TREATMENT, NOT JAIL: Investing in Rational System Change Florida’s New Reinvestment Act Presented...
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Transcript of TREATMENT, NOT JAIL: Investing in Rational System Change Florida’s New Reinvestment Act Presented...
TREATMENT, NOT JAIL: Investing TREATMENT, NOT JAIL: Investing
in Rational System Changein Rational System Change
Florida’s New Reinvestment ActFlorida’s New Reinvestment Act
Presented by:Presented by:
Michele Saunders, LCSWMichele Saunders, LCSW
Judge Mark SpeiserJudge Mark Speiser
Focus of PresentationFocus of Presentation
Florida’s Landscape – the crisisFlorida’s Landscape – the crisis
Development of the Reinvestment Act to address the Development of the Reinvestment Act to address the crisiscrisis
Effective advocacy strategiesEffective advocacy strategies
Components of the Criminal Justice, Mental Health and Components of the Criminal Justice, Mental Health and Substance Abuse Reinvestment Act Substance Abuse Reinvestment Act
How this new Act is providing necessary resources to How this new Act is providing necessary resources to local communities to “Create more Effective Services”local communities to “Create more Effective Services”
Florida’s LandscapeFlorida’s Landscape Funding for community based services “flat” for over 10 Funding for community based services “flat” for over 10
yearsyears
Rank 48Rank 48thth in Nation per capita for mental health and in Nation per capita for mental health and substance abuse fundingsubstance abuse funding
Rank 12Rank 12thth in Forensic spending in Forensic spending
Over 125,000 people with serious mental illnesses Over 125,000 people with serious mental illnesses booked into jail annuallybooked into jail annually
Roughly 150,000 children and adolescents are involved Roughly 150,000 children and adolescents are involved with the Juvenile Justice Systemwith the Juvenile Justice System
Florida’s LandscapeFlorida’s Landscape
Jail budgets increasing to cover costsJail budgets increasing to cover costs
Increased liabilityIncreased liability
““The Last Straw” – Lawsuit brought against DCF The Last Straw” – Lawsuit brought against DCF Administrator for failing to comply with the law to Administrator for failing to comply with the law to move people deemed incompetent to stand trial move people deemed incompetent to stand trial to a forensic bed within 15 days – people to a forensic bed within 15 days – people lingering in jailslingering in jails
Definition of CrisisDefinition of Crisis
A Time of great danger or trouble, often one A Time of great danger or trouble, often one which threatens to result in unpleasant which threatens to result in unpleasant consequencesconsequences
A Turning point in the course of anything, A Turning point in the course of anything, decisive or crucial time, stage or event. decisive or crucial time, stage or event.
Comprehensive Approach vs. Comprehensive Approach vs. Quick FixesQuick Fixes
Align state policy making and budgets with what Align state policy making and budgets with what worksworks
Increase use of best practices and evidenced Increase use of best practices and evidenced based practicesbased practices
Allow local flexibilityAllow local flexibility
Build State, local, public, private partnershipsBuild State, local, public, private partnerships
Comprehensive Approach vs. Comprehensive Approach vs. Quick FixesQuick Fixes
Increase cross system collaborationIncrease cross system collaboration
Increase capacity of community based servicesIncrease capacity of community based services
Decrease jail expendituresDecrease jail expenditures
Reinvest savings or cost avoidance spending Reinvest savings or cost avoidance spending back into the community based systemback into the community based system
Criminal Justice, Mental Health and Criminal Justice, Mental Health and Substance Abuse Reinvestment ActSubstance Abuse Reinvestment Act
Modeled after the Federal Mentally Ill Offender Modeled after the Federal Mentally Ill Offender Treatment and Crime Reduction ActTreatment and Crime Reduction Act
Similar format as the BJA Matching Grant Similar format as the BJA Matching Grant ProgramProgram
Community Partnerships
Advocacy
Diversion/Intervention Programs
Advocacy:Advocacy: A Necessary Component for Creating Effective ProgramsA Necessary Component for Creating Effective Programs
