Item J2BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: Division- Monroe Counts Sheriffs Office
Bulk hcin: Yes_X_ Nn�_ Department: Grants
8umff Contact 9ermonil?hmooP Tamara Snider /2Q2-7082
AGENDA ITEM WORDING:
Approval ofthe final program reports for OCFCriminal Justice Mental Health and Substance Abuse
Reinvestment Grant as outlined in DCFe closeout guidelines.
ITEM BACKGROUND:
On June 30, 2014 the Mental Health and Substance Abuse Reinvestment Grant ending its third year of funding
and nwadditional funding was available hmcontinue tucurrent program.
|nMarch of2013Department ufChildren and Families approved th third year funding ofthe Mental Health and
Substance Abuse Reinvestment Grant in the amount of $249,980.28 bringing direct funding total for all three
years to$815.251.42. DCF is now requesting the Mayor's signature on the third year Memorandum of
Understanding.
In February 2012 Department of Children and Families approved the second year funding of the Mental Health
and Substance Abuse Reinvestment Grant. DCFisnow requesting the Mayor's signature onthe second year
Memorandum ofUnderstanding.
OnApril 32.3O11'aK8OUwas executed between OCFand Monroe County. OnApril 29.2U11.the Monroe
County Sheriffs Office was advised by DCF that it should apply for 100% of the first year's funds in advance,
due to the possibility that said funds may not be available after June 30, 2011. Aseparate form requires the
Mayor's signature inorder toobtain the advance funds.
|nFebruary 2O11 a request was submitted to the BOCC to (1) Approval to execute Memorandum of
Understanding #LHZ237 between the State of Florida, Department of Children and Families and Monroe County
in order to accept o three-year Implementation Grant in the amount qf$748.469.0U. and (2)appnovm| of
Memorandum of Understanding between the Monroe County Sheriff's Office and County regarding the
Implementation Grant.
In September 2010, the BOCC approved the Sheriff s request to submit an application for the Implementation
Grant. On or about January 12, 2011, the Sheriff was notified that the State had awarded the grant. This
Implementation Grant will help the Sheriff's Office to provide alternatives to detention for offenders who are
mentally ill and/or have substance abuse problems.
PREVIOUS RELEVANT BOCC ACTION:
See above.
CCHANGES: Nome
STAFF RECOMMENDATIONS: Approval,
TOTAL COST: 0
INDIRECT COST:BUDGETED: Yes _N#__.
DIFFERENTIAL OF LOCAL PREFERtNCE-
SOURCE OF FUNDS: —
REVENUE PRODUCING: Yes No X AMOUNT PER MONTH Year
APPROVED BY: Counts, Atty!t OMB/Purchasm.- Risk Managemd'li'
DOCUMENTATION: Included X Not Required_
DISPOSITrON: — ------------------------------- - — AGENDA IT If—
Q;! Rick Scott
0
State of Florida Governor
Department of Children and Families
Esther Jaa
Interim Secretary
A 'o
N
Grant
Close -Out Guidance
1. Submit a final CJMHSA Program Report.
a. This report is based on the CJMHSA Implementation or Expansion Grant
Report Template.
b. The service period included in this report should be the entire three (3)
year"CJMHSA grant award period.
a. This report should be clearly labeled "Final" and must be submitted on of
before the next regular bi-annual reporting date (May 1 or November 1)
following the ending date of the program.
d. The County Board of County Commissioners is responsible for approving
the final report to the Department before submission.
Note: In some cases, the ending date may be very near the semi-annual
reporting date. In those cases, Grantees may request reasonable extensions
to reporting deadlines for the Final Grant Report through their DCF Program
Manager.
2. Submit a final CJMHSA Financial Report.
a. This report is based on the CJMHSA Financial Report Template,
b. The service period included in this report should be the entire three (3)
year CJMHSA grant award period.
c. This report should be clearly labeled "Final" and must be submitted on or
before the next regular semi-annual reporting date (May I or November 1)
following the ending date of the program.
c1l. The County Administrator is responsible for certifying the final report to the
Department before submission.
e. Grantees may charge final reporting staff expenses to the grant gLij if*
• those positions are approved line items in the budget of the
Memorandum of Understanding (MOU); and only if
• those expenses are incurred before the ending date of the MOU.
f. Grantees must document compliance with the statutory match
requirement in the final reports.
il ml- K9=1 a ill #7*3 lie] HFIV F W.1H I [MY7111iffi-115-403 04 1 [:Klitls I I I VA (OR 11;4 d to 19 190 ill V
Mission: Protect t.e Vulnerable, Promote Strong and Economically Self-Sufficleni Families, and
Advance Personal and Family Recovery and Resiliency
expense processing and accounting activities. In those cases, Grantees may
request reasonable extensions to reporting deadlines for the Final Financial
Report through their DCF Program Manager.
Return unused funds advanced.
3. Return unused funds advanced.
a. Each Grantee is required to match total grant expenditures. Fiscally
constrained counties are required to match at 50 percent and all other
counties are required to match at 100 percent. Should the match not
equal 100 percent of expenditures, then each Grantee must pay DCF the
difference. (Example: The Grant Award amount is $500,000 and the
county match is $500,000 the county only expends $450,000 in grant
funds and $400,000 in county match. The county would need to match
$450,000 and would therefore owe the state $50,000 for the county match
obligation).
b. Each Grantee will need to return any unused advance funds plus any
unapplied interest via certified check made out to the "Department of
Children and Families." (Using the example above, the county would need
to return $50,000 in unused grant funds plus any unapplied interest),
c. The check amount must reconcile to the final Financial Report amount, as
certified by the county administrator.
oil 0
LgA(z] I 1A Ln I IZ20 11 tol I
4. Document compliance with the annual audit requirements of Attachment I
a. Each Grantee will need to ensure that a copy of the next annual audit aft.�I�
the ending date of the MOU is filed with the Department.
b. Grantees should provide an estimated audit filing date when submitting
the final Financial Report.
c. Audits must be filed with both the DCF Grant Manager and the DCF Offit - I
of the Inspector General, Provider Audit Unit. Addresses are included in
Attachment III of each MOU.
5. Compliance reminders.
a. Grantees are reminded to review and comply with the MOU details
pertinent to record retention and the disposition of real property and
Information Technology Resources (ITR) purchased with state funds.
b. If a Grantee needs any approvals to retain or dispose of property or
Information Technology Resources purchased with grant funds, the
Grantee must submit a written request with appropriate justification to t
DCF Program Manager. Written approval from the DCF Program
Manager must be obtained and filed before MOU close out. I
Criminal Justice Mental Health &Substance Abuse
Reinvestment Act —1 I ant tin rent r rrt
Monroe County
Final
Section 1. Contact Information
Preface the report with contact information for the person who
completed this report and the person who certifies this report. Please
include: person's name, county, address, telephone number(s), and e-
mail address.
Person completed Progress Report
S. Edith Hambright
Monroe County
Jail Diversion / Reentry Program Director
Monroe County Sheriff's Office
5501 College Road
Key West, FL 33040
Office Phone- (305) 293-7422
Call- (305) 797-6268
Email, shambright@ke sso.net
Person to certify Progress Report
Roman Gastesi Jr.
Monroe County
Administrator
1100 Simonton Street
Suite 205
Key West, FL 33040
Office Phone- (305) 292-4441
Email:
1
Section 2. Detailed Progress Summary
Provide a detailed summary of the progress in meeting the goals
described in your application.
