1. NC Division of Mental Health, Developmental Disabilities & Substance Abuse Services
Justice Initiatives
Antonio Coor, Martha Lamb, Sonya Brown
District Court Judges Conference
June 14, 2006

2. Justice Systems Innovations
Policies & practices re: adult & child MH, DD & SA needs relative to criminal & juvenile justice systems
includes Drug Control & Driving While Impaired Services Units
Leadership regarding best practices, promising approaches & innovations related to supports, services & txs for individuals & systems performance
includes multi-system coordination with law enforcement (federal, state, county & local), courts, community & institutional corrections (detention centers, youth development centers, jails, prisons, juvenile court counselors & probation, parole & post-release supervision)
(detention centers, youth development centers, jails, prisons, juvenile court counselors & probation, parole & post-release supervision)

3. Justice Systems Innovations
TASC & TASC Training Institute
Review & consultation for DOC residential substance abuse programs & mental health services
Office of DWI Services
Drug Education Schools
Jail Diversion
Protocols sex offender treatment & sexually aggressive youth, in cooperation w/ DCC & DJJDP
MAJORS program for juvenile offenders with substance abuse disorders
Serious & Violent Offender ReEntry Initiative
Court-ordered evaluations
Coordination with AOC for Specialty Courts

4. Justice Systems Innovations
Compliance with Controlled Substances Act, including Drug Detection Dog Handlers & Office based Opioid Tx
Controlled Substances Reporting System (prescription monitoring)
NC Methamphetamine Lab Prevention Act
Justice Awareness on Developmental Disabilities Task Force
Victims with Disabilities Task Force
Collaboration with DJJDP for continuum of care in community & coordination re: transition to & from juvenile justice facilities
Appropriate treatment in DJJDP Detention Centers & Youth Development Centers

5. DMHDDSAS established...
Adult Substance Abusing Criminal Justice Offender Target Population to ensure access to tx for individuals with a SA diagnosis who present the greatest risk to public safety
Eligibility includes:
Diagnostic criteria for a substance-related disorder; &
Services approved by a TASC care manager; &
Status as an Intermediate Punishment offender, a DOC releasee who completed an in-prison treatment program, or a Community Punishment violator at-risk for revocation
Priority Populations within Mental Health Target Populations include Mentally ill adults in the criminal justice system: Persons 18 or older with SMI who are released from DOP or are in local jails or on probation

6. For More Information please visit www.ncdwiservices.org
or call
Lynn Jones
DWI Program Manager
Jason Reynolds
DWI Program Consultant
Judy Beavers
DWI Administrative Assistant

7. What is TASC?
A model & methodology that bridges two separate systems: justice & treatment.
The justice system’s legal sanctions reflect community concerns for public safety, while treatment emphasizes therapeutic relationships as a means for changing behavior.
Robinson v. California - addiction is an illness, not a crime
1970s - Federal government develops model to interrupt drug-crime cycle - Treatment Alternatives to Street Crime
first TASC program in Wilmington, Delaware
Over 150 individual TASC programs in 32 states Members from 29 states

8. National TASC History
Robinson v. California - addiction is an illness, not a crime
1970s - Federal government develops model to interrupt drug-crime cycle - Treatment Alternatives to Street Crime
first TASC program in Wilmington, Delaware

9. In NC, TASC is administered by the Division of Mental Health, Developmental Disabilities & Substance Abuse Services, through private NPOs & public MH Centers.
NC TASC effectively & efficiently links treatment & justice goals of reduced drug use & criminal activity through processes that increase treatment access, engagement & retention.

10. TASC in North Carolina 1978 - First TASC Programs in NC
Programs in 20 Counties
Enhanced TASC (SSA)
Programs in 43 Counties
TASC services available in all counties
TASC Training Institute

11. TASC Eligibility
involvement in the adult CJS or DOC releasee who completed a prison substance abuse program; &
voluntary consent to participate; &
evidence of a history or potential substance abuse and/or mental health issue, including drug-related charges
The purpose of prioritizing the offender population is to ensure that limited resources are used efficiently and effectively. Research indicates that high risk/high need offenders have the greatest impact on justice and treatment systems. Therefore TASC seeks to identify and address the needs of this important subset of the offender population. More intensive services should be reserved for high risk/high need offenders as they respond better to intensive services, low risk/low need offenders do as well or better with minimal intervention.

12. TASC Priority Populations (in rank order)
Intermediate Punishment offenders, as per G.S. 15A (6);
DOC releasees who have completed a prison substance abuse treatment program;
Community Punishment violators At-Risk for Revocation:
other DCC referrals;
other CJS/Judicial Referrals
The purpose of prioritizing the offender population is to ensure that limited resources are used efficiently and effectively. Research indicates that high risk/high need offenders have the greatest impact on justice and treatment systems. Therefore TASC seeks to identify and address the needs of this important subset of the offender population. More intensive services should be reserved for high risk/high need offenders as they respond better to intensive services, low risk/low need offenders do as well or better with minimal intervention.

