PSCC Agenda 09/30/202233.A
09/30/2022
COLLIER COUNTY
Advisory Boards
Item Number: 33.A
Item Summary: Public Safety Coordinating Council-- 9.16.2022
Meeting Date: 09/30/2022
Prepared by:
Title: Operations Analyst — Community & Human Services
Name: Lee WillerSpector
09/19/2022 9:56 AM
Submitted by:
Title: Manager - Federal/State Grants Operation Community & Human Services
Name: Kristi Sonntag
09/19/2022 9:56 AM
Approved By:
Review:
Community & Human Services Kristi Sonntag CHS Review
Communications, Government, and Public Affairs
Advisory Boards Michael Cox
Michael Brownlee
Meeting Pending
Completed 09/19/2022 4:08 PM
PAM Review Completed
09/30/2022 12:00 AM
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33.A.1
Collier County Government
Communications, Government & Public Affairs
3299 Tamiami Trail E., Suite 102 colliercountyfl.gov
Naples, Florida 34112-5746 twitter.com/CollierPIO
facebook.com/CollierGov
youtube.com/CollierGov
September 16, 2022
FOR IMMEDIATE RELEASE
Notice of Public Meeting
Collier County Public Safety Coordinating Council
Collier County, Florida
September 16, 2022
9:00 a.m.
Notice is hereby given that the Collier County Public Safety Coordinating Council will meet on Friday,
September 16, at 9:00 a.m. This meeting will be held in the Muster Room at the Collier County Jail, Collier
County Government Center, 3347 Tamiami Trail E., Naples, Florida. The public may participate in person.
The purpose of the Collier County Public Safety Coordinating Council is to evaluate the population status of
correctional facilities owned or contracted by Collier County and to formulate recommendations to ensure
that capacities of such facilities are not exceeded. The Public Safety Coordinating Council was created
pursuant to Section 951.26, Florida Statutes.
About the public meeting:
Two or more members of the Board of County Commissioners may be present and participate at the
meeting. The subject matter of this meeting may be an item for discussion and action at a future Board of
County Commissioners meeting.
All interested parties are invited to attend, and to register to speak. All registered public speakers will be
limited to three minutes unless changed by the chairman.
Collier County Ordinance No. 2004-05 requires that all lobbyists shall, before engaging in any lobbying
activities (including, but not limited to, addressing the Board of County Commissioners, an advisory board
or quasi-judicial board), register with the Clerk to the Board at the Board Minutes and Records Department.
Anyone who requires an auxiliary aid or service for effective communication, or other reasonable
accommodations to participate in this proceeding, should contact the Collier County Facilities Management
Division, located at 3335 Tamiami Trail E., Suite 101, Naples, Florida 34112, or (239) 252-8380, as soon as
possible, but no later than 48 hours before the scheduled event. Such reasonable accommodations will be
provided at no cost to the individual.
For more information, call Lee Willer -Spector, PSCC Liaison at (239) 252-8723.
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Co per County
Public Safety Coordinating Council
Agenda
Collier County Jail — Muster Room
September 16, 2022
9 a.m.
I. Introduction
A. Call to Order — PSCC Chairman Commissioner Rick LoCastro
B. Approve New Statutory Member -- CareerSource Southwest Florida
II. Approval of Agenda and Minutes
A. Approval of Agenda
B. Approval of Minutes from April 22, 2022
III. Old Business
A. Results of Review of FGCU Evaluation Report for DLMHCDCG from
IL
April 22, 2022, PSCC Meeting — David Lawrence Center
B. Update on MAT for all inmates requesting treatment for SUD - N
Katina Bouza, Corrections Support Division Director, CCSO
IV. New Business
A. Presentation/Discussion - CJMHSA grant award Jail MAT — Katina L)
U)
Bouza, Corrections Support Division Director, CCSO a
N
B. Review of the Latest Jail Occupancy Snapshot -Katina Bouza, N
Corrections Support Division Director, CCSO
C. Presentation/Discussion Drug Court Quarterly Report (Grant Award
2020-2023) - David Lawrence Center a
D. PSCC Sub -committee — Katina Bouza, Corrections Support Division
Director, CCSO
V. Member Comments Q
VI. Public Comments
VII. Adjourn — Meetings will be called as needed
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33.A.3
PSCC
9.16.22
Agenda Item 1.A.
Peg Elmore replaced Joe Paterno as the Executive Director of CareerSource
Southwest Florida since our last meeting in April. According to Florida Statute
951.26, a representative from the local workforce board is required to serve on
the Public Safety Coordinating Council.
In order to approve Ms. Elmore, I hereby put forward her name and before
requesting your vote to approve her, let me read you a brief introduction:
Peg Elmore is the Executive Director the Southwest Florida Workforce
Development Board and its dba CareerSource Southwest Florida. Peg has been
in the workforce development industry since 1995. In her position, she is
responsible for administering workforce development funds within the five
Southwest Florida counties.
Peg has held board positions with Society for Human Resource Management
(SHRM) Southwest Florida, Lee County's Horizon Council, Southwest Florida
Tech Partnership, Hendry County Economic Development Council, Charlotte
County Economic Development Partnership, the Small Business Development
Center at FGCU, as well as numerous boards and committee associated with
post -secondary education. She is a 2017 graduate of Leadership Collier.
May I have a motion to approve Peg Elmore as our new member of the Public
Safety Coordinating Council?
All those approving say Aye.
Thank you.
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33.A.4
FLORIDA
GULF COAST
UNIVERSITY
THE WATER SCHOOL
Evaluation Report for the David Lawrence Mental Health Center Drug Court
Grant
Quarters 3 & 4: (April 1, 2021-June 30, 2021 (Q3); July 1, 2021, through
September 30, 2021 (Q4))
Submitted by
Ann H Cary PhD, MPH, RN, FNAP, FAAN & Krista Casazza, PhD, RD
Florida Gulf Coast University
December 15, 2021 (revised 126 2022; amended May 2022)
acary@fgcu.edu
Submitted to Nancy Dauphinais, LMHC,MCAP
Chief Operating Officer, David Lawrence Centers for Behavioral Health
1
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33.A.4
Evaluation Report for the David Lawrence Mental Health Center Drug Court Grant r
M
Semi Annual Evaluation Report for period April 1, 2021-Q3, through September 30, 2021-Q4
presented by
Ann H Cary PhD MPH RN FNAP FAAN and Krista Casazza PhD RD, Florida Gulf Coast University
Introduction
Drs. Cary and Casazza are providing external semi-annual performance evaluation reports of
the David Lawrence Center for Behavioral Health (DLC) Drug Court program through funding
from the US Bureau of Justice Assistance Adult Discretionary Drug Court- Joint/Enhanced
Program (BJA). Programmatic evaluation is based on data collected by DLC staff quarterly
activities. The semiannual reports examine quarterly and cumulative client demographics, grant
activities/services, and outcomes which identify and track trends in the indicators for each
activity and outcome. Statistical analysis for identifying significant associations among grant
activities, services, and outcomes are conducted as appropriate. Finally, evaluation of data is
intended for use to analyze strengths, weaknesses, opportunities, and challenges across
programmatic goals for purposes of quality improvement as indicated.
Mixed methodology integrating objective data entry reports quarterly as well as qualitative
subjective assessment conducted through staff interviews and participation throughout the
quarter are used for the identification of correct definitions of the data, for data entry and
fidelity, and confirmatory review. Staff participation in the evaluation process and reporting is
integral for data accuracy. The Evaluation report is organized by the funder-required reporting
sections. Final observations based on the methods noted above are those of the evaluators
along with any recommendations informed by the evaluation process to DLC staff.
General Award Information
Collier County is a suburban area populated by over 50,000 people. The Collier County Drug
Court Program began on July 1, 1999, with a system of graduated sanctions and incentives for o
participants in drug court. The Collier County Court Program administers both random and a
observed alcohol and substance abuse testing and uses evidence -based treatment services. The
current maximum capacity for participants at any one time is seventy. For clarification
purposes, the data included in this 6- month report encompasses the data collected by DLC
staff beginning April 1, 2021- June 30, 2021 (Q3) and July 1, 2021-September 30, 2021 (Q4). The
results of data elements generated between quarters 3 and 4 are included in the report during
year one of the grant award.
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33.A.4
Program -level Measures Concerning Number of Services Added and Delivered
BJA funds were allocated solely for delivery of outpatient services. Between 4/1/2021 and
9/30/2021, 19 clients were newly enrolled in the current grant. Enrollments in Q3 and Q4 were
9 and 10, respectively. Consonant with grant goals, the staff provided for a total of 19 new
clients around substance abuse treatment (SATs) services.
As a cumulative report, the reporting from Q3 and Q4 includes the clients enrolled from the
inception of the grant award in Q1. Beginning with Q1, 68 clients were integrated and have
been served by the grant activities. As such, forty-two of the 68 represent carry over clients
from a prior grant and 26 are new participants who enrolled in the first 12 months of the grant
In Q3 and Q4 services rose (from 2733 in Q1 through Q2) to 6523 in Q3 through Q4- an
increase of 3790 (139%) services delivered during Q 3 and Q4 compared to the Q1 and Q2
prior six-month period.
Table 1. Distribution of Services delivered to all current grant clients between 4/1/2021
through 9/30/2021:
ACTIVITY
Q3 (4/1/2021-6/30/2021)
Q4 (7/1/2021-9/30/2021)
Clinical Assessment
14*
15*
Group Therapy
485
509
Aftercare sessions
7
4
Moral Reconation Therapy
96
83
Individual Therapy sessions
158
158
Traumatic Incident Reduction (TIR)
Therapy sessions
1
11
Case Management sessions
1707
1485
Urinalysis tests
783
765
Oral Swabs
7
17
Peer Support services
102 individual sessions
76 individual sessions;
29 group sessions; 11
were in place of the
Aftercare Group
Totals: 3360 3163
*Not all individuals assessed were admitted into the program during the reporting period.
Distribution of Services
There was a significant increase in group
therapy from Q3 to Q4 and a significant
decrease in sessions classified as case
management (Figure 1).
3
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33.A.4
Table 2. Distribution of Recovery Support Services delivered to all clients between April 1,
2021, through September 30, 2021. These totals are for the number of unique services received
for the first time by all clients during the quarter.
ACTIVITY
Q3 (4/1/2021-
6/30/2021)
Q4 (7/1/2021-
9/30/2021)
Employment Services
4
7
Housing Services
3
7
Education Services
33
6
Mental Health Services
8
11
Health (Medical and Dental) Services
43
7
Prosocial Services
32
4
Trauma Treatment (TIR)
0
9
Veteran Services
0
0
Other Services (e.g., Social Security,
DCF, Transportation, etc.)
4 transportation;
102 Peer support
individual
9 transportation;
1 domestic violence
assistance;
25 recovery peer
support
Of note is that employment, housing, mental health, TIR, and transportation service sessions for first
time clients increased during Q 4 from Q3 while education, prosocial services, and health service
sessions decreased. No services to veterans were provided during the entire 12-month period. However,
all services showed a rising trend in number of service sessions delivered in the first year during all four
quarters except for TIR which was generally stable in Q2 and Q4 but absent in Q3. There were significant
increasesin
Q3 to Q4 employment,
50 housing, and trauma
40 treatment services,
35
30 and significant
25
20 — decreases in
10 education and health
p ■ ■ ■ ■ ■ ■ ■ services. (Figure 2)
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\oe . C `o `o \ate `oe
�et� het hey �e� a\�a Peer Support
Services
\o�� boo area a\�e a00 ioyo �e
A unique feature of
the original and
■ Q3 Q4 now expanded
funding in the BJA
grant was the addition of Peer Support as a component of the Recovery Support Services.
Consistent services of the peer Support staff member were on a parttime basis in Q3 and Q4.
4
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33.A.4
Additional Program Services r
M
Apart from Recovery Support services between 4/1/2021-9/30/2021, BJA funding was utilized
to support the following services:
Table 3: Additional Program Services
ACTIVITY
Q3 (4/1/2021-
6/30/2021)
Q4 (7/1/2021-
9/30/2021)
Offender supervision/case
management
Yes
Yes
Workforce Training
Yes
Yes
Program Evaluation
Yes
Yes
Aftercare Support
Yes
Yes
These four additional program services were consistently provided during the 6-month period
and all except case management were also provided in Q2 during the 12-month period (see
revised staff Q3 data report).
