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2011-2810-Minutes for Meeting March 07,2011 Recorded 5/26/2011DESCHUTES COUNTY PUBLIC SAFETY COORDINATING COUNCIL G~v-ces co`Z ~ a 0 < Monday, March 7, 2011 Allen Room, County Administration Building, 1300 NW Wall, Bend, OR Minutes of LPSCC Meeting Present were Judge Michael Sullivan; Commissioners Tony DeBone and Alan Unger; Dave Kanner, County Administrator; Sheriff Larry Blanton; Ken Hales, Corrections; Rob Poirier, 9-1-1; Ed Boero of the City of Redmond; Scott Ramsey, City of Bend; Dave Tarbet, Acting Chief, City of Redmond Police Department; Officer Al LaChance, Redmond Police Department; Ernie Mazorol, Court Administrator; Owyhee Weikel-Magden, defense attorney; Patrick Flaherty, District Attorney; and Traci Anderson, Chief Deputy District Attorney. Also in attendance were Scott Johnson, Health Services; Jacques DeKalb, Defense Attorney; Hillary Saraceno, Commission on Children & Families; Jack Blum, citizen member; Shelly Smith, KIDS Center; Scott Johnson, Health Services; Terry Schroeder, Behavioral Health; Carl Rhodes, Oregon State Police; Officer Cory Darling, Bend Police Department; Mark Pilliod, County Counsel; Darin Durham, St. Charles Medical Center/C.I.T.; Roger Olson, NAMI; Eileen Hunter, Parole & Probation; and Capt. Tim Edwards and Officer Tory Flory, Sheriff's Office. 1. Call to Order & Introductions. Judge Sullivan called the meeting to order at 3:35 p.m., at which time the attendees introduced themselves. 2. November Minutes. BLANTON: Move approval. JOHNSON: Second. COUNTY OFFICIAL NANCYUBLANKENSHIP,COUNTY CLERKS 4J 4011'~8~0 COMMISSIONERS' JOURNAL , 1111111111111111111111111111111111111 2011-2810 Approval was unanimous. 05/1614011 08.0542 Mn Minutes of LPSCC Meeting Monday, March 7, 2011 Page 1 of 7 Pages 3. Public Comment. None was offered 4. District Attorney's Office Transition District Attorney Patrick Flaherty introduced Traci Anderson of his office, who comes from Multnomah County. He said that there have been structural changes in the department that should result in more efficiencies and help in providing better justice. He encouraged everyone to visit and meet his staff. They are in a tumultuous state right now with all the changes. Judge Sullivan asked if there have been changes in scheduling or the grand jury process. Mr. Flaherty replied that they brought in Tom House, who is focusing his efforts on the grand jury process, which is critical to law enforcement. He wants to take more time at the outset when charging decisions are being made, so that cases are ready when they go to court and will have the right result. Mr. House is supervising the attorneys who are bringing in the cases. The goal is to eliminate the backlog of cases. They often are delayed too long once the arraignment occurs because the State was not prepared at the beginning or failed to get all the evidence they should have. This is a discovery problem, and he wants evidence available at the grand jury state. He wants to see all the non- homicide cases go to trial within 120 days of arraignment. This will help to reduce the pre-trial population at the jail. Judge Sullivan asked if there are any other new people in the office. Mr. Flaherty said that there are several young Deputy District Attorneys, a prosecutor who most recently was in private practice, and a person who was a District Attorney in Lane County some years ago who went into private practice. There is one position left unfilled. Les Stiles and Jerry Stone are doing part-time investigative work, and Mr. Flaherty hopes to create more permanent positions if funding allows. They would assist prosecutors in preparing cases for trial. Ms. Anderson gave a brief overview of her previous experience and the kind of cases she has handled in the past. Minutes of LPSCC Meeting Monday, March 7, 2011 Page 2 of 7 Pages 5. Crises Intervention Team Training Presentation & Proposal Officer Tory Flory gave a presentation on the Crisis Intervention Team Training program, referring to a handout. The focus is to train first responders to handle incidents. The amount of time dedicated in the Police Academy to handle mental health incidents is minimal, so most officers are unprepared for these kinds of incidents. It has become more of a jail diversion program since jail is not the place to provide the necessary care for people with mental health issues. The model for training is 40 hours, and includes processes that are known to be effective. There are also shorter training programs for all officers. The program is not yet in full swing, but it already has resulted in less officer time in the emergency room. Also, House Bill 3466 has helped move this along. Terry Schroeder of Behavior Health said Bill allows for information to be put into the system so an officer can respond to a situation more quickly and get help for the individual faster. It is a voluntary program, so the person must agree to have the information available to officers in the field. He added that scenario-based training has been found to be effective. Sheriff Blanton stated that this is a huge tool for his department. His department will cover any costs of having this information put into the systems. It would help a lot if there was a history to access to help the person and the situation. It also can include information on prior health issues, not just behavioral health. Officer Flory said that part of this is good communication between care providers and law enforcement. The CIT program will prepare officers to handle certain situations, and it may be possible to send law enforcement with more experience