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HomeMy WebLinkAbout06-02-15 PSCC Meeting MinutesDESCHUTES COUNTY PUBLIC SAFETY COORDINATING COUNCIL TUESDAY, JUNE 2, 2015 Deschutes Services Building, 1300 NW Wall, Bend, OR MINUTES 1. Call to Order & Introductions Judge Sullivan called the meeting to order at 3:35 p.m. Present were Commissioner Tammy Baney; Judge Michael Sullivan; Judge Alta Brady; Tom Anderson, County Administrator; Keith Witcosky, Redmond City Manager; Jim Porter, Bend Police Chief; Jeff Hall, Court Administrator; Ken Hales, Community Corrections; Dave Tarbet, Redmond Police Chief; Shelley Smith, KIDS Center; and Steve Gunnels, District Attorney's Office. Also in attendance were DeAnn Carr of Health Services; Jacques DeKalb, defense attorney; Barb Campbell, Bend City Councilor; Steve Reinke, 911 Director; Tanner Wark, Parole & Probation; David Givans, County Internal Auditor; Donna McClung, Oregon Youth Authority; and citizens Dave Cook and Dirk Van Houweling, and Roger Olson ofNAMI. 2. April Minutes The minutes ofthe April 7, 2015 meeting were unanimously approved. 3. Public Comment None was offered. 4. Central Oregon Summit to Reduce Rx Abuse Commissioner Tammy Baney gave an overview of the Regional Summit on Prescription Drug Abuse. She said there is direction from the Governor's Office to address this issue, and there has been a task force in place for this purpose since 2013. Minutes of PSCC Meeting Tuesday, June 2, 2015 Page 1 of7 Minutes of PSCC Meeting Tuesday, June 2, 2015 Page 2 of 7 The purpose is to convene community conversations regarding prescription drug and heroin abuse. It is more related to health outcomes, prescribing issues, and working through the transformation center due to healthcare changes. She asked the group if they perceive there being a big issue in this community, especially in relation to heroin abuse, overdose issues and the connection to law enforcement and the health of the community. She asked if they would find it worthwhile to convene in this county or region. There is research indicating that the State is not dealing well with prescription drug abuse or the use of heroin and other substances. It is not just a medical issue. Judge Sullivan stated that it is a big issue here and in other communities. He handles a lot of arraignments where drugs were a major factor. Oxycodone seems to be a gateway drug to quick addiction and other drugs. He would like to see its use limited. Steve Gunnels added that the District Attorney’s office has seen a huge increase in narcotics charges, along with other criminal charges. It is almost always younger people who overdose. They are seeing a lot more of this lately. Chief Tarbet said that oxy is a gateway drug; and sometimes people start for medical reasons but keep using it. It is very expensive, so they find heroin is a lot cheaper. Chief Porter stated that people often think of the user as a guy in a back alley, but law enforcement sees it across all economics, both oxy and heroin. However, the demographics are typically younger people. Commissioner Baney said that there were about 150 people present for the Oregon Summit on this issue. They are looking to follow up on some of the issues discussed. They can’t just look at it as a medical issue. The request of the group is to gauge interest. Judge Brady stated that she would like to encourage people having a card to present to doctors and dentists that advise that the card holder is a drug addict, so that the wrong drugs won’t be prescribed. The doctor or dentist would have to sign the card. The professionals are getting better, but prescribing narcotics used to be the automatic response to give to someone who said they are experiencing pain. Minutes of PSCC Meeting Tuesday, June 2, 2015 Page 3 of 7 Commissioner Baney noted that it is a complex situation. They have made a lot of strides with the meth crisis, but this also needs to be addressed. The group reached consensus that they support this concept. 5. OJIN Update Jeff Hall stated that this involves a database change out; they are working on the new system but there will not be access available for most users for another week or more. The Courts have let people struggle in other places, but he is being more proactive and hopes to make the information more available sooner. Judge Sullivan stated that this is not a choice, but a mandate. It will happen and everyone will be on the same system. He feels this information will be more helpful than before, but it won’t be instantaneous. Mr. Hall noted that subscribers will be able to get to case documents on line. There is a rolling effort to get documents scanned before the next hearing date. There are no plans to scan old closed cases at this point. Judge Brady said they started scanning early this year. Mr. Hall added that every 2015 criminal case will be in the system, as will other cases that are still active. 6. JRP Application Tanner Wark said that JRP stands for the Justice Reinvestment Program. This application is for a grant for the second biennium. HB 3194 directed different requirements this time around. The deadline is August. This has to be presented to PSCC and approved by the Board of Commissioners prior to submission. They try to get this accomplished within 120 days of budget approval. The focus includes reducing prison population and recidivism. The program uses are varied, but everything has to show an outcome or measurement associated with it, in detail. The grant submission is in three parts; 87% of the grant has to be submitted as a unified effort, with goals, and addressing all the elements. Also they have to demonstrate a need for the program in the community, and accountability for the funds. Minutes of PSCC Meeting Tuesday, June 2, 2015 Page 4 of 7 Part 2 is 10% for victims’ services. The nonprofit has to demonstrate it is helping the underserved community. There is a 3% holdback with the CJC to evaluate the program for selected counties. They look to see if this can be reproduced in another county. Programs can include early release or transitional leave offenders. He does not yet the dollar amount since this is still being reviewed by the legislature. This is the first year they have had established rules. The criterion was different last year. Judge Brady noted that the Drug Court got some of the funds last year. Mr. Wark said that it was previously used for family drug court for a mentor program, JRPPO for early release or transition planning, victims’ advocates and Saving Grace, and nonprofit grants for other entities that assist victims such as Mary’s Place, KIDS Center and CASA. The rebuilt some of the structure that was lost in previous years. They have to report and show compliance each year. Ken Hales stated it is non-competitive; they just have to use the funds according to the requirements. It is mostly fixed based on population. Judge Sullivan said that it is meant to reduce the prison population. About $70 million has gone into savings, and they are trying to get some of that back to invest in programs. However, it is being diverted for other uses at the State level. The better a county does at preventing recidivism, the less funding it gets. They are punished for already doing a good job. Mr. Hales noted that the additional funding is the old Measure 57 funds that the State is now repurposing, and not to where it is needed. The JRP funding is derived from cost avoidance efforts. Mr. Wark added that they are successful in managing the funds and have already were before this was put into place. Barb Campbell stated that they started the program to let adult offenders out early and keep them out of the State system. The funds were to be used for programs to help these people stay out. The County saved the money through efficiencies but now can’t get that money back. Minutes of PSCC Meeting Tuesday, June 2, 2015 Page 5 of 7 Commissioner Baney said that there is a bucket of money at the State level that is not identified for this purpose. The County is being penalized for doing good work all along. Mr. Wark added that the data is not correlated to how much the County could or should get back. It is also based somewhat on population numbers. Mr. Hales said he was concerned how they would measure this. Dave Cook stated it goes back to 1145 funding long ago. Some counties are always over-users, and others that do well are penalized. You may not be able to show a big improvement or they figure you don’t need the funds. Judge Sullivan added that there are a lot of good programs that help with transition, including medical care and mental health care. Some of this is not required but is very effective. 