Tri-Audit Recommendations

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2 Tri-Audit Recommendations Fall 2016 Spring 2017: Professional Lens (National Institute of Corrections) Public Lens (Corrections Grand Jury) Service Recipient Lens (Disability Rights Oregon) Audits were comprehensive efforts MCSO embraced this process and accepted each report, before transitioning from audit facilitation to (75+) recommendation implementation MCSO has three stories to share, focusing on improvements to mental health services

3 Story 1: Systems of Accountability Touches upon: Human Resources Commitment to Diversity Policy Development Process, Confrontation Management Series Training Annual Plan, CIT, Mental Health First Aid Board Briefing slated for January 2018 Professional Standards Data Collection, Inspections, Internal Affairs Professional Organization

4 Story 2: Management of Adults in Custody Touches upon: Partnership with Corrections Health Pre/Post-Booking Diversion Housing Care and Custody Programming and Release Procedural justice, reduced recidivism, healthy community

5 Pre-Booking Diversion Homeless Outreach and Programs Engagement (HOPE Team) (April 2017) Law Enforcement Assisted Diversion (LEAD) (February 2017) Unity Center (February 2017) Mental Health Diversion (November 2017) Officer discretion to divert, dependent upon charge and/or behavior Individual consents to treatment over jail and exchange of information Unity Center/Cascadia Behavioral Health Clinic transport and admission District Attorney s Office consults with provider and drops charges

6 Post-Booking Diversion Close Street Supervision Forensic Diversion Aid and Assist Secure Transport/Transition Placements

7 Housing Overarching goal is to place adults in custody in the least restrictive housing possible, allowing for more time in open areas We have restructured operations to: Increase productivity and privacy Create a therapeutic environment Improve electronics in the Detention Center

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9 Care and Custody Mental Health Team/Staffing: MCSO Corrections Sergeant and Deputy Health Psychiatrist, Forensic Psychiatrist Fellow, and Mental Health Nurse Practitioners Mental Health Consultants Recent recruitment of an experienced manager Recruitment of consultants to be stationed in booking Improved Services: Expanded clinic hours at both facilities Increased access to mental health professionals Enhanced privacy in clinical setting, facilitates discussion to improve clinical outcomes

10 Care and Custody Comprehensive Case Management Approach: Multidisciplinary Team Mental health professional input Classification (disciplinary review/suicide watch) Review of mental health-related mitigating factors Time in open areas Programming Care plan development

11 Programming and Release Provide access to professional community service providers Offer and expand programming for adults in custody: Health (Treatment readiness, AA/NA/DAA, Mental Health Process) Personal Growth (meditation, DV awareness, parenting, budgeting) Education (English, literacy, high school) Job Skills (Career readiness certification, food handlers testing) Legal Skills (Forensic Diversion) Facilitate discharge planning upon release: Eligibility specialist to help individuals sign up for insurance coverage Mental health consultants providing individualized discharge planning

12 Story 3: Communication / Collaboration Touches upon: Data Collection and Evaluation Local Public Safety Coordinating Council (LPSCC) Quarterly Meetings with interest groups Transparent governance

13 Challenges Staffing (Recruitment, Job Satisfaction, Retention) Training Facilities (classification vs available cells) Movement from more to less restrictive housing Exacerbates operations Maximizing time out of cells and access to services Overpopulation release Length of stay, generally short Limited time to stabilize or provide programming Often uncertain release date Challenges ability to coordinate discharge planning

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