1. Using the goals/objectivesItasks as delineated in your application as a reporting
Framework, describe your achievements to -date in each area. Identify
adherence or adjustments to your timeline. Within your progress summary,
make sure to include narratives on the following items:
See Attachment A, the updated table based upon updated goals and objectives
leveloped for the third year of program operation, Any adjustments or changes
in the timelines are listed in the achievements to date column.
a. Describe the composition of your Planning Council membership as stated on
page 5 and 6 in the original grant RFA (per F. S. 394.657 (2) (a)), including a
list of the Planning Council Members. Describe any difficulties you have had ir
filling these membership positions. Describe the activities, such as meeting
frequency and types of collaboration efforts, of your Planning Council.
The composition of the Monroe County Criminal Justice, Mental Health
Substance Abuse Planning Council, submitted in our Grant Application is
included in Attachment B.
As of June 30, 2014, the current Monroe County Criminal Justice, Mental Health
& Substance Abuse Planning Council includes the following members identified
in Attachment C.
Although experiencing numerous changes throughout the grant period,
particularly in the County Commission, Circuit Court, Sheriff's Office, State
Attorney, Public Defender, Superintendent of the Monroe Juvenile Justice
Detention Center, and Consumer Representatives, the Reinvestment
Implementation Grant Planning Council has maintained the required Membership
representation per the Reinvestment Act, at all times. A regular Planning Council
meeting was held 5-8-14 but there was not a quorum. The greatest challenge in
this process over the period of the three years of the Grant has been obtaining a
quorum for meetings during the member changes. However all of the required
membership, per the law, made significant efforts to assigning new members as
quickly as possible or sending alternates when possible. Collaboration activities
were evidenced throughout the grant period, by members' willingness to
participate on committees, in the CIT Training process, and communication of
information which resulted in significant progress and success, such as the
4evelopment and implementation of a Special Docket; the availability of a Triage
Bed for Program Referrals, Criminal Justice and Community Agencies
participation in the CIT Training for Trainers.
The final Planning Council meeting is scheduled for 7-24-14.
N
Describe any barriers that you have encountered in meeting your goals /
objectives / tasks, and how you have been able to navigate through thesZ
barriers. Also, describe significant barriers that remain, if any.
Regarding for # 1 — Continue to Enhance Reentry Planning Procedures: the
Program continued to use the comprehensive evidence -based screening tools;
the implementation of individualized Reentry Plans for participating clients; and
providing connections / referrals to housing, employment, treatment, veteran
services, educational and resources. Reports relating to the number of clients'
participating; plans completed; numbers of referrals provided to clients has been
provided to the Planning Council on a monthly basis. Summary:
• Comprehensive evidence -based screening tools for
Medical/Health
Mental Health
Substance Abuse
Housing
Education
Employment
Readiness for Change
were provided to 100% of Care 4 U Reentry Program clients, and utilized
in accordance with stated Goal / Objectives
• Individualized Reentry Transition Plans / Referral Forms were completed
for 100% of Care 4 U Reentry Program clients
• A total of 216 referrals to community resources, including treatment (Care
4 U Reentry Program Treatment component), mental health, substance
abuse, housing, employment, DCF, VA Services, and ANNA were
provided to clients.
Please refer to Attachment A for specific information or statistical results.
*FJ Me Ve(ATHMeHUa11UUI5 10 y L,011rICII At nOC
Assessment and Evaluation Committee. Continued communication and
cooperation with Pre -Trial Services, the Public Defender's Office, the State
Attorney's Office, Court Options, and the Court have increased the number of
referrals somewhat. The Reentry staff continued to monitor the referrals from
these sources and provide feedback to agency / criminal justice staffs. Please
refer to Attachment A for the specific statistical data.
Me L11111 year 711 -fp
- - 11*11 It T-TaS 1101M MaL
inmates volunteering or requesting for admission io the Reentry Program did not
participate in 12 Steps and other support services provided at the jail. The
Reentry Program established admission criteria which would require
support services participation both prior to admission to the program and
emphasis for ongoing participation in support programs during and following the
program. Efforts to establish more effective communication with 12 Step and
other support program personnel were undertaken. Lastly, in an effort
to address some of the inmate behaviors which contribute to re -arrest and
recidivism, the Monroe County Sheriff's Office is continuing to fund a Behavior
Modification and Life Skills Program which includes an Anger Management
Group, Batterer's Group, Parenting Group, and an Employment Preparation track.
These efforts to increase participation in the 12 Step and other support services
provided at the jail have continued throughout the Grant period, ending June 30,
2014. While the Reinvestment Implementation Grant has discontinued, the
Monroe County Sheriff's Office will continue to fund the Behavior Modification
and Life Skills Program.
Regarding Goal # 4 — Increase leverage options within the program to support
ongoing program participation: The Program Administration worked with the
judicial / criminal justice system to utilize court hearings for judicial placement
into the program and for court ordered probation supervision through
1sentencing to the program" as a condition of probation. Court Options
supported the Planning Council to re-establish the Judicial committee to review
the potential for developing a Special Docket / Problem -solving Court for
Misdemeanors. This committee met with the positive result of the
establishment of a Specialty Docket, implemented on 9/19/13. During this six
month period, Specialty Dockets have were also held on 10-28-13 and 12-23-13.
No further dockets were held due to the limited number of eligible clients, the
Judge's schedule, and the grant coming to a close. Other objectives relating to
the development of a written plan, documentation of procedures, roles and
responsibilities, were not completed. The system implementation has been
established, with Stake -holders agreeing upon procedures, staff roles and the
delineation of responsibilities; however the agencies involved did not believe that
such documentation was necessary.
Please refer to Attachment A for the specific / statistical data.
Regarding Goal # 5 — Improve data collection system: During the third year of
operation, the Reentry Program continued to review the submission of data. The
consistency of this process was impacted by the resignation of the Reentry
Coordinator/Case Manager position, who held the primary responsibility for this
function. The Reentry Program Director worked with the Detention Center's
Classification and Information Technology Departments in an effort to retrieve
and report on Reentry Program participants re -arrest and recidivism data as well
as tracking CIT related incidents and potential changes in Officer reporting,
resulting from participation in CIT Training. As you will note in Attachment A, and
the final evaluation summary, routine documentation of clinical assessments,
program monitoring tools, referral, program participation, as well as treatment,
housing, employment, and legal status is recorded.
0
Regarding Goal # 7 — Implementation of 24 hour emergency medical services
for CIT referrals: Although emergency services are available throughout the
Keys through hospital emergency rooms, the MCSO Jail Diversion / Reentry
Program has not established a Qualified Service Agreement with the Lower
Keys Medical Center to define operating procedures for the acceptance and
referral of CIT referrals. In reality, Officers of the Key West Police Department
and the Monroe County Sheriff's Office do bring referrals to the Emergency
Room of the Lower Keys Medical Center. They are accepted, treated as
appropriate, and either admitted to inpatient care of referred to the appropriate
external referral source. So in actuality, the system is working but is lacking a
written agreement per Grant goal. Throughout the third year, there was no
change in the status of this goal and it's objectives. The agencies involved do
not agree that a written agreement or documented procedures are necessary,
since the system is fully functional, and no changes are anticipated at this time.
0
Regarding Goal # 9 — Avert increased spending on916 Forensic Beds:
This goal also relates to the monitoring and reporting of admissions to forensic
institutions and competency restoration programs for the Adult population
participating in the Reentry Program.
A review of admission information in Florida forensic institutions for the
duration of the grant period, indicates that none (0) of the Care 4 U
Reentry Program clients were admitted to forensic institutions, or receivelf
involuntary psychiatric evaluations.
A review of the competency restoration services statistics in
Miami/Dade/Monroe Counties, indicate that none (0) of the Care 4 U
Reentry Program clients received competency restoration services,
M
Rt separate section in tne overall Program Evaluation has been completed
providing County data relative to these items.