Medication -Assisted Treatment (MAT)
Medication Assisted Treatment (MAT) is available to clients as a component of the Drug Court
program. MAT includes Naltrexone, Buprenorphine (Suboxone, Sublocade, Subutex) and
Methadone. Of the 78 clients eligible to participate in MAT during this reporting period 34
clients (43.6%) received at least one MAT treatment service. In Q3, 48% of eligible clients
received at least one MAT treatment while in Q4, 40% of those eligible received at least one
MAT treatment. During the 12-month period of the grant, 43.6% of clients who were eligible
received MAT treatment, representing a consistent trend across the program to date.
In examining the numbers and types of services delivered to clients during the reporting period
L
it is apparent that multiple and repeated direct contact and medication treatment services °
were necessary to support the progression of clients in recovery. In contrast to services w
delivered almost exclusively through tele/electronic communication in Q2 due to Covid-19 U
restrictions, the delivery of face-to-face (f2f) services began to be delivered increasingly o
through in -person encounters in Q3 and Q4 due to the reduction of COVID-19 cases in the a
region although there were periods of increased incidence of COVID-19 in the region during Q4.
During the 12-month period, there was an increase in the number of services provided as well
as the number of service sessions provided. It may be inferred that the hiring of the part-time
Peer Specialist with this funding is at least in part a contributor to the increase in utilization of
services during year one of the grant activities. This will be quantitatively evaluated in
subsequent reporting.
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33.A.4
Participant -Level Measures r
Screening and Intake
A total of 32 Drug Court candidates were screened for participation into the program during Q3
and Q4. Twenty-five of the potential, eligible candidates (78%) did not to enroll in the program:
as 12 were awaiting the State legal contract, six (6) were scheduled for clinical assessments to
determine eligibility by DLC, six (6) were deemed not eligible, and one (1) client opted not to
enter because she did not want to comply with treatment recommendations. Relative to Q1
and Q2, the Q3 and Q4 enrollment reflects a 52% decrease in enrollment. Qualitative
evaluation to understand the decrease suggested potential barriers to processing during this
reporting period due to the length of time experienced in executing the legal contracts for
enrollment and delays in clinical assessments at the jail. Completion of the contract process for
clients is dependent on the coordination processes of many partners including the DLC staff,
jail staff, and the Office of the State Attorney for the 20th Judicial Circuit. Staff report that the
range in time to enrollment days has been persistent during all quarters of the first year of the
grant, however, increased adjudication with dynamic changes in the Covid-19 environment
likely have exacerbated the delays.
Of the 25 clients that did not enroll in the program during Q3 and Q4, reasons included:
• Awaiting a legal contract (n=12).
• Did not meet eligibility as referred individual did not acknowledge the need for a
substance use program (n=2).
• Awaiting clinical assessment (n=6)
• Dishonest during assessment and not accepted (n=1)
• Not willing to follow clinical recommendations (n=1)
• Violent history (n=2)
• Mental health diagnosis could not be handled by the court (n=1)
Of the 25 clients (14 male) who did not enroll, 24 self- identity as white males (13) or white o
females (11) and one (1) male identified as multiracial. Four (4) males reported as Hispanic or
Latino/a ethnicity. Ten (10) males and 11 females reported as Non -Hispanic, or Latino/a. w
U
Assessment of Criminogenic Risk and Treatment Need o
a
Newly admitted Drug Court clients are assessed to determine eligibility for enrollment over the
six-month period. The 19 newly admitted participants (clients can be screened in a quarter but
not admitted until another quarter, therefore 19 admitted) were assessed using the DLC's
Clinical Risk Assessment (completed by staff); Ohio Risk Assessment System Re -Entry Tool
(ORAS-RT, completed by client self -report); Texas Christian University Drug Screening (TCUDS-
V, completed by client self -report). Only one client was identified in Q4 as having high
criminogenic risks and high abuse treatment needs. This contrasts with Q1 and Q2 whereby,
0
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33.A.4
seven (7) were identified as low ,moderate or high risk and all seven (7) as indicating high abuse r
treatment needs. M
N
Due to the differences in how the assessment information is gathered, i.e., by client self -report
or professional staff clinical assessments, staff members have observed that clients tend to
underreport their risk status in the ORAS Risk Assessment. When contrasted with the clinical
risk assessments and historical data gathered by DLC staff on the client, the self -reported
measures in the ORAS Tool appear to be a less reliable risk classification of clients. In the future,
it will be recommended that clinicians examine client history and incorporate objective
collateral data gathered by the clinician to determine criminogenic risk assessment levels in
subsequent quarters. Changing the methods will likely result in higher levels of criminogenic
and risk scores for clients due to more objective data and methods of collecting data rather
than an actual change in clients being processed. This expectation will be borne out in
subsequent comparisons of clients and quarters.
Table 4. Criminogenic Risk and Treatment Need Levels for one participant.
Levels
Criminogenic Risk
Treatment Need
Low Risk or Need
0
0
Moderate Risk or Need
0
0
High Risk or Need
1
1
Table S. Number of Participants
Nature of Participants
04/1/2021-6/30/2021 Q3
7/1/2021-9/30/2021 Q4
Newly enrolled participants
9
10
Clients at beginning of
44
37
quarter(carried over from
previous quarter)
Currently enrolled at end of
37
44
quarter
Total clients receiving
53
47
services throughout any
period of the Quarter (new,
carried over, and any type of
discharge)
Discharges -of which:
16
3
Successfully completed all
7
1
requirements at discharge
Unsuccessfully completed
9
2
all requirements at discharge
Demographic characteristics of newly admitted clients over Q3 and Q4 included eight (8) males
and 11 females. All 19 reported as White. One (1) male reported as Hispanic or Latino/a and
7
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33.A.4
seven (7) reported as Non -Hispanic or Latino/a. All 11 females reported as Non -Hispanic or r
Latino/a. N
There was a quarterly decrease (Q3=7; Q4=1) in the number of successful, completer discharges
in Q3. During this 6-month reporting period there were eight successful completers and 11
unsuccessful completers discharged. Staff note that even those who were unsuccessful did
benefit from the services they received.
The demographics of the eight successful completers were: two (2) White males and six (6)
White females. Two (2) females were Hispanic or Latino/a and four (4) were Non -Hispanic or
Latino/a. The two (2) males reported as Non -Hispanic or Latino/a.
Program Completion and Judicial Interaction
During Q3 and Q4 , eight (8) clients successfully completed the Drug Court program
requirements. Four(4) had enrolled for 25 or more months and two (2) each for 13-18 and 19-
24 months.
Participants Who Exited the Program Unsuccessfully
During Q3 and Q4 , eleven (11) individuals were unsuccessful in completing the program. The
demographics of the 11 who were unsuccessful at completing the program included: eight (8)
males and three (3) females. Eight (8) males were white and Non -Hispanic, or Latino/a and one
was Multiracial. Two (2) females were white and one (1) was Black or African American and all
three(3) reported as non -Hispanic or Latino/a. Seven (7) of the eleven that were discharged as
unsuccessful had been in the program for 19 or more months, two (2) for 13-18 months, and
one (1) each had been in the program for 4-6 months and 10-12 months.
Unsuccessful discharge reasons included: one (1) was due to court or criminal involvement, o
one(1) absconded, one (1) refused to admit to several positive drug screens, six (6) had
numerous problems, and two ( 2) were not willing to follow treatment recommendations for
the long term. While formally considered Unsuccessful Discharges by the Department of Justice �
0
definition, it should be noted that these individuals made partial progress towards successful '~
completion of treatment goals while enrolled in the program. Each participant was engaged in w
treatment services for a period and did acquire some coping skills to manage their disorder. J
0
Alcohol and Substance Use a
During Q3 and Q4, there were fifty-seven (57) clients who were tested for alcohol and/or illegal
substances who had been enrolled in Drug Court for at least 90 days. Of those 57 participants, 9
(16%) participants tested positive. Q3 and Q4 cumulative positive tests were eight (8)
percentage points lower than those testing positive in Q1 and Q2 (24%).
0
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Table 6: Affordable Care Act/Healthcare Coverage Information
Coverage
4/1/2021-9/30/2021
New participants entering program with any
Healthcare Coverage
6
New Participants Enrolled with Medicaid
3
Total program participants eligible for health
care coverage
31
Total program participants enrolled in health
care benefits during reporting period
31
Total program eligible for Medicaid coverage
13
Total program enrolled in Medicaid coverage
13
Table 7: Participants Exiting the Program
Coverage at Exit
4/1/2021-6/30/2021 Q3
7/1/2021-9/30/2021 Q4
Exiting participants eligible for Insurance
8
0
Exiting participants who enrolled in
insurance
8
0
Participants at exit who were eligible for
Medicaid coverage
4
0
Participants at exit who were enrolled in
Medicaid coverage
4
0
M
M
N
Staff reported that many clients chose to not maintain or secure insurance coverage because it
0
was more cost effective for them to have the discounted rate offered to indigent clients at DLC.
This is reflected in the enrollments in health care insurance at exit for Q4 where no participants w
reported health care insurance coverage. J
0
Summary: a
During the first six months of the grant (Q1 and Q2) the active program and data collection
relevant to this BJA grant were applicable to only Quarter 2 (January 1,2021 through March
31,2021 was the first active enrollment ) and served as the baseline assessment. For the first
12-month period (October 1,2020 through September 30, 2021) of the grant award, DLC has
served 68 clients in the Collier County Adult Felony Program and is making progress (at 75.5%
of goal) to achieve the goal of 90 clients served over a two-year period of the grant. For this six-
month report period of Q3 and Q4 there were clear upward trends in services and first-time
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33.A.4
service sessions. The number of clients testing positive for substance use was lower by eight (8) r
percentage points during Q3-Q4 compared to Q1-Q2. N
A persistent issue with admitting clients into the Drug Court program is the length of time
needed by all collaborators (Office of the State Attorney for the 20th Judicial Circuit, DLC and
Jail staff to complete activities in order to extend a legal contract from the date of referral to
the entry into the program or plea. Twelve (12) potential enrollees awaited their legal contract
from the State to enter the program while six (6) awaited clinical assessments by DLC. This
interval ranged from 44 to 98 days with an average of 61 days due to the time needed to set
restitution, negotiate victim actions, out of County transfer issues, and other situations that
lengthened the time to program entry. This average is significantly higher compared to the
previous three-month report where the average was 46 days, and the range was 21-64 days.
Staff noted that the NDCI best practice is about 30 days from the date of arrest to entry.
However, given the issues with coordinating multiple parties, counties, and agreements during
the interval toward entry into the program, any plans to accelerate the time to entry should be
examined with staff analysis of processes and the unique characteristics of their clients.
Between Q3 and Q4, 12 clients had not received the legal contract to enter the program. As to
the DLC staffing and completion of assessments, six (6) clients were awaiting clinical
assessments during this 6-month period resulting in a delay being counted for entry to the Drug
Court Program. Competition for tele-room space and scheduling at the Collier County Jail
continues to limit the timely scheduling of the assessment/assessment process. Both issues
need to be watched and addressed to the degree possible as the persistent issues may affect
the enrollment of 90 clients by the conclusion of the grant and impact the service intervention
possible during the grant period and conclusion on September 30, 2022.
During Q3 and Q4 of the grant 3360 and 3163 services, for a total of 6523 services, were o
provided to 53 (Q3) and 47(Q4) clients. This is an average of 65 services per client provided by
the DLC staff in six months- an increase of almost 20% in staffing service provision per client
from Q2 (56 per client average). The frequency and intensity of services needed to admit,
retain, and discharge clients speaks to the importance of staff resources working with °
M
substance use clients in the Collier County community. Of note in this report is that more w'
housing services were provided in this period reflecting the continuing issue with affordable J
housing and timely housing placements needed by clients. DLC staff use three assessments to 4
reflect the presenting condition of clients. Clients' self -reported understanding of their a
condition and history of the impact of their substance use, and the objective record of E
substance use through court/judicial reports have given staff the opportunity to examine the
standardized assessment validation process for determining risk and treatment needs. Staff
concluded that self -reports by clients' likely underestimate risk and need compared to objective a
clinical assessments by staff and documentation of client history within the judicial system. This Q
understanding by staff has stimulated discussion as to how to weigh more accurately the risk
and treatment assessments in determining objective risk and appropriate treatment.
