PSCC Agenda 12/12/2019 Collier County
Public Safety Coordinating Council
County Manager's Conference Room
December 12, 2019
9 a.m.
Introduction
A. Call to Order and Introductions — PSCC Chairman, Commissioner Burt
Saunders
II. Approval of Agenda and Minutes
A. Approval of Agenda
B. Approval of Meeting Minutes from September 13, 2019
III. Old Business
A. Vera Institute's 2018 report— Katina Bouza, Director, Corrections Support
Division, CCSO
IV. New Business
A. Nomination and Confirmation of new statutory member Brad Rouskey,
State Probation Circuit Administrator, to a 4-year term, replacing former
State Probation Circuit Administrator, Terri McCall, retired.
B. Approval of the re-appointment of the following statutory PSCC members
each for another 4-year term: Scott Burgess, Chief Executive Officer,
David Lawrence Center; and Joe Paterno, Executive Director, Southwest
Florida Workforce.
C. Presentation/Discussion Regarding Mental Health & Addiction Services
Five-Year Strategic Plan Update - Nancy Dauphinais, COO, David
Lawrence Center
D. Presentation/Discussion Medical Assisted Treatment (M.A.T.) - Katina
Bouza, Director, Corrections Support Division, CCSO
E. Review of the Latest Jail Occupancy Snapshot -Katina Bouza, Director,
Corrections Support Division, CCSO
V. Member Comments
VI. Public Comments
VII. Adjourn- Meetings will be called as needed.
September 13, 2019
MINUTES OF THE COLLIER COUNTY PUBLIC SAFETY
COORDINATING COUNCIL MEETING
Naples, Florida, September 13, 2019
LET IT BE REMEMBERED the Public Safety Coordinating Council in and for the County
of Collier, having conducted business herein, met on this date at 10:00 A.M. in the County
Manager's Office Conference Room, 2nd Floor of Building "F" of the Co ier County
Government Complex, Naples, Florida with the following members pr se
O
Chairman: Burt Saunders, Board of County �sioners (Excused)
� ( )
Vice Chairman: Rob Crown, Chief Court Judg
Kevin Rambosk, CC Sheriff, •• Correctional Officer
Michael T. McHugh, C •• Ci uit Judge (Excused)
Amira Fox, State Att
Terri McCall, Sta� o . Circuit Administrator (Excused)
Jeff Nichols, D', - ounty Probation
Nancy Dau hi ••.. )avid Lawrence Center
Joe Pate ecutive Dir., SW Florida Workforce Dev. (Excused)
Rex D ublic Defender
<I 'S'
Also Present: 14 effield, Dir. of Community Relations & Outreach — Clerk of Courts
Le- eller-Spector, Staff Liaison, Community and Customer Relations
Kevin McGowan, Commander, CCSO
Crystal Kinzel, Clerk, Collier County Clerk of Courts
Katina Bouza, Director, CCSO
Keith Harmon, Captain, CCSO
Chief Roberts, CCSO
Brad Rowley, FL Dept. of Corrections
Nicole Mirra, State Attorney's Office
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September 13, 2019
Any persons in need of the verbatim record of the meeting may request a copy of the audio recording
from the Collier County Communications and Customer Relations Department.
I. Introduction
A. Call to Order—Judge Rob Crown
Judge Crown called the meeting to order at 10:00 a.m.
II. Old Business
A. Review and Approval of Meeting Minutes from March 28,2019
Mr. Nichols moved to approve the minutes of the March 28, 2019 Meeting as presented. Second
by Mr. Darrow. Carried unanimously 6— 0.
B. Continued Discussion: Pros/Cons of establishing an adult pre-arrest div io program in
Collier County. An Adult Pre-Arrest Diversion Program would allow t adults who fulfill
specified intervention and community service obligations an opport it avoid an arrest
record. 901.41 Pre-Arrest Diversion Programs, FL St. 901.41. ,
1. Findings from the review of 240 inmates who were inc March of 2019 for non-
violent misdemeanors to identify how many might h eligible for an Adult pre-
arrest diversion program - Chief Roberts and Ka •4S„ za
Ms. Bouza provided Staffs findings on those eligil'- .r adult pre-arrest diversion program,
noting data indicates that of the 147 inmatesstd.y, only 1 would qualify for pre-arrest
diversion. Most of those that were deemed •�.' ified were being held for previous charges.
