dallas county behavioral health leadership team thursday ......henry wade juvenile justice center...

Dallas County Behavioral Health Leadership Team Thursday, May 9, 2019

Henry Wade Juvenile Justice Center 2600 Lone Star Drive, Dallas, TX Room 203-A at 9:30am -11:00am.

I. Welcome and Call to Order

• Review/ Approval of Minutes from last meeting*Minutes April 11, 2019*

II. Update/Presentation

• Dallas Behavioral Healthcare Hospital, Terrance O’Reilly, CEO • Beacon Care Services, Kristen Tripp, Director

III. NTBHA Update

IV. Meadows Mental Health Policy Inst. (MMHPI)

V. Dallas County Behavioral Health Housing Workgroup

VI. 1115 Waiver Crisis Services Project Update

• Resolution: 03-2019 CSP Governance Committee to include CSP Transition

Planning Committee

VII. Legislative Update

VIII. Funding Opportunities • Cottages Update • SAMHSA Residential Treatment Grant Update • Community Courts Grant Update (Public Defender’s Office)

IX. Upcoming Events and Notifications

X. Public Comments

XI. Adjournment

* Indicates items requiring approval from Dallas County Behavioral Health Leadership Team The following reports from BHLT Committees are included for your records: ACOT, BHSC, PD Mental Health Stats and North Texas Behavioral Health Authority. Unless action is required, there will be no verbal updates from those committees.

Dallas County Behavioral Health Leadership Team

Meeting Notes Thursday, April 11, 2019

https://www.dallascounty.org/departments/criminal-justice/bhlt/

Welcome and Call to Order The meeting was called to order by Commissioner John Wiley Price at 9:30 AM, with a motion from Commissioner Daniel and second by Commissioner Koch. In accordance with the Open Meetings Act (Section 551.001), this meeting has been posted on the Dallas County website with the Dallas County Clerk’s Office. The quorum representing the Commissioners Court was Commissioner Daniel (District 1), Commissioner Koch (District 2) and Commissioner Price (District 3). Review/Approval of Minutes/BHLT Website The minutes of the BHLT meeting held on March 14, 2019, were included in the meeting packet (pg. 2-4). A motion was made by Commissioner Daniel to accept the minutes and was then seconded by Patrick LeBlanc. The committee members voted to approve the minutes with no modifications. Commissioner Price allowed all first time attendees to introduce themselves (Presbyterian Hospital and APAA Representative). NTBHA Update & Presentation: Walter Taylor, Chief Strategy Officer (CSO) for North Texas Behavioral Health Authority (NTBHA) and ACOT Chair, stated that services are moving forward and that Carol Lucky, CEO for NTBHA, would have a more detailed report to share at the next BHLT meeting. The NTBHA Board approved the Living Room to be named after Dr. Louise Deere. Dr. Deere was a well-respected psychiatrist who served as the medical director for Terrell State Hospital in Terrell, TX. The Board also approved several contracts: APAA MH PEER Services for Kaufman County and the Disaster Crisis Counseling Program. The NTBHA Living Room will be located at 3001 Al Limpscomb Way, Dallas, Texas 75215. The Board also approved the nomination of Sergeant Jacob L. Twombly for membership on the Planning & Network Advisory Committee (PNAC). Commissioner Price inquired about any funding still available from Hurricane Harvey. Mr. Taylor stated that he only knew of housing funds (TBRA) still available and Mrs. Metzinger stated that there are still funding through the supplemental appropriation funding. Jessica Martinez, Chief Clinical Officer reported on the Senate Bill (SB) 292 Jail-Based Competency Restoration program (JBCR), stating that they have had 7 individuals restored to competency, 4 released to the community into services, 1 transferred to the Forensic Diversion Unit (FDU) program, and 6 transferred to the state hospital with some amount of competency education. Jail Based Competence Restoration (JBCR) has had a total of 43 participants in the program. Ms. Martinez stated that there are 65 individuals in the Maximum Security Unit (MSU) wait list and 111 in the on the Non- MSU wait list. The current average wait time for MSU placement is 13 months (approximately 400 Days). Ms. Martinez also reported that the Living Room soft opening has changed to April 22nd. Commissioner Price inquired about the wait time of 13 months. Vickie Rice, Assistant Public Defender, stated that JBCR is still a young program. Ms. Rice also stated that there has been some staff changes within the Sheriff’s Department have occurred, which she hopes will increase the total JBCR census. Mrs. Rice stated that they are currently re-evaluating their processes and identifying some of the gaps within the program with hopes of seeing changes within 180 days. Chief Richardson wanted to make it clear that the PDs are identifying individuals and making sure they are appropriate in the program. Mrs. Randolph also stated that there are weekly JBCR conference calls with all the parties (Parkland, NTBHA, PDs, and Criminal Justice) held to discuss all issues. The members continued to have discussions regarding JBCR and its processes. An in-person meeting with all JBCR parties will be scheduled soon to further address program gaps and focus on strengthening the program.

https://www.dallascounty.org/departments/criminal-justice/bhlt/

Stepping Up Initiative Update/Caruth Grant: Ron Stretcher, Senior Director of Systems Management at Meadows Mental Health Policy Institute (MMHPI) stated that Baylor and Irving came on. Currently wrapping up the next rounds of the fidelity reviews for the ACT/FACT teams that are new to the Tools for Measurement of Assertive Community Treatment (TMACT) system and Criminal Justice is currently working with Meadows on that. Mr. Stretcher encouraged the BHLT members to have Irving PD make a presentation on what they are doing. Behavioral Health Housing Work Group (BHHWG) Update: Commissioner Daniel stated that the FUSE project has submitted an application to the United Way. Commissioner Daniel stated that BHHWG continues to work with providers and other community partners to formulate recommendations on housing and housing related support services. Commissioner Price inquired about affordable housing and what was currently available to clients. Joyce White stated that part of the new FUSE grant is to have additional affordable housing (1,000 units) available to the citizens of Dallas County. MDHA will also be submitting an application on behalf of the youth committee and the application is due May 15th. Commissioner Daniel reported that the committee is reviewing what data is being collected, how it is being collected, who gets it, and the purpose of the data being used. Salvation Army will be having a hearing on May 8th regarding their request to the City of Dallas for the new location of their facility. 1115 Waiver Crisis Services Project (CSP) Update: Commissioner Price presented Resolution 02-2019, requesting that the Dallas County BHLT approve the Crisis Services Project to engage in contract renegotiations with Metrocare regarding Forensic Diversion Unit services, and with the North Texas Behavioral Health Authority regarding the 1115 Care Manager position. A motion was made by Commissioner Daniel and seconded by Commissioner Koch. The BHLT committee members voted to approve the resolution with no modifications. Laura Edmonds, Asst. Director of Criminal Justice, reported that CSP submitted their DY7 2018 metric reports that were due at the end of the month. Mrs. Edmonds announced that they reported a 100% achievement rate. Legislative Update Janie Metzinger, NTBHA Legislative Coordinator, reviewed 2 document handouts, titled 86R HB 1 and SB 1 Budget which shows the progression of the budget in the Texas Legislature to date. State Budget Basics The Texas Legislature only meets every other year, so the Texas budget is developed in increments of two fiscal years. Each set of two-years is referred to as a biennium and each fiscal year starts on September 1st and ends on August 31st of the following year. Interim Work on Budget During the interim, the period of time between legislative sessions, the various state agencies submit their Legislative Appropriations Request (LAR), which lists the amount of money that the agency predicts will be needed to maintain current services in the Base Budget.

• The agencies also send a list of new or expanded projects for which they will need additional funding not listed on the Base Budget. These are referred to as Exceptional Items (sometimes abbreviated EI).

• Also during the interim, the House Appropriations Committee and the Senate Finance Committee hold hearings to

monitor current state spending and to review proposed agency LARs and Exceptional Items to begin to draft the budget bills for the upcoming session.

Work on the Budget During the Legislative Session When the Legislature convenes in January of odd-numbered years, each chamber of the Legislature writes and passes its own version of the budget, which include the funding amounts for the Base Budget line items, and any Exceptional Items the respective chamber chooses to fund. Behavioral Health-Related Budget Items—House-to-Senate Comparison Chart • The sheet entitled “Behavioral Health-Related Base Budget Items” shows the progression of work on the budget in

each chamber, to date, and in table form. • These line items are in Article II, which is the Health and Human Services portion of the Base Budget. • The figures in grey which appear ‘faded out’ are the amounts that were in the original bill in either House or Senate; it

was filed early in the session. These figures were placeholders that were worked out in the interim.