in the problem. This allows for increased safety for both the officer and the person. Sheriff Blanton clarified that this is not new training, but additional training. Officer Flory said that this training started in 2007. Other police agencies use a similar model. Minutes of LPSCC Meeting Monday, March 7, 2011 Page 3 of 7 Pages Sheriff Blanton asked about training dates. Officer Flory said the general curriculum is developed, but decisions are now being made as to who will cover the training components. Ed Boero asked if there is a cost for the training. Officer Flory said that all agencies have a stake in the program. It is tuition-free to local agencies at this point. Officer Al La Chance of Redmond PD said they are not seeking funds, but want everyone to know how this has developed. The officers who take the entire training will help instruct others. All agencies realize the importance of this training, and they have already seen benefits from this program over the past few months. Officer Flory indicated that the program is sustainable and the cost is low. Scott Johnson asked that LPSCC formally endorse the program to show its support, realizing that there is no monetary request. JOHNSON: Move to endorse this program BLANTON: Second. The vote was unanimous in favor. Judge Sullivan stated that he often deals with those in court through the mental health court. He asked Mr. Flaherty how he feels about the program. Mr. Flaherty indicated that he is very supportive, as it is effective in terms of providing treatment and being cost-effective. It appears that some of the funding is being reduced, however. Judge Sullivan said that people don't often realize the many ramifications of having the mentally ill in the jail. Sheriff Blanton stated that it costs between $5,000 and $7,000 a month just for medications. In many cases, it is not the right place for these people. However, the State cannot be relied upon for support. 6. Gang Assessment Follow Up This item has been delayed. Minutes of LPSCC Meeting Monday, March 7, 2011 Page 4 of 7 Pages 7. Draft LPSCC Bylaws Ken Hales said a draft of the proposed bylaws will be considered at the March meeting. He is not seeking a motion on the bylaws at this time. The genesis of this is because he could not find out what statute requires and what the County does in the way of appointments. There is no clarity as to how some were appointed, or if they actually were. Also, some appointees don't participate regularly or there is no term date. He does not want to try to limit participation, but it would be good to document who should be on the Council. At question are the Children & Families Commission, 9-1-1, and the Court Administrator. He feels they would have to be appointed at citizen members, and they should have term dates of some kind. Jack Blum pointed out that some proposed changes are contrary to SB 1145. Membership as proposed says who "should" be included. SB 1145 says they "must" include some members, but are not limited to just those. The changes take away some of the appointing responsibilities, and they might end up excluding others if this statement is not included. The same thing applies to the County Commissioners. 9-1-1 has been a member for years and should remain. SB 1145 has no restriction on the number of citizen members; just that there needs to be at least one. The proposed bylaws would allow three, with each Commissioner appointing one each. They would be limited beyond that. Section 3.04 says citizen members would serve two-year terms. If a public member is appointed to the Council, the BOCC and sitting Judge have been the appointing authority for years. He feels this council works extremely well, and thinks the bylaws as introduced are too restrictive. Judge Sullivan said that he does not want to lose anyone. Mr. Blum said that the legislators probably support more input rather than less. Mr. Hales stated that he could recommend the Court Administrator, the Children & Families Commission director and others be standing members. The BOCC would need to ratify the bylaws. The council cannot appoint members direct, but only can make recommendations. If someone becomes unruly or otherwise should not participate, the BOCC could rescind, but only those they ratify. Minutes of LPSCC Meeting Monday, March 7, 2011 Page 5 of 7 Pages Judge Sullivan observed that some people have been included or appointed who are usually absent. This can be a problem if a quorum is needed. A term limit would help with this. Mr. Blum said that the Board of Commissioners can select a member to replace someone. He feels that a term limit is unnecessary, especially since there are not that many laypersons who are interested in getting involved. Sheriff Blanton suggested keeping the wording, "not limited to". The record should also show who is serving and for how long, when they were appointed, and so on. There needs to be an accurate roster. Mr. Hales said this can be modified to appoint additional members, either the office or the individual. He is trying to sort this out. Ernie Mazorol stated that he does not feel comfortable filling all positions as lay citizens. Mr. Hales said that they could recommend the Board appoint the office instead. The law is not specific in most of this. Mr. Blum said that what a lay person is has not been identified. At this point, it is just him and Bev Clarno. There has not been a problem. Dave Kanner noted that there are no expiration dates on appointments, and some have not attended meetings for some time. There should either be a term date, or wording should be included to say they need to attend a