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Home My WebLink AboutMarch 31, 2011 MinutesPUBLIC =AFETY COORDINATING COUNCIL Minutes of Meeting March 31, 2011 Convened: 3:30 p.m. ~ r_ ....~_~ ,^ _ ~"SAdiowrned~ 5:02 p.m. CALL TO ORDER Commissioner Craft, Chairman called the meeting to order at 3:30 p.m. in Conference Room # 3, 2300 Virginia Avenue, Fort Pierce, Florida. ROLL CALL Roll call was taken. Member= Pre:enit~ Commissioner Chris Craft, Chairman Judge Philip 1. Yacucci,l9t" Circuit Scott Harloff for Suzanne Caudell, CORE Program Thomas Mark, Department of Corrections Chief Gary Wilson for Ken Mascara, Sheriff of SLC Chief Judge Steve Levin,l9t" Circuit Pat Tighe, Major Dennis Schmidt for Janet Collins, Bail Association Member: Ab:ent~ Ken Mascara, Sheriff of SLC Bruce Colton, State Attorney Diamond Litty, Public Defender John Romano, New Horizons Ocher= Present: Mark Godwin, SLC Criminal Justice Coordinator Tom Genung,l9t" Circuit Administration Ethel Rowland, Taxpayer Broderick Underwood, SLC Analyst Faye Outlaw, SLC Administration Suzie Caron, Commissioner Mowery': Aide Paster Bill Steakin, T. R.C. Ministry Trevor Morganti, SLC SO APPROVAL OF MINUTEf: The minutes from February 28, 2011 were unanimously approved. Publie fafety Coordinating Coaneil Marsh 31, ZO11 Page Z UPDATE by fLC fherriff's Office- Mayor ?ighe on behalf of fheriff Maseara~ Major Tighe reported a proposed Two hundred and sixteen million dollar cut to Mental Health funding. He gave a brealzdown of the mentally ill cases in jail from 2009 with 15%, 2010 with 17% and 2011 already has a 20% population. If funding is cut, the mental health population at the jail would be expected to increase by forty percent. Major Tighe also informed the PSCC of a recommended one million dollar cut to the Victim Information Notification Everyday (VINE) program. The victim notification calls were made by a computer system that the State DOC brought on board. Legislators passed a law years ago that required all victims be notified on specific crimes when an inmate will be released or transferred from jail. Last year 77 million calls were made with an average rate of 17 attempts made before reaching the victim. The bookring Deputies will have to maize the calls if this becomes an unfunded mandate. This will also cause a backr up in the jails. Another unfunded mandate spokre about was the Federal Statue, Adam Walsh Law which will be retroactive to 1980. This law requires sexual predators to register five times a year. A grant was obtained to cover extra equipment that will be needed for this job. Currently 377 sex offenders are monitored and are expected to increase to 754 with the law being retroactive. UPDATE by Criminal ~astiee Coordinator- Mark Godwin Markr introduced Pastor Stealzin and Pastor Stiller who he invited to hear Judge Cox's presentation on Mental Health Court. Markr explained the Pastors have been worizing on developing a Center for the homeless, veterans and released inmates. Mr. Godwin reviewed and discussed the March data sheet on inmate population and the annual Detention Center Population Report for 2010 prepared by Brodericlz Underwood, C11S Analyst. Testing has been steadily increased for the SLC Drug Screening Lab. Chief Judge Levin added that there has been more testing among the teens for a drug called "Spice". Major Tighe suggested having Lt. Kevin Dietrich give a presentation on the topic at next month's meeting. Chairman Craft gave his approval. JUDICIAL UPDATE Chief Judge Levin updated the group of Legislative issues that are being proposed in Tallahassee. Chairman Craft offered a letter of support from the Public Safety Council on Izey Pwblie fafeiby Coordinating Coaneil Marsh 31, 2011 Page 3 issues. Chief Judge Levin reported that he and Court Administrator, Tom Genung would be in Tallahassee in the upcoming days and would have a better idea of the position they would talze on certain proposals. Chairman Craft also extended the same offer of a support letter to Major Tighe and Chief Gary Wilson on any Legislative issues that may affect the Sheriff s office. Chief Judge Levin thanked the Sheriff's department and all the