FRANKLIN COUNTY

CRIMINAL JUSTICE ADVISORY BOARD February 22, 2018

Meeting Minutes

David Keller, Commissioner Glenda Helman Kimberly Eaton

Jeff Diller Stacie Horvath Teresa Beckner

Ashley Yinger Casey Bogner Ian Brink

Bob Thomas, Commissioner Steve Nevada Justin Lensbower

James Sullen Melyssa Flud Michelle Weller

Bill Bechtold Dan Hoover Doug Wilburne

April Brown Bob Ziobrowski, Commissioner Jeff Geesaman

Mark Singer Aimee Cook Angela Stoner

Dianne Kelso Amy Hockenberry Barb Channing

John Thierwechter Angela Krom, Judge Julia Lehman

Matt Fogal, DA Jim Sourbier Kim Mills (recorder)

I. Welcome and Introductions – Commissioner Keller called the meeting to order at 12:05PM, welcomed

the group and requested guest introductions. Michelle Weller introduced Justin Lensbower as the

Health Services Administrator for PrimeCare Medical at the Franklin County Jail. Commissioner

Keller introduced former President Judge and Senior Judge Douglas Herman.

II. Approval of December minutes – The minutes were approved by consensus.

III. Judge Richard J. Walsh Award – Former President Judge, current Senior Judge, Douglas Herman

presented the Richard J. Walsh award to Reverend Jeff Diller for his instrumental years of service and

dedication to the community and CJAB.

IV. New Business – None.

V. Presentation: Jail To Community Treatment Program, Michelle Weller, Franklin County Jail Deputy

Warden and Justin Lensbower, Director of Mental Health Services at PrimeCare Medical, Inc., see

attached presentation.

VI. Sequential Intercept Model Overview – Intercept 0: Stacie Horvath, see attached presentation.

Intercept1: Dan Hoover, see attached presentation.

VII. CJAB Office Reports

A. Approval of CJAB Office Updates

1. Children’s Advocacy Center (CAC) - Awarded $40,000 for year 2 of the 2016 Endowment

Act Grant and $50,000 for the 2017 NCA Member Child Advocacy Center Grant.

Awaiting word on applications submitted for VOCA 2018-2020 and Endowment Act -

Programs Assisting Victims.

2. Intensive Reentry Case Management (IRCM) – PMR for a 6 month extension was

approved extending the grant period through June 30, 2018. Application for Year 2

funding is due April 10, 2018.

3. Women In Need (WIN) – Received 3rd

year STOP grant award in the amount of $135,000

for the period of January 1, 2018 through December 31, 2018.

4. Intermediate Punishment (IP) – A corrective action PMR was submitted to better reflect

MA match funding. APO has provided a letter of intent for the 2018-2020 funding

announcement.

5. Drug Court/BJA – Awaiting approval of the initial budget, once approved the Grant

Adjustment Notice (GAN) can be resubmitted. The first quarterly report was submitted

and approved. A RFP for a program evaluator has been reviewed and approved by the

County Solicitor. Risk assessments are being completed for providers. National Drug

Court Institute (NDCI) will be on-site June 27th

and 28th

to meet with staff and overserve a

Drug Court session. Team members are working on the Best Practices Self-Assessment

Tool for NDCI.

6. MH Co-responder – Working on grant applications from PCCD due March 26th

and

SAMSHA due March 5th

to replicate the program in Chambersburg. Keystone also

submitted a grant application to replicate the program in Chambersburg. The Co-

responder team will be presenting at the 2018 CJAB Conference.

7. Reentry Coalition – SCCAP staff and volunteers have developed a list of local businesses

that will employ returning citizens; there are currently 62 employers on the listing. This

information is being provided to Parole Officers and the Treatment Court Coordinator.

8. Pretrial D&A (Get Back Up) – Contracts are being reviewed by the County Solicitor.

B. PCCD Liaison Report – Kerri Hall was unable to attend, Glenda Helman provided the update.

Funding announcements include: 2017-2018 JAG Single Solicitation, County Offender Planning

Grant, a Residential Substance Abuse and Treatment grant and 2018-2020 Intermediate

Punishment. The PCCD Statewide Crisis Intervention Team (CIT) Meeting will be held March

20th

in State College at the Days Inn Penn State, registration deadline in March 1st. Jennifer

Lopez, Chester County, will host a session on “How Being Trauma Informed Improves Criminal

Justice System Reponses” and Patty Poloka, Pittsburgh Police Department, will present on how

to understand crisis elements of the LBGTQIA+ community which may lead to law enforcement

encounters. The CJAB conference is April 3rd

&4th

in State College at the Penn Stater,

registration deadline in March 19th

. The CJAB conference has been approved for 12 Continuing

Judicial Education credits, as well as Continuing Legal Education credits and National

Association of Social Workers continuing education credits.