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33.A.4
This six-month report is based on the data submitted by DLC staff to the evaluators for Q3 and r
Q 4. Comparisons between the first and second six-month reports and annual trends are noted N
where available from current and previous reports and conclusions about barriers to N
enrollment over the first year of the grant are provided. The report is intended to stimulate N
discussion and planning among staff to acknowledge program impact, and to further program
effectiveness.
DLC Eval for 4-1-21 through 9-30-2021 Final to DLC 12 15 2021 revised 127 22 amended May 2022
U
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JLM450
Collier Countv Sheriff's Office
33.A.5
Run Time: 09-14-2022 07:45
Dailv
Population
Sheet
09-13-2022
Facility: ALL FACILITIES
MALES White
Black
Total
Percent
TOTAL POPULATION
Felons Sentenced 40
15
55
7.5 %
MALES
615
Felons Non -Sentenced 259
85
344
46.9 %
FEMALES
119
Misdemeanants Sentenced 20
1
21
2.9 %
N
Misdemeanants Non -Sentenced 161
26
187
25.5 %
734
0
N
Juveniles 6
2
8
1.1 %
totals: 486
129
ai
FEMALES
3
Felons Sentenced 10
2
12
1.6 %
Releases:
39
U
Felons Non -Sentenced 66
9
75
10.2 %
Intakes:
21
Misdemeanants Sentenced 6
0
6
0.8 %
State VOP total:
94
Misdemeanants Non -Sentenced 24
2
26
3.5
County VOP total:
2
L
Juveniles 0
0
0
0.0 %
°o
U
totals: 106
13
>,
.r
m
w
OTHER TOTALS:
SEX
CRIME
REGIS SEX
REGIS SEX
PROTECTIVE HIGH
ILLEGAL
U
WEEKENDERS
CONVICTION
OFFENDER
PREDATOR
CUSTODY RISK
ALIENS
ADULT MALES 0
55
22
9
11
8
127
d
ADULT FEMALES 0
0
0
0
1
1
5
0
55
22
9
12
9
132
M
!4-
JUVENILE MALES
1
0
0
0
0
1
JUVENILE FEMALES
0
0
0
0
0
0
N
M
1
0
0
0
0
1
r
ai
0
GRAND TOTALS
56
22
9
12
9
133
0
t
rn
a
TOTALS by AGE & RACE:
White
Black
Asian
Indian Total
MALES <= 17
5
1
0
0
6
MALES 18 -> 21
30
14
0
0
44
MALES 22 -> 29
111
37
0
0
148
m
MALES 30 -> 39
165
42
1
0
208
>_
MALES 40 -> 49
109
21
0
1
131
E
MALES 50 -> 59
39
10
0
0
49
MALES 60 -> 69
19
2
0
0
21
MALES 70 -> 79
5
2
0
0
7
m
MALES >= 80
1
0
0
0
1
Q
FEMALES <= 17
0
0
0
0
0
FEMALES 18 -> 21
1
3
0
0
4
t
FEMALES 22 -> 29
23
3
0
0
26
FEMALES 30 -> 39
40
3
0
0
43
cva
FEMALES 40 -> 49
25
2
0
0
27
Q
FEMALES 50 -> 59
13
2
0
0
15
FEMALES 60 -> 69
4
0
0
0
4
FEMALES 70 -> 79
0
0
0
0
0
FEMALES — 80
0
0
0
0
0
Printed by user ID 1453 from station z338CCP2 I Packet Pg. 746
J LM450
Run Time: 09-14-2022 07:45
Collier Countv Sheriff's Office
Dailv Population Sheet
09-13-2022
33.A.5
Facility:
IMMOKALEE JAIL CENTER
MALES
White
Black
Total
Percent
TOTAL POPULATION
Felons Sentenced
7
0
7
8.5
MALES 82
Felons Non -Sentenced
23
3
26
31.7 %
FEMALES 0
Misdemeanants Sentenced
5
0
5
6.1 %
Misdemeanants Non -Sentenced
43
1
44
53.7 %
82
Juveniles
0
0
0
0.0 %
totals:
78
4
FEMALES
Felons Sentenced
0
0
0
0.0 %
Releases: 0
Felons Non -Sentenced
0
0
0
0.0 %
Intakes: 0
Misdemeanants Sentenced
0
0
0
0.0 %
State VOP total: 6
Misdemeanants Non -Sentenced
0
0
0
0.0 %
County VOP total: 0
Juveniles
0
0
0
0.0 %
totals:
0
0
OTHER TOTALS:
SEX CRIME
REGIS SEX
REGIS SEX
PROTECTIVE
HIGH
ILLEGAL
WEEKENDERS
CONVICTION
OFFENDER
PREDATOR
CUSTODY
RISK
ALIENS
ADULT MALES 0
0
0
0
0
0
40
ADULT FEMALES 0
0
0
0
0
0
0
0
0
0
0
0
0
40
JUVENILE MALES
0
0
0
0
0
0
JUVENILE FEMALES
0
0
0
0
0
0
0 0 0 0 0
GRAND TOTALS 0 0 0 0 0
TOTALS by AGE & RACE:
White
Black
Asian
Indian
Total
MALES <= 17
0
0
0
0
0
MALES 18 -> 21
5
0
0
0
5
MALES 22 -> 29
23
0
0
0
23
MALES 30 -> 39
28
0
0
0
28
MALES 40 -> 49
13
2
0
0
15
MALES 50 -> 59
4
2
0
0
6
MALES 60 -> 69
3
0
0
0
3
MALES 70 -> 79
2
0
0
0
2
MALES >= 80
0
0
0
0
0
FEMALES <= 17
0
0
0
0
0
FEMALES 18 -> 21
0
0
0
0
0
FEMALES 22 -> 29
0
0
0
0
0
FEMALES 30 -> 39
0
0
0
0
0
FEMALES 40 -> 49
0
0
0
0
0
FEMALES 50 -> 59
0
0
0
0
0
FEMALES 60 -> 69
0
0
0
0
0
FEMALES 70 -> 79
0
0
0
0
0
FEMALES — 80
0
0
0
0
0
0
40
N
N
M
O
0
t
rn
0-
M
c
M
2
m
E
aD
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c
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Q
c
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Printed by user ID 1453 from station z338CCP2 Packet Pg. 747
JLM450
Collier Countv Sheriff's Office
33.A.5
Run Time: 09-14-2022 07:45
Dailv
Population
Sheet
09-13-2022
Facility: NAPLES JAIL CENTER
MALES White
Black
Total
Percent
TOTAL POPULATION
Felons Sentenced 33
15
48
7.4
MALES
531
Felons Non -Sentenced 236
82
318
48.9 %
FEMALES
119
Misdemeanants Sentenced 15
1
16
2.5 %
N
Misdemeanants Non -Sentenced 118
25
143
22.0 %
650
0
N
Juveniles 4
2
6
0.9 %
totals: 406
125
ai
FEMALES
3
Felons Sentenced 10
2
12
1.8 %
Releases:
39
U
Felons Non -Sentenced 66
9
75
11.5 %
Intakes:
21
Misdemeanants Sentenced 6
0
6
0.9 %
State VOP total:
88
Misdemeanants Non -Sentenced 24
2
26
4.0
County VOP total:
2
L
Juveniles 0
0
0
0.0 %
°o
U
totals: 106
13
>,
.r
m
w
OTHER TOTALS:
SEX
CRIME
REGIS SEX
REGIS SEX
PROTECTIVE HIGH
ILLEGAL
U
WEEKENDERS
CONVICTION
OFFENDER
PREDATOR
CUSTODY RISK
ALIENS
ADULT MALES 0
55
22
9
11
8
87
d
ADULT FEMALES 0
0
0
0
1
1
5
0
55
22
9
12
9
92
M
!4-
JUVENILE MALES
1
0
0
0
0
0
JUVENILE FEMALES
0
0
0
0
0
0
N
M
1
0
0
0
0
0
r
ai
0
GRAND TOTALS
56
22
9
12
9
92
0
t
rn
a
TOTALS by AGE & RACE:
White
Black
Asian
Indian Total
MALES <= 17
3
1
0
0
4
MALES 18 -> 21
25
14
0
0
39
MALES 22 -> 29
88
37
0
0
125
m
MALES 30 -> 39
137
42
1
0
180
>_
MALES 40 -> 49
96
19
0
1
116
E
MALES 50 -> 59
35
8
0
0
43
MALES 60 -> 69
16
2
0
0
18
MALES 70 -> 79
3
2
0
0
5
m
MALES >= 80
1
0
0
0
1
Q
FEMALES <= 17
0
0
0
0
0
FEMALES 18 -> 21
1
3
0
0
4
t
FEMALES 22 -> 29
23
3
0
0
26
FEMALES 30 -> 39
40
3
0
0
43
cva
FEMALES 40 -> 49
25
2
0
0
27
Q
FEMALES 50 -> 59
13
2
0
0
15
FEMALES 60 -> 69
4
0
0
0
4
FEMALES 70 -> 79
0
0
0
0
0
FEMALES — 80
0
0
0
0
0
Printed by user ID 1453 from station z338CCP2 I Packet Pg. 748
J LM450
Run Time: 09-14-2022 07:45
Collier Countv Sheriff's Office
Dailv Population Sheet
09-13-2022
33.A.5
Facility:
OTHER FACILITIES (NCH,DLM
.... )
MALES
White
Black
Total
Percent
TOTAL POPULATION
Felons Sentenced
0
0
0
0.0
MALES 2
Felons Non -Sentenced
0
0
0
0.0 %
FEMALES 0
Misdemeanants Sentenced
0
0
0
0.0 %
Misdemeanants Non -Sentenced
0
0
0
0.0 %
2
Juveniles
2
0
2
100.0 %
totals:
2
0
FEMALES
Felons Sentenced
0
0
0
0.0 %
Releases: 0
Felons Non -Sentenced
0
0
0
0.0 %
Intakes: 0
Misdemeanants Sentenced
0
0
0
0.0 %
State VOP total: 0
Misdemeanants Non -Sentenced
0
0
0
0.0 %
County VOP total: 0
Juveniles
0
0
0
0.0 %
totals:
0
0
OTHER TOTALS:
SEX CRIME
REGIS SEX
REGIS SEX
PROTECTIVE
HIGH
ILLEGAL
WEEKENDERS
CONVICTION
OFFENDER
PREDATOR
CUSTODY
RISK
ALIENS
ADULT MALES 0
0
0
0
0
0
0
ADULT FEMALES 0
0
0
0
0
0
0
0
0
0
0
0
0 0
JUVENILE MALES
0
0
0
0
0 1
JUVENILE FEMALES
0
0
0
0
0 0
0 0 0 0 0 1
GRAND TOTALS 0 0 0 0 0 1
TOTALS by AGE & RACE:
White
Black
Asian
Indian
Total
MALES <= 17
2
0
0
0
2
MALES 18 -> 21
0
0
0
0
0
MALES 22 -> 29
0
0
0
0
0
MALES 30 -> 39
0
0
0
0
0
MALES 40 -> 49
0
0
0
0
0
MALES 50 -> 59
0
0
0
0
0
MALES 60 -> 69
0
0
0
0
0
MALES 70 -> 79
0
0
0
0
0
MALES >= 80
0
0
0
0
0
FEMALES <= 17
0
0
0
0
0
FEMALES 18 -> 21
0
0
0
0
0
FEMALES 22 -> 29
0
0
0
0
0
FEMALES 30 -> 39
0
0
0
0
0
FEMALES 40 -> 49
0
0
0
0
0
FEMALES 50 -> 59
0
0
0
0
0
FEMALES 60 -> 69
0
0
0
0
0
FEMALES 70 -> 79
0
0
0
0
0
FEMALES — 80
0
0
0
0
0
N
N
M
a;
0
O
t
rn
0-
R
c
M
2
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Printed by user ID 1453 from station z338CCP2 Packet Pg. 749
33.A.6
OFFICE OF JUSTICE PROGRAMS
RJABUREAU OF JUSTICE ASSISTANCE
JustGrants Report
Drug Court Joint/Enhancement NEW
2020-DC-BX-0138
Reporting Period: January 1 - June 30, 2022
This report is generated for the COLLIER, COUNTY OF grantee for federal award number 2020-DC-BX-0138. The award amount is $ 500,000.
reflects performance measurement data for the period January 1 - June 30, 2022. Any funds reported only represent an estimate of dollars
allocated or used for activities covered by this award.
