1. Introduction to Kenosha County Behavioral Health Courts Kenosha County Division of Aging & Disability Jim Truchan (LMFