Introduction toIntroduction toKenosha County Behavioral Kenosha County Behavioral

Health CourtsHealth CourtsKenosha County Division of Aging &

Disability

Jim Truchan (LMFT,LPC,LCSW)

Human Services Manager

May , 2014

The Cycle of Incarceration

Mental Illness / SUD Crime

Courts

Incarceration

Minimal / No

Treatment

Behavioral Health Courts Work to Stop this Endless Cycle

DefinitionDefinition

A Behavioral Health Treatment Courtourt (BHTC) is a problem-solving approach that uses the power of the court in collaboration with other participants (prosecutors, defense counsel, treatment providers, probation officers, law enforcement, educational and vocational experts, community leaders and others) to closely monitor the defendant's progress toward recovery and sobriety through ongoing treatment, frequent random drug testing, regular mandatory check-in court appearances, and the use of a range of prompt incentives and sanctions to foster behavior change.

Essential Elements of Specialty CourtsEssential Elements of Specialty Courts

Non-adversarial processNon-adversarial process Non-traditional courtroom dynamic Non-traditional courtroom dynamic Intensive probation supervision Intensive probation supervision

(“probation on steroids”)(“probation on steroids”) Frequent and random drug testingFrequent and random drug testing Treatment partners with criminal justice Treatment partners with criminal justice

systemsystem Focus on collaboration among agencies Focus on collaboration among agencies

and other parts of the court systemand other parts of the court system Holistic approach Holistic approach Rewards and sanctionsRewards and sanctions

Kenosha County Behavioral Kenosha County Behavioral Health Treatment CourtHealth Treatment Court

Mission StatementMission Statement ““The mission of the Kenosha County The mission of the Kenosha County

Behavioral Health Treatment Court is to Behavioral Health Treatment Court is to enhance public safety and personal enhance public safety and personal recovery by providing intensive recovery by providing intensive supervision, evidenced based treatment, supervision, evidenced based treatment, and cost effective services to convicted and cost effective services to convicted nonviolent adult offenders who endure nonviolent adult offenders who endure severe and persistent mental illness. severe and persistent mental illness.

Kenosha County Behavioral Kenosha County Behavioral Health Treatment CourtHealth Treatment Court

Goals & ObjectivesGoals & Objectives

1.1. Improve Quality of Life (Housing, Improve Quality of Life (Housing, Relationships, Meaningful Activities)Relationships, Meaningful Activities)

2.2. Increase Treatment Engagement Increase Treatment Engagement (Recovery Plan, Personal Investment, (Recovery Plan, Personal Investment, Accountability) Accountability)

3.3. Enhance Public Safety (compliance Enhance Public Safety (compliance with probation, no new criminal with probation, no new criminal activity) activity)

GoalsGoals

Improve public safety by reducing Improve public safety by reducing recidivism.recidivism.

Reduce criminal justice costs for Reduce criminal justice costs for Kenosha County.Kenosha County.

Enhance recovery related behaviors Enhance recovery related behaviors while reducing substance abuse by while reducing substance abuse by program participants.program participants.

Target PopulationTarget Population

Kenosha County residentsKenosha County residents Convicted of nonviolent crimes Convicted of nonviolent crimes (such (such

as, but not limited to, forgery, theft, felony hit as, but not limited to, forgery, theft, felony hit and run, criminal damage to property, operating and run, criminal damage to property, operating motor vehicle without owner's consent, drug motor vehicle without owner's consent, drug charges except distribution for profit)charges except distribution for profit)

Diagnosed Severe and Persistent Diagnosed Severe and Persistent Mental IllnessMental Illness

Amenable to treatmentAmenable to treatment

Eligibility CriteriaEligibility Criteria

Kenosha County residentKenosha County resident Severe & Persistent Mental Illness Severe & Persistent Mental Illness

and may have Substance Abuse and may have Substance Abuse Disorder Disorder

Convicted of nonviolent crime(s)Convicted of nonviolent crime(s) Willingness to be honest & Willingness to be honest &

participate fully. participate fully.

NotNot Eligible Eligible

Violent offenderViolent offender Conviction(s) for distribution of drugs Conviction(s) for distribution of drugs

for profitfor profit Unresolved charges or current Unresolved charges or current

supervision in another jurisdictionsupervision in another jurisdiction Subject to deportationSubject to deportation Present conviction(s) for alcohol-Present conviction(s) for alcohol-

related traffic offense (OWI, etc.)related traffic offense (OWI, etc.)