7. Safe Screen – JRP Prison Diversion Strategy Steve Gunnels explained there is a big push in reducing prison beds. The District Attorney and Parole & Probation play major roles in this. HB 3194 mandates mean they have to develop programs to reduce the use of prison beds. SafeScreen is evidence-based and a risk assessment tool designed to help determine if someone who has been arrested should go to jail, or be put on parole. They have to consider public safety, reduction of prison beds and reducing recidivism. Sending someone to prison does not just mean public safety or a long-term savings. They are developing protocols for cases that are reviewed by the D.A. The Deputy District Attorneys will have additional information on the individuals, and will decide if the crime could send them to prison or if they deserve a chance in another way. This is the initial eligibility. The next step is the public safety checklist to determine risk, which could be high, medium or low. They can consider low risk or even medium risk for a downward departure sentence. They can ask parole & Probation to further evaluate to determine the risk and needs, and whether the person can be supervised in the community. Person to person crimes are not usually ideal. Often this involves property or drug crimes. The goal is to maintain public safety. Roger Olson of NAMI asked if this is one of the JRP programs. Mr. Gunnels replied that it is an important aspect of it. Minutes of PSCC Meeting Tuesday, June 2, 2015 Page 6 of 7 Mr. Gunnels said that some are higher risk but respond well with proper support. Judge Sullivan stated that it costs about $30,000 a year to house a prisoner, and medical costs are skyrocketed. 8. JRP Victim Service Provider Grants Mr. Gunnels said that the HP 3194 grant program as administered by the D.A.’s office provides $64,000 for the biennium which is distributed to victims’ advocates. This is designed to help local nonprofits such as CASA and the KIDS Center assist victims in some way. They are reviewing applications now and will have the results in June. Shelley Smith stated that they decided to go together for the whole amount and then split it accordingly. 9. New Investments Children's Continuum MH Services DeAnn Carr from Health Services said they are mostly working with the CCO’s on mental health programs in the tri-county area and includes the hospitals. They are focusing on children coming into the emergency room. Deschutes county received funds from the State for E.R. diversion, but they want to expand beyond that into intensive services. They are in the contracting phase at this point. The counselor can respond at the E.R. and be available beyond that, to try to connect the child and family to resources. There would be just four families per counselor. The best way to help is pooling these dollars from all the partners. This ensures capacity and helps to make the program sustainable. Some of this funding is coming out of Health Department reserves as well. Judge Sullivan asked what the cost is per day for a hospital stay. Ms. Carr replied it is around $645. The intercept program cost is about $117 per day. This covers the full spectrum of services for health and mental health up to age 17. They are seeking a robust behavioral health continuum. Commissioner Baney said that what is missing in this region is a pediatric psychiatric unit. A child might be in the E.R. long term because there is no safe place to put them. In-home intensive care is better. Otherwise, they have to get someone to babysit outside of their hospital room and watch them. There are big holes in the system here and this program is needed. Ms. Carr added that the best outcome comes from treating the family. They need consistency. Chief Tarbet said that Redmond schools have a program for behaviorally challenged students. Ms. Carr stated that there could be some cross-over, but what they need most is in-home treatment. 