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2008-890-Minutes for Meeting July 07,2008 Recorded 10/9/2008DESCHUTES COUNTY OFFICIAL NANCY BLANKENSHIP, COUNTY COMMISSIONERS' JOURNAL SES C~ 1~ II I I I II I I IIII II II I I II I II III I III { 2008-880 DESCHUTES COUNTY PUBLIC SAFETY COORDINATING COUNCIL Monday, July 7, 2008, 3:30 p.m. Allen Room, 2nd Floor County Administration Building 1300 NW Wall St, Suite 200, Bend, OR MINUTES OF MEETING CLERK°S Cd 2008'890 10/09/2008 01:51:41 PM Present were Judge Michael Sullivan; Commissioner Tammy Melton; Dave Kanner, County Administrator; Ken Hales, Corrections; Scott Johnson, Mental Health Department; Erik Kropp, Deputy County Administrator; Susan Ross, Property and Facilities; Mike Dugan, District Attorney; Jack Blum, citizen member; Hillary Saraceno, Commission on Children & Families; Carl Rhodes, Oregon State Police; Ron Roberts, Redmond Police Chief, Sandi Baxter, Bend Police Chief, Aaron Brenneman, defense attorney; Bob Smit, KIDS Center; Beth Quinn, Oregon Mental Health and Psychiatric Survivor Coalition; Dee Hansen; Pam and Bob Marble, NAMI; and Tom Blum and Andrea Blum, citizens. No representatives of the media were present. Judge Sullivan opened the meeting at 3:35 p.m. I Call to Order & Introductions Judge Sullivan called the meeting to order, at which time the attendees introduced themselves. II June Minutes Mike Dugan moved approval; Bob Smit seconded, and the minutes were unanimously approved. Minutes of LPSCC Meeting Monday, July 7, 2008 Page 1 of 5 Pages III Public Comment Dee Hansen, NAMI, said that Judge Sol Wachtler of New York is the guest speaker at their October 1 meeting. Judge Waxner became mentally ill and eventually ended up in prison. He is now speaking on the issue of mental illness, and is concerned about the measures on the upcoming Oregon ballot. (She distributed a document for review.) Beth Quinn, of the Oregon Mental Health and Psychiatric Survivor Coalition, is a survivor herself. An article in the Bulletin on June 26 ended with a question being posed by Judge Sullivan. The question was how to get the mentally ill to take their medication and function, while at the same time protect their individual rights. A recovery network is needed, which would involve a partnership of the justice system, civil commitment agencies, law enforcement and others. LPSCC has the power of the press while her small group does not. She stated that they are just starting a peer wellness program and need to let people know that help is available. Judge Sullivan said that it is a dilemma when these cases come before him. Input is welcome and important. He added that it may seem like things move slowly, but based on comments from the Marble family, he and others have become more involved and actually held a statewide conference of judges to discuss mental health issues. Mike Dugan observed that there are many more people who haven't reached criminality who are not addressed at all. The ideal would be to reach them ahead of time before anyone is put in harm's way. IV Announce Appointment to the Council Judge Sullivan explained that per Statute, the Presiding Judge appoints a public defender or defense attorney to LPSCC. He then introduced Aaron Brenneman, who will be taking Jacques DeKalb's place on LPSCC as a defense attorney. V Crime Prevention Services Fund Ken Hales updated the members on funding recommendations and the next steps. Minutes of LPSCC Meeting Monday, July 7, 2008 Page 2 of 5 Pages He said the alternatives to incarceration subcommittee report contained some recommendations, including creating a fund used to sustain programs or stimulate programs that serve more than one function. These could be alternatives to incarceration as well as programs or services for those people who are not in jail, designed to prevent offending. A budget request for $270,000 was made for this purpose. During the budget process it did not evolve as expected but $148,000 was obtained to support two programs that fit the intent of the plan. These would be operated by the Mental Health Department. A request was made to form a steering committee to make recommendations to the Board of Commissioners. It is hoped the group will meet during the week of July 21. A questionnaire was drafted regarding target populations. The results will be compiled and sent to the steering committee members, who can make decisions and recommend to the Board funding in the amount of $100,000. Mr. Dugan suggested that it might be a good idea to have providers comment. Commissioner Melton stated that this is a new idea, and the whole premise is for the County to invest in prevention or programs that can impact recidivism. It is hoped this will fill gaps in the system. It isn't for electronic monitoring or other things to offset Sheriff's Office costs, and is not an open cattle call for community investment dollars. The hope is to determine where County resources might be placed to make the system whole. Mr. Dugan commented that it is probably not broad enough to include all prevention programs. Commissioner Melton replied that it may help to boost the work already being done; for instance, early childhood issues, supportive services for the mentally ill, help for those recently transitioned out of j ail, and so on. Mr. Hales noted that it is not a regular program. Funds can be requested for specific programs, but have to come through a specific County department. Judge Sullivan said that he would like to see more funding for medications for people getting out of jail until they can get into a structure program. Commissioner Melton stated that the Mental Health Department, Health Department and Commission on Children & Families receive a lot better funding now than in the past, and the program should not be picked apart too much at first. Some programs need to get established and some good work done. Minutes of LPSCC Meeting Monday, July 7, 2008 Page 3 of 5 Pages Scott Johnson said that this sounds similar to the Bridge program. Hillary Saraceno noted that children also need to be considered in the continuum. VI Telecare Facility Scott Johnson explained that a public "open house" is being held later