Members noted they are in favor of -- . ••. am, however data indicates it should not be pursued
at this time, as there is little to n •n or costs associated with running the program.
Mr. Nichols moved to not evelopment of a program at this time. Second by Ms. Fox.
AS.,Carried unanimously 6
2. Updates on the P rest Diversion Program in Pinellas County and pilot program in
Charlotte Cou h tf Roberts, Collier County Clerk of Courts—Crystal Kinzel
Given the iiio ti en under item B.1, the review is not necessary at this time.
3. Discu t Could another potential path to reduce the number of pre-trial misdemeanants
in jail b• o issue more notices to appear in lieu of physical arrest? Agenda packets include
the memo titled"The Changing Geography of Jail Incarceration in Florida" prepared by the
Vera Institute of Justice
Ms. Bouza provided a Memorandum dated March 26, 2019, subject: "The Changing Geography
of Jail Incarceration in Florida" prepared by the Vera Institute of Justice. The following was
noted during discussion:
• Collier County has the highest rate in the State for those held pre-conviction and the
statistics do not include those associated with immigration violations.
• The County does have a pre-trial release program, however there may be other avenues
available to reduce non-violent offenders from being held in jail.
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September 13, 2019
• Concepts include reviewing the requirements for bonds, as some of those do not have the
financial ability to post them.
• There are times available in judge's chambers (after 2:00 p.m.) where a case may be
resolved even if is not on the docket. A pre-trial evaluation is required by Staff
Ms. Bouza reported they are also investigating the feasibility of reactivating the County's work
release program where certain individuals are allowed to work during the day and return to the
facility at the end of the day. The following was noted during discussion:
• Cases of 97 inmates that were to be released over the next 90 days were examined and
only 3 would not qualify for work release.
• The benefits include the inmate getting paid (funds deposited to the commissary account)
potentially generating savings upon release for food and shelter.
• The individual would have employment upon release and may be li ely to be re-
incarcerated.
• The individual is monitored, including drug screening if n e ar and it costs the County
less than harboring the individual on site for the day. Ai
��
• The program is available to those already sentenced . a an'+'+ing time. Their probation
time would still initiate after the time served expir-.qt
• Any victims associated with the crime would b- It fi:4 and there would be a"no
contact"requirement.
• The individual is pre-evaluated, monitored, .creened, and a GPS exclusion zone
may be established. �
• Either the BCC or their designee w dfirequired to approve the release.
The Committee requested Staff to coni • o research the issue and provide their findings to
the Committee.
Other
The Committee reviewe• .- .41ISHo ue video "Addiction Overview" which outlined the affects
of dopamine and its re ati� to .ddiction issues. Staff noted:
• Research is erw. on the feasibility of the County providing a medically assisted
treatmenr r through the facility.
• The co - . ' eludes utilizing partnerships with outside organizations such as the David
La -nP enter, etc.
• • ,7 .'.r issue is those in custody, who are currently undergoing treatment upon
14• a ent, are placed in a"detox" program which may not be beneficial, as it may
b er exacerbate health issues and lead to a greater probability of suicide.
• One avenue to investigate are drug screening procedures, as certain drugs used for
treatment can produce a false positive for a controlled substance, however labs have the
ability to isolate the compounds to determine the source of the test result.
• This false test issue also extends into the probation arena, where it may lead to a
probation violation and subsequent enforcement measures.
The Committee was in favor of Staff continuing to pursue the concept.
III. New Business
A. Review of Latest Jail Occupancy Snapshot
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September 13, 2019
Ms. Bouza provided the "Collier County Sheriff's Office Daily Population Sheet" dated 9-11-2019
for information purposes noting 638 males and 111 females were in custody, the date the report was
compiled.
IV. Member Comments
None
V. Public Comments
Chief Roberts reported statistics indicate the County is on the lower end of overall incarcerations.
in the State.
Commander McGowan noted the County is headed in the right direction, with the goal of
re-introducing individuals into society, as opposed to long term incarceration. .\ `
VI. Adjournment—Next Meeting Date TBD
There being no further business for the good of the County, the meeti Ai.
s adjourned by order of
the chair at 11:12 A.M.
111Z,,AS'ACCLe
COLLIER COIN PUBLIC SAFETY COORDINATING
COUN
i Chairman, Chief Court Judge Rob Crown
Ac)SAS'
These minutes approved by the Board/Committee on as presented or as
amended .
