2010-2929-Minutes for Meeting October 04,2010 Recorded 11/10/2010es co`Za
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MINUTES OF MEETING
LOCAL PUBLIC SAFETY COORDINATING COUNCIL
MONDAY, OCTOBER 4, 2010
County Administration Building, 1300 NW Wall, Bend, OR
Present were Commissioners Tammy Baney and Alan Unger; County
Administrator Dave Kanner; Judge Michael Sullivan; Ken Hales, Community
Corrections; Eileen Stein, City of Sisters; Ruth Jenkin, Jail (for Sheriff Larry
Blanton); Ernie Mazorol, Court Administrator; Scott Johnson, Health Services;
Jack Blum, citizen member; Donna McClung of the Oregon Youth Authority; Ed
Boero, City of Redmond; Dave Tarbet (for Redmond Police Chief Ron Roberts),
Chris Seber of the Oregon State Police (for Carl Rhodes); Jacques DeKalb,
defense attorney; Hillary Saraceno, Children & Families Commission; Shelley
Smith of the KIDS Center; and four other citizens, including Judge Alta Brady.
1. Call to Order & Introductions
Judge Sullivan opened the meeting at 3:35 p.m., at which time the attendees
introduced themselves.
2. September Minutes
Jack Blum moved approval; Jacques DeKalb seconded; and the minutes were
unanimously approved.
3. Public Comment
None was offered.
DESCHUTES COUNTY OFFICIAL RECORDS Q 7010'7979
NANCY BLANKENSHIP, COUNTY CLERK
COMMISSIONERS' JOURNAL
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2010-2929
11110/2010 08 ,11, 28 AM
Minutes of LPSCC Meeting Monday, October 4, 2010
Page 1 of 8 Pages
4. Mental Health Homes & Telecare
Scott Johnson said he and others are actively working on developing
additional residential home treatment centers. LPSCC has been supportive
during this process. Several programs have come together at about the same
time, including five projects that are open or will be open soon.
Two are five-bed residences; six of the ten beds are for County placements,
and the others are for individuals placed by the State. The sixteen-bed secure
residential treatment facility on Poe Sholes Drive is to be used for civil
commitments, or individuals subject to the review board. These are all under
the supervision of the service provider, Telecare, and Jay Harris is the regional
manager of the three projects.
The other two projects are Housing Works' sixteen apartments in the
Redmond area, used for independent living; and adjacent to the apartments is
Barbara's Place, which serves to move people from homelessness into
permanent housing. This will make six new residences now under
construction.
It is exciting news, but subject to some controversy. It will also meet less than
20% of the need in the community. This is more progress than has been made
before in the area, however.
Some residents in the areas of the two residential treatment centers have
voiced concerns about the placement of the centers, and he continues to work
on this issue.
Jay Harris of Telecare was introduced, and distributed some documents that
explain the projects. He said that four of the ten beds in the two residential
treatment centers are now occupied. The job of Telecare is to provide
residents with a stable environment to help them reintegrate into independent
living situations.
The services to be provided are in the realm of skills development and life
coaching, and facilitating them to get out into the community to access the
services they need. When individuals leave the facilities, they ideally move
into more independent living, such as a group home or foster home, but lower
levels of care or perhaps entirely independent living are possible.
Minutes of LPSCC Meeting Monday, October 4, 2010
Page 2 of 8 Pages
Mr. Johnson said these treatment center placements are covered under Federal
Fair Housing laws and some State laws, and the residences can by law be sited
in any residential area. The law allows a maximum of five beds in each, with
24-hour awake staffing. The County is involved in the siting, as is the State.
It could have been in Bend or Redmond, but the housing needs to be sited
where there are city services, including public transportation, and the locations
were found to be good because of proximity to clinics and other services. Mr.
Harris stated that they have met with neighbors, and were able to agree on
some issues. It is a `wait and see' situation with some of the neighbors,
however.