All contracts, MOU's and referral relationships have been completed and are
operational, assuring the efficient and effective provision of the service delivery
system. Verbal agreements are in place and working with the Key West Police
Department, Lower Keys Medical Center and the Monroe County Sheriff's Office,
as well as with the Homeless Providers, Treatment providers, and community
service agencies. Also as indicated in the reporting period's goals, objectives,
expected outcomes/actions, and achievements, the Program has been very
successful in the completion of it grant requirements.
Recommendations from Grant Cons u Itant/Evaluator®
Based upon the overall fulfillment and compliance with the Goals established for
the Reentry Implementation Grant, the MCSO has done a laudable job in
achieving the expectations, despite the multiple challenges experienced
throughout the Grant period.
The MCSO Reentry Program, Care4U, has successfully developed new and
enhanced current Reentry services. It has increased self -referrals from the
Detention population, as well as increased referrals from the Courts/Criminal
Justice system (State Attorney Office and Public Defender). It has increased the
Reentry Program participant's involvement with support services including
Housing, Vocational, Psychiatric and Substance Abuse services, and
participation in 12 Step programs, such as AA and NA. The Program has
increased the use of leverage options in conjunction with the courts, to direct
offenders into appropriate treatment. The Care4U Program Director was
instrumental in creating a Special Docket Court in Monroe County. Through the
development and implementation of an ongoing CIT (Crisis Intervention Team)
Training, the Program has continued to increase the number of trained Law
Enforcement Officers, Corrections Officers, Criminal Justice System and
Treatment Professionals for responding to mental health and substance abuse
related crises. The Reentry Program has supported the implementation of 24
hour emergency services for CIT referrals. Through the implementation of a
clinical treatment program, there have been demonstrated cost savings through
reduced utilization of jail bed days, and reduced incidents of recidivism. This
evidence would recommend the continuation of services supported by the
Care4U Reentry program. Unfortunately, Monroe County/MCS0 are unable to
identify funds to sustain the services provided by the Reentry Program.
In this report there is substantial data relating to the excellent success of the
CIT Program. It achieved far more than expected, and has become a well-
�iupported, if not demanded service for the County. The CIT Program has
,#,roblem-solved many communication / collaboration issues previously
In
experienced in the County, and has provided much needed services this
population in need, ultimately resulting in jail diversion and lowering the costs
for the jail. I recommend that the County and MCSO continue to support
these services. If possible, funding should be sought to provide specialized
evaluation of the results of the CIT trainings, on the participants' stakeholders.
For example, what is the cost to the Key West Police Department and the
MCSO to provide the services? What is the (anticipated) decrease in related
crimes, such as Municipal Ordinance, Trespassing, and other quality of life
charges.
The Memphis Model upon which the MCSO program was developed has
proven itself as an evidence -based practice. The greater number of Count
participants in the CIT trainings, and the increased success rate, based up
the Grant period results, continued decreasing costs will result. Continuati
of this CIT program is strongly recommended. I
2. Identify if you have been able to leverage additional funds for this initiative
(beyond the matching funds requirement) since receipt of grant awards/funds.
Note- this was not a requirement.
During the grant period, neither Monroe County nor the Monroe County Sheriffs
Office has been able to leverage additional funds for this initiative since the
receipt of grant awards/funds. Since the initiation of the grant in 2011, funding,
particularly state and local funds for this population, has substantially reduced.
However, due to the extraordinary success of the CIT program, the Monroe
County Sheriff's Office is requesting the Monroe County Commission to budget
an additional full-time CIT Coordinator position within the MCSO Training
Department in order to maintain these CIT Training Program services for the
County.
Section 2. Outcomes
Describe the effect the grant -funded initiatives have had on meeting the needs of adults
and / or juveniles who have had a mental illness, substance abuse disorder, or co-
occurring mental health and substance abuse disorders.
1. Share early data that you have collected in relationship to the core outcome
Measures that were identified in your grant application.
For specific information regarding the outcomes achievement please refer to the
Section 2, #1 — Attachment A, where each goal, objective, expected outcomes a
achievement status of the outcomes are listed. I
Final Statistical Summ::,qrvof Services to Adult
June 30, 2014
Numbers of Individuals:
■ Total number of individuals referred tote Reentry Program
Pre -Trial Services
CIT
ILKMC
MCDC Voluntary
Other
Public Defender
21
Jail Medical Unit
20
FKOC
15
Heron Peacock Apts.
8
Self Referral
2
Probation
2
Drug Court
Jail JIP Program
ORP Program 3
GCC Jail Case Management SA 1
Total number of individuals requesting participation in Reentry Program
Total number of individual receiving initial screening
Total number of individuals receiving follow-up interviews
Total number of individuals receiving assessments
Total number of individuals approved for the Reentry Program
Total number of individuals offered the Reentry Program
Total number of individuals not fitting eligibility criteria
Total number of individuals refusing or declining referral to program
•
Medical / Health Assessments
•
Brief Jail Mental Health Screens
0
Needs Assessments
M
TCUII Drug Assessments
M
Readiness for Change Scale
M
Survey of Offender Barriers to Reentry & Employment
•
Referred to Transitional Housing
•
Accepted for Transitional Housing
•
Participating in Transitional Housing
•
Referred to Workforce One
•
Other Community Service Referrals
VA Program
5
SOAR/SSA/SSDI
4
Healthy Start
1
Psychiatric Care (Guidance are Center
34
Dental
1
DCF Food Stamps
4
Second an Sam's Store
2
704
704
184
74
74
116
173
295
01
Re -arrests of Program Participants
Number of Program Participants re -arrested within I week
2
Number of Program Participants re -arrested within 2 weeks
0
Number of Program Participants re -arrested within 1 month
2
Number of Program Participants re -arrested within 3 months
6
Number of Program Participants re -arrested within 6 months
13
Number of Program Participants re -arrested within 9 months
8
Number of Program Participants re -arrested within 12 months
9
Number of Program Participants re -arrested within 18 months
7
10
IN
ON
there was an unexpected iaCK of referrals from t1le anticipated referral sources.
There were difficulties identifying appropriate "family unit" referrals, i.e. a parent
who would participate in the Adult CARE4U treatment, and also participate with
their children concurrently in the Redirections Services Program Family Therapy.
The restriction of the ages from 13 — 17 for a child, and the need for an intact
family so therapy could be done, also limited the possibilities for referrals.
During the past 3 month Grant extension period from 4/11/14 to 6/30/14, the number of
individuals admitted into the CARE4U Program was 0. The process of referral/admission
was discontinued as of 12-31-14 with the anticipated end of the Grant funding in March,
2014 and the resignation of the Reentry Coordinator as of 12-31-13. The CARE4U
treatment program completed as of 4-24-14 with the final client successfully graduating,
For the full Grant period from 10-1-11 to 4-30-14, the total number of individuals
admitted into the CARE4U Program was 60. The number of individuals who
successfully completed the program during this period was 17. The number of
individuals Ordered to the program by being sentenced to enter and complete ft,
minimum of 16 weeks in the treatment program was 14. The number who
entered as Voluntary was 46. All but one client participated in an emergency or
transitional housing with a structured, recovery focused program.
Sustainabillity Recommendations for the Monroe County Florida Keys CIT
Program include:
*Community Steering/Planning Committee continue to meet at least Quarterly
with focus on preparing for the future 40 hour training program and implementing
and improving the CIT Program.
• LEO CIT Coordinator from MCSO to chair the Committee.
• NICSO and KWPD agencies collaborate to develop and implement CIT
Policy and Procedures as a community county wide.
