls, as they do now, based on
acuity. Utilization will be tracked.
Rick Treleaven, stated that this will allow the three counties to share resources
and risk, as determined by acuity. Ernie Mazorol said that he has dealt with
situations where teams are regionalized, and it is sometimes hard for them to
work towards the same goal.
Minutes of LPSCC Meeting Monday, March 5, 2007
Page 2 of 6 Pages
Larry Blanton stated that sometimes things can happen very quickly, and
response time is critical. Andy Jordan observed that law enforcement needs to
be involved and criteria have to be uniform. Bend Police Department may have
a different procedure than the Sheriff. Mr. Blanton noted that if someone with
expertise can be available during a crisis, this is a valuable tool. Mr. Johnson
added that the person could be someone already known by the crisis team.
Jack Blum noted that if a suspected suicide is picked up by law enforcement, it
can take a lot of the officer's time. He said this team concept is a good idea,
since they have the appropriate expertise.
Mr. Johnson stated that the Sheriff's Office is taking the lead on crisis
intervention training. Mr. Jordan said that the long shifts could be problematic.
Judge Sullivan added that they will need to be sure that stacking of calls doesn't
create an issue. Mr. Johnson indicated he will advise everyone how the concept
is working.
4. Discussion of Selecting a LPSCC Member to Participate on the Reconvened
Community Justice Work Group.
Bob LaCombe asked that this item be withdrawn.
5. Update on County Jail Expansion.
Judge Sullivan advised that the Board of Commissioners will be conducting a
discussion on the regional jail idea on March 20, 1 p.m. Dave Kanner said that
they will be meeting with others who have done this. A separate organization is
established to issue bonds and build the jail. Commissioner Daly is interested
in discussing this idea with Crook, Jefferson and Harney counties.
Larry Blanton said that the work center work has fallen off the grid somewhat.
It will provide a short-term solution to the overcrowding problem. The KMD
architectural work should be done by the end of the month. There are some
code issues related to upgrading the facility to medium security. Susan Ross
will help with the logistics of bids and permitting. It is hoped that it will be
ready to use by October or November; the remodel project will take about four
months. They will provide a set of estimates and a range of costs; the
Commissioners will have to decide what to invest.
Minutes of LPSCC Meeting Monday, March 5, 2007
Page 3 of 6 Pages
Commissioner Baney stated that the Board has made the work center a priority.
They also answered the underlying question, which was whether more beds are
needed. They have put a timeline on the decision-making process, prior to the
end of May. They need to answer how many beds and what is affordable,
considering new ideas and alternatives. They don't have answers to all of the
questions yet, but won't be dragging their feet. The last OMNI report and
alternatives to incarceration report have been reviewed. There are some
difficult decisions for the Board to make and those decisions won't be made
without considering all the information.
Ernie Mazorol asked if LPSCC can provide any assistance. Larry Blanton
added that all the questions were already asked and answered by the committee
over the last two years.
6. Appointment of LPSCC Members: Bev Clarno as Citizen Member; Bill
Friedman as City of Bend Representative, with Bruce Abernethy as
Alternate.
BANEY: Move approval.
LACOMBE: Second.
VOTE: UNANIMOUS
7. Other Business and Items for the Next Meeting (Monday April 2).
Judge Sullivan said LPSCC members have been asked to attend the B.I.
Incorporated presentation on alternatives to incarceration. Commissioner Daly
met a representative at a NACo public safety conference, and asked the
representative to make a presentation regarding ankle bracelets for monitoring
as an alternative to jail. There are concerns about systems that require a
landline phone. Any contract for these services would require a competitive
process. There still need to be jail beds available.
Becky Wanless stated that her department used B.I. for years for monitoring
services. They are looking at utilizing GPS for sex offenders. B.I. requires a
landline phone; another is being tested that works with cellular phones.
The question was asked by LPSCC should be a part of this process. Mr. Kanner
said that LPSCC has a statutory responsibility to oversee this type of thing, and
he feels it would be appropriate for LPSCC to make a recommendation.
Minutes of LPSCC Meeting Monday, March 5, 2007
Page 4 of 6 Pages
Judge Sullivan noted that this would not be utilized by a large number of
people. In the past, people have had to have a phone and pay for it. Some can
pay for monitoring fees but it is more expensive. Also, sometimes the readings
don't work. Mr. Kanner stated that Commissioner Daly sees this as something
the courts would sentence people to instead of having them go to jail. It is not
necessarily a Parole & Probation program, but a literal alternative to
incarceration. If that's the case, LPSCC should review it. Judge Sullivan said
that if a judge orders electronic monitoring, it becomes a condition of probation.