10. Other Business Judge Sullivan asked for the group to attend the July 7 PSCC meeting so the grant application can be approved then, and to officially welcome the new Sheriff, Shane Nelson. Being no other business discussed, Judge Sullivan adjourned the meeting at 4:55 p.m. Respectfully submitted, Bonnie Baker Recording Secretary Attachments · Agenda Sign-in sheets · Eastern Oregon Summit to Reduce Rx Abuse · JRP Application Guidelines · Safe Screen Program Minutes of PSCC Meeting Tuesday, June 2, 2015 Page 7 of7 DESCHUTES COUNTY PUBLIC SAFETY COORDINATING COUNCIL Tuesday, June 2,2015 -3:30 PM, Allen Room Deschutes Services Building, 1300 NW Wall, Bend, OR AGENDA I Call to Order & Introductions Chair Sullivan II April Minutes Chair Sullivan Action: Approve April III Public Comment Chair Sullivan IV Central Oregon Summit to Reduce Rx Commissioner Tammy Baney Brief Council on Regional Summits on RX Abuse V OJIN Update Jeff Hall Update Council data base change out VI JRP Application Tanner Wark BriefCouncil on application requirements VII Safe Screen Steve Gunnels BriefCouncil on JRP prison diversion strategy VIII JRP Victim Service Provider Grants Steve Gunnels Brief Council on status of grants IX New Investments Children's Continuum MH Services Jane Smilie BriefCouncil on initiative x Central Oregon Summit to Reduce Rx Commissioner Tammy Baney Briefon Regional Summits on RX Abuse, XI Other Business Judge Sullivan Attachment 1 Attachment 2 Attachment 3 Attachment 4 Attachment 5 PLEASE SIGN IN PSCC Meeting Tuesday, June 2, 2015 r IPlease Print) Name Representing V {e"-. 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Attachment 2·r-:·OrCRM • OregonCOr IitJ for ResponsibleUse of Meds ~-------~------~~----~~~~~----~~~------~~~~~.~.~~~~~~;?=~------~:::: -:.:"rJ lines life Eastern Oregon Summit to Reduce Rx Abuse Eastern Oregon University, La Grande April 24, 2015 SUMMARY Thanks to everyone who joined us in La Grande at the Eastern Oregon Summit to Reduce Prescription Drug Abuse! There were nearly 140 people in attendance representing health systems, law enforcement, tribes, local government, substance abuse treatment agencies, community organizations and other statewide and local organizations. Our speakers were excellent and participants were enthusiastic and engaged. During the morning and afternoon break-out sessions, participants outlined regional action plans to reduce Rx abuse. Participants not only Identified key strategies but also obtained commitments from the community for leadership, funding and support. Below is a summary ofthe strategies and next steps by break-out session. REDUCING PILLS IN CIRCULATION Implementation of PresCtrber Guidelines Local providers Drs. Elizabeth Powers (Winding Waters Clinic) and Betsy Neeley (Grande Ronde Hospital), with the support of the Eastern Oregon CCD, agreed to form a regional Dpioid Prescribing Group similarto the group formed by Dr. Jim Shames In Southern Oregon. This group will be charged with selecting opioid prescribing guidelines and decision aids for use by prescribers with patients. Expanding Access to Non-Oplold and Alternative Therapies to Manage Persistent Pain Lines for Life, Dr. Paul Lewis (Multnomah County Health Officer) and the Eastern Oregon CCO and GOBHI committed to support the development of community-based pain clinics/pain schools. Mark Altenhofen, who has launched alternative pain clinics in Salem, Astoria and Southern Oregon, also committed to help. The use of a Boot Camp translation strategy for Frontier Counties to frame positive messaging and community norms that promote alternative approaches to pain management will be explored. For example, integrating primary care with public health and community-based organizations to translate evidence-based models of care into language and constructs accessible to community members that can readily be implemented to improve health. Expanded Use of Prescription Drug Monitoring Program Because the process of registering providers for the POMP is a challenge, the discussion encouraged hospitals and health systems to sponsor lunches or other events as a strategy to expand POMP enrollment. At the Summit, providers and delegates were given an opportunity to register on site. This effort nearly doubled the number of users in Union county! Also of note, upcoming PDMP enhancements will help providers run reports that can identify high risk patients. Expanding and Improving Provider Education Expanding access to provider education on opioid prescribin~ cognitive behavioral therapy, trauma-informed care and pain management was identified as key