• The bolded figures are the amounts that passed the House or Senate, respectively. The green columns show the funding appropriated for the current biennium, Fiscal Years 2018 and 2019. This is the starting point. The blue columns show the House version of proposed funding per line item of the Base Budget for the upcoming biennium in HB 1. The orange columns show the Senate version of proposed funding per line item of the Base Budget for the upcoming biennium. If you add the figures for FY 2020 and FY 2021, you will get the amount proposed for the biennium. For example, in Item D.2.1—Community Mental Health Services for Adults, the House proposes a total of $747,753,416 for the biennium, while the Senate proposes $764,100,202, which is $16,346,786 higher. Since the two versions are not identical, the budget will go to a Conference Committee to work out the differences. The Budget Conference Committee is composed of equal numbers from the House Appropriations and Senate Finance Committees. • House Conferees are Representatives John Zerwas, M.D. (Chair) , Greg Bonnen, M.D., Sarah Davis, Oscar Longoria

(Vice Chair), and Armando Walle. • Senate Conferees are Senators Jane Nelson (Chair), Joan Huffman, Lois Kolkhorst, Larry Taylor and Robert Nichols. Article II and Article XI Most line items related to behavioral health are in Article II of the budget, which is the Health and Human Services part of the budget. Often, the Legislature identifies projects to which it would like to appropriate funding, but the money for that purpose is not currently within the identified revenue available. These proposed projects and funding are put in Article XI, also known as ‘The Wish List”. Items in Article XI could be fully or partially funded in the Conference Committee. Also attached is a document entitled “Proposed Article XI Funding Items Related to Behavioral Health” which lists the items that each chamber placed in Article XI. Supplemental Appropriations: SB 500 The Legislature also sometimes passes a supplemental appropriation bill for the current fiscal year to meet unexpected or emergency needs. This year SB 500 is the supplemental bill, and includes funding for rebuilding in the wake of Hurricane Harvey, among other expenditures. Each chamber passed different versions of this bill as well, so it will also go to a conference committee. The SB 500 Conference Committee: • House Conferees: Representatives John Zerwas, M.D. (Chair), Giovanni Capriglione, Mary Gonzalez, Rick Miller,

and Toni Rose. • Senate Conferees: Senators Jane Nelson (Chair), Juan ‘Chuy’ Hinojosa (Vice Chair) Joan Huffman, Lois Kolkhorst,

Larry Taylor. Funding Opportunities:

• Cottages Update: Bianca Zamora reported, on behalf of the Cottages, there was 1 move in for the month of March, and 30 individuals are in the process of being screened and currently waiting on Criminal Justice approval. There were 55 individuals that were pre-screened, which makes it the highest number of individuals screened to date. The Cottages continues to see a downward trend for psychiatric hospital visits, emergency visits, and jail book-ins. Ms. Zamora reported on Metrocare services at the Cottages and stated that there were 0 jail book-ins. Also, the 2 individuals that were admitted to the hospital in January where carried over into February.

• SAMHSA Grant Update:

Charlene Randolph, Director of Criminal Justice reported that there 2 successful discharges, 5 new female admissions, 5 new male admissions, and 11 current referrals.

• Community Courts Grant Update (Public Defender’s Office): Lynn Richardson, Chief Public Defender for Dallas County, stated the stats were located and the packet and Michaela Himes would give the MHPR Bound update. Ms. Himes reported that 1347 individuals with a MH diagnoses, 165 were

eligible for a PR Bond, 35 were granted a hearing, 30 granted a bond, and 5 were denied. Commissioner Price requested that the data for the misdemeanor bonds also be captured and presented. . Public Comments: Mr. Taylor announced the Multicultural NTBHA Training for June 18-20. Doug Denton with Homeward Bound announced that they will be applying for a SAMSHA Grant which is due April 22, 2019. Patrick LeBlanc announced the Mental Health Wellness Conference, April 22, 2019. Ms. Cusumano announced NAMI walk which will be held on May 4, 2019. Yessenia Vielma introduced the Elevate Healthcare which is a new Mental Health IOP/PHP in the North Texas area. Karen Pettis informed the members that Dallas County has the new highest HIV infections of all counties in the U.S. Last year Dallas went up 20% in the STI rate. There will be a new Sex Health Clinic opening up in Uptown Dallas in mid-May and a new STI clinic opening up in the South Dallas area (75210) soon. Adjournment: The meeting was adjourned at 11:08 am. A motion was made by Commissioner Koch and then seconded by Doug Denton.

Dallas County Behavioral Health Housing Work Group Dallas County Administration, 411 Elm Street, 1st Floor, Dallas Texas 75202

April 24, 2019 Minutes

Mission Statement: The Dallas County BH Housing Work Group, with diverse representation, will formulate recommendations on the creation of housing and housing related support services designed to safely divert members of

special populations in crisis away from frequent utilization of expensive and sometimes unnecessary inpatient stays, emergency department visits and incarceration.

Success will be measured in placement of consumers in housing and the decreased utilization of higher levels of care

(hospitals and emergency care visits) and reduced incarceration in the Dallas County Jail. The Dallas County BH Housing Work Group is committed to a data driven decision-making process with a focus on data supported outcomes.

ATTENDEES: Dr. Theresa Daniel, Commissioner; Doug Denton, Homeward Bound; Laura Edmonds, DCCJ; Carl Falconer, MDHA; Jennifer Jaynes, The Cottages; Thomas Lewis, Dallas County; Jim Mattingly, LumaCorp, Inc.; Candice Lennox, Dallas County; Tzeggabrhan Kidane, Dallas County, Ellen Magnis, Family Gateway, Janie Metzinger, North Texas Behavioral Authority, Kimberly Rawls, DCCJ; Wyndll Robertson, Dallas County; DCCJ; Keri Stitt, Promise House; Ron Stretcher, MMHPI; Justin Vander, Prism Health; Joyce White, Dallas County; David Woody, The Bridge; Charlene Randolph, DCCJ CALL TO ORDER: Minutes approved with no changes. GOVERNANCE Dallas Area Partnership to End and Prevent Homelessness: Dr. Theresa Daniel, Commissioner Commissioner Daniel stated that a suitable meeting date was still in the process of being selected for the Partnership. Dallas County Citizen Committee: Dr. Theresa Daniel, Commissioner Commissioner Daniel reported that the Dallas County Citizen Committee on Homelessness met the previous day, April 23rd. The meeting consisted of fact-finding and bringing together a coherent directive for the group. Additionally, the group is in the process of determining the most efficient way to link disparate resources together. Federal and State Legislative Update: Dr. Theresa Daniel, Commissioner; Janie Metzinger, North Texas Behavioral Authority (NTBHA) Commissioner Daniel noted she was in Austin and spoke with several people including the Conference of Urban Counties (CUC). She spoke on Senate Bill 2 which would require cities and counties to hold an election to get voter approval if the governmental body takes in more than 3.5% in revenue from the year before (This bill has passed both the Senate and House as of April 30). This would result in an estimated $38,000,000 loss of tax revenue for Dallas County. The bill has yet to be finalized. The legislature is also looking to address the higher property taxes being paid by property owners. One proposal would be an increase to state sales tax of $.01. Several other items are being bandied about as a remedy to the property tax issue. Carl Falconer cited the fact that the homeless, by definition, do not own property, meaning they would be disproportionately affected by an increase in sales tax. Ms. Janie Metzinger reported that both the Texas House and Senate have passed their versions of the budget, HB1 and SB500, respectively. The two bills are, at this point, not in agreement. Ms. Metzinger noted that House Bill 53, relating to the transitional living services program for certain youth in foster care, has passed the House and is now in the Senate.

Commissioner Daniel mentioned a state legislative proposal which would decrease the increase of the rate on tax appraisal as opposed to adjusting the tax rate or rate of tax collection. She also briefly mentioned House Bill 123, regarding ID access for minors and House Bill 2405, Trauma Informed Training for First Responders in Interaction with Homelessness. PRESENTATION The Cottages – Jennifer Jaynes DEVELOPMENT ACTIVITIES Crisis Residential and Respite Services: No report. RESOURCES Shelter Discussions: Commissioner Daniel stated that the inclement weather plan should be voted on in April. Ellen Magnis clarified that the vote was to classify inclement weather shelters in the same category as emergency shelters. This was rejected by the City Council. But, faith-based organizations are moving ahead with the plan. Carl Falconer offered further information that a special meeting of the Citizens Homelessness Committee would occur at 4pm on May 2nd to discuss various changes to resubmit to the City Council. North Texas Behavioral Health Authority (NTBHA): No report. Housing Navigator: Joyce White, Dallas County Crisis Services Ms. White highlighted that all 13 St. Jude units were occupied. A couple of clients were facing eviction and a meeting is to be held in order to hold off those evictions.

The next Fuse Project meeting will be May 1st. They are preparing for approval, which is expected sometime in June. If approved, it will go into effect on July 1st.

Ms. White briefly described how FUSE will work. Housing navigators for FUSE are not attached to a program, like other navigators. These particular navigators are population focused, attaching themselves to a particular population until they receive housing.

Homeless Jail Dashboard: Kimberly Rawls, DCCJ Ms. Rawls, as per a meeting with Commissioner Daniel, has changed her report to include, total general book-ins, total suspected mental health book-ins, total homeless book-ins, and total homeless with suspected mental health book-ins. Also included, was a line graph showing total general book-ins and total general suspected mental health book-ins from September 2018 to present. Commissioner Daniel cited mental health percentage for total book-ins is 43% but for the homeless population it is 62.6%. Ms. White added that of those who went through the Dallas County mental health screening process, they are seeing about a 24% recidivism rate within the same year. DHA Housing Solutions: No report.

Caruth Smart Justice: Ron Stretcher, MMHPI

Ron Stretcher stated that everything was currently on track.

PROJECTS AND INDUSTRY UPDATES Coordinated Access System (CAS): Carl Falconer, MDHA Mr. Falconer stated there was no full report at this time and that he would have the report completed by next month. Mr. Falconer did offer the following statistics for March:

• 613 individuals on the Housing Priority List; up 63 over February • 18 individuals have been permanently housed; down by 11 • 101 new individuals have been added • 28 have been removed • Total number of chronically homeless on the list was 171 • Chronically homeless permanently housed was 8 • Chronically homeless added was 10

MDHA is preparing for a Veteran’s Day Challenge in which they will attempt to house up to 200 homeless veterans in 100 days.

On September 1st MDHA will be doing an Emergency Shelter Challenge in which they will attempt to house as many people as they can within 90 days.

Mr. Falconer stated that the majority of housing would be coming from VASH vouchers. Ellen Magnis added that a lack of funding/vouchers/rapid rehousing is behind the decline in housing individuals.