in the day regarding the public safety campus, including the jail expansion project, the Oregon State Police/9-1-1 building and the Mental Health secure residential treatment facility. Other issues related to the three projects need to be examined, such as HousingWorks' programs, transitional housing opportunities and a continuum of care. Telecare is handling programs in Oregon now. This gives people some recovery options. The plan is to first place County people, then from the region, and then the State. There is a severe backlog and a lack of resources here, and this facility is at least two years away from opening. Susan Ross gave a brief overview of the County-owned property at the location, and the proposed site for this and other facilities. She said public meetings are required as part of land use actions. Mike Dugan asked if someone is committed after doing a serious crime, does Deschutes County retain the ability to decline taking in this person. Mr. Johnson stated that the cases are reviewed by various people, including representatives of the Mental Health Department, the service provider, and other health professionals. A veto provision is available but is seldom used. Law enforcement is informed as needed. Judge Sullivan said that he is impressed with the process the County is following; looking at specific issues and potential problems. A lot of planning is going into this. VII Other Business Bob Smit said that this is his last LPSCC meeting as he is retiring. Candidates for his position at the KIDS Center are being conducted now. Minutes of LPSCC Meeting Monday, July 7, 2008 Page 4 of 5 Pages Being no further items discussed, the meeting adjourned at 4:35 p.m. Respectfully submitted, R aD_ A, Bonnie Baker ;I,~/' Recording Secretary Attachments Exhibit A: Exhibit B: Exhibit C: Exhibit D: Secure Residential Treatment Facility Information Agenda Sign in sheets Information on Judge Sol Wachtler Minutes of LPSCC Meeting Monday, July 7, 2008 Page 5 of 5 Pages DESCHUTES COUNTY PUBLIC SAFETY COORDINATING COUNCIL Monday, July 7, 2008, 3:30 p.m. Allen Room, 2nd Floor County Administration Building 1300 NW Wall, Bend, OR Tentative Agenda I Call to Order & Introductions Judge Sullivan II June Minutes Judge Sullivan Action: Approve June minutes III Public Comment Judge Sullivan Attachment 1 IV Announce Appointment to the Council Attachment 2 Judge Sullivan Action: Introduce Aaron Brenneman, V Crime Prevention Services Fund Ken Hales Action: Update Council on funding recommendations and next steps VI Telecare Facility Scott Johnson Action: Brief Council of status of locating new facility VII Other Business Judge Sullivan z z V w V~ Q W J CL 00 0 J r L M Q) /~1 1 c ~ o VI ( o 0 r U C/1 b0 C N a~ ~ J n 0~ z cA Y' v 0 m 0 L L H m v a E~Ch„r a z z V1 W v► Q W J J 00 c' O s N A ~ ~ L L.L. ^ L S ` S bo O C N v V ~ Z a a Vi ~ v v C O m My bio: SOL WACHTLER served as a Justice of the New York Supreme Court (1968-1972) and Judge of New York's highest cowl, The New York Court Of Appeals (1973-1992). In 1985 he was appointed Chief Judge of that court and Chief Judge of the State of New York. He was Chairman of the National State/Federal Judicial Council. An honor graduate of Washington and Lee University and its law school, he has been awarded thirteen honorary Doctor of Law Degrees and has been a scholar in residence at several law schools as well as lecturer abroad on behalf of the United States Information Service. He authored the book After the Madness (Random House), co-authored the novel: Blood Brothers (New Millennium) and was a critic at large for New Yorker magazine. He recently authored a section in the book: Serving Mentally III Offenders(Springer). In 2002 he was presented with the President's Award by the Mental Health Association of New York and the 25th Anniversary Award from the Coalition of Mental Health Associations of the City of New York. Last year he was presented with an Achievement Award by National Alliance of the Mentally Ill (NAMI) and the Clubhouse of Suffolk County's Mental Illness Awareness Award. He is presently the Chairman of the Board of the Law and Psychiatry Institute of the North Shore- Long Island Jewish Health System and a Life Trustee of that Health System. He is a contributor and member of the Advisory Board of the Community Health Report (Civic Research Institute New York Universtiy) and is currently a Professor of Law at Touro Law School and a member of its Board of Governors. I do hope we can arrange for a mutually agreeable date in October and I look forward to seeing you at that time. ey4vj-,O~c -t-, here was a time when Sol Wachtler seemed unstop- pable. Over the course of two decades the rising star of New York's Republican party had Fifteen years later, Wachtler has emerged from that hell by taking a high- profile road to redemption. The man once touted to be the nation's first Jewish president has transformed himself into one of its most visible mental health advo- cates. Although he still finds it mortifying to discuss that chapter of his life, he does so frequently, speaking without fee to mental health groups around the country. awdl.Mhow vaulted himself from Long Island town councilman to State Supreme Court judge. By the mid-1980s he held the state's highest judicial position, chief judge of the Court of Appeals. Yet even this leading one of the largest court systems in the Western hemisphere-looked like a career prelude for the eloquent and insightful jurist. Indeed, Wachtler Ine had his eye on the gover-Trial nor's mansion. And As lie puts it: 'There are many things you can do in your lifetime that you feel like boasting about, but never being in prison." many political insiders figured it was his race • to lose. ofhls As it turned out, he never had a chance to run. On November 7, 1992, the FBI arrested Wachtler and charged him with extorting money from his ex-mis tress. As the media later reported, the yearlong scheme involved dis- guises, lurid phone calls Jur&t Sol Wachtler s long road back and letters, and implied threats of kidnapping. by Nicole Peradotto Wachder later pleaded guilty to threatening to kidnap the woman's daughter, was disbarred, and spent 13 months in