certain number of meetings. Judge Sullivan felt that positions should be included, such as Police Chiefs or their designee; and someone from the KIDS Center and the Children & Families Commission. This is a big part of what the Council does, and their input is valuable. The specific people don't need to be named, but the positions. It is the Council that makes recommendations. There should be a finite amount of time for laypersons in case they no longer come to meetings. He feels that a quorum needs to be present when important decisions are made. This is not a move to eliminate those at the table, but there needs to be an orderly transition if someone leaves or does not attend meetings. Ed Boero said that he likes the idea of term limits, but this does not preclude reappointing. People who do not participate should not be included or reappointed. Mr. Blum indicated that he would like to see more laypersons on the committee. This helps to give a different perspective. Mr. Hales will revise the document to send out for additional review. Minutes of LPSCC Meeting Monday, March 7, 2011 Page 6 of 7 Pages 8. Annual Criminal Justice Commission Report Mr. Hales presented the report, and indicated by law it has to be submitted annually, through the Board of Commissioners. 9. Other Business Mr. Mazorol updated the group on some activity in the Courts. He said that Colleen Cruz is changing jobs, and will be moving into mediation from the Drug Court, as Tom Cole is retiring in June. Funding for specialty courts is precarious, and this position has more stable funding. The old position will become a limited duration position, based on the availability of funding. Shelly Smith said a memo has gone out to team members regarding opening up the referral process to support domestic violence witnesses, especially children. She will send a document to the Council to review. Being no further discussion or items presented, the meeting adjourned at S: 00 p.m. Respectfully submitted, , t I 1~ fD~'t'~" Bonnie Baker Recording Secretary Attachments Exhibit A: Agenda Exhibit B: Sign-in Sheets Exhibit C: Crisis Intervention Team Presentation Exhibit D: Draft LPSCC Bylaws Exhibit E: Annual LPSCC Report Exhibit F: KIDS Center Memo regarding Child Assessments Minutes of LPSCC Meeting Monday, March 7, 2011 Page 7 of 7 Pages DESCHUTES COUNTY PUBLIC SAFETY COORDINATING COUNCIL Monday, March 7, 2011 - 3:30 p.m. Barnes and Sawyer 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 November 2010 minutes III Public Comment Judge Sullivan IV District Attorney Office Transition Patrick Flaherty Comment on transition and introduce Chief Deputy V Crises Intervention Team Training Presentation Attachment 2 & Proposal Terry Schroeder Brief Council on proposal VI Gang Assessment Follow Up Attachment 3 Deevy Holcomb Brief Council on updated data VII Draft Bylaws Attachment 4 Ken Hales Present draft for consideration at March meeting VIII Annual Criminal Justice Commission Report Attachment 5 Ken Hales Advise Council of BOCC report to CJC IX Other Business Judge Sullivan A 0 m 7 i I ~ ~ ~ ~ tv1 C"t n, y O ~ ~ cn n i OQ © c4 j V V c 3 3 i I i r m D' ~n m H 0 z_ Z z z 0 LU Q J CL 1 I r r Q ~ 'a ( j v n H I tw W ~ W CL _ -14 ' I v 0 m Deschutes County Crisis Intervention Team 2011 Pilot Program 0 J §,!d a { Parole Probation x Department -{ES TABLE OF CONTENTS Part One: INTRODUCTION 3 Background and Statement of need 3 Purpose 4 Goals for the CIT Program 4 CIT Core Elements - Model Fidelity 5 CIT Core Elements - Training Curriculum 8 Proposed Deschutes County CIT Training Schedule Appendix A CRISIS INTERVENTION TEAM (CIT) DESCHUTES COUNTY PILOT PROGRAM MODEL Introduction: Crisis Intervention Team (CIT) began in Memphis in the late 1980s and has been widely adopted around the country. CIT is an effective law enforcement response program designed for first responders who handle crisis calls involving people with mental illness including those with co-occurring substance use disorders. CIT emphasizes a partnership between law enforcement, the mental health and substance abuse treatment system, mental health advocacy groups, and consumers of mental health services and their families. CIT, "The Memphis Model", was developed around a set of core elements, which have led to the success of this program. Absent these core elements, we believe a law enforcement response to those in crisis with a mental illness will be less effective. Background: Deschutes County stakeholders identified the need for a specialized program that employs philosophies to create communication relationships between law enforcement, mental health care providers, and consumers, as well as improve training and education for law enforcement officers in the field who respond to calls for service involving people in mental health crises. In May of 2010, a steering committee was assembled composed of members from the law enforcement, mental health, health care, criminal justice, community corrections, legal, and consumer advocacy communities. The goal of the steering committee was to explore the various crisis intervention team models and develop an educated understanding of the needs of the stakeholders; ultimately developing an appropriate program to meet those needs. In June of 2010, the Deschutes County CIT Steering Committee attended the first annual Crisis Intervention Team International Conference in San Antonio, Texas. This conference opened networking conduits to agencies worldwide that have developed successful crisis intervention team programs. Attendance of this conference was crucial in the development of the Deschutes County CIT program. Purpose