CPSA Criminal Justice Team

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And overview of the CPSA Criminal Justice Team. Integration of behavioral health and criminal justice systems.

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CPSA Criminal Justice Team

  1. 1. CPSA Criminal Justice Team Kate K. V. Lawson Criminal Justice Manager
  2. 2. Why A Criminal Justice Team? <ul><li>Requirements </li></ul><ul><ul><li>Contract with ADHS </li></ul></ul><ul><ul><li>Provider Manual </li></ul></ul><ul><li>Risk Management </li></ul><ul><ul><li>Liability Abatement </li></ul></ul><ul><li>Best Practices—We Know It Works </li></ul><ul><ul><li>President’s New Freedom Commission </li></ul></ul><ul><li>*Service to Members* </li></ul><ul><ul><li>Crisis Management </li></ul></ul><ul><ul><li>Coordination with Justice System </li></ul></ul><ul><ul><li>Re-engagement in Services </li></ul></ul>
  3. 3. Purpose <ul><li>Expertise </li></ul><ul><ul><li>Intersection between behavioral health and criminal justice systems </li></ul></ul><ul><li>Liaison to Stakeholders </li></ul><ul><ul><li>Rapid, accurate, and legally appropriate information to appropriate individuals </li></ul></ul><ul><li>Coordination & Education </li></ul><ul><ul><li>Policies, procedures, agreements / MOU </li></ul></ul><ul><ul><li>Training, Cross-Training </li></ul></ul><ul><li>Tracking & Compliance </li></ul><ul><ul><li>Courts, Jail, and Treatment </li></ul></ul>
  4. 4. Goals <ul><li>Service to our members </li></ul><ul><li>Improve Public Safety </li></ul><ul><li>Cost savings to Taxpayers </li></ul>
  5. 5. The Team Judy Johnson Deputy Director & Chief Operating Officer Cindy Greer Chief, Clinical Network Mgmt. Kate Lawson Criminal Justice Manager Elaine Calco-Gray Criminal Justice Supervisor Holly Hickman Criminal Justice Assistant Dan Haley Specialist Denise Curiel Liaison Diana Carino Court Assistant Sam Nagy Peer Mentor
  6. 6. The Team <ul><li>Kate Lawson (Manager): </li></ul><ul><ul><li>Oversight of Criminal Justice Division </li></ul></ul><ul><ul><li>Policies, Procedures, Planning, Program Development, Subject Matter Expertise </li></ul></ul><ul><ul><li>Liaison to Partner Agencies </li></ul></ul><ul><li>Elaine Gray (Supervisor) </li></ul><ul><ul><li>Supervision of Staff </li></ul></ul><ul><ul><li>Superior Court Liaison </li></ul></ul><ul><ul><li>Licensed Social Worker, over 30 years experience in behavioral health, substance abuse, and criminal justice </li></ul></ul>
  7. 7. The Team <ul><li>Dan Haley: Justice and Rural Courts Liaison, Jail Liaison, Prison Re-Entry </li></ul><ul><li>Denise Curiel: Tucson and South Tucson City Court Liaison </li></ul><ul><li>Diana Carino: Court Assistant, Initial Appearance Staff, Notifications </li></ul><ul><li>Sam Nagy: Peer Mentor </li></ul>
  8. 8. Overview <ul><li>Courts </li></ul><ul><ul><li>General Proceedings </li></ul></ul><ul><ul><li>Mental Health Courts </li></ul></ul><ul><ul><li>Diversion Courts </li></ul></ul><ul><ul><li>Competency </li></ul></ul><ul><li>Jail & Other Programs </li></ul><ul><ul><li>Initial Appearance </li></ul></ul><ul><ul><li>Video Court </li></ul></ul><ul><ul><li>Discharge Planning Staffing </li></ul></ul><ul><li>Collaboration & Training </li></ul><ul><ul><li>CIT Training </li></ul></ul><ul><ul><li>Forensic Task Force </li></ul></ul>
  9. 9. The Courts
  10. 10. Superior Court <ul><li>Mental Health Court – 2004 </li></ul><ul><li>Felony Cases </li></ul><ul><li>Average caseload ~ 90 defendants </li></ul><ul><li>Must be SMI, network enrolled, and no murder, rape or molestation charges </li></ul><ul><li>Hon. Howard Fell, Presiding </li></ul><ul><li>Liaison: Elaine Gray </li></ul>
  11. 11. Superior Court Outcomes <ul><li>From 2004 to April 2009: </li></ul><ul><ul><li>46% of members graduated from MHC program </li></ul></ul><ul><ul><li>High success rate compared to other felony, non-diversion programs </li></ul></ul>
  12. 12. Tucson City Court <ul><li>In operation for 10 years (1999) </li></ul><ul><li>Average caseload, ~300 members </li></ul><ul><li>Defendants in Diversion, April 2008 to April 2009 </li></ul><ul><ul><li>636 members (1 year) </li></ul></ul><ul><ul><li>Total member volume 10 years, estimated: Over 7,000 members </li></ul></ul><ul><li>Misdemeanor, Diversion Mental Health Court </li></ul><ul><li>Hon. Michael Lex, Presiding </li></ul><ul><li>CPSA Coordinator: Denise Curiel </li></ul>
