The URL can be used to link to this page

2009-40-Minutes for Meeting December 01,2008 Recorded 2/5/2009COUNTY NANCYUBLANKENSHIP,F000NTY CLERKS Q 3940 COMMISSIONERS' JOURNAL 02/05/2009 08;19;28 AM IIIIIIIIIII IIIIIIIIIIIIIIIIII III III 2000-40 Do not remove this page from original document. Deschutes County Clerk Certificate Page If this instrument is being re-recorded, please complete the following statement, in accordance with ORS 205.244: Re-recorded to correct [give reason] previously recorded in Book or as Fee Number and Page DESCHUTES COUNTY PUBLIC SAFETY COORDINATING COUNCIL u -1 Gt < F Monday, December 1, 2008 Allen Room, County Administration Building, 1300 NW Wall, Bend, OR MINUTES OF MEETING Present were Judge Michael Sullivan; County Administrator Dave Kanner; Commissioner Tammy Baney; Ken Hales, Community Corrections; Alan Unger, Commissioner-elect; Deevy Holcomb, Commission on Children & Families; Sandi Baxter, Bend Police Chief- Aaron Bronfman, defense attorney; Sheriff Larry Blanton; Ernie Mazorol, Court Administrator; Jack Blum, citizen member; Carl Rhodes, Oregon State Police; Shelley Smith, KIDS Center; Mike Dugan, District Attorney; Becky McDonald, 9-1-1; Scott Johnson, Mental Health; and media representative Hillary Borrud of The Bulletin. 1. Call to Order & Introductions Judge Sullivan called the meeting to order at 3:35 p.m., at which time the attendees introduced themselves. Alan Unger, Commissioner-elect, said that he is trying to get up to speed before taking office in January, and hopes to quickly learn more about what LPSCC does. 2. November Minutes Jack Blum moved approval; Aaron Brenneman seconded; and approval was unanimous. 3. Public Comment There was no public in attendance. Minutes of LPSCC Meeting Monday, December 1, 2008 Page 1 of 8 Pages 4. HB 3328 - "Karly's Law" Shelly Smith gave an overview of the issue. Legislation regarding child abuse resulted from this child's tragedy, detailing that if an authority figure or provider sees bruising or other injuries on a child, a report is required. The program cost of $500,000 a year is being borne by providers, as the State has allowed no funding to cover the cost of this mandate, and this cost is expected to go higher. The medical community and County have been effective in handling these cases; however, the State Department of Human Services is taking longer to react. Jack Blum asked if there is a penalty attached for giving a false report on child abuse. Ms. Smith said that this is handled by the State. Photos are required at the time of the report, however, to document the situation. If teachers see something suspicious, they are mandatory reporters who would have to call DHS or the police. Law enforcement and DHS then do an interview. Mike Dugan said there is a false report law; the police would respond. If an underlying motive or lying is found to exist, it is not attached to Karly's law. Ms. Smith said the KIDS Center is the chair of the multi-disciplinary team, which looks at every Karly's Law case in the area. Sheriff Blanton stated that he is on the Board of the KIDS Center. They are in trouble financially, and their caseload is expected to go up about 20%. He pointed out that many of the members of LPSCC probably remember when the KIDS Center opened. Now, two people at the Sheriff's Office are dedicated full-time to child abuse cases. It is a big problem that no one wants to talk about. It is felt that there are a lot of cases that remain unreported. The poor economy is negatively affecting this situation as well. Judge Sullivan said there is a lot of financial stress now; Ms. Smith said that this all impacts the number of child abuse cases. Judge Sullivan stated this is a significant issue. The domestic violence report indicates that the average number of people on probation is about 164 a month. About 88 are in the deferred supervised program. So there are about 250 people being supervised. And there are an additional 72 who have plead guilty but are not supervised. During any given month, 320 to 330 people are involved in domestic abuse programs. Minutes of LPSCC Meeting Monday, December 1, 2008 Page 2 of 8 Pages These situations greatly affect children, and almost always a child is involved if it is found to be a felony case. Usually there are at least two officers responding to a domestic abuse call. A trial may end up with officers on overtime for several days. Everyone has to work very hard to maintain these programs, and before the programs existed, things were much more dismal. He said he is continually surprised by the number of people on supervision for this problem. All of them have to pay for batterers' intervention programs too, at a cost of about $2,000 each. These are resources that could be used for other things. Police training is an integral part of this situation. State law requires that if there is evidence of domestic violence or child abuse, the offender has to be arrested. He hopes that a real impact is being seen through the programs. Sheriff Blanton said that Ms. Smith and her staff can provide central services, but a lot of progress will be lost if State funding is reduced. Senator Ben Westlund has said that the fallout from the economy may not be good in this situation. Ken Hales asked what causes the different perspectives on this situation between the agencies. Ms. Smith said that the KIDS Center sees the Karly cases as individual cases; the State looks at the suspicious injuries somewhat differently. DHS may not refer a case, but KIDS Center will go ahead and handle it. Language for the law is being refined to clarify it. Mr. Dugan stated that if you look at similar communities, Deschutes County referrals for abuse and neglect are far below the level referred from other counties. He feels that it is due to the way that DHS caseworkers are being instructed. Ernie said that perhaps a representative of DHS could attend a meeting and clarify how they handle these cases. The group agreed that they are interested in hearing more. Mr. Mazorol will contact the appropriate persons. Commissioner Baney stated that DHS factors into a lot of the conversations LPSCC has. She wonders how this fits into a community vision of how this problem should be handled. Sheriff Blanton said their vision and opinions are quite different but they look at these types of issues in another way. Commissioner Baney said they could be a barrier or a partner, and she would like to find out where they stand. Minutes of LPSCC Meeting Monday, December 1, 2008 Page 3 of 8 Pages Mr. Hales said that if DHS is asked to be a LPSCC member, that their representative be nonvoting. Judge Sullivan said DHS may feel these cases are very important and there is a lot of emphasis on dependence cases, where it is seen that the child may not be safe in the home. This can tie into delinquency cases where a child is not adequately supervised. However, Mr. Dugan said that sometimes drug- infested homes full of trash are found by the police and usually DHS does not respond. Sheriff Blanton stated that his agency will remove the children if this situation is apparent. Judge Sullivan said that he sees this happen when drugs are being dealt. Mr. Hales sated that DHS does have a different criteria for abuse or neglect of children and he would like them to clarify their approach. 5. DUII Project Report. Scott Johnson gave an overview of the DUII offender evaluation and treatment system report. Treatment providers in the community have expressed some dissatisfaction of how these referrals are handled. Work was done with Judge Sullivan, and Mental Health has been working on this issue. Both of the DUII evaluators, with the support of the District Attorney, the courts and the State, have come to some conclusions. He referred to a copy of the report. The conclusion was that there could be some clarity given in regard to the referral process. This will be examined on a six-month ongoing basis. A few other recommendations were made that are more technical. It was suggested that another evaluator be made available. About 1,300 people are referred annually into treatment. The other lesson learned is that the perspective of the treatment providers here is that there is not enough accountability to people getting into a treatment program. This process could take twelve months or longer, when it should begin within 30 to 45 days. It is about resources, like other programs, so improvement is difficult. But ways to get people into treatment more quickly is important, especially if they are repeat offenders. Minutes of LPSCC Meeting Monday, December 1, 2008 Page 4 of 8 Pages There appears to be a disproportionate referral to treatment providers. All of the information needs to be provided to offenders prior to them deciding where to go. The resource guide gives a picture of what is offered and where. Some providers do not have facilities in other communities. Judge Sullivan stated that a hard look needs to be done in court to find a way to do this better. Mr. Mazorol said that it boils down to the court's authority, available evaluation and treatment, and how to monitor. One big concern is how to refer someone to be evaluated. The court sends them to the evaluator, who assesses the level of treatment needed and decides where to refer them. It was found that one evaluator was getting 25% of the cases and the other was getting 75%. Now they will get about 50/50. The defendant has to make an appointment within 48 hours and finish the evaluation within 30 days. They have not reached the point to where the evaluator needs to be told what to do. Monitoring remains to be done. This process needs to start at the beginning to determine how the rest of the program should go. The initial steps have been taken. Judge Sullivan said that there are typically over 100 DUII's a month. Mr. Dugan said this is the most frequently reported crime in Deschutes County. Ms. Smith said the court has little authority to monitor these offenders, and they take up a lot of jail beds. Mr. Dugan stated that one woman was given six months' jail time and was out in 48 hours. That part of the accountability model is severely lacking. The court system loses credibility in these cases. Because of that, there are other problems regarding diversion. If the person doesn't get diversion, the District Attorney may not know it for months, and typically the court allows more time. This does not equal accountability, but there are not enough resources to handle this situation. Commissioner Baney asked what the recidivism rate is in these cases. Mr. Dugan said that there will be at least one more DUII during that time. Ms. Holcomb said that even the providers can't provide that data. Mr. Dugan said that the diversion is usually on the first offense. Mr. Brenneman said there is no policy as to whether they need to go to the same provider. Mr. Johnson stated that the providers do share information. Minutes of LPSCC Meeting Monday, December 1, 2008 Page 5 of 8 Pages Mr. Dugan stated there will be more failures due to the economy; many offenders can't afford to pay. Mr. Hales stated that if they were monitored, it would help the providers. Mr. Blum pointed out that cases could be in different counties and perhaps the provider from another area may not share the information with others. Mr. Dugan said that the offender has to sign a disclaimer releasing this kind of information to others. Judge Sullivan stated that there are typically 160 people in domestic violence cases, but 1,600 DUII's a year. There are probation violations, resentencing, and more. One person does nothing but monitor domestic violence cases. The DUII caseload is much larger. It impacts the District Attorney and the courts, and providers of indigent defense, plus the police having to come to hearings. Care needs to be taken because the cost can be significant. Mr. Dugan said 450 to 500 of domestic violence cases are ongoing. About 40-50% of those cases go to treatment, with good results, mostly because it's either treatment or go to jail. They are not doing this with DUII diversion. They don't go to jailor get out of jail within hours. And the numbers are much higher. If there was a hearing on all of these cases, all of the entitles would be swamped with these cases alone. Judge Sullivan said there are meetings planned to address this issue. Sheriff Blanton stated that Measure 57 is already impacting the State negatively. Mr. Dugan said that many offenders cannot be held until trial and commit other crimes in the meantime. 