C. Public Safety Report – No report/updates.

VIII. Committee Reports

A. Executive – This committee is working to ensure these meetings are useful and informative. If

this group has any suggestions or presentation ideas, please reach out to an Executive Committee

member.

B. Criminal Case Flow Management – The December minutes include the year-end report, please see

Mark Singer with any questions. The minutes from the January meeting were provided in this

meeting packet. The committee worked on the April Case Flow presentation, which will be a

collaborative effort between APO, PD, DA and Court Admin to highlight how sequential intercept

models 2-4 touch case flow.

C. Behavioral Health - Met February 5th

and continue to work on projects. SMI numbers at the jail

are down. Beginning June 2018 DDAP will require all providers to utilize the ASAM assessment

tool; D&A and TMCA are partnering to train providers. Another Medication Lock Box campaign

will begin in March. The last CIT training increased the number of Franklin County trained

individuals to 95. TMCA has received approval for the TARGET reinvestment plan, looking at

implementing the evidenced based trauma curriculum in the jail and community. Working with

older adults with SMI through the Franklin County Older Adult Advocacy Team (FCOAAT), it is

a challenge to find programs for these individuals. This committee will update the Sequential

Intercept Model (SIM) on an annual basis, representatives from each program will be requested to

review and make changes as needed.

D. First Contact – Reviewed 2018 goals and initiatives. The Livescan equipment in Central Booking

and at the Courthouse has reached the end of their useful life, as the hardware is no longer

supported. Grant opportunities are being explored to replace the equipment. This committee will

monitor the Get Back Up and Co-responder programs. Looking to develop a pocket sized referral

card for law enforcement to provide to individuals and/or their family members.

E. Technology – No update, please refer to the minutes in the packet.

F. Victims Impact – Next meeting is May 3rd

. Lindsay Walls will become a member of this

committee; she is a local rep for GRASP, a grief support group for surviving members of

overdose victims. There have been 5 overdose deaths in 2018 and 3 uses of Naloxone by law

enforcement.

G. Juvenile Justice – Planning a Youth Court Training session for March 3rd

. Waynesboro is still

looking to add Youth Court as part of their curriculum. Youth Aid Panel has received 4 new

referrals from MDJ Gomez-Shockey.

H. Forensic Initiatives – Met January 16th

. This committee reports on the activities of Franklin

Together. Healing Communities will host a training on Saturday February 24th

at the Rouzerville

United Methodist Church. Meeting to further develop the Great Barrier Relief Task Force. The

Intensive Reentry Case Management (IRCM) program has served a total of 15 individuals, with 7

active participants. Looking at ways to support the community through a sober community

center, in conjunction with the Overdose Task Force. This committee’s meetings have moved to

the 3rd

Thursday of every other month.

IX. Announcements – Commissioner Thomas and Stacie Horvath announced that Head Start is developing

an initiative that will serve the entire family, a two generational approach, to assist families prior to

their needs reaching a critical level. Commissioner Thomas also announced that Chief Camacho, of the

Chambersburg Police Department, will be presenting to the NACo Justice and Public Safety Policy

Steering Committee on March 3rd

.

X. Adjournment – The meeting adjourned at 1:10PM.

NEXT MEETING: THURSDAY, APRIL 26, 2018 AT NOON

JURY ASSEMBLY ROOM

JAIL TO COMMUNITY TREATMENT PROGRAM

CJAB PRESENTATION

FEBRUARY 22, 2018

OVERVIEW OF PROGRAM • Started in Jan. 2017

• A type of Medication Assisted Treatment (MAT)

• Combination of drug & alcohol counseling andVivitrol.

• Our program is unique in that we send inmatesout of the jail for treatment instead of having theprovider come into the jail

• Funded by grants

• Goals are to increase recovery success anddecrease recidivism

WHAT IS VIVITROL?

• Type of medication assisted treatment

• Non-addictive

• Antagonist - Blocks the effects of opiates as well as reduces cravings

• To be used in conjunction with counseling

• Monthly injection by a health care provider

A LOOK AT FCJ DRUG AND ALCOHOL STATISTICS

DETOX PROTOCOL:

• 36% of new commitments are placed on detox protocol

• 46% of those placed on detox are due to opioid use

TCUS:

• 79% of completed TCUs are referrals for drug and alcohol services

GOALS OF VIVITROL PROGRAM

• Increase probability of successful recovery and

• Decrease recidivism by:

– Implementing a pilot MAT program to supplement existing jail drug and alcohol services

– Provide two injections prior to release

– Assisting inmates transitioning back into the community by getting services in place prior to release