Ernie Mazorol asked if the City Council can exclude siting these homes
through local laws. Mr. Johnson stated that State and Federal law trump all
local laws. Mr. Tarbet of the Redmond Police Department asked about the
use or availability of drugs, alcohol and weapons. Mr. Harris replied that they
are required to be safe and sober homes at all times. Most of the routine
health care will be facilitated in the community through clinics. Both homes
have a qualified mental health professional on staff and others are experienced
in this type of care.
In regard to the secure facility on Poe Sholes Drive, all services are provided
in house, including psychiatric care.
Mr. Johnson stated that some local residents are concerned about safety. He
obtained the records on a residence off Butler Market Road and two foster
homes, plus Emma's Place, and the safety record around those facilities is
good, according to the Bend Police Department.
Ruth Jenkin asked who decides which individuals get into the home. Mr.
Johnson said they are screened prior to admission by the State, Telecare and
the County. They are notified by the State when someone no longer needs
State placement, and the records and people are interviewed there.
Commissioner Baney advised that the County does not have to be involved; it
could be just Telecare reporting directly to the State. The County chose to be
involved, or otherwise would not have a say at all. If there is a strong feeling
that a placement is not right, the County can have input. The priority for
placement is for people from the area or have ties here. The others are
decided by the State with County input.
Minutes of LPSCC Meeting Monday, October 4, 2010
Page 3 of 8 Pages
Mr. Johnson added that they want local people to be placed and helped
locally. There are other local people who have had to be situated in other
areas when Deschutes County has not had a place for them.
Judge Sullivan stated that maintenance of the property needs to be a priority.
Mr. Harris noted that doing chores is a skill they encourage, and staff will
facilitate the residents with cooking, cleaning, yard work, and other normal
activities. These create a sense of community and ownership as well.
Eileen Stein asked if any mental illnesses are exclusive and if individuals with
those problems are located in the same place. Mr. Harris said that normally
conflicts are interpersonal and not necessarily tied to a specific illness.
Jacques DeKalb asked if any with criminal backgrounds are identified and
notified to law enforcement. Mr. Harris answered that the criteria for
becoming a resident is that they be able to live where the doors are not locked.
However, notification would be made if any is required.
Mr. Johnson said that legislature is working on facilities issues. He said that
the recidivism rate (going back to the State hospital) is about 7%. Other
issues come in at about 2%.
Jack Blum asked how many people need these services, and how that
determination is made. Mr. Johnson stated that it depends a lot on what the
State decides to do, in light of budget issues. There are probably 30 or 40
people on the waiting list for the State now.
Commissioner Baney stated that this brings out the age-old problems of
inadequate care and housing for these people, and the importance of
community education. Society has not come along as far as it should have.
These people are already living here and need help.
Mr. Harris said that most of the staff working at these facilities are local.
There are 18 positions for the residential care facilities and the Poe Sholes
facility will have 16 staff.
He said that officers are receiving training in this regard. He understands that
most issues are very minor; and no more frequent than the public in general.
Mr. Blum said that he hopes this is so successful that it extends on to drug
treatment patients and others.
Minutes of LPSCC Meeting Monday, October 4, 2010
Page 4 of 8 Pages
Mr. Johnson noted that a big debate at the legislative level is whether to site
another State hospital at Junction City instead of funding community
residential centers. Mr. Mazorol said that it would be good to have a briefing
on this before the legislative session begins on this issue. (This will be
reported on at the January LPSCC meeting.)
Roger Olson of NAMI (National Alliance on Mental Illness) said that he
continues to be shocked at the ignorance of the community in general, but
NAMI members are pleased to see Telecare here to handle these programs.
5. Family Drug Court
Judge Alta Brady explained that the Family Drug Court program has been in
place for four years, and involves more than just counseling, but job support,
transportation and helping with other challenges. It often involves parents
who have had their children removed or are at risk for this happening due to
the parents' drug use. Federal funding is no longer available, so all funding
has to come from the State, along with some grant funds.