* Follow through with funding an additional fulltime CIT Coordinator position
within the MCSO Training Department to be funded by Monroe County with
designated duties to coordinate and facilitate the Florida Keys CIT Program as
well as providing funding for the trainings.
* Continue with plan noticed 5-2-14 of the temporary designation of the
Sergeant position in MCSO Training Department as the future MCSO CIT
Training Coordinator.
* Continue with plan of the other three lead Coordinators, with Law
Enforcement officers from MCSO Dispatch and KWPD and the Mental Health
Professional from dePoo.
Monroe County conduct a minimum of two CIT 40 hour trainings annually.
CJMHSA Planning Council of the Reinvestment Implementation Grant
discuss at 7-24-14 meeting to continue to meet quarterly with same community
membership categories to support the sustainability of the CIT Program as well
as identify and problem solve issues related to access that arise among Law
Enforcement and Criminal Justice agencies, community receiving centers,
treatment providers, and community resources.
IN
* CJMHSA Planning Council possibly re -convene as a CIT Program/
Community Reentry Task Force.
* See Addendum documents 2- 9 at end of Report for Grant CIT Trainer
consultant's CIT Program Summary and Recommendations and other CIT
Program documents.
* See Addendum document 10 at end of Progress Report for the CJMHSA
Planning Council Sustainability Committee Chair Report with Sustainability
Recommendations.
[-!I is n7l I I In I a I* wall orA ag I I to I vmwm I arm-.1 I MIN, grg all [;me molm I I[*] axl(--a I ir-J IMMME, I I Los 011
Despite collaborative efforts working with the Monroe County Juvenile Justice
Detention Center and due to the continuous lack of ineligible clients throughout the
grant period, this portion of the grant was not implemented, Based upon other adult
programs success, there is an indication that the reuncation of this population of
inmates, with their families, there should be an expected positive result in the
decrease of juveniles at risk. No data specific to this grant is available.
Section 3. Technical Assistance (if applicable)
Explain what collaboration, if any, you have had with the Florida Mental Health
Institute's Technical Assistance Center. Has this partnership been successful?
Per the direction of the staff representative from the Department of Children and
Families, since 4-1-12 to date, we have been operating from the understanding that
technical assistance services for our grant were not available from the Florida Mental
Health Institute's Technical Assistance Center, due to DCF funding issues. Therefore,
collaboration of this type with the FLTAC has continued to be unavailable during the
remaining period. With the release of a new grant application for Reinvestment Act
funding in the spring of 2013, we, along with all of the other current participants received
communication from both DCF and FLTAC offering assistance with this grant
application. When we requested assistance with the current grant, we were informed
that FLTAC assistance was only available to programs applying for the new grant. This
ruled out Monroe County, since Monroe County was not able to seek funding under the
new grant. When we contacted the FLTAC website to obtain information which would
be helpful to include in our 18 Month Report, the website only included data through
2011. Since that time the availability of FLTAC data has been limited. We have utilized
pertinent data from some publications. However, the most helpful resource relating to
the grant's objectives, has been Annette Christy, PhD. of the Baker Act Reporting
Center, and Associate Professor, Department of Mental Health Law & Policy, Florida
Mental Health Institute, University of South Florida. Dr. Christy provided information on
the numbers of Baker Act Involuntary Exams for Monroe County from 2011 through
2013.
1E
Section 4. Profile of Client Interventions
IN
Z
...............................
C'riminal Justice Diversion
B&Ec2jjj.EL2j2Lt Goals
1, Continue to Enhance Reentry
Planning Procedures
Ob
Use of comprehensive evidence -based
screening tools for:
Medical / Health
Mental Health
Substance Abuse
Housing
Education
Employment
Readiness for Change
EXpected Outcomes I Actions
1. Monitor the number of tools
used in each area.
Medical / health
Substance Abuse
Housing
Education
Fmptoyment
Readiness for Change
Objective 2 1. Monitor and report the number
Development of individualized of clients participating
Reentry Plan for participating clients,
identifying and referring to specific
community resources,
2. Monitor the number of plans
completed.
3. Monitor and report the
percentage of'plans
completed
4, Monitor and report the
number of referrals to
Achiewments to Date
Completed monthly, ending
Apri 130.2014
Medical / Health — Needs
Assessment
Brief Jail Mental Health Screen
Needs Assessment
Substance Abuse —deeds
Assessment and TCU Drug Screen
11
Needs Assessment
Needs Assessment
Needs Assessmem, and Survey of
Barriers to Reentry and
Employment
URICA Scale
Completed monthly, ending
April 30 ,2014
Total number 56*
(4 clients were re -admitted during
the grant period)
Completed monthly, ending
April 30, 2014
Total number 56
Completed monthly, ending
April 30, 2014
100%
Completed monthly, ending
April 30, 2014
Total number 216
2, uOUE-ak
{)Ijgctive 3
hicrease connections to housing,
C,)Iplovment and/or educational
1'C':.oUrceS.
0 1) jgcti Ve I
I r ii rease self referrals from Detention
population
01iffiective 2
J F11, prove referral process from Court/
(_ i'lininal Justice system
5. Monitor and report the
percentage of referrals
completed
I . Monitor and report the
number of clients referred for
Housing, SOAR Assessments,
Workforce One, or other
vocational and educational
services
I . Review current program
recruitment activities and
promotional materials
2. Investigate other Reentry
program activities
3. Revise as necessary
1. Establish an Ad Hoe
Assessment / Evaluation
Committee to evaluate the
potential for referrals from
Public Defenders, State
Attorneys, Pre -Trial
Services, and Court and
identify/problem . solve any
barriers to the referral process
Referral documentation follow up
was limited due to the lack of
adequate Case Management staff.
Completed monthly, ending
April 30, 2014
Total number of Referrals for
Housing 59
Total number Referrals for
Vocational, Educational or
Employment -6
Completed June 2012
Completed September 2012
Ending December 31, 1, 2013
Committee established by Council
June 28, 2012 and met July 31, 2012
Committee reported and provided
recommendations to Council at
October 4, 2012 Meeting
2
Old'ective, 3
I —
Increase referrals from Pre -Trial
Objective 4
Increase referrals from Public
Defenders Office and State Attorney's
Office
Develop joint procedures for the
implementation of the referral
process for each referral source
Meeting held I / I 1/ 13 with
Guidance Care Center
Meeting field 1/22/13 with Court
Options Misdemeanor Probation
Agreements established with
Samuels House, Florida Keys
Outreach Coalition., and the Heron
Peacock Program.
3. Meet with the Pre -Trial services Meeting held 11/28/12
staff to identify any barriers to
referral and clarify procedures
and co trundcations
office / staff and the State
Attorney's office / staff to
identify any barriers to ref
I , erral
and clarify procedures and
I
c o in in Lin i c ati o-t, s
Meeting held August 3 1 , 2012 with
Public Defenders Office.
Increase prograrn participants I . Establish participation criteria Completed
M Objective I
involvement with support services Involve program participants in self for inmates involved in the
help programs in the jail as a Reentry program which includes
requirement for program participation participating in in-house 12 step
programs prior to release.
Objective 2 1. Review local peer support Completed September 2012
Investigate funding to create a peer programs existing in the
support prograrn as an adjunct to the community, to see if these
Reentry Program services can be made available
to Reentry Program participants
2. Review potential funding Completed
sources for the opportunity to
develop peer support services
designed specifically for the
reentry population
0
4� lncrcaL�L' I k: %. c ra c t i I { }ii L, %N i i I
Ihe pri,,,i-3m ill �UJIPI'lrl
progrilli panti1p'lii()11
()[I
011tain greater involvement from the
Pulicial system
t)hjecfive 2
1 i!iplement Special Docket 11 Problem
',,,-tfving Court for Misdemeanors
litilize established Judicial
procedures at arraignment/court
hearings for substance abuse and
or co-occurring misderneanants
to be referred / ordered into the
Reentry Program and released
to the community.