BEHAVIORAL HEALTH BEHAVIORAL HEALTH TREATMENT COURT IS TREATMENT COURT IS NOTNOT

“GET OUT OF JAIL FREE CARD“GET OUT OF JAIL FREE CARD”” Rigorous, intensive, closely monitored Rigorous, intensive, closely monitored

program participation is expectedprogram participation is expected ““Probation on steroids”Probation on steroids”

Dedicated agent Dedicated agent Supervision level (high risk, maximum or Supervision level (high risk, maximum or

medium) depending on individual situationmedium) depending on individual situation Includes home visits, office visits, collateral Includes home visits, office visits, collateral

contacts, frequent random drug tests and contacts, frequent random drug tests and regular court appearancesregular court appearances

Kenosha Behavioral Health Kenosha Behavioral Health Treatment Court TeamTreatment Court Team

Judge – Chad Judge – Chad Kerkman Kerkman

Prosecutor – Jim Prosecutor – Jim KrausKraus

Public Defender – Public Defender – Carmen LassiterCarmen Lassiter

Coordinator – Coordinator – LaShonda TolefreeLaShonda Tolefree

Program Manager- Program Manager- Jim TruchanJim Truchan

CSP & CCS CSP & CCS RepresentativesRepresentatives

Law Enforcement – Law Enforcement – John Rohde (KPD)John Rohde (KPD)

Probation Agent –Probation Agent –Lori KuehnLori Kuehn

Treatment Provider Treatment Provider - Jeannie Seefeldt- Jeannie Seefeldt

Evaluator - Jennifer Evaluator - Jennifer MadoreMadore

NAMI Advocate- NAMI Advocate- Jack Rose Jack Rose

Kenosha Behavioral Health Kenosha Behavioral Health Treatment Court TeamTreatment Court Team

Meets weekly one hour before CourtMeets weekly one hour before Court Reviews and decides requests for Reviews and decides requests for

participationparticipation Reviews participant progress reports Reviews participant progress reports

and incident reportsand incident reports Recommends rewards & sanctions for Recommends rewards & sanctions for

participant behaviorparticipant behavior May terminate participation for good May terminate participation for good

causecause

Kenosha Behavioral Health Kenosha Behavioral Health Treatment CourtTreatment Court

Post-disposition modelPost-disposition model Participants may enter pleas and, Participants may enter pleas and,

when possible, placed on probation at when possible, placed on probation at the same timethe same time

Three phase program (Stabilization, Three phase program (Stabilization, Skill Building & Symptom Skill Building & Symptom Management, Continued Recovery) Management, Continued Recovery)

Progressive approach: improved Progressive approach: improved progress = less interventionprogress = less intervention

Phase One- StabilizationPhase One- Stabilization

Minimum three monthsMinimum three months Starts upon Starts upon

plea/sentencingplea/sentencing Weekly court Weekly court

appearancesappearances ““High risk” supervision High risk” supervision

subject to team subject to team decisiondecision

Coordinated servicesCoordinated services Attend self-help groups Attend self-help groups

(AA/NA) 5x or as (AA/NA) 5x or as directeddirected

Employed, looking for Employed, looking for work or job trainingwork or job training

Comply with all Comply with all aspects of recovery aspects of recovery planplan

Random drug tests Random drug tests coordinated by DOC, coordinated by DOC, treatment provider or treatment provider or jailjail

Advancement to Phase Advancement to Phase 2 based upon BHTC 2 based upon BHTC review and approval. review and approval.

Phase Two- Skill Building ans Phase Two- Skill Building ans continued Symptom Managementcontinued Symptom Management

Minimum six monthsMinimum six months Appear in court bi-Appear in court bi-

weekly or as directed weekly or as directed Maximum or medium Maximum or medium

supervision subject to supervision subject to team decisionteam decision

Obtain peer or advocateObtain peer or advocate Attend self-help groups Attend self-help groups

3x or as directed3x or as directed Continued program Continued program

compliancecompliance

Employed, or if job lost, Employed, or if job lost, engaged in educational engaged in educational programming or other programming or other meaningful daily meaningful daily activity as directedactivity as directed

Comply with all aspects Comply with all aspects of treatment planof treatment plan

Continued random drug Continued random drug tests tests

Advancement to Phase Advancement to Phase Three on BHTC approval Three on BHTC approval