Project Description
The Bureau of Justice Assistance (BJA) FY20 Adult Drug Court (ADC) and Veterans Treatment Court (VTC) Discretionary Grant Program provic
financial and technical assistance to states, state courts, local courts, units of local government, and federally recognized Indian tribal
governments to implement and enhance the operations of adult drug courts and veterans treatment courts. BJAA's ADC/VTC Program suppor
efforts by state, local, and tribal courts to address the needs of individuals in the criminal justice system with substance abuse issues. The foc
is to reduce opioid, stimulant, and substance abuse. BJA allows award recipients to implement or enhance the most appropriate drug court
model to accommodate the needs and available resources of their jurisdictions, so long as the model conforms to the 10 key components and
the evidence -based program principles in the nationally -recognized drug court standards.
The grant recipient has an operational adult drug court or is ready to fully implement a drug court. Funding will be used to launch a drug coui
scale up the drug court programA's capacity; provide access to or enhance treatment capacity or other critical support services; enhance cour
operations; expand or enhance court services; or improve the quality and/or intensity of services based on needs assessments. CA/NCF
1. Which one of the following type of areas best describes where your Drug Court program is located?
B. Suburban (territory outside of a large city with a population of 2,500 to 50,000 people or more)
2. What is the expected number of participants the Drug Court program plans to serve with BJA grant funds over the life of this award?
90
Enhancement Program Characteristics
5. What type of Drug Court is this grant serving?
A.
Adult Drug Court
B.
Hybrid DWI/Drug Court
C.
Co -Occurring Court
D.
Veterans Treatment Court
E.
Tribal Healing to Wellness Court
F.
DWI Court
G.
Other
H.
If other, please describe:
6. What is the date that the drug court first enrolled a participant after this
BJA program funding was awarded?
7. What is the date that the Drug Court program first enrolled a
participant?
8. Does your Drug Court program have a formal policy for graduated
sanctions and incentives that is documented in writing and implemented
fairly and with certainty in response to participant behavior?
INS
Ye
01/01/202
07/01/19S
N
N
O
N
N
a
.Q
Q
00
M
r
O
X
m
U
0
N
O
N
U
E
d
M
c
a�
a
c
m
E
t
v
R
r
Q
Yes
Report C Packet Pg. 750
Page 1 of 16
33.A.6
9. Does your Drug Court program administer random and observed alcohol
and substance abuse testing? Ye-
10. Does your Drug Court program use evidence -based treatment services? Ye
*NR = not reported
Page 2 of 16 Report C Packet Pg. 751
33.A.6
Performance Measurement Data
11. Were your BJA program funds used to add inpatient
treatment slots during the reporting period?
A. Yes No
No N
B. If yes, please enter the number of inpatient
treatment slots added during the reporting period
as a result of this grant.
NR N
12. Were your BJA program funds used to add outpatient
treatment slots during the reporting period?
A. Yes No
No N
B. If yes, please enter the number of outpatient
treatment slots added during the reporting period
as a result of this grant.
NR N
13. Were your BJA program funds used to add staff who
provide new case management or offender
supervision services during the reporting period?
A. Select Yes or No
No Ye
B. If yes, please enter the number of case
management or offender supervision staff added
during the reporting period as a result of this BJA
program funding.
NR
14. Were your BJA program funds used to provide
N
substance abuse treatment services during the
e
reporting period?
y
A. Yes No
Yes
c
Ye 3
B. If yes, please enter the number of NEW drug
court participants who received substance abuse
Q-
treatment services during the reporting period.
8
1
15. Were your BJA program funds used to provide
00
r
inpatient substance abuse treatment services
e
during the reporting period?
CO
A. Yes No
No
N V
B. If yes, please enter the total number of days
c
delivered for inpatient services during the reporting
N
N
period.
NR
N
16. Were your BJA program funds used to provide
U
recovery support services to drug court participants
>
during the reporting period?
Yes
Ye: E
16. If yes, please enter the total number of drug court
participants who received each of the following
ca
recovery support service for the first time during the
C
reporting period.
aa)
A. Employment services
4
Q
B. Housing services
6
a)
C. Education services
1
t
D. Mental health services
8
v
r
r
Q
E. Health services (includes medical and/or dental
services)
17
F. Trauma Treatment
1
G. Veteran services
0
H. Pro -social services
24
0
Page 3 of 16
Report C Packet Pg. 752
I. Other services
J. If other services, please explain
28
Jan - Mar 22 1-Assistance with applying for food stamps, 21 Recovery Peer Support Groups, 6 Recovery Peer Support Individual
TOTAL-28
Apr - Jun 22 41- Recovery Peer Support Groups
47- Recovery Peer Support Individual
17. What other services are these BJA program funds
supporting?
A. Offender Supervision/Case Management
B. Equipment
C. Training
D. Evaluations
E. MIS
F. Aftercare Support
G. Enhancing Risk/ Assessment Screening
H. Performance Measures Standards
I. Other
J. If other, please explain:
Jan - Mar 22 NR
Apr - Jun 22 NR
*NR = not reported
18. If your treatment program includes medication assisted treatment
(MAT), which of the following medications are you utilizing,
regardless of BJA funding? Check all that apply.
A. We do not provide MAT (Skip next question)
B. We do not have access to MAT (Skip next question)
C. Naltrexone (Vivitrol®, depot naltrexone)
D. Buprenorphine or Buprenorphine/Naloxone (Bup/NX)
(Suboxone®,)
E. Methadone
19. Of the total participants enrolled in your program, how many were
deemed eligible for medication -assisted treatment (MAT) and of
those eligible, how many received MAT during the reporting period?
A. Individuals Eligible for MAT:
B. Individuals receiving at least one MAT treatment:
20. Please enter the number of drug court
candidates who were screened during the
reporting period.
21. Of those screened, please enter the number of
individuals who did not enroll in the Drug Court
program during the reporting period.
22. Of those screened and did not enroll in the
Drug Court program, please enter the number
of such individuals based on the following
categories.
7
7
Yes
No
Yes
Yes
No
Yes
No
No
No No
No
No
Yes
Yes
Yes
53
22
33.A.6
88 11
Ye
N
YE
Ye
N
YE
N
N
1 N
N
O
N
N
C
3
Q.
N Q
00
M
N c
Ye X
m
U
Ye 9
0
YE c
N
U
5 m
2
1: t
Page 4 of 16 Report C Packet Pg. 753
A.
Participant Refused Entry 0
B.
Prosecutor Objection 0
C.
Defense Objection 0
D.
Judicial Objection 0
E.
Out of Jurisdiction 0
F.
Arrest, Conviction, or Incarceration on
Another Charge 0
G.
No Drug Problem 0
H.
Exclusionary Prior Non -Violent Offense 0
I.
Violent History 0
J.
Mental Health Diagnosis that Cannot be
handled by the Court 0
K.
Insufficient Risk (Low Risk) 0
L.
Ineligible for VA services 0
M.
Accident involving injury 0
N.
Candidate did not complete screening 0
0.
Candidate waiting for program slot (will
enroll in a subsequent quarter) 0
P.
Other 7
Q.
If other, please explain
Jan - Mar 22 4 pending legal contracts
1 waiting on clinical assessment
1 was dishonest during assessment and decision made not to accept
1 decided not to enter the program
Apr - Jun 22 1- pending legal contract
1- waiting on clinical assessment for another provider due to being a transfer case if accepted
2- scheduled to enter next reporting period
2- decided not to enter program
R. The sum of all of these categories should be
equal to the total number of candidates who
were screened and did not enroll in question
21
7
33.A.6
011
23. Of those screened and did not enroll in the Drug Court program, please enter the number of such individuals based on the following demographic
information. Enter the race, ethnicity, and gender of each individual determined to be ineligible for Drug Court participation during the reporting
period.
Hispanic or Latino/a 1 0
Non -Hispanic or Latino/a 3 3
Unknown 0 0
The sum of this table (Calculated Value)
should be equal to the number of
individuals who were screened and did not
enroll during the reporting period (Auto Fill
Value). 7 7
*NR = not reported
Hispanic or Latino/a 0 1
Non -Hispanic or Latino/a 0 5
Unknown 0 0
N
N
O
N
a�
c
�L
Q
00
_ M
' O
X
'm
U
1 �
0
N
0
N
U
E
a)
M
c
a�
a
N d
E
t
_ v
1 r
Q
0
Report C Packet Pg. 754
Page 5 of 16
The sum of this table (Calculated Value)
should be equal to the number of
individuals who were screened and did not
enroll during the reporting period (Auto Fill
Value).
*NR = not reported
6
6
33.A.6
II
NI
23. Of those screened and did not enroll in the Drug Court program, please enter the number of such individuals based on the following demographic
information. Enter the race, ethnicity, and gender of each individual determined to be ineligible for Drug Court participation during the reporting
period.
White
3
3
Black or African American
1
0
Asian
0
0
American Indian or Alaska Native
0
0
Pacific Islander or Alaska Native
0
0
Multiracial
0
0
Unknown
0
0
Other
0
0
The sum of this table (Calculated Value)
should be equal to the number of
individuals who were screened and did
not enroll during the reporting period
(Auto Fill Value).
7
7 N
*NR = not reported
%N
Race and Gender
Gender Unknown
N
N
O
N
White
0
6
Black or African American
0
0
Asian
0
0
Q.
American Indian or Alaska Native
0
0
00
M
Pacific Islander or Alaska Native
0
0
c
Multiracial
0
0
X
Ii1
Unknown
0
0
Other
0
0
N
The sum of this table (Calculated
N
Value) should be equal to the number
U
of individuals who were screened and
did not enroll during the reporting
—
period (Auto Fill Value).
6
6
N m
*NR = not reportedEnhancement
0
-
ca
Participant
Level Measures - Risk
Assessment C
Performance Measurement
a
24. Please enter the number of newly
c
admitted drug court participants who
were administered a risk and need
assessment during the reporting period.
8
1( v
25. Please name the risk assessment
Q
instrument that is used to assess risk and
need.
Jan - Mar 22 Ohio Risk Assessment Screening (ORAS)
and Texas Christian University
Drug Screening V (TCUDS V)
Apr - Jun 22 Ohio Risk Assessment Screening (ORAS)
and Texas Christian University Drug Screening V (TCUDS V)
II
Page 6 of 16
Report C Packet Pg. 755
33.A.6
26. Of those newly admitted participants
who were administered a risk and need
assessment during the reporting period,
please enter the number of such individuals
who were identified as having high
criminogenic risks and high abuse
treatment needs. 0
27. Please enter the total number of
participants enrolled in the Drug Court
program at the end of the reporting period.
Enrolled participants include new
admissions (i.e., newly admitted) and those
previously admitted in a reporting period
and who continue to participate. 45 5(
28. Has the Drug Court program admitted new
participants into the Drug Court program
during the reporting period?
A. Yes No Yes Yes
B. If no, please explain:
Jan - Mar 22 NR
Apr - Jun 22 NR
29. Please enter the number of newly
admitted drug court participants during
the reporting period. 8 1(
*NR = not reported
30. Please enter the race, ethnicity, and gender of each participant newly admitted to the Drug Court program during the reporting period. For the
first reporting period, include all participants enrolled in the Drug Court program.
Hispanic or Latino/a 0 1
Non -Hispanic or Latino/a 3 4
Unknown 0 0
The sum of this table (Calculated Value)
should be equal to the number of newly
admitted participants to the program during
the reporting period (Auto Fill Value). 8 8
*NR = not reported
Hispanic or Latino/a 3 0
Non -Hispanic or Latino/a 5 2
Unknown 0 0
The sum of this table (Calculated Value)
should be equal to the number of newly
admitted participants to the program
during the reporting period (Auto Fill
Value). 10 10
*NR = not reported
' N
N
O
'N
N
1 �
3
7
�L
Q
00
M
r
0
X
m
U
0
N
N c
N
U
c
W
E
t
v
a
r
NI Q
Page 7 of 16 Report C Packet Pg. 756
33.A.6
30. Please enter the race, ethnicity, and gender of each participant newly admitted to the Drug Court program during the reporting period.