Court hearings are utilized for
judicial placement in the Care 4 U
program and court ordered
probation supervision
2. With Judges approval, utilize Same as 41
arraignment/court hearings days
for court ordered probation
supervision and monitoring of
Reentry Program clients
3. Monitor and report the
number of individuals
screened .1 assessed and
approved for participation in
the MCSO Reentry Program
A. Monitor and report the number
of individuals participating in
Court ordered probation
supervision
5. Monitor and report the number Completed
of individuals completing corart
ordered probation supervision
Utilize Ad Hoe Judicial
Committee to revisit potential
l'or the establishment ol'a
Special Docket/Problern Solving
Court for Misdemeanors, with
representatives of judicial,
criminal justice, and Reentry
Program representatives
Docket deferred per SAO/PD
recommendations
Contact with Court Administration
4/13
Meeting with Judge Fowler 6,113
Judicial Committee met on 7/9/13,
per Judge Fowler, Chair
Follow-up meeting with Judge
Fowler and Court Options on
8/26/13. Start date established for
M
------------
Specialty Docket— 9/19/11
Specialty Docket implem ented
9/19/1110/28/13; and 12,123/13.7
2. Follow up recommendations of Committee provided
Committee through the develop- recommendations but did not
ment of a written plan for produce a written plan
implementation
3. Delineate procedures, roles, and Procedures, roles and
responsibilities among the responsibilities were agreed upon
Stake -holders arnong Stake -holders.
Dbiective 3 1. Discuss with critninal justice, Due to changes in JlP/W`IT and
Recommend participation in Reentry treatment and correction Westcare / Guidance Care Center
Program for JIP/WJT clients stakeholders the potential for Program, this process was
enhancing recovery and eliminated,
decreasing recidivism for
JIP/WlT clients through referral
to the Reentry Program upon
release frog MCSO Detention
Center
5, Improve data collection system Objective 1 j_ 1. Review current procedures and Completed August2012
Establish data collection requirements provide recommendations for
and timelines for submission data submission, assigned tasks,
and responsible parties
1 Monitor submissions on a Due to the inconsistent availabilitt,
quarterly basis of the Case Manager position, this
process was discontinued
6. Continue to increase the number of Objecrive.j. 1. Monitor and report the number— Ongoing/ every 6 months
trained Law Enforcement Officers, CIT Trainings held for Law of training requests received
Corrections Officers, Criminal Justice Enforcement, including Rev West
System and'i'reatment Protessionats, Police Monroe County Sherif'ps 2. Monitor and report the number Completed 1' of I ant year CIT
for responding to mental health Office Road Patrol Officers and of training events held Training Sept 26 — 30° 2011
related crises, through the Corrections Staff, Criminal Justice Completed 2nd of ,, grant year CfY
_j!n&pwntation of three 40 hour System Staff and Treatment Training Jan 30 — Feb 3, 2012
--------------
Crisis lilicrwntiri in I rj I ii ii [g I'l I. Pro I � N ti I i % ri a .1 �.
based J.1 11 L) . i E 11 L? N1 C I T I [1 111.1, N-1 h I& I
Reim cfj mL!iv ( d' c L'i i 11 1 x i c 11 � I j 5 F1 [L! i Ll 11 Q
2 1 A Ll (i L 111 ', I i,j j 11111 L' S
P1.11-111CL] .111d 1111pleflk-'11rell
1 3. Monitor and report the number
of personnel completing the
training
Completed 3" of I " grant year CIT
Training Feb 27 — Mar 2, 2012
Completed I' of 2 nd grant year
Sept 24 — 28, 2012 CIT Training
Completed 2'd of 2 d year CIT
Training Nov. 5 — 9, 2012
Completed 3rd of )nd year CIT
Training Jan. 14 — 18, 2013
Completed 0' of 2"'1 year CIT
Training Feb.25 March 1, 2013
Completed I" of Yd year:
April 3 ) --- April 4,2013 Dispatch
CIT Training
Completed 2 d of 3 rd year CIT
Training April 29 — May 3, 2013
Vs of nrd
Completed 3 -3 year CIT
Training May 2 8 — 31.. 2013
Extension:
Completed June 3-7 2014 CIT
Training
Completed Train the Trainers —
Future Training Coordinators
Instructors
May 2-3, 2014
May 16-17, 2014
June 3-7, 2014
June 20-2 t, 2014
CIT Trainings
Sept 26 — 30, 2011 23 completed
Jan ' )0 — Feb 3, 2012 — 21
completed
Feb 27 — Mar 2, 2012 — 24
completed
Sept 24 — 28, 2012 — 26 completed
November 5 — 99 2012 — 18
R
4. Monitor and report the number
of personnel rating the training
as useful
complvrt:kj
January 14 — 18, 2013 — 24
completed
February 25 — March 1, 2013 15
completed
April 3 — 4, 2013 - 21 completed
Apri129 May 3,2013-14
completed
May 28 — 31, 2013 — 15 completed
Extension:
June 3 — 7, 2014 — 24 completed
Train the Trainers:
May 2-3, 2014 -
May 16-17, 2014
June 3-7, 2014
June 20-21, 2014
Total completed — 12
Sept 26 — 30, 2011 - 23 of 23
Jan30 — Feb 3, 2012 — 21 of 21
Feb 27 Mar 2, 2012 — 24 of 24
Sept 24 — 28, 2012 — 25 of 26
November 5 -.9, 2012 — 18 of 18
January 14 — 18, 2013 — 21 of 24
February 25 — March 1., 2013 — 15
of 15
April 3-4, 2013 — 20 of 21
April 29 May 3, 2013 — 14 of I I
May 28 — 31, 2013 15 of 15
Extension
June 3-7,2014 — 24 of 24
Train the Trainers:
May 2-3, 2014
May 16-17,2014
June 3-7, 2014
June 20-21, 2014
12 of 12
N
Monitor and report the number
of personnel rating the training
as providing an increase in
knowledge
6. Monitor and report the number
of personnel rating the training
as providing an increase in
skills
Sept 26 - 30, 2011 - 23 of 23
Jan.30 - Feb 3, 2012 - 21. of 21
Feb 27 - Mar 2. 2012 - 24 of 24
Sept 24 - 28, 2012 - 25 of 26
November 5 - 9, 2012 - 18 of 18
January 14 - 18, 2013 - 22 of 24
February 25. March 1, 2013 - 15
of 15
April 3-4, 2013 - 20 of 21
April 29 - May 3, 2013 - 14 of 14
May 28 - 31, 2013 - 15 of 15
Extension:
June ' ) -7.2 014 - 23 of 24
Train the Trainers
May 2-3, 2014
May 16-17,2014
June 3-7, 2014
June 20-21, 2014
12 of 12
Sept 26 - 30, 2011 - 23 of 23
Jan30 - Feb 3, 2012 - 21 of" 21
Feb 27 - Mar 2, 2012 - 24 of 24
Sept 24 - 28, 2012 -26 of 26
November 4 - 9, 2012 - 18 of IS
January 14 - 18, 2013 - 21 of 24
February 25 - March 1, 2013 15
ot'15
April 3-4, 2013 - 20 of 21
April 29 - May 3, 2013 - 13 of 14
May 28 - 31, i013 - 14 of 15
I"x
. tension:
June 3-732014 - 23 of 24
June 3-7,2014 - 2' ) of 24
Train the 'Drainer
May 2-3, 2014
May 16-17, 2014
June 3-7, 2014
June 20-21
11 of 12
M
7. Implementation of 24 hour
emergency medical service for CIT
referra Is
S. Avert increased spending on
criminal and / or juvenile justice.