of this Document: This document lays out the guiding core elements for the Deschutes County CIT Program, based on the CIT Memphis Model. This document outlines for those entities who are involved in the CIT program the necessary core elements to which they will subscribe. It is understood that developing and implementing CIT based on these core elements is a process over time, which often begins with the 40-hour training. It is further understood that in order to be successful with full implementation of the CIT program, both community involvement and a commitment by key stakeholders with a dedication of necessary resources is a must. This document is designed to provide a guide to ensure all entities involved in the CIT Program will strive to reach these agreed upon core elements in order to have an effective CIT program and one that is a best practice. Goals for the CIT Program: CIT is a community partnership between law enforcement agencies, the local mental health services system, mental health advocacy groups, and consumers of mental health services and their families. CIT is more than just training. It establishes Teams of trained officers within each law enforcement agency to respond effectively to people with mental illnesses, including those with co-occurring substance use disorders that are in crisis. Communities which establish CIT programs do so with the following goals in mind: ■ Better prepare police officers to handle crises involving people with mental illnesses, including those with co-occurring substance use disorders ■ Increase law enforcement officer safety, consumer safety and overall community safety ■ Collaboratively, make the mental health system more understandable, responsive and accessible to law enforcement officers to the greatest extent possible with community resources ■ Supply law enforcement officers with the resources to appropriately refer people in need of care to the mental health/substance abuse treatment system ■ Improve access to mental health/substance abuse treatment in general and crisis care in specific for people who are encountered by law enforcement ■ Divert people with a mental illness who are in crisis from the criminal justice system whenever possible. Core Elements: Deschutes County CIT Program Using a Generalist/Specialist model, officers are drawn from the patrol officer base and within their general duties as a patrol officer. These officers receive specialized training to respond to crisis calls involving people with mental illnesses. Although potential CIT officers should be identified prior to the training, it is after the training that the final selection of CIT officers for the agency Team should be made. CIT officers should be volunteer patrol officers. There should be a selection process to identify those officers with good interpersonal and communications skills that would make them a good candidate for CIT. There can be different methods used select CIT officers. Officers who are selected to be on the CIT Team will be issued an agency authorized CIT pin to wear on their uniform. This pin establishes the identity of the officer as a CIT trained officer and provides recognition to consumers, family members, staff at receiving facilities and the public of CIT trained officers. The goal of CIT is to have enough CIT trained law enforcement officers throughout the county to allow for maximum and adequate coverage 24 hours a day, seven days a week. A CIT coordinator committed to the program should be selected from within the police/sheriff departments, and should have enough authority to oversee the program within the law enforcement department. ❑ Ideally each law enforcement agency with a CIT program has a designated CIT Coordinator ❑ The CIT Coordinator position should be filled with a person who is given the authority to coordinate and oversee the program, as well as ensure maintenance of the program for the agency ❑ Policies and procedures within each agency that identifies who the CIT officers are on each shift and a dispatch protocol to ensure a CIT officer handles the encounter whenever possible. A mental health/substance abuse coordinator(s) committed to the program should be selected, who has enough authority to coordinate and oversee the program from the mental health/substance abuse treatment system side. This coordinator will be actively involved with planning and implementing the training of CIT officers as well as participating in the maintenance of the program. Representation from NAMI or other mental health advocacy organizations also provides coordination and oversight within CIT from the perspective of family and consumer involvement. The mental health/substance abuse treatment system is responsive to CIT officers and will allow for a smooth transition for CIT officers as they transport individuals for crisis services. ❑ The mental health/substance abuse system will receive individuals identified by CIT officers who are in need of crisis services, voluntary and involuntary. ❑ User-friendly "drop-off' process that include quick turnaround time for the officer. Policies and procedures within both the law enforcement agencies and mental health/substance abuse agencies that outline the roles and responsibilities of each party are essential. Where written and mutual agreements are necessary or desirable between and among agencies, this will be accomplished. A CIT training class should be offered at least annually, if not more frequently within existing resources. The intensive training attempts to provide a common base of knowledge about mental illness and co-occurring substance use disorders