For the
first reporting period, include all participants enrolled in the Drug Court program.
White 1
4
Black or African American 1
0
Asian 0
1
American Indian or Alaska Native 0
0
N
Pacific Islander or Native Hawaiian 0
0
0
N
Multiracial 1
0
t°
Unknown 0
0
rn
Other 0
0
c
The sum of this table (Calculated Value)
should be equal to the number of newly
V
admitted participants to the program
during the reporting period (Auto Fill
Value). 8
8
N m
*NR = not reported
White
8
2
Black or African American
0
0
Asian
0
0
American Indian or Alaska Native
0
0
Pacific Islander or Native Hawaiian
0
0
Multiracial
0
0
Unknown
0
0
Other
0
0
The sum of this table (Calculated Value)
should be equal to the number of
newly admitted participants to the
program during the reporting period
(Auto Fill Value).
10
10
*NR = not reported
31. Please enter the number of drug court
participants who successfully completed all
program requirements, excluding financial
obligations, during the reporting period. 5
32. Of those who successfully completed all
program requirements, from start to finish,
please indicate when these participants
graduated from the program within the
following time frames.
A. 0 to 6 months 0
B. 7 to 12 months 0
C. 13 to 18 months 4
D. 19 to 24 months 1
E. 25 months or more 0
F. The sum of all of these categories should
be equal to the total number of successful
completions 5
N
N
0
N
N
c
3
�L
Q
N 00
M
r
0
ca
U
IE
m
ca
c
a�
a�
El
Q
Page 8of16
Report C Packet Pg. 757
33.A.6
33. Please enter the race, ethnicity, and gender of each participant who successfully completed all program requirements, excluding financial obligations,
during the reporting period.
Hispanic or Latino/a 1 0
Non -Hispanic or Latino/a 2 2
Unknown 0 0
The sum of this table (Calculated Value)
should be equal to the number of
participants who successfully completed all
program requirements during the reporting
period (Auto Fill Value). 5 5 N
*NR = not reported
Hispanic or Latino/a
0
0
Non -Hispanic or Latino/a
0
1
Unknown
0
0
.V
The sum of this table (Calculated Value)
should be equal to the number of
d
participants who successfully completed all
M
program requirements during the reporting
r
period (Auto Fill Value).
1
1
NI N
*NR = not reported
N
N
Race Gender
N
Gender
and
Unknown N
N
C
3
33. Please enter the race, ethnicity, and gender of each participant who successfully completed all program requirements, excluding financial obligations, ?
during the reporting period.
Q
White
3
2
Q
Black or African American
0
0
00
M
r
O
Asian
0
0
X
m
American Indian or Alaska Native
0
0
V
Pacific Islander or Native Hawaiian
0
0
c
Multiracial
0
0
N
c
N
Unknown
0
0
U
Other
0
0
E
The sum of this table (Calculated Value)
m
should be equal to the number of
participants who successfully completed all
-a
program requirements during the reporting
period (Auto Fill Value).
5
5
N Q
*NR = not reported
;
c
m
Race and Gender
Gender Unknown E
v
a
r
White 0 1 Q
Black or African American 0 0
Asian 0 0
American Indian or Alaska Native 0 0
Page 9 of 16 Report C Packet Pg. 758
33.A.6
Pacific Islander or Native Hawaiian 0 0 0
Multiracial 0 0 1
Unknown 0 0
Other 0 0
The sum of this table (Calculated Value)
should be equal to the number of
participants who successfully completed all
program requirements during the reporting
period (Auto Fill Value). 1 1 NI
*NR = not reported
34. Please enter the number of individuals who exited the program unsuccessfully in the categories below.
Number of participants no longer in the program due to court or criminal involvement
(technical violation, arrest, conviction, revocation, reincarceration)
Number of participants no longer in the program due to a lack of engagement (no-shows
and nonresponsive participants)
Number of participants no longer in the program due to absconding
Number of participants no longer in the program due to relocating or case transfer
Number of participants no longer in the program due to death or serious illness
Number of participants who did not complete the program for other reasons (please
specify below)
Participants who did not complete the program for other reasons (please explain)
Total for unsuccessfully exited and did not complete the Drug Court program during the
reporting period
Number of participants no longer in the program due to court or criminal involvement
(technical violation, arrest, conviction, revocation, reincarceration)
Number of participants no longer in the program due to a lack of engagement
(no-shows and nonresponsive participants)
Number of participants no longer in the program due to absconding
Number of participants no longer in the program due to relocating or case transfer
Number of participants no longer in the program due to death or serious illness
Number of participants who did not complete the program for other reasons (please
specify below)
Participants who did not complete the program for other reasons (please explain)
Total for unsuccessfully exited and did not complete the Drug Court program during
the reporting period
35. Of those drug court participants who exited
the program unsuccessfully, please indicate
the number of these participants who left within
the following time frames (from start of the
program to termination).
2-refused to admit to positive drug screen. Decision madE
to discharg,
A. 0 to 3 months 7
B. 4 to 6 months 0
C. 7 to 9 months 1
N
N
�L
Q
00
M
r
O
X
m
U
9
O
N
O
N
U
n/ ,;
r
Q
D. 10 to 12 months 0
Page 10 of 16
Report C Packet Pg. 759
33.A.6
E. 13 to 18 months 0 1
F. 19 or more months 0
G. The sum of all of these categories should be
equal to the total number of incompletes in
question 32. If not, please check for data
entry errors. 8
36. Please enter the race, ethnicity, and gender of each participant who exited the program unsuccessfully during the reporting period.
Hispanic or Latino/a 1 0 O
U
Non -Hispanic or Latino/a 5 2 01
c
Unknown 0 0
c
The sum of this table (Calculated Value)
should be equal to the number of participants p
who exited the program unsuccessfully during O
the reporting period (Auto Fill Value). 8 8 N U
r
*NR = not reported ,T
cv
U)
Ethnicity and Gender Gender Unknown V
3
Hispanic or Latino/a 1 0 ( d
Non -Hispanic or Latino/a 1 1
Unknown 0 0 ( N
The sum of this table (Calculated Value) N
should be equal to the number of participants c
who exited the program unsuccessfully during N
the reporting period (Auto Fill Value). 3 3 NF
3
*NR = not reported
Race and Gender Gender Unknown
Q.
Q
00
M
r
36. Please enter the race, ethnicity, and gender of each participant who exited the program unsuccessfully during the reporting period. c
White 4 2 m
Black or African American
1
0
U
Asian
0
0
c
N
O
American Indian or Alaska Native
0
0
N
U
Pacific Islander or Native Hawaiian
0
0
>;
Multiracial
1
0
E
m
Unknown
0
0
ca
Other
0
0
a�
The sum of this table (Calculated Value)
Q
should be equal to the number of
individuals determined to be ineligible
during the reporting period (Auto Fill
Value).
8
8
N
*NR = not reported
r
r
Q
White 2 1
Black or African American 0 0 I
Page 11 of 16 Report C Packet Pg. 760
33.A.6
Asian
0
0
0
American Indian or Alaska Native
0
0
Pacific Islander or Native Hawaiian
0
0
Multiracial
0
0
Unknown
0
0
Other
0
0
N
N
The sum of this table (Calculated Value)
O
N
should be equal to the number of
to
individuals determined to be ineligible
of
during the reporting period (Auto Fill
Value).
3
3
N
c
*NR = not reported
o
V
Enhancement
Participant•
• •
0)
Performancec
37.
Of those enrolled in the Drug Court program at
c
least 90 days, please enter the total number of
C
participants tested for alcohol, non -prescribed
O
medications, or illegal substances during the
V
reporting period.
39
41 Z
38.
Of those enrolled in the Drug Court program at
d
o
least 90 days, please enter the total number of
participants who tested positive for the presence
2
of alcohol, non -prescribed medications, or illegal
substances during the reporting period.
2
IL
•
• • •
ch
Measurement
Cl)Performance
N
1.
During the reporting period, did you serve or provide
..
direct services to a population of program participants?
N
Services delivered to participants can be funded
O
through a direct grant, contract, or subaward.
Yes
Ye< d
c
•..
_
S
Performance Measurement
Enrollment
'L
CL
2.
Does your program track health care coverage for
00
participants? This includes screening participants for
c
health care eligibility, providing enrollment
X
services/support, or tracking/gathering information
m
regarding participants who already have health care.
Health care includes programs such as Medicaid,
V
Medicare, or veterans benefits.
Yes
Yec c
Affordable
Performance Measurement
Care Act
(ACA) • . •rm - Eligibility and
N
N
EnrollmentV
During
the reporting
1L9T_rl3TU3-1i
>;
period
how many NEW
how many program During the reporting
E
program
participants
participants were found to period how many
a)
came into
the program
be ELIGIBLE for: program participants
with:
(Eligible participants • •
'a
C
participants
_
• . • • participants
d
those•
began
requirements. qualify for• • wereQ
participating
program
f•r the first time
all eligible applicantsbenefits durinc.1 theduring
r
the reporting
necessarily be enrolled in reporting period.)
E
period.)
1111 ills
t)
c0
r
a
3.
Please complete the following table about health care and Medicaid
coverage for
your program during the reporting period.
Page 12 of 16 Report Cr Packet Pg. 761
33.A.6
ANY health care coverage
(Health care coverage includes both private
health insurance and government health
benefits. Examples include health insurance
that is employment based, marketplace
coverage/self-insured, Medicare, Medicaid,
military health care, or benefits from the
Department of Veterans Affairs.) 5 30
Of those, Medicaid coverage
(Medicaid is a joint federal —state program
that provides health coverage or nursing
home coverage to people meeting the
Federal low-income level qualifications,
including children, pregnant women,
parents of eligible children, people with
disabilities, and elderly people needing
nursing home care.) 4 17
ANY health care coverage
(Health care coverage includes both private
health insurance and government health
benefits. Examples include health insurance
that is employment based, marketplace
coverage/self-insured, Medicare, Medicaid,
military health care, or benefits from the
Department of Veterans Affairs.) 2 24
Of those, Medicaid coverage
(Medicaid is a joint federal —state program
that provides health coverage or nursing
home coverage to people meeting the
Federal low-income level qualifications,
including children, pregnant women,
parents of eligible children, people with
disabilities, and elderly people needing
nursing home care.) 2 14
E
d
4. Please complete the following table for health care and Medicaid coverage for participants EXITING the program during the reporting period. Program exit
can either mean successfully completing program requirements or unsuccessfully exiting without completing all program requirements and can occur at
any time during the reporting period.
ANY health care coverage
(Health care coverage includes both private health
insurance and government health benefits. Examples
include health insurance that is employment based,
marketplace coverage/self-insured, Medicare, Medicaid,
military health care, or benefits from the Department of
Veterans Affairs.)
Page 13 of 16 Report Cr Packet Pg. 762
33.A.6
Of those, Medicaid coverage
(Medicaid is a joint federal —state program that provides
health coverage or nursing home coverage to people
meeting the Federal low-income level qualifications,
including children, pregnant women, parents of eligible
children, people with disabilities, and elderly people
needing nursing home care.)
ANY health care coverage
(Health care coverage includes both private health
insurance and government health benefits. Examples
include health insurance that is employment based,
marketplace coverage/self-insured, Medicare, Medicaid,
military health care, or benefits from the Department of
Veterans Affairs.)
Of those, Medicaid coverage
(Medicaid is a joint federal —state program that provides
health coverage or nursing home coverage to people
meeting the Federal low-income level qualifications,
including children, pregnant women, parents of eligible
children, people with disabilities, and elderly people
needing nursing home care.)
Page 14 of 16 Report Cr Packet Pg. 763
33.A.6
Grantee Comments
Grantee comments were added as follows:
Page 15 of 16 Report Cr Packet Pg. 764
33.A.6
Narrative
Grantee -level narrative for the period January 1, 2022 - June 30, 2022 were reported as follows:
Question: What were your accomplishments during reporting period? c
Response:
N
ca
Our Drug Court Program continues to support efforts to address the needs of individuals in the criminal justice system who are experiencing substance abuse
7
issues. David Lawrence Center is required to serve 90 participants over the lifetime of the grant. To -date, 99 clients have been served. The team has met anc
CP
exceeded this goal.
