Police-Probation Partnerships to Promote Successful Reentry

Transcription

1 Police-Probation Partnerships to Promote Sccessfl Reentry Janary 24, 2017 Broght to yo by the National Reentry Resorce Center and the Brea of Jstice Assistance, U.S. Department of Jstice

2 Speakers MODERATOR Jerry Mrphy, Program Director, Law Enforcement THE COUNCIL OF STATE GOVERNMENTS JUSTICE CENTER PRESENTERS Chris Lane, Intensive Spervision Probation Spervisor SALT LAKE COUNTY (UT) CRIMINAL JUSTICE SERVICES Sergeant Cole Warnick, Intensive Spervision Probation Unit SALT LAKE COUNTY (UT) SHERIFF S OFFICE Seth Teage, Management Analyst SALT LAKE COUNTY (UT) BEHAVIORAL HEALTH SERVICES Amy Weaver, Intensive Spervision Officer JOHNSON COUNTY (KS) DEPARTMENT OF CORRECTIONS Zach Stephens, C.O.P.P.S. Officer OVERLAND PARK (KS) POLICE DEPARTMENT Jo Freedman, Behavioral Health Coordinator PORTLAND (ME) POLICE DEPARTMENT

3 OVERVIEW Introdction Intensive Spervision Probation (ISP), Salt Lake Conty, UT 03 Overland Park Neighborhood Improvement Project, KS 04 Behavioral Health Unit, Portland ME

4 Common Interests Law enforcement and commnity corrections have related, bt different missions. SHARED GOAL: HEALTHY, PRODUCTIVE, AND LAW ABIDING CITIZENS. SUCCESSFUL REINTEGRATION OF INDIVIDUALS INTO THEIR COMMUNITIES THE INDIVIDUAL S ABSTENTION FROM CRIMINAL ACTIVITY

5 Benefits

6 Typologies Preemptive Preventative [ [ Information sharing Interagency problemsolving Enhanced spervision Specialized enforcement Develop procedres to exchange information abot individals on probation or parole with the goal of redcing recidivism. Identify mtal concerns related to types of crime or specific areas, develop strategies, and allocate resorces. Joint police and corrections spervision of select high-risk probationers and parolees inclding connecting them with commnity-based services. Address specific crime problems (e.g., gang activity, firearms, and drgs) or poplations (e.g. yoth, individals with mental illness, and sex offenders) in effort to increase pblic safety and connect individals with needed services. Reactive [ Fgitive apprehension Joint police-corrections operations formed to locate and apprehend probationers or parolees who have absconded, violating conditions of release. Sorce: Parent, Dale and Brad Snyder. (1999). Police-Corrections Partnerships. National Institte of Jstice: Isses and Practices. Washington, DC: U.S. Department of Jstice.

7 Partnership Activities Intelligence and Information Sharing Case Planning and Spporting Behavior Change Focsed Deterrence Sorce: Jannetta, Jesse, and Pamela Lachman. Promoting Partnerships between Police and Commnity Spervision Agencies: How Coordination Can Redce Crime and Improve Pblic Safety. Washington, DC: U.S. Dept. of Jstice, Commnity Oriented Policing Services (COPS), 2011.

8 Intensive Spervision Probation (ISP) Program 8

9 Mission Intensive Spervision Probation (ISP) provides an alternative to incarceration for clients assessed as high risk/high needs for the prpose of improving the well-being of the participants, protecting pblic safety, and improving client access to treatment resorces. The ISP Program is a collaborative effort by members of the Salt Lake Conty Sheriff s Office, Salt Lake Conty Criminal Jstice Services Division (CJS), and Salt Lake Conty Behavioral Health Services.

10 Backgrond on Utah Criminal Jstice Reform: Present 10

11 Jstice Reinvestment Initiative (JRI) Utah Growth Rate Exceeds National Average Growth Rate Change in Prison Poplation, Utah Prison Poplation Grew Amid Recent National Average Decline Change in Prison Poplation % 15% 18% 16% 14% Utah, 18% 10% Utah, 8% 12% 10% 8% 6% 4% All States, 3% 5% 0% All States, - 3% 2% 0% -5% Credit: CCJJ Jstice Reinvestment Report, November 2014 Credit: CCJJ Jstice Reinvestment Report, November