6. Juvenile Gang Assessment. Deevy Holcomb said her group is working on the project now. They have embarked on an assessment of youth gangs with cities of Bend and Redmond, the schools and the District Attorney. Interviews have been completed with some of the entities, and they are working with students to get student surveys on the issue. Some community leaders are being interviewed to get a community perspective. Mr. Blum pointed out that the economy could be driving more gang activity. Parents may be worried, out of work and fighting, driving youth to their friends. Minutes of LPSCC Meeting Monday, December 1, 2008 Page 6 of 8 Pages Ms. Holcomb said that the study goes two to three years back, compared with the current situation. Mr. Dugan stated that this has been discussed at every meeting of the school board the last few years. It is important to raise the awareness of principals and superintendents of this potential problem. Commissioner Baney asked how Deschutes County compares with Jefferson and Crook counties. Mr. Dugan replied that Jefferson County has a more substantial problem, but some might be based on cultural influences. 7. Current Biennium State Budget Cuts. Sheriff Blanton said that the State is working on the numbers now and they aren't ready to release them. Mr. Dugan said that the Governor released his recommended numbers today, but they are only recommendations. Most of the agencies are holding close to the line. Mr. Kanner stated that they state there will be a 22% increase in corrections due to jail demands; much of this is related to reopening jails. Sheriff Blanton said that those people all need their day in court before potentially ending up in the jail. Mr. Dugan stated that 45 to 60 days for the process would be record time. Mr. Brenneman said that there will be a huge increase in cases going to trial. This impacts the jails, police agencies, the courts and others. It is a lot bigger than just jail beds and treatment. Judge Sullivan said some may take a settlement but could violate probation. Some District Attorneys may not have the ability to prosecute in a timely manner. And some police agencies may not be able to handle the volume of crimes due to a lack of staffing. The Governor's document is a recommendation and it is unknown what the legislature will do. There could be a lot of crimes that don't get prosecuted if there is an inadequate number of defense attorneys. There will be no new judges to handle cases. The Courts could end up on reduced work weeks but it takes months to dig out from underneath that. If a crime is not prosecuted for a year or longer, there can be questions regarding the lack of a speedy trial. There are a lot of unknowns at this point. Mr. Kanner stated that the Governor's recommendation includes no pay increases for any State employees, and it will be difficult to get that past the unions. The Governor also wants to see the equivalent of four unpaid days a year. Minutes of LPSCC Meeting Monday, December 1, 2008 Page 7 of 8 Pages 8. New Business. Judge Sullivan pointed out that Jim Notebloom died on Thanksgiving Day. Mr. Notebloom was an advocate for Warm Springs Tribes, and was well known for representing Native Americans. There was no other new business discussed. Being no further items discussed, the meeting adjourned at 4:50 p.m. Respectfully submitted, Bonnie Baker Recording Secretary Attachments Exhibit A: Agenda Exhibit B: Sign in sheets Exhibit C: Information on Karly's Law Exhibit D: DUII Project Report & Resource Guide Exhibit E: Gang Assessment Update Minutes of LPSCC Meeting Monday, December 1, 2008 Page 8 of 8 Pages DESCHUTES COUNTY PUBLIC SAFETY COORDINATING COUNCIL Ya y~/ Ij i Monday, December 1, 2008, 3:30 p.m. Allen Room, County Administration Building, 1300 NW Wall, Bend, OR Agenda I Call to Order & Introductions Judge Sullivan II November Minutes Attachment 1 Judge Sullivan Action: Approve minutes III Public Comment Judge Sullivan IV HB3328 "Karly's Law" Attachment 2 Shelly Smith Provide briefing on child abuse legislation VI DUII Project Report Attachments 3, 4, 5 Scott Johnson Brief Council on DUII offender evaluation & treatment system report VII Juvenile Gang Assessment Deevy Holcomb Update on project progress Attachment 6 VIII Current Biennium State Budget Cuts Judge Sullivan State funding recipients brief Council on current budget cuts z z V k^ w Q w a 00 O N = r- L N ..O ~ E OJ ~ N L V I ~ a S bo c N E V 'op 3 v C O m N v a z z V w v, Q w J L1. c w M W 0 N L S~ Q) V Q) Q) L v e o 6 0 ~ ~ n to e Q) N z ~ a J a l a Q ~ , ~ UJ Attachment 2 IWOJ House Bill 3328: Karly's Law A Summary for MDTs and Community Partners Introduction The changes brought forth by House Bill 3328 affect the way child abuse multidisciplinary teams (MDTs) identify, document, and respond to child abuse. The intent of the bill is to standardize some basic child abuse investigation procedures and protocols regarding child physical abuse. HB 3328 includes an emergency clause, which makes the requirements listed in this summary effective immediately. The statutory changes will require changes in protocols, additional data collection, and increased communication between MDT members and community partners. This legislation requires a lot from MDTs in a short amount of time. Recognizing the large task MDTs face, the Department of Justice is committed to helping teams succeed in this implementation process by providing data collection forms, training, and technical assistance. What follows is a summary of the most important aspects and requirements of HB 3328. Please share this information with your MDT, your agency, or any community partners that are involved in child abuse intervention in your area. The Three Core Requirements of HD 3328 The requirements listed below are the three essential requirements of this bill. The bill continues to clarify these points for MDTs and community partners who participate in the investigation and intervention of child abuse. Many of these changes will require MDTs to make changes to their protocols. This summary will explore the details of each core requirement individually. • Any person conducting an investigation who observes a child who has suffered suspicious physical injury must immediately photograph the injuries. • Each MDT must identify a designated medical professional who is trained and regularly available to conduct medical assessments as described in ORS 418.782. • Any person conducting an investigation who observes a child who has suffered suspicious physical injury must ensure that a designated medical professional conducts a medical assessment within 48 hours. Photos According to Section 3 (2) (a), "If a person conducting an investigation under ORS 419B. 020 observes a child who has suffered suspicious physical injury and the person has a reasonable Lam. Attachment 2 suspicion that the injury may be the result of abuse, the person shall, in accordance with the protocols and procedures of the county multidisciplinary team described in ORS 418.747: (a) Immediately photograph or cause to have photograph the suspicious physical injuries in accordance with ORS 418B. 028; " To photograph a "suspicious physical injury," investigators first must be able to consistently identify what a suspicious physical injury is. The new legislation gives a detailed definition of suspicious injury in Section 3 (1) (b). Suspicious physical injury includes but is not limited to: • Burns or scalds • Extensive bruising or abrasions on any part of the body • Bruising, swelling or abrasions on the head, neck or face • Fractures of any bone in a child under the age of three • Multiple fractures in a child of any age • Dislocations, soft tissue swelling or moderate to severe cuts • Loss of the ability to walk or move normally according to the child's developmental ability • Unconsciousness or difficulty maintaining consciousness • Multiple injuries of different types • Injuries causing serious or protracted disfigurement or loss or impairment of the function of any bodily organ • Any other injury that threatens the well-being of a child Upon the identification of such an injury, the injuries must be photographed IMMEDIATELY per the new statutes. Additionally, HB 3328 gives direction regarding the taking, development, and maintenance of photographs in suspicious injury cases. Pursuant to Section 3 (3) of the bill, photographs MUST be taken: • Each time suspicious physical injury is observed by Department of Hurnan Services or law enforcement personnel during the investigation of a new allegation of abuse or if the injury was not previously observed by a person conducting an investigation under ORS 419B.020. • Regardless of whether the child has been previously photographed or assessed during an investigation of an allegation of abuse. Typically, DHS or law enforcement will be taking these photographs, unless the injuries are anogenital injuries. In a case where anogenital injuries are present, only medical personnel may photograph the child's injuries. (See Section 5 (1) of HB 3328.) As a result of the photography requirement of HB 3328, investigators must make sure they have the appropriate equipment to take the required photographs. If training in the photographing of such injuries is needed, please contact the Department of Justice for referral to the training resources available throughout the state. In regard to the development and maintenance of the required photos, the person or investigator taking the photographs does have a deadline by which to develop the photographs. Per Section 5 2 Attachment 2 (2) of the bill, the person taking the photographs SHALL - within 48 hours or by the end of the next regular business day (whichever occurs later): • Provide hard copies or prints of the photographs and, if available, copies of the photographs in electronic format to the designated medical professional described in ORS 418.747 (9). • Place hard copies or prints of the photographs and, if available, copies of the photographs in an electronic format in any relevant files pertaining to the child maintained by the law enforcement agency or the department. • Make the photographs available to each member of the MDT at the first meeting regarding the child's case following the taking of the photographs. (This requirement is located in Section 6 (10) of HB 3328.) As a result of the above changes regarding the taking, development, and maintenance of these photographs, teams must include these changes in their protocols in order to ensure that these photographs are being taken in suspicious physical injury cases. Ultimately, MDTs will have to report to the Department of Justice regarding the implementation of this process. Currently a form is being developed by the Department of Justice to assist MDTs in collecting this data. In the interim, teams are encouraged to begin developing strategies as to how they will collaborate to collect the required data for this implementation process as it pertains to all of the requirements of HB 3328. Designated Medical Professional Section 6 (9) of HB 3328 states: "Each team shall designate at least one physician, physician assistant, or nurse practitioner who has been trained to conduct child abuse medical assessments, as defined in ORS 418.782, and who is, or who may designate another physician, physician assistant or nurse practitioner who is, regularly available to conduct the medical assessment described in Section 3 of this 2007 act. " As teams are looking towards compliance with the medical assessment component of this bill, a clear understanding of who is to provide those medical assessments and how is essential. As the statute states above, the designated medical professional can be a physician, physician assistant or nurse practitioner. That medical professional may be located within your county, or in another county, in a child abuse intervention center, or in another type of medical facility. The only requirements of the designated medical professional are: • They are trained to perform child abuse medical assessments as defined in ORS 418.782 • They are regularly available to conduct these examinations In order to meet this requirement of HB 3328, MDTs may have to recruit or train a designated medical professional for their county. As a result, MDT resources may have to be allocated towards this purpose. If your MDT is struggling with locating, training, or recruiting a designated medical professional, please contact CAMI and technical assistance will be provided. 