and a basic foundation from which officers can build. The program is not aimed at making CIT officers mental health/substance abuse professionals. The program is intended to provide officers with the skills to: ❑ Understand and recognize signs and symptoms of mental illness, including those with co-occurring substance use disorder, as well as understand how mental illness and co-occurring substance use effects individuals, families and communities ❑ Recognize whether those signs and symptoms represent a crisis situation ❑ De-escalate mental illness crises ❑ Know where to take consumers in crisis ❑ Know appropriate steps in following up on these crises such as: o contacting case managers or other treatment providers o providing consumers and family members with referral information to mental health/substance abuse treatment agencies or advocacy organizations such as the local NAMI. The success of the training program relies on trainers/presenters who are willing to learn about police work and to become "police familiar" as they provide training to the officers. Trainers/presenters must include mental health/substance abuse treatment professionals, family members of individuals with serious mental illness, individuals who themselves have serious mental illness ("consumers"), and people (preferably experienced CIT officers) who are able to assist in role-playing to help officers develop their de-escalation skills. ❑ Each trainer/presenter will develop their lesson plan around the goals and objectives established for each section of the curriculum ❑ Class coordinators should meet with trainers/presenters prior to training for coordination and continuity of the materials ❑ Trainers/presenters should be encouraged to go on "ride-alongs" with police officers to experience what it is like walking in police officer's shoes. ❑ Trainers/presenters are informed about officer and community safety issues and about the use of force continuum used by each law enforcement agency ❑ Trainers/presenters receive an evaluation for feedback and to ensure maintaining the most effective trainers Periodic refresher trainings, updates, reviews, etc. via meetings, training circulars, conferences, etc. should be made available to CIT officers. This should occur at least on an annual basis and focus on issues related to dealing with persons with mental illness in crisis, including those with substance use disorders. An abbreviated form of CIT training/awareness is provided to dispatch call takers so that they are knowledgeable about the CIT program and able to identify probable mental illness and co-occurring substance use disorder crisis calls. Identify methods for collecting data and statistics on CIT encounters and their outcomes. This may involve a tracking form. This information should be shared on a regular basis with CIT officers, upper management, the mental health coordinator and at any community forum used for mental health system improvement and problem solving. Develop processes or systems in to provide regular feedback to both CIT officers and mental health system providers and administrators when problem situations arise. These may include formal and informal mechanisms for sharing information. Regularly scheduled meetings of CIT coordinators, mental health coordinators, family/consumer and other key stakeholders to address system concerns, ensure that the program stays on course and to work on growth and sustainability of CIT. These meetings may be done through already established groups such as coalitions, task forces, steering committees, advisory groups, etc. Communities are encouraged to develop unique strategies for maintaining and sustaining CIT such as newsletters, web sites, meeting with other jurisdictions, etc. Core Elements: Training Curriculum The training emphasizes understanding of mental illnesses, including substance use disorders and how it affects a person's life, the development of communication skills, practical experience and role-playing. Also, officers are exposed to mental health professionals, consumers and family members both in the classroom and in the field during site visits. This intensive training attempts to provide a common base of knowledge about mental illness and give the officers a basic foundation from which to build. The course is intended to provide officers with skills to: ❑ Recognize signs and symptoms of mental illness and co-occurring disorders ❑ Recognize whether those signs and symptoms represent a crisis situation ❑ De-escalate mental illness crisis ❑ Know where to take consumers in crisis ❑ Learn about jail diversion options ❑ Know appropriate steps to follow up, such as contacting case managers, providing families with community resources, etc. ❑ Learn how to problem-solve with the treatment system The curriculum outlined below will be standardized and still allow some flexibility to reflect the unique aspects of the community. All curricula will include the following: INTRODUCTION 1. An introduction to the (Memphis Model) CIT program 2. Purpose of training 3. Learning Objectives KNOWLEDGE BASED 1. Understanding and recognizing specific signs and symptoms of serious mental illnesses. Emphasis should be placed on the kinds of disturbed behavior officers will see in people in a mental illness crisis 2. Understanding and recognizing mental illnesses in various populations, i.e. children, adolescents, adults and older adults 3. The common problem of co-occurring disorders including co-occurring substance abuse and mental illness, along with co-occurring developmental disability, medical and homelessness 4. Understanding and differentiating