4
Public Safety Coordinating Council
Meeting 12.12.2019 Roster
FL ST
951.26
Name Title Membership Type (1)(a)1.
State Attorney,20th Judicial
Amira Fox Circuit Statutory Member a.
State Attorney's Office-Collier
Nicole Mirra County State Attorney's designee if unable to attend
Public Defender,20th Judicial
Kathy A.Smith Circuit Statutory Member b.
Supervising Assistant Public Public Defender's designee if unable to
Rex Darrow Defender attend
Chief Judge Michael T.McHugh Chief Circuit Judge Statutory Member c.
Judge Rob Crown County Court Judge Statutory Member d.
Sheriff,Chief Correctional
Officer and Vice Chair of the
Sheriff Kevin Rambosk PSCC Statutory Member e.,f.
Sheriff's Office—Jail
Chief Chris Roberts Administrator Sheriff's designee if unable to attend
State Probation Circuit
Brad Rouskey Administrator Statutory Member* g.
Senior Supervisor State State Probation Administrator's designee if
Robin Kelly Probation unable to attend
Commissioner,Board of
County Commissioners and
Commissioner Burt Saunders Chair of the PSCC 2019 Statutory Member h.
Jeff Nichols Director of County Probation Statutory Member** i.
County Probation Director's designee if
Juan Ramos Collier Probation unable to attend
Chief Executive Officer,David
Scott Burgess Lawrence Center Statutory Member* j.
David Lawrence Center Chief DLC Executive Director's designee if unable
Nancy Dauphinais Operating Officer to attend
Executive Director-Southwest
Florida Workforce
Joe Paterno Development Statutory Member* k.
Collier County Clerk of the
Crystal K.Kinzel Circuit Court Non-voting Participant
Director,Corrections Support
Katina Bouza Division-CCSO Non-voting Participant
Judge Janeice Martin County Court Judge Non-voting Participant
Lee Willer-Spector Staff Liaison Non-voting Participant
*4-Year Term 12.12.2019-12.12.2023
**4-Year Term 10.12.2017-10.12.2021
Community Priorities
1.Build and Operate a Central Receiving Facility/System to
Serve Persons Experiencing an Acute Mental Health or
Substance Use Crisis;
2.Increase Housing and Supportive Services for Persons with
Serious Mental Illness and/or Substance Use Disorders;
3.Establish Data Collaborative for Data Sharing, Collection
and Outcomes Reporting;
Community Priorities
4.Increase the Capacity and Effectiveness of Justice System
Response for Persons Experiencing Serious Mental Illness
and/or Substance Use Disorders;
5.Revise and Implement Non-Emergency Baker Act and
Marchman Act Transportation Plans, and;
6.Improve Community Prevention, Advocacy, & Education
Related to Mental Health and Substance Use Disorders.
Other Collier County Data
•In 2018 CCSO Calls for Service included:
-Mental Health Issues 2,963
-Suicidal Ideation 5,519
-Drug Related 4,101
-MH/SA Wellness Check 2,034
Total: 14,617
YEAR Total
2001 300
2002 355
2003 357
2004 370
2005 409
2006 377
2007 477
2008 502
2009 707
2010 796
2011 892
2012 1,052
2013 1,182
2014 1,226
2015 1,303
2016 1,336
2017 1,434
2018 1,570
Grand Total 14,645
CCSO BAKER ACTS
01/01/2001 –12/31/2018
0
250
500
750
1000
1250
1500
1750
146,986
165,062
180,285
209,224
222,015
228,500
264,924
276,989
295,223 298,670 303,679
310,112
316,450
323,267
330,285
337,454
140,000
160,000
180,000
200,000
220,000
240,000
260,000
280,000
300,000
320,000
340,000
FY12 FY13 FY14 FY15 FY16 FY17 FY18 FY19
DLC Growth
Total Services Provided to Children and Adults
Fiscal Years 2012-2019
(FY July 1 -June 30)
Services Provided County Population
* Percent Increase FY12 to FY19
*+ 88%
*+ 14%
The Challenge:
With continued population growth and increased demand, Collier
County’s mental health crisis services are straining to meet community
needs.
The David Lawrence Center (DLC) currently has 30 crisis treatment
beds, and the facility is consistently at peak capacity.