It is easy to impose the obligation, but they have to have the money. Ms.
Wanless added that the Parole Officers are not allowed to collect fees.
Mr. Blanton stated that the group should take part in the presentation, and
discuss it again in the near future.
Ernie Mazorol said that many people have given thought to memorializing
Dennis Maloney and his work. Commissioner Baney stated that the
Commissioners are considering naming the Juvenile Community Justice
building after him.
MAZOROL: Move that a letter to the Commissioner come from Judge
Sullivan on behalf of LPSCC, recommending the building be named after
Dennis Maloney.
WANLESS: Second.
The vote was unanimous in favor. Mr. Mazorol will draft the appropriate letter.
Mr. Johnson the State has scheduled a meeting for March 15 in regard to the
Psychiatric Security Review Board (PSRB) so that they can hear concerns and
review new ideas.
Mr. Johnson noted that King County, in the Seattle area, has determined that
affordable housing is a key issue for public safety. There will be a work session
held on March 23 in Redmond and another meeting with the State on April 16
to talk about additional residential programs to serve those people with mental
health issues. He added that it is important to learn what other entities are
doing in this regard.
Minutes of LPSCC Meeting Monday, March 5, 2007
Page 5 of 6 Pages
Being no further items discussed, the meeting adjourned at 4:35 p. m.
Respectfully submitted,
Recording Secretary
Attachments
Exhibit A: Sign-in sheets
Exhibit B: Agenda
Exhibit C: Memo regarding Mobile Crisis Assessment Team (Scott Johnson)
Exhibit D: Memo regarding Jail Questions (Dave Kanner)
Exhibit E: E-mail regarding PSRB (Scott Johnson)
Minutes of LPSCC Meeting Monday, March 5, 2007
Page 6 of 6 Pages
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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.ore
MEETING AGENDA
LOCAL PUBLIC SAFETY COORDINATING COUNCIL
3:30 P.M., MONDAY, MARCH 5, 2007
Commissioners' Conference Room - Administration Building, Second Floor
1300 NW Wall St.., Bend
1. Call to Order & Introductions
2. Approval of Minutes of Monday, January 8 Meeting
3. Discussion of Mental Health Mobile Crisis Team Concept - Scott Johnson
4. Discussion of Selecting a LPSCC Member to Participate on the Reconvened
Community Justice Work Group - Bob LaCombe
5. Update on County Jail Expansion - Mike Dugan
6. Appointment of LPSCC Members (Bev Clarno as Citizen Member; Bill
Friedman as City of Bend Representative, with Bruce Abertnethy as Alternate)
7. Other Business and Items for the Next Meeting (Monday, April 2) - Attend BI
Incorporated Presentation on Alternatives to Incarceration?
Meeting dates, times and discussion items are subject to change. All meetings are conducted 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.
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.
To: Members, Deschutes County Mental Health, Alcohol & Drug Advisory Board
Members, Deschutes County Local Public Safety Coordinating Council
From: Scott Johnson
Date: March 7, 2007
Subj: Discussion / requested endorsement of a proposal to develop a Mobile Crisis Assessment
Team to serve Central Oregon
The following material was prepared by Terry Schroeder, DCMH Crisis Assessment Team
Supervisor and Lori Hill, Manager of our Adult Program. Terry and Lori are proposing use of our
State acute care funds to develop a regional "Mobile Crisis Assessment Team" to serve
Deschutes and Crook counties (and possibly Jefferson County at a later date). We are currently
looking at the feasibility of adding this service to improve quality and response time. It would
supplement and not replace our core DCMH Crisis Assessment Team which works Monday-Friday
during normal business hours. We are presently consulting with numerous community groups to
answer questions and assess the feasibility and possible benefit of this service. Your questions
and suggestions are appreciated.
Overview
Mobile crisis units are identified as an essential element in effective acute care psychiatric
emergency response systems. A well trained team of crisis intervention specialists can provide a
high level of crisis intervention and assessment skills in the community. This team offers many
advantages over the current system employed by the Tri-County region currently.
Our current system is a patchwork of clinicians in the Tri-County area within each county.