parties involved for helping to rectify the elevator issue with the construction at the Court house. He mentioned that the Sheriff s office really came through financially and without that help plans would have come to a "grinding halt". County Administrator Faye Outlaw was also recognized for her part in resolving the issue. OLD BUfINEfi NEW BUfINEff- Pre:enlaition on 19~h Cireait Men1a1 HealEh Coarb, by badge Cox judge Cynthia Cox gave an in depth Power Point presentation and provided a hard copy of it as well. Judge Vacucci and others praised her for the successful program, but Judge Cox insisted that the success was due to the entire Mental Health Team. ADJOURNMENT: Commissioner Craft, Chairman adjourned the meeting at 5:02 p.m. Submitted by, Carlene Busse THE NEXT MEETING WILL BE HELD April 28, 2011 3/31/2011 SLC PUBLIC SAFETY COUNCIL Cynthia L, Cox (coxc@circuit18.org) Circuit Judge,19th Circuit March 31, 2011 Issues We All Face in Florida • Florida is 48'~ in the nation for funding mental health services. • Florida is 3`d in the nation far rate of incarceration. • There are over 125,000 mentally ill booked jail/prison each year in Florida. ~ 23% can be classified as severe and persistent mentally Ill, • Mentally ill offenders typically spend twice as long in Jail as non mentally ill offenders. • It costs counties 3 times as much to house a mentally ill offender in jail as someone without a mental illness. • There are over 13,000 people on the wait list for services from the Agency for Persons with Disabilities, Whv St. Lucie County Created a MHC We had a tremendous jail overcrowding issue causing budgeting issues. In addition, we had a substantial amount of mentally ill offenders in our jail charged with low level offenses, - 26% of our total jail population were receiving psychotropic meds. There was no clear linkage between mentally ill offenders in the jail and services in the community. A specialized court was needed to address the unique needs of the mentally ill and slow recidivism 3/31/2011 Began praass In aoes • We matwlth our County COmminbnen • Vlsked other MHU Created a subrnmmktee of the Publl[ Sakty [oundl • MH Ulmindjuukewmmlttea • Adedslon makarfrom each ayenrywas present - • PubN[Delender's Offin • State Attorney's Office • Community MH provider • DCF • Law Enkrcemenl • IndudlrgtheJail • County Camminioner • Agencyfor Penom with Disability • Judidary • Met monthly • Yle began our MHCln June sooa(see AdmlNatratlve Orderl • Started CfT training • In aooa, eppliedfor end received aFlodde Reinveftmen[Grant • Durcounty<ratededatabsseth+ttracks ell MHC Uses. Allows Nl teem membarslmmedlete access to client IMormetion. NatJust Another Pretty Face. •. • Tra Itlona eTLeoal Path Arrest Mental Health Court ~ Arrest Charged - Chugetl - )all/Bond 1+Illeond -~ Court appearances - Coon appearances Pre-trial HOweVFA ~~ ~ e T[Idl lre nbe ind our l of tharindl~onal path eowrlo MH Sentencing/Release due to NG [eon Thll prottss un tsie months ll ~ ~nw•x <cm renv,r<n rrJ . krMWm not Year! VOP ~ ~ arena., wvH°... m".`,•.niiaeuac.•n. New charges ~~pm+ni~uN •~h! ivoa •,• Back tOlall/pflsan ruW vrhmp_.fV1.O~T+ianRll~ nth begins anew ~'~ ~ntering Mental Health Court m Referrdis come Irom the follovring sources: > Jail Medladl > State Atiorn@y > Public Defender > Pamlly request > Case Managemenf~r. other mental health providers > Anest affidavit/law enforttiement ® The State Attorney makes the lnilial decision to transfer a cllenl intl MH Court. If a victim Is involved, The victim must agree to the trap. ® The Public Defender meets with the ~Cliant, ezpfains the MHC conditions. ` ® Cllant pleads (If competent and Order trohsferrln9 ~i(diverslonJ or condition of probation or condition of condlilonal release. ® Order releasing bond or ROR'g wllh MH Court coryditions entered. m If client Is In MHC as o condition of probation or on Condlliono Release fI~NGI~, the charges are dismissedLpon successful complet on. ~' m See Admfnlshaflve Orderlorcases That qualify and procedui'e.,(Ax 3/31/2411 Traditionally how MHCs work • Each client has an assessment and is given an individualized treatment plan, • Assigned a Case Manager • Assessment and/or application for benefits • Appropriate placement/housing • Receive counseling/refer for therapy/voc .rehab, pyschosical learning, etc. Mental Health Substance Abuse Med Management Staff initially funded by the Grant Licensed Mental Health Counselor - Functions as the Program Manager for New Horizons positions - Provides co-occurcing therapy services to those consumers in MHC without medical insurance. Service Engagement Specialists (2 FTE) - Assist the consumer with application for entitlements (Medicaid, food stamps, MAP) - Function es a case manager and assist them with coordinating and advocating for needed services Peer Specialists (2 Dart-timel - Graduates of MHC - Run peersupport groups - 1: I contact with consumers for support - WRAP Group- Wellness Recovery Action Plans - Getting ready [o start a budgeting group 3/31/2011 Other Necessary Staff/Services • Case Managers (provide assessments, apply for benefits promptly, make referrals & send for testing) • Drug Testing Lab (funded with SATF) • Group Homes j • Transitional Housing/Faith Based Programs • 12 step programs • Prescription Management • Therapy Services Provided via the MHC Program Office ~ Housing - assisC with the cost of stable housing in Yz way houses, boarding homes, group homes ~ Rent and Utlllty assistance - assist with funds to prevent homelessness ~ Standing weekly psychiatric appointment for medication management (utilized for new consumers who need emergent appointments) ~ Medications -payment for medications until the client has the ability to pay themselves or are on a medication assistance program. Services (cont.) ~ Therapy, case management and psychosocial rehabilitation services for indigent clients. ~ Cost of substance abuse treatment programs (inpatient and intensive outpatient treatment) that could not be accessed without medical insurance. ~ Physical exams and dental work for consumers without medical insurance, ~ Bus passes for transportation to and from appointment. ~ Incidental funds (gift cards) for gas food toiletries, clothing, bicycles, and ot{~er necessary items. 3/31/2011 Our MHC Team • The Team wnsists oF. - Judge - Public Defender (Katie Alonzo/lodi Cheslock & Lisa Fonleyn, Client Svs) - State Attorney (Ed Taylor) #` -Jail Medical (Deb Price) - Pre-trial Services (Kevin Lapham) - Probation (Tia Fcrgueon) - Court Deputies (CIT trained) - Clerk - Mental Hwlth Providers (Members o(the MXC Program OfJ7ce & New Xorizon.s including LXMC, Servfce ngagemen(. Case Managers, Peer Specialists) - Community service providers & Group Homes • Falth•bosed dual dtagnoslspragrams • Agency jot Persons with Ofsabilities ' • Department ofChildren and Fam!lies • The adversarial aspect of court is set aside during staffing. • Sta(fmg is conducted with a therapemic mindset. The relariamkip between rFe Judge and the crient it very /mponarl. Ctlmn munfrel that they ar<given o wise and tAAr recovery tr ar importom ro the Judge ar it it ro their care manager, • Mental Health Court Man~ag~rs monitor consumers throughout the week by communicatilJg with treatment providers, case managers, consumer and often their families. • Clients are sent randomly for drug testing at the St. Lucie County Drug Lab @ the Courthouse. • Case Managers & Specialists attend each staffing & court hearing to ensure that additional needs are addressed. • MH Court meets Mondays from t;3o-2:3o p.m. for staffing and 2:30-5 p.m. for Court. Clients are seen every 1-4 weeks depending on their progress and forensic every 6 weeks. Cases are staffed pprior torch court docket with the team (PD, SA, NFiTC, Judge, and other providers) Cases are divided into groups: o "A" Team (consumers who have been compliant with all services and are making positive progress) o "S"Team (those consumers needing extra attention due to non-compliance or with other barriers to care for) o New consumers/Jail (those consumersjust entering court or still in jail) o Other -Consumers who are out of town appearing by phone, MIA, in a hospital (State Hospital, medical or local MH faciliry) or have other special circumstances, 3/31/2011 J I ncentives/Sanctions • Incentives • Ooing Nret