12 Spervision and Case Management Fnding Internal Fnding and Resorces 5 Corrections Officers and 1 Sergeant ($498,000) Additional Fnding Vehicles and Maintenance ($384,000) Miscellaneos Eqipment ($90,000) Gn, Taser, Vest Vocher, IT etc. Total Year One Investment $972,000 Internal Fnding 4 FTEs ($270,000) 3 Case Managers 1 Case Manager Spervisor Total Year One Investment $270,000 12

13 Development and Strctre of SLCo s Intensive Spervision Probation (ISP) 13

14 Team Roles and Responsibilities CJS Case management Correspondence with corts SO BH ARS Law enforcement activities Collect, analyze, and commnicate field spervision information Coordinate commnity based treatment Collect, and analyze clinical date tracked throgh electronic health records and monitor otcomes Provide sbstance abse/mental health evalations Provide clinical referral Tx Provide evidence based treatment within the commnity Provide reglar client pdates and treatment compliance 14

15 TEAM ROLES (CJS) CJS CASE MANAGERS The CJS probation case manager is responsible, in cooperation with treatment providers and Sheriff s Officers, for direct spervision of the client s compliance with their probation inclding: o Condcting reglar office visits with clients; o Implementation of the appropriate spervision level and probation case plan based pon established assessment reslts; o Providing commnity linkages and referrals to appropriate agencies/resorces; and, o Docmentation of client progress in the CJS client database. CJS probation case managers prepare correspondence and reports for the corts as needed to inclde bt no limited to: o Stay/progress reports; o Order to show case reqests; and, o Affidavits in spport of an order to show case.

16 TEAM ROLES (CJS) CJS CASE MANAGERS The CJS probation case managers serve as primary contact for correspondence with the corts, program referrals, and information reqests. CJS probation case managers attend treatment case staffings, team/program meetings, and schedled cort hearings as reqired. CJS probation case managers provide information and recommendations relating to isses of compliance, accontability and progress with other team members in team meetings and staffings. CJS probation will establish legal and clinical eligibility reqirements for the Intensive Spervision Probation program and screen potential participants based pon that eligibility criteria.

17 TEAM ROLES SL COUNTY SHERIFF S OFFICER The Officers are responsible for the law enforcement services and field operations in spport of case management and accontability of each client s probation reqirements. The Officer will maintain freqent contact with the client and monitor client activity respective to the client s life at home, employment, treatment, and any other commnity involvement deemed necessary to provide effective commnity spervision. Each Officer will condct motivational interviewing techniqes, monitor client interactions and lifestyle deficiencies within the commnity in order to spport and motivate clients to meet probation reqirements, and assist the client in achieving a better qality of life.

18 TEAM ROLES SL COUNTY SHERIFF S OFFICER Each Officer assigned to the Intensive Spervision Probation Unit will work together as a team along with other staff members and treatment providers according to Sheriff Office policies, principles and philosophies, as well as cort orders set forth in the Intensive Spervision Probation Agreement, predicated on the commnity-based spervision model. While condcting field operations, the Officer is responsible for collecting, analyzing, and commnicating pertinent information on each of their assigned clients that will assist the case manager, treatment referrals (ARS), therapists, and the jrisdictional corts to development the best corse of action that is in the best interest of the client and mitigation of pblic safety risk. Officers will attend meetings with local treatment providers and case managers to provide additional information in spport of probation compliance and to facilitate treatment services and case planning.

19 TEAM ROLES BEHAVIORAL HEALTH SERVICES Assist in the coordination of commnity-based treatment for program participants, and to monitor fnding for treatment and recovery spport services (i.e., ATR). BHS will have representation at weekly staff meetings in order to answer qestions of treatment access, fnding, and other concerns. BHS is responsible for collecting and analyzing clinical data for ISP clients tracked throgh Electronic Health Records (EHR). BHS will coordinate with CJS and the Sheriff s Office in monitoring data and otcomes collected otside the EHR. BHS will also assist in providing materials, presentations and other information in promoting and demonstrating ISP sccess and otcomes.

20 TEAM ROLES CONTRACTED TREATMENT PROVIDERS Provide evidence-based treatment in the commnity for program participants. Make all final clinical recommendations for treatment programming. ** Provide reglar client pdates to the ISP team Case Managers and Officers to inclde: o Client level of treatment compliance and engagement; o Rle violations, failed drg screenings (within hors of positive screenings); and, o Any other pertinent treatment information or concerns.