a federal prison. At the time of his arrest, psychiatrists diagnosed him with bipolar disorder, his condition exacerbated by a toxic combination of prescription sleep aids, antidepressants, and stimulants. "You'd be hard-pressed to find a story of anyone who was as high as I was and who was as low as I got. Trying to come back from that has been hell," Wachtler says during a phone interview with by Magazine. "There's an expression: 'One door closes and another opens.' But it's hell in the hallway." C) A , r Taking a stand When NYachtler stands before an audi- ence, lie uses his platform-and his story-to address the shortcomings of the judicial and penal system for people with mental illness. Although his marriage weathered the scandal, Joan, his wife of 55 years, rarely accompanies him on speaking engagements. "She can't stand hearing about it," he says. "And I find it difficult to speak about it-terribly difficult. And embarrassing." And still, this is the path Wachtler has chosen. Each time he steps up to the podium it means dredging up his spectac- ular freefall. Why does he put himself through it? "When I left prison I had a choice to go to New Mexico and live a quiet and restful life or to try to not oniv make amends for what I had done to the lives of other people, but to redeem something of a repu- tation," says Wachtler, who regained his law license last fall. "One of the ways of doing that is inIIng to help people who have gone through, or are going through, what I went through. I'm saying to the pub- lic, 'If it could happen to me, it could happen to anyone."' Wachtler's com- mitment to mental health reform isn't limited to words. A decade ago, frus- trated by the discon- nect between the legal and mental health professions, he founded an organization that is dedicated to helping experts in both arenas find common ground. "The law has always been concerned with who did it and psychiatrists are concerned with why did he do it," he explains. "What we're trying to do is have an understanding between the disciplines." To that end, the Law and Psvchiatr-\- Institute (LPI), which is part of the North Shore-Long Island Jewish Health System, produced it training film for New Uwk Cit police officers on the apprehension of Opposite Page: Sol Wachtler relaxes at his home in Greenbush, NY. Afte a staggering fall from grace, the former chief judge of the New York StatE bp Spring 2 0 0 8 Court of Appeals has reemerged ass an outspoken mental health advoca; C/Y~ S~_wu 4!~_5wj fi M I CENTRAL n OREGON AN EVENING..... WITH A SUPREME COURT JUSTICE WHO FELL FROM GRACE Pao PRISON NAMI (National Alliance on Mental Illness) Central Oregon Chapter invites you to attend an October 1, 2008, 7 Board of Directors p.m. event at St. Charles Hospital. Judge Sol Wachtler, a former New York Supreme Court Justice will be addressing the shortcomings of the judicial and penal systems for people with mental illness and drug and alcohol Deanna Hansen related crimes. Judge Wachtler tells it like it is from his own personal experience in prison. President This presentation is especially pertinent at this time with the mandatory prison sentencing measures which will appear for vote on Oregon's November ballot. These measures will enforce prison sentences for those with mental illness and drug and alcohol addiction who are first time offenders instead of offering them treatment. If either of Gary Smith Vice President the measures pass, it will result in more tax dollars being spent on prisons instead of treatment programs. Judge Wachtler was the rising star of New York state's Republican party. By the mid 1980's he held the state's highest judicial position, Chief Judge of the Court of Appeals. Wachtler had his eye on the New York governor's Roger Olson mansion and it appeared he was very likely to win this race. Past President However as it turned out, he never had a chance to run. On November 7, 1992, the FBI arrested Wachtler and charged him with extorting money from his ex-mistress. Wachtler pleaded guilty to threatening to kidnap the woman's daughter and was disbarred. He spent 13 months in a federal prison which was not a white collar country Emily Colburn club prison. During imprisonment, he was placed in solitary confinement,. At the time of his arrest, he was Secretary diagnosed with bipolar disorder which was heightened by his self medication, antidepressants and stimulants. Now sixteen years later, Wachtler has emerged from the hell imposed by this illness to become an advocate for Steve Welbourn mental health reform. Frustrated by the disconnect between legal and mental health professions, he founded an Treasurer organization that is dedicated to helping experts in both arenas find common ground. "The law has always been concerned with who did it and psychiatrists are concerned with why they did it: he explains. What we're trying to do is have an understanding between the disciplines. He founded the Law and Psychiatry Institute. It's mission is Eileen White to educate the judiciary about mental health disorders. The staff works with the courts in rendering objective Support Group Facilitator evaluations and treatment for defendants with mental illness and also offers training seminars in clinical forensic mental health issues for lawyers and judges. Wachtler's dedication to these issues can be traced back to the highest and lowest points of his life.: his years on the bench and his months behind bars. Please attend this presentation. We have a great opportunity to make a diff Catherine Speckmann Ph] erence in the way mental illness, drug and alcohol related crimes are viewed in the criminal justice system. Judge Wachtler's presentation will be held at St. Charles Hospital's Wellness Center on October 1, 2008 at 7 Tarina Tonge p.m. In 2002 ludne Wachder was awarded the president's Award by the Mental Heahh Assodadon ofNew York.. Patricia Von Riedl Lillah McBride NAMI CENTRAL OREGON - PO BOX 7462 - BEND, OREGON 97708 Jim Link (541) 408-7779 - www.namicentmloregon.org TES 0 Mental Health Department 2577 NE Courtney Drive, Bend, Oregon 97701 General Information/TDD (541) 322-7500 FAX (541) 322-7565 Scott Johnson, Director Deschutes County's