  13. 13. Tucson City Court Outcomes <ul><li>From April 08 to 09, of the 636 enrolled, 614 successfully completed graduation </li></ul><ul><ul><li>97% success rate </li></ul></ul>
  14. 14. Pima County Justice Court <ul><li>Misdemeanor, Post-Conviction Diversion Mental Health Court </li></ul><ul><li>Average caseload, ~80 members </li></ul><ul><li>Hon. Susan Bacal </li></ul><ul><li>CPSA Liaison: Dan Haley </li></ul><ul><li>Outcomes: 13 members graduated (out of 14 eligible) </li></ul><ul><ul><li>92% Success rate (2008-2009) </li></ul></ul>
  15. 15. South Tucson City Court <ul><li>New Program (February 2009) </li></ul><ul><li>Information, Referral, and Assistance </li></ul><ul><li>Mental Health Court in development </li></ul><ul><li>Hon. Ronald Wilson, Presiding </li></ul><ul><li>Liaisons: Denise Curiel, Dan Haley </li></ul>
  16. 16. Rural Courts <ul><li>Marana (March 2009) </li></ul><ul><li>Green Valley (November 2008) </li></ul><ul><li>Sahuarita (January 2009) </li></ul><ul><li>FY 2010: Oro Valley </li></ul><ul><li>(All Courts in Pima County) </li></ul>
  17. 17. Programs
  18. 18. Data Link & Notifications <ul><li>Data Link: Match between Jail’s booking roster and CPSA member database (twice daily) </li></ul><ul><li>Jail Healthcare Provider (Conmed) receives brief list & most recent pharmacy medication automatically </li></ul><ul><li>CPSA staff person completes Notifications to Network Provider and Jail Provider </li></ul><ul><ul><li>Includes determination (SMI), charges, court, and next court date </li></ul></ul><ul><li>Innovative Program that has received national attention and praise </li></ul>
  19. 19. Initial Appearance <ul><li>Staff person present at 9 am Initial Appearance hearings (at Mission Jail Facility) identifies CPSA members in real time </li></ul><ul><ul><li>Obtains Release of Information Form </li></ul></ul><ul><ul><li>Notifies Court of enrollment in CPSA </li></ul></ul><ul><ul><li>Makes release recommendations, if appropriate </li></ul></ul>
  20. 20. Initial Appearance <ul><li>In operation since December 2008 </li></ul><ul><li>Estimated that CPSA staff presence at Initial Appearance results in a 60% reduction in the likelihood that an enrolled member will be detained at the jail </li></ul><ul><ul><li>Diverts approximately 24 members per month to treatment, rather than incarceration </li></ul></ul>
  21. 21. Peer Mentor <ul><li>Graduate of the Superior MHC program </li></ul><ul><li>Referrals of members who are in jail and/or enrolled in a CPSA MHC </li></ul><ul><li>Helps navigate justice and behavioral health systems </li></ul><ul><li>Conducts a weekly group at the jail </li></ul><ul><ul><li>Provides education, support, and encouragement, and hope to members </li></ul></ul>
  22. 22. Other Programs <ul><li>Video Court: Expedited release from jail for CPSA members </li></ul><ul><ul><li>65 members per month </li></ul></ul><ul><ul><li>57% released at first hearing </li></ul></ul><ul><ul><li>Average reduction of jail days = 11 days fewer in custody per member </li></ul></ul><ul><li>Remanded Juveniles </li></ul><ul><ul><li>Coordinate with juvenile networks to maintain status while in adult jail </li></ul></ul><ul><ul><li>Ensures discharge planning & CFT meeting occurs prior to release </li></ul></ul><ul><ul><li>Expedited enrollment in AHCCCS at release </li></ul></ul>
  23. 23. Special Projects <ul><li>Crisis Intervention Training (with Tucson Police Department) </li></ul><ul><li>IT Database Project </li></ul><ul><li>MAC Team Cross-Training with TPD </li></ul><ul><li>Criminal Justice/Behavioral Health Manual </li></ul><ul><li>Rural Courts Manual </li></ul><ul><li>Prisoner Re-Entry (for previously enrolled) </li></ul><ul><li>Training to Justice Systems on how behavioral healthcare works </li></ul><ul><li>Training to Behavioral Health systems on how the Justice System works </li></ul>
  24. 24. Collaborations <ul><li>Pima County Forensic Task Force Meeting (Quarterly) </li></ul><ul><li>Criminal Justice / Behavioral Health Task Force Meeting (GSA 3) </li></ul><ul><li>DDD Coordination </li></ul><ul><li>Domestic Violence Fatalities Comm. </li></ul><ul><li>Homeless/Discharge Planning Committee </li></ul><ul><li>Mental Health Court Steering Committees </li></ul>