21 TEAM ROLES CONTRACTED TREATMENT PROVIDERS Attend weekly staffings at CJS to discss information shared in the reports, as well as any other pertinent information with the ISP team to facilitate collaboration and reach consenss on how best to proceed with each client s treatment and probation. Make recommendations for alternate treatment, if a client is deemed inappropriate for their program to inclde: o Reqesting athorization from BHS for the transfer; and, o Referring and consenting the client s records to the new provider (ARS assessment workers may make the referral to the new provider pon reqest of the crrent provider). ** There will be instances where the client s legal stats spersedes final clinical recommendations, in which case the corts may remove clients from treatment withot final clinical approval from the treatment provider.

22 TEAM ROLES ASSESSMENT & REFERRAL SERVICES Provide comprehensive sbstance se and mental health disorder evalations consisting of a fll clinical interview administered by a Master-level clinician and incldes the administration of the Risk And Needs Triage Assessment, information obtained from the Brea of Criminal Investigation, determination of behavioral and psychosocial diagnoses tilizing the Diagnostic and Statistical Manal of Mental Disorders (DSM 5) and determination of treatment level inclsive of the American Society of Addiction Medicine Placement Criteria (ASAM) gidelines. Provide the clinical referral to all ISP team members and the participating commnity treatment providers. Review any applicable prior assessments for relevancy and, if indicated, incorporate information from previos evalations into the crrent assessment.

23 TEAM ROLES ASSESSMENT & REFERRAL SERVICES Determine if clients receiving treatment at a non-conty treatment provider are receiving a clinically appropriate level of care at an appropriate provider based pon the crrent needs of the client. Make appropriate recommendations for changes in level of care and/or provider if a client s crrent treatment provisions are not appropriate. Attend weekly staffings for the clients providing clinical spport and recommendations to the ISP team and treatment providers. When reqested by the treatment providers, or when necessitated by the terms of the corts or probation, ARS clinicians may facilitate a change in treatment providers and/or level of care. Work in conjnction with the ISP Access to Recovery Program (ISP ATR) when additional client needs are identified by CJS case workers, ISP team members, or the clinical staff at the treatment agencies.

24 Intensive Spervision Probation: Evidence Based Evidence-based model targeting high risk individals with a behavioral health disorder Validated tool to determine criminogenic risk (LS/CMI) Clinical assessment to determine behavioral health needs (ASAM) Residential (3.5 and 3.1), Day Treatment/Intensive Otpatient (2.5 and 2.1), General Otpatient (1.0), Mental Health Therapy and Psychotropic Medications, and Medication-Assisted Treatment (inclding Sboxone, Methadone, and Vivitrol) 24

25 Nine Month Program Strctre Phase Monthly Field Checks Monthly Office Visits One (~3 months) 4 4 Two (~3 months) 2 2 Three (~3 months)

26 Phase Progression Phase I Phase II Phase III Stable Residence Clinical Assessment Completed Treatment Intake Completed Employment and/or Edcation Progress Reliable Transportation Obtained Progress on Fines/Restittion Progress on Commnity Service Actively Engaged in Treatment Steady Employment or Edcation Connection to Recovery Commnity Commnity Service Complete Fines/Fees/Restittion Paid Treatment Sccessflly Completed or Remaining Engaged Stable Employment Progress on Edcation and/or Completion of GED/HS Diploma 26

27 ISP Process Referrals District and Jstice Cort Existing Clients Modified Other Risk Mixed Probation LS/CMI High Risk ISP Team SUD Assessment Gradation Office/ Field Checks Weekly Staffings SUD Treatment Removed/ Transferred 27

28 ISP Otcomes Short-Term Otcomes Increased Access to Services and Resorces Redced Wait Times for SUD Treatment Case Planning Arond Criminogenic Risk Effective Use of Pblic Fnds Long-Term Otcomes Redction in Criminal Recidivism Redction in Jail Time Served Sccessfl Transitions Back into Commnity Improved Physical and Mental Health Otcomes (NOMS) 28

29 FY16 17 ISP Three clients referred in Jly 2015; averaged 19 referrals per month in year

30 Demographics 71% Misd A LS/CMI Score: 27.3 Client Makep 33 years old Heroin & Meth 62% Male 38% Female 30

31 Primary Sbstance: High Need Primary Sbstance Overall ISP Male: 62% Female: 38% Heroin/Opiates 36.35% 30.50% 45.86% Meth 27.62% 27.68% 27.52% Alcohol 17.83% 22.59% 10.09% THC 11.18% 13.55% 7.33% 31