9. Avert increased spending on F. S.
916 Forensic Beds
Objective 1
Establish Qualified service
agreements with l,a-,A:enforce rncnt,
the Lower Keys Medical Center and
the MCSO Jail Diversion — Reentry
Program to define operating
procedures for the acceptance and
referral of Reentry clients,
Objective 2
Establish referral process from
Diversion Program Reentry
Coordinator to community services
programs / personnel,
------------
Ojbjcctive I
Reduce jai I and / or detention bed day
utilization among Adult and Juvenile
target populations through Reentry
Program Services.
01�jectivc I
Reduce the admission to forensic
institutions among the Adult and
Signed QS Agreements by
Key West Police Department,
Lower Keys Medical Center,
and the Monroe County
Sheriff's Of
1. Documented procedures for
staff from each organization
defining specific employee
responsibilities, and
documentation requirements
I Monitor and report re -arrest and
recidivism rates for Adult and
Juvenile target populations
participating in the Reentry
Program
1. Monitor and report the
admissions to forensic
institutions for the Adult and
Although opera
ting procedures for
the acceptance and referral of
Reentry clients were agreed upon,,
no signed Quality Service
Agreements were docurnented.
Although procedures,
C5
responsibilities, and documentation
requirements for the staff frorn
community service programs were
agreed upon, no written agreements
were required.
As explained in the narrative, there
is no data available relating to
Juvenile Justice.
Regarding jail and/or bed day
utilization the Care 4 U Program
participants spent 859 fewer days in
jail than the Control group resulting
in a savings of $79,028,
Regarding the recidivism rates for
the grant period, the Care 4 U
Program participants had 77 re -
incarceration events compared to
the Control group who had 151 re -
incarceration events.
More information is available in the
narrative -report.
None of the Care 4 U Program
participants utilized any of the
Baker Act services during the grant
period.
I Liverrile Reentry Program
p,irticipants.
Illiective 2
nLzease the use of cornmunity
competency restoration programs by
REentry Program participants
Juvenile Reentry Program
Participants
Monitor and report on the
number of referrals of Reentry
Program participants to
community competency
restoration programs
No data is available on the Juvenile
target population, as this program
was not implemented due to the lack
of eligible clients,
None of the Care 4 U Program
participants utilized any of the
competency restoration services
during the grant period.
Additional information relating to
the County statistics are provided in
the Evaluation Report,
0
MONROE COUNTY
CRIMINAL JUSTICE, MENTAL HEALTH & SUBSTANCE ABUSE
REINVESTMENT GRANT PLANNING CC tJNC'IL
Attachment B
Dennis ward A B Maloy-Guidance Care Center/Westeare
Rosemary Enright
David Audlin
Wayne Miller
COUNTY COURT JUDGE
Chief Donnie Lee
POLICE CHIEF OR DESIGNEE
Sheriff Bob Perham
aiu=m! ��
Patricia Bums (Felony)
."21-0.111 . goM--.!
FI NO I WiN 1 N&I I
I lolly Elornina 16th Circuit
Mayor Heather Carruthers
COUNTY COMMISSION CHAIR
Ruben Valdivia (Court Options -Misdemeanor)
Chief '.fornmic Taylor
CHIEF CORRECTIONAL OFFICER
IFIRMIL"Woka
Meylan Lowe-Watler -Lower Keys Medical
Center/dePoo Hospital
COMMUNITY MENTAL HEALTH AGENCY
DIRECTOR
Joe Laino
a s P•
L510 a Lima HavaWS10kyj
Tommy Terpcning
Paul Hilson
0 003 Lei 61 W11 a INWITI
Sherry Reid
I
A AM 101113 W." I I N9 10 ON A 0 W I it I I WE 031 9
Wendy Coles SHAL
LaWanna Tynes
J[W0F_f JEN1 EN'1401
FACILITY
RaiEtte Avael
DH CHIEF OF PROBATION OFFICER
Approved by County Commission 5/26/11
MONROE C013NTY
C MINAL .II.;STICEg MENTAL HEALTH & SUBSTANCE ABUSE
REINVESTMENT GRANT PLANNING COUNCIL
Attachment C
Catherine Vogel, 11 Alternate Manny Madruga
Rosemary Enright I/ Alternate Christine Geary
Luis Garcia / Alternate Brian Priester
. . 6
Fears, Fowler
COUNTY COURT JUDGE
Chief DonnieAlternate Steve Torre nee
POLICE CHIEF OR DESIGNEE
Sheriff Rick Ramsay �A Iternate Major Lou Caputo
Patricia Burns (Felony) / Alternate Bob Audette
ADMINISTRATOR
holly Elominal 0 Circuit/Afternatc, Jane Isherwood
LOCAL COURT ADMINISTRATOR
Commissioner Danny Kothage
COUNTY COMMISSION
Ruben Valdivia (Court Options -Misdemeanor) /
Alternate Claudia Lyons
NM-lam -'or Tv Taylor
j-.
CORRECTIONAL OFFICER
Frank Rabbito/Guidance Care Center/Westcare/
Alternate Larry Prescott
LOCAL SUBSTANCE ABUSE TREATMENT
DIRECTOR
Sandy Islands / Lower Keys Medical Center/DePoo
Hospital
Joe Laino SFBHN
Lei go IN a [ing MWERNIEW
Edward Vosburgh
111WAR Igo MOR11111W-401 8.11,11 ILI [ELI H.P.MNYVA
Pan] Filson
0 •0 0
FDo-11 111 1 is,
WIM1191ENTAIN
Sherry Read
L;y-lvl:l 0 1 ILA MN I Uy I RN 0 KIM I I WALVA I
Rev. Steve Braddock/Alternate Jeannette McLernon
Monroe County Homeless Services Continuum Of
Care
AREA HOMELESS PROGRAM
REPRENSTATIVE
Vincent Vurro
DJJ - DIRECTOR OF DETENTION FACILITY
Karen Knight
Financial Analyses for :reinvestment I nle entation Grant
The key question regarding the efficacy of this Grant, "Is this program a cost-effective model of
inmate reentry?" is positively demonstrated in a number of financial outcomes. The process
involved creating a comparison of jail bed days and recidivism events and their related costs,
between the Care 4 U Reentry Program population, and a control group of inmates who showed
interest in participating in the program, but after undergoing the initial screening, they declined
participation. The Reentry Program population was composed of 56 individuals, with 4 being
readmitted during the grant period. The control group consisted of 60 individuals.
For the purpose of this grant's evaluation, a demonstrated cost saving based upon jail bed
utilization and recidivism, which were the main dependent variables considered, using the
following definitions. A jail bed day as the name implies, represents the total usage of a jail bed
by a given population. Recidivism is defined as (1) a re -arrest or (2) a re -incarceration.
For operational purposes, the length of the grant period was April 22, 2011 through April 21,
2014. An extension was received to allow certain functions of the grant to continue to June 30,
2014. Due to start up planning and organizational activities, the clinical aspect of the grant,
which specifically relates to the Reentry Program participants and the control group inmates, the
start date for this was October 1, 2011, and the ending date was April 30, 2014. Therefore the
cost data reflects this period and includes the following:
® The total number of jail bed days utilized by both the Reentry Program participants and
the control group is 16,701, resulting in costs of $1,536,492.