components of the action plan. PartiCipants identified gaps 5100 SW Mocadam Avenue Suite 400 Porlland, OR 97239 P 503244.5211 / 800.2827035 www,lines life,org " such as additional training for Physical Therapists (PT's) and other alternative providers on chronic pain management. Sponsorship of continuing education for PT's was recommended as a possible solution . Reversing the Unintended Consequences of Patient Satisfaction Surveys Prescribers and health systems participants highlighted the current method of patient satisfaction surveys creates both reimbursement and human resource incentives to prescribe opioids. Dwight Holton and Ellzabeth White at lines for life committed to work with institutional and state regulators to consider improvements to strike the appropriate balance in patient satisfaction assessment to avoid an inadvertent incentive to prescribe. Future Opportunities Change in OHP coverage for treatment of back pain conditions provides an opportunity for additional provider education on alternative therapies to manage pain. Beginning in 2016, alternative treatments such as acupuncture, cognitive behavioral therapy, chiropractic manipulation and other treatments with evidence of effectiveness will be covered. EXPANDING ACCESS TO AGONIST AND ANTAGONIST THERAPIES Development of an Integrated Care Model One of the most exciting outcomes of the Summit was the Eastern Oregon CCO's commitment to support a county-wide pilot to test a model of care that integrates mental health, addiction, and primary care. Dr. Elizabeth Powers and Shannon Wiederman, ANP (Winding Waters Clinic) agreed to take the lead with the support of the Eastern Oregon CCO to design a system of care under one payment, one home model. Expanding Naloxone Distribution The Eastern Oregon CCO enthusiastically agreed to provide coverage for Naloxone and support the development of guidelines for co-prescribing Naloxone. In addition, the EOCCO and local treatment providers agreed to form a task force to write a grant application to the Federal Office of Rural Health Policy (FORHP) for funding through the Rural Opioid Overdose Reversal Grant Program (ROOR). This one year program will fund efforts that will focus on preventing opioid overdose in rural areas. Expanded Access to Buprenorphine Tim Hartnett (CODA) and Dr. Amy Boudreau (lifeways, Inc.) agreed to form a Buprenorphine Access Task Force. The role of the task force is to expand the availability and accessibility of buprenorphine in the region. This includes exploring tele-health options and certification for non-physicians, ensuring at least one prescriber in every county, promoting opportunities for training, and expanding the role of mid-level providers. REDUCI NG THE VOLUME OF UNWANTED PILLS Education of Pharmacists, Pharmacies and Reverse Distributors Last year, the DEA removed the barriers that prohibited pharmacies and long-term care facilitates as authorized disposal sites for unused medications. The new regulations allow authorized hospitals/clinics and retail pharmaCies to voluntarily maintain collection receptacles. 5100 sw Macadam Avenue. Suite 400 Portland. OR 97239 P 503244.521 1 / 800.2827035 wwwlines life.erg Participants Identified the need for more education on the new DEA regulations and suggested connecting with the Oregon Board of Pharmacy to offer more continuing education opportunities for pharmacists. Participants also suggested reaching out to large pharmacies to put financial pressure on reverse distributors to accept unused controlled medications. eouCA riNG THE PUBLIC ABOUT THE PROBLEM In the session on Reducing the Volume of Unwanted Pills, outreach and messaging on the dangers of controlled prescription medications was suggested as key to generating public demand for disposal at pharmacies and long-term care facilities. Developing messaging around the illegality of sharing medications and the dangers and risks of prescription drug misuse was Identified as integral to ongoing efforts to encourage safe disposal. During this session, participants received detailed information on Multnomah County's education campaign on opiates and lines for life's youth outreach and messaging campaigns to inform community efforts. Participants agreed it was important to build upon this information and develop local messaging. Next Steps: This summary provides a brief overview of the key strategies and next steps identified by Summit participants to move forward initiatives to reduce abuse and misuse of prescription medications in Eastern Oregon. A more detailed report of the action steps outlined by participants will be assembled and disseminated at a future date. May 6, 2015 (E. White) 5100 SW Macadam Avenue. Suite 400 Portland, OR 97239 P 503.244 5211 I 8002827035 wwwlin9s/', life org EASTERN OREGON SUMM ITTO REDUCE RXABUSE .