32 Connecting Clients to Evidence-Based Treatment As of Janary 19, 2017 Crrently In Program Removed Program 1 Sccessfl Total Referred Completion 2 to ISP Pending ARS Assessment Total Clients Assessed for Treatment % 32

33 Strong Retention Rates in Spervision and Treatment As of Janary 19, 2017 over 73% of clients have remained engaged in treatment. 33

34 ISP provide mch qicker access to SUD assessments Time to Assessment: ISP vs Unfnded Clients in SLCo BH System AVERAGE TIME FROM INTAKE TO ASSESSEMENT (IN WEEKS) ISP Clients General Unfnded Clients in SLCo 34

35 And allows for immediate access to treatment Time to Treatment: ISP vs Unfnded Clients in SLCo BH System AVG TIME FROM ASSESSEMENT TO TREATMENT (IN WEEKS) ISP Clients General Unfnded Clients in SLCo* * Figre incldes all levels of care, inclding residential treatment which can have a wait time exceeding six months 35

36 Client Totals 187 Total Clients (93% of capacity) 26 Officer Case Load 37 Case Manager Case Load $3,800 Tx Dollars Spent Per Client 36

37 Based on Risk-Need-Responsivity model, ISP clients present less commnity risk after sccessfl gradation Gradates (n=23) Pre-LSI: 28.4 Post-LSI: point (52%) redction in risk 37

38 Lessons Learned from Year One 38

39 Program Challenges Commnication Sharing office space across mltiple diverse agencies Breaking down barriers to trst Roles and Responsibilities Splitting and trianglation Differences in philosophies and cltres across agencies Sharing data with Release of Information and across non-network providers Immediate access to treatment Other needed services (hosing, Access to Recovery spports, etc.) Access to and affordability of aftercare High demand for program from commnity Collaboration with jdges 39

40 Client Challenges Access to affordable hosing Medical and dental care Remaining employed Transportation concerns Trianglating with POs, CMs, and treatment providers Relapse and Positive UAs Treatment needs of clients exceeded initial expectations Recovery spport and aftercare availability Family and spport systems 40

41 Collaboration 41

42 Qestions? Salt Lake Conty Contacts Criminal Jstice Services: Chris Lane Sheriff s Office: Sergeant Cole Warnick Cwarnick@slco.org Behavioral Health Services: Seth Teage Steage@slco.org 42

43 Overland Park Neighborhood Improvement Project Overland Park Kansas Police Department Commnity Policing and Problem Solving Unit (COPPS) Johnson Conty Adlt Cort Services - Standard Probation Johnson Conty Commnity Corrections - Adlt Intensive Spervision Probation Johnson Conty Commnity Corrections Jvenile Intensive Spervision Probation Kansas Department of Corrections State Parole Olathe Office

44 Johnson Conty, Kansas As of Jly 1, 2015, the censs estimates the poplation in Johnson Conty (Jo. Co.) to be 580,159. Overland Park, Kansas Overland Park is located in Jo. Co. and is the second most poplos city in the state of Kansas, with an estimated poplation of 186,515 residents (2016 estimate). Overland Park Neighborhood Improvement Project (OPNIP) Initiated in Janary 2012 Collaboration between the city of Overland Park and the Overland Park Police Department (OPPD) Commnity based effort to improve citizen-police relations, address city code violations and assist citizens in accessing the services they need to be sccessfl. Goal: to improve a declining neighborhood with high incidents of crime Chief John Doglass presented the project at Jo. Co. Criminal Jstice Advisory Concil and shared his passion for trning arond neighborhoods that were in a declining pattern.

45 Area 1 & Area 2 Crime vs All City Crime Area 1 Area 2 Crime By Area Area 4, 12406, 24% Area 3, 8484, 17% Area 1, 14277, 28% Area 2, 16001, 31% Overland Park is broken down into 4 areas. Area 1 & 2 make p almost 60% of all crime. Area 1 & 2 have over 50% of crime on all bt three crime types. The highest crime type is Ato Theft at 74%. Area 3 Area 4

46 Cort Services/Corrections and Parole Clients Living In The Original Target Area Ø The partnership concentrated to a targeted neighborhood in Area 1. Ø In March 2012, there were approximately 265 probation and parole clients living in this area.