The Cottages: Jennifer Jaynes, The Cottages See presentation. St. Jude: See Housing Navigator. Homeward Bound: Doug Denton. Mr. Denton reported on the successful submission of a SAMHSA proposal to expand their HIV program; a proposed pilot program for transitional housing (sober housing) for HIV positive individuals. Pretrial Diversion: Laura Edmunds, DCCJ Ms. Edmunds spoke about a tour to Harris County to look at the bond reformation system there and perhaps implement some of the same initiatives in Dallas County. Youth Housing: Keri Stitt, Promise House Ms. Stitt reported that Promise House is preparing to apply for HUD’s Youth Homelessness Demonstration Program (YHDP) which could award the continuum up to $15,000,000 to address an end to youth homelessness. The youth committee is also preparing to do an additional youth count in June of this year. This will be the second count this year, though this one will target the numbers for the summer when school is not in session. Announcements: No announcements.

Next Meeting: May 29, 2019

Dallas County Administration Building, 411 Elm Street, 1st Floor, Allen Clemson Courtroom

RESOLUTION

DALLAS COUNTY BEHAVIORAL HEALTH LEADERSHIP TEAM

RESOLUTION NO: 03-2019

DATE: May 9, 2019

STATE OF TEXAS }

COUNTY OF DALLAS } BE IT REMEMBERED at a regular meeting of the Dallas County Behavioral Health Leadership Team held on the

9th day of May 2019,the following Resolution was adopted:

WHEREAS, On February 14, 2013, the Dallas County Behavioral Health Leadership Team endorsed the 1115 Healthcare Transformation Waiver DSRIP Project, and development of Behavioral Health Crisis Stabilization Services as alternatives to hospitalization; and

WHEREAS, the Dallas County Behavioral Health Leadership Team is the governing body for the DSRIP

project, known as the Crisis Services Project (CSP); and WHEREAS, CSP has historically been under the governing body for the DSRIP project through a

committee known as the Crisis Services Project Governance Committee; and WHEREAS, the 1115 Healthcare Transformation Waiver DSRIP Project is currently transitioning to

cease funding on September 30, 2021 and end on September 30, 2022; and WHEREAS, CSP has an identified need to plan for this transition by developing and proposing plans and

strategies to the BHLT and Dallas County on how to evolve from 1115 Waiver funding to local funding; and

WHEREAS, the purpose of this resolution is to request BHLT endorsement to transition the CSP

Governance Committee to include a focus on creating and implementing a transition plan for CSP

WHEREAS, this new committee will be known as the Crisis Services Project Governance and Transition

Planning Committee.

IT IS THEREFORE RESOLVED that the Dallas County Behavioral Health Leadership Team approves for the Crisis Services Project to transition its CSP Governance Committee to the Crisis Services Project Governance and Transition Planning Committee.

DONE IN OPEN MEETING this the 9th day of May, 2019.

________________________ ________________________ Dr. Theresa Daniel J.J. Koch Commissioner District #1 Commissioner District #2 Dallas County Dallas County ________________________ John Wiley Price Commissioner District #3 Dallas County

CRISIS SERVICES PROJECT (CSP)

CSP Governance and Transition Planning Committee: Briefing

Background

The Crisis Services Project (CPS) is a Dallas County 1115 Waiver initiative that was initially based off of the community needs assessment conducted by the DFW Hospital Council, BHLT input and also factored in data indicating an over-representation of persons with behavioral health needs in the Dallas County Jail which evidenced an increase from 7% of “jail bookins” in 2007 (6,501 consumers) to 20% in 2012 (13,428 consumers). CSP began operations in 2013 and was partner within the Northstar/Value Options behavioral health system that transitioned to the North Texas Behavioral Health Authority (NTBHA) in January 2017.

Governance Committee Origin

• The CSP governance committee was created to serve in an advisory and oversight capacity with the goals of:

o Convening community stakeholders who can support the development of crisis stabilization services

o Analyzing the current system of crisis stabilization services available in the community

o Assessing the behavioral health needs of patients currently receiving crisis services in the jails, emergency departments, or psychiatric hospitals

o Exploring potential crisis alternative service models and determining acceptable and feasible models for implementation

o Reviewing the impact of the intervention on access to and quality of behavioral health crisis stabilization services

Milestones

• Led creation of structure for implementation of CSP (i.e. policies, procedures, processes, utilization of workspace, staffing, client interventions, partnerships, and data systems, etc.)

• Secured contracts and MOUs for service providers and partners, and led the contract negotiation process

• Identified and monitored funding priorities and metric reporting • Established and monitored client and program outcome metrics • Identified and addressed gaps in service delivery, and program needs

Current Need

1. Begin the process of transitioning from Medicaid 1115 Wavier funding to local funding of CSP services

2. Reformat governance committee and its charter to include a focus on creating and implementing transition planning for CSP

Transition Committee Goals

1. Update governance committee charger to include transition focus 2. Prioritize resources for DY9 through DY11 3. Create strategies to transition CSP services to alternative funding sources

(once the 1115 Waiver funding expires) 4. Present return on investment, cost benefit analysis, and program/client

outcomes

Strategy

1. Secure approval from the Behavioral Health Leadership Team (BHLT) to reformat the CSP governance committee focus to include CSP transition planning activities

2. Create a CSP transition plan to present to the BHLT in August 2019 3. Implement the transition plan and provide monthly updates to the BHLT

The Cottages at Hickory Crossing Output

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Property Management

Beginning census 45 44 40 44 45 46 44 44 42 43 40 41 44 47 46 45 38 38 40 39 39 36

Ending census 44 40 44 45 46 44 44 42 43 40 41 44 47 46 45 38 38 40 39 39 36 37

Evictions 3 2 0 0 1 1 1 0 1 0 0 0 0 2 3 5 1 3 1 0 4 1

Terminations 0 2 0 0 2 1 2 3 2 2 0 0 0 0 0 2 0 0 0 0 0 0

Lease violations 20 15 14 50 17 12 2 1 4 0 6 25 33 45 14 20 25 24 18 22 9 10

Residents that received lease violations 10 11 8 27 8 7 2 1 3 0 5 21 20 30 12 12 12 17 14 18 9 10

Move-ins 2 0 4 1 3 0 3 1 5 0 2 3 3 1 2 0 1 5 0 0 1 3

DHA inspections 2 0 9 1 0 1 0 4 9 0 3 3 3 1 2 1 0 5 0 0 1 3

Cleanings for move-ins 6 3 1 4 4 3 2 3 2 0 2 3 3 1 2 0 0 5 0 0 1 3

Exit to Permanency 0 1 1 0 0 0 0 0 0 0 0 0 0 1

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17

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18

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Outreach

Candidates screened for waitlist 4 16 11 13 11 5 6 9 11 9 5 39 5 24 37 25 3 0 0 19 55 41

Total residents housed since opening 52 52 56 57 60 60 63 64 69 69 71 74 77 78 80 80 81 86 86 86 87 90

Original residents in Cottages remaining 40 38 38 38 36 34 32 28 26 24 23 23 23 21 21 19 19 18 17 17 17 17

Residents in Cottages for 90 days or less 2 2 7 6 7 4 6 3 9 6 5 5 8 8 6 3 2 6 6 6 1 4

Residents in Cottages 91-180 days 14 8 5 7 8 10 12 15 12 14 14 16 15 14 14 19 16 16 16 16 16 16

Residents in Cottages 181 days or more 36 42 44 44 45 43 42 45 47 29 52 53 54 57 60 60 63 64 64 64 70 70

Candidates added to waitlist 6 2 6 4 2 3 7 5 4 2 10 0 16 6 3 3 1 0 1 3 27

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Case Management

Residents case managed 13 40 50 35 40 42 33 38 43 42 37 39 40 38 37 32 34 27 33 38 35 38 37 37 37 39 35 34

Residents that attended any CitySquare

groups27 29 36 25 28 27 21 24 37 33 24 30 35 33 26 28 27 17 0 29 21 24

Residents that attended Life Skills groups 10 5 4 16 0 0 0 21 5 9 0 18 12 7 13 21 0 0 0 5 14 2

Residents that attended substance use

classes0 2 5 6 0 0 10 8 2 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0

Residents served by Community Wellness 0 0 9 4 13 9 11 11 6 8 4 9 9 10 9 9 13 7 7 0 4 7 8 7 5 5 0 0

Residents served by CitySquare Clinic 5 6 7 6 6 6 8 8 7 6 8 7 7 0 5 3 3 2 4 4 3 5

Running total of Residents accessing

CitySquare health services6 8 7 2 8 7 8 8 8 8 9 10 11

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Health and Wellness

Prescriber appointments scheduled 39 41 37 44 21 34 40 40 27 72 80 93 82 81 92 58 95 25 64 61 43 15

Residents that scheduled appointments 26 26 24 27 17 22 26 25 21 27 28 36 31 34 30 26 26 22 24 25 25 14

Appointments attended 21 27 27 29 16 23 30 29 20 61 74 76 69 64 79 44 82 21 58 57 33 11

1

Residents that attended appointments 19 21 24 24 16 17 22 21 17 25 27 32 28 29 28 22 22 18 23 25 18 11

Residents that were prescribed medication 19 23 19 26 17 18 27 19 21 24 25 30 28 29 26 21 23 20 23 25 18 11

One-on-one psychosocial sessions 74 138 148 208 183 177 179 130 165 219 132 158 151 127 120 152 116 118 147 141 141 123

Residents that attended psychosocial

sessions25 28 27 30 34 35 34 25 31 34 25 34 35 34 30 29 28 29 27 28 26 23

Cognitive behavioral therapy sessions 10 18 16 7 27 40 44 19 8 11 11 0 0 0 0 0 0 0 0 0 0 0

Residents that attended CBT sessions 6 11 9 3 5 9 5 4 2 2 2 0 0 0 0 0 0 0 0 0 0 0