The Family Drug Court committee has requested the Board of Commissioners
provide financial support due to the significant cuts in funding. The recent
request is for a Family Drug Court coordinator. This position falls under
alternatives to incarceration recommendations. With just parts of this
program in place, recidivism rates go from 75% to about 25%, and with the
full program operating it goes down to 12% or less. This keeps children out
of the Department of Human Services foster system. She asked for the
support of LPSCC in pursuing funding from the County.
Mr. Boero asked how many have gone through the program. Judge Brady
stated there are about 40 adults who have graduated, and involves about 70
children. Mr. Boero said that keeping these people out of jail is more cost-
effective than having them there.
Commissioner Baney stated she cannot know what this means to Parole &
Probation or the Jail. Judge Brady said it is hard to quantify, but the District
Attorney said that just in jail time costs, it saved about $86,000. This does not
include other law enforcement or DHS savings. It can range from $800 to
$6,500 in savings per person, depending on the circumstances.
Minutes of LPSCC Meeting Monday, October 4, 2010
Page 5 of 8 Pages
Judge Brady added that the children who are a part of this program do better
in school. About half had been removed from the home. There is no way to
quantify the impact made in keeping the families together.
Mr. Mazorol said it costs the Courts about $400,000 a year for the whole
program. Staffing is too low to handle the workload anymore. They are
asking for a small amount from the County. The State is going to ask for
another 18-25% cut, and more cuts may occur in the future. The program
could be lost altogether if it cannot be sustained in a reasonable fashion. The
capacity at any given time is about 25 people, not counting the children who
are impacted.
Dave Kanner said that the request was originally for about $10,000, and the
Budget Committee was told that the Coordinator position would stay. Mr.
Mazorol stated they asked for a .2 or .4 FTE, which was removed. They are
down to a .8 Coordinator. Commissioner Baney said she also thought this
was tabled at the time. Mr. Mazorol stated that he thought this happened to
allow the Commissioners to have a broader discussion with the community.
Mr. Hales thought the funding request was resolved, but if the situation has
changed it needs further discussion. He asked how this can be supported in
the context of the other special courts, such as Family Court and a Mental
Health Court, along with a Domestic Violence Court.
Another program that needs to be added is a Veterans Court, to address
veterans who are in trouble legally. The need for specialty courts is
increasing, but have been shown to be cost effective.
Judge Sullivan indicated cuts have been about 7.5% so far, with more cuts to
come, up to 13-20%. Mr. Mazorol said they have seven vacant positions out
of a staff of 50. At this time, Mr. Sullivan went into detail on how some of
the people are served and the success rate.
Mr. DeKalb stated that this is a very comprehensive plan for a family drug
court, and work is being done to get more funding from here and there, and
with luck a large portion from a single funding base.
Minutes of LPSCC Meeting Monday, October 4, 2010
Page 6 of 8 Pages
Judge Sullivan sated that bringing this issue to the attention of LPSCC does
not mean LPSCC has to ask the County for funds, but it is ultimately a
decision for the County Commissioners.
Ms. Stein said that as a city representative, she wants to know what is coming
up. Mr. Mazorol replied that the significant loss in funding might mean that
some programs cannot be done well. The County cannot provide it all, so the
participants should also be supported by the local entities where they live.
Mr. Boero asked what it can save the city, and what does it cost. It seems the
right thing to ask for support for the rest of the Coordinator position.
Mr. Mazorol said it would be just for this fiscal year at this point. A broader
discussion should occur if things don't get better. It needs to be community
driven. Commissioner Baney said the County can't be expected to bail out
everything that happens that involve funding cuts. It is not wise to use duct
tape to help keep the Titanic afloat, so prudent and realistic decisions will
have to made as to which programs give the best return.
Mr. Johnson asked what kind of cuts might happen. Mr. Mazorol said the
State expects core services to be handled and a lot of the rest is left up to those
at the local level. That's where conflicts occur, trying to decide which
programs are working best and should be maintained.
Shelley Smith said the CAST F group has discussed how to cooperate and
partner with programs like these. The members feel it is vital to the
community, especially for children ages 8 to 15.