3 Attachment 2 As with the photograph requirement of the bill, there will be a data collection piece attached to this requirement as well. MDTs will be required to submit information to the Department of Justice that not only identifies who their designated medical professional is, but also provides information regarding their training and availability. If, after a reasonable effort„ an MDT is unable to identify a designated medical professional for their county, they must submit a written plan to the Department of Justice which describes how they will recruit and train. a designated medical professional for their county, as well as how the MDT will ensure that children with suspicious physical injuries are receiving the required medical assessments during the interim period. While the bill does not require the information regarding each MDT's designated medical professional to be submitted until September 1, 2008, the emergency clause in the bill requires the changes involving the designated medical professional to be implemented immediately. Thus, teams must begin the process of identifying the designated medical professional for their county immediately as well. MDTs will be required to submit this information to the Department of Justice as soon as possible. A form will be provided by the Department of Justice to help MDTs collect and submit this information. Medical Assessments for Suspicious Physical Iniury Cases Another core requirement listed in Section 3 (2) (b) states: "(2) If a person conducting an investigation under ORS 419B. 020 observes a child who has suffered suspicious physical injury and the person has a reasonable suspicion that the injury may be the result of abuse, the person shall, in accordance with the protocols and procedures of the county multidisciplinary child abuse team described in ORS 418.747: (b) Ensure that a designated medical professional conducts a medical assessment within 48 hours or sooner if dictated by the child's medical needs. " In order to ensure the child's safety, medical assessments are now required within 48 hours of the identification of suspicious physical injuries. Not only will this help to ensure the child's health, safety, and well-being, but also will help MDTs to collect, document, and preserve important and often quickly disappearing evidence. Children heal so rapidly, that often by the time the child is seen by a physician, the injuries are no longer visible. By requiring the child to see a designated medical professional, the hope is that children will be seen by well-trained and qualified medical providers. Additional statutory changes in the bill give further direction to MDTs and investigators regarding medical assessments on suspicious physical injury cases. Medical assessments MUST be conducted within 48 hours: • Each time suspicious physical injury is observed by the Department of Human Services or law enforcement personnel during the investigation of a new allegation of abuse or if the injury was not previously observed by a person conducting an investigation under ORS 419B.020 • Regardless of whether the child has previously been photographed or assessed during an investigation of an allegation of abuse. 4 Attachment 2 Recognizing that not all suspicious physical injuries will fall within regular working hours or on- call hours when the designated medical professional would be available, further statutory allowances were made. If, after a reasonable effort, law enforcement or Department of Human Services personnel are unable to get the child seen by the designated medical professional, the child MUST be seen by any available physician. If a child is seen by a physician other than the designated medical professional, the physician conducting the exam: • SHALL make photographs, clinical notes, diagnostic and testing results and any other relevant materials available to the designated medical professional within 72 hours following the evaluation of the child. • MAY consult with and obtain records from the child's regular pediatrician or family physician under ORS 41913.050. • MAY, within fourteen days, refer children under five years of age for a screening for early intervention services or early childhood special education. This referral may NOT indicate the child is subject to a child abuse investigation. While the timeline on these medical assessments is 48 hours, there is nothing to prevent the person conducting the child abuse investigation from seeking immediate medical treatment from a hospital emergency room or other medical provider for a child who is physically injured or otherwise in need of immediate medical care. Additionally, nothing in HB 3328 limits the rights provided to minors in ORS chapter 109 or the ability of a minor to refuse to consent to the medical assessment. The statutory changes of HB 3328 regarding medical assessments require MDTs to change their protocols regarding physical abuse cases. Each of the 36 county MDTs in Oregon has a unique set of protocols. It will be up to MDTs individually, to review the requirements of HB 3328 and incorporate the new statutory requirements into their protocols. There will be data collection involved in this piece of the implementation process. The Department of Justice will be collaborating with MDTs, community partners, child abuse intervention centers, and the county designated medical professionals to gather this information in an efficient, user-friendly, and consistent manner. Other Important Requirements Additional requirements were included in HB 3328 that affect the handling of suspicious physical injury cases. For example, if an investigation is being conducted regarding a child under the age of five who is already receiving early intervention services, the MDT SHALL invite the person involved in the delivery of those services to participate in the MDTs review of the child's case (See Section 3 (6)). MDTs have the option of inviting the early intervention service provider to only those MDT meetings in which the provider is involved in a case, or they may include the early intervention service provider in the MDT as a regular or permanent MDT member. Attachment 2 Section 4 requires the assignment of Critical Incident Response Teams (CIRT) by the Department of Human Services. DHS shall assign a CIRT within 24 hours after -the department determines that a child fatality was related to child abuse or neglect if: • The child was in DHS custody at the time of death • The child was the subject of a child protective services assessment by DHIS within 12 months prior to the date of death During the course of the CIRT case review, the CIRT may consult with the district attorney from the county where the death occurred. Reporting As indicated previously, the Department of Justice is currently working on developing forms and templates to help MDTs, child abuse intervention centers, and other partner agencies to collect data regarding the implementation of HB 3328. The statutory changes require MDTs to submit information to the Department of Justice by September 1, 2008. After the MDTs have submitted the information to the Department of Justice, the Department of Justice then must compile that information and report back to an interim legislative committee on the implementation data by October 1, 2008. Due to the immediacy of the changes required by this legislation, the Department of Justice will be requiring quarterly reports from MDTs regarding the implementation of HB 3328. While the Department recognizes that this will be an additional reporting burden for MDTs, it is our hope that through the forms provided and a more frequent reporting process, MDTs will be spared the last minute scramble to collect a year's worth of data from numerous agencies and community partners. The reporting forms are currently being developed and will be provided to MDTs as soon as they are available. MDTs will also be provided with a schedule of submission dates for the required quarterly reports. So what does it all mean? HB 3328 requires a lot from MDTs in a very short amount of time. The changes made to statutes and, ultimately, MDT protocols and procedures will be significant. Hopefully, through these changes, physical abuse cases will be more consistently addressed statewide, children will be seen by qualified medical professionals, and MDTs will be able to provide a more comprehensive array of intervention services to children and families. The Department of Justice is committed to assisting MDTs through the implementation process by providing any training or technical assistance MDTs might need. Through collaboration, we will be successful in implementing these important changes that can improve the welfare of Oregon's children. 6 Deschutes County DUII Project Report To: Honorable Michael C. Sullivan, Presiding Judge, 11 Judicial District Cc: Members, Deschutes County Addictions & Mental Health Advisory Board Members, Deschutes County Local Public Safety Coordinating Council From: Scott Johnson, Director, Deschutes County Mental Health Project Task Force Members (listed on Page 2) Date: October 2008 Subj: Deschutes County DUII Project Report Attachment 3 BACKGROUND In November 2007, the Deschutes County Addictions & Mental Health Advisory Board sent a letter to Ernie Mazorol, Court Administrator, 11th judicial District, encouraging a dialogue and potential improvements in the local evaluation and treatment referral system for DUII offenders in our County". The Advisory Board expressed an interest in the following: • An opportunity to review and discuss recent referral information; • Ensuring that information on all licensed treatment providers is complete and accurate; • Identifying areas of provider specialization and geographic locations; • Ensuring DUII offenders have a choice, when appropriate, in where they receive services; • Ensuring all providers have an equal opportunity to participate in the referral process; and • Seeking effective and transparent oversight of the evaluation and referral process. In January 2008, judge Sullivan, as Presiding judge, responded and requested our assistance in helping the Court evaluate the referral system for driving under the influence cases. The memorandum included three specific requests 1. Gather statistical data; become familiar with court practices and among the service providers. 2. Engage the drug and alcohol community and seek their input about what works well, what needs to be changed and ideas for improvement. 3. Develop recommendations for the Court to consider in an effort to improve referral and treatment processes in the community. PARTICIPANTS IN THE PROCESS BestCare Treatment Services: Rick Treleaven, Dave Autrey Deschutes County District Attorney's Office: Jody Vaughan Deschutes County Mental Health: Lori Hill and Scott Johnson DUII Evaluator Services: Gary Madick and Paul Withrow Pfiefer and Associates: Sally Pfiefer Rimrock Trails: Linda Luckey Serenity Lane: Bob Snyder and Don Ziegler Page 1 Deschutes County DUII Project Report Attachment 3 So Many Roads Recovery: Scott McGuire State of Oregon 11`'' Judicial District: Ernie Mazorol, Christie Combs State of Oregon DHS: Jim Bradshaw and Ron Fisher PROCESS We have prepared this report through a collective effort involving both of the Deschutes County DUII evaluators (Gary Madick and Paul Withrow) and all local, state certified addiction treatment providers. We have also consulted with the State of Oregon Addictions and Mental Health Division, the 11`h judicial District and the District Attorney's office. While there Tray not be full consensus on all findings and recommendations, an attempt has been made to carefully consider the perspectives of all parties. The group held four task force meetings over the past five months. Additional consultations with the State of Oregon, local DUII evaluators and the court administrator also took place. This report would not have been possible without the assistance of task force members in the preparation of materials, the gathering of data and participation in task force work sessions. The assistance of all task force members is greatly appreciated. EXECUTIVE SUMMARY In January of 2008, the Honorable Michael Sullivan requested a community review of the DUII referral and treatment system in Deschutes County. This report provides a set of findings and recommendations. There is general consensus on most, but not all, of the material in this report. As requested by judge Sullivan, the report includes 1) referral data and analysis, 2) the requested input from the drug and alcohol community about recommended changes and 3) methods to improve the referral and treatment processes in the community. The report concludes changes in referral practices are warranted. It also concludes that a Community Resource Directory should be created and that transparent methods should be put in place for timely and accurate information on treatment provider services and fees. The report offers a set of proposed guiding principles for an improved system. Lastly, the report urges the Court and District Attorney to increase the system standards for more prompt engagement in treatment and accountability in an effort to enhance public safety and improve treatment outcomes. Page 2 7 Deschutes County DUII Project Report Attachment 3 FINDINGS The Opportunrty.