Agenda 03/23/2010 Item #16J 5
Agenda Item No. 16J5
March 23, 2010
Page 1 of 14
EXECUTIVE SUMMARY
Recommendation to approve a grant application for FY 2010 Justice and Mental Health
Collaboration Program in the amount of approximately $250,000 over two years from the
U.S. Department of Justice, Bureau of Justice Assistance. If awarded, request
authorization for the Collier County Sheriff's Office to accept the grant, approve
associated budget amendments and enter into memorandums of understanding with David
Lawrence Center, National Alliance on Mental Illness (NAMI) of ColUer County, Prison
Health Services and other partner organizations.
OBJECTIVE: For the Board of County Commissioners to approve the submittal ofa grant application
by the Collier County Sheriffs Office, and associated partner agencies, that will provide approximately
$250,000 in funding for the planning and implementation of a reentry treatment program for women with
co-occurring mental health and substance abuse problems.
CONSIDERATION: The Collier County Sheriffs Office, David Lawrence Center, NAMI of Collier
County, Prison Health Services (PHS) and other organizations have been working to identify mechanisms
that will reduce the recidivism rate amongst the jail population. One of the major challenges faced by
these organizations is the lack of a cohesive and coherent, community-driven reentry and diversion plan
for persons in the justice system.
The Department of Justice FY 2010 Justice and Mental Health Collaboration Program (JMHCP) grant
will assist the community in developing a plan to address re-entry and recidivism and begin to implement
the adopted plan over a two-year period of time. The maximum award for Category 2, Planning and
Implementation is $250,000 over two years. The grant must be administered jointly by a unit of
government with responsibility for criminal or juvenile justice activities and a mental health agency. The
grant's priority is identification and treatment of justice system-involved females with mental illness or
co-occurring mental health and substance abuse disorders. The Collier County collaboration will assist
this population which may be referred from the Collier County Mental Health Court, the County jail or
other justice and mental health systems.
The Criminal Justice Mental Health and Substance Abuse (CJMHSA) Advisory Council will meet on
March 19,2010 to begin a strategic mapping process that will identifY needs, gaps in services and assist
with data and the development of competitive grant applications. The Justice and Mental Health
Collaboration grant is due to the Department of Justice by April 9, 2010. The attached draft application
will be strengthened and enhanced with input from the Criminal Justice Mental Health and Substance
Abuse (CJMHSA) Advisory Council at their March 19th meeting.
FISCAL IMPACT: The grant application is requesting $250,000. If awarded, Collier County and its
partners will be required to provide a 20% match of $62,500. The required match will come from a
number of sources including in-kind CCSO grant management, office space for service providers at the
jail and other contributions from the nonprofit organizations. There are no general fund dollars being
requested for this grant.
GROWTH MANAGEMENT: No recurring costs for subsequent years.
Agenda Item No. 16J5
March 23, 2010
Page 2 of 14
RECOMMENDATION: That the Board of County Commissioners approve a grant application for FY
2010 Justice and Mental Health Collaboration program in the amount of approximately $250,000 over
two years from the u.s. Department of Justice, Bureau of Justice Assistance. If awarded, provide
authorization for the Collier County Sheriff's Office to accept the grant when awarded, approve budget
amendments and enter into memorandums of understanding with David Lawrence Center, National
Alliance on Mental lllness (NAMI) of Collier County, Prison Health Services and other partner
organizations.
APPROVED BY:
PREPARED BY: t~~d1I_1
Carol GoUghtly, Finan ~~i~e~tor 1)
Kwm~mO~
DATE: 3/3/20]0
Approved as to form & legal Sufficiency
C(/JOP~~
COlleen Greene.
Assistant County Attomey
Item Number:
Item Summary:
Meeting Date:
Agenda Item No. 16J5
March 23, 2010
Page 3 of 14
COLLIER COUNTY
BOARD OF COUNTY COMMISSIONERS
16J5
Recommendation to approve a grant application for FY2010 Justice and Mental Heaith
Collaboration Program in the amount of approximately $250,000 over two years from the
u.s. Department of Justice, Bureau of Justice Assistance. If awarded, request authorization
for the Collier County Sheriffs Office to accept the grant, approve associated budget
amendments and enter into memorandum of understanding with David Lawrence Center,
National Alliance on Mental Illness (NAMI) of Collier County, Prison Health Services and
other partner organizations.