DLC Daily census has doubled since the baseline year, FY 11.
Treatment Advocacy Center recommends 40-60 psychiatric treatment
beds per 100,000 population*.
Even if we assumed a smaller ratio for Baker Act bed needs of 30 per
100,000, that would mean Collier County would need over 100 beds.
* https://www.treatmentadvocacycenter.org/storage/documents/backgrounders/bed-supply-need-per-capita.pdf
The Challenge:
NCH has experienced a significant increase in acute
psychiatric service demands as well.
DCF/USF Baker Act Report, released June 2019,
demonstrated over 32% of Collier residents meeting
Baker Act criteria were not able to be treated in Collier
(almost 600 residents).
The Challenge:
There are approximately 100+ inmates in the Collier County Jail each
day who have mental health issues and/or co-occurring substance
abuse issues and are receiving psychiatric medication.
822 individuals were in the Collier County Jail under the Marchman Act
for years 2017 and 2018 (= avg. 411 each year).
Additionally, NCH is projecting to petition another 60 individuals under
the Marchman Act in 2019; almost double compared to 2018.
There is currently no local provision for involuntary inpatient evaluation
or stabilization under the Marchman Act. A licensed Addiction
Receiving Facility (ARF) could serve individuals in a clinically
appropriate setting that would likely yield enhanced short and long-
term outcomes.
A Critical Part of the Solution:
Construct a new facility that will increase mental health crisis
stabilization unit capacity, addiction treatment services and function as
the Central Receiving Facility (CRF) for those receiving services under
both the Baker and Marchman Acts.
Preliminary planning for the facility estimated approximately 55,000
square feet, located on existing land adjacent to the main campus of
DLC. An evaluation of different sites, including DLC, to maximize the
infrastructure tax investment will be conducted.
Estimated cost of construction and build-out is $25 + million. Additional
ongoing operational costs are estimated to be approximately $2.0 +
million per year.
Recommendation:
Features of the New Facility
•Central Receiving Center (24/7/365, Single Point of Access)
•Dramatically Expanded Emergency Services Assessment
Center
•Greatly expanded Crisis Stabilization units for children and
adults
•Licensed also as an Addiction Receiving Facility (ARF) and
expand adult detoxification unit and substance inpatient care
•Providing Linkages to Community Resources
Special Consideration #1
Improve Services to Veterans Experiencing Mental Health and/or Substance Use
Disorders
Veteran Population In Collier County by Military Campaign
22%
11%
13%6%
48%
•Florida has the 3rd Largest Veteran Population in the US
•26,094 Veterans Live in Collier County
•10% of our total adult population are Veterans
•14% are between 18-54 years of age
Sources: Department VA dated 1/31/19, & factfinder.census.gov
Current Assessment
•20 Veterans a day are dying from suicide. Twice the rate of the non-veteran
population
•600 Veterans in Florida died from suicide each year
•Veteran suicide rates are not reported in Collier County
•Estimates are 40% of Veterans are returning home with PTSD &TBI
•Primary reasons are due to multiple tours of duty and exposure to “Blast” trauma to the
body
•These invisible wounds of war present unique health and transitional issues for
Veterans and their families
•Untreated a number of Veterans turn to alcohol and drugs
•The VA alone cannot achieve effective results. To make an real impact, Federal,
State, and local providers of resources must partner together, and coordinate
care and delivery of services efficiently
Goals
•Increase awareness of the public and the Veteran community
aware of the transitional, mental health, housing, and
employment needs of post-combat veterans
•Mobilize resources to address these issues for all Veterans and
their families
Objectives
1.Reduce Veteran Suicides
2.Reduce Veteran Substance Abuse
3.Reduce the number of Veterans arrested in Collier County
4.Improve the diversions rate to Veteran Treatment Court
5.Reduce of number of homeless Veterans
6.Provide a social worker/case manager at the Central Receiving System
7.Increase access to combat related unique treatment –prolonged vs. multiple
therapies
8.Educate and advocate on behalf of Veterans regarding size & demographics of this
group in our region
9.Make Veterans and their families aware of and engaged in the programs and
services
Data Elements Required to Assess Outcome & Impact
•Number of homeless Veterans & the number offered housing
•Number of Veterans Arrested annually
•Number of Veterans enrolled in treatment
•Veteran Treatment Outcomes
•Number of Veteran Suicides