NC Division of Mental Health, Developmental Disabilities & Substance Abuse Services

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)

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... • 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 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: Priority Populations withinMental 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. DWI Services 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

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.

8. 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

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 • 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

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

12. 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

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

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

15. 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 1 Gates 23 Ashe Alleghany 23 Caswell 9 A Surry 17 B 9 Vance 9 Warren Northampton 6 B Currituck Stokes 17 B Rockingham 17 A Person 9 6 B Hertford 9 Granville Camden Perquimans 6 A Halifax 24 Watauga Region 4 Wilkes 23 Pasquotank Yadkin 23 Forsyth 21 A-B-C- & D 6 B Bertie Alamance 15 A 9 Franklin Durham 14 A-B Avery 24 Mitchell 24 Guilford 18 A-B-C-D-E Chowan Orange 15 B 7 A Nash Alexander 22 7 B Edgecombe 2 Martin Caldwell 25 A Yancey 24 Davie 22 Madison 24 Wake 10 A-B-C-D 2 Washington 2 Tyrrell Dare 1 Davidson 22 Iredell 22 Chatham 15 B Burke 25 A Randolph 19 B Wilson 7 C Catawba 25 B 3 A Pitt McDowell 29 2 Beaufort Rowan 19 C Buncombe 28 Haywood 30 B 8 A Greene Johnston 11 2 Hyde Lincoln 27 B Lee 11 Swain 30 A 19 B Montgomery 8 B Wayne Rutherford 29 Cabarrus 19 A Harnett 11 30 A Graham Henderson 29 Polk 29 27 B Cleveland Jackson 30 B Stanly 20 B Moore 20 A 8 A Lenoir 26 A-B-C Mecklenburg 27 A Gaston 3 B Craven 3 B Pamlico Transylvania 29 Macon 30 A 4 A Jones Cherokee 30 A 12 A-B-C Cumberland Clay 30A Richmond 20 A Hoke 16 A Union 20 B Anson 20 A Duplin 4 A Sampson 4 A 4 B Onslow 16 A Scotland 3B Carteret 13 Bladen Robeson 16 B Pender 5 New Hanover 5 13 Columbus North Carolina TASC Network TASC Training Institute Dale Willetts 615 Shipyard Blvd. Wilmington, NC 28412 910.202.5500 dwilletts@nctasc.net 13 Brunswick

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

17. 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%

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

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

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? • Screendetainees in contact with the criminal justice system for the presence of a mental illness • Negotiatewith law enforcement, prosecutors, defense attorneys & the court to develop community-based mental health treatment dispositions for clients as alternatives to incarceration • Linkclients 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 alternativesto 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 bob.kurtz@ncmail.net or 919.715.2771 or go to www.dhhs.state.nc.us/mhddsas/ justice/jaildiversion/