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

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)

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

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

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

For More Information please visit www.ncdwiservices.org or call 919.733.0566 Lynn Jones DWI Program Manager lynn.b.jones@ncmail.net Jason Reynolds DWI Program Consultant jason.reynolds@ncmail.net Judy Beavers DWI Administrative Assistant judy.beavers@ncmail.net

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. 1962 - 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 1972 - first TASC program in Wilmington, Delaware 2004 - Over 150 individual TASC programs in 32 states Members from 29 states

National TASC History 1962 - 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 1972 - first TASC program in Wilmington, Delaware

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.

TASC in North Carolina 1978 - First TASC Programs in NC 1993 - 10 Programs in 20 Counties 1994 - Enhanced TASC (SSA) 1998 - 23 Programs in 43 Counties 2002 - TASC services available in all 100 counties 2003 - TASC Training Institute

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.

TASC Priority Populations (in rank order) Intermediate Punishment offenders, as per G.S. 15A-1340.11 (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.

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

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

North Carolina TASC Network Region 2 – Andy Miller 412 West Russell Fayetteville, NC 28302 910.321.6796 amiller@mail.ccmentalhealth.org Region 1 - Wes Stewart 308 New Street New Bern, NC 28560 252.638.3909 wstewart@nctasc.net Region 3 – Michael Gray 516 N. Trade St. Winston-Salem, NC 27101 336.714.7099 mgray@nctasc.org Region 4 – Carlene Wood 283 Biltmore Avenue Asheville, NC 28801 828.258.9603 x4463 cwood@nctasc.org 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 14 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 28412 910.202.5500 dwilletts@nctasc.net

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

FY05 TASC Statistics Offenders served: 11,038 18% 16-21 years old; 41% less than 26; 57% 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%

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% ???

For more information about TASC please visit www.dhhs.state.nc.us/mhddsas/sas/tasc/

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

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

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.

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

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.

For more information about Jail Diversion, contact Bob Kurtz, Jail Diversion Coordinator at bob.kurtz@ncmail.net or 919.715.2771 or go to www.dhhs.state.nc.us/mhddsas/ justice/jaildiversion/