CBT cancellations/no-shows 17 11 2 19 6 9 8 5 3 5 3 0 0 0 0 0 0 0 0 0 0 0

Residents that attended psychosocial group

sessions25 6 15 9 26 16 24 25 20 46 33 32 23 15 13 17 10 6 9 5 4 0

Residents that attended substance abuse

groups0 0 15 13 4 15 9 12 10 8 4 5 5 3 3 13 11 7 4 0 0

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Incidents

Residents that had medical incidents 2 3 4 2 5 4 2 1 6 1 3 2 4 2 6 0 1 0 3 4 3 2

Psychiatric incidents 1 0 1 0 1 3 1 1 9 0 0 0 3 4 1 0 0 0 2 2 2 1

Residents that had psychiatric incidents 1 0 1 0 1 3 1 1 9 0 0 2 3 3 1 0 0 0 2 2 2 1

EMS Transports 5 1 2 0 3 2 3 0 0 0 2 2 1 0

Number of residents involved in EMS

transports6 1 1 0 3 2 3 0 0 0 2 1 1 0

Running total of undup. residents requiring

EMS transports4 4 5 0 3 4 7 0 0 0 2 1 1 0

Police incidents 1 3 2 5 2 2 1 8 5 8 14 5 6 10 7 4 0 5 4 9 4

Residents that had police incidents 1 4 2 5 2 1 1 5 4 4 12 5 5 8 5 2 0 4 3 7 4

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e

July

Au

g

Sep

t

Oct

No

v

De

c

20

19

Jan

Feb

Mar

Mar

Higher Level of Care

Psychiatric admissions 5 2 1 3 3 11 3 1 0 1 0 0 0 1 0 0 0 0 1 0 0 1

Residents admitted to psych facility 5 1 1 3 2 5 2 0 0 1 0 0 0 1 0 0 0 0 1 0 0 1

Emergency department visits 38 43 20 30 15 29 7 6 12 5 7 5 14 11 13 3 5 3 8 6 5 5

Residents that visited ED 9 11 8 10 9 11 5 5 8 3 6 3 7 9 11 10 4 2 7 5 4 4

Residents that have been admitted to a

hospital2 11 2 2 0 1 0 3 0 1 1 4 0 0 0

Substance abuse facility admissions 1 4 1 1 1 0 0 1 2 0 0 0 0 0 0 1 1 0 0 0 0

Residents admitted to substance abuse

facilites1 4 1 1 1 0 0 1 2 0 0 0 0 0 0 1 1 0 0 0 0

Jail stays 6 5 6 4 4 2 0 2 3 3 3 5 3 3 5 4 1 0 0 0 1 1

Residents admitted to jail 4 5 5 3 3 2 0 2 3 2 1 4 3 3 5 4 1 0 0 0 1 1

2

Dictionary

The number of neighbors housed, and listed on the lease, at the cottages at the 1st of the month

The number of neighbors housed, and listed on the lease, at the cottages on the last day of the month

The number of neighbors that were evicted from their cottage during the month and they no longer occupy their cottage

The number of neighbors that abandoned (gone for more than 14 days) their cottage, died during the month, or DHA terminates for

noncertification and their cottage is no longer considered to be occupied by them

The number of lease violations that were given during the month

The number of residents that received at least 1 lease violation during the month

The number of completed move-ins of a new neighbor that occurred during the month

The number of cottages that had a DHA inspection during the month

The number of cottages that were cleaned for the intention of a new move in during the monthThe number of neighbors that no longer live at the Cottages because they have moved to some sort of permanent housing (e.g., nursing

home, house, family, etc)

The number of potential new neighbors that were screened for the waitlist during the month (screened through CJ and internal process

began)

The number of total residents housed since the opening of the cottages

The number of the first 50 residents that remain housed in the cottages

The number of total residents that lived in the cottages for 90 days or less from their move in date

The number of total residents that lived in the cottages for 91 - 180 days from their move in date

The number of total residents that have lived in the cottages for 181 days or more from their move in date

The number of candidates added to the waitlist during the month (actual yes from selction committee)

The number of residents receiving case mgmt with at least one case note docuemtned during the month.

The number of residents that attended any CitySquare groups (e.g., Life skills, substance abuse, resident's meeting) at the cottages

during the month.

The number of residents that attended at least one Life Skills group during the month.

The number of residents that attended at least one substance use (defining this by the APA class) class during the month.

The number of residents that attended at least one Living Well class session

The number of residents that attended at least one CitySquare Cottage clinic visit

The total number of prescriber appointments scheduled by cottage residents during the month.

The total number of residents that had at least one prescriber appointment shceduled during the month.

The total number of prescriber appointments attended by cottage residents during the month.

3

The total number of residents that attended at least one prescriber appointment shceduled during the month.

The total number of residents that were prescribed any mental health medication(s) during that month

The total number of one-on-one psychosocial sessions conducted with cottage residents during the month.

The total number of cottage residents that had conducted at least one one-on-one psychosocial session during the month.

The total number of CBT sessions conducted with cottage residents during the month.

The total number of cottage residents that had conducted at least one CBT session during the month.

The total number of CBT sessions that were cancelled by the cottage resident, no-show by the cottage resident, or cancelled by cottage

staff during the month.

The total number of cottage residents that had attended at least one psychosocial group session during the month.

The total number of cottage residents that had attended at least one substance abuse group session during the month.

The total number of medical incidents that occurred involving at least one cottage resident during the month. Medical incidents involve

calling EMS, DFD and any other medical health related incident. The total number of residents that had at least one medical incidents occur during the month. The total number of psychiatric incidents that occurred involving at least one cottage resident during the month. Psychiatric incidents

involve calling EMS, DFD and any other mental health related incident.

The total number of residents that had at least one psychiatric incidents occur during the month.

The total number of police incidents that occurred involving at least one cottage resident during the month. Police incidents involve

calling DPD.

The total number of residents that had at least one police incidents occur during the month.

The total number of cottage resident psychiatric admissions or 23hr observation for mental health that occurred during the month (a

resident may be admitted/observed more than once in a month).The total number cottage residents admitted to psychiatric facility or in 23hr observation for mental health at least once during the

month.

The total number of cottage resident ED visits that occurred during the month (a resident may be admitted more than once in a month).

The total number cottage residents that went to the ED at least once during the month.

The total number cottage residents admitted at least once to a hospital during the month.

The total number of substance abuse facility admissions that occurred during the month (a resident may be admitted more than once in

a month).

The total number cottage residents admitted to a substance abuse facility at least once during the month.

The total number of times cottage residents have been arrested and stayed in jail during the month.

The total number of residents admitted to jail during the month.

4

Metrocare Services at the Cottages Metric Criteria BASELINE Oct-18 Nov-18 Dec-18 Jan-19 Feb-19 Mar-19 Apr-19 NotesCurrent Cottages Census 45 39 41 41 39

Jail DataAverage number of jail admission baseline 4Average number of days in jail baseline 57

Jail admissions for Metrocare Individuals for the Month 4 1 0 0 0 1

Jail average length of stay (days) for Metrocare Individuals 1 1 0 0 0 1

Jail admissions for Non-Metrocare Individuals for the Month 0 0 0 0 0 0Jail average length of stay (days) for non Metrocare Individuals 0 0 0 0 0 0Reduction in jail admissions for month from baseline for Metrocare Individuals 0% 75% 100% 100% 100% 75%

Calculated by measuring total jail admissions for the month against jail admissions at baseline

Reduction in average jail length of stay (days) for the month from baseline for Metrocare Individuals 98% 98% 100% 100% 100% 98%

Calculated by measuring average length of stay in jail in days for the month against the average length of stay at baseline

Reduction in jail admissions for month from baseline for NoMetrocare Individuals 100% 100% 100% 100% 100% 100%

Calculated by measuring total jail admissions for the month against jail admissions at baseline

Reduction in average jail length of stay (days) for the month from baseline for Non-Metrocare Individuals 100% 100% 100% 100% 100% 100%

Calculated by measuring average length of stay in jail in days for the month against the average length of stay at baseline

Hospital Data

Average number of Mental Health Hospitalizations baseline 2Average number of Mental Health Hospitalization day baseline 8

Mental Health Hospitalizations for Metrocare Individuals for the Month 0 0 0 2 2 0Mental Health Hospitalization average length of stay (days) for Metrocare Individuals for the Month 0 0 0 1 1 0Mental Health Hospitalizations for Non-Metrocare Individuals for the Month 0 0 0 0 0 0Mental Health Hospitalization length of stay (days) for Non-Metrocare Individuals for the Month 0 0 0 0 0 0

Reduction in Hospital admissions for the month from baseline for Metrocare Individuals 100% 100% 100% 0% 0% 100%

Calculated by measuring total hospital and/or 23-hour obs admissions for the month against jail admissions at baseline

Reduction in Hospital average length of stay (days) for the month from baseline for Metrocare Individuals 100% 100% 100% 88% 88% 100%

Calculated by measuring average length of stay in hospital in days for the month against the average length of stay at baseline

Reduction in Hospital admissions for the month from baseline for Non-Metrocare Individuals 100% 100% 100% 100% 100% 100%

Calculated by measuring total hospital and/or 23-hour obs admissions for the month against jail admissions at baseline

Reduction in Hospital average length of stay (days) for the month from baseline for Non- Metrocare Individuals 100% 100% 100% 100% 100% 100%

Calculated by measuring average length of stay in hospital in days for the month against the average length of stay at baseline

Treatment Compliance

Metrocare Assigned Individuals 41 34 33 31 33 32

Defined as Cottages residents who have elected to engage in on-site behavioral health services through Metrocare.