Planned Secure Residential Treatment Facility General background Based on national estimates, about 11,000 Deschutes County residents have a serious mental illness and need help, including almost 600 who need residential services. In 2007, 31 people from Central Oregon were admitted to the Oregon State Hospital. Once admitted, they remain there as long as hospital care is needed, receiving extensive psychiatric treatment during their stay. They are only discharged when psychiatrists and other mental health workers determine that their health has improved and they no longer need that restrictive a level of care. "Oregon is replacing the dilapidated state hospital with two smaller hospitals. By 2011, when the new hospital in Salem opens, the state must have nearly 400 additional beds in communities throughout Oregon for patients to go to once recovery has reached the point where they do not need to be institutionalized. Right now the state is 117 beds short." (Oregonian 7.6.8) The availability of residential treatment facilities throughout Oregon is critical when someone no longer needs hospital care and is ready for a residential program. It is also far less costly to Oregon taxpayers to use residential care when a hospital is no longer necessary. The State of Oregon is working with local communities like ours to fund, license and monitor residential programs. Central Oregon has lagged behind other regions in offering residential care. While 32% of the need for residential programs is met in Oregon, only 10% of the need is met in Deschutes County. The County's Mental Health Strategic Plan calls for significant improvement in housing and treatment options. A secure residential treatment facility is key to that plan. What is planned for Deschutes County? This coming year, Deschutes County will devote a parcel of County-owned land off Poe Sholes Road on the north side of Bend to construct a 10-bed secure residential treatment facility. This location provides a suitable and cost effective location as part of our public safety campus. The campus includes the County Jail, the Sheriff's Office, Parole & Probation and the Juvenile Community Justice facility. Another new building will include the Oregon State Police and 9-1-1. This secure mental health facility will include four beds for people who had been civilly committed to the State Hospital and no longer need hospital care. The facility will also include four beds for people who are on conditional release and under the jurisdiction of the Psychiatric Security Review Board (PSRB). Lengths of stay will vary and may be one or two years or more. The PSRB residents will be people who had committed a variety of felony crimes. The specific residents for the four PSRB beds in this facility have not yet been selected. People under the Adult Treatment Child & Family Program Developmental Disabilities Seniors Program Medical Records Mental Health, Alcohol & Drug Mental Health, Alcohol & Drug PHONE (541) 322-7554 PHONE (541) 385-1746 FAX (541) 322-7567 FAX (541) 322-7565 FAX (541) 322-7566 FAX (541) 322-7566 FAX (541) 388-6617 (Protected Health Information) Quality Services Performed with Pride jurisdiction of PSRB and placed in residential care are no longer deemed to be at risk of committing additional crimes while they are participating in treatment for their mental illness. PSRB places the highest priority on public safety in making decisions on who is ready for placement in a residential program. PSRB will retain jurisdiction over these four residents. No one will be placed here without the agreement of PSRB (for PSRB beds), the operator of the facility, the Deschutes County Mental Health Department and the State of Oregon Mental Health Division. The facility will also have two additional beds for County residents who need a residential treatment option for 30-90 days to support their treatment and care. What is a Secure Residential Treatment Facility? A secure residential treatment facility is a 24-hour locked mental health program licensed by the State of Oregon. The Deschutes County facility will be constructed to serve 10 adults. Maximum size in the future would be 16 adults total. Services include support for daily living, mental health treatment, medication monitoring and crisis intervention. Our secure residential program will have trained staff around the clock that carefully monitor the activity of all residents. At a minimum, the facility must have two direct care staff and a registered nurse on each 8-hour shift. In addition, there will be secure, alarmed entrance / exit doors and windows. The outdoor area accessible to residents will be fenced, locked and monitored. Initially, only closely supervised outings will be permitted based solely on each resident's ability and condition, which is monitored day-to-day. Eventually, with sufficient progress through treatment, residents will be allowed more privileges. Who will own the facility? Deschutes County Deschutes County will own the facility and ensure it is maintained properly in the same manner they operate and care for other public buildings in the County. Who will operate the facility? Telecare Telecare, under contract with the State of Oregon, will operate the facility and provide services to its residents. Telecare is a family and employee owned business located in Alameda, California. Telecare's mission is "to help people with mental impairments realize their full potential." Telecare has over 2,000 employees and operates programs in a number of states including California, Oregon, Nebraska, Texas, and North Carolina. Telecare operates over 15 secure programs in three states. Programs in Oregon include three secure residential treatment facilities totaling 47 beds and an Assertive Community Treatment Team serving 50 members. For more information: Lori Hill, Program Manager, Deschutes County Mental Health Phone: 541.322.7535 or lori hill@co.deschutes.or.us Kevin McChesney, Telecare Phone: (503) 319-6142 or kmcchesney@telecarecorp.com Jan Reid, State Department of Human Services, Addiction & Mental Health Division Phone: (503) 945-9707 or Jan.J.Reid@state.or.us a www.statesmanjournal.com I Printer-friendly article