The Power of One Voice: The Key Partners The Power of One Voice: The Key Partners for Advocacyfor Advocacy
Florida Partners In CrisisFlorida Partners In Crisis Criminal Justice, behavioral healthcare and consumer advocacy Criminal Justice, behavioral healthcare and consumer advocacy
leadersleaders
The Substance Abuse and Mental Health Corporation The Substance Abuse and Mental Health Corporation Legislatively created corporation to review and provide Legislatively created corporation to review and provide
recommendations to the legislature about needs for the systemrecommendations to the legislature about needs for the system Board members appointed by Governor, Senate President and Board members appointed by Governor, Senate President and
Speaker of the HouseSpeaker of the House
The Florida Association of CountiesThe Florida Association of Counties Trade Association for Florida CountiesTrade Association for Florida Counties Sheriffs in local counties run the jailSheriffs in local counties run the jail
Our Advocacy StrategiesOur Advocacy Strategies
Treatment, Not Jail:Investing in Community Solutions to
Florida’s Mental Health and Substance Abuse Crisis
Treatment, Not Jail:Investing in Community Solutions to
Florida’s Mental Health and Substance Abuse Crisis
Florida Partners in Crisis2007 Legislative Agenda
Our Advocacy StrategiesOur Advocacy Strategies Organized Op Ed pieces from key membersOrganized Op Ed pieces from key members
Organized testimony at committee meetingsOrganized testimony at committee meetings
Created various handoutsCreated various handouts
Developed a Button: SB 542Developed a Button: SB 542
Members met with local legislatorsMembers met with local legislators
High profile members met with key legislators – role of High profile members met with key legislators – role of judiciary and law enforcementjudiciary and law enforcement
Calls, emails and letter campaignCalls, emails and letter campaign
Criminal Justice, Mental Health and Criminal Justice, Mental Health and Substance Abuse Reinvestment ActSubstance Abuse Reinvestment Act
The components of the ACTThe components of the ACT
How it worksHow it works
The awardsThe awards
Local county projectsLocal county projects
Criminal Justice, Mental Health and Criminal Justice, Mental Health and Substance Abuse Reinvestment ActSubstance Abuse Reinvestment Act
Jointly funded by Healthcare and Criminal Justice Jointly funded by Healthcare and Criminal Justice Appropriations CommitteesAppropriations Committees
$3.8 million appropriated: 1 year planning or 3 year $3.8 million appropriated: 1 year planning or 3 year implementation/expansion grantsimplementation/expansion grants
Funds are matched dollar for dollar by the local countiesFunds are matched dollar for dollar by the local counties
Established local planning councilsEstablished local planning councils
Oversight by a state Policy CouncilOversight by a state Policy Council
Create a Technical Assistance Center at the Florida Mental Create a Technical Assistance Center at the Florida Mental Health InstituteHealth Institute
SignificanceSignificance
Begins a county and state partnership to reduce Begins a county and state partnership to reduce the number of individuals with substance abuse the number of individuals with substance abuse and/or mental health disorders in local jails and and/or mental health disorders in local jails and state prisons.state prisons.
Provides Florida with the necessary tools to Provides Florida with the necessary tools to redesign our fragmented mental health system.redesign our fragmented mental health system.
General PurposeGeneral Purpose
Provide matching grant funding dollars to Provide matching grant funding dollars to counties that will:counties that will:
increase public safetyincrease public safety
avert increase spending on criminal justiceavert increase spending on criminal justice
improve the accessibility and effectiveness of improve the accessibility and effectiveness of treatment services for adults and juveniles who have treatment services for adults and juveniles who have mental illness, substance abuse disorders, or co-mental illness, substance abuse disorders, or co-occurring mental health and substance abuse occurring mental health and substance abuse disorders. disorders.