Metrocare Engaged Individuals 17 21 22 22 22 22Clients with engagement agreement contracts who have agreed to hourly, weekly engagement

Non-Engaged Metrocare Individuals 24 13 11 9 11 10 No engagement agreement

Percentage of Metrocare assigned individuals who met Engagement Agreement 71% 86% 72% 63% 68% 73%

In March, 2019, 16 of the 22 individuals fulfilled their weekly, hourly agreement.

Percentage of Non-Engaged Metrocare Assigned Individuals with weekly outreach: Applicable for Metrocare clients who have been residing at the Cottages for 1-30 days NA NA NA NA NA NA

All Metrocare assigned individuals who have been housed at the Cottages for 1-30 days have a signed weekly engagement contract.

Percentage of Non- Engaged Metrocare Assigned Individuals with bi-weekly outreach: Applicable for Metrocare clients who have been residing at the Cottages for 31-180 days 67% 67% 100% 100% 100% NA

All Metrocare assigned individuals who have been housed at the Cottages for 31-180 days have a signed weekly engagement contract.

Percentage of Non-Engaged Metrocare Assigned Individuals with monthly outreach: Applicable for Metrocare clients who have been residing at the Cottages for 181 plus days 100% 100% 90% 100% 88% 100%

All 10 of the individuals who fit these parameters received monthly outreach during this month.

Percentage of Individuals with outreach who are not currently assigned to a behavioral health provider 100% 100% 100% 100% 100% 100%

There is currently 1 individual who is not assigned to a service provider. This individual has tenancy over 181 days and received outreach that exceeded the once a month measurement.

Metrocare Services at the Cottages Metrics

*Jail Baseline information calculated by measuring average number of jail admissions of average days in jail for all Cottages clients 2 years prior to move-in date

*Hospital Baseline calculated average number of psych hospitalizations and/or 23-hours observations admissions and average length of stay in days for all Cottages residents 2 years prior to move-in date.

Attendees: Walter Taylor (Chair, NTBHA), Charlene Randolph (Co-Chair, Dallas County), Kimberly Rawls (Dallas County), Obie Bussey (ARM), Janie Metzinger (NTBHA), Matt Roberts (NTHBA), Amy Cunningham (CFGC), Ron Stretcher (MMHPI), Sonya Frank (Southern Area Behavioral Healthcare), Jennifer Torres (Metrocare), Michael Carr (Dallas County), Jarrod Gilstrap (Dallas Fire Dept.), Homer Norville (Dallas Fire Dept.), Doug Denton (Homeward Bound), Karla Sweet (Homeward Bound), Cornelius Metili (UTSW), Chrissy Duke (ARM), Kenneth Coleman (ARM), Samuel Hanson (Dallas PD), Jacob Twombly (UT Police), Dr. Manisha Maskay (Prism Health)

1. Welcome and Introductions (Walter Taylor, Chair and Charlene Randolph, Co-Chair): • All attendees were introduced, including all new attendees.

2. Review and approve previous meeting minutes:

• The meeting minutes from the previous month’s meeting were reviewed and approved by Michael Carr and seconded by Jacob Twombly with no corrections or objections.

3. Presentation: “Providing Personalized Care to People Living with and at Risk for HIV: The Prism Health North Texas Model” Dr. Manisha Maskay, Chief Program Officer, Prism Health of North Texas

**** Dr. Manisha Maskay, Chief Program Officer, Prism Health of North Texas presented from 12:20pm-1:14pm. She also answered audience questions throughout the

presentation and after.****

4. Multicultural Competency Training Update (Matt Roberts, NTBHA) • Matt Roberts stated that they concluded their student training opportunity last week, March

26th-28th 2019. • The next training class is scheduled for June 18, 2019. He stated that classes are scheduled

up to March 2020 and to register on Eventbrite. • Doug Denton asked when the Executive training would be scheduled. Walter Taylor stated

they had to reschedule the training due to scheduling conflicts and will inform everyone of the new training details.

• Amy Cunningham stated three individuals from the March 26, 2019 student training have enquired about becoming trainers. She suggested anyone interested in becoming a trainer should attend the student-training course first.

5. NTBHA Updates (Walter Taylor, Chair-NTBHA):

• Walter Taylor announced that Chad Anderson stated that their Irving Care Coordinator has been working to help clear the emergency detention and coordinate care with IPS and other service providers coming from the mental health response team. He stated that she would go to the on-site location in Irving today, April 4, 2019 with Chad to become acclimated with the department and integrate with Judge Adams. He stated the Jail-Based Coordinator would go to the courthouse and jail Monday, April 8, 2019 to work with the jail-based competency restoration population to set up linkages with released individuals. The Benefits Specialist will also begin next week working with the same population and both the Public Defenders (PDs) and District Attorneys (DA) staff.

6. Smart Justice Initiative Updates (Ron Stretcher, MMHPI):

• Ron Stretcher announced that both Baylor Healthcare’s main and Irving campuses would be on the Loopback system April 9 and 10th, 2019.

• The Right Care Team should now have access to the Loopback system.

7. Legislative Update (Janie Metzinger, NTBHA):

• Janie Metzinger announced that there are about 300-400 bills that are related to mental health and substance abuse. She stated that part of these bills are related to Medicaid managed healthcare and about 300 bills are strictly related to mental health. She stated that both the House and Senate have passed their versions of the budget. The Senate will substitute all of their numbers from the House budget, send it to the House, and the House may not agree to pass the budget. If that occurs, the legislation would create a Conference Committee comprising the Sub-Committee Chairs of both House Appropriations and Senate Finance to work out the differences between both budgets. She stated that almost every line for mental health is increasing within the base budget. The Community Mental Health Adult services category this fiscal year was allocated $351 million. The House budgeted next fiscal year for this category $374 million and the Senate budgeted $382 million. The Substance Abuse Community Mental Health Adult services category this fiscal year was allocated $190 million. The House budgeted for next fiscal year for this category $245 million and the Senate budgeted $217 million. The Senate is planning to allocate more funding toward community hospital beds and refurnishing the state hospital. The House allocated $233 million last fiscal year toward community hospital beds and refurnishing the state hospital and for next fiscal year; they have allocated $926 million. Doug Denton asked if UT Southwestern and the local Psych hospital allocation been eliminated from the Senate budget. Janie Metzinger answered stating she believes it will be based on what category it will be placed in their budget.

8. Decide location for ACOT going forward (Charlene Randolph, Co-Chair-Dallas

County) • Charlene Randolph thanked Mr. Obie Bussey (ARM) and his staff for hosting and

providing lunch for today’s meeting. She asked for suggestions for future meeting locations. The committee discussed and Mr. Obie Bussey stated that the committee could host their remaining 2019 meetings at ARM and they will provide lunch. Ron Stretcher made a motion to host the remaining 2019 ACOT meetings at ARM. Jarrod Gilstrap seconded the motion and the motion passed with no objections.

9. Adjourn The meeting adjourned at 1:30 p.m.

Other • The next meeting will take place Thursday, May 2, 2019.

DALLAS COUNTY, TEXAS Minutes of the Behavioral Health Steering Committee (BHSC) Meeting

Thursday, March 21, 2019

Call to order and Introductions

Judge Kristin Wade called the meeting to order at 8:37 am. 25 staff and agency representatives/providers attended with names recorded on the meeting sign-in sheet. Introductions were done around the room.

Minutes review and approval

The minutes from the last bi-monthly BHSC meeting held on January 17, 2019 (packet pgs. 2-7), were reviewed with motion and second by Patrick Jones and Vickie Rice, respectively for acceptance with one correction presented by Lynn Richardson stating that on page 4 under the Public Defender’s report Michaela’s

last name is Himes and not Eckstein. The motion was unanimously passed accepting the minutes as read with the correction.

BHSC Data and Reports – Judge Kristin Wade

Program and Department Updates: Program/outcome data, updates, and workload reports were presented and accepted via relevant dept./agency staff for the SAMHSA Grant, 530 Subcommittee, BHLT/CSP, Jail reports, Public Defenders, District Attorneys, Provider Reports, and Problem Solving and Specialty Courts (see packet pgs. 8-47 for details). SAMHSA Update (Shenna Oriabure pg. 8): Shenna Oriabure reported that they have received 11 referrals: 2 of those individuals have successfully completed treatment, 8 individuals are in treatment, and one person is being transferred to Homeward Bound. She also stated that treatment usually last up to 60 days. Judge Kristin Wade stated that any specialty court may use this SAMHSA grant funding, which is allocated for both minority males (ages 17-30) and females (any race and age).

530 Sub Committee (Shenna Oriabure pgs. 9-14): Shenna Oriabure stated that they have an action item to be voted and approved by the BHSC committee. 4C Court submitted a request for funding for FY19 incentives of $2,880.00 to cover 192 participants, MHJD/SET submitted a request for $850.00 for inpatient treatment, and Veterans Courts withdrew their request.

Judge Kristin Wade asked for a motion to approve the 4C Court’s request for funding for FY19 incentives of

$2,880.00 to cover 192 participants and MHJD/SET Court’s request for $850.00 for inpatient treatment. The motion was made by Lynn Richardson for approval and second by Laura Edmonds.

The motion was unanimously passed accepting the request without objection.

Judge Kristin Wade explained the purpose of the 530 Committee to the meeting attendees. Shenna Oriabure stated that the committee’s next meeting is scheduled for Wednesday, May 8, 2019 and to contact her at

[email protected] to be added to the committee’s emailing list. Last, she stated that the 530 Committee is sponsoring the “Tall Cop” presentation scheduled for tomorrow, Friday, March 22, 2019.