page June 24, 2008 http://www.statesmanj ournal .com/apps/pbcs.di l/article?AID=/20080... Residents tout success of treatment facility State explores safety of alternative mental-health rehabilitation centers By Alan Gustafson Statesman Journal WOODBURN - For 15 men with troubled histories of mental illness and crime, life after being released from Oregon State Hospital unfolds peacefully here in a secure residential treatment facility. Behind locked doors, a calm, homelike atmosphere pervades the clean, attractive facility, tucked away on a quiet city street off Highway 99. The mood is upbeat, hopeful and far happier than what residents experienced when they occupied crowded, combative wards in the hospital's forensic psychiatric program, several men said Monday. "It's a lot calmer place," said Wade Slaughter, who spent 19 years in the state hospital before being granted a conditional release to live in the Woodburn facility. "There's a lot less people; there's no barbed wire or razor wire. This is a home. I see it that way. It has helped me change a lot." Like other former state hospital patients, Slaughter reportedly has thrived in a community facility that mixes staff supervision and structured routines with doses of freedom and expectations of learned self-responsibility. Since opening more than two years ago, the residential facility, known as the Telecare Recovery Center, has posted a solid record of safety. The Woodburn facility is run by Telecare Corp., based in Alameda, Calif. There haven't been any physical clashes among residents, nor any conflicts with neighbors or law-enforcement agencies, staff members said. The safety record is striking because residents often leave the locked facility on solo passes or for outings involving two or more residents. Community passes allow residents to go shopping, attend treatment sessions, enjoy being outdoors and more. Members of a task force formed by Gov. Ted Kulongoski toured the facility Monday. The panel is charged with making recommendations to the governor and the 2009 Legislature about improved ways to site community facilities for "guilty except for insanity" patients released from the state hospital in Salem. Former hospital patients living at the Woodburn facility have criminal histories that include murder, rape, burglary and other felony crimes. Slaughter, 46, beat to death a fellow transient in Portland in 1987. He was in the throes of psychosis at the time and was committed to the state hospital instead of being sent to prison. Although discharged from the state hospital in May 2006, Slaughter faces lifelong monitoring by the state Psychiatric Security Review Board. He can be sent back to the state hospital for any 1 of 3 6/24/08 2:30 PM www.statesmanjournal.com I Printer-friendly article page http://www.statesmanjournal.com/apps/pbcs.dll/article?AID=/20080... new crimes or violations of his conditional release. Slaughter said he's determined to avoid any slip ups. "This is a great place for me," he said. "I don't want to lose what I've got." Other residents expressed similar resolve to steer clear of trouble and avoid going back to the state hospital. "In here, we're treated with dignity, respect and honor. We're not dehumanized," said Eleazar Soto. Security measures at the facility include keeping all exit doors locked. To open doors, security codes must be punched in. "Our codes change monthly," Linda Shannon, clinical director for the facility, said as she led a tour for task force members. Shannon, who formerly worked as a state hospital social worker, said the facility teaches residents skills - such as money management, cooking, taking their own medications and setting their own schedules - necessary to move into less-restrictive community homes. Three residents are close to making such moves, she said. State officials say the Woodburn facility demonstrates that Oregonians have nothing to fear amid the state's push to accelerate patient discharges from the hospital's overcrowded forensic program. However, siting of community facilities for conditionally released forensic patients poses a formidable challenge, as evidenced by recent uproars in several cities that have delayed or derailed plans to open new homes for patients deemed ready to be discharged from the state hospital. In Cornelius, Washington County Sheriff Rob Gordon triggered a furor in late December by notifying more than 1,000 residents there that former forensic patients had been living nearby in a secure residential treatment facility since the summer. Many residents were angry that they hadn't been notified sooner. The state Department of Human Services announced Monday that it has launched an investigation of the Cornelius facility, known as Connell House. The state investigation was triggered when a resident walked away from the facility Thursday and later was found at a convenience store. Six residents subject to Psychiatric Security Review Board monitoring have been removed from the Cornelius facility and returned to the state hospital "until a more appropriate community setting can be found," according to a DHS news release. Another resident was moved into another treatment facility, the agency reported, and the client who walked away has been hospitalized in Portland. The state's investigation follows earlier allegations of sexual activity and drug activity among residents of Connell House. "The standards for running a secure residential treatment facility are very high," said Len Ray, administrator for adult mental-health services in the DHS Addictions and Mental Health Division. "We are taking such decisive actions now because it is clear there are unresolved issues with the treatment provider." The Cornelius facility is run by Luke-Dorf, a nonprofit agency. The state investigation will last "as long as it takes to ensure residents are receiving adequate 2 of 3 6/24/08 2:30 PM www.statesmanjournal.com I Printer-friendly article page http://www.statesmanjoumal.com/apps/pbcs.dll/article?AID=/20080... and safe treatment at the Connell House and that the home meets the standards for a secure facility," stated the DHS news release. "At that point, DHS will determine further action, up to and including revoking Luke-Dorf s license to operate this facility." agustafsta?SfatcsmartJourraal.com or (503) 399-6709 3 of 3 6/24/08 2:30 PM F.; a .w+ E U'r' THI F HQT4 L u t 4r ,Dk. S 'S 721f I..