mental retardation and Autism from mental illness 5. The influence of culture and ethnicity on the topic of mental health and how it is dealt with inside those cultures and ethnicities should be discussed as it applies to the cultural and ethnic make up of the particular community 6. An overview of psychiatric medications, their uses and their side effects LEGAL ISSUES AND PROCESSES 1. An overview of the Oregon Revised Statutes as they pertain to mental illness 2. An overview or sharing of CIT processes as it relates to all the agencies involved 3. Discretion, decision-making and handling of criminal charges FAMILY AND CONSUMER INTERACTION AND PERSPECTIVE 1. An overview of mental illness and those with co-occurring substance use disorders from multiple perspectives, including persons with mental illness, those with co- occurring substance use disorders, family members with loved ones with mental illness and co-occurring substance use disorders, and mental health and substance abuse treatment professionals. Substantive amounts of interaction between CIT officers-in- training and mental health consumers and their families will make the core training session more effective 2. Site visits which give officers an opportunity to talk with consumers and emergency mental health/substance abuse treatment personnel PROBLEM SOLVING AND SKILL BUILDING 1. Risk assessment for suicide and violence 2. Comprehensive training in how to de-escalate a mental illness crisis 3. Sufficient practice, through role playing, in the de-escalation of mental illness and those with co-occurring substance use disorder crises so that all students are involved directly in the role-playing COMMUNITY RESOURCES 1. An overview of the local mental health/substance abuse treatment systems and what services are available 2. Contact information of key individuals within the system OTHER TOPICS UNIQUE TO ONE'S COMMUNITY 1. Geographic considerations. 2. Officer safety and tactics review. EVALUATION OF INSTRUCTORS AND OVERALL CLASS GRADUATION CEREMONY Class size should be capped at 30 individuals for optimal learning DESCHUTES COUNTY CRISIS INTERVENTION TEAM (CIT) TRAINING PROGRAM Curriculum/Schedule Time Monday Tuesday Wednesday Thursday Friday 00100-00/00 (Month/Day) (Month/Day) (Month/Day) (Month/Day) (Month/Day) Welcome/ NAMI Intro / In Addictive Consumer Mental Health/ 8:00 AM Re istration Our Own Diseases Perspectives Community CIT Program Voice. (Psychosis Resources 8:30 AM Overview Consumer Simulation Signs and Perspectives Co-Occurring Family De-Escalation 9:00 AM Symptoms of Disorders Perspective Techniques Mental Illness Part 3 9:30 AM (Practical Schizophrenia Post Traumatic Develop- De-Escalation Exercises) 10:00 AM Stress Disorder mental Techniques Disabilities Part 2 10:30 AM (Practical Mood Disorders Alzheimer's Exercise) 11:00 AM Disease, Dimentia, and 11:30 AM Brain In'u Lunch Lunch Lunch Lunch Lunch 12:00 PM 12:30 PM Personality Crisis Cycle De-Escalation De-Escalation Review of CIT 1:00 PM Disorders Techniques Techniques Priniciples Part 1 (Tactical Part 2 (Review 1:30 PM Comm.) and Debrief) Understanding Site Visit @ Cultural Written 2:00 PM and Preventing SCMC / Sage Sensitivity Examination/ Suicide View Course 2:30 PM Evaluation Child and Legal Issues Graduation 3:00 PM Adolescent and Mental (Dress Attire/ Intervention Health Law Uniform) 3:30 PM Treatments of 4:00 PM Psychiatric Illnesses 4:30 PM Class Class Class Class Class 5:00 PM Discussion Discussion Discussion Discussion Ad'ournment wl ~0- C3 3 um 4)d a 0i ~J cr)~ J r 1= r■ -j V ) E c 0 O a O E a) U 0 O O 4-1 _ U L O 4-1 O Q O > y- L p E U a~ s- Q (1) O C (1) u 4-J 4-J U m cy) cn p 0 vim, p 0 0 4-0 C: 4-J C: 4--J C: 4-1 L O 4-J C: :3 :3 O 0 = O 0 U 0 U 0 U E _ Ln O U O U j i ~ 4- -1- co U =3 p -C -C -C O O = - •C ,v cUi~ cU n U + vi co V) u I p p p u U ci 0 Z 0 Q/ . 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Jc •V 4= O E au u O 4- ca 4- ~ O W W E O > C- 4~ ~ E ~ O 0 ~ V O GE O 0 w C: U O +j u V s s O +-j +5 ~ V N a--+ C~ 4 f~ L - 4- -C C~ N 75 V > ~ L- • C 4•-+ • - 4-J - cn - z - - O O U O Z c6 tO Q ) Q OJO - O (3) L- a) c 0 Q buo m oc . a~ o a~ O = .C N 4-J CL c~ o 4-' 0- - M 4-J n +-j w E O ( O C: U a O E E U -C ~ I- V U 4A L L 0 v vi N N c O f0 , N ' _ M V N . 'U i L Q L i N X L O w C-0 U C: O O O CL w E C: ' E N E aQ-+ O N C6 O U 4 U fa U N U N (n > N (B L h ~ Q ~ Q C ~A f~ Q ~ L ~ N V N O O 'F~ ~ p a u U v O 4-J N N - O U ai u 'v C N ' E W J U N L N x O L O N f6 ' J oC I- cn U w U U U U • • • • • • • • • • • • • • V L L U CA Ln w Q~ 3 Q U O L .V 4- 4- O L. O 4- CuA N a~ 3 Q • MO L txo Q) L. c O m E L. O 4- .U 4- V V ^L W V O ~N ca ~V Q. cn C~ O Jc 4- O op L 4-+ .i V a--+ Jc a--+ a--+ N C~ O O 0. i . . V rs,, ca L -I--0 N N L 3 a~ 0 N ~ N U • cn fQ U ~J c G O O ~ .U a O Q v -0 0, C: E c/1 U bn I- V) w O C: +j •N ~ b U O N Gi OC o L. O s N V O 4-J > m c CL . E V i V s u a--j Cu CL cry O N i E O V N N f6 U O ~ U G U O CL (A (A E o •cr E C: O U OA c •N OA fa O U i cu ai i O v1 0 t/1 co U N E E CA vi O 0- .N 'L U . N L N L 0 4- O N t/1 L a . .j O L fQ L U O N N L E N O U L Qj L L U N ~ . C: cu O -C +j fa ~ Ca ~ ~ `U f6 f0 i L ~ O w > O . ~ ~ N L ~ N dJ L O 'L CL ~ N U (a to ~ 4A ~ fQ cu V L U N O . O L ~ ~ • L CU N L cr L N U ~ U U 4-J m U a) 4- %4- Z~j 0 a O O O U N a-J N L f~ E U ci'f N E U to J N N .0 V fa L 0 f~ N L ai in i N s N f0 N f~ L N O L 0 d~A N O U . . . Attachment 4 BYLAWS OF DESCHUTES COUNTY PUBLIC SAFETY COODINATING COUNCIL Article I. NAME and PRINCIPAL OFFICE The name of this group shall be the Deschutes County Public Safety Coordinating Council ("Council") and its principal office shall be Suite 