Policy Council’s RolePolicy Council’s Role Work in conjunction with grantee countiesWork in conjunction with grantee counties
Ensure that effective strategies developed are Ensure that effective strategies developed are disseminated statewide disseminated statewide
Establish a state-local dialogue for policy and budget Establish a state-local dialogue for policy and budget development and for system change and improvementsdevelopment and for system change and improvements
Coordinate its work with the newly created Technical Coordinate its work with the newly created Technical Assistance CenterAssistance Center
Prepare an annual report to the legislaturePrepare an annual report to the legislature
Technical Assistance CenterTechnical Assistance Center The Reinvestment Act created the Criminal Justice, The Reinvestment Act created the Criminal Justice,
Mental Health and Substance Abuse Technical Mental Health and Substance Abuse Technical Assistance Center at the Louis de la Parte Florida Assistance Center at the Louis de la Parte Florida Mental Health Institute at the University of South Florida. Mental Health Institute at the University of South Florida. Its primary functions are: Its primary functions are:
To provide technical assistance to counties for the preparation To provide technical assistance to counties for the preparation and implementation of grantsand implementation of grants
Assesses the impact of grant awards on county criminal justice Assesses the impact of grant awards on county criminal justice systemssystems
To serve as a clearinghouse for information about criminal To serve as a clearinghouse for information about criminal justice, mental health and substance abuse issues, including justice, mental health and substance abuse issues, including best practices.best practices.
COUNTYCOUNTY AMOUNT AWARDEDAMOUNT AWARDED MATCH DOLLARSMATCH DOLLARSAlachuaAlachua $999,000$999,000 $999,000$999,000
BrowardBroward $991,368$991,368 $991,368$991,368
CharlotteCharlotte $60,190$60,190 $60,190$60,190
CitrusCitrus $50,166$50,166 $50,166$50,166
DuvalDuval $91,200$91,200 $93,319$93,319
FlaglerFlagler $40,447$40,447 $23,061$23,061
HillsboroughHillsborough $999,999$999,999 $1,000,000$1,000,000
LakeLake $60,000$60,000 $60,000$60,000
LeeLee $997,699$997,699 $2,030,473$2,030,473
LeonLeon $792,623$792,623 $989,007$989,007
MarionMarion $59,000$59,000 $68,587$68,587
MartinMartin $100,000$100,000 $100,000$100,000
Miami – DadeMiami – Dade $999,000$999,000 $999,000$999,000
MonroeMonroe $92,568$92,568 $96,275$96,275
NassauNassau $225,000$225,000 $1,018,556$1,018,556
OrangeOrange $954,665$954,665 $2,476,789$2,476,789
OsceolaOsceola $87,500$87,500 $87,500$87,500
Palm BeachPalm Beach $100,000$100,000 $100,000$100,000
PolkPolk $980,706$980,706 $1,021,530$1,021,530
St. LucieSt. Lucie $688,572$688,572 $1,087,929$1,087,929
SumterSumter $50,000$50,000 $25,000$25,000
VolusiaVolusia $65,300$65,300 $65,408$65,408
Types of ProgramsTypes of Programs
CIT ProgramsCIT Programs OutreachOutreach HousingHousing Mental Health CourtsMental Health Courts Forensic Case ManagersForensic Case Managers Forensic ProbationForensic Probation Increase use of Peer SpecialistsIncrease use of Peer Specialists
Next StepsNext Steps
Work with counties who received grants for successful Work with counties who received grants for successful implementationimplementation
Work with Legislature to sustain funding and expand Work with Legislature to sustain funding and expand fundingfunding
Build on this legislation with additional legislation for Build on this legislation with additional legislation for effectively invest in rational system change away from effectively invest in rational system change away from the justice systemthe justice system
Use this legislation to help “Create More Effective Use this legislation to help “Create More Effective Services”Services”
Contact informationContact information
Michele Saunders, LCSWMichele Saunders, LCSWExecutive DirectorExecutive Director
Florida Partners in CrisisFlorida Partners in Crisis407/574-7182407/574-7182
[email protected]@comcast.net
Judge Mark SpeiserJudge Mark Speiser1717thth Judicial Circuit Court Judicial Circuit Court
Felony Mental Health CourtFelony Mental Health Court954/831-7805954/831-7805
[email protected]@17th.flcourts.org