– Continuity of care • Inmates will continue with same treatment provider upon their

release

PROGRAM TIMELINE

• Referrals to program

• Screening for eligibility

– Legal status

– Inmate classification

– Medical clearances

• Physical

• Bloodwork

• Naltrexone Challenge

PROGRAM TIMELINE

• FFDA Assessment

• Referral to treatment provider – Keystone = Dual diagnosis

– Pyramid = Drug and alcohol only

• Community treatment starts – Transportation from own source, Pre-Release and/or

jail staff

– Appointments coordinated by provider and Pre-Release staff

– Paid for through grant money

PROGRAM TIMELINE

• Vivitrol Injection

–Administered by medical staff

– First injection 6-8 weeks prior to release

– Second injection right before release

• Discharge from jail

–No gap in services

–Grant money will cover expense until medical assistance is initiated

PROGRAM TIMELINE

• Remain in program until treatment is completed through the provider

• Case management and tracking provided by treatment providers and Primecare staff

• Weekly team meetings held throughout process – Staffed by PrimeCare, FCJ staff, Franklin/Fulton Drug

and Alcohol, Probation/Pre-Release staff, DRC,

– Discuss referrals and current participants

PROGRAM STATISTICS

Snapshot as of Feb 19, 2018

• 92 referrals

• 21 denied

• 16 being considered

• 5 active

• 21 discharged from jail – 7 unsuccessful (33%)= returned to jail and/or did not

complete treatment

– 14 successful (67%)

CONTACT INFORMATION: Bill Bechtold, Warden

717-264-9513 ext 27714

wdbechtold@franklincountypa.gov

Michelle Weller Justin Lensbower

Deputy Warden of Inmate Services Health Services Administrator

717-264-9513 ext 21621 717-264-9513 ext 21678

mweller@franklincountypa.gov jmlensbower@franklincountypa.gov

Intercept 0

Prevention

Pre Law Enforcement

Intercept 3

Jail

Intercept 1

Law Enforcement

Emergency Services

Intercept 2

Initial Detention

Initial Court Hearing Courts

Intercept 4

Reentry

Intercept 5

Community Corrections

Community Support

Community Collaborations Across SystemsCriminal Justice Advisory Board (CJAB)

FCOAAT

Overdose Task Force

Community Support Program and Natural Supports

Franklin Together

LINK

Office of Veterans Affairs - County and Martinsburg, WV

Hospitals

In-patient & Detox

Hospitalization

Community Behavioral Health

ARREST

ARREST

Initial Detention

Central Booking

Preliminary

Arraignment

Magisterial

District Judges

Makes Bail

Preliminary

Hearing

Court of Common

Pleas

Treatment Court

Intermediate

Punishment

Franklin County Jail

For jail programming

services, please see narrative

Jail Diversion

PA D.O.C.

Re-Entry Services at Jail

Reentry Committee

(Over 90 Day Sentences)

Medical Assistance Treatment Program (MAT)

Case Management for MH and D&A

Expedited ++

Mobile Forensic Evaluations

Day Reporting Center

Life Skills Group

Moral Reconation Therapy (MRT)

Drug & Alcohol Treatment Groups

Case Management GED Prep

Adult Basic Education

Job Readiness Groups

Pennsylvania Board of

Probation & Parole

County Adult Probation

Drug & Alcohol and Probation

Partnership (DAPP)

Specialized Probation Officers

Community

MH or D&A

CO

MM

UN

ITY

Max-outs

VIOLATION

Crisis

Intervention

Services

Law Enforcement/

Community Engagement

Mental Health

Services/Prevention

Drug and Alcohol

Services/Prevention

211 / Information & Referral

County Probation/

Pretrial Release

911 Dispatch

Local Law Enforcement

PA State Police

EMA - ambulance

Diversion Programs

County Probation ARD

IP Monitoring - Weekender

SCRAM

Specialized Case Management

D&A RIP/DAPP

Community Services

Sequential Intercept Model Franklin County

Intercept 1

Where does Intercept 1 Fit in ?

Intercept 1

• Emergency Services / 911 Dispatch • Law Enforcement

• Detox Hospitalization

• Arrest & Central Booking *

• Diversion Programs *

• Behavioral Health: CIT & MH Co-Responder*

Who is involved at this Intercept ?

Central Booking

Central Booking

• Persons individual data is entered into the Criminal Justice System: Pictures, Fingerprints, Personal Data

• Franklin County maintains one of the highest Compliance rates in Pennsylvania.

• Current Rates 94%+-

Mental Health – Co-Responder Program & CIT

Co-Responder May – Dec 2017

43%

8%

15%

7%

Total with MH services

Added MH Services

New MH Services

Returned MH Services

MH Services Access

Franklin County CIT Crisis Intervention Team

CIT - MODEL FOR SUCCESS

• 5-LEGGED STOOL

1. Police Training

2. Community Collaboration

3. Vibrant and Accessible Crisis System

4. Behavioral Health Staff Training

5. Family, Consumers, and Advocates Collaborate and Educate

*information from www.cdc.gov

A diversion program geared towards the community’s battle with addiction in attempts to link the individuals with the appropriate care.

Individuals can walk in to any police department or the DA’s office to request help for their addiction.

Individuals may be referred by the department to be evaluated after an encounter with police.

Thank You