200, Deschutes County Services Building, 1300 Wall Street, Bend, Oregon 97701. Article II. PURPOSE Section 2.01 The Council shall perform the duties prescribed in ORS 423.560 and ORS 426.565. Section 2.02 The Council shall develop and recommend to the Deschutes County Board of County Commissioners a plan for use of state resources to service the local offender population and the use of state and local resources to serve the needs of that part of the local offender population who are at least 15 years of age and less than 18 years of age. Section 2.03 The Council shall develop and recommend to the Deschutes County Board of County Commissioners a plan for use of state resources to serve the local youth offender population. Section 2.04 The Council shall coordinate local juvenile justice policy among affected juvenile justice entities. Section 2.05 The Council shall develop and recommend to the Deschutes County Board of County Commissioners, a plan to prevent criminal involvement by youth, said plan to be developed and recommended to the Commissioners after consultation with the local Commission on Children and Families. Section 2.06 The Council shall coordinate a local criminal justice policy among affected criminal justice entities. Section 2.07 The Council may make other recommendations to the Deschutes County Board of County Commissioners for the betterment of the Deschutes County criminal and juvenile justice systems. Article III. MEMBERS and TERMS of MEMBERSHIP Section 3.01 Council member ship will comply with ORS 423.560. Section 3.02 The members shall include: 1) The City of Bend Chief of Police; 2) The City of Redmond Chief of Police; 3) The Deschutes County Sheriff; 4) The Deschutes County District Attorney; D Attachment 4 5) The presiding judge of the 11th Judicial District or a state court judge selected by the presiding judge; 6) A public defender or defense attorney appointed by the presiding judge of the 11th Judicial District 7) The Deschutes County Community Corrections Director; 8) The Deschutes County Juvenile Department Director; 9) The Deschutes County Health Services Department Director; 10) A Deschutes County Commissioner selected by the Commissioners; 11) The Deschutes County Administrator or the Deschutes County Administrator's designee; 12) A City Councilor or Mayor selected by the cities in Deschutes County; 13) A City Manager or other city representative selected by the cities in Deschutes County; 14) Three lay citizens. Each member of the Board of County Commissioners shall appoint one citizen member who shall serve a two-year term, subject to reappointment or removal at the pleasure of the appointing commissioner. A nonvoting Oregon Youth Authority representative selected by the Oregon Youth Authority Director; 15) A nonvoting Oregon State Police, representative, selected by the Superintendent of the State Police Section 3.03 At the discretion of the Deschutes County Community Justice Department Director, the Community Justice Department Director may serve in lieu of the Deschutes County Community Corrections and or the Juvenile Department Director. Section 3.04 Members shall serve at the pleasure of the appointing authority or until the member no longer- holds the public office described. Citizen members shall serve terms of two years. Citizen members may serve more than one term. Section 3.05 The Deschutes County Board of County Commissioners may appoint additional citizen members for terms of up to,, two years. Article IV. OFFICERS and DUTIES Section 4.01 The officers shall be a Chair and a Vice-Chair. Officers shall be elected by a majority of members of the Council and shall hold office for terms of three years. Section 4.02 The Chair shall preside at meetings, form subcommittees, including the subcommittee required by ORS 423.565(4), and form task forces. The Chair shall, appoint subcommittee and task force members. The Chair shall perform all other duties necessary or incidental to the office. The Vice-Chair shall carry out the responsibilities of the Chair in the absence of the Chair. The Vice-Chair shall fill out the term of the Chair if the office becomes vacant. The Chair shall appoint a Vice-Chair to complete the term of Vice-Chair if the office becomes vacant. Section 4.03 The Chair shall notify the relevant appointing authority in writing if at any time a member appears unable to serve, a position appears vacant, or upon the expiration of the term of any citizen member if the Chair has not received notice of reappointment. 2 Attachment 4 Article V. MEETINGS, VOITING and RECORDING Section 5.01 The Council shall meet no less than once per quarter. Special meetings may be called by the Chair or by 2/3 of the Council members. All proceedings of the Council shall be open to the public in accordance with and subject to the provisions of ORS 192.610 to 192.690. Section 5.02 All votes of Council members and minutes of the meetings shall be recorded and shall become matters of public record. A quorum for the transaction of official business shall consist of a majority of the current voting members of the Council. A member must be physically present at the meeting to be counted as part of the quorum. Article VI. BYLAWS Section 6.01 Except for section 3.03 and any other provision relating to Council membership, these bylaws may be amended by the Council. Section 6.02 A copy of all proposed amendments to these bylaws shall be inailed to each member of the Council at least ten days prior to the date at which action is to be taken on the amendment. An affirmative vote by a majority of the Council members shall be necessary to amend these bylaws. 