—
c
There are 20 clients on Medication Assisted Treatment: 7 on Suboxone, 5 on Subutex, 1 on Sublocade injection, 4 on Vivitrol injection, 2 on Naltrexone and 1
on Methadone. During the third quarter, 22 clients have had at least 1 MAT service.
0
U
During this reporting period, the following services were delivered to clients: Clinical Assessment (9), Group Therapy (473), Aftercare Sessions (7), Moral
Im
Reconation Therapy (153), Individual Therapy Sessions (77), Traumatic Incident Reduction Sessions (23), Case Management Services (1074), Urinalysis Test!
+�
(592), Oral Swabs (13), Peer Support Services Group (41), Peer Support Services Individual (47)
On April 19, 2022, The Collier County Adult Felony Drug Court was selected to continue to be an NDCI Mentor Court.
0
0
On April 22, 2022, Drug Court staff attended and presented at the Collier County Public Safety Coordinating Council meeting. The Public Safety Coordinating
U
Council facilitates dialog on issues relating to overcrowded jails, courthouse space requirements, intervention programs for probation, work release, gain time
and substance abuse.
T
David Lawrence Center continues to enhance their holistic services and started equine therapy in June with the Naples Therapeutic Riding Center. This therap
0
will occur monthly alongside nutritional services.
'—
A full-time Case Manager and Part -Time Peer Specialist started with the agency in June.
d
Question: What goals were accomplished, as they relate to your grant application?
ch
Response:
r
Cl)
During Year 2, Quarter 3, David Lawrence Center met and exceeded their goal to serve 90 clients during the lifetime of the grant. To -date, 99 clients have
been served.
N
Question: What problems/barriers did you encounter, if any, within the reporting period that prevented you from reaching your goals or milestones?
N
N
Response:
A persistent issue with admitting clients into the Drug Court Program is the length of time needed by all collaborators (Office of the State Attorney for the
0
20th Judicial Circuit, DLC and Jail staff to complete activities in order to extend a legal contract from the date of referral to the entry into the program or
?
plea.
Q
Additionally, there are environmental restraints with the Collier County Jail for DLC to utilize the tele assessment room which has also caused delays in the
00
screening/assessment process.
M
Question: Is there any assistance that BJA can provide to address any problems/barriers identified in question #3?
r
c
X
Response:
m
No
U
NR
c
N
Question: Are you on track to fiscally and programmatically complete your program as outlined in your grant application? (Please answer YES or NO and if
N
no, please explain.)
U
Response:
Yes
E
NR
d
=
Question: What major activities are planned for the next 6 months?
ca
c
Response:
a�
a)
DLC staff will be attending the National Drug Court conference in July that will be held in Nashville, Tennessee and the Florida Behavioral Healthcare
Q
Conference in August that will be held in Orlando, Florida.
Question: Based on your knowledge of the criminal justice field, are there any innovative programs/accomplishments that you would like to share with BJA'
m
E
Response:
U
Not at this time.
r
Q
*NR = not reported
For more information contact bjapmt@ojp.usdoj.gov
Toll -free Technical Assistance Helpdesk Number: 1-888-252-6867
Page 16 of 16 Report C Packet Pg. 765
33.A.7
M 07
Communications, Government, and Public .Affairs
Date: 9.8.2022
To: Public Safety Coordinating Council (PSCC)
From: Rachel Brandhurst, Grants Coordinator (via Lee Willer -Spector, PSCC Liaison)
Subject: Summary for Drug Court Report
After the April PSCC Meeting, the report was revised to reflect the name of the Office to the
correct name, Office of the State Attorney, Twentieth Judicial Circuit, and more accurately
portrayed an overview of the time it took to admit clients into the Drug Court program.
The DLC data team met and developed a tracking report that helps FGCU provide data -driven
analysis of the events and time frame between arrest and pleading into Drug Court.
The language that was revised in the report was provided to Ms. Fox for her review and
approval. Upon approval it was revised.
The report Nancy provided you is the updated report.
Respectfully,
Rachel Brandhorst
Grants Coordinator
Community and Human Services
3339 Tamiami Trail E Suite 211
Naples, FI 34112-5361
rachel. brand horst(a)colIiercountyfl.gov
Packet Pg. 766
33.A.8
From: WillerSpectorLee
To: Amira Fox; Kathy Smith; Michael McHugh; Crown. Robert L.; sheriffha; Bradley Rouskev; LoCastroRick; Jeff
Nichols; Scott Burgess; "pelmore(c careersourcesouthwestflorida.com"
Cc:"erin.deverCacolliersheriff.org"; Jim Bloom; Kelly Robin; Juan Ramos; Nancy Dauphinais; Andrea Arreaga; Katina
Bouza; Wendy Chaffee; Janelle Dunfee; HancockJoy; Crystal K. Kinzel; "Darlene. Malaney(&collierclerk.com";
Honorable Janeice Martin; "Mark. Middlebrook(acolliersheriff.org ; Patricia L. Morgan; 0"Key, Sandy M.; Chuck
Rice; Scuderi, Dave S.; Shannon Steinhauser; "Eloina Cruz - 3225"; Keith Harmon; Dareece Canadv; MullinsJohn;
ShermanCatherine; Rachel BrandhorstVEN; Jill M. Lennon; SonntaaKristi; Nancy Dauphinais
Subject: PSCC Sub -Committee Presentation (Additional Materials for the PSCC Meeting September 16, 2022)
Date: Thursday, September 15, 2022 11:07:00 AM
Attachments: The Collier County Justice Medication -Assisted Treatment Program 7-12-2022 RB.pptx
2022 07-19 PSCC Subcommittee Aaenda.docx
FINAL PSCC Subcommittee Meeting Minutes 7.19.22.pdf
Good Morning,
Attached are additional materials for the Public Safety Coordinating Council Meeting tomorrow,
September 16, 2022.
These are regarding the newly formed PSCC Sub -Committee and are related to Agenda Item IV. D
Respectfully,
Lee
PSCC Liaison
Lee 'WiCler-Spector, MPA
Operations Antuyst
CAar COMMU
Office of the County Manager
Communications, Government, and Puhttc .affairs
3299 Tamiami Trail East, Suite 102 1 Naples, FL 34112 1
Phone: 239.252.8723 I Lee.-WillerSaector@colliercount3if goon
Packet Pg. 767
33.A.9
Public Safety Coordinating Council
Meeting 9.16.2022 Roster
FL ST
951.26
Name
Title
Membership Type
State Attorney, 20th Judicial
Amira Fox
Circuit
Statutory Member
a.
State Attorney's Office -Collier
State Attorney's designee if
Nicole Mirra
County
unable to attend
Public Defender, 20th Judicial
Kathy A. Smith
Circuit
Statutory Member
b.
Supervising Assistant Public
Public Defender's designee if
Rex Darrow
Defender
unable to attend
Chief Judge
Michael T.
McHugh
Chief Circuit Judge
Statutory Member
C.
Judge Rob Crown
County Court Judge
Statutory Member
d.
Sheriff Kevin
Sheriff, Chief Correctional Officer
Rambosk
and Vice Chair of the PSCC
Statutory Member
e., f.
Chief Chris
Sheriff's Office —Jail
Sheriff's designee if unable to
Roberts
Administrator
attend
State Probation Circuit
Brad Rouskey
Administrator
Statutory Member*
g.
State Probation
Administrator's designee if
Robin Kelly
Senior Supervisor State Probation
unable to attend
Commissioner, Board of County
Commissioner
Commissioners and Chair of the
Rick LoCastro
PSCC 2021
Statutory Member
h.
Jeff Nichols
Director of County Probation
Statutory Member**
L
County Probation Director's
Juan Ramos
Collier Probation
designee if unable to attend
Chief Executive Officer, David
Scott Burgess
Lawrence Center
Statutory Member*
j.
David Lawrence Center Chief
DLC Executive Director's
Nancy Dauphinais
Operating Officer
designee if unable to attend
Executive Director-CareerSource
Peg Elmore
Southwest Florida
Statutory Member***
k.
* 4-Year Term 12.12.2019-
12.12.2023
** 4-Year Term 11.19.2021 -
11.19.2025
***4-Year Term 9.16.2022-
9.16.2026
Packet Pg. 768
33.A.10
April 22, 2022
MINUTES OF THE COLLIER COUNTY PUBLIC SAFETY
COORDINATING COUNCIL MEETING
Naples, Florida, April 22, 2022
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 9:00 AM at the
Collier County Jail Muster Room, 3347 Tamiami Trail E., Naples, FL 34112, with the
following members present:
Chairman: Rick LoCastro, Chair, Board of County Commissioners
Vice Chair: Kevin Rambosk, Sheriff, CCSO
Michael McHugh, Chief Circuit Judge (Excused)
Rob Crown, County Judge (Excused)
Amira Fox, State Attorney's Office
Kathy Smith, Public Defender's Office (Excused)
Darlene Malaney, Collier County Clerk of Courts, Special Projects
Manager (for Crystal Kinzel, County Clerk)
Rex Darrow, Supervising Assistant Public Defender (for Kathy Smith)
Brad Rouskey, State Probation Circuit Administrator
Robin Kelly, State Probation, Senior Supervisor
Chris Roberts, Chief Jail Administrator (Excused), CCSO
Jeff Nichols, Director, County Probation
Scott Burgess, CEO, David Lawrence Center
Joe Paterno, Exec. Dir., SWF Workforce Development Board (Excused)
Also Present: Lee Willer -Spector, PSCC Liaison, County Communications, Government &
Public Affairs
Janeice Martin, Collier County Judge, Drug Court
Nancy Dauphinais, COO, David Lawrence Center
James Stewart, Asst. State Attorney, State Attorney's Office
Katina Bouza, Corrections Support Division Director, CCSO
Mark Middlebrook, Chief of Corrections, CCSO
Keith Harmon, Corrections Operations Captain, CCSO
Michael Goldhorn, Lieutenant, Jail Administration, CCSO
Dareece Canady, Captain, CCSO Corrections Department
Shannon Steinhauser, Secretary, CCSO
Packet Pg. 769
33.A.10
April 22, 2022
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
Chair LoCastro called the meeting to order at 9 a.m.
U. Approval of Agenda and Minutes
A. Approval of Agenda
Approved by the Chairman.
B. Review and Approval of Meeting Minutes from Nov. 19, 2021
Mr. Burgess moved to approve the Nov. 19, 2021, meeting minutes, with some administrative
changes requested by the Chairman. Second by Attorney Darrow. The motion passed
unanimously, 9-0.
111. Old Business
None
IV. New Business
A. Presentation/Discussion — CJMHSA grant award Jail MAT — Katina Bouza, Corrections Support
Division Director, CCSO
Ms. Bouza presented a report on the Collier Criminal Justice Medication -Assisted Treatment Program
(MAT) for informational purposes. She reported that:
• The grant requires a MAT -status presentation at each PSCC meeting that includes statistics,
community overdoses prior to MAT implementation, recidivism rates for participants, community
overdose fatalities, Narcan deployments, and implementation of PSCC recommendations.
• The three-year grant began on Oct. 1, 2021, totals $1.2 million and is a partnership between the
Sheriff's Office and the David Lawrence Center.
• The program serves any arrestee or anyone actively participating in MAT in the community; they
will be offered MAT in the jail.
• MAT medications include Suboxone, Subutex and Methadone, all delivered to the jail by New
Seasons Treatment Center under an agreement.
• At the last meeting, the Sheriff asked that we expand the population served to include anyone who
gets arrested and is interested in MAT. She wasn't comfortable with starting MAT right away
because they're still working out bugs, including DCF and reporting, and it can get very busy, so
she wants to make sure everything is ready before expanding. They're looking at starting in
August.
• They expect many inmates who probably aren't interested in MAT for the right reasons will want
MAT in the jail simply because they won't detox well there. That's a problem because if they're
on MAT in jail and they leave and don't follow up with the community provider, it shows as a
failure for the grant.
• We've suggested possibly having them participate in Project Recovery or a substance -use disorder
program in the jail for two to three weeks to make sure they're serious about it.
• Staffing includes an Advanced Registered Nurse Practitioner provided by Armor Correctional
Health Service; a Registered Nurse provided by Armor; a CCSO Discharge Planner; a MAT -Care
Coordinator provided by DLC; and a MAT Peer Specialist provided by DLC.