They are 'station based' meaning the crisis worker responds primarily to the hospital and
detention center after hours. The clinicians are not all at the some level of familiarity with crisis
work and the different systems they must interact as circumstances arise. The on-call crisis
worker may be 'on-call' once every 6 to 8 weeks which impedes solid working relationships with
first responders and a necessary efficiency to the work. Added benefits will be the development
of therapeutic relationships with high utilizers of crisis services, a high degree of familiarity with first
responder systems protocol and less chance for miss-communication and an increased
consistency in response patterns to people in crisis.
Purpose
The Mobile Crisis Assessment Teams (MCAT) primary purpose is to provide effective
community based mobile crisis intervention services to people in crisis in the Central Oregon
area. The MCAT program will need to be well integrated with first responder systems such as law
enforcement and medical providers in the Central Oregon Region. Mobile crisis intervention
services have been identified as a primary acute care need in the Tri-County region in Central
Oregon.
General Job Duties
Duties include but are not limited to:
• Crisis Intervention: Assess mental status, risk and clinical needs of persons in crisis.
• Provide consultation to first responders, family members and hospital personnel and law
enforcement, detention centers etc.
• Provide follow up evaluations of persons in distress as needed
• Search out and refer to community resources
• Evaluate clinical need for hospitalization and diversion opportunities
• Evaluate need for involuntary treatment
• Provide necessary clinical documentation and reports
• Provide necessary legal reports to County Counsel and Court
• Testify in court in civil commitment cases
• Complete clinical records and reports according to established policy and procedures of
the Tri-County region
Structure
Three Masters level clinicians whose only job is to respond to psychiatric crisis events within
the Central Oregon region. Initially the MCAT program will be designed to respond to psychiatric
emergencies in the Deschutes / Crook County area. Following a 6 month evaluation of this
program a possible inclusion of Jefferson County will be considered.
The MCAT program will be on a 3-6-3 schedule in which the mobile crisis person will be
available to community based crisis for a period of 72 hrs, followed by a 6 day off period on a
rotating basis. Prior to start up there will be a one month training period for the mobile crisis team
in which policies and procedures will be learned as well as development of cross system training
with first responders.
Mobile crisis team members will be Deschutes County employees, full time and benefited
and supervised by the Crisis Assessment Team supervisor.
For more information, questions or suggestions, contact Lori Hill, 322-7535,
lori hill@co.deschutes.or.us or Terry Schroeder, 388-3280 or terry schroeder@co.deschutes.or.us.
TES
Department of Administrative Services
p Dave Kanner, County Administrator
1300 NW Wall St, Suite 200, Bend, OR 97701-1960
(541) 388-6570 - Fax (541) 385-3202
www.co.deschutes.or.us
1. Should we build a new jail?
WORK SESSION DATE: February 21, 2007
If the answer is no, there is no further discussion necessary. If the answer is yes, the
following questions ensue:
2. Should we build a regional jail?
WORK SESSION DATE: T13D, depending on Laura Pryor, Crook County schedules
Decision points:
• How was it done elsewhere? (Discussion with Laura Pryor to be scheduled.)
• Firm commitment from other jurisdictions. (Presumably Crook, Jefferson,
Harney)
• Individual IGA between Deschutes and the other counties, or form a new ORS
190 organization to build the jail?
• What methodology do we use to determine cost-sharing for construction? For
operation?
3. Should the jail be expanded in its present location or should a new jail be built
elsewhere in the county?
WORK SESSION DATE: March 14, 2007
The OMNI study assumed expansion in the current location. KMD has provided plans
that show how such an expansion would fit on the site, both to meet current need and
long-term projections. It has been suggested that there may be merit in building an
entirely new jail in a remote location elsewhere in the county.
4. Should we leave the work center in its current location rather than building a new work
center in an expanded jail facility?
WORK SESSION DATE: April 18, 2007'
The OMNI report suggests building a new, two-story, 22,000 square foot, 150-bed work
center. The rationale appears to be opportunities for shared sallyport, secure connection
to an expanded jail and ability to share support services. KMD's current estimate for the
work center component of the expansion is about $6.8 million in capital costs. Add to
that 30% for soft costs and the total for a new work center is about $8.8 million.
5. Can short-term demand for additional jail beds be satisfied by renting, beds in another
county?
Quality Services Performed with Pride
WORK SESSION DATE: April 18, 2007
Jefferson County has beds available. Assuming they are willing to rent some of them to
us, can District 1 funds be used to rent jail beds in another jurisdiction? Counsel is
researching this question. Arguably, under ORS 206.010(1) the county cannot commit to
doing this without the consent of the Sheriff. This also needs further research by legal
counsel.
