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The Webcast Will Begin Shortly The presentations will begin at 2:00 pm EST. Don t forget to join the audio broadcast! Phone number: 1-855-749-4750 Access Code: 663 771 162 After joining the audio broadcast, please identify yourself by entering the unique participant code that you are assigned (located in the event information tab). Slide 1

Bolstering the Role of Criminal Justice Coordinating Councils and Their Members in the Development of Local Behavioral Health Service Continuums January 24, 2018 at 2:00pm-3:00pm EST Don t forget to join the audio broadcast! Phone number: 1-855-749-4750 Access Code: 663 771 162

Disclaimer The views, opinions, and content expressed in this presentation do not necessarily reflect the views, opinions, or policies of the Center for Mental Health Services (CMHS), the Substance Abuse and Mental Health Services Administration (SAMHSA), or the U.S. Department of Health and Human Services (HHS). Slide 4

Reminders Questions Please submit your questions to the presenters in the Q&A pod. The presenters will address as many questions as time permits at the end of the presentation. Recording This webinar is being recorded. Slide 5

Agenda Time Presentation Speaker 2:00-2:02 PM Introduction Melissa Neal Senior Project Associate/Policy Research Associates 2:02 2:05 PM Opening Comments Jennie Simpson Public Health Analyst, Office of Policy, Planning, and Innovation, SAMHSA 2:05 2:20 PM Public Defender s role in a CJCC Tom Reed Public Defender, Milwaukee, WI 2:20 2:35 PM Sheriff s role in a CJCC Mitch Lucas Assistant Sheriff, Charleston, SC 2:35-2:50 PM Judge's role in a CJCC Edward Jones Chief Criminal Judge, Multnomah, OR 2:50 3:00 PM Questions Open Floor for Discussion Slide 6

Introduction Thank you to Justice Management Institute and the National Network of Criminal Justice Coordinating Councils! About CJCCs: Fostering and Sustaining Criminal Justice System Reform: The Potential of Criminal Justice Coordinating Councils http://www.jmijustice.org/network-coordination/national-network-criminal-justice-coordinatingcouncils/national-network-criminal-justice-coordinating-councils-nncjcc-resources/ Slide 7

Opening Remarks: Jennie M. Simpson, Ph.D. Office of Policy, Planning and Innovation SAMHSA Slide 8

Introducing Today s Presenters: Tom Reed Thomas H. Reed is a graduate of Northwestern University and the Cornell Law School. He has been a member of the Milwaukee Trial Office of the Wisconsin State Public Defender since 1982 where he has handled a wide range of criminal cases. He has served as the Regional Attorney Manager since 2000 for an office of approximately sixty attorneys. He is a member of the Board of Directors of the Milwaukee Bar Association (MBA). He is also a member of the MBA Legal Services to the Indigent and Courts Committees. He is currently a member of the Board of Directors for the Milwaukee chapter of NAMI (National Alliance on Mental Illness), a Community Advisory Board Member for the Milwaukee Secure Detention Facility, and is a Steering Committee Member of the Milwaukee Mental Health Task Force. In addition to various other bar related and teaching experiences, he has been an adjunct professor of law at The Marquette Law School since 1999. Slide 9

Introducing Today s Presenters: Mitch Lucas Mitch Lucas is the Assistant Sheriff of Charleston County, South Carolina. Mitch is a 34 year veteran of South Carolina law enforcement, beginning his career in 1983 with the Beaufort County Sheriff s Office. In 2005 he was promoted to the rank of Chief Deputy and became the Jail Administrator, a position Mitch still says is the best job he ever had. In 2012, Mitch became the Assistant Sheriff of one of the largest Sheriff s Office in South Carolina, with 950 employees, an annual budget of over to $70 million dollars, a 2,100 bed jail, and full primary law enforcement capabilities, as well as support services to other local agencies. Mitch is a Past-President of the American Jail Association and currently serves on committees of the Major County Sheriffs of America, the National Sheriff s Association and the American Correctional Association. He has presented at a number of state and national conferences and served as a consultant for the National Institute of Corrections. Slide 10