47 The original target area lacked sfficient neighborhood associations in all sections. The city created several for their stabilization project as a way to target preservation and take back the neighborhood from gang activity and apathy. Since the project, OPPD s relationship with the neighborhood has greatly improved. OPNIP was in fll swing with probation and parole clients arond Agst In Janary 2016, the program area expanded to any area in Overland Park that is North of Interstate 435, also known as Area 1 and 2 (the white area above the interstate)

48 MISSION: Jstice and Commnity Partners Collaborating to Strengthen Neighborhoods Throgh Parole/Probation Client Sccess PURPOSE: To enhance relationships and establish a partnership with the Police Department and Probation and Parole Officers for the prpose of: Redcing Crime Improve the qality of the neighborhoods Improve the sccess rate of identified individals on probation and parole Identify and share the available resorces

49 Overland Park Police Department Commnity Policing and Problem Solving Officers (COPPS) The COPPS officers work with the commnity to bild relationships and solve problems. They work with: Other police officers to identify long-term soltions to problems that troble neighborhoods and Neighborhood leaders, apartment managers, social services agencies, and other city departments. COPPS officers dties: Researching the previos night s calls for service and reports taken by other police officers. Meeting with an apartment complex manager abot an ongoing noise complaint isse with a tenant. Preparing for an pcoming safety presentation for a neighborhood association meeting.

50 Assessment & Spervision of Probation/Parole Clients Level of Service Inventory-Revised (LSI-R) Used to determine criminogenic risk and need which inform the level of spervision and intensity of intervention/services. Completed prior to sentencing and/or pon placement on probation. Reassessed 6 months after the initial and yearly thereafter or with major changes that may affect the individal s score. Individals are spervised as Low, Moderate, Medim High and High Risk. The higher the score, the higher the risk for ftre criminal behavior. These individals warrant the majority of attention for both rehabilitative service and spervision. Minimal interventions are tilized with lower risk individals, as stdies have shown that over-spervising can increase their risk of reoffending. When dynamic (ie. changeable) risk and need factors are addressed, there is a sbseqent decrease in the LSI-R score and the likelihood of frther criminal behavior, in addition adding to the stability of the neighborhood.

51 Program Criteria Adlt Intensive Spervision/Commnity Corrections (Felony Convictions) Individals who are living in the area and considered medim high or high risk are atomatically added to the OPNIP. This entails individals to have a minimm of one joint home visit (PO and LEO). Override criteria applies at the officers discretion for DUI and sex crime convictions. Adlt Standard Probation/Cort Services (Felony and Misdemeanor Convictions) Eligibility is determined by intake officers based on the individal s address and risk level. 2 levels of spervision: 1. ISP (only misd 24+): Assigned to the OPNIP officer. 2. The standard (LSIR of 23 and below): Assigned only if there is additional concern from intake staff or a sitation arises where they cold benefit from the program. This entails individals to have a minimm of one joint home visit (PO and LEO). Jvenile Commnity Corrections Yoth probation/parole clients are enrolled if the PO reqests extra attention. A higher percentage of the yoth receiving OPNIP services are enrolled at Shawnee Mission West High School (SMW) than any other high school in Overland Park (4 high schools total). SMW was listed by the Prevention Center as a high risk school for sbstance abse.

52 Collaboration PO s and LEO s meet monthly to review the program s roster. Participants exchange information regarding: -Whether the individal is reporting -Treatment progress -Employment Stats -Drg/Alcohol se -Isses in the residence/possible isses -Police contact with individal Home visits Initial visit Sbseqent home visits are completed at the officer s discretion and/or pon need. The prpose of these visits are to help bild sccess, not srveillance. Providing a team approach to spervising gives the individal a point of contact with the PD shold they need assistance withot having to call The direct point of contact helps the PD strengthen relationships in the commnity.

53 Benefits of the OPNIP Probation Having the extra added secrity and safety of going ot in the field with an armed LEO vs. an narmed PO. PO s reglarly address drg and alcohol se, hanging ot with bad associates, criminal thinking, and family dysfnction. Allows for a collaborative intervention approach to address negative behaviors. Receiving information from LEO s who patrol the neighborhood can be insightfl to POs who do not typically observe these individals in their daily lives. Law Enforcement Intelligence is a means to deter crime. With the right intentions, LEOs can be better informed regarding nreported and ndetected criminal activity in the area and who key players are. POs and LEOs are working for the same reslt the sccessfl retention of the individal as a law abiding, prodctive citizen in the commnity.