3/23/20109:00:00 AM
Date
Approved By
Colleen Greene
County Attorney
Assistant County Attorney
County Attorney
3/9/2010 12:45 PM
Date
Approved By
Jeff Klatzkow
County Attorney
3/11/201010:33 AM
Date
Approved By
OMB Coordinator
County Manager's Office
Office of Management & Budget
3/11/20104:19 PM
Date
Approved By
Randy Greenwald
Office of Management &
Budget
Management/Budget Analyst
Office of Management & Budget
3/12120109:09 AM
Mark Isackson
Date
Approved By
Office of Management &
Budget
Management/Budget Analyst, Senior
Office of Management & Budget
3/13/201011:37 AM
Agenda Item No. 16J5
March 23, 2010
Collier County Justice & Mental Health Colliil9ls1itibjj)f 14
Collier County Justice and Mental Health Collaboration
Category 2: Planning and Implementation Program Narrative
The Collier County Sheriff's Office is seeking Bureau of Justice Assistance funding of
$250,000 over 2 years to: I) complete a strategic plan for criminal justice and mental health
collaboration and diversion activities, 2) implement jail and
. ty-based transitional
primary partners include the Collier County Sheriff'fOffice; the David
State contracted public mental health services ag
. "S), the jail
supports for adults with co-occurring mental health and su
provide an evaluation of the project. The Collier County Justi(:~ and
Statement of the Problem
According to the U.S. Census Bureau,
a is 2,305 square miles. This
makes it the largest COU?t>'iJi t4~.. state of Flori~a by land
According to the University of
Florida's Bureau of Economic and. Business Research, the County's population estimate in 2008
w'~i3~2,71i5~,tn!}stQ,fwhich is concentrated along the Gulf Coast. The
. ally swells by an addition 90,000 during the winter
g which time the rental housing is sparse and not
ably priced. A sharp contrast in population characteristics exists
the city of Naples, on the Gulf Coast, and Immokalee, a
community located inland to the east. Naples is often cited as
having more millionaires per capita than most other places in the United States. In Immokalee,
38.5% of residents are at or below the poverty level. In Naples, the poverty level is 5.3%. The
median income in Naples is $78,370, while the median income in Immokalee is $29,030.
Page I of 11
Agenda Item ND. 16J5
March 23, 2010
Collier County Justice & Mental Health Colliiljlglitfin"t 14
Collier County jail statistics indicate that 32 percent of females and 68 percent of males
were involuntarily committed for mental health examination within the year prior to their arrest,
and the majority of people with mental illnesses in the jail have a co-occurring substance use
disorder. Of those, XX percent were arrested for crimes related to drugs. According to a 2009
national study, nearly 15 percent Df men and 31 percent of women i
illnesses. One explanation is that people with mental illnesses
substance use disorders and may be more likely to be arr
Compounding the problem, many people with
and cannot or do not access community menta
uninsured in the Immokalee zip code (
()"occurring disorders who enter jail in a
sis. They end up back in jail, are admitted tD
themselves or Dthers, or are admitted to the
to the community. Females, many of whom have a
ployment, and who have children or are at risk of pregnancies,
unaddressed, lead to multiple community-wide problems. Of the
current females in the Collier County jail, XX % have a history of prior arrests.
Florida's funding for mental health and substance abuse services has historically been
among the lowest in the United States. This current year, the Florida legislature is contemplating
I Steadman, H. J., Osher, F. C., Robbins, P. C., Case, B., & Samuels, S. (2009). Prevalence of Serious Mental Illness
among Jail Inmates. Psychiatric Services 60: 761-765.
Page 2 of 11
Agenda Item No. 16J5
March 23. 2010
Collier County Justice & Mental Health Col~/yf 14
30% cuts to mental health programs statewide. In addition, Medicaid for mental health is
capitated in the Collier area at only $13/member/month, less than half allocated in most other
areas of Florida. State funding provides a portion of the costs for current local diversion
activities; the state mental health office provides approximately half the cost to operate mental
health court, while CIT is funded by local sources. Federal funding .
solid, viable plan and program implementation and evaluation t
Collier County's Mental Health Coalition
its scarce resources in the most efficient and effective means ~SSI
Current System for Criminal Justice Diversion
tive since 2005, is comprised
of a wide range of stakeholders, inc1ud. agencies, NAMI, criminal
justice agencies, homeless providers, ental illnesses, and family
members. The seIVices by the'Coalition fOtlow in the discussion below.
Current Service Array'
ier County for adults with mental illnesses at risk
in operation since 2008, and the Adult Felony Drug Court,
.since 1999, ~ both the result of successful partnerships between the local criminal
Wi
justice and mental health system. To date, these specialty courts have provided treatment to
hundreds of adult$with behavioral health problems in lieu of incarceration.
}> Crisis Intervention Team (CIT) training, active in Collier County since 2005, provides CCSO
deputies, police officers, and probation officers training by mental health professionals to enable
them to effectively respond to mental health crises and divert individuals into treatment rather
than incarceration.