• We can make significant improvements in the referral, treatment and accountability process for DUII clients through a shared, ongoing commitment to a transparent, coordinated system. These improvements can increase public safety and improve treatment outcomes. With a continuing increase in the number of referrals, the ideal time for action is now. a. The Deschutes County DUII system currently has sufficient evaluator capacity to complete DUII evaluations in a timely manner. However the system could be vulnerable if one evaluator is unwilling or unable to accept referrals at some point. Both evaluators report a continuing interest in doing this work and an ability to serve more clients. Both evaluators recently completed a site review and recertification process with the State of Oregon. b. Referrals to Deschutes County's two DUII evaluators vary significantly. Because of the historical nature of the referral process where diversions have been handled by one evaluator (Madick) and convictions by a second evaluator (Withrow), coupled with the larger number of diversions, Mr. Matlick currently receives more than 70 percent of all referrals. Mr. Madick has expanded his work force to service these referrals effectively. Mr. Withrow is interested in additional referrals and reports the capability of servicing more DUII clients. c. DUII clients have treatment options but lack thorough service information. There are six licensed treatment providers serving Deschutes County, five for adults and one for adolescents. Each has areas of specialization. The system has lacked a comprehensive resource directory or data base to assist the evaluators and County residents referred for DUII services. d. Referrals to local providers vary significantly. Based on 2007 DUII referral data, 38% of all referrals went to BestCare (highest) while only 7% went to So Many Roads (lowest, newest provider). In the first six months of 2008, BestCare referrals remained relatively higher (41%) while Serenity Lane and So Many Roads each totaled 15%. Note: referrals to So Many Roads should increase in future years. See Attachment A (2007) and Attachment B (1-6/2008). All licensed providers are interested in serving additional DUII clients provided they can offer the needed services. e. Client choice of treatment provider varies with the assigned evaluator. For example, Mr. With-tow's 2007 clients chose Pfeifer and Associates most frequently; Mr. Matlick's clients chose BestCare Treatment Services most frequently. Mr. Matlick reports providing DUII clients with basic information on local treatment providers, leaving it up to the client to choose the preferred providers. In his opinion, the choice is primarily made based on provider location. Mr. Withrow reports that the choice is based more of the overall fit of provider. Both evaluators report an interest in receiving information from service providers. Page 3 Deschutes County DUII Project Report Attachment 3 f. The cost of a DUII evaluation in Deschutes County has varied significantly. Over the past several years, one evaluator has charged $90 and the other provider charges $150 without any recognized difference in service type or quality. g. ORS 813.021 references a fee of $150. "(1) When a court, in accordance with ORS 813.020, requires a person to complete a screening interview and a treatment program, the court shall require the person to do all of the following: (1) Complete a screening interview for the purpose of determining appropriate placement of the person in a program for treatment for alcoholism, drug dependency or dependency on inhalants. (b) Pay directly to the agency or organization conducting the screening interview a fee of $150." h. Client noncompliance is a real concern. It reduces public safety and treatment success. Treatment providers universally share a concern that DUII clients all too often fail to engage in services, fail to make appointments and fail to follow through with their treatment plans in a timely manner. This adds inefficiency to the process and takes resources from a system attempting to respond to a community need. More importantly, non compliance can also compromise public safety and treatment outcomes. i. It would be highly beneficial if the system held noncompliant clients more accountable. While reports are made to the Court, it can be as much as a full year before the noncompliant client appears before a judge. This is an area that needs improvement. More immediate and consistent follow through by DUII clients has the potential to make treatment more effective and to reduce repeat offenses and automobile accidents. In a few cases, changing providers can be beneficial. Providers estimate that 5% of clients seek a second provider during the process. With a proper signed release of information, this change in provider can be beneficial to the treatment process. Treatment providers concur that this process is working effectively at the present time with a successful transfer of clients when that is warranted. k. Referrals are expected to increase. With a reported increase in the number of State Police patrolling Deschutes County highways, a periodic increase in the size of the cities of Bend and Redmond police forces and the general population growth in Deschutes County, DUIIs are expected to increase significantly in the next five years. 1. State review determines report results do not conflict with the DUII State administrative rules. At our request, Jim Bradshaw from the State Dept of Human Services Addictions & Mental Health Div. reviewed this report and stated... "I reviewed the materials you submitted and do not see anything that would be contradictory to the administrative rules for evaluators or treatment providers. I commend you and your group for taking on issues that are problematic in most counties though continue to go on. Your willingness to bring people together and their willingness to share information about the process has resulted in what we hope will be an improved and understood process by all." Page 4 Deschutes County DUII Project Report Attachment 3 GUIDING PRINCIPLES (for an improved DUII system) a. Multiple DUII Evaluators. The community benefits by having multiple DUII evaluators to help ensure sufficient capacity and options for DUII clients. b. Multiple treatment providers. The community benefits by having multiple treatment providers. Specialization (location, hours and services offered) is highly desirable and can increase the likelihood DUII clients receive what they need, where and when they need it. c. Client choice. DUII clients should be able to choose where they go for an evaluation and treatment. A market driven system has the potential to increase responsiveness and accountability. d. Prompt evaluation. Immediate referral (by the Court) and an appointment that same day or next leads to greater accountability and ultimately greater success. e. Prompt engagement. Immediate referral to a treatment provider and a prompt appointment leads to greater accountability, engagement and success. Failure to make an appointment with a treatment provider promptly is considered non-compliance and is brought to the attention of the evaluator, District Attorney and Court. f. Continuity of treatment is (usually) best; hopping between providers should be discouraged. Once referred, a DUII client is strongly encouraged to stay with the provider of choice and fulfill all requirements. g. A change in treatment provider is documented, including non compliance. If the treatment provider changes, a notice of any non compliance is sent to the second provider and the evaluator and is part of the treatment and accountability record. h. Appropriate care. Each treatment provider offers the appropriate level of care required following a thorough evaluation. i. Documented effectiveness. Each treatment provider measures their effectiveness. A premium is placed on staying in treatment and completing DUII responsibilities. Prompt DUII client accountability. All parties including the District Attorney, the Courts, the DUII evaluators and treatment providers hold non-compliant clients accountable. Page 5 Deschutes County DUII Project Report RECOMMENDATIONS Attachment 3 Special note: Wherever possible, the foll owing recommendations reflect the views of most if not all members of the DUII Task Force. In some instances, disparate views are noted. a. Maintain current evaluator capacity (two) and consider creating additional capacity, to be used only if needed. It is recommended that the Court use the current evaluators as long as they are responsive and effective. It may be beneficial for the Court to create an internal capacity or certify a third vendor to respond if needs arise in the future. b. Treatment providers must provide accurate, written service and fee information in an agreed upon format to all County evaluators and each other. All six licensed providers agree to provide information in a common format to both DUII evaluators and other treatment providers in Deschutes County. All parties support creation and maintenance of a Community Resource Guide (see attached). c. In an effort to ensure transparency and predictability in a market driven system, the Resource Guide should be updated semi-annually. All treatment providers are committed to updating this information in the established format semiannually beginning in July 2009 (or whenever fee information or other critical service information changes). Updated service information should be sent to DUII evaluators, the Court Administrator and all other addiction treatment providers in Deschutes County. d. Evaluators must offer the directory to all DUII clients. Both Deschutes County evaluators must make the directory available to all clients. Every evaluator must continue offering the most current information as it is made available by any treatment provider. e. Evaluators should charge $150 for their services but should consider ability to pay and offer payment schedules. Consistent with ORS 813.020, any Deschutes County evaluator should charge $150. Both evaluators support this fee, with the proviso that they have they discretion to adjust the fee downward based on ability to pay. Paul Withrow agrees to increase his fee from $90 to $150; Gary Matlick generally charges $150. f. If the Court supports the principle of client choice with DUII diversions and convictions, the Court should consider changing its referral practices to evaluators. Note: both evaluators report they can serve current levels and could expand. We recommend the following process, with an emphasis on client choice coupled with alternating referrals in line with evaluator availability: Proposed system: The Court maintains knowledge of the Court evaluators and is kept informed regarding their availability for timely evaluations and additional referrals. First, consideration will be given to client choice. Client considerations may include prior history with a particular evaluator as well as attorney or client request. While entertaining client requests, the Court retains discretion and