® The total jail bed days utilized by the Reentry Program Participants is 7,921 or 47% of
the total.
® The total jail bed days utilized by the control group is 8,780 or 53% of the total.
® The costs for the bed day utilization by the Reentry Program Participants are $728,732,
based upon an average cost of $92. per day.
The costs for the bed day utilization by the control group are $807,760. based upon an
average cost of $92. per day.
11 The Reentry Program Participants spent 859 fewer days in the Detention Center than the
control group during the same period.
Based upon the average cost of $92. per day, the Reentry Program participants cost
$79,028 less that the control group.
From the point of recidivism, the following facts were determined for this grant period.
® The Reentry Program participants had 77 re -incarceration events.
a The control group had 151 re -incarceration events.
® The Reentry Program participants spent a total of 3,436 bed days recidivating. with a
resultant cost of $316,112 during the grant period.
A The control group spent a total of 5,360 bed days recidivating, witha resultant cost of
$493,120 during the grant period.
■ The Reentry Program participants had 1924 fewer recidivism bed days than the control
group. Based upon the average cost of $92. per day, The Reentry Program participants
cost $177,008 less than the control group.
® The rate of recidivism for the Reentry Program Participant is 34% of the total.
® The rate of recidivism for the control group is 66% of the total.
® A total of 26 or 43.3% of the Reentry Program Participants recidivated.
® A total of 43 or 71.6 % of the control group recidivated.
For the Reentry Program participants the frequency of recidivism occurred in the
following order from highest to lowest: 6 month
9 month
15 month
12 month
3 month
18+ months
18 month
1 month
For the control group the f-equency of recidivism occurred in the following order from
highest to lowest: 9 month
6 month
3 month
12 month
15 month
18 month
1 month
18+ months
Many grants are fortunate to continue on to conduct continuing evaluation of their target
populations. This determines the efficacy of the Program, and long term results. It is therefore
recommended that at least annually over the next two years, for the Monroe • Sheri ff s
Office to run data inquiries on the Reentry Program participants and the control group
participants. This data will provide the long-term effectiveness • this Reentry ■
Monroe County
FLORIDA KEYS CIT PROGRAM
CONSULTANT'S REPORT
BACKGROUND
Monroe County was awarded a State of Florida, Department of Children and Families Reinvestment
Grant in November 2010 to implement jail diversion programs. The Monroe County Sheriffs Office was
selected to be the sub -recipient of the grant to develop, implement and oversee the grant activities as
well as manage the funding.
The grant award was approved in April 22, 2011 and actual grant Crisis Intervention Team (CIT) training
activities began in September 2011. The grant ended June 30, 2014.
One of the key activities of the grant was for Monroe County to develop and implement a Crisis
Intervention Team (CIT) Program for law enforcement.
The Crisis Intervention Team (CIT) is an innovative first -responder model of police -based crisis
intervention with community, health care and advocacyTice CIT Model was first
developed in Memphis and has spread throughout the country. It is known as the "Memphis
Model." CIT provides low enforcement -based crisis intervention training for assisting
individuals with a mental illness, and improves the safety of patrol officers, people with mental
illness, family members, and citizens within the community,
CIT is a program that provides the foundation necessary to promote community and statewide
solutions to assist individuals with a mental illness, The CIT Model reduces both stigma and the
need for further involvement with the criminai justice system. CIT provides a forum for effective
problem solving regarding the interaction between the criminal justice and mental health care
systems and creates the context for sustainable change.
Basic Goals:
• Improve Officer and Individuals with Mental Illness Safety
• Redirect Individuals with Mental Illness from the Criminal Justice System to the Health Care
System
Monroe County contracted with Michele Saunders, LCSW and chairperson for the Florida CIT Coalition
to assist as the CIT Trainer in the development and implementation of the Monroe County CIT Program,
known as the Florida Keys CIT Program.
1
CURRENTSTATUS
This program brought together the three key partners of successful OT program: Law Enforcement
Healthcare/Mental Healthcare provider community and Family and Consumer Advocacy. The partners
Law Enforcement
)+
Monroe County Sheriff's Office
o Road Patrol Deputies
o Detention Deputies
o Communications Officers
u School Resources Officers
)�
Key West Police Department
u Road Patrol
o School Resource Officers
o Communication Officers
Key Colony Beach Police Department
Florida Fish and Wildlife Commission
Navy Security
Lower Keys Medical Center
> dePoo Psychiatric Hospital
The Guidance Care Clinic
The Guidance Care Center
]� K0CSOJail Medical Unit/Armor
)� Private Practitioners
)� Veteran's Health Administration/VA Clinic
Florida Keys Outreach Coalition (FNO[)
>� Samue|'sHousm
Peacock House
The Heron Supportive Living
MARC House
Advocacy
> National Alliance onMental Illness ofMonroe County (NAMU Family
> People living with Mental Illnesses and Substance Abuse/Co-occurring Disorders
Others involved
Pretrial Release Services
]� Criminal Justice/Drug Court Treatment providers
)� Probation
Atthe conclusion ofthe grant nnJune 3[\JU14Monroe Countv's Florida Keys CITProgram
accomplished the following:
~/ Ten 40hours [[Ttraining program
� One Communication Officer's (Dispatch) training
V Command Overview ofC|T
~/ One Train the Trainer course todevelop local trainers —I2trainers participated and completed
� 2U4Deputies, Officers, Criminal Justice staff trained
* 31Communication Specialists trained
,/ Development ufaOTPin for the uniform
~' Identification of the future MCSO CIT Coordinator from the Training Department
Identification ofthe future KVVPDand Mental Health CITCoordinators
The formation of a Community Steering/Planning Committee consisting of individuals
representing the three key partnerships
RECOMMENDATIONS FOR SUISTAINABILITY
The following outlines this consultant's recommendations for what is critical and necessary in order for
the Florida Keys CIT to sustain, grow and be successful in achieving its goals of officer safety and safety
of those living with mental illnesses, redirecting people with mental illnesses who are in crisis from the
criminal justice system and into the healthcare/mental healthcare treatment system.
[IT is not Law Enforcement Program; CITb not Mental Health Program; OTis a COMMUNITY
PROGRAM.
CIT IS MORE THAN JUST TRAINING
ForsustainabUhy it is imperative that the Florida Keys OTprognam maintain its identity and ownership
as Community Program with its primary partners: Law Enforcement, Healthcare/Mental Healthcare
and Advocacy.
ReennELPlanninR Committee
�p Continue to have a steering/Planning committee made up of the key partners and community
resource partners
>- The Steehna/P|anning[omnoittee should have at least quarterly meetings with its focus on
preparing for the 40 hour training program, fostering community partnerships, troubleshooting
issues that arise between law enforcement and access to the community receiving center and
with community resources, C|T pnngnnrn implementation and improvement, educating the
community about C|Tand fostering program excellence
)i- CIT Coordinator to chair the CITSteering/Planning Committee
ki
Ensuring C[7 Deputies/Officer are recognized annually for the work they du (see section on
Eglicy and Procedures
Policies and procedures within law enforcement are critical components necessary to give identity and
credibility toany ofits programs. They outline what |yexpected nfthe deputy/officer and they provide
a layer of legal protection for the work of the deputy/officer.
|norderforMonroe County tnhave abmnafWeC|TProgram and notjus a training program:
];o Monroe County Sheriffs Office Road Patrol needs to create its C[T Policy and Procedures and
implement them
)� Monroe County Sheriffs Office — Detention — needs to finalize its CIT Policy and Procedures and
imp|ement1henn
> Key West Police Department needs to create its CIT Policy and Procedures and implement them
It is optimal for the above organization to collaborate and coordinate the final development and
implementation of their policies and procedures for consistency
Communications Officers J.Dispatch)
)� Communication Officers need tnhave alist ofC[Tdeputies/officers who are onshift atall times
in order to assist in directing mental health or crisis calls to the CIT deputy/officer and/or to the
supervisor of that sector for a CIT deputy/officer to respond
)� Have a paid full time C/TCoordinator within Law Enforcement funded through the Monroe
County Commission with designated duties to coordinate and facilitate the C[T Program.