Page 3 of 11
Agenda Item No. 16J5
March 23, 2010
Collier County Justice & Mental HeaItll Co~tfollf 14
>> Florida Assertive Community Treatment (FACT) team, operated by Mental Health Resource
Centers, Inc., provides comprehensive, evidence-based treatment and recovery services to 100
individuals with serious mental illnesses and co-occurring substance abuse disorders in Collier
County.
>> NAMI and the David Lawrence Center each employ several Florida Certified Peer Specilllists,
>> The David Lawrence Center pro
recovery planning for people with serious mental illnesses
individuals in recovery from a mental illness, who assist with c
,supports and facilitate
>> The Sarah Ann Drop In Center provides peer sup
support groups and educational programs for
disorders. The center, as separate non pro
y people in
th and substance abuse
services including
stabilization, detox,
r people with mental il\nesses and co-
d recovery services to ensure that people are
in the community, and are able to avoid
>> A
tinuous Integrated Systems of Care (CCISC) model provides
mental health and substance abuse services at the DLC agency level to
th co-occurring disorders are treated for both problems across all services to
discourage someone 'falling through the cracks" in the treatment system. A broad range of mental
health and substance abuse services are offered by DLC throughout the community.
Gaps ill the Service Array
The following are identified gaps for adult criminal justice mental health population:
Page 4 of 11
Agenda Item No. 16J5
March 23, 2010
Collier County Justice & Mental Health Col~tlbli'f 14
~ Re ~ntry: There is no comprehensive, coordinated, multiagency and multidisciplinary system in
place to assist those transitioning from incarceration to leading successful lives in the community,
~ Strategic Plan: A strategic plan for criminal justice diversion is needed to guide modifications of
existing programs and the development of new approaches to ensure the best possible
interventions for criminal justice diversion of people with mental illnesses. Also needed is an
interagency agreement spelling out responsibilities of each agen:~"in:~~ng out the plan.
services to serve people with mental illnesses
few
~ Specialized Residential Services: Aside from
specialized residential services, halfway houses,
any that allow residents with prior felony
Project Desil!n and Implementation
Planning Efforts to Date
Team (CIT) training were
justice diversion programs. (See
DLC, NAMI, consumer advocates,
essential in the successful planning,
;"~~
mental illnesses is a priority for local
1,lding memb(!rs of the Collier County Public Safety Coordinating Council. The
Council recently supported the creation of a new group, the Criminal Justice, Mental Health and
Substance Abuse Advisory Council (CJMHAC) to begin the process of creating a local strategic
plan specifically for diversion programs. A system mapping process using the Sequential
Intercept Model began in March 2009 and will form the basis for developing the strategic plan.
Page 5 of 11
Agenda Item No. 16J5
March 23, 2010
Collier County Justice & Mental Health Col~tR>~f 14
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_..h:.nc."".....'..'of
~-=::;~'-:ts
In,._.~_...
F4oloaro1:ry
1...-.-",,--", "
~.~':=-
I
Figure], Sequential Intercept Model: http://galnscenter.samhsa.gov/tex
Several members of the CJMHAC, representing bo
systems, completed the Collaboration Assessment
knowledge base, system collaboration, service coo
recidivism among local jail releasees. NE
Proposed Approach
Planning. As noted
with
organize targ~~,~,,gtrategies for justice-involved individuals
~r:Wlll also continue use of the Collaboration
ict strengths and weakness and to chart a course for
health and criminal justice partners. In addition,
'A Advisory Council will provide a venue for information sharing
ocused on areas identified by the CAT. The Advisory Council will
sponsor an electronic newsletter, compiled by NAMI, to facilitate information sharing among
members as well as a larger group of stakeholders. Finally, the CJMHSA and the project partners
will complete a strategic plan within the first six months of the project to guide activities during
2 The Council on State Governments Justice Center, Criminal Justice & Mental Health Consensus Project,
Collaboration Assessment Tool: http://consensusproject.org/technical-assistance/tools
Page 6 of 11
Agenda Item No 16J5
March 23, 2010
Collier County Justice & Mental Health CoRl_aifOt>>f 14
the remainder of the project. The plan will follow the direction provided by BJA and the JMHCP
Planning and Implementation Guide, and will be informed by the Sequential Intercept Model and
project evaluation baseline data. (Refer to Attachment 5 Project Timeline).
Implementation. The Collier County Sheriffs Office (CCSO) will contract with three partners to
create the Transitions team including: I) Prison Health Services (PH
identify required community and correctiona.l progr
2) David Lawrence Center (DLC) licensed therapist; and 3) Nat'
ce on Mental Illness
(NAMI) Certified Peer Specialist. The team will use the
Coordinate) model, a best practice approach to co~unity
co-occurring disorders3, as the basis for transiti
Following the model, the Transitions will assess the
}:lress the person's needs;
or post-release services; and
coordinate the
community.