54 Strengthening Families Program (SFP) Collaboration between the First Baptist Chrch of Overland Park, C.O.P.P.S Officers, and Stdent Resorce Officers 14-session, weekly, evidence-based, 3 skills collaborative corse taght to parents, children, and the entire family nit. Designed for families at high-risk for conflict/neglect and lack of spervision or discipline. Each session incldes a workbook on sch topics inclding stress management, rewards, noticing and ignoring behaviors, commnication, relationships, and setting limits. Classes are held in the evening for 2-3 hors at a local chrch. Incentives to participate inclde food, prizes, and a gradation ceremony. Or SFP consists of facilitators from probation, KVC Health Systems, mental health, law enforcement, and the chrch. Having a wide variety of facilitators is a great way to help clients see the positive side of individals who work in these fields.

55 Data and Reslts Commnity Corrections 25 individals Data for past clients: 76 individals Cort Services - 23 individals Data for past clients: 77 individals Jvenile Comm. Corr individals No past data crrently available Commnity Corrections Cort Services

56 AREA 1 & AREA 2 CRIME TYPE BY YEAR

57 Sccess Stories Residence Y in Area 2, had the highest nmber of calls for service. Two jveniles who lived at residence Y were on probation and were referred to the SFP by Officer Stephens. Since going thr the 14 week program, there have not been any frther calls for action with this family or at the residence. Officer Stephens completed an nschedled visit to a residence where two Jvenile Commnity Corrections clients (2 brothers on probation) resided. Officer Stephens discovered that both boys had spent the night at another probationer s residence. Not only was probation officer able to address the violations with this information, bt other isses were also ncovered inclding the name of a drg dealer associated with the probationer where the boys spent the night. A PO and LEO completed an nschedled home visit to the residence of an Adlt Commnity Corrections client Jim. Upon arriving, the officers witnessed Jim in his vehicle with 2 yong children getting ready to leave the parking lot. A rotine breathalyzer (BA) was completed which yielded positive reslts for alcohol. They addressed Jim s drinking problem and connected him with mchneeded treatment. He completed probation sccessflly.

58 Resorces and Commnity Partners My Resorce Connection Ø One-stop shop website that connects hndreds of area agencies and services. -Treatment Programs/Conseling -Pblic Transportation -Employment -Medical/Eye/Dental Services -Food and Clothing -Local/State Service Agencies -Utility and Rent Assistance -Spport Grops -News Articles/Upcoming Events Jo. Co. Mental Health Emergency Services After-Hors Team 24 hor, 365 days a year mental health (MH) crisis services. Primary point of contact for all MH emergencies occrring dring the evening, nighttime, weekend and holiday hors. Licensed MH clinicians providing telephone and on-site response to emergencies and provide consltation and gidance to hospitals, LEOs, and varios other commnity agencies. Mobile Crisis Response Team / Co-Responder Mobile mental health crisis services Monday throgh Friday from 8a-5p. Licensed clinicians and crisis case managers, respond to crisis calls in the commnity, providing brief and intensive services, redcing the need for hospitalization. Local chrches, Catholic Charities, Grocery Stores, Starfish Project, NAACP, United Way

59 Advice for Start Up The call for collaboration shold start at the top with the city manager, mayor, city concil or police department leadership. Probation and parole need to realize that this model reqires innovation. Some office policies will need to be reviewed for permission to adjst. Training for LEO s so they nderstand the work of probation and parole officers.

60 Contact Information Amy Weaver, Intensive Spervision Officer Johnson Conty Department of Corrections (direct) / (fax) Amy.Weaver@jocogov.org F/jocogov Zach Stephens, Police Officer/C.O.P.P.S. Officer Patrol Spport Division; City of Overland Park (cell) Zachary.Stephens@opkansas.org Carrie Neis, Intensive Spervision Officer Johnson Conty Cort Services (direct) Carrie.Neis@jocogov.org

61 Behavioral Health Unit Portland Police Department, ME Jo Freedman Behavioral Health Coordinator

62 Behavioral Health Unit Fll time clinicians and p to three interns are available to officers in responding to calls for service, follow p, and liaison work. Police Liaison Behavioral Health Coordinator Sbstance Use Disorder Liaison

63 Stakeholder Engagement BHU is actively engaging, maintaining and expanding or relationships with the commnity for the most effective and efficient law enforcement and behavioral health collaboration possible. We actively are involved on individal cases and system management with: Hospitals Shelters District Attorney Office Jail Probation Pretrial NAMI Schools Mental Health Agencies Sbstance Use Agencies

64 Diversion treatment OVER pnishment We engage with probation, and other partners, to improve processes for diversion from jail and seek opportnities to spport those in mental health or sbstance se related crisis. Clinician Probation Clinician and probation officers are paired together to spport and foster sccessfl commnity integration for individals with varying behavioral health needs.