BOERO: Move that LPSCC recommend to the Board of Commissioners that
.2 FTE for the Drug Court Coordinator position be funded by the
County for the balance of the fiscal year.
STEIN: Second.
The motion was passed, with Ken Hales dissenting.
W. Hales said that supporting funding that kind of gap is not fair to others
that may also deserve consideration. Commissioner Baney stated that the
Commissioners may decide that is what they need to make a decision in this
regard. Judge Brady said that this is a small step in that direction.
Minutes of LPSCC Meeting Monday, October 4, 2010
Page 7 of 8 Pages
Mr. Mazorol stated he should be able to say in January what programs are
most vulnerable and which they are able to maintain.
6. Other Business
Ms. Smith said that Dr. Deanna St. Germain of the KIDS Center has been
appointed as the new Deschutes County Medical Examiner.
Hillary Saraceno said Safe Havens/Mary's Place grant funds have been
extended for 3 years, and another grant will be coming in to help reduce foster
care numbers. Community defined solutions regarding the violence against
women partnership is also going to receive grant funding.
Being no further discussion or items presented, the meeting adjourned at 4: 50 p.m.
Respectfully submitted,
Bonnie Baker
Recording Secretary
Attachments
Exhibit A:
Exhibit B:
Exhibit C:
Exhibit D:
Agenda
Sign in sheets
Information on local
Telecare projects
Family Drug Court information
Minutes of LPSCC Meeting Monday, October 4, 2010
Page 8 of 8 Pages
DESCHUTES COUNTY
PUBLIC SAFETY COORDINATING COUNCIL
O TER
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C <
October 4, 2010 - 3:30 pra
Allen Room
County Administration Building, 1300 NW Wall, Bend, OR
A enda
I Call to Order & Introductions
Judge Sullivan
II September Minutes
Judge Sullivan
Action: Approve August Minutes
III Public Comment
Judge Sullivan
IV Mental Health Homes & Telecare
Scott Johnson and Jay Harris
Review start up plans for new programs
V Family Drug Court
Ernie Mazorol
Discuss long term financing needs
VI Other Business
Judge Sullivan
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Document Reproduces Poorly
(Archived)
Telecare Corporation I We exist to help people with mental impairments realize their full potential
In partnership with Deschutes County and the State
of Oregon, Telecare Corporation has opened two
new Residential Treatment Homes in Bend to
provide much-needed recovery-centered mental
i
Telecare Edgecliff House Each House is a five-bed residential
1646 NE Edgecliff Circle treatment home, serving people who are ready to move
Bend, Oregon, 977o1 to community-based living. Telecare, Deschutes County,
(541) 728-0465 and the State of Oregon believe that with proper
supports, people who have a mental illness can and will
Telecare 12th St. House recover their lives, hopes,
1058 NE 12th Street and dreams.
Bend, Oregon, 977o1
(541) 678-5320
Program Overview
Each House is a five-bed residential treatment
program. The main purpose of the Houses is to
provide a stable home environment for people who
are transitioning to community-based services and
rebuilding their lives. While the programs will
provide wraparound support and rehabilitation, the
majority of services will be provided by other
community providers.
Document Reproduces Poorly
(Archived)
Clients `"o We Serve
Residents at Telecare Edgecliff House or Telecare 12th Street House must be 18 years or older.
They will have been selected and referred by Deschutes County and/or the State of Oregon
because they are ready to transition to a lower level of care in a community setting. While some
resident may have a history with the criminal justice system, to be accepted to the program
residents are deemed not to pose a risk to themselves or others. The Homes are not an alternative
to incarceration. The primary focus of the program is to provide safe housing and therapeutic
supports to people who have a serious mental illness.
Telecare Corporation I We exist to help people with mental impairments realize their full potential
7
Services will be largely focused on building life skills, including: symptom monitoring; coping
skills; building family relationships; daily living skills such as diet, housekeeping, money
management, and laundry; physical health maintenance, and social and recreational activities.