• Goals: MAT reduces detoxes in the jail, overdoses in the community, and provides a continuum
of care and treatment.
2
Packet Pg. 770
33.A.10
April 22, 2022
• We've been collecting stats on arrestees since 2018 to see if they were on MAT at the time of
arrest because we knew we were interested in starting MAT.
• in 2020, 14% of all new arrestees were on MAT at the time of their arrest.
• In 2021, the number remained at 14%.
• In Q 1 2022, 2% of intakes were on MAT, so if it continues that way, the number will be less. But
she believes that when they open it up to everyone, that number will skyrocket.
• Inmates served and recidivism: 21 inmates participated in MAT; two of the 21 were rearrested
post -release, which is 9.5%, but that's a very small percentage.
• Of those rearrested, one was for DWLS, one was for an FTA for VOP; one left the jail and went
to Lee County. That shows up as "unsuccessful" because he didn't get treatment when he got out
five days later; two of the 21 failed to follow up with the community partner; one was in the Lee
County Jail and the other missed the five days but went off on day six.
• Reduction of jail detoxes: During the first three months of MAT, we reduced withdrawal
protocols in the jail by 4.82%. During the last three months, they went down by almost 10%.
That's a huge number and has a tremendous effect on inmates' health because they're not
detoxing, falling off bunks or having seizures.
• All those factors will reduce the costs of their health care while they're in jail.
Sheriff Rambosk asked Ms. Dauphinais or Mr. Burgess if there's any data past the five-day period for
the person who makes their first connection.
Ms. Bouza said there was none. We continue through until they're discharged from treatment, which
typically doesn't happen. They stay in treatment.
Ms. Dauphinais said she believes the grant follows them for between three to six months.
Ms. Bouza said no one has unsuccessfully been discharged from the program because they must
continue. The good news is if you're on MAT when you come to the jail, you really want to continue
and that shows us that you weren't in jail when you were doing this treatment plan, so hopefully you're
going to continue when you leave.
One thing to consider when we open it up to the entire jail -intake population is the community
partnership because whoever gives the medications is the person that inmates see when they leave. If
it's methadone, the clinic can provide that, but if it's Suboxone or Subutex, we have to partner with a
center, probably DLC, to continue treatment when they leave.
One issue is that the methadone clinic in Collier County isn't open seven days a week. It closes on
Sundays and on holidays. If an inmate bonds out on a Friday night or Saturday, they can go. But if it's
Sunday and it's a holiday on Monday, they can' go to the methadone clinic until Tuesday. That's a big
issue, having Armor write a script for so many days. We don't want them to leave without medication
because they'll detox and probably find an illegal substance to use instead.
We don't have data on reduction of overdoses or the use of Narcan in the community. We're gathering
that. We get that information from another party. She will provide that data at the next meeting.
Attorney Darrow asked if they're relying on an inmate's word that they're on MAT when they come
to the jail.
Ms. Bouza said yes, initially. But then the APRN contacts the provider, and the inmate must sign a
release of information. That's all done within the first eight hours of intake.
Attorney Darrow said he had a client going in who was on it, so he called him and told him what to
bring.
Ms. Bouza said if we ask them and they say they are, then we can communicate with their provider,
whether it's a private doctor, the David Lawrence Center, or the methadone clinic, whoever. Then we
continue it. So, within 24 hours there, they'll be on MAT medication.
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Sheriff Rambosk asked how long they will stay on after -care until we can get them completely off
everything. Do they ever get completely off?
Ms. Dauphinais said the best practice for someone who may require long-term/multiple years of
treatment with Medication -Assisted Treatment is it takes a long time. A lot of research is being done to
reduce that, but they're finding people need it for a long time, so there's no recommendation to target
medication -free status within a time frame because it's up to the needs of each person. For most, it will
probably take two years.
Risks skyrocket when you try to taper medication prematurely and they're not ready. What they're
learning about the neuroscience of the brain is for those receptors, the dopamine receptors, etc., to re -
stabilize, it takes a long time. It's good the brain can return to a better status where that medication
isn't required, but it takes a while to grow those connections for receptors. There used to be a desire to
get people off meds as quickly as possible, but now they're realizing the outcomes aren't good and
from a harm -reduction perspective, it's better to maintain on the meds safely. Some grants have a
requirement that you do not require participants to be off a medication within a certain time frame.
Judge Martin said that was clarified very recently and federal law says you can be sued if you push
someone off that medication. That's been strengthened over the last 30 days, and it's been pushed out.
Chairman LoCastro asked if it was totally their call if they think they're ready to get off meds.
Judge Martin said it's patient -doctor. She noted she's been running Drug Court for nearly 11 years
and she and Ms. Dauphinais have gone through the anti -MAT philosophy, all the way to the pro -MAT
philosophy. The transition came after she was making calls to Washington when this became law. She
told them they're going to destroy the County's Drug Court and she's going to have people sitting in
Drug Court high on methadone next to somebody who's trying to live clean. It's going to trigger
everybody in the room, but that has not been the case.
We've been educated by experience by being in the trenches. This is not a replacement high. David
Lawrence Center and New Seasons have shown that this is not any different from taking an
antipsychotic if you're schizophrenic. We won't push you off that. It's working very well and she
doesn't have people walking around Drug Court high.
A discussion ensued and the following points were made:
• Lee County's clinic is public, it's open seven days a week and serves the indigent population.
Collier's is a private clinic and it's uncertain if staffing issues cause it to be closed on Sundays.
• If you're in the Collier County jail and on MAT and go to a facility that doesn't offer MAT,
the jail must taper you off MAT because DOC doesn't offer MAT and inmates would go
through a big detox.
• The program is mostly paid for by grants. There are additional MAT grants and insurance is
the first resort.
• To open it up to more people, a drug screen and questionnaire is required to determine if they
have a substance -use disorder.
• If the program is opened to the entire intake population, it likely will grow to 60%, and at least
30% initially. Some inmates won't be interested.
• Some don't get on the program because they bond out within 24 hours.
• The recommendation for MAT is once -daily treatment.
• Some suboxone treatments are once, twice or three times a day, but the recommendation in the
jail is once a day. Morning and noon keep a steadier state in the blood stream. Ideally, it would
be twice a day, every 12 hours.
• Methadone and suboxone require a long titration process.
• With MAT, you can't touch your face and your hands must stay on your lap, so they come
down to medical treatment and sit 3-Feet apart.
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• A research article showed that when an overdose case came into the ER and was given just one
dose, a massive percentage was still under treatment 30 days later compared with coming into
the ER and just getting treatment.
• The Project Recovery team is helping educate inmates about MAT so that when they leave
Project Recovery and they're not on it when they come into the jail, they can start MAT. The
peer specialist talks to them about that.
• This is considered cutting -edge treatment and the return on investment is great.
• Taxpayers must pay to treat them on the outside, so this investment can change the final
outcome and save a lot of taxpayer money.
B. Review of the Latest Jail Occupancy Snapshot — Katina Bouza, Corrections Support Division
Director, CCSO
Ms. Bouza presented a report, "Collier County Sheriff's Office Daily Jail Population Sheet" and noted
that:
• The inmate population has been reduced by 50-60 inmates monthly.
• DOC was only allowing them to send three inmates weekly and all had to be tested due to COVID
restrictions. They're retested when they arrive in state prison, and if one retested positive, all were sent
back.
• By the time the inmate population here was spiking, DOC lifted its COVID restrictions in mid -March
and two busloads of 25 were sent to prison, reducing the population.
A discussion ensued and the following points were made:
• A typical inmate stays 10-14 days.
• Four were under age 17.
• When an inmate arrives who is in his/her mid-70s or older, they jump on it because they're low risk
and usually there on a minor charge. Older inmates are sicker and have more mental -health issues, so
we don't want to further harm the elderly population, especially if they're already sick.
• Total jail population was 689.
• 128 out of 689 inmates were illegal, many of whom were arrested for driving without a license.
• At intake, inmates are asked where they were born and if they're not a U.S. citizen or are illegal, they
are referred to immigration deputies at booking.
• If they're here illegally, they're turned over to ICE.
• If they go to another facility, that detainer follows them to the other county or state prison.
• When they're turned over to ICE, it's in ICE's hands and they can be kept on custody or supervision
pending a hearing.
• They weren't doing removal to Haiti, but that has restarted.
• Some were found back in the country after being sent home.
Chairman LoCastro asked for a monthly jail snapshot, noting that a daily snapshot doesn't provide
enough information.
Ms. Bouza said she can provide it in any format they request. She will provide monthly snapshots from
now on.
C. Presentation/Discussion Drug Court Quarterly Report (Grant Award 2020-2023) — Nancy
Dauphinais, COO, David Lawrence Center
Ms. Dauphinais presented a summary of the: "Bureau of Justice Assistance Adult Drug Court
Discretionary Grant Program Quarterly Program Status Report," and a twice -yearly grant -evaluation report
prepared by FGCU researchers that shows Q3, one -quarter behind the status report numbers.
• The program requires the PSCC to hear a status report.
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• This quarter represents 13 newly admitted participants into the Drug Court program.
• Drug Court served 50 during this reporting period.
• There have been 68 since the program started
• The goal is to add 90 participants over each three-year grant funding period and they're on track to
meet that deliverable.
• The number receiving MAT currently in the program is 18 individuals.
• We have ample capacity and funding through state and federal programs to receive individuals
who require MAT in Drug Court.
• Three individuals completed the Drug Court program successfully; four were unsuccessful at
completing Drug Court (one absconded and three declined long-term treatment).
• 35 were tested and three tested positive for substances.
• They were able to enhance evidence -based practices provided by the treatment program with
Moral -Recognition Therapy Treatment. They added a second group for women.
• A partnership with Gulf Coast Runners is highlighted in the report.
• Staff attended the Drug Court conference to learn best practices and new innovations in Drug
Court programs.
• They hired a second peer specialist, and the goal is to have a male and female peer specialist when
possible; sometimes it's one or the other. That's an enhancement to the program's operations.
• The Drug Court program has been re -designated as a national mentor court. Only 10 Drug Court
programs were identified nationwide, with only a handful of each in this geographic size. There
were three or four urban, three suburban and a few rural.
• Collier is one of three in the suburban category nationally that is being held up as a mentor court
for others to learn from, so there have been some great press releases and media attention coming
out this week about that.
• Sometimes, these statistics and reports don't do justice to what we're seeing in terms of
transformation, benefit and return on investment in this program.
Judge Martin noted that data reporting can be frustrating. When she speaks in public about Drug Court,
she's always asked what her success rate is. Commissioner McDaniel also always asks. How do you want to
define that? She always has someone who will graduate from the program, but they relapse or overdose.
Others may be terminated from the program and head off to prison, but never touch another drug or drink or
get another charge. What column do those people get filed in?
The numbers at any given time, as Commissioner LoCastro said, provide a snapshot of that day and don't
always provide the best feel for the program. Judge Martin mentioned Moral Recognition Therapy (MRT),
which sounds complicated, but participants love that program. They start off hating it and that's a good sign.
In the past, in Drug Court, we were very good at keeping people from using while they're in the program, but
not as great after they Ieft. Then we slowly started to fold in better treatments. Some major game changers
were brought in: trauma therapy, a partnership with law enforcement, and MRT, the latest game changer.
What that does is you've stopped using drugs, you've gotten some trauma treatment and some other
psychiatric treatment, and try to deal with them, but it wouldn't change the way you walk in the world. There
are many people who get clean and sober, but the criminal thinking, the added thinking continues. They're
still looking to cut a corner, to find an easy buck. What MRT has done is come in and say: OK, you're stable.
Now let's work on how you walk in the world, how you interact with your relationships, strangers or that guy
at the gas station or someone who cuts you off in traffic. It has really been important. Some of our most
antisocial behaviors have been improved by the time people leave the program because of that. The ability to
offer it to men and women has been big. That's worth a highlight because stats don't show that. It takes a few
years for it to show up in data. She hopes the numbers are going to improve because that's been a big piece.
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Mr. Burgess noted that the summary mentions another gauge. It talks about how these people need high -
intensity services and support, so it works. A peer -specialist is a game changer. It's one thing for a treatment
provider or somebody in the prison system to make representations, and another thing for a peer to say: "I can
really empathize with what you're talking about because I was in your situation two to 10 years ago."