In court "A Team" • Leeatrequentcourtappearancea • Appiauae, kudos, compliments, eta • Sanctions • Jail • Community Service • Finee • Eseaye • Meetings • Graduate upon completion • After et least 8 months • Felony charges are generally longer In duration • Charges may he dismissed (diversion); conditional release or prvbatlon termineied Database r Developed for the purpose of providing a centralized database accessible by al! agencies Involved with MHC. ~ It Is an Internet based program that was developed and housed by the St. Lucie County IT department. ~ Login and password protected r Pertinent MHC team member have access All contact between client and court case managers Is updated to the database. ~ All entltiements are tracked through the database ~ In addition, it tracks information such as: Medications • Appointments • Contactlnformatlon • Drug Test Results mousing ~ w~ M.,,,~y; 6 3/31/2011 .,,~..a,. ,~ <... .~ - ... _ ;~ ,. ,.. ~,. ...w.. ,o..., .,..~........ „~._ y... Statistics • We have had over 725 clients referred to MHC since its inception in 2006 (about 1122 cases) with 62% success rate. (' • 328 graduates (68 nolle prossed, 68 sent back, 64 sentenced, 4 died and g transferred to other MHC) • Breakdown of current cases: - 182 active clients (65% misdemeanors, 35% felonies) - 33 clients es a Condition of Probation - 34 ITP/NGI Conditional Releases - S Clients currently in Stale Hospital - 16 clients whose primary diagnosis is MR - 40% diagnosed with Bi-polar Disorder, 35% diagnosed with Schizophrenia or SchizoafTective disorder, 2S% other (major depression, psychotic disorder-NOS, PTSD, mood disorder) - 60% of clients have a substance abuse or alcohol co-occurring diagnosis. 7 3/31/2011 Challenges - Time frame between referral and acceptance can • be lengthy. - Therapeutic v. Punitive - Access to services/contractual arrangements with MH providers - Substance Abuse (prescribed meds & opiates) - Increased probation caseload makes it difficult to stabilize co-occurring clients as a positive UA can violate them - Drug Testing/Transportation/Cell Phones MINIMUM NEEDED FOR A MH COURT Administrative Order & Cooperation among all etakeholde; Program Coordinetor/I,iasion MH Caee Manager(s) (with SS benefit experience) Database Relationship with and access to records of community MH Providor Therapy/Medication Management Wraparound funding (transportation, medication, housing) TraneitionallGroup Housing Co-occurring/Substance Abuse Programs Drug/Alcohol Testing .vn-. Coheeive Team Unit r'.~tt1 MONEY!!! AVERAGE ANNUAL COST (175 cuENrs~ 5350,000 OR 52,000 PER CLIENT o LHMC $54,000 o Case Manager $80,000 ($40,000 x 2 FTE) o Service Engagement Specialist $81,000 ($40,500 x2 FTE) o Court l.iasfon (Court Administration) o Housing $70,000 o Resldenlial Treatment $20,000 o Incidentals $6,000 o Medication & Case Management $8,000 o Medication $10,000 o Therapy $1,000 (outside grant) o Peer Specialists $20,000 ($151hour part-lime) All other costs are reimbursed Irom client SSI/SSDNA benefits 3/31/2011 KEYS TO SUCCESS o Quick access to benefits o Keeping clients sober & taking meds o Housing o Aftercare o Case Management o Access to Services (including voc rehab) o TranspPrtation o Medication Management o Frequent Monitoring & Drug testing St. Lucie County Criminal Justice System Average Monthly Population Inmates Housed Over 365 Days Average -Sentenced Inmate 1195 1128 1056 1068 1101 1092 240 Oct-10 215 188 178 _._ Nov-10 Dec-10 Jan-11 198 190 Feb-11 Mar-11 VOP 0 Oct-10 Nov-10 Dec-10 Jan-11 Feb-11 Mar-11 Traffic Battery VOP Drugs Hold HOLD Charge Subgroup Summary March 2011 Count 80 - 47 40 - 32 23 ' € ` 20 ~ 16 - 0 ,,.`:~ ~ ,.. Holtl - DOC -Court Ortler Hold -I.C.E. Holtl -Other Counly Holtl Hold -Out of State Fugitive Holtl - U.S. Marshall 80 - 60 - 41 40 r~;: 20 Traffiu Charge Subgroup Summary March 2011 Count 5 g Traffic -DUI Traffic -General Traffic -Hit & Run/Leaving Scene Drug Charge Subgroup Summary March 2011 Count 150 110 100 - 50 - 85 e Traffic -License Susp/NO License/Explretl 1 8 8 4 0 ~-- Drugs - Di5l ribution Drugs - Drugs - Possession Drugs -Sell/Delivery Drugs - Tre((iCking Manufacture/Smug 91 i n g