~aI'-,- I.I4.1 trr:,tx'rtI tf:ilitf ii' vt~rl': Fit_ 1i I'C. P?r;_fr:rr:_ its atrr i h c r:= t: orC-~Ci ~t t= Kcs-t t--31. ~tit 1 L f=rri- t_r r=art-g S t13t_ Hlfvr:_r iv pri'Lieris; ore Ir> irg it of-Ig>41 _irll' i .lz~ ';.I III LI' v l ~ ti_'r ( t t= , u r It R c-, I C,.::.:3 r 11' 1Pi C- I I `a :J r l'_ Ca cf I-- ::'u- S I I, •y , IJrg11,g fr 'if; aP...3 r1m erLS 'L,D t;11,f ?G `_`I ~C'II't`'S .1'~ 3CCurC; t i eI ti_~I try :,Ii ' ;'t t`aailities, LOU D„ _atCC' fr 1' a fu~I f DI' r ,lul ~I ~t l:ir,•~ I'~11 t,~uk GraF•il ~ti_:~r :~r~ll~ ,eitl~II' tf':rr:~ ,~r~t~. Group homes spur controversy Oregon stuck between law and community fears as it releases mental patients with violent pasts Sunday, July 06, 2008 MICHELLE COLE and ASHBEL S. GREEN The Oregonian Staff WOODBURN On his first time outside alone in decades, Wade Slaughter stayed close to home: He went next door to the Goodwill and bought a blue plaid dress shirt. "It felt great," he says, smiling broadly. In 1987, Slaughter killed a man during a psychotic breakdown. Found "guilty except for insanity," he was sent to the state mental hospital in Salem. Then, two years ago, doctors determined Slaughter healthy enough to leave the hospital and live in a secure group home with 14 other men. Slaughter was lucky there was a place for him to go. The state's policy of moving people with sometimes violent pasts from the Oregon State Hospital back into the community is legally required by the Americans with Disabilities Act and has been praised by mental health professionals as humane. But it has also ignited a firestorm of opposition sweeping from Albany to Milwaukie to Cornelius from neighbors worried that people who committed crimes while mentally ill may still be dangerous. The public rebellion has put state officials in a serious bind: On one side they face growing public opposition, on the other they risk getting sued. Oregon is replacing the dilapidated state hospital with two smaller hospitals. By 2011, when the new hospital in Salem opens, the state must have nearly 400 additional beds in communities throughout Oregon for patients to go to once their recovery has reached the point where they do not need to be institutionalized. Right now, the state is 117 beds short:' "I have concerns that they can't get the job done," says Robert Joondeph, executive director of Disability Rights Oregon, a nonprofit that provides legal aid to the disabled and mentally ill. Joondeph's group has sued the state before, and he's closely watching whether officials secure the beds they've promised. "We feel the state does have a responsibility to assure the rights of these patients are honored," Joondeph said. Oregon officials also face potential legal trouble on a second front. Earlier this year, a scathing review by the U.S. Department of Justice noted that patients were waiting too long for release from the state mental hospital: If federal authorities aren't satisfied, they could seize control of the `state's mental health system a move that has proved very expensive in other states. Meanwhile, late last month, more than 30 state hospital patients approved for community placement were waiting for beds: They include Charles Horton, 36, a disabled vet with a bipolar disorder who was sent to the hospital in early 2006 after he threatened a neighbor with a knife. Approved for conditional release several months ago, Horton says there's no value to the treatment he's receiving now. "I've been through the standard groups they offer here eight times," he says. "I've been through the groups so many times that they even jokingly say that I can teach it." Slaughter, 46, confesses that he was worried he couldn't make it three months outside the hospital. Now, more than two years later, he's starting to feel really good about his future. Until his one-hour solo pass came through last week, Slaughter was accompanied by staff whenever he left his group home. More than 6 feet tall, topping 300 pounds, and with a handshake like a well-worn baseball glove, Slaughter is aware that some people find him scary. He says he tries to put everyone at ease with a smile and a "good morning." "I've been given choices and I'm making the right ones," he says. "I just want to be responsible in my community." Such reassurances do not calm Oregonians who are uneasy about having a group home for mentally ill people who have committed crimes in the neighborhood Greg Horner, chief deputy district attorney for Clackamas County, says as long as he can remember, people who were sent to the state hospital for violent acts stayed there for a long time. That's why he was shocked when state hospital officials recommended the release of Lee Joseph Vojta to a community- based program. Emboldened by voices in his head, Vojta shot and killed 20-year-old Sarah Huang in April 2003 while she was working on a farm near Vojta's home. Late last month, Huang's parents traveled from the East Coast to plead with the Psychiatric Security Review Board to keep their daughter's killer locked up. "I wouldn't want someone like this gentleman living in my community, next to my children, or my grandchildren, or my nieces and nephews," said Huang's mother, Janet Buehler. The board unanimously agreed that Vojta is not ready for release. If and when he is, he would be subject to close supervision. The review board sends patients who refuse to take their medication, go AWOL from a group home or break other rules back to the state hospital immediately. Dr. Joe Bloom, former head of psychiatry and dean of the medical school at Oregon Health & Science University has observed the board's actions since it was created in 1978 One of the board's strengths is its conditional release program, he says. "They've had very few really bad incidents." Over the past decade, the board has placed more than 1,200 people found guilty but insane on conditional release. Of those, 12 one in 100 were charged with new felonies. In contrast, consider the convicted felons