BHLT & CSP Update Laura Edmonds/Adapt (Laura Edmonds pgs. 15-21): Laura Edmonds stated that the reports for various programs funded through CSP are on pages 15-21 in the meeting packet. She reported that CSP is funded through the 1115 waiver. Funding for the waiver will end over the next few years and will be reduced yearly until the grant ends. She stated that the CSP team are viewing various contracts in their budget for next fiscal year. She also stated that they would restart the CSP Governance Committee to receive feedback from community partners regarding contracts, budgets, the various programs, and sustainability ideas. If anyone is interested in being a part of the CSP Governance Committee, please contact her at [email protected] or Joyce White at [email protected].

Hospital Movement (Janine Capetillo pg. 22): Janine Capetillo stated that the hospital wait time has not improved. For non-maximum secure hospitals, the males average wait times has increased to 101 days and for male maximum-security hospitals, the average wait time is 397 days. She reported that movement to the hospital for January and February 2019 was consistent. The new jail-based competency program has helped with decreasing their wait list and have had some successful completions. Lynn Richardson asked if the success rate of the individuals participating in the jail-based competency program is being tracked and if so, how has it impacted the population of those individuals waiting to be admitted into the hospital. Laura Edmonds answered stating yes and they are tracking the average days for jail-based competency participants that are exiting the program either transferring to the state hospital, found competent, or have stopped participating in the program. She also stated their goal is to help compare those average wait days in jail for those whose competency can be restored in the jail-based competency program or be transition into outpatient treatment to see what the average wait time will be. Last, she stated they would include the report in future BHSC meeting material packets.

Judge Kristin Wade asked Chad Anderson to provide the committee with a brief update regarding the status of the jail-based competency (JBCR) program. Chad Anderson stated that they have had 6 individuals restored to competency, with one being recently restored yesterday. He reported that 5 out of the 6 individuals restored, 4 had felonies charges and 1 had a misdemeanor charge. The average time for competency restoration for felonies was 34 days, and misdemeanors were 47 days, having only one misdemeanor charge. He stated that since there is a 100-day wait time for misdemeanors and 13 months for felony cases to be admitted into the state hospital those individuals whose competency has been restored while in the JCBR program no longer have to wait those timeframes and are released. He reported that the 5 individuals that were transferred to the state hospital arrived with some level of competency restoration education, which should help shorten their hospital stay. Several individuals they meet with may receive a new assessment. For Outpatient Competency Restoration (OCR), they are reviewing how to get individuals considered and have 2 individuals they would like to participate. They have had 38 individuals participate in the program since starting in October 2018. The state is reexamining their standards regarding JBCR programs because of a Health and Human Services Commission (HHSC) audit. He reported that Dallas County’s JBCR program differs from others in the state and HHSC will have to have Quality Management (QM) reexamine how to evaluate Dallas County’s JBCR

program. He reported that other county’s may experience shorter wait times of 5 days compared to when it reaches Dallas County participants, wait times could have reached 305 days. He also reported they understand the program and are collaborating with Parkland Hospital to allow communication between both parties. Last, he reported that jail staff are working well with the JCBR participants and have received 10 new candidates. Vickie Rice stated that they are working to finish approaching the state regarding all new Memorandum of Understandings (MOUs) since the current ones are outdated due to the election of the Dallas County DA, John Creuzot. Last, she stated that the JCBR program information would also be included.

mailto:[email protected]



Homeless Report (Kimberly Rawls pgs. 23-28): Kimberly Rawls reported that from January 2019-February 2019, for “Unique Individuals”, there was a decrease of 13 individuals. “Average Number of Days in Jail”

decreased by 8 days. She stated there was a significant decrease in the “Days in Jail” of 3,602 days. She believes the decrease may be because of the bail reform and that there were significant decreases to the overall general daily jail population stats that Mr. Etho Pugh sends 10 or 11 days in February 2019. Lynn Richardson stated that the PD department has not changed to 24 hours, but the decrease could be because of the impact of hearings from the misdemeanor courts. Lynn Richardson asked Kim Nesbitt to provide feedback regarding the impact of the bail-reform and the turnaround time of misdemeanor cases. Kim reported that due to the bail-reform individuals are rapidly being magistrate and misdemeanor cases are being released within 48 hours decreasing the average length of jail stay. Judge Kristin Wade asked Kim Nesbitt to introduce herself to the committee.

Judge Kristin Wade rearranged the agenda and the Public Defenders report was provided before the Mental Health Case Matches report.

Public Defenders (Lynn Richardson pgs. 30-34): Lynn Richardson stated to refer to their data listed on pgs. 30-34. Vickie Rice stated that the department hopes that future numbers will increase and thanked Julie Turnbull for her help. She stated that for next month they would review the numbers for ATLAS, S.E.T, and MHJD specialty courts to if there has been an increase because of there being a push to use the specialty courts existing programs and dockets. She also stated there might be a shift in Mental Illness court numbers because there is a push to use more PD’s. Last, she stated with the revamping they hope to see all numbers increase.

Mental Health Case Matches (Laura Edmonds pg.29): Laura Edmonds stated that the report shows individuals identified with a mental health flag out of the total number of monthly jail bookins from the JIMI Stella database. She reported that based on the data it continuously shows that about 30-35% of the jailed individuals have an active mental health condition.

District Attorney’s (Provided a Supplemental Packet): Lee Pierson stated to refer to the data listed in the supplemental packet. He stated that it has been 80 days since the new administration has started. He thanked both Dallas County DA, John Creuzot and Julie Turnbull, acting Chief of the Restorative Justice Department for the changes they have implemented. He reported that they have hired Annissa Obasi for the vacant Assistant District Attorney (ADA) position that was in Judge Kristin Wade’s court. He stated that Annissa is working with STAC, Misdemeanor Competency, and Traffic courts. They hired a new felony attorney, Ron Wright and Kendall McKimmey is the new Deputy Chief of the division. SET court is now under the Mental Health division. He expects SET court to have a large number increase before the summer. Audrey Garnett will handle the SET attorney position. He also reported that the PDs and Prosecutors were divided by court distribution and now the PDs joined with individual Prosecutors to help make the process more efficient. Last, he thanked both Lynn Richardson and Vickie Rice for their help during the process.

Provider Reports Judge Kristin Wade rearranged the agenda and the Metrocare report was before

The Bridge report.

Metrocare (Crystal Garland pgs.36-38): Crystal Garland reported that their numbers have been low. She emphasized the importance of having 120 total participates for all specialty courts because each Case Manager’s caseload must have 20-25 participants. She reported that she is reaching out to new Judges to explain the Case Manager’s role and the importance of sending participants to help maintain

programs and positions. Lynn Richardson stated that with numbers increasing it is important to focus on showing positive client outcomes to maintain program funding. Crystal Garland also emphasized the importance of showing positive client outcomes. Judge Kristin Wade stated the importance of allowing high-risk individuals the opportunity to regain their lives. Vickie Rice stated that the committee previously discussed meeting outside the scheduled BHSC meetings, maybe quarterly to brainstorm and exchange ideas regarding the various court programs success rates and methods that helped them reach successful outcomes. She also stated that Julie Turnbull is very creative with her incentives, charts, and scale of responses and the new PD Case Manager III, LaJuan McGowan made a candy bouquet that peaked clients’ interests. Last, she stated that during the May 16, 2019 BHSC meeting she would like to schedule the first quarterly meeting with the various court program’s to begin the brainstorming process. The Bridge (Kelly Kane pg.35): Kelly Kane stated to refer to the data listed on pg. 35 and their numbers have been consistent. She stated for the point in time count, there were roughly 1,400 unsheltered individuals, a 9% increase from last year. She also reported that they are doing their best to get everyone housed. Judge Kristin Wade asked if she knew the wait time of the Dallas Housing Authority (DHA) waiting list. Kelly Kane answered stating that it depends what number the client is on the wait list. IPS Reports (Jessica Simmons pgs. 39-41): Jessica Simmons reported that their data is on pgs. 39-41 in the meeting packet. For January to February 2019, they had a decrease of participants. For Program Utilization Distribution, most of their clients are in the SUD program (59.66%), Psych 20.68%, Psych Ed (8.84%), SUD-MAT/Detox (6.92%), and Monitoring (3.88%). Both the Gender and Ethnic distributions are consistent (please refer to the data in the packet for a complete breakdown). For Drugs of Choice at Intake (self-report), most client’s list cannabis as their first drug of choice, 2nd is opioids, which increased by 5% and a 3% increase in alcohol use. Outpatient Competency (Janine Capetillo pg. 42): Janine Capetillo stated that their OCR numbers are increasing and in January 2019, there were 11 individuals placed in OCR and for February 2019 7 individuals were placed in OCR. DIVERT (Keta Dickerson pg. 43): No verbal report given. Please refer to the data in the packet. Specialty Courts CSCD (Serena McNair/Rosa Sandles pgs. 44-47): Rosa Sandles stated that they are slowly receiving clients and working to keep up maintenance on cases and individuals outcome after graduation. She reported that ATLAS court numbers are slowly increasing. DDAC Court is consistent within the 20s. Misdemeanor Mental Health is increasing, and STAR Court is slowly increasing. Last, she stated to please send referrals to her at [email protected]. Announcements: Judge Kristin Wade made the following announcements:

Karen Hearod (US Department of Health and Human Services/SAMHSA) could not present due to being called to speak at another engagement. She asked her Director, Fred Schuster to see if he would be available. He too had a prior engagement and could not attend. Karen will present at the Thursday, September 19, 2019 BHSC meeting.

Dr. Michael Ellison, Texas Wesleyan University will present at the Thursday, May 16, 2019 BHSC meeting. Chad Anderson/NTBHA provided his information. Dr. Ellison will present on the effect that the combination of prescription and illicit drugs have on individuals.