Other support services include personalized recovery planning (using a strengths-based
Recovery Centered Clinical System), medication administration and management, drug and
alcohol education, and transportation.
Document Reproduces Poorly
(Archived)
Telecare Corporation I We exist to help people with mental impairments realize their full potential
Services
Goals
Telecare Edgecliff House and 12th Street House exist to help people with mental illness recover.
The length of time that people will live in the home will be based on their progress toward more
independent living. The program strives to help stabilize their psychiatric symptoms and
improve independent living skills, after which they will move to lower levels of care in the
community as clinically appropriate.
Docunanl Reproduces Poorly
(Archived)
About Telecare
Telecare is a family- and employee-owned company that has been treating individuals with
serious mental illness since 1965. We specialize in innovative, outcomes-driven services for
high-risk individuals with complex needs. Our programs are recovery-focused and clinically
effective and are designed in partnership with local, county, state and other Behavioral health
organizations. We currently provide services in California, Texas, Oregon, North Carolina,
Nebraska and Washington, and have over 2,200 employees.
Referrals
Please contact:
Tara Hare, Deschutes County Residential Services Manager (541) 330-4637; or
Anne Pendygraft, Telecare Residential Treatment Home Program Director (541) 728-0465
Telecare Corporation I We exist to help people with mental impairments realize their full potential
fi
Document Reproduces Pooriy
(Archived)
Telecare Corporation I We exist to help people with mental impairments realize their full potential
Other Oregon Telecare Programs
Recovery Center at Gresham
Address: 4101 NE Division St. Gresham, Oregon 970301503-666-6575 1503-666-4047
FAX
Type: 16-bed, secure inpatient, non-acute, since 2002
Recovery Center at Woodburn
Address: 1605 E. Lincoln Road, Woodburn, OR, 97071 1503-982-93001503-982-9308
FAX
Type: 15-bed, secure inpatient, non-acute, since 2006
72nd Avenue Recovery Center
Address: 7759 SE 72nd Ave. Portland, Oregon 97206 1503-788-4500 1503-788-4506 FAX
Type: 16-bed, secure inpatient, non-acute, since 2006
Oregon ACT
Address: 4101 NE Division St. Suite 100 Gresham, Oregon 970301503-666-38081
503-666-6835 FAX
Type: 70-member, Assertive Community Treatment (ACT), since 2007
Document Reproduces Poorly
(Archived)
Telecare Corporation I We exist to help people with mental impairments realize their full potential
Deschutes County Famfly Drug Court
In 2006, Deschutes County Circuit Court developed a family drug court for addicted parents to
address high criminal recidivism rates. Family drug court diverts non-violent, substance abusing
parents from prison and jail into intensive, community based treatment. Family drug court
provides direct supervision, coordinates public resources and expedites case processing.
Numerous agencies and county departments provide wraparound services to the entire family
using an integrated approach. Family drug court breaks the cycle of criminal behavior, drug and
alcohol use, and incarceration and produces measurable cost benefits.
Due to recent budget cuts, it was necessary to make reductions to the Family Drug Court
coordinator and specialist positions. Prior to 2010 the court was able to supplement the CJC and
Byrne grants with general court funds. This allowed for a full time court coordinator position
and a .8 support position. The .8 FTE support position has been completely eliminated and the
coordinator position has been reduced by .2 FTE.
Deschutes County Family Drug Court has met the needs of the community as outlined in the
2006 Alternatives to Incarceration Subcommittee Report: child safety, reduced criminality, safe
and nurturing family reunification and successful completion of treatment. The Court does not
currently have resources to add an Adult Drug Court or Juvenile Drug Court, as recommended in
the Alternatives report. We hope to do so in the reasonable future. As it stands currently, we are
focusing on efficiencies in the existing program to be able to maintain Family Drug Court, given
the sustained budget cuts.