who aren't insane: About one in three commits a new felony within three years of release. There are about 34,000 of those folks under community supervision in Oregon. Slaughter's home in Woodburn has recorded no violent incidents or conflicts with law enforcement since it opened in May 2006. But in Cornelius last month, the state shut down a controversial home after a mentally unstable man walked away. State Rep. Linda Flores, R-Clackamas, says she worries that patients with violent histories are being released to facilities that the neighbors know little about and that are not secure. "There's a lack of transparency and openness and notification," Flores says. She and other lawmakers may introduce legislation next year requiring state officials to notify local law enforcement and neighbors of their plans to open a community facility. Gov. Ted Kulongoski also has asked a group of legislators, mental health experts, law enforcement officials and others to make recommendations about how to handle issues relating to patients released from the state hospital. "We can work through a lot of these issues," says Dr. Bruce Goldberg, director of the Oregon Department of Human Services. " I don't see these as insurmountable." Slaughter will remain under the Psychiatric Security Review Board's supervision for life. Yet his goals are all about freedom. He dreams of extending his solo walks to the Arctic Circle, where he hopes to buy some ice cream. He wants to prove he can be trusted enough to extend his one-hour solo pass to six hours. Someday, Slaughter says, he hopes to have a bank account and an apartment of his own. " I am finding out there are things I thought I couldn't do," he says, "and I can." Michelle Cole: 503-294-5143; michellecole@news.oregonian.com Ashbel S. (Tony) Green: 503-221- 8202; tonygreen@news.oregonian.com FACT BOX: PSYCHIATRIC SECURITY REVIEW BOARD Psychiatric Security Review Board Friday, July 04, 2008 The Oregonian Who: Five members appointed by the governor. Must include a psychiatrist, psychologist, criminal trial attorney, parole or probation officer, and a member of the public. Jurisdiction: People determined to be "guilty except for insanity" Role: Decides, in consultation with doctors, level of treatment and supervision, ranging from the state mental hospital to community placement How many under supervision? 745 as of May, including 368 in the state hospital and 377 living in the community under conditional release from the state hospital q .1 -a a - N at ww a ~ a z w w ~Z z w O Q LLI w- w o r~ 4el U \ a 0 Q a ~ w z w , w z cq J) a~pr = u' a v ) C) N W ~ l (D 0 C5 ,S._ I~ z ocE a 0 E 60 0 dc IL & ` V ` .ZEZ N to 113- ~ Q d U ^ Q ~ .Z uS~ ~ 0 b 4a t E H 1 1V h\~ i iz- N 5Z as N UL Q N a 3 0 a CENTRAL nflmi ,OREGON AN EVENING..... WITH A SUPREME COURT JUSTICE WHO FELL FROM GRACE INTO PRISON NAMI (National Alliance on Mental Illness) Central Oregon Chapter invites you to attend an October 1, 2008, 7 Board of Directors p.m. event at St. Charles Hospital. Judge Sol Wachtler, a former New York Supreme Court Justice will be addressing the shortcomings of the judicial and penal systems for people with mental illness and drug and alcohol Deanna Hansen related crimes. Judge Wachtler tells it like it is from his own personal experience in prison. President This presentation is especially pertinent at this time with the mandatory prison sentencing measures which will appear for vote on Oregon's November ballot. These measures will enforce prison sentences for those with mental illness and drug and alcohol addiction who are first time offenders instead of offering them treatment. If either of Gary Smith Vice President the measures pass, it will result in more tax dollars being spent on prisons instead of treatment programs. Judge Wachtler was the rising star of New York state's Republican party. By the mid 1980's he held the state's highest judicial position, Chief Judge of the Court of Appeals. Wachtler had his eye on the New York governor's Roger Olson mansion and it appeared he was very likely to win this race. Past President However as it turned out, he never had a chance to run. On November 7, 1992, the FBI arrested Wachtler and charged him with extorting money from his ex-mistress. Wachtler pleaded guilty to threatening to kidnap the woman's daughter and was disbarred. He spent 13 months in a federal prison which was not a white collar country Emily Colburn club prison. During imprisonment, he was placed in solitary confinement,. At the time of his arrest, he was Secretary diagnosed with bipolar disorder which was heightened by his self medication, antidepressants and stimulants. Now sixteen years later, Wachtler has emerged from the hell imposed by this illness to become an advocate for Steve Welboum mental health reform. Frustrated by the disconnect between legal and mental health professions, he founded an Treasurer organization that is dedicated to helping experts in both arenas find common ground. "The law has always been concerned with who did it and psychiatrists are concerned with why they did it: he explains. What we're trying to do is have an understanding between the disciplines. He founded the Law and Psychiatry Institute. It's mission is Eileen White to educate the judiciary about mental health disorders. The staff works with the courts in rendering objective Support Group Facilitato[ evaluations and treatment for defendants with mental illness and also offers training seminars in clinical forensic mental health issues for lawyers and judges. Wachtler's dedication to these issues can be traced back to the highest and lowest points of his life.: his years on the bench and his months behind bars. Please attend this presentation. We have a great opportunity to make a diff i Catherine Speckmann Ph] erence n the way mental illness, drug and alcohol related crimes are viewed in the criminal justice system. Judge Wachtler's presentation will be held at St. Charles Hospital's Wellness Center on October 1, 2008 at 7 Tarina Tonge p.m. In 2002 Jadne Wachtler was awarded the President's Award by the Mental Health Association ofNew Yor/c Patricia Von Riedl Lillah McBride NAMI CENTRAL OREGON - PO BOX 