If anyone one has any speakers they would like to come and present to the Committee for the July 18th or November 21st, 2019 meetings, please provide Kimberly Rawls ([email protected]) with their contact information to get them scheduled.



Janie Metzinger provided the group with the Texas Legislature update. She reported that the local mental health authority funding is level and anything added will be exceptional items. The House budget has awarded $1 million dollars to build a new state mental health hospital in the DFW area along with at state funded School of Medicine and School of Psychiatry at UT Southwestern. She reported that there is a bill to renovate all beds at Terrell State Hospital and build a new state hospital in the West Texas area. She stated that she would share information regarding bills she found with various committee members who may be eligible to receive upcoming funding opportunities. Judge Kristin Wade thanked Judge La’Donna Harlan for attending the meeting. Ruth Kaiser announced that the “Rally for Recovery” is scheduled for September 21, 2019 at Global Life Park. For questions, email Annie Powell at [email protected]. Julie Turnbull announced that the Texas Association of Specialty Courts (TASC) conference is scheduled for April 10-12th 2019 and registration is still open. Lynn Richardson announced that during the previous 530 Committee meeting they discussed organizing a team building activity among all Dallas County specialty courts. If anyone is interested in planning and or participating, please contact the PDs office. She also stated a future goal is to have all specialty court Judges meet monthly, if their schedules permit. Julie Turnbull announced there would be a pool party for Dallas County TASC conference participants Wednesday, April 10th 2019 after the conference.

Adjournment

Judge Kristin Wade adjourned the meeting at 9:21 am. The next meeting is set for Thursday, May 16, 2019, at 8:30am in the same location. A reminder was provided to everyone to submit their monthly stats to Kimberly Rawls at [email protected] via email by the 2nd Friday of each month for tracking and distribution.



Last Refresh: 4/27/19 at 10:11:04 AM GMT-05:00DY8 CSP Monthly Report_No Graphs(with LCN)CSP TotalCrisis

ProjectServices

Total Encounters by Type: 2019-01 2019-02 2019-03 Average: Sum:

Triage 333 336 277 315.33 946

Care Coordination 1,834 1,686 1,146 1,555.33 4,666

F2F Encounter 299 287 154 246.67 740

Sum: 2,466 2,309 1,577 2,117.33 6,352

Total Unique CID: 589 327 320 247 298 894

Total Unique SID: 326 318 244 296 888

% Change to DY 4 by CID55.52% 54.33% 41.94%

PastYearAvg 2019-01 2019-02 2019-03 Average: Sum:

Total Service Episodes: 768 333 336 277 315.33 946

F2F Encounter 2019-01 2019-02 2019-03 Average: Sum:

MHPR Bond 177 158 89 141.33 424

Non-MHPR 122 129 65 105.33 316

Sum: 299 287 154 246.67 740

Powered by:

DY8 CSP Monthly Report_No Graphs(with LCN)Frank Crowley

Last Refresh: 4/27/19 at 10:11:04 AM GMT-05:00

CrisisServicesProject

2019-01 2019-02 2019-03 Average: Sum:

Service Episodes: 333 336 277 315.33 946

Unique Consumers: 2019-01 2019-02 2019-03 Average: Sum:

By N* ID 114 119 78 103.67 311

By LCN 103 85 78 88.67 266

By Client ID 110 116 91 105.67 317

TOTAL Unique Consumers: 327 320 247 298 894

TOTAL Unique Consumers as %:98.20% 95.24% 89.17%

Unique F2F: 2019-01 2019-02 2019-03 Average: Sum:

By N* ID 85 90 28 67.67 203

By LCN 83 61 38 60.67 182

By Client ID 92 86 54 77.33 232

TOTAL Unique F2F: 260 237 120 154.25 617

TOTAL Unique F2F as %: 86.96% 82.58% 77.92%

Average: Sum:

F2F Percentages:

Powered by:

DY8 CSP Monthly Report_No Graphs(with LCN)Frank Crowley


CrisisServicesProject

Encounters by Type: 2019-01 2019-02 2019-03 Average: Sum:

Triage 333 336 277 315.33 946

Care Coordination 1,834 1,686 1,146 1,555.33 4,666

F2F Encounter 299 287 154 246.67 740

TOTAL Encounters: 2,466 2,309 1,577 2,117.33 6,352

Female: 2019-01 2019-02 2019-03 Average: Sum:

Black 14 17 14 15 45

Hispanic 4 3 2 3 9

Unknown 1 1 1

White 9 8 6 7.67 23

TOTAL Female: 28 28 22 26 78

Male: 2019-01 2019-02 2019-03 Average: Sum:

Black 68 69 36 57.67 173

Hispanic 12 7 6 8.33 25

Other 3 1 1 1.67 5

White 28 28 19 25 75

TOTAL Male: 111 105 62 92.67 278

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F2F Recidivism Summary for 01/01/2019 to 03/31/2019

QPI_DY8 Multi-version Recidivism - New


Triage 12 w/F2F 503

Recidivism 12-12 w/F2F 63

Recidivism 12-12 w/F2F Percentage 12.52%

Month Name January February March

Year MO 2019/01 2019/02 2019/03

Triage w/F2F:

Triage 12 w/F2F 209 409 503

Recidivism 12-12 5 24 63

Recidivism 12-12% 2.39% 5.87% 12.52%

PAP:

Count of PAP 311 637 885

PAP Recidivism 7 27 72

PAP Recidivism% 2.25% 4.24% 8.14%

Total:

Count of F2F & PAP 520 1,046 1,388

Recidivism F2F& PAP 12 51 135

Recidivism% 2.31% 4.88% 9.73%

Bookins 12 w/PAP 885

Recidivism 12-12 w/PAP 72

Recidivism 12-12 w/PAP Percentage 8.14%

Total F2F and PAP 1,388

Recidivistic Individuals 135

Recidivism Percentage 9.73%

2018-10 2018-11 2018-12 2019-01 2019-02 2019-03 TOTALBeginning Census 117 121 114 98 102 109

Referrals 19 21 6 29 29 32 136

AdmissionsReferred Admitted 7 0 0 0 11 8 26

No Admit Client Refusal 1 0 0 0 0 0 1No Admit Criteria 1 0 0 0 0 0 1

No Admit Structural 0 0 0 1 0 0 1Pending 10 21 6 28 18 24 107

Prior PendingPending Admitted 20 9 4 6 3 10 52

No Admit Client Refusal 1 1 0 0 1 1 4No Admit Criteria 1 0 0 0 1 0 2

No Admit Structural 7 2 13 12 5 6 45

Total Admissions 27 9 4 6 14 18 78

DischargesSuccess Transfer 5 4 3 1 1 0 14

DC Midterm Disengage 4 7 12 3 5 6 37DC Rapid Disengage 6 3 2 0 0 0 11

DC Structural 8 2 3 0 1 2 16Total Discharged 23 16 20 2 7 8 76

Active End Of Month 121 114 98 102 109 119

Outcome DataTerrell State Hospital Linkages

≤7 Connect To Prescriber 4 9 7 10 3 3 36Missed ≤7 Day Connect 3 0 0 0 1 2 6

≤30 Connect To Prescriber 6 9 7 10 3 3 38Missed ≤30 Day Connect 1 0 0 0 1 2 4

Total Missed Metric 1 0 0 0 1 2 4Total Released 7 9 7 10 4 5 42

Cummulative ≤7 Connect % 57.1% 81.3% 87.0% 90.9% 89.2% 85.7% 85.7%Cummulative ≤30 Connect % 85.7% 93.8% 95.7% 97.0% 94.6% 90.5% 90.5%

Missed Metric 14.3% 6.3% 4.3% 3.0% 5.4% 9.5% 9.5%Unduplicated Served

Monthly Unduplicated 141 95 83 108 103 115DSRIP YTD Unduplicated Served 141 144 150 172 215 221

Encounter DataF2F Encounter 757 698 554 768 725 744 4246

Care Coord 44 19 31 40 42 47 223Total 801 717 585 808 767 791 4469

Transicare Reporting Crisis Services Project

Forensic Diversion Unit (FDU) ReportJan-19 Feb-19 Mar-19 Apr-19 May-19

Beginning Census: 28 20 24Number of Referrals Received from CSP:

Adapt 0 4 4Metrocare 1 1 0

District Attorney's Office 0 0 0Public Defender's Office 4 3 6

Number not accepted due to:Qualified for another LOC 0 0 3

Did not meet LOC required 1 1 1Other 0 0 1

Number of Admissions: 4 4 4

Service Utilization:Total Face to Face 137.4 135.2 209.7

Total Engagement/Service Coordination 16.58 25.83 34.83

Number of Higher Level of Care Episodes:Emergency Room (medical) 1 4 3

23-hour observation (psych) 0 2 0Inpatient (med/psych) 0 1 0

Jail Book-in 0 3 1

Number Discharged: 10 3 5Reasons for Discharge:

Graduate 1 0 0Client Disengagement 7 1 2

Extended Jail Stay (case-bycase basis) 2 1 0Other 0 1 3

End of Month Stats:# of Clients waiting to be Released from Jail 4 4 3

# of Active FDU Clients 18 20 21Total 22 24 24

Maximum Census 33 33 33 33

BHLT Meeting Supplemental

Packet

May 9, 2019

MONTHBEGINNING # OF PENDING

CASES

+NEW CASES RECEIVED

THIS MONTH

=TOTAL CASES TBJ TBC PLEAS REV GRADUATES

PROBATION

MODIFICATIONS

DISMISSALS OTHERS

TOTAL DISPOSITIONS

ENDING #

PENDING CASES **

CURRENT ATLAS PARTICIP

ANTS

CURRENT PARTICIPA

NTS IN CUSTODY

FORMER ATLAS

PARTICIPANTS

BOND

April 29 8 37 0 0 0 1 0 1 0 0 2 35 12 0 0 12

HARRY INGRAM

MONTH

BEGINNING # OF

PENDING CASES

Rediverts

+NEW CASES

RECEIVED THIS

MONTH

=TOTAL CASES TBJ TBC PLEAS DISMISSAL OTHER

TOTAL DISPOSITION

S

ENDING #

PENDING

CASES **

CURRENT

PARTICIPANTS

NUMBER OF

GRADUATES

BOND***

April 28 0 3 31 0 0 0 3 4 7 24 13 2 12

MONTHBEGINNING # OF PENDING

CASES

+NEW CASES RECEIVED

THIS MONTH

=TOTAL CASES TBJ TBC PLEAS REV GRADUATES

PROBATION

MODIFICATIONS

DISMISSALS OTHERS

TOTAL DISPOSITIONS

ENDING #

PENDING CASES **

CURRENT

PARTICIPANTS

CURRENT PARTICIPA

NTS IN CUSTODY

FORMER PARTICIPA

NTSBOND

April 53 5 58 0 0 0 0 10 0 1 0 11 47 30 4 0 26

FY2019 MHPD STATSBEGINNING

# OF PENDING

CASES

+NEW CASES

RECEIVED THIS

MONTH

=TOTAL CASES TRIALS PLEAS COND.