13. TASC Core Services Screening & Assessment
Service Determination, Matching & Placement
Care Planning, Coordination & Management
Reporting to Justice System

14. TASC Care Management Model
Comprehensive Clinical Assessment
Collaborative Individualized
Case Planning
Treatment
Referral
Other
Services
Monitoring
Reporting to Referral Source

15. North Carolina TASC Network
Region 2 – Andy Miller
412 West Russell
Fayetteville, NC
Region 1 - Wes Stewart
308 New Street
New Bern, NC
Region 3 – Michael Gray
516 N. Trade St.
Winston-Salem, NC
Region 4 – Carlene Wood
283 Biltmore Avenue
Asheville, NC
x4463
Region 3
Region 2
Region 1 23
Ashe
Alleghany 23 1
Gates
Surry
17 B
Caswell
9 A 9
Vance 9
Warren
Stokes
17 B
Northampton
6 B
Rockingham
17 A
Person 9 9
Granville
6 B
Hertford
Currituck
Region 4 24
Watauga
6 A
Halifax
Perquimans
Camden
Wilkes 23
Yadkin 23
Forsyth
21 A-B-C-
& D
Alamance
15 A
6 B
Bertie
Pasquotank
Mitchell 24
Avery 24
Guilford
18 A-B-C-D-E
Orange
15 B
Durham A-B 9
Franklin
7 A
Nash
Chowan
Alexander 22
7 B
Edgecombe
Yancey 24
Caldwell
25 A
Davie 22 2
Martin
Madison 24
Wake
10 A-B-C-D 2
Washington
Davidson 22 2
Tyrrell
Burke
25 A
Iredell 22
Chatham
15 B
Dare 1
McDowell 29
Catawba
25 B
Randolph
19 B
Wilson
7 C
3 A
Pitt
Haywood
30 B
Buncombe 28
Rowan
19 C 2
Beaufort
Swain
30 A
Lincoln 27 B
Lee 11
Johnston 11
8 A
Greene 2
Hyde
30 A
Graham
Rutherford 29
19 B
Montgomery
8 B
Wayne
Jackson
30 B
Henderson 29
Polk 29
27 B
Cleveland
Cabarrus
19 A
Harnett 11
27 A
Gaston
26 A-B-C
Mecklenburg
Stanly
20 B
Moore
20 A
8 A
Lenoir
Transylvania 29
3 B
Craven
3 B
Pamlico
Cherokee
30 A
Macon
30 A
4 A
Jones
Clay 30A
12 A-B-C
Cumberland
Union
20 B
Anson
20 A
Richmond
20 A
Hoke
16 A
Sampson
4 A
Duplin
4 A
16 A
Scotland
4 B
Onslow
3B Carteret
Robeson
16 B 13
Bladen
Pender 5
New
Hanover 5
North Carolina TASC Network 13
Columbus 13
Brunswick
TASC Training Institute
Dale Willetts
615 Shipyard Blvd.
Wilmington, NC

16. TASC Quality Points Statewide Availability for Equity
Regional Management for Economies of Scale
TASC Training Institute
TASC in MH Reform Legislation
MH Commission promulgated TASC Rules
NC TASC Standard Operating Procedures
National TASC Critical Elements
Local Memoranda of Agreement
TASC CJM Performance Measures
Funding contingent on DHHS-DOC-AOC MOA compliance
To ensure accountability
Audits
DHHS-DOC MOU as model

17. FY05 TASC Statistics Offenders served: 11,038
18% years old; 41% less than 26; % less than 31
86% Not married
56% Did not complete high school
37% Unemployed at admit
Primary Substance Related to Arrest
• Cocaine 29% • Marijuana 29% • Alcohol 19%
Length of Stay
• 0-3 months 28% • 4-6 months 37%
• 7-12 months 33% • More than 1 year 9%

18. TASC Costs & Benefits $1.50 per TASC client per day (FY04-05)
FY96-97 sample TASC client pop*:
85.9% had at least one previous arrests (mean # 2.6)
61.3% were NOT re-arrested within 2 years
* NC Sentencing & Policy Advisory Commission - Submitted to the 2000 Session of the North Carolina General Assembly
calculation based on $6,429,775 (no TTI)/9845 clients
Overall recidivism was 67.4% ???

19. For more information about TASC please visit

20. Goals of NC Jail Diversion Programs
Preventing the inappropriate incarceration of persons with mental illness & co-occurring disorders
Reducing jail time for people with mental illness &/or DD who are inappropriately confined
Linking detainees to appropriate mental health & community services following their release from jail

21. What do jail diversion staff do?
Screen detainees in contact with the criminal justice system for the presence of a mental illness
Negotiate with law enforcement, prosecutors, defense attorneys & the court to develop community-based mental health treatment dispositions for clients as alternatives to incarceration
Link clients to community based mental health services, once the mental health disposition is determined & agreed on by all parties

22. Two Categories of Jail Diversion Initiatives
Pre-booking - Provide community based alternatives to arrest and incarceration. Most include a 24 hour crisis unit with a no refusal policy for law enforcement.
Post-booking - Following arrest and with the agreement of the court, involvement in treatment in the community.

24. Continuum of jail diversion services
Interaction with police
Jail
Court
Not
diverted
Pre-booking diversion (to crisis unit or other community service)
Post-booking
diversion
Mental
health
court
Released to
community after
sentence is served

25. Crisis Intervention Teams
The goal of CIT is to develop a group of specially trained officers to recognize serious mental illness in someone who may be breaking the law, manage the situation without violence & take the individual to the Crisis Center rather than the jail.
DMHDDSAS works with a team from Wake County to implement a Crisis Intervention Team based on the Memphis Model. The team includes:
Raleigh & Cary Police Departments
Wake County Sheriff’s Office
Wake County Consumer & Family Advisory Committee
NAMI-WC
Wake County Human Services
Training, necessary to implement the project, is funded by a grant from the NC Governor’s Crime Commission to DMHDDSAS, with matching funds from Wake County Human Services.
Consistent with mental health reform, jail diversion & CITs seek to improve access to community based services by coordinating with law enforcement to reduce further penetration into criminal justice system.

27. For more information about Jail Diversion, contact Bob Kurtz, Jail Diversion Coordinator at or
or go to
justice/jaildiversion/