~.OrCRM Oregon Coalition forAgenda '~ Responsible Use of Meds • • • st",c£OF Glines, life April 24, 2015 I 8:30 a.m. -5:00 p.m. OBJECTIVE: To create community level action plans that will move each objectivefrom concept to action 8=40 - 8:50 a.m. 8:50 -9:00 a.m. 9:00 -9:15 a.m. 9:15 -10:00 a.m. 10:00 -10:15 a.m. 10:15 -10:30 a.m. to reduce Rx abuse in Eastern Oregon and create momentum for statewide change. Breakfast & Registration Plenary: Creating a Better Pathway to Care Welcome & Introductions Dwight Holton, C.E.O., Linesfor Life Expected Goals & Outcomes Charles Hofmann, M.D., M.A.C.P., Eastern Oregon CCO Clinical Consultant Sponsor remarks: Kevin Campbell, C.E.O., GOBHI State of the State &State of the Region Lisa Millet, M.S.H., Manager, Oregon Public Health Division, Injury and Violence Prevention Program Elizabeth White, M.P.A., OrCRM Coalition Coordinator, Linesfor Life Rx Diversion in Eastern Oregon Kelsie McDaniel, District Attorney, Union County District Attorney's Office PANEL SESSION: Initiatives to Decrease Pills in Circulation Improving Patient Outcomes through Evidence-Based Practices Jim Shames, M.D., Medical Director, Jackson County Health and Human Services Managing Long-Term, Non-Cancer Pain without Opioids Catriona Buist, Psy.D., Clinical Director, Progressive Rehabilitation Associates Questions Break Morning Break-Out Discussions GROUP DISCUSSION 1A : PANEL SESSION: Reducing Pills in Circulation FACILITATORS Dwight Holton, C.E.O., Linesfor Life Elizabeth Powers, M.D., Family Physician, Winding Waters Clinic, P.C. Using PDMP Data in Clinical Practice and in Community Level Prevention Lisa Millet, M.S.H., Manager, Oregon Public Health Division, Injury and Violence Prevention Program Health System and Health Plan Practices for Reducing Pills in Circulation Charles Hofmann, M.D., M.A.C.P., Eastern Oregon CCO Clinical Consultant Overcoming Barriers to Expanded Use ofNon-Opioid Therapies to Manage Persistent Pain Mark Altenhofen, M.S., C.E.O., Oregon Pain Advisors, L.L.C. GROUP DISCUSSION IB: PANEL SESSION: Reducing the Volume of Unwanted Pills FACILITATORS Donna Libemday, Education Director, Linesfor Life Emily Moser, M.A.T., M.P.A., YOlithLine Coordinator, Linesfor Life (co r1l1nued on reverse) 12:30 -1:00 p.m. 1:00 -3:00 p.m. TOO -3:15 p.m. 3:15 -5:00 p.m. 5:00 p.m. Expanding Take Back Efforts Michael Hughes, Diversioll Illvestigator, Boise Resident Office/Seattle Divisioll, Drug Enforcement Administration Encol/raging Pharmacies to Implement Take Back Programs John Eaton, R.Ph., Director ofPharmacy, Yellowhawk Tribal Health Cellter Box Lunch Afternoon Break-Out Discussions GROUP DISCUSSION 2A PANEL SESSION: Improving Access to Treatment FACILITATORS Dwight Holton, C.E.O. Linesfor Life Dennis McCarty, Ph.D., Professor, OHSU Department ofPublic Health and Prevelltive Medicine Promoting Wide Deployment ofNaloxone to Reduce the Number ofOverdose Deaths Kim Toevs, M.P.H., Adolescent Health Promotion & STD/HIV/HCV Programs Manager, Multnomah County Expanding Access to Agonist and Antagonist Therapiesfor Opioid Use Disorders • John W. Mcilveen, Ph.D., L.M.H.C., Operations and Policy Analyst/State Opioid Treatnlent Authority (SOTA), Manager/Healthcare Professionals Service Program (HPSP), Oregon Health Authority, Addictions and Mental Health Division (AMH) • Dennis McCarty, Ph.D., Professor, OHSU Department ofPublic Health and Preventive Medicine • Joel Rice, M.D., Psychiatrist and Addictionologist, Gmnde Ronde Recovery, Blue Mountain Associate.s GROUP DISCUSSION 2B PANEL SESSION: Educating the Public about the Problem FACILITATORS Donna Libemday, Education Director, Linesfor Life Emily Moser, M.A.T., M.P.A., YouthLine Coordinator, Linesfor Life Addressing Youth Prescription Drug Abuse • Emily Moser, M.A.T., M.P.A., YouthLine Coordinator, Linesfor