Introducing Today s Presenters: Edward Jones Edward Jones recently retired from trial bench in Multnomah County, Oregon (Portland). He is a graduate of Reed College and Northwest School of Law at Lewis and Clark College. He spent 18 years on the trial bench, the final few as Chief Criminal Judge. Before his appointment he spend 14 years as the director of a public defender office (Multnomah Defenders) and nine years before that as criminal defense lawyer. Since his retirement, at the end of 2017, he has become the interim director of another public defender office (Metropolitan Defenders) while its board searches for a new permanent director. He has served on an endless number of committees, councils, boards, and work groups. Slide 11

Tom Reed, Public Defender http://milwaukee.gov/cjc Slide 12

Working collaboratively to ensure a fair, efficient, and effective justice system that enhances public safety and quality of life in our community. Long-standing culture of collaboration in Milwaukee Ad hoc, collaborative meetings preceded formal council creation Established May 17, 2007 by Milwaukee County Board of Supervisors resolution Technical assistance began September 2006 One result from settlement negotiations regarding jail conditions Purpose: To serve as a convening body of local Executives and to ensure communication, coordination, and collaboration for criminal justice system improvement Slide 13

MCJC Executive Leadership Slide 14

Full Council Slide 15

Milwaukee County Court System Largest of 10 Wisconsin Districts Combined State and County Funding 6 Divisions: Felony, Misdemeanor, Civil, Family, Probate, and Juvenile 47 Judges (249 Statewide) 25 Court Commissioners 300 Employees Slide 16

Grants, Initiatives, & Collaborative Partnerships Eviction Defense and Mediation Project Drug Treatment Courts (Adult and Family) Healthy Infant Court Laura & John Arnold Foundation Public Safety Assessment Milwaukee Justice Center Safe Exchange and Visitation Center Veterans Treatment Initiative Milwaukee Community Justice Council National Association of Counties (NACo) Data Driven Initiative National Institute of Corrections Evidence-Based Decision Making Initiative (EBDM) MacArthur Foundation Safety & Justice Challenge Slide 17

MacArthur Foundation Safety & Justice Challenge/Behavioral Health Focus For Community Justice Council Safety & Justice Challenge (SJC) Goals Implement reforms to safely reduce overreliance on jails Address racial/ethnic disparities in the justice system Increase community engagement Grant provides funding & technical assistance to help jurisdictions achieve the goals Slide 18

Local Strategies* Mental Health Strategies Crisis Mobile Team, CART, and Crisis Resource Centers Post-Booking Stabilization Trauma Additional Strategies Book & Refer Expanding Data Capacity / Information Sharing * Additional strategies could be introduced, pending JFA analysis Slide 19

CMT, CART, and CRC Team Crisis Mobile Team (CMT) Crisis Assessment Response Team (CART) Crisis Resource Center (CRC) Description Behavioral health clinicians assist law enforcement (LE) to determine on-scene treatment needs LE officer and behavioral health clinician respond to mental health crisis calls Locations where LE officers can transport individuals for mental health-related triage services Slide 20

CMT, CART, and CRC (cont d) Background 35% individuals within Milwaukee County Jail and House of Correction receive psychotropic medication while in custody Competency raised for many in pretrial status Under SJC: Expands CART services throughout Milwaukee County Provides training and outreach to law enforcement (LE) about community-based mental health resources Benefits Expands available services Directs individuals into community-based services Increases non-custodial options and training for law enforcement Slide 21

CMT, CART, and CRC (cont d) Goals: Reduce number of individuals with mental health conditions entering the justice system; Expand non-custodial options for LE Lead Agencies: Behavioral Health Division (BHD), DA s Office, MPD Progress Established baseline measures, based on past CART team performance 100% MPD patrol officers received Crisis Intervention Training (CIT) CART Team launched Next Steps Public messaging Ongoing law enforcement outreach Slide 22

Post-Booking Stabilization Background Under SJC, created process to divert individuals with mental health conditions from jail into community-based support services Benefits Connects individuals to treatment and support Avoids in-custody decompensation and need to restore competency Slide 23