-;;:::J\>
(f,~fIf at the University of South Florida's Criminal
se Technical Assistance Center will provide a process
, as well as assistance with the strategic planning process
and assistance
3 Osher, F., Steadman, H., & Barr, H. (2002). A Best Practice Approach to Community Reentry from Jails for
hunates with Co-occuring Disorders: The APIC Model: Delmar, NY: The National GAINS Center.
Page 7 of 11
Agenda Item No. 16J5
March 23, 2010
Collier County Justice & Mental Health Coiliitilltal1bt9f 14
Purpose, Goals & Objectives:
Goals/Outcomes:
. Improved access to treatment
. Treatment retention
. Decrease in substance use
. Improved employment
. Increase in permanent, stable housing
. Improved social connectedness
. Reduction in crime/recidivism
Objectives
. Complete a Strategic Plan by the end of month six of
. Complete comprehensive mental health and sub
participants by the end week one of their
. Complete integrated functional assessment
. Complete a Wellness, Action and Recov "
. Complete an integrated treatment plan for
. Maintain a client/transition team ratio of maxi
. Obtain disability benefits for 800 li 'ble particip
. Adhere to evidence-based practic onstrated b
post-trial adult females who are either in
e for disability based on the mental illness.
to Support Delivery of Services:
heritrs Office will provide project coordination, including fiscal
sponsible for grant reporting. CCSO will also make appropriate referrals
to the Transitions program, and facilitate access to inmates with mental health and substance
abuse disorders for the Transitions team.
The David Lawrence Center (DLC) will provide a licensed mental health therapist and
clinical supervision for mental health and substance abuse counseling services,
Page 8 of 11
Agenda Item No. 16J5
March 23, 2010
Collier County Justice & Mental Health CoR&llNa1l(,D>f 14
NAMI of Collier County will provide a Certified Peer Specialist to provide support,
information, and assistance with access to community resources, The Peer Specialist will be
trained in SOAR, (SSI/SSDI Outreach, Access and Recovery) a specialized means of facilitating
attainment of disability benefits for participants who are not yet in that system,
Prison Health Services (PHS) will provide screening, assessmc:B~ and referral of inmates
to the Transitions program. PHS will take the lead in assertiv
with NAMI, DLC and program participants. PHS will also
services under separate contract with CCSO.
The Criminal Justice, Mental Health & ,$;<<bstance, , Abuse
:t!:~5t,:.: : .;:,t;;~;'\,
participate in ongoing strategic planning and program ovetSi . t.
Screening and Assessment
Jail based screeni9!ran!i,assessment
Ancillary Social Services: The
. . . es, St. Matthews House
Treatment
#lte grated
practice for co-
Included in the IDDT
otivational interviewing strategies and strengths-based case
management. The stfl!lJ,gths model of case management focuses on identifying people's
aspirations, competenCies, resources unique talents as opposed to overemphasized pathology,
impairments and limitations. Treatment plans are based on opportunities rather than problems
and focus on building new competencies versus just stopping maladaptive substance use and
related behaviors. Functions of case management can be done by any member of the team,
Page 9 of 11
Agenda Item No. 16J5
March 23, 2010
Collier County Justice & Mental Health Co>1liil!iijtatlbjj>f 14
include individual counseling, psycho-education, advocacy, obtaining/maintaining housing,
coordinating medical and psychiatric treatment, responding to crises, and facilitating recovery.
The Transition Team will facilitate access to an array of community services, including all those
listed above for participants.
Relationship to existing state and local plans/programs
At the organizational level, the David Lawrence Cent
Continuous, Integrated Systems of Care (CCISC) model to
falling through the cracks of separate "parallel" sys
with co-occurring mental health and substance u
CaDabilities and ComDetencies
Project Collaboration Structure Descrip
.
Data Collection for Performance Measures
ce Center and the evaluation plan questions.
Personal Outcome Measures (NAMI)
BJA specific performance measures
Program Outcome Measures and description of how OM will be used for expansion
Responsibility for data collection, analysis
Page 10 of 11
Agenda Item No. 16J5
March 23, 2010
Collier County Justice & Mental Health ColliWlhi\JbM 14
Measures of stakeholder support, service coordination defmed/measured
Federal support used to supplement versus supplant. Describe Medicaid, DCF
How will evaluation leverage long-term support?
Potential Barriers
Budl!et Narrative & Detail Worksheet To be completed
Proiect Time and Task Plan To be completed
Memoranda of Understandin and/or Letters of Su
Page 11 of 11