selects the evaluator, alternating between both. The Court notifies the parties. Both evaluators agree to keep the Court informed of their capacity. Note: a second option (after client choice) proposed by Mr. Withrow, could make referrals by "odd" and "even" days as a method to alternate referrals. Page 6 Deschutes County DUII Project Report Attachment 3 g. Court referrals and appointments with evaluators should be scheduled within two working days and occur within 30 days . It is extremely helpful for the Court to expedite the flow of paperwork and stipulate a timely meeting(s) with the evaluator. With respect to paperwork, same day transmittal would improve the process greatly. To emphasize accountability and the significance of this process, every person seen by the Court for a DUII diversion or conviction should be referred to an evaluator and be scheduled for an appointment within two work days. The actual appointment will occur as early in the month of referral as is possible. Exceptions can be made by the evaluator (extending the time for an evaluation) but only when a legitimate reason exists. h. Evaluations should be completed within one calendar month. Ideally, all DUII evaluations would be completed within one month of date of referral and Court order. With expedited paperwork, this evaluation can often be done within 10-14 days. The Court would assign the required date (proposal: 30 days from court proceeding). If the evaluator is unable to schedule and complete an evaluation within that time frame, the evaluator would notify the Court of noncompliance when there is no legitimate reason for failure to complete. Notification would be at the discretion of the evaluator. i. The Court should also stipulate timely treatment (proposal: within 45 days). It is essential to the treatment process for the Court to stipulate that treatment begin within 45 days. The Court is asked to specify an exact date by which the first treatment appointment must occur. Each treatment provider is expected to offer an intake assessment or first treatment session by the deadline or to inform the Evaluator if that is not expected and the reason for the delay. It is understood that prompt engagement in treatment is critical to treatment success and public safety. The treatment provider will notify the evaluator (who may notify the Court) if this process is delayed without good cause. There should be accountability to the court if engagement does not occur. For any DUII individuals who do not attend a first session within one month, that should be regarded as failure to report. Failure to report should be reported to the assigned Evaluator, District Attorney and the Court within two weeks. Such problems should lead to client accountability to the Court. k. When there is non compliance and as a matter of public safety, action by the District Attorney (DA) is recommended. 1) Diversion: The Work Group recommends that the DA file a motion to the judge revoking diversion and seeking a conviction and greater accountability unless either the DA or judge recognizes significant extenuating circumstances. The Work Group intends this recommendation to provide a higher level of accountability for non compliance than currently exists. 2) Conviction: The Work Group recommends that the misdemeanor probation monitoring office (i.e. M.E & Associates) file an affidavit of non compliance to the DA, seeking revocation of probation. Page 7 Deschutes County DUE Project Report Attachment 3 1. The Court is asked to support these recommendations to the degree possible and to implement them through a Pilot Process of three to six months. The Court is asked to provide feedback to these recommendations. There is confidence that the recommendations from the DUII Coalition will improve the system, enhance public safety and result in better treatment outcomes. At the same time, the group believes that we should evaluate the impact of any changes after a reasonable test period and that we be able to make adjustments where needed. The Court Administrator is asked to consider convening a meeting at the close of the Pilot Phase to take stock of progress and clarify any course corrections. m. Reconvene annually to assess progress and make improvements. The DUII Task Force should meet at least annually with the Presiding Circuit Court Judge and the District Attorney to review the recommendations and discuss progress. It is recommended that the Court Administrator convene this annual meeting. It is also recommended that any problems or needed improvements can be addressed through this meeting and process. The work group agrees to meet at any time if significant issues need further attention. n. Support for the DUII Court and greater attention to DUII recidivists. It is understood that work is under way to potentially implement a DUII Court. While our :information in limited, we are very supportive of a move in this direction, particularly if it :is focused on people with several repeat offenses. ATTACHMENTS a. Deschutes County DUII Referrals Calendar Year 2007 and 2008 ytd b. Deschutes County DUII Community Resource Guide - END - Page 8 Attachment 4 DUII Referral Data 2007 DUII Diversion Gary Matlick M.S Ph: 389-1269 madickcouns@coinent.com 2007 Pfeifer Sereni SMR Best Other Total Jan 19 10 0 29 13 71 Feb 16 10 0 29 8 63 Mar 20 21 0 26 3 70 Apr 13 7 0 31 15 66 May 7 15 0 27 6 55 Jun 13 17 0 26 13 69 Jul 15 10 5 25 7 62 Aug 6 12 18 26 10 72 Sep 5 9 12 21 17 64 Oct 11 5 13 13 11 53 Nov 13 5 14 16 3 51 Dec 11 8 8 17 3 47 Total 149 129 70 286 109 743 % Total 20% 17% 9% 38% 15% 100% 2007 DUII Convictions Paul Withrow Ph 388-1330 withrowpd@msn.com 2007 Pfeifer Serenity SMR Best Other Total Jan 0 Feb 0 Mar 0 Apr 0 May aggregate data supplied 0 do not have monthly Jun figures. 0 Jul 0 Aug 0 Sep 0 Oct 0 Nov 0 Dec 0 Total 122 26 4 98 41 291 Total 42% 9% 1% 34% 14% 100% Attachment 4 TOTAL 2007 Pfeifer Serenity SMR Best Other Total Matlick diversions 149 129 70 286 98 732 Withrow convictions 122 26 4 98 41 291 Total 271 155 74 384 139 1,023 % of Total 26% 15% 7% 38% 14% January - June 2008 DUII Diversions Gary Matlick M.S Ph: 389-1269 madickcouns@coinent.com 2008 Pfeifer Serenit y SMR Best Other Total Jan 12 17 11 22 ? 62 Feb 16 13 10 21 ? 60 Mar 7 10 16 30 ? 63 Apr 9 8 10 22 ? 49 May 9 11 8 23 ? 51 Jun 13 10 6 16 ? 45 Jul 12 6 9 26 ? 53 Aug Sep F~ Oct . L . Nov Dec Total 78 75 70 160 ? 383 January - July 2007 DUII Convictions Paul Withrow Ph 388-1330 withrowpd@msn.com 2008 Pfeifer Serenity SMR Best Other Total Jan 7 1 0 13 7 28 Feb 13 1 1 11 4 30 Mar 16 2 2 12 4 36 Apr 12 0 2 14 8 36 May 8 2 1 13 7 31 Jun 6 3 2 10 3 24 Jul Total YTD 9 71 0 9 5 13 5 78 4 37 23 208 Total 34% 4% 6% 38% 18% Key: Other = All other referrals; incl. Deschutes Cnty Pfeifer = Pfeifer and Associates Serenity = Serenity Lane Bend SMR = So Many Roads Best = BestCare Treatement Services Attachment 4 DUII Referral Data 2007 DUII Diversion Gary Matlick M.S Ph: 389-1269 madickcouns@coinent.com 2007 Pfeifer Sereni SMR Best Other Total Jan 19 10 0 29 13 71 Feb 16 10 0 29 8 63 Mar 20 21 0 26 3 70 Apr 13 7 0 31 15 66 May 7 15 0 27 6 55 Jun 13 17 0 26 13 69 Jul 15 10 5 25 7 62 Aug 6 12 18 26 10 72 Sep 5 9 12 21 17 64 Oct 11 5 13 13 11 53 Nov 13 5 14 16 3 51 Dec 11 8 8 17 3 47 Total 149 129 70 286 109 743 % Total 20% 17% 9% 38% 15% 100% 2007 DUII Convictions Paul Withrow Ph 388-1330 withrowpd@msn.com 2007 Pfeifer Serenity SMR Best Other Total Jan 0 Feb 0 Mar 0 Apr 0 May aggregate data supplied 0 do not have monthly Jun figures. 0 Jul 0 Aug 0 Sep 0 Oct 0 Nov 0 Dec 0 Total 122 26 4 98 41 291 % Total 42% 9% 1% 34% 14% 100% Attachment 4 TOTAL 2007 Pfeifer Serenity SMR Best Other Total Matlick diversions 149 129 70 286 98 732 Withrow convictions 122 26 4 98 41 291 Total 271 155 74 384 139 1,023 % of Total 26% 15% 7% 38% 14% J an Ualr -JUnc &UU0 LV11 "IV c1 J1u"a Gary Matlick M.S 2008 Pfeifer Ph: 389-1269 Serenity madickcouns@coinent.com SMR Best Other Total Jan 12 17 11 22 ? 62 Feb 16 13 10 21 ? 60 Mar 7 10 16 30 ? 63 Apr 9 8 10 22 ? 49 May 9 11 8 23 ? 51 Jun 13 10 6 16 ? 45 Jul 12 6 9 26 ? 53, Aug Sep Oct Nov Dec i r r Total 78 75 70 160 ? 383 lannQrv - _Llly 7.M7 DITH f nnvictinnc Paul Withrow Ph 388-1330 withrowpd@msn.com 2008 Pfeifer Serenity SMR Best Other Total Jan 7 1 0 13 7 28 Feb 13 1 1 11 4 30 Mar 16 2 2 12 4 36 Apr 12 0 2 14 8 36 May 8 2 1 13 7 31 Jun 6 3 2 10 3 24 Jul Total YTD 9 71 0 9 5 13 5 78 4 37 23 208 Total 34% 4% 6% 38% 18% Key: Other = All other referrals; incl. Deschutes Cnty Pfeifer = Pfeifer and Associates Serenity = Serenity Lane Bend SMR = So Many Roads Best = BestCare Treatement Services 2008-09 Deschutes County DUII Community Resource Guide Attachment 5 2008-2009 Deschutes County DUII Community Resource Guide A. DUII Evaluators Page November 2008 Table of Contents 1. Gary Matlick M.S. 2 2. Paul Withrow 2 B. Alcohol & Other Drug Treatment Providers * 1. BestCare Treatment Services 3 2. Deschutes County Mental Health 7 3. Pfeifer & Associates 10 4. Rim-rock Trails Adolescent Treatment Services 13 5. Serenity Lane 16 6. So Many Roads Recovery 19 All six treatment providers are licensed by the State of Oregon Department of Human Services Addictions & Mental Health Division Brought toyou as a community service by the Deschutes County DUII Coalition, The 7 7 Judicial District and the Deschutes County Addictions Committee. Final draft Page 1 11/25/2008 2008-09 Deschutes County DUII Community Resource Guide DUII Evaluators GARY MATLICK Phone: 389-1269 Email: madickades@coinet.com Attachment 5 Address: 360 NW Vermont PI Suite 30 Bend, Oregon 97701 Description of service offered: evaluation for the Courts: DUII, marijuana diversion, other evaluations as request by the Court. Hours available for appointment: 9:00 a.m. - 6:00 p.m. Monday - Friday. Procedure for making an appointment: Call or walk in. Out of town evaluations available by telephone as directed by the Court Fee for service: $150 for DUII evaluations; $90 for Marijuana diversion evaluations as ordered by the Court. Payment plans developed. Minimum requirements of my DUII clients: Follow the Court Order. Complete the evaluation and treatment program as specified by the Courts. PAUL WITHROW Phone: 388-1330 Email: withrowpd@msn.com Address: 1045 NW Bond # 10 Bend, Oregon 97701 Description of service offered: initial evaluation; referral to a certified alcohol and drug program; monitor progress until completion. Hours available for appointment: 8:00 a.m. - 5:00 p.m. Monday - Friday Procedure for making an appointment: Usually a client contacts by phone; I am available for walk- ins from 10:00 a.m. to Noon. Fee for service: $150 (payments allowed. Minimum requirements of my DUII clients: 1) comply with court order, 2) be on time, 3) be respectful, 4: call if there are problems with compliance. Any other information: Average interview time is 40-50 minutes long. Legal information is verified through the District Attorney's office. I always try to return calls the same day. i.' Final draft Page 2 11/25/2008 A 2008-09 Deschutes County DUII Community Resource Guide BestCare Treatment Services Contact: Dave Autrey Address: PO Box 1437, Bend, Or. 97709 Email dave@bestcaretreatment.org Attachment 5 For appointments call 541-617-7365 Web: www.bestcaretreatment.org Available services: Outpatient, DUII Rehabilitation services, DUII Information services, Restricted Driving License services Treatment philosophy: Chemical dependency is a progressive disease involving the destructive use of chemicals including alcohol, marijuana, cocaine, other illegal drugs or over-the-counter drugs. It affects a person's physical, mental, emotional, and social life. Chemical dependency can be arrested through abstinence and building the skills, social supports, and spiritual life which can support a recovery lifestyle. Service locations in Deschutes County: Bend Yes Location: 461 NE Greenwood 360 Vermont Pl., Ste. 20 LaPine No 1 16 1 Redmond Yes Location: 2326 SW Glacier PI 1 7 Spanish speaking staff: Yes Additional information? Latino outpatient services provided @ both Bend and Redmond offices. Gender specific services Yes Women's gender specific services provided @ all locations. Fees Fee for information only client $300.00 Orientation fee $-0- Assessment / intake $-0- Hourly fee for group session $42.00/ Other SFS - 29.00/hr to 110.00/hr Length of a t)Tical group session Hours:1.5 hr One on