65 Barriers The individal wants treatment, bt there are no appropriate spport options and limited treatment options, either de to lack of openings or fnding. The individal is resistant to spports, treatment, or alternative diversion from incarceration, despite efforts by law enforcement and behavioral health partnerships.

66 Barriers Strict involntary commitment laws Limit opportnities to address the safety of individals in crisis, those arond them, responding officers, and the commnity at large. Lack of integrated trama, mental health, and sbstance se long term treatment A statewide meeting is being held in March to address these isse. Next step: Proposing legislative action

67 Case Example 1 Denny is a 35 year old male with a sbstance se addiction to opiates, co-occrring with depression and anxiety. He was jailed as a reslt of a probation violation. Or sbstance se disorder liaison and the probation officer met with the client to assess his willingness to engage in treatment and be motivated to create change. The probation officer, or sbstance se disorder liaison, his appointed lawyer and the district attorney collaborated to have him held in jail ntil there is a bed available in a residential treatment program. Denny will then be released to the probation officer and or sbstance se disorder liaison and transported directly to treatment.

68 Case Example 2 Asad is an 11 year old Somalian boy who has been engaging in dangeros and criminal behavior (e.g. aggression, threatening, damaging property, stealing). Being hesitant to charge this jvenile, we have attempted mltiple interventions with him and his mother, both at home and throgh the school. Asad is extremely resistant and mother is afraid of him; and they never followthrogh on recommendations. His behavior has only escalated. A police officer, DDHS, jvenile probation, or behavioral health team, commnity policing coordinator and the district attorney met to create a crisis plan. We are sing a lingering chargeable offense as leverage in effort to encorage the mother and Asad to comply with interventions and avoid any legal ramifications. Collaboration of all parties and contined follow throgh and commnication, increases the likelihood that we are able to help Asad rather than have him fall throgh the cracks of the system.

69 Case Example 3 Randy is a 26 year old male with bipolar disorder, experiencing manic symptoms with psychotic featres, inclding aggressive and threatening behaviors. Randy is crrently jailed for a violation of an order of protection (for harassment) and stealing a car. The district attorney, lawyer, therapist, psychiatrist, and probation officer worked together to create a deferred disposition. Randy was released and mandated to treatment. For 9 months, Randy was engaging in treatment, as well as working and living independently. Then, he went off his medication and stopped going to treatment appointments. The violation of the deferred disposition and probation violation wold allow a warrant for his arrest and then diversion to the hospital instead of incarceration. There was insfficient reason for the hospital to involntarily commit Randy and he was released in the middle of the night. For two weeks he threatened to kill his family and all involved in his case, by phone, and texting. He again violated probation and his deferred disposition, bt he had isolated himself and we did not know his location. We secred a warrant for his arrest and he was eventally fond and jailed becase the diversion for psychiatric intervention had been nsccessfl. All involved had extreme concern for Randy, his family, the commnity and officer safety. The probation officer and myself went to the jail a few times a week and he eventally agreed to attend a residential treatment program of his choice (which happened to be ot of state). All charges were dropped. 18 months later he is sober, healthy, working, living independently and engaged in treatment. While this process was potentially dangeros, we learned a lot. This lawyer, probation officer, district attorney and myself contine to meet reglarly to design interventions to yield efficient, effective, and sccessfl otcomes for similar high-risk sitations.

70 Looking Forward We are always seeking opportnities to learn more effective and efficient ways to collaborate responses to individals with behavioral health needs within or commnity and state. We appreciate collaborating with, and learning from others so please do not hesitate to reach ot: Jo Freedman, Behavioral Health Coordinator

71 Thank Yo Join or distribtion list to receive National Reentry Resorce Center pdates! For more information, contact Gerard Mrphy (877)