  25. 25. How many members? <ul><li>Number of members the criminal justice team is monitoring on any given day (estimated): </li></ul><ul><ul><li>Jail (Detained Members): 250-300 </li></ul></ul><ul><ul><li>Tucson MHC: 300 </li></ul></ul><ul><ul><li>Superior Court: 90 </li></ul></ul><ul><ul><li>Other Courts: 100 </li></ul></ul><ul><ul><li>Remanded Juveniles: 10 </li></ul></ul><ul><li>Up to 800 members at any time </li></ul>
  26. 26. GSA 3 South Eastern Arizona
  27. 27. Services to GSA 3 <ul><li>Technical Assistance Upon Request </li></ul><ul><ul><li>Coordination between jail and other justice agencies </li></ul></ul><ul><ul><li>Revision of Jail Liaison position description </li></ul></ul><ul><li>Information & Research </li></ul><ul><li>Participation in Behavioral Health / Criminal Justice Task Force </li></ul><ul><ul><li>Presence at Forensic Task Force </li></ul></ul><ul><li>Increasing level of interaction and support </li></ul>
  28. 28. Feedback
  29. 29. Town of Marana Court <ul><li>“CPSA provides a very valuable service to our Court by alerting us to defendants who have a mental health history, and helping them connect to appropriate services, thereby helping this Court achieve its goal of treating every defendant justly and fairly ” </li></ul><ul><li>-Hon. Charles Davies, Presiding Judge </li></ul>
  30. 30. Pima County Jail <ul><li>“ CPSA has provided an invaluable service to the Pima County Adult Detention Center, particularly in providing a representative to Initial Appearance Court. This service has identified CPSA clients allowing our medical contractor to quickly bridge medications needed by seriously mentally ill inmates that have been arrested. </li></ul><ul><li>In addition to this they notify the CPSA Provider thus allowing release of these inmates to their provider rather than remain in jail at taxpayer expense. Their service to us has not gone unnoticed and their partnership is appreciated .” </li></ul><ul><li>-Capt. Greg Gearhart, Division Commander </li></ul>
  31. 31. Pima County Justice Court <ul><li>“ The Court relies heavily on CPSA as a liaison between the providers, defendants, and the Court. CPSA provides the Court with information essential to allowing me as the judge to make informed decisions regarding conditions of release as well as appropriate sentencing and disposition.” </li></ul><ul><li>-Hon. Susan Bacal, Presiding Judge MHC </li></ul>
  32. 32. Pima County Public Defenders <ul><li>“ We see CPSA as a valuable support , in helping us get the information we need to determining if a client would be eligible for Mental Health Court, in making us aware of the various services available in the community, in mentoring our young clients and in general, helping us navigate the various gaps in the system.” </li></ul><ul><li>-Nancy Coomer, Esq., </li></ul><ul><li>Asst. Public Defender </li></ul>
  33. 33. Conclusion
  34. 34. The Economy & Criminal Justice <ul><li>Numbers in all courts increasing </li></ul><ul><ul><li>Members who have never been involved in justice system before </li></ul></ul><ul><li>Criminal Justice Team Services help support other agencies also facing cut-backs </li></ul><ul><ul><li>Courts, Probation, Pre-Trial, Jail & Networks </li></ul></ul><ul><ul><li>Ensure that cut-backs do not interfere with member’s treatment or compromise public safety </li></ul></ul><ul><ul><li>Goal: To help fix gaps in the system </li></ul></ul><ul><li>Continuously looking for opportunities for growth and improvement </li></ul><ul><ul><li>Maximize existing resources, do more with less (add new programs) </li></ul></ul>
  35. 35. Big Picture <ul><li>Criminal Justice Coordination: </li></ul><ul><ul><li>Invaluable service to members </li></ul></ul><ul><ul><ul><li>Increase treatment compliance </li></ul></ul></ul><ul><ul><ul><li>Resolve criminal charges </li></ul></ul></ul><ul><ul><li>Improve public safety </li></ul></ul><ul><ul><ul><li>Treatment compliance = fewer offenses </li></ul></ul></ul><ul><ul><ul><li>Intervention before offense occurs </li></ul></ul></ul><ul><ul><ul><li>Being “on the radar” before negative event </li></ul></ul></ul><ul><ul><li>Saves taxpayer/system dollars </li></ul></ul><ul><ul><ul><li>Stable treatment results in fewer incarcerations, hospitalizations, and Title 36 requests </li></ul></ul></ul><ul><li>Reflects CPSA mission of Community Partnership </li></ul>
  36. 36. Questions

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