Loss of .2 FTE for the coordinator position and .8 FTE support position has threatened the
fidelity of this evidence-based program and crippled any ability to expand to serve additional
families or enhance program services to produce even better outcomes. Family Drug Court
currently lacks the ability to be proactive in identifying and addressing community risks and
needs such as the recent increase in heroin abuse. Being unable to adequately adjust to address
these needs leaves the community vulnerable and further taxes local law enforcement, the jail,
county mental health, child welfare, foster care resources and emergency services. Furthermore,
the lack of coordination creates inefficiencies and means unnecessary duplication of services
provided by all government agencies which negatively impacts program outcomes.
We are respectfully requesting financial assistance in the range of $16,104 (.2 FTE) to $32,208
(.4 FTE) annually to restore the coordinator position to full time and allow for more dedicated
support time for Family Drug Court. This would also assist in absorbing further CJC grant
reductions.
Deschutes County Family Drug Court Impact
AGENCY
SAVINGS OR COST
0 835 jail days saved in 2009
ANTICIPATED OUTCOMES
® Less jail crowding
0 Total savings in 2009
o Long term savings on
based upon an average of
jail beds due to
$100 per day per inmate is
reduced recidivism rate
Deschutes County Jail
$83,500 (jail time saved
was determined by
conservative sentence
detail from the District
Attorney's Office)
n._~
Costs averted due to
_ ._w., _..,n..
o Increased capacity in
centralized case
mental health
management and efficient
0 Increased capacity in
Deschutes County
care coordination
FDC
Mental Health/Health
® Eliminated duplication of i
0 Reduced rate of
Services
services
unplanned pregnancy I
0 Increased amount of
child immunizations
and care
o Increased adult
immunizations for
_
communicable disease I
® Initial involvement in
® Eliminates the need to
misdemeanor case
monitor these
monitoring in an effort to
individuals for any
Deschutes County Parole
avoid future extended
criminal activity in the
and Probation
felony supervision
future
® $8.50 - $9.00 per
person per day
monitoring fee for
felony supervision is
I
1 avoided
o Some participants may
® Participants are more
avoid child welfare i
self sufficient, they
involvement altogether
seek less assistance
based upon Family Drug
from community
Court participation
resources
Department of Human
® Fewer children are placed
j ® Participants typically
Services
in foster care
do not return to the
child welfare system
which results in a
reduced caseload
. _ . .
Deschutes County Family Drug Court impact
Community Benefits
® Less dependence upon
community resources due
to gainful employment
® Less dependence on social
services
® Integrated services among
multiple agencies
® Lower recidivism rate
pertaining to drug
related offenses.
® Higher rate of high
school and college
education
® Reduced homeless rate
REVENUE
Grant arrnounis
EXPENSES
Personnel Salaries
DCMH: Mental Health Specialist
DCMH: Evaluation/Administration
P&P: Probation Officer
DCHD: Public Health Nurse
Contractual Services
Courts: Drug Court Coordinator .8 FTE
BestCare: AOD treatment
ESD: Ready Set Go home visits
Family Resource Center
DFR Flex Funds
DFR Transition Coach
DHS: Child Welfare Caseworker 1.5 FTE
Total expenditures by source
CJC
2010-201, 1
252,349
8,441
6,000
27,685
66,211
100,000
12,000
16,824
6,659
8,529
other
252,349
* MH Specialist budgets decreased by OHP $ received
* Relying on donations to DFR to assure flex funds are available to the court
* Setting up a minimal client fee system will help sustain incentives basket
* BestCare budget decrease by CDO $ received, though program reductions could occur
* Transition phase of 3 months for health nurse position to be eliminated
October 4, 2010
Policy Advisory Committee
Family Drug Court Update (July-October 2010)
Activity July I6`h - October 4eh 2010 Participants
New Participants 2
Graduated 4 Children
Withdrew/Completed 0
Terminated 1
Absconded/Bench Warrant 0
19 total (11 DHS, 8 Probation Only)
18 female, 1 male
Currently Serving 28 Children
YOA:
0-3= 18
4-7= 5
8-11=3
Pending Referrals 3