Post-Booking Stabilization (cont d) Goal: Reduce number of individuals with mental health conditions cycling through the justice system Progress Implemented screening tool Program launched 58 individuals currently enrolled; 15 discharged Ongoing capacity building Evaluating results Lead Agencies District Attorney s Office Public Defender s Office Milwaukee County Circuit Courts Milwaukee County Housing Behavioral Health Division Milwaukee County Sheriff s Office JusticePoint Slide 24

Trauma Background High rates of trauma in the justice system Families often reunite in family violence situations Under SJC Provide trauma training to system stakeholders Conduct trauma audit of court system Require BHD vendors to provide trauma-informed care Allow diversions and deferred prosecution agreements in family violence cases, requiring evidence-based trauma-informed care Benefits Increased recognition and improved response to trauma Interrupt cycle of family violence by connecting families to support Slide 25

Trauma (cont d) Goals: Build trauma-informed system; Expand traumainformed options in response to domestic violence Lead Agencies: Milwaukee County Circuit Courts, DA s Office, BHD, CJC Progress 30 trauma trainers 375 system stakeholders trained 83 deferred prosecution agreements (DPAs) entered 63 DPAs open, 20 DPAs closed Next Steps Trauma training for judges & commissioners Trauma audit Improve criminal justice complex signage Expand trauma programming Slide 26

Mandy Potapenko, Director Milwaukee Community Justice Council mpotapenko@milwaukeecjc.org Erin Perkins, SJC Project Manager Milwaukee Community Justice Council eperkins@milwaukeecjc.org Slide 27

Mitch Lucas, Assistant Sheriff http://cjcc.charlestoncounty.org/ Slide 28

Charleston County Criminal Justice Coordinating Council Slide 29

Edward Jones Chief Criminal Judge, Retired https://multco.us/lpscc Slide 30

Multnomah County Local Public Safety Coordinating Council Established as part of Senate Bill 1145 Functions as a criminal justice coordinating council Co-chaired by the Mayor of Portland and the County Board Chair Organizational Structure Executive Director Abbey Stamp and small group of staff Executive Committee Subcommittees and affiliated public safety group Decision Support System-Justice (data warehouse) Jail Usage Workgroup Justice Reinvestment Steering Committee Racial and Ethnic Disparities Subcommittee Youth and Gang Violence Subcommittee Mental Health and Public Safety Subcommittee Slide 31

What was the problem? Defendants were waiting in jail (sometimes for months) for competency evaluations = using a large number of jail bed days The state hospital wanted the County to reduce its use of hospital beds for evaluation & restoration Standards for determining competency are statutory but actual practice was inconsistent across many judges and lawyers. Slide 32

What was the solution? Aid and Assist Cases Two trusted psychologists A minimum of 2 dedicated weekly evaluation slots Evaluations & written reports completed within two weeks Rapid Evaluation Process Centralized docket Assigned lawyers and other staff Weekly staffing meetings Alternatives to commitment considered Slide 33

What were the outcomes? 82 defendants 3 days 2.5 days 5.6 days Defendants evaluated from March- October 2017 Average time from referral to evaluation Average time from evaluation to report completion Average time from referral to report completion Slide 34

What makes it work? Consolidated docket Collaboration Designated staff Trust and relationships Standing staff meeting Financial support Stabilization Treatment Preparation (STP) Transitional Housing Program Slide 35

Challenges and next steps Challenges Supportive housing Community-based treatment Staffing resources Funding for evaluations Next steps Transitioning to Judge Nan Waller Case study by Justice System Partners Slide 36

Questions Please submit your questions to the presenters in the Q&A pod The presenters will address as many questions as time permits. Slide 37

Supporting Documents Slide 38

Resources Law Enforcement and Behavioral Health Partnerships for Early Diversion National Institute of Corrections provides up-to-date resources to CJCC members, the criminal justice planners who work for CJCCs, and for other system stakeholders who are interested in establishing or improving their CJCC Slide 39