Life • Kerryann Bouska, B.A., C.P.S., Strategic Prevention Framework & Partnership for Success Project Director, Addictions and Mental Health, Oregon Health Authority Developing a Public Education Campaign about Prescription Opiates Samantha Kaan, M.P.H ., Public Health Project Specialist, Multnomah County Health Department, Community Health Services GROUP DISCUSSION 2C Compassionate-Based Patient Conversations • Jim Shames, M.D .. Medical Director, Jackson COllnty Health and Human Services • Laura Heesacker, M.S.W., L.C.S.W., Behavioral Health Consultant Break The Way Forward: Moving Discussion to Action Reporting & Discussion Next Steps Dwight Holton, C.E.O., Linesfor L(fe Adjourn JRP Application Outline &Components Deadline: Purpose: Uses: Measures: Each Program: Programs: 11 :59 p.m. on August 5, 2015. Reduce prison populations Reduce recidivism through evidence-based practices (EBP) Increase public safety through collaboration Increase offender accountability Community-based EBP and strategies. System mapping Building a genuine, collaborative LPSCC and RIC Develop data collection and analysis EBP for substance abuse, mental health, and behavioral health treatment EBP for diversion programming EBP for aftercare and reentry services Training to LEO conflict resolution, mediation, community partnership Victim services and support Outputs and Outcomes Purpose Use Outputs Outcomes EBP employed Demonstrated need for the program Evidence of collaboration in planning and implementation Plan for assessing program fidelity Short Term Transitional Leave/Alternative Incarceration Program re-entry Victim service grants Safe Screen TBD TBD Safe Screen: Evidence Based Risk Assessment of Criminal Suspects = Safer Community In July, 2015 the Deschutes County District Attorney's Office (DA) and Adult Parole and Probation (APP) will commence implementation of Safe Screen: a pre-sentencing risk screening program. The objective is to keep our community safe by providing the DA with additional and early information about criminal defendants. This additional and early information will enable the DA to better assess which defendants with presumptive prison sentences should receive prison sentences and which should be treated locally. Current Process: DA considers the facts of the crime that was committed, the criminal record of the defendant, the input of the victim, and the advocacy of the defense attorney, and based on all this, decides whether a local sentence or a presumptive prison crime is appropriate. DA makes a sentencing recommendation to the court. The court then considers the facts, law and arguments of counsel and determines the appropriate sentence. New Process: 1. DA and APP identify offenders facing presumptive prison sentences who may be eligible for a local sentence. 2. This process is initiated by the court release officer completing a screening tool with easy to use pull down menus. 3. If an offender is determined to be facing a presumptive prison sentence and to be eligible for a local sentence, the offender's records are reviewed to see if they've previously received a discretionary local sentence when they were facing a presumptive prison sentence. If they have, they will not receive a local sentence. 4. The next step is to use Oregon's Public Safety Checklist to calculate the offender's risk ofcommitting another felony. If the risk score is 3 or greater the DA will not offer a local sentence. 5. If the risk score is 2 or less or less, the DA will conduct a review of the evidence and make a determination as to whether the harm or loss from the crime was greater than usual for the type of crime involved. If the harm or loss was greater, the DA will generally not offer a local sentence, but reserves the right to do so when circumstances warrant. 6. If the DA wishes at this point to continue considering offering a defendant a local sentence, the defendant is referred to APP for a Level of Service/Case Management Inventory (LSCMI) assessment to assess their risk and needs if given a local sentence. 7. Based on the results on the LSCMI, the DA decides whether to offer a local sentence. 8. Regardless of what the DA decides: a. The defense can ask for a local sentence b. It's up to the court to decide whether a defendant receives a local sentence. 5.26.15