DISM.REVO-

CATION DISMISSALS INCOMPETENT

REFERRALS

OTHER COUNSEL APPT.

TOTAL CLOSED

R. Lenox 229 27 256 0 6 3 1 3 0 0 1 14L. Strather 236 21 257 0 2 6 0 1 2 0 3 14

MONTH BEGINNING # OF CASES

NEW CASES THIS

MONTHTBJ TBC

Alt.Trial

Dispos.PLEAS

REVO-CATION

SDISMISSALS PROBATI

ONCOMP. HRG.

EXTENSIONS

CIVIL COMMI

T.

MHMR REFERR

AL

CONSULTS OTHER

ENDING # OF

PEOPLE IN OCR

M. Harden 125 16 0 0 0 5 1 7 1 11 6 0 0 0 5 8R. Scott 9 0 0 0 0 0 0 0 0 1 0 0 0 0 4 2

RANDALL SCOTT

MONTH BEGINNING # OF CASES

NEW CASES THIS

MONTHTBJ TBC

Alt.Trial

Dispos.PLEAS

REVO-CATION

SDISMISSALS PROBATI

ONCOMP. HRG.

EXTENSIONS

CIVIL COMMI

T.

MHMR REFERR

AL

CONSULTS OTHER

ENDING # OF

PEOPLE IN OCR

April 232 37 0 0 0 4 0 19 0 45 2 1 3 0 8 18

MONTHTOTAL NEW

CASES RECEIVED

NEW CLIENTS AT

TERRELL

NEW CLIENTS

AT GREEN OAKS

NEW CLIENTS

AT MEDICAL CENTER MCKINNE

Y

NEW CLIENT

S AT PARKL

AND

NEW CLIENTS AT DALLA

S BEHAVIORA

L HEAL

TH

NEW CLIENT

S AT GARLAN

D BEHAVIORAL

NEW CLIENTS AT

ZALE LIPSHY

NEW CLIENTS

AT SUNDANC

E BEHAVIOR

AL HEALTHCA

RE

NEW CLIENT

S AT HICKOR

Y TRAILS

NEW CLIENTS

AT METHODI

ST RICHARD

SON

NEW CLIENT

S AT DALLAS PRESBYTERIAN

NEW CLIENTS

AT VA

NEW CLIENT

S AT WELLBRIDGE

NEW CLIENTS

AT TIMBERL

AWN

NEW CLIENTS AT GLEN

OAKS

NEW CLIENT

S AT TEXOM

A

NEW CLIENTS

AT HAVEN

PROBABLE CAUSE HEARINGS HELD

NO CONTEST COMMIT

CONTESTED COMMIT

FORCED MEDS

HEARING IN COURT

L. Roberts 90 10 0 16 0 0 44 0 0 0 0 0 0 1 0 14 5 0 5 3 8 10C. Cox 152 0 0 0 136 0 0 11 0 0 0 5 0 0 0 0 0 0 1 1 13 12R. Black 110 0 61 0 0 23 0 0 0 24 2 0 0 0 0 0 0 0 7 0 3 3

HARRY INGRAM FY2019 S.E.T. STATISTICS 291st

April

FY2019 FELONY COMPETENCY STATISTICS

FY2019 MISDEMEANOR COMPETENCY STATISTICS

April MI Court

HARRY INGRAM FY2019 ATLAS STATISTICS 203/HAWTHORNE

FY2019 MISDEMEANOR DIVERT MENTAL HEALTH COURT STATS CCCAP1/WADE

DAN ECKSTEIN MHPR BOND STATS

MONTH

TOTAL HEARINGS (#

of clients)

Total # of

Cases

Total # of

Felony Cases

# of Felonie

s Approv

ed

# of Felonie

s Denied

Total # of Misd. Cases

# of Misd's Approv

ed

# of Misd's Denied

April 65 93 66 52 14 27 20 7

Misd FS F3 F2 F1 Misd FS F3 F2 F1 Misd FS F3 F2 F1 Misd FS F3 F2 F1Oct-18 84 31 10 1 0 27 32 20 14 6 0 0 0 1 0 13 2 1 0 0

Nov-18 64 16 4 1 0 28 28 15 10 2 0 0 0 0 0 5 1 1 0 0Dec-18 80 14 3 1 0 37 45 22 13 2 1 0 0 1 0 14 5 0 1 0Jan-19 66 22 3 2 0 56 27 26 19 7 2 0 0 0 0 3 1 0 2 0Feb-19 67 13 13 0 0 33 16 16 10 2 0 0 0 0 0 53 19 8 2 0Mar-19 46 14 2 2 0 15 21 12 3 1 0 0 0 0 0 55 19 9 6 6Apr-19 64 12 4 0 0 26 16 10 12 1 0 0 0 3 0 74 45 12 8 2

May-19Jun-19Jul-19

Aug-19Sep-19TOTAL 471 122 39 7 0 222 185 121 81 21 3 0 0 5 0 217 92 31 19 8

Bond Hearings

INITIAL ELIGIBILIT

Y DAILY LIST (MH FLAGS)

PUBLIC DEFENDER

1464MENTAL HEALTH PERSONAL RECOGNIZANCE BONDS--ATTORNEY CASE APPOINTMENTS

OCTOBER 2018 - SEPTEMBER 2019

MISDEMEANORTOTAL FY 2019

913 *This is the total number of misdemeanor cases for clients considered for MH PR Bonds for the defined period. Of these cases, the numbers below reflect the attorneys appointed to handle the cases beyond the MH PR Bond hearing.

206 53 12

MHPR BOND APPOINTMENTS FROM DAILY

LIST (MH FLAGS MINUS

MHPR BOND HEARING-BOND GRANTED (# of

clients)

MHPR BOND HEARING-

BOND DENIED (# of clients)

PRIVATE APPOINTED PRIVATE RETAINED NO ATTORNEYMisdemeanors 471 Misdemeanors 222 Misdemeanors 3 Misdemeanors 217

FELONYTOTAL FY 2019

731**This is the total number of felony cases for clients considered for MH PR Bonds for the defined period. Of these cases, the numbers below reflect the attorneys appointed to handle the cases beyond the MH PR Bond hearing.

PUBLIC DEFENDER PRIVATE APPOINTED PRIVATE RETAINED NO ATTORNEY

3192

TOTAL 168 TOTAL 408 TOTAL 5 TOTAL 150FS 122 FS 185 FS 0 FS

7 F2 81 F205 F2 19

F3

0 F1 21 F1 0

F339 F3 121 F3F2

F1 8

Public Defender Private Appointed Private Retained No Attorney

F1

*The numbers below for each month may change as attorneys are appointed on cases which previously had no attorney appointed, and are most accurate 60 days out.

Court# O

F CLIENTS

CLIENTS WITH M

H

DIAGNOSIS

# OF HEARINGS SET

# OF CASES

PR BOND GRANTED

BOND AMOUNT REDUCED

BOND AMOUNT NOT

CHANGED

WAIVED

DISPOSED

DISMISSED

OTHER

CCC 1 52 22 73 69 47 0 14 3 5 0 455 23 65 65 41 0 0 14 4 0 673 26 108 107 50 8 4 37 3 0 627 12 31 31 14 0 1 7 3 0 623 15 26 26 15 0 3 2 3 3 029 8 34 34 17 0 6 9 2 0 019 8 20 20 16 0 1 3 0 0 037 16 55 52 18 1 8 24 1 0 333 16 51 49 13 8 3 24 2 1 00 0 0 0 0 0 0 0 0 0 0

36 12 46 45 4 6 18 10 0 0 831 7 41 41 18 0 8 13 0 0 0

550 539 550 539 253 23 66 146 23 4 33

*# OF HEARINGS SET captures cases that may be heard more than once (ex: PR Bond is initially denied, or client is rearrested on the same charge).*WAIVED captures hearings waived by client request (ex: ICE hold, felony pending, etc.), or by attorney request due to competency concerns.*DISPOSED captures cases disposed plead in lieu of hearing, after hearing preparation; dismissals are recorded separately.*OTHER captures any situation not otherwise listed (ex: attorney hired day of hearing; bond posted of hearing, etc., only if client was interviewed and attorney prepared case for hearing.

CCC 1

TOTAL

CCC 5CCC 4CCC 3CCC 2

CCCAP2CCC 11CCC 10CCC 9CCC 8CCC 7CCC 6

dallas county behavioral health leadership team thursday ......henry wade juvenile justice center...

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