Layering in a peer support -specialist will drive more of that.
Another important topic is housing. Having affordable, supportive housing for transition or permanent
stability is critical for long-term recovery. That intersects closely with what we're trying to accomplish. As a
community, we need to figure out how to do that because data for decades has demonstrated that works.
Chairman LoCastro noted that the FGCU report says, "A persistent issue with admitting clients to the Drug
Court program is the inability of the State Attorney's Office to extend a legal contract to applicants in a
timely manner due to short staffing there." That jumps out at you.
Ms. Fox asked why FGCU was in charge of the monitoring and reporting. They don't know what we're
called, which concerns her tremendously. Using an incorrect term about a stakeholder in the report reduces
their credibility. As Judge Martin pointed out, we are very good about very tough cases. We let them into
Drug Court. That takes a lot of time, phone calls and research. We don't just stamp "deny" on somebody who
looks questionable. We do a lot of work, so she has problems with what FGCU stated, especially because they
don't know what we're called. She questions why they're in charge of monitoring.
Ms. Dauphinais said they're part of the program evaluation and grant dollars were allocated for that.
Judge Martin said that also surprised her. She didn't find the information about the SAO in the FGCU report
to be accurate. She believed it was written by a graduate student who didn't have all the information. The
SAO is super -fast. Ms. Fox doesn't have resources, yet she's giving us her best resources and pushing them
through. It's actually slower with private attorneys because they don't know the ropes.
Chairman LoCastro asked Ms. Dauphinais to ask FGCU about it because the report should be accurate.
Ms. Dauphinais said she would review this feedback with the evaluation team and report back.
Judge Martin said another thing causes delays hitting benchmarks and there are national statistics on that
issue. If you hit six cars and commit six burglaries in an HOA development or beach ends, you have to
contact all six victims, and some are seasonal residents or transients. The law requires each victim to consent
and there are a lot of delays, so that prevents them from achieving those time deadlines. But everyone works
hard to find them. She wasn't aware of a situation where anyone hasn't done their best.
Attorney Darrow said he also hasn't noticed it from the defense standpoint. None of his attorneys have
complained that their contracts are coming in slow from the State. The biggest reason they don't meet time
frames is due -process concerns. We'd be doing clients a disservice if we rush in.
Chairman LoCastro said it's important to give FGCU feedback. It's important to know why they said this.
There may be a disconnect, or they're guessing. They may have spoken to someone official who was wrong.
It's important that we connect everyone together.
Attorney Darrow said they hadn't spoken to him and asked if anyone knew where FGCU got its
information.
Ms. Dauphinais said she'd see if they could amend the report or add a commentary saying that's not accurate
before final acceptance. In the final period before it's accepted, we will make sure everyone sees a draft copy
of the report before it's submitted.
Ms. Fox said Exhibit C also is very concerning.
Chairman LoCastro said that issue should be put under "Old Business" for the next meeting.
Sheriff Rambosk said the minutes of this meeting should reflect that all of the parties in this Committee
agreed that there was no basis for that comment in the FGCU report. Just in case that report is not amended,
everyone sitting here has opined on it from their points of responsibility and there is no basis for that
information.
V. Member Comments
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Mr. Burgess noted that everybody is aware that we're actively working with the County to design
and build the new Collier County mental -health facility. We are under -bedded for the psychiatric and
substance needs in our community, so we've been thankful to see that moving. It was a bit slow due
to COViD and other factors, but things are moving swiftly now. We're having weekly design and
architectural meetings, sometimes for four or five hours, and everybody is joining in on the County
side with the designer, architect and construction management company.
It's moving forward and we're having good progress, but we're still looking at about a 2%-year
process, which is unfortunate because we needed it 2% years ago. As an interim step, we're in the
process of adding 15 more beds at the David Lawrence Center. We've already built out our detox
program to move current detox clients into that area to expand the crisis -stabilization unit. We
believe all the construction processes will be finalized by the end of June. Those are two big items
associated with central receiving and inpatient capacity.
We were able to secure assistance through the Home Base Program to increase DLC veteran services.
Through the partnership with Home Base, which is connected with Mass General and Harvard, staff
members, therapists and doctors received veteran -specialty training. Veterans who struggle from a
mental -health standpoint can come to the outpatient clinic for free because it's covered. We had a
ribbon -cutting launch a couple of weeks ago.
Chairman LoCastro noted that the ribbon -cutting received great press coverage and he attended. He
told Mr. Burgess that if he sees a slowdown at the County level to please call him. We want to
accelerate construction of that facility and not let it slow down due to permitting issues.
Mr. Burgess thanked him and said they'd had conversations to figure out how to expedite things and it
appears everyone is on the same page. There's been a special request regarding whether permitting can be
2
expedited. Instead of a 60-day process, can it be 30 days, and instead of a 30-day process, maybe they can
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offer a 15-day process to move the project.
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Chairman LoCastro said he made it clear to everyone working on the project that they need to have a
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sense of urgency, while not cutting corners.
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Mr. Nichols said we're currently working on a process that will divide the County bench into two groups of
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three judges, one civil group and one criminal group, which will help get cases covered a little faster. That
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will help with staffing, as far as attorneys. They're meeting and talking about time frames, so it shouldn't be
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much longer before that occurs.
The Probation Department is struggling with staffing, as all departments are. They have a few open positions.
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Before this fall, two senior employees with a combined 60 years of experience will retire, so they'll have a
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few new positions opening in the coming months. He's concerned about filling those, but the good news is
that as a result of the County -cast study, there was a 6% salary increase across the board. Hopefully, that will
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keep existing staff, and they've raised the minimum starting salary for clerical staff, which hopefully will
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bring in more candidates. This is a slow process. The increase finally hit staffs paychecks today.
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The probation population is creeping back up slowly. For the previous month, we are back to where we were
when COVID hit, the 2019 population numbers, so that's good.
Chairman LoCastro asked whether they go through the County HR office when they advertise for positions
and hire.
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Mr. Nichols said there's a slight divide. They do work with the County HR office, and they have a
separate AOC office in Fort Myers. They're hoping to hire some college graduates. There's a big problem
with getting applicants.
Chairman LoCastro said he's been working with FIR Director Amy Lyberg, so they've had success moving
things along. Sometimes she wasn't aware of delays and issues. If he has any problems, he speaks to her
regularly.
Mr. Nichols thanked him and said he will. Ms. Lyberg did a great job presenting the cost -study report to the
BCC. It was much needed.
Mr. Rouskey said that this circuit's State Probation Office has a great recruiting and retention problem.
We're experts at recruiting, but they've historically had problems with retention and more since the
pandemic. Due to the workforce shortage, many competitors have been able to offer increases to staff and
have drawn some away. When you work for the State, the Legislature only meets once a year, so this is only
looked at once a year. It's a huge struggle. A starting probation officer with a four-year degree earns just
$33,400, A correctional officer working at Charlotte Correctional Institution could be 18 years old with a
GED and makes $5,000 a year more than a four-year degree criminal justice major coming out of college
who works for the state Probation Office.
The good news is that the governor has the budget on his desk, and if it's signed, that will result in increases
across the board, including an $8,000-a-year increase for starting probation officer pay. Based on the rumor
of that happening, we're starting to see an increase in candidates. It used to be hard to keep up with all the
applications and scheduling interviews, but that's easy now. We are confident the governor will sign the
budget between now and July I. Once he does, then that raise will be effective July 1. That will help, but we
still consistently lose staff at various levels, usually within the first three to five years, to the Sheriff's Office,
probation, pretrial, anything related to probation. A couple of years ago, we had an officer we really liked
who decided he wanted to be a landscaper. So, we're relieved about the raises.
Ms. Dauphinais asked Ms. Bouza where she got her overdose data. She noted that the Community Drug
Response Team has good data.
Ms. Bouza said it comes from H1DTA (High -Intensity Drug Traffic Agency).
Ms. Malaney said she was there on behalf of Crystal Kinzel, Clerk of the Circuit Courts. She wanted to
know the final bed count for the new County mental -health facility.
Mr. Burgess said it's currently being discussed. When it was envisioned, $25 million went a lot
further. They planned a 70,000-square-foot building, but construction costs have risen and they're now
looking at 50,000 square feet and the number of beds dropped from 107 to 87, but they're still
massaging that number. They will have a more formalized draft plan by the end of May.
Ms. Malaney noted that's over the current DLC facility. She asked how many beds are at DLC now
after it expanded.
Ms. Dauphinais said they're at 30, plus 12 now in detox, 42 beds now and 15 more to be added this
summer. The difference is estimated to be 20 additional beds net at the new facility.
Mr. Burgess said there are 87 beds planned and the facility is getting smaller due to rising costs. They
plan at least 30-45 beds for kids on their current campus, so they have separation of adults and children.
The 87 will be in the new building.
Ms. Malaney said her office is concerned about getting those bills paid on time.
Chairman LoCastro noted that there is a 35-week wait now for trusses. While they wait, crews
waiting for the trusses move on to other jobs.
Mr. Burgess said they're having supply chain problems and construction -cost increases, which has
gone up astronomically. The County did an exceptional job with the selection of the design -architect,
which has specialized experience with building mental -health facilities nationwide. The construction
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management company the County chose also has built several similar facilities nationwide. What we're
going to end up with is state-of-the-art. The sad part is it's shrinking each month due to construction
costs.
Attorney Darrow said affordable housing is always a problem for our participants and a lot of facilities
won't take MAT participants.
Judge Martin said she hopes the ADA case law that's coming out will help those participants. She
noted that they're disqualified because they're taking an FDA -approved medication based on a doctor's
order. The ADA speaks to that. You have someone trying to do the right thing, the right way and they
face a barrier to continuing that care.
Mr. Scott said they're working on a Strategic Plan Work Group with County Commissioners to meet
those needs and they have a lot of ideas on how the community can meet those needs. One is the
affordable housing issue. They plan to meet June 7. The County can help us get there.
Ms. Fox reported that there were 121 attorneys in the 20`h Circuit, when full staffed, and that dropped to
100. They are adding more and swearing in a new attorney today. The Legislature has been good to them,
providing more money in the budget, about .38% for state workers, plus some extra money for
prosecutors, after she and Kathleen Smith spent a lot of time in Tallahassee pounding on doors to seek
comparable pay.
In the County budget requests, we asked each County for a comparable increase in salaries for anyone
funded by the County. That should make us a bit more competitive. Assistant State Attorneys are being
paid $52,500 out of law school and they're in debt for about $200,000. They're going to leave very
quickly, as soon as we train them to be a trial attorney, which we do a really good job of doing. Many are
leaving to do teleworking, although they love their jobs. Employers are telling them they can pay them
double for working 80%, so we're struggling with that.
We've asked each county to help us fund our narcotics positions in the felony divisions. We just got a lot
of funding in Lee County, which will have three assistant state attorneys, an investigator and support
specialist in narcotics and vice because that's where a lot of crime is coming from. It relates to gangs,
money-laundering and conspiracy, high -end crimes, not the local drug dealer or drug users. If we can take
drug -traffickers out, it's great for the community.
We've been very successful in Lee and will be making a comparable ask in Collier County, knowing the
difference in budgeting and population. That will be for one attorney, as opposed to three, with the
support specialist and an investigator. That will make a huge difference, and a huge difference for Drug
Court in the future. When you have fewer suppliers, you have fewer users. That's her vision. There have
been no supply -chain shortages for drugs. It's much worse and the supply is flowing from the border,
Fentanyl in particular. It gets mixed in with recreational drugs, marijuana and cocaine, and people are
dying. We're trying our best on both ends — to treat the users and take out the suppliers.
VI. Public Comments
None
VIII. Adjournment -Next Meeting Date
TBD
Chairman LoCastro said Sheriff Rambosk had to leave the meeting early and everyone will see why on the
news tonight. It's not great, but it's good they caught it.
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There being no further business for the good of the County, the meeting was adjourned by order
of the Chairman at 10:14 a.m.
COLLIER COUNTY PUBLIC SAFETY COORDINATING
t
Chairman, C sioner Rick LoCastro
These minutes were approve by the Council on Eb r 7.OZ�check one) as presented,
or as amended.
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