7462 - BEND, OREGON 97708 Jim Link (541) 408-7779 - www.namicentraloregon.org Ballot Measure 61 and 57 Comparison Overview Oregonians have the choice between two competing measures on the November 4, 2008 ballot. One referral is Ballot Measure 61 (BM 61), which has qualified for ballot. Kevin Mannix, Duane Fletchall and-Steve Beck are the chief petitioners of BM 61. The other is the legislatively referred, Ballot Measure 57 (BM 57). Both measures provide for more severe sentences for certain property and drug crimes, and BM 57 provides alcohol and drug treatment for certain identity theft or aggravated identity theft, the presumptive sentence would go up from 19 to 24 months. If there is a previous conviction for any of the above mentioned crimes, or a conviction for one of 19 other property crimes, within three years of release from prison or supervision, the sentence would be increased by two months for each previous conviction, up to a maximum of 12 additional months. offenders. For people convicted of certain property crimes, the sentence would go up from 13 to 18 months.. If there is a previous conviction for any one of nine Sentencing highlights of BM 57 specific crimes, or one of 19 other property crimes BM 57 is the legislative referral that would increase committed within three years after supervision ends sentences for repeat drug and property offenders for a prior conviction, a sentence would be and provide drug and alcohol treatment for certain increased by two months for each previous -addiczed__offender-s-in-r-dgr to-reduce-t-hi-likel-iheod conviction, up to a maximum of 12 additional of future criminal activity. months: - BM 57does not establish mandatory minimum sentences for property crime on the first offense, but enhances sentences for repeat offenders, drug traffickers and manufacturers who possess substantial amounts of methamphetamine, heroin, ecstasy and cocaine. There would also be enhanced penalties for a person who steals $10,000 or more from a victim who is 65. years of age or older at the time of the crime and for a person who delivers meth, cocaine, ecstasy or heroin to a person under 18. For people convicted of delivering or manufacturing cocaine,. ecstasy, heroin or methamphetamine, prison sentences would range from 58 to 130 months, or 34 to 72 months, depending on drug amounts involved, a person's criminal history and whether it was sold to a person younger than 18. Currently, the sentence for this crime is probation to 45 months. For people convicted of first-degree aggravated theft, first-degree burglary, third-degree robbery, Sentencing highlights of BM 61 BM 61 would require mandatory minimum prison sentences for those convicted of property and drug crimes. BM 61 would set 36-month minimums for identity theft, first-degree burglary, and Class A felony manufacture/delivery of cocaine, heroin or methamphetamine; 30-month minimums for Class B felony manufacture/delivery of those same drugs. For offenders with one or more prior felony convictions, or two or more prior misdemeanor convictions, BM 61would require 18-month minimums for first-degree forgery, motor vehicle theft; 14-month minimums for first-degree theft, second-degree burglary. BM 61 states that sentences must be served in state prisons, not in county jails. BM 61 would require the state to reimburse the county for all actual costs of pretrial incarceration for each person sentenced under BM 61. Treatment programs BM 61 does not have any treatment programs or funding for treatment associated with the measure BM 57 states that the Department of Corrections shall provide "appropriate" treatment to drug- addicted persons with moderate or severe needs, and at a high or medium risk of committing another crime. Under BM 57, the Oregon Criminal Justice Commission would be charged with conducting regular and independent evaluations of programs funded through this grant system to ensure the delivery of effective treatment. If an offender does not comply with court-ordered treatment, judges and probation/parole officers have punishment for those offenders. Costs BM 57 would add 1,600 non-violent inmates to DOC custody by 2012. BM 57 will require additional state spending of approximately $9M in the first year, $74M in the second year, $79M in the third year, $106M in the fourth year, and more than $143M each year after that. The state will borrow $314M from 2010 to 2017 to build new prison space. The state will repay those amounts plus interest of $203M over 25 years. BM 57 provides funding for county treatment programs and jail beds. House Bill 363-? HB 3638 is the companion measure to BM 57. HB 3638 contains language implementing the treatment grant language of BM 57. This measure would change the requirements for entry into the Department's Alternative Incarceration Programs -(AIP). The bill also provides that national criminal history checks for county jail inmates would reimbursed by the state. Also, incarcerated felons in county jails would be unable to vote during incarceration. It is already impermissible for incarcerated felons at state correctional facilities to vote. The mission of the Oregon Department of Corrections is to promote public safety by BM 61 would add an additional 4,000 to 6,000 non- violent inmates to DOC custody by July 2012. BM 61 will require additional spending of $8M to $10M in the first year, $67M to $88M in the second year, $122M to $178M in the third year, $164M to $247 M in the fourth year, and $161 M to $274M in each year after that. BM 61 will require the state to borrow between $1.1 billion and $1.3 billion to build new prisons between 2010 and 2017. The state will repay those amounts plus interest of $709M to $844M over 25 years. The measure requires state payments to local government of $2M to $5M in the first year and $10M to $19M each year after that. BM 61 provides no funding for new prison construction or for treatment programs. actions and reducing the risk of future criminal behavior. ORECON~ W~ Max Williams, Director (503) 945-0920 Mitch Morrow, Deputy Director (503) 945-0921 Oregon Department of Corrections 2575 Center Street NE Salem, Oregon 97301-4667 www.oregon.gov/doe 73-6CfPA:8/19/08