6. How big does the jail really need to be? Shall we tie jail size to funding availability
WORK SESSION DATE: April 25, 2007
The OMNI report forecasts a range of average daily jail population from 513 to 1,213.
The report, for reasons not explained, settles on a projected average daily population of
578 by 2015, but tacked on a 20% "peaking factor," to arrive at the 700+ figure that's
offered as the number of needed jail beds. The OMNI report assumes Deschutes
County's population will be 189,443 in 2015. Even with 513 beds, the number of jail
beds per 1,000 population would be 2.71, well above the statewide average of 2.36. With
578 jail beds, the beds per 1,000 would be 3.06, and at 690 beds it would be 3.65.
As described in the report previously distributed to you regarding Jackson County's jail
bed needs, there is no correlation between the number of jail beds in a community and the
crime rate in a community. Rather than focus discussion on the size of the jail, it is
equally valid to focus discussion on what the community believes it can afford and build
a jail that is sized to fit available funds. This may result in a jail expansion that is smaller
than the optimal size recommended in the OMNI report, however even a doubling of the
current number of beds to 458 in 2015 would put Deschutes County above the statewide
average of 2.36 total beds per 1,000 population. Using this approach would likely require
that the county use the designibuild bidding methodology. (Further discussion below).
7. Is there confidence in the conclusions of the OMNI study? If not what other
information is needed by the Board?
WORK SESSION DATE: April 25, 2007
8. Which contracting method should we use?
WORK SESSION DATE: May 2, 2007
• Low bid
• Qualifications/GMP
• CM/GC
• Design/Build
This discussion should probably be tied to the funding options discussion. A separate
briefing paper is being prepared on funding options, of which there are three:
1. General obligation bond
2. Land sale
3. Full faith and credit bond
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Page 1 of 1
Scott Johnson
From: Scott Johnson
Sent: Thursday, February 08, 2007 9:56 AM
To: 'Jacques DeKalb'; Mike Dugan; Les Stiles; Lori Hill; Jim Denman; 'Ernie Mazorol; Terry Schroeder;
'Michael Sullivan'; Robin Henderson; Karen Tamminga; Nancy Tyler; 'Rick Treleaven'; Roger Olson;
Becky Wanless
Cc: 'mcb@oregonvos.net'
Subject: PSRB: Invitation to local meeting
I am writing to invite you to a local meeting with Mary Clare Buckley, head of Oregon's Psychiatric
Security Review Board. We have invited Mary Clare to Central Oregon to give us an overview of PSRB to help
assure we understand the Board's legal responsibilities and practices and how that might affect / benefit people in
Central Oregon. This is a particularly timely topic for our community given efforts to develop a new State hospital
system and a complementary community support system. We currently have 10 Deschutes County residents
under the jurisdiction of PSRB. It's an opportunity for you to learn more about the process and to discuss your
questions, concerns or suggestions.
Details on the meeting:
10:00 a.m. -11:30 a.m. Thursday March 15
the Allen Room (Commissioners Office), Deschutes Services Center, 1300 NW Wall, Bend
Please feel free to forward this email to others. We hope you will be able to participate or send a representative.
Thanks. Scott Johnson
Background on PSRB:
The Psychiatric Security Review Board was created in 1978 to assume jurisdiction over persons in Oregon found
to be "guilty except for insanity" of a crime. The board's jurisdiction is equal to the maximum sentence provided by
statute for the crime for which the person was found "guilty except for insanity." The board's primary purpose is to
protect the public through the on-going review of the progress of those placed under its jurisdiction and a
determination of their appropriate placement. The board has the authority to: commit a person to a state hospital
designated by the Department of Human Services; conditionally release a person from a state hospital to a
community-based program with close monitoring and supervision; discharge a person from its jurisdiction; and,
when appropriate, revoke the conditional release of a person under its jurisdiction and order the person's return to
a state hospital pending a full hearing before the board. The five board members are appointed by the governor
for four-year terms.
Scott Johnson, Director
Deschutes County Mental Health Dept.
2577 NE Courtney, Bend OR 97701
541-322-7502 email: scott iohnson co.deschutes.or.us
Confidentiality notice: This e-mail message, including any attachments, is for the sole use of the intended
recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure, or
distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and
destroy all copies of the original message. Thank you.
3/1/2007