Currently MCSO has recently identified a Sgt. from the Training Department to take on this role.
This position needs tobeanon-going budgeted position
),, Ensure the CIT Coordinator has a written job description (a sample is included with this report)
)�- The CIT Coordinator needs to report to executive leadership (at least a Captain)
)'-, Have an identified CIT Coordinators that represents the mental health system and NAMI
The three coordinators one partners and work hand in hand to share responsibilities, however,
the Law Enforcement CIT Coordinator takes the lead
J� The Law Enforcement CIT Coordinator creates a communication process to share information up
to Command and back down to CIT deputies/officers
E!
40 Hour Training Prparn
]� Monroe County should conduct at least two [/T40 hour training classes annually. Consider
setting up a regular time each year so it becomes part of recognized, expected and accepted
training
)� MCSO and KWPD participate jointly in the 40 hour CIT trainings to share resources and ensure
consistency the among the agencies for implementation
0o not reduce the length ofthe training be|ow4U hours — at that point it is no longer a credible
nor recognized C|Tprogram within Florida and nationally
Allow those involved in the training program as instructors to have approved time to participate
>~ Continue to develop instructors both within law enforcement, mental health and advocacy
Provide budgetary resources to help with the materials and logistic of the training program
Volunteer Deputies/Off icers vs. Mandated
)� Most effective C|T Program involves deputies/officers who volunteer to go through the training
program and willingly implement C|Tskills and strategies intheir dai|yjVb.
Also, the original C[TProgram model developed in Memphis, TN does not endorse training all
road patrol or detention deputies. The optimum is to have at least two deputies/officers on
every shift, every sector, 24/7inorder toprovide adequate coverage and response.
Solicit deputies/officers to volunteer for the training and to be considered a CIT deputy/officer
)� Have supervisors identify deputies/officers who would make effective CIT deputies/officers and
let them know they are being hand selected because of their strengths and leadership qualities
)� If you decide to train all deputies/officers then select only those officers that demonstrate the
desire and willingness tobe[|Tdeputies/officers and wear the [|TPin
> When not training all deputies/officers consider holding an 8 — 12 hour mental health awareness
training for all deputies/ofOcersand introduce the C|Tmnde|
Data Collection
}� Collecting data for both outcomes and program improvement is critical for successful.
)w Attached isatracking form developed for and used by many communities in Florida. However,
many communities have evolved to collecting CIT information through the Dispatch process.
Consider setting up a data collection committee with Communications Officers,
deputies/officers, Law Enforcement leadership, mental health, NAM| and information
technology to develop system to collect and report meaningful info rnmetion/data. This can be
I
used with Law Enforcement leaders, County and City Leaders, Healthcare Leaders to further
support the continuation of CIT, and for grant funding from a varietyof grantor organizations.
>� It is also important that information that is collected and reported to leadership also be
provided back to the CIT deputy/officer so they see the value of their work
)� Identify key elements you want to track to provide outcome data. This may include, but not
limited to:
o Number ofC|Tcalls
o Number ofjail diversion
o Use of Force
o Injuries
o Outcome of CIT intervention -Utilization of community resources in lieu of jail
CITlPins
The CIT Pin is an identity for both the deputy/officer and for consumers and family members in
the community
)� Incorporate within the Policies and Procedures thatdepud display their CIT Pin on
their uniform while acting in a CIT capacity
RefresherT
}~ Conduct at least a four hour up to eight hours CIT Refresher Training each year— no later than
18 months. This training should consist, at o minimum, of review of the Verbal De-escalation
skills and strategies, the Baker Act/Marchman Act and Community Resources
Rg.����n
> Develop a process to recognize the work of the CIT deputies/officers.
> Consider the following.
o Community partners sponsor anannual appreciation/awards event
o Have deputies/officers receive appreciation certificates from Command staff
o Recognize CIT deputies/officers as part of their internal agency recognition ceremonies
Other
)�- Ensure there is continued support from Executive Command Staff
Ensure that Captains, Lieutenants and Sergeants fully understand the CIT Program and support it
Include an update or evaluation annually of the Florida Keys C[T program accomplishments
within the agencies' annual report
ATTACHMENTS
See Addendum 3 Overall Training Evaluation Tally
1.1
THE FLORIDA KEYS CIT TRAINING — OVERALL EVALUATION
10 Classes for LEO/Co rrectio ns/FWC/PTS/D rug Court/Navy Security/Probation = 204 trained
This report covers from September 2011 through June 2014
Exceeded 108 Neither/none 5
Met 84 Not sure 2
Not met 1 Not Answered 4
2. Did you consider this training to be useful?
YES 201
NO 3
3. Did you experience an increase in skills?
YES 196
NO 8
4. Did you experience an increase in knowledge?
YES 201
NO 3
5. Is CIT training a good investment for our organization?
YES 191
NO 4
Not Answered 4
Neutral 5
6. Based on CIT, do you think Patrol Deputies/Officers/Corrections will handle situations
differently?
YES 187
NO 6
Not Answered 5
Neutral 6
THE FLORIDA KEYS CIT TRAINING — OVERALL EVALUATION
For Communication Officers
One Classes for Communication Officers = 21 trained
1. Were your expectations of CIT?
Exceeded 16
Met 3
Not met 2
2. Did you consider this training to be useful?
YES 20
NO I
3. Did you experience an increase in skills?
YES 20
NO I
4. Did you experience an increase in knowledge?
YES 21
NO 0
5. Based on CIT, do you think you will handle situations differently?
YES 20
NO I
6. Would you recommend this training for other Communication Officers?
YES 20
NO 1
Monroe County Criminal Justice Mental Health/Substance Abuse Planning Council
For the Reinvestment 2010 Implementation Gant
Sustainability Committee Chair Report
June 30, 2014
The sustainability committee was charged with the assignment to investigate ways for the council to continue with
the programs developed through the Reinvestment grant once the grant money ends.
Several members of the council participated on this committee with a commitment toward identifying the positive
elements of the current grant programs and seeking funding and resources to maintain the successful activities
and continue working as a community to address the needs in Monroe County residents who are involved with the
criminal Justice system and who have Substance Abuse and Mental health issues.
During the pasta ears we have established:
Collaboration among Stakeholders;
Treatment and training programs;
Partnerships;
State and National resources in the fields of MH/SA and Criminal Justice;
Recommendations to be considered:
Continue our Commitment to the Monroe County Florida Keys CIT Program;
Support the plan by Monroe County Sheriff's Office to request an additional fulltime CIT Program Coordinator
within the MCSO Training Department to be funded by the Monroe County Commission;
Discuss and commit as a Planning Council to reconvene as a CIT Program//Community Reentry Task Force with the
same membership categories to support the sustainability of the CIT Program and review community
programs/resources/needs;
Continue to search for appropriate jail diversion reentry grants;
Continue collaborations and partnerships in County and State;
We see the need for treatment of the for the whole person which includes housing, employment, MH Tx, SA Tx,
health care;
As the Chairperson of the sustainability committee I have enjoyed working with the Planning Council and look
forward to working with each of the stakeholders in the future.
Respectfully Submitted,
Joseph Laino