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The Webcast Will Begin Shortly The presentations will begin at 2:00 pm EST. Dont 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


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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).

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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

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Disclaimer

The views, opinions, and content expressed in this presentation do not necessarily reflect the views,

  • pinions, 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).

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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.

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Agenda

Time Presentation Speaker

2:0 2:00-2:02 PM PM Introduction Mel eliss ssa Nea eal

Senior Project Associate/Policy Research Associates

2:0 2:02–2: 2:05 5 PM Ope pening g Comments Jennie Sim Simpson

Public Health Analyst, Office of Policy, Planning, and Innovation, SAMHSA

2:0 2:05–2: 2:20 0 PM Pub ublic De Defender’s role in a CJCC Tom

  • m Reed

Public Defender, Milwaukee, WI

2:2 2:20–2: 2:35 5 PM Sheriff’s role in in a a CJCC Mit itch Luc Lucas as

Assistant Sheriff, Charleston, SC

2:3 2:35-2:50 0 PM Judge's 's role in in a a CJCC Edw dward Jones

Chief Criminal Judge, Multnomah, OR

2:50 :50–3:00 PM Qu Questions Ope pen Flo Floor for

  • r Dis

Discussion Slide 6

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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

Slide 7 http://www.jmijustice.org/network-coordination/national-network-criminal-justice-coordinating- councils/national-network-criminal-justice-coordinating-councils-nncjcc-resources/

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Opening Remarks:

Jennie M. Simpson, Ph.D. Office of Policy, Planning and Innovation SAMHSA

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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

  • f 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.

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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.

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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.

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Tom Reed, Public Defender

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http://milwaukee.gov/cjc

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Working collaboratively to ensure a fair, efficient, and effective justice system that enhances public safety and quality of life in

  • ur 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

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MCJC Executive Leadership

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Full Council

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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

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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

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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

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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

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CMT, CART, and CRC

Team Description

Crisis Mobile Team (CMT) Behavioral health clinicians assist law enforcement (LE) to determine

  • n-scene treatment needs

Crisis Assessment Response Team (CART) LE officer and behavioral health clinician respond to mental health crisis calls Crisis Resource Center (CRC) Locations where LE officers can transport individuals for mental health-related triage services

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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

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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 Next Steps

  • Established baseline measures,

based on past CART team performance

  • 100% MPD patrol officers

received Crisis Intervention Training (CIT)

  • CART Team launched
  • Public messaging
  • Ongoing law enforcement
  • utreach

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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

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Post-Booking Stabilization (cont’d)

  • Goal: Reduce number of individuals with mental health

conditions cycling through the justice system

Progress Lead Agencies

  • Implemented screening tool
  • Program launched
  • 58 individuals currently

enrolled; 15 discharged

  • Ongoing capacity building
  • Evaluating results
  • District Attorney’s Office
  • Public Defender’s Office
  • Milwaukee County Circuit

Courts

  • Milwaukee County Housing
  • Behavioral Health Division
  • Milwaukee County Sheriff’s

Office

  • JusticePoint

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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

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Trauma (cont’d)

  • Goals: Build trauma-informed system; Expand trauma-

informed options in response to domestic violence

  • Lead Agencies: Milwaukee County Circuit Courts, DA’s

Office, BHD, CJC

Progress Next Steps

  • 30 trauma trainers
  • 375 system stakeholders trained
  • 83 deferred prosecution

agreements (DPAs) entered

  • 63 DPAs open, 20 DPAs

closed

  • Trauma training for judges &

commissioners

  • Trauma audit
  • Improve criminal justice

complex signage

  • Expand trauma programming

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Mandy Potapenko, Director Milwaukee Community Justice Council

mpotapenko@milwaukeecjc.org

Erin Perkins, SJC Project Manager Milwaukee Community Justice Council eperkins@milwaukeecjc.org

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Mitch Lucas, Assistant Sheriff

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http://cjcc.charlestoncounty.org/

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Charleston County Criminal Justice Coordinating Council

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Edward Jones Chief Criminal Judge, Retired

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https://multco.us/lpscc

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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

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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.

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What was the solution?

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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

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What were the outcomes?

82 defendants

Defendants evaluated from March- October 2017

3 days

Average time from referral to evaluation

2.5 days

Average time from evaluation to report completion

5.6 days

Average time from referral to report completion

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What makes it work?

  • Consolidated docket
  • Collaboration
  • Designated staff
  • Trust and relationships
  • Standing staff meeting
  • Financial support
  • Stabilization Treatment Preparation (STP)

Transitional Housing Program

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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

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Questions

  • Please submit your questions to the presenters in

the Q&A pod

  • The presenters will address as many questions as

time permits.

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Supporting Documents

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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

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Contact Us

345 Delaware Avenue Delmar, New York 12054 (518) 439-7415 | gains@prainc.com SAMHSA GAINS Center

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