3 Attachment 5 Annual LPSCC Report County: Deschutes County Report Period: January - December 2010 Reporting Person: Deschutes County Community Justice Director J. Kenneth Hales Please note any specific changes made in the recommendation in the Commission Action box Date LPSCC Recommendation Commission action: (accept/reject/modify) Policy/Program affected Funding rovided Nov 1 For Board of County BoCC did not accept or Family Drug Not to Commissioners to reject recommendation; Court exceed fund 0.2 FTE re instructed staff to $10,000 Family Drug Court research alternatives; Coordinator position funding to meet 0.2 FTE cost reallocated from other Family Drug Court grant to County Health . 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O -Fu -0 0 + + E a) a) C> C D U L C v O a) ' R Q H Qm-0, E Y Y u (n 7 > a 3 R to Cn C R Y o Q Q d 0 C i R- 0 ca) w C 0 p of vl 41 L v u 0 G R LM in m L m 3 N 0 o E L R N S v c~ 0 v O of N> +1 kn aJ E C !UE R V, a1 N O is c U •E ti m O CO) H v U Q o > c 0 c W E o a 0 l7 + ¢ o ° v Z v ¢ E 3 Y en L N O. L Q +0+ X 00 (1) Q i 00 Qi Ste" L t t L In N 01 N F ' a) U1 o _ N C to C M 00 a v ai N p~ x ~ N W) W Y Ln `i F O N M TO: MDT Members and Community Partners in Deschutes County FROM: Dr. Deanna St. Germain, Medical Director at KIDS Center DATE: February 8, 2011 SUBJECT: Referrals for Young Victims of Domestic Violence In response to the growing awareness of the significant long-term effects of domestic violence on children and results from a recent community partner survey, KIDS Center is expanding our services to reach these young victims. According to the Bureau of Justice Statistics (2007), children are living in as many as 50% of the homes that are experiencing domestic violence. The impact on a child's mental, emotional and physical health, short and long-term, can be devastating. The most immediate threat to a child living in a home with domestic violence, is the high rate of co-occurring child maltreatment, which is estimated to be present in up to 55% of these households. Children who are witnesses to domestic violence often demonstrate behavioral, social and emotional problems such as aggressive behavior, depression and anxiety. These children frequently have academic and cognitive difficulty which are evident in poor problem solving abilities, poor testing in school and delayed cognitive development. In the area of long-term consequences, a male child witness is more likely to become an abuser and a female child witness is more likely to become a victim. Community partners responding to KIDS Center's recent Community Partner Survey, overwhelmingly stated that there is a need for medical evaluations for children suspected of being psychologically abused, including witnessing domestic violence. 88% of all respondents stated that this is an underserved area that should be addressed with a forensic interview and medical evaluation. Effective immediately, KIDS Center will be working with our community partners to meet the assessment and treatment needs of these children and their families. We are designing and implementing a new protocol that will allow for a more timely response. We are creating a triage process for the varying degrees of severity present in domestic violence situations. Our expectation is that most new referrals will come from patrol officers who are the first responders to a domestic violence incident. We realize that many patrol officers may not have had direct experience with KIDS Center and we are willing to familiarize them with our processes, specifically with determining which children should be seen and at which level of urgency. All cases will be cross reported to DHS by KIDS Center. At present, we are planning on providing developmentally appropriate evaluation services along the following guidelines: 1. Any minor who is injured during the course of a violent domestic incident and has evident physical injuries should be seen with the parameters established by Karly's Law (visit http://www.doi.state.or.us/crimev/cami.shtml for details on Karly's Law). 2/7/11 Page 1 2. Any minor child who is reported to have been physically involved in the altercation, even if injuries are not readily visible to the responding officer, should be referred within the parameters established by Karly's Law. The rationale behind this guideline is that a child may have sustained significant head or skeletal injuries that may only be identified by thorough physical examination or by radiological imaging. 3. Any minor child in a household where one legal guardian is a victim of a violent crime. Any minor child in a household where one legal guardian is arrested for a violent crime against another adult or against another child in the home. For example, a child who is witness to violent interaction that leads to arrest for: offenses involving weapons; Domestic Menacing; Strangulation; Assault; or more serious offenses. We realize that we are entering into new territory with this expansion of services. There may be some transitional hurdles as we implement this new protocol, specifically with managing the increase in volume of patients seen. We are unsure, at this time, of the extent of the increase in patient volume, but we will attempt to meet the needs of these minor witnesses to domestic violence as efficiently as possible. We look forward to working with you and moving forward in this process. If you have questions regarding this announcement or the guidelines within, please contact myself at dsgermain@kidscenter.org or Shelly Smith, KIDS Center Director and Deschutes County MDT Chair at ssmith@kidscenter.org. 2/7/11 Page 2