Phase Three- Continued Phase Three- Continued Recovery Recovery

Minimum six monthsMinimum six months Appear in court every Appear in court every

other week other week Maximum or medium Maximum or medium

supervision subject to supervision subject to team decisionteam decision

Maintain sponsorMaintain sponsor Attend self-help groups Attend self-help groups

3x or as directed3x or as directed Continued program Continued program

compliancecompliance

Employed, or if job lost, Employed, or if job lost, engaged in educational engaged in educational programming or other programming or other meaningful daily activity meaningful daily activity as directedas directed

Comply with all aspects Comply with all aspects of treatment planof treatment plan

Continued random drug Continued random drug tests tests

““Clean and sober” at Clean and sober” at least 120 consecutive least 120 consecutive daysdays

BEHAVIORAL HEALTH BEHAVIORAL HEALTH TREATMENT COURTS:TREATMENT COURTS:

TEN KEY COMPONENTSTEN KEY COMPONENTS

#1#1

Behavioral Health Treatment Behavioral Health Treatment Courts integrate recovery and Courts integrate recovery and

treatment services with treatment services with justice system case justice system case

processing. processing.

#2#2

Using a non adversarial Using a non adversarial approach, prosecution and approach, prosecution and defense counsel promote defense counsel promote

public safety while protecting public safety while protecting participants' due process participants' due process

rights. rights.

#3#3

Eligible participants are Eligible participants are identified early and promptly identified early and promptly placed in the court program. placed in the court program.

#4#4

Behavioral Health Treatment Behavioral Health Treatment Courts provide access to a Courts provide access to a continuum of alcohol, drug, continuum of alcohol, drug, and other related treatment and other related treatment and rehabilitation services. and rehabilitation services.

#5#5

Treatment is monitored by Treatment is monitored by qualified mental Health qualified mental Health providers. Abstinence is providers. Abstinence is

monitored by frequent alcohol monitored by frequent alcohol and other drug testing. and other drug testing.

#6#6

A coordinated strategy A coordinated strategy governs court responses to governs court responses to participants' compliance. participants' compliance.

#7#7

Ongoing judicial interaction Ongoing judicial interaction with each court participant is with each court participant is

essential. essential.

#8#8

Monitoring and evaluation Monitoring and evaluation measure the achievement of measure the achievement of

program goals and gauge program goals and gauge effectiveness. effectiveness.

#9#9

Continuing interdisciplinary Continuing interdisciplinary education promotes effective education promotes effective

court planning, court planning, implementation, and implementation, and

operations. operations.

#10#10

Forging partnerships among courts, Forging partnerships among courts, public agencies, and community-public agencies, and community-

based organizations generates local based organizations generates local support and enhances drug court support and enhances drug court

program effectiveness. program effectiveness.

““FAKE IT AND FAKE IT AND YOU WON’T YOU WON’T

MAKE IT”MAKE IT”

Behavioral Health Treatment Court Behavioral Health Treatment Court NetworkNetwork

Specialty Courts Are EffectiveSpecialty Courts Are Effective

NationallyNationally (NADCP) (NADCP)

Save $27 for every $1 Save $27 for every $1 investedinvested

$22,650 ave. cost per $22,650 ave. cost per prisoner per prisoner per

$6,985 ave cost per STC $6,985 ave cost per STC recipientrecipient

75% don’t re-offend75% don’t re-offend 2/3 stay on Recovery 2/3 stay on Recovery

coarse after 1 year coarse after 1 year Total crime reduced by 45%Total crime reduced by 45% $8.3 billion saved in 2009 $8.3 billion saved in 2009

In Kenosha CountyIn Kenosha County

95% sobriety rate95% sobriety rate 212.6 days to 10.75 days212.6 days to 10.75 days $70 Jail / Detention Center vs $70 Jail / Detention Center vs

$12.81 Specialty Court$12.81 Specialty Court 65% to 90% avoid further jail65% to 90% avoid further jail Up to 80% involved in Up to 80% involved in

meaningful daily activities.meaningful daily activities. 100% Drug free healthy babies 100% Drug free healthy babies

(3)(3) 75 to 90% Recovery compliant 75 to 90% Recovery compliant

from week to week (incentive vs from week to week (incentive vs sanction sanction

80% since graduation crime free80% since graduation crime free

Bottom line:Bottom line:

Treatment Courts Treatment Courts Work! Work!