one hourly fee $63.00/hr; Other - SFS UA fee $16.00; Other - SFS Treatment planning session fee $-0- Discharge planning session fee $63.00/hr; Other - SFS - 29.00/hr to 110.00/hr Total cost Level 1 Basic program $615.00; Other SFS - 350.00 to 1265.00 Total cost Level 1 Extended program DUII-1686.00 - Other SFS - 926.00 to 3534.00 Note to prospective clients: the number of sessions or extent of the services offered and required will be based on your individual treatment plan. Final draft Page 3 Morn Aft Eve Weekend 11/25/2008 2008-09 Deschutes County DUII Community Resource Guide BestCare Treatment Services - continued Level One Basic Program Attachment 5 # of total hours / week Level 1 (estimate) 2.25 # of hours for each type of group 1.5 # of 1:1 hours required during treatment 3 # of groups required in a typical week 1.5 # of total group hours required in a week 1.5 # 1:1 hours required / week; # of sessions As per Rx Ian Is a UA required each week? u/a's are random No - random Do you provide family session; how long? Weekl -1.5 hrs Level One Extended Program # of total hours / week Level 2 (estimate) 4.5 # of hours for each type of group 1.5 # of 1:1 hours required during treatment 6 # of groups required in a typical week 3 # of total group hours required in a week 4.5 # 1:1 hours required / week; # of sessions As er Rx plan Is a UA required each week? No - Random Do you provide family-session; how long? Yes - 1.5 hr No Level Two Program Offered Groups offered by type: Bend Breaking Barriers Mon(g), Wed(g), 5:30 to 7:00 Living In Balance Mon (g), Thurs(g) x2, Fri (g) 5:30 to 7:00, 12:00 to 1:00pm Twelve Step Facilitation Tues(g), 5:30 to 7:00 Relapse Prevention Tues(v), Thurs(g), 5:30 to 7:00 Seeking Safety Tues(v), Tues(g), 5:30 to 7:00 Motivational Interviewing Wed(v), 5:30 to 7:00 Moral Reconation Therapy Wed(v), 5:30 to 7:00 Systemic Family Therapy Mon(v), 5:30 to 7:00 Hispanic group Fn'(v), 5:30 to 7:00 DUII Information Services Sat(g), 9:00 to 12:00 noon Restricted Driving License Tues(g), x1 monthly 5:30 X F Final draft Page 4 11/25/2008 2008-09 Deschutes County DUII Community Resource Guide BestCare Treatment Services - continued Breaking Barriers Seeking Safety Relapse Prevention Living in Balance Twelve Step Facilitation Motivational Interviewing Attachment 5 Mon, 5:30 to 7:00 Mon, 5:30 to 7:00 Tues, 12:00 to 1:00pm 5:30 to 7:00 Tues, 5:30 to 7:00 Thurs, 5:30 to 7:00 Wed, 5:30 to 7:00 Wed, 5:30 to 7:00 Size of typical groups: Group size varies. Living In Balance, our education group, is largely didactic and therefore can accommodate more clients. Census of this group can be as high as 20 to 24. Our more process oriented groups we try to keep to a maximum of 14 to 16. Support groups DUII clients are encouraged to attend: Any alcohol and drug specific support groups. Hours required in a typically session? Individual: '/z an hour to 1 hours Group: Most groups are 1 1/2 hours, Breaking Barriers groups are 2 hours. Fees for services (print here or attach) Sliding fee scale available based on income? Yes Indigent services available? Yes Oregon Health Plan accepted? Yes Insurance accepted? Yes Percentage of referred clients who stay in treatment and complete DUII responsibilities? As part of a national treatment improvement research project, BestCare tracks its rate of people attending and completing treatment carefully. 96% of clients attending orientation schedule intake appointments. 78% of clients involved in Contingency Management Program attend and pay, (if applicable), for first four groups. Attendance at first 4 contacts has long been a standard to predict positive treatment outcomes. These numbers are reflective of all O/P clients. Redmond Final draft Page 5 11/25/2008 2008-09 Deschutes County DUII Community Resource Guide Attachment 5 BestCare Treatment Services - continued Best practices used (name and briefly describe) a. Contingency Management - Clients attending and paying for first chargeable contacts are given choice of several gift cards to choose from at beginning each contact. b. Motivational Interviewing - Counseling methodology predominantly utilized agency wide. Motivational Interviewing group - Allows for the facilitation and implementation of strategies with five sessions. The group elicits positive change in people struggling with life choices and personal behavior. Addresses self-assessment/feelings/pros & cons/values and presenting a vision for positive change. d. Seeking Safety - Group designed for women with substance abuse and trauma issues. e. Twelve Step Facilitation: Project Match twelve-step treatment protocol which helps individuals benefit from, and access twelve step programs in order to bring manageability to people suffering from self destructive behaviors. f. Systemic Family Therapy - Evidenced based practice dealing with addiction affected families. g. Moral Reconation Therapy -Evidence based Cognitive Restructing program. Agency overview: BestCare Treatment Services is a non-profit agency committed to advocating and providing compassionate care in the treatment and prevention of addiction and mental illness. Since starting operations in November 1997, BestCare has set up a full continuum of care in Central Oregon which includes two residential treatment programs (English and Spanish), a detoxification program, outpatient addiction treatment in Bend, Redmond, and Madras, transitional housing for women in Redmond. Since 2002, BestCare has been the comprehensive community mental health provider for Jefferson County. For the past two years, BestCare has provided integrated co-occurring treatment for people with severe and persistent mental illnesses and significant substance dependence at our Residential Program in Redmond. Final draft Page 6 11/25/2008 2008-09 Deschutes County DUII Community Resource Guide Attachment 5 Deschutes County Mental Health Alcohol & Drug Program Contact: Karen Tamminga Address: 2577 NE Courtney Drive E-mail address: karent@co.deschutes.or.us For appointments call 541-322-7500 Web site address: www.deschutes.org Available services: Deschutes County Provides DUII services for individuals on OHP and in many cases or those with a severe and persistent mental illness or dual diagnosis. Services include assessment, individual counseling, group therapy, medication evaluation / consultation, patient assistance with mental health medications when applicable and available. Treatment philosophy: We believe that chemical dependency to alcohol or other drugs is shown by a person's not being able to control use in spite of harmful consequences. Alcohol and other drug abuse effects all parts of a person' life. Treatment that works must address all parts of the problem. Recovery depends on the person staying free of all mood changing drugs, unless taken for valid medical reasons. Being clean and sober is only the first step. Ongoing evaluation occurs to ensure that the client's treatment needs are being met. Alcohol and other drug dependence effects the whole family. Education and treatment are offered to all persons living with the person in treatment. Self-help programs such as Alcoholics Anonymous and Narcotics Anonymous are used to aid the individual in forming a lifelong support system. Service locations in Deschutes County: Morn Aft Eve Weekend Bend Yes Location: 2577 NE Courtney (groups, individual & medications) X X X No LaPine No Redmond Yes Location: 736 SW 7`'' St, Redmond (individual only, limited groups) X X X No Spanish speaking staff No Spanish Interpreters are available for individual sessions. Gender specific services Yes Women's groups available, male and female counselors available for individual sessions. Groups offered by type: (include time, location and length) Co-Ed Treatment Group - Mondays 5-6:30pm, Weds 5-6:30pm, Women's Recovery Group (s) Mondays 5-6:30pm, Wed 11:30-fpm Dual Diagnosis Group(s) Mondays 10-12pm; Tuesday 1-3pm; Weds 5-6:30pm Seeking Safety Groups(s) Wednesdays 10-12pm; Life Skills Groups: Wednesdays 1:30-3pm DBT groups (s) Tuesdays 1-3pm; Thursdays 9:30-11:30 Size of typical groups: 8-10 Final draft Page 7 11/25/2008 2008-09 Deschutes County DUII Community Resource Guide Attachment 5 Deschutes County Mental Health - continued Support groups DUII clients are encouraged to attend: Not required as part of treatment, but info given on AA, NA, Christian Recovery groups, Dual Diagnosis groups Hours required in a typically session? Assessment: 1-2 hours Individual: 1 hour per session, 1-4 hours per month; typically 2x month Group: 1.5 hour - weekly for minimum of 3 months. Medication Consultation -1 hour 1x month - once every 2-3months, as needed. Fees Fee for information only client Do not Provide Orientation fee Not applicable Assessment / intake $ 120 per hour Hourly fee for group session $ 40 Length of a typical group session Hours: 1.5 to 2 One on one hourly fee $ 120 - sliding scale avai:.able UA fee $ 40 Treatment planning session fee $ 0 Discharge planning session fee $ 0 Total cost Level 1 Basic program $ 1,280 Total cost Level 1 Extended program $ 2,280 - 4,500 Note: to prospective clients- the number of sessions or extent of the services offered and required will be based on your individual treatment plan. Level One Basic # of total hours / week Level 1 (estimate) 1.5-2.5 # of hours for each type of group 1.5-2.0 # of 1:1 hours required during treatment 6-8 # of groups required in a typical week 1 # of total group hours required in a week 1.5-2.0 # 1:1 hours required / week; # of sessions 1 hr/ week (typical, not re wired Is a UA required each week? No Do you provide family session; how long? Available if needed Level One Extended # of total hours / week Level 2 estimate 6-9 # of hours for each type of group 1.5-2.0 # of 1:1 hours required during treatment 10-12 # of total group hours required in a week 3-4 # 1:1 hours required / week; # of sessions 1-2 hours/ 1-2x per week Is a UA required each week? N o Do you provide family session; how long? Available if needed No Level Two Offered Final draft Page 8 11/25/2008 2008-09 Deschutes County DUII Community Resource Guide Attachment 5 Deschutes County Mental Health - continued Groups offered by j pe: (include time, location and length Co-Ed Treatment Group - Mondays 5-6:30pm, Weds 5-6:30pm, Women's Recovery Group (s) Mondays 5-6:30pm, Wed 11:30-fpm Dual Diagnosis Recovery Group(s) Mondays 10-12pm; Tuesday 1-3pm; Weds 5-6:30pm Seeking Safety Groups(s) Mondays 3-4:30pm; Wednesdays 10-12pm; Life Skills Groups: Wednesdays 1:30-3pm DBT groups (s) Tuesdays 1-3pm; Thursdays 9:30-11:30 Support groups DUII clients are encouraged to attend: Not required as part of treatment, but info given on AA, NA, Celebrate Recovery groups, Double Trouble groups Intake fee: Hourly fee for individual is $120, groups are $40 hour or based on sliding fee scales. Primarily Take OHP clients only for DUII and Outpatient treatment. Fees for outpatient alcohol and other drug treatment are covered by the Oregon Health Plan. For those not covered by the Health Plan fees will be based on a sliding fee scale which is based on the client's income. Sliding fee scale available based on income? Yes Indigent services available? Yes Oregon Health Plan accepted? Yes Insurance accepted? Yes Percentage of referred clients who stay in treatment and complete DUII responsibilities? 95% Best practices used h. Motivational Enhancement Therapy i. Motivational Interviewing J. Seeking Safety k. DBT 1. AA/NA Final draft Page 9 11/25/2008 2008-09 Deschutes County DUII Community Resource Guide Pfeifer & Associates Attachment 5 Contact: Sally Pfeifer For appointments call ph: 541-383-4293 Address: 23 NW Greenwood, Bend Or 97701 E-mail address: pfeifera@optisnet.com Available services: Full adult outpatient services. Orientation, assessment, individual, groups, marital, family, corrective thinking groups, Gorski relapse prevention services, support groups. Levels include: Information Only, Education, Recovery, Intensive Outpatient and Level II. Inmate Services and Inmate assessments. Federal Probation and Federal Pre-sentence Investigation Services. Probation services and Alternatives to Incarceration Program services. Intensive treatment services for Addicted Families through the Department of Human Services. Housing opportunities for Families in Recovery. Treatment philosophy: We believe that chemical dependency is a complex but treatable disease that affects all areas of an individuals life. Treatment must address the bio-psycho-social aspects of each individual, which includes their families. While this disease is often fatal, with education, support and treatment interventions, recovery is possible. Our treatment approach incorporates cognitive behavioral and rational-emotional behavioral therapies along with community based support groups. Service locations in Deschutes County: Bend Yes Location:23 NW Greenwood LaPine Yes Redmond Yes Other Yes Location: 16440 Finley Butte Road Location:544 SW 4`h St. Location: 19 SW "D" Street, Madras 1470 NE Third Street, Prineville Morn Aft Eve Weekend x x x no x X X no X X x no X X x no Spanish speaking staff: Yes Additional information? Full Hispanic sen ices in Madras and Prineville, limited in Deschutes County Gender specific services Yes Additional information? We offer full gender specific services in all of our Deschutes County offices Groups offered by type: We have full services in all of our locations. Morning, noon and evenings. Please call with questions about times or days. Size of typical groups: 12 to 14 Support groups DUII clients are encouraged to attend: Community based support groups Hours required in a typical session? Individual: 30 minutes Group: 1 hour to 1 and a half hour Family: One hour Final draft Page 10 11/25/2008 2008-09 Deschutes County DUII Community Resource Guide Attachment 5 Pfeifer and Associates - continued Fees Please include the dollar amount: if no fee is charged or if a range of fees apply please note. Fee for information only client $340 Orientation fee $ 0 Assessment / intake $ 0 Hourly fee for group session $ 0 Length of a typical group session 1 to 1.5 hours One on one hourly fee $ 0 - 35 UA fee $ 0 - 25 Treatment planning session fee $ 0 Discharge planning session fee $ 0 - 35 Total cost full Level 1 Basic program $0-775 Total cost full Level 1 Extended program $0-1,245 if attending 2 times /wk $1,725 if attending 3 times / wk Notes: 1. Estimate a cost where necessary or provide a typical range of cost 2. Cost should be the standard full fee; also type SFS next to the dollar amount for "sliding fee scale" if you offer a reduced charge based on ability to pay. 3. Note to prospective clients: the number of sessions or extent of the services offered and required will be based on your individual treatment plan. Level One Basic # of total hours / week Level 1 (estimate) 1.5-3.0 # of hours for each type of group Information not provided # of 1:1 hours required during treatment 3-12 # of groups required in a t~ypical week 1-2 # of total group hours required in a week 1.5-3.0 # 1:1 hours required / week; # of sessions 0-1 Is a UA required each week? No Do you provide family session; how long? Yes, 1 hour Level One Extended # of total hours / week Level 1 (estimate) 4.5-5.5 # of hours for each type of group 1 - 1.5 # of 1:1 hours required during treatment 6 -12 maximum # of groups required in a typical week 3 # of total group hours required in a week 4.5 # 1:1 hours required / week; # of sessions 0-1 Is a UA required each week? No Do you provide family session; how lon ? Yes, 1 hour No Level Two Offered Final draft Page 11 11/25/2008 2009-09 Deschutes County DUII Community Resource Guide Attachment 5 Pfeifer and Associates - continued Sliding fee scale available based on income? Yes Indigent services available? Yes Oregon Health Plan accepted? Yes Insurance accepted? Yes Probation Contract indigent services available? Yes Federal contract and pre-trial contract services available? Yes Department of Human Services Indigent Funding Available? Yes Housing Opportunities Available? Yes Percentage of referred clients who stay in treatment and complete DUII responsibilities? 90% Best practices used (name and briefly describe) m. Motivational Interviewing n. Seeking Safety o. Contingency Management P. Cognitive restructuring Agency overview: Our mission is to provide a safe and nurturing environment that enables chemically dependent individuals and their families to heal and grow. An environment that is accessible and affordable fosters an enhanced quality of life for the individual , family members and the community. Final draft Page 12 11/25/2008 2008-09 Deschutes County DUII Community Resource Guide Attachment 5 Rimrock Trails Adolescent Treatment Services Contact: Linda Luckey Address:1333 NW 9th, Prineville OR 97754 Email address: lindal@rimrocktrailsats.com Web site address: www.nrmrocktrailsats.com Bend appointments call 541-388-8459 LaPine appointments call 541-388-8459 Main office in Prineville call 541-447-2631 Toll Free: (888) 532-6247 Available services: Central Oregon Extended Unit for Recovery, Inc. (COEUR), doing business as Rimrock Trails Adolescent Treatment Services, provides alcohol and drug addiction treatment for adolescents age 12 thru 17. Located in Central Oregon, we operate out-patient offices in Bend, Prineville, Redmond and LaPine. Our residential facility is located in Prineville, Oregon. We are a non-profit organization licensed by the Oregon Office of Alcohol and Drug Abuse Programs. We are also certified by the Department of Human Resources, Services to Children and Families. Therapy is based on the youth's stage of change and families are encouraged to participate whenever possible. Individual treatment plans are developed and updated regularly with the youth and his/her primary counselor. Each case is reviewed weekly according to ASAM PPC-2R adolescent placement criteria to determine the appropriate level of care. Treatment philosophy: Rimrock Trails Adolescent Treatment Services' mission is to provide quality substance abuse treatment to Oregon's adolescents. All education and treatment services are designed exclusively for adolescents. Services are based on a continuum of care model and include progressively intensive program elements, in order to meet the level of addiction experienced by each youth. Treatment is based on personal responsibility and positive motivation to intervene in the progressive cycle of addiction. We are a values-based program promoting holistic treatment that includes social, emotional, physical and spiritual growth. Chemical dependency affects the entire family. We have found that treatment success increases with family participation and encourage all members of the family to commit to the process of recovery. The development of positive support enriches the recovery process. Our program includes the 12-Step process of Alcoholics Anonymous (AA) and Narcotics Anonymous (NA). Family members involved with the Al-Anon group enhance the success of those in recovery. Service locations in Deschutes County: Bend Yes 63360 Britta St, Bend Oregon 97701 Office Hours: Monday thru Thursday 8:30 am to 6:30 pm LaPine Yes Deschutes Co. Building, LaPine Offices Hours: Thursday 9:00 am to 7:00 pm Redmond Yes Location: 413 SW 8"', Redmond Oregon Office Hours: Monday thru Thursday 8:30 am to 6:30 pm Other Yes Location: The Loft 1900 Century Dr. Bend Oregon Monthly Group for Runaways and Homeless Youth Assessments by appointments Final draft Page 13 11/25/2008 2008-09 Deschutes County DUII Community Resource Guide Attachment 5 Rimrock Trails - continued Spanish speaking staff: No Gender specific services No Fees Fee for information only client $ 225.00 Flat rate Orientation fee $ Included Assessment / intake $ 175.00 Hourly fee for group session $ 65.00 average based on SFS Length of a typical group session Hours: 1.5 and 2 for Education Gr. One on one hourly fee $ 82.25 average based on SFS UA fee $ 28.00 Treatment planning session fee $ Included Discharge planning session fee $ Included Total cost Level 1 Basic program $ 3069.00 average based on SFS Total cost Level 1 Extended program $ 3849.00 average based on SFS Notes: Cost per treatment episode is based on Sliding fee scale, insurance/co-pay, OHP Rates and/or indigent funding. Cost above is an average based on Sliding Fee Scale Note to prospective clients: the number of sessions or extent of the services offered and required will be based on your individual treatment plan. Level One Basic # of total hours / week Level 1 (estimate) 42 est. for 12 weeks, 1 to 4.5 per week # of hours for each type of group 18 peer, 12 Education # of 1:1 hours required during treatment 12 # of groups required in a typical week 2 # of total group hours required in a week 3.5 # 1:1 hours required / week; # of sessions 1 per week for 12 sessions Is a UA required each week? Yes Do you provide family session; how long? ~l Grou s Families are invited to Education: Level One Extended # of total hours / week Level 2 (estimate) 54 est. for 12 weeks, 6 weeks per week # of hours for each type of group 18 peer, 12 family, 12 Education, # of 1:1 hours required during treatment 12 # of groups required in a typical week 3 for 6 wk, 2 for 8 wks and 1 for 12 weeks # of total group hours required in a week 5 for 6 wks, 3 for 8 wks and 1.5 for 12 weeks # 1:1 hours required / week; # of sessions 1 per week for 12 sessions Is a UA required each week? Yes Do you provide family session; how long? Yes No Level Two Offered Final draft Page 14 11/25/2008 2008-09 Deschutes County DUII Community Resource Guide Attachment 5 Rimrock Trails - continued Rimrock Trails Adolescent Treatment Services offers all three levels of care - educational, outpatient, and intensive outpatient treatment services - to adolescents in Crook and Deschutes Counties. We offer assessments in these counties and maintain offices in Bend, Redmond and Prineville. The length of time required to complete treatment is based on ASAM criteria and varies according to the client's individual needs and rate of progress. Most clients require approximately 12 weeks to complete treatment. All clients receive weekly individual and group therapy. In addition, clients and their parents or guardians attend a family therapy group each week. Call for a schedule of group sessions. In addition, clients are encouraged to attend AA and NA recovery meetings in the community. Program Schedule Bend Y Prineville Redmond Mon , Multi-Family.Group .05 Education Group Individuals Tue Indio idualf Assessments Individual/ Assessments Multi-Family Group Wed Peer Group Multi-Family Group 05 Education Group Thu .05 Education Group Peer Group Peer Group Fri Closed Closed Closed • Individual sessions will be scheduled by appointment only. • Attendance in group requires prior enrollment. Group times are subject to change. LaPine Services: Thursdays from 9:00 am to 6:00 pm Size of typical groups: 10 to 18 Support groups DUII clients are encouraged to attend: NA/AA or other recovery support groups in the community. Hours required in a typically session? Individual: 1 Hour Group: 1.5 Hours Percentage of referred clients who stay in treatment and complete DUII responsibilities? Estimated: 75% Best practices used: q. Motivational Interviewing r. Dialectical Behavioral Therapy s. Cognitive Behavioral Therapy t. Matrix Model u. 12 Step Recovery Meetings Final draft Page 15 11/25/2008 2008-09 Deschutes County DUII Community Resource Guide Attachment 5 Serenity Lane Contact: Don Ziegler For appointments call 541-383-0844 Address: 601 NW Harmon Blvd Web site address: www. serenityLane.org E-mail address: dziegler@serenitylane.org Available services: Serenity Lane provides a full continuum of care from DUII education to Level II treatment in Central Oregon. Treatment philosophy: Serenity Lane believes that Addiction is a treatable disease and by using proven treatment philosophies addicts can recover. We believe in the medical model of addiction and use twelve step philosophy along with denial management and relapse prevention to educate and treat the disease. We evaluate individuals using the American Society of Addiction Medicine criteria for placement, continued care and discharge. Service locations in Deschutes County: Morn Yes Aft No Eve Yes Weekend No Bend Yes Monday morning and Thursday evening 601 NW Harmon BLVD Yes Wednesday evening 61396 S Hwy 97 #107 LaPine No Redmond Yes Spanish speaking staff: Gender specific services Fees Tuesday evening 1379 S 15th No Yes We have level II Gender specific groups Fee for information only client $ 275 Orientation fee Not applicable Assessment / intake $ 120 +50 for 1s` UA Hourly fee for group session $ 28.65 in Bend 34.87 in Redmond Length of a typical group session Hours: 1.5 to 2 for level I and 3 hours for level II One on one hourly fee $ 0 UA fee $ 50 Treatment planning session fee $ 0 Discharge planning session fee $ 0 Total cost full Level 1 program $ 845+170= 1015 in Bend 780+170=950 in Redmond Total cost full Level 2 program $ 4860 + any UA's May receive $810 discount if they sign a pricing agreement. Note: to prospective clients: the number of sessions or extent of the services offered and required will be based on your individual treatment plan. Final draft Page 16 1.1/25/2008 2008-09 Deschutes County DUII Community Resource Guide Serenity Lane - continued Level One Attachment 5 # of total hours / week Level 1 (estimate) 2 in Bend 1.5 in Redmond # of hours for each type of group 2m' Bend 1.5 in Redmond # of 1:1 hours required during treatment 2 # of groups required in a typical week 1 # of total group hours required in a week 2 in bend 1.5 in Redmond # 1:1 hours required / week; # of sessions 0 Is a UA required each week? No Do you provide famil session; how Ion ? No available if needed Level Two # of total hours / week Level 2 estimate 9 # of hours for each e of group 3 # of 1:1 hours required during treatment 4 # of total ou hours required in a week 9 # 1:1 hours required / week; # of sessions 0 Is a UA required each week? N o Do you provide family session; how long? Yes 1, 3 hour family group & 2, 1-1 family sessions Groups offered by type: (include time, location and length) Level I groups: Monday 9-11 AM 601 NW Harmon Blvd, Bend Thursday 6-8 PM 601 NW Harmon Blvd Tuesday 6-7:30 1379 S 15`h Redmond Wednesday 6-8 PM South 97 Bend Level II groups: Bend Mon, Wed, Thru both gender specific 6-9 PM Tue, Wed, Fri mixed gender 6-9PM Size of typical groups: Level I groups 6-14 Level II groups 6-12 Support groups DUII clients are encouraged to attend: DUII patients are encouraged to attend AA or NA or other support groups such as church, rational recovery, SOS, etc. Hours required in a typical session? Individual: intake, treatment planning, discharge for level I Individual: intake, treatment planning, discharge for level II and family sessions Group: Groups for level I are either 1.5 hours or 2 hours, Level II groups are 3 hours Final draft Page 17 11/25/2008 2008-09 Deschutes County DUII Community Resource Guide Attachment 5 Serenity Lane - continued Fees for services: Sliding fee scale available based on income? Yes Indigent services available? Yes We do not receive indigent funds, but do provide some services for this population Oregon Health Plan accepted? Yes Insurance accepted? Yes Percentage of clients who stay in treatment and complete DUII responsibilities? 91.5% Best practices used v. Twelve step Facilitation w. ASAM x. Relapse prevention y. Motivational interviewing Agency overview: Serenity Lane was founded in 1973 by Thomas Kerns with the belief that addiction is a treatable disease. In 1992 Serenity Lane opened an outpatient office in Bend Oregon to further serve people of central Oregon who had completed treatment at our residential facility in Eugene. Since the opening of the Central Oregon Office in Bend we have expanded to include DUII services. The expansion to serve this population was part of our philosophy that a DUII is just one more crisis in the life of those suffering from addiction and often an early intervention in the disease process. Final draft Page 18 11/25/2008 2008-09 Deschutes County DUII Community Resource Guide So Many Roads Recovery Attachment 5 Contact: Scott McGuire For appointments call 541-633-7500 Address: 888 NW Hill St. Bend, OR 97708 E-mail address: scoff@mcguire-elhngboe.com Available services: Adult outpatient alcohol & drug treatment services. ASAM assessment, DUII Information services, DUII Rehabilitation services, gambling addiction counseling, individual therapy, relapse prevention/recovery group. Treatment philosophy: So Many Roads Recovery believes that providing people with an honest approach to the issues they are facing will increase their ability to be the people they want to be. We see people as individuals, with unique circumstances that deserve to be treated in a way that promotes a healthy sense of self. Service locations in Deschutes County: Bend Yes Location: 888 NW Hill St Morn Aft Eve Weekend no x X X LaPine No Redmond No Other No Spanish speaking staff No Gender specific services Yes Groups offered by type: Information Program held on Saturday and/or Sunday 1:00 - 4:00 pm. Treatment groups are held Mondays at 6:00 pm, Tuesdays at 5:30 pm, Wednesdays at 11:00 am and 5:30 pm and Thursdays at 5:30 pm. Groups typically are 60 - 90 minutes in length. All groups are held at 888 NW Hill Street in Bend, Oregon. Size of typical groups: 6 -12. Group size will never be greater than 12. Support groups DUII clients are encouraged to attend: Clients are encouraged to attend recovery-based support groups in the community. Hours required in a typical session? Individual: 30-60 minutes Group: 60 - 90 minutes Final draft Page 19 11/25/2008 2008-09 Deschutes County DUII Community Resource Guide Attachment 5 So Many Roads Recovery - Continued Fees Fee for information only client $ 250.00 Orientation fee $ 0.00 Assessment / intake $ 0.00 Hourly fee for group session $0-40.00 Length of a typical group session Hours: 1.0 - 1.5 One on one hourly fee $0-55.00 UA fee $ 18.00 Treatment planning session fee $ 0.00 Discharge planning session fee $0-55.00 Total cost Level 1 Basic program $600 Total cost full Level 1 Extended program $1,124.00 Note to prospective clients: the number of sessions or extent of the services offered and required will be based on your individual treatment plan. Level One Basic # of total hours / week Level 1 (estimate) 1.5-3.0 # of hours for each type of group 1.5 # of 1:1 hours required during treatment Varies # of groups required in a typical week 1-2 # of total group hours required in a week 1.5-3.0 # 1:1 hours required / week; # of sessions Varies Is a UA required each week? no Do you provide family session; how long? Not currently Level One Extended # of total hours / week Level 1 (estimate) 4.5 # of hours for each type of group 1.5 # of 1:1 hours required during treatment Varies # of groups required in a typical week 3 # of total group hours required in a week 4.5 # 1:1 hours required / week; # of sessions Varies Is a UA required each week? no Do you provide family session; how long? Not currently Fees for services Sliding fee scale available based on income? Yes Indigent services available? No Oregon Health Plan accepted? Yes Insurance accepted? Yes Percentage of referred clients who stay in treatment and complete DUII responsibilities? Final draft Page 20 11/25/2008 2008-09 Deschutes County DUII Community Resource Guide Attachment 5 Approximately 90 Best practices used a. Motivational Enhancement b. Cognitive Restructuring c. Contingency Management Agency overview: So Many Roads Recovery's philosophy is to provide services to anyone seeking recovery from a life that may have spiraled out of control. We believe that anybody can be free from the damage that alcohol and drug abuse can cause. Anyone entering So Many Roads Recovery will be treated with dignity and respect as human beings at all times. We have all found ourselves in situations that have caused us difficulty and we believe that our life experiences may provide some insight and solution for others. Final draft Page 21 11/25/2008 a0i ccS d co 0 0 N N L O O z I d E O U C d a N O N Q .a c to d w 0 U rn EL d d U) O O R r+ C d U) U) 0 N Q 0 C R ° U Y O C cu p t9 a) _0 a) 0 •r+ =3 N ° O C >~~m co O) aj p 0 mm cn ° =1 a>i.~ a) L cU ' p may NEcn o ° o)m c cu a i -`v C: a~ > a) Co E 3 0~ c = E .9 0) cu c N Z C co co CL t y 3 Y 0) (o m c°' (n d Qy d E C O ` N ° - co L W U O w N-o 0) O ' - L O O co O C ~a-° m~ o U oQ. o > c 0 co U --c ° CL O = Q U U co L ° c° c in ' = -O L O a) ° °y cY cu 5 N a) y o m N 4O c a) - m c d a i c O co co p U o L N N 0 0 -O e c C O a) cL 0 o C O O)O L c- (D o m ~ m o Lm•~ > 0• > o a) p L io E o aD o <n co ° co 0 ~ cn o co O0~co(u y a) ao "icc a)°o° °50 . . a a U~m20o° 7 4 U) U 0 a) C N N U U O O~ O C a) •U a) O O a) O ) co O w C F- a) 0 co J cn U C C a) 11 O w U C a O ca 0 3 N _0 4-- a) C O U 0 O 3 O O O p CV Q cu p ch L > O N L L O a) L a) p) O a) a) E O) C L O a O ° c C ° w a) co a) , E co N cu co d -CO) E c O > M co O co U =N j j o C co a) a) L - y m E o ~ a N d ~ m co 0 a o) p O N a (n c i E a E O O , O C N w p cn ° • , o- 7 C: N C a) -0 C -r- CU -r c L c j y cL_o > ~o bo > o o E'> m a a) (u a) _ U> O U c o ~ 0 Lc ~Ccoy a) 3 oC~ c > C co a). co > 0),0 a) ° -0 C `O L CO os E Q U c° y a) co c Qa o c U L O C c 0 0 o 3 O O U) O L N c E .c C N m a) N O N _E a) C = E c cu a) d O y a) a N L c L U. y N C U co C c E a a) c O N co 0 m V c°n > CO c 6 j c> > N 7 d iN0 a) ~3E 0) (U a) c :2 ,0 a)a) > L-a O TO OCUCU-cnaa)) =3 E L cb a) cu >N L c , aM o ~r a ' c c 3 > . 0 m° c c a) ° E ~c E ° QM din ° L m 0 >.-.•-gi p o• c c c L) =c a) n aUi s a) m O O I- O U oo~ . fn L. D) > a) . ° (Q "Cu C •N a) d£"~oa) -0 ca`c>- cu _r_ > Q L a) co O O O O flu' ~ cn N L O) U3co a a) ~ o O 0 U O E m- O. N ° U F- ;'a) N c 0)) 4- ° y c U O c y_ c O N a ) . c co C> _ w t d o Q U O o. Q O o N,~: (n c C 7 a) o o -c co a co -c y co L . U E N o) E c 'L a) 0) U ° (n via) c 0) 3 a)a)ca)°. O E U cn >a U) L. co , Q) 'a) cc co ioa) co a) a O N c aL.. = s O O L C Q O (6 O a) C (U C a) - to C 0 C c-o t C p :p p U lv -0-0 L, L a) 1 U w 0) '~o U (D a N L a) a U C _ O O ca p E-c N a) .a a) U = > E a) C O a) of O m L CD c cn ~ 0 a> c U O) 3 L E a) L a) 07 a)- a) a)-0 n O Co ar p) C O E V U O p > .a co cn co aci>>~°o U a)cO03a ~0oc-c,.E ID C > Min rcu U a) U)n~ y 0 a) U(D c°om M -0 m a co m co Q) C fn N M .,14--01 ~ A L, : Q °33 ~r= Z C N L mr,Z -a T as co0) O a) O N .r m a in ) X wL.. N E L C O 0 O U O a) _0 N ac) O to ca. ' ° s o ~ ~ co pp U cn s > c Q 0 _0 3 io -0 - U a) nn c a) a) - L co a) d O y CU _ a) C O vi N N N U O O m d o CV O ;Cs j ' cn O C U) C L L' a) , O O N . O O L Y (O rN a) >mE 0- a)>> ENO 0 -C ~'E CU a) CU > _U 0) " _ C (0 L p U > N O C C 7 > W O -p rU+ p U •C . O 0 co cn O a) a) > ! ~ 7 LO cu ' 3 ~ a) +L-' 'c "O > O U 0 Q i > 0~- U _ O in a) w ° co -O a) O Q) C E a) m 1= C L co - C C~ cn a) co m 0 O O> a) E L L a) N ° 0 o ~ a) (n N L C O a) c j- co > QY U (U " a) a) V- oo m d O~ m f°~ c _0 0 ~m ~ a~ ° L 3 p N4 rnL a)° o a) -r- Co O O _ CD .0 j C a) a) co cr p p 0 L O a a) - " W E r co :3 0 a) a) C v> a) a co O U N E O O c U) 0aC.- o O Z r U) C M o IU 0) N L E O ca ~ p (D 0 a C m CM Y a m N 7 d c Q o ~LC~ Z mo / N Q . Q fl.~ O. cu v N O U) O L O U) C _O U c v c O N N ` L m N O N - - L C N ~ O • O O O C U U U M U • O cu cu N C CU E O N N O E 7 p c6 N O O 0 E C O V) L= L L U O i N N cr O !v Ca p a L a 0 O U) w N O O C y L Y p) = L Q _ O C O O O - C r c Q n Y L ~ ~ E +-p r L L a) C L O L E (j L O O C 3 , m Q T p N c u l O O to a N c o ai N p a) cu p cu O O m E y 3 rn O E L O O N N C', . v- a) E O 070 U U cu O N 0 O = ~ N C to O O O p to > L 6 N L cu a _ d "o V O LO a M ~ U N- O C 3 O p U _ (n N cu U O C cu U a) C O ~ y L N 0 3 0 c-° o 3 C 4- CO (1) Co ~ 3 C ° 0) "O D E a~ O 70 c O ° L a) E O c5. a ~O C WD ~E~ -°ay toW= - cwU))4- =3 a) O > a U 7 Q -0 (DEm ° cU>, 0 >1 cu 0 " _ O a N O a m ~ L S: L O N`'40., to N L U C a cu F- 7 3 E m 4 O N y~ 2 ca a W w cU w- a O CU 0) > cu (U to 7 to d R C • y L a m o Z c Z o Z N L E cn co c ° N ct c E o "C c-o m c . Co L L L N N> U) O " OU w U L 4-- M 4- O O cu t O, E Q) to C: N _ "O a) a o tll L N Q. M cU °U U to cu -0 C N C U) 0 Q) 'a 7 0 ° to .fl E 0 E - O L ..O O V1 U C O C O1 Q U O .n C O (u C cl cU C cu c: E. E cu p'- A) cu O N O -p U C cU cu 0 cn co cU .0 C o 5-0 U s _ v m N .CL U E L Q• a ° ' ° tll co I] 0 Q M p a) i o o a c 3 c ) CO o ° o o co 0 Q to N O i > Q O L 0= N w _0 O m . N O O L U L E 0 0 0 C 0 O L v, .Q 3 o 0° a ~-f9° --°p Env o~ ~ Z CU C: m~-0-0 c iU (U N- ca p cB N O L T N L_ O O CU w cU 0 N N N 4- O to ~ ` 3 O cU N 7 N a O a) •C O L E CO N O cu ° U,. a) L O N~~ ~c p _C 3 Cu E 7 ca _O a to N ~ O U) ~ • L O C N E' E w._ 4 U to 0 w cu 0 O° C Cl) G 7 7 7 L > E ° L E° a) o Fn N O O O C U~ a) p to _ a) W C L U L L cU C C O O C° U i _0 n CA O~ N U O -cu O ` _ 1 1 y cu L L a) cu 1 L `i a 1 0)0)0 I N U I -0 cU a-0 U U L•:, z C O N p ~ 7 = O Y 3 to s ° c- to O L O M E a U) U 0 U) U) C~ E 0 C V A .2 L > O = O a N d 2 to O !Z O N Q O R O R v L R d w U r d O !4 G1 to 4+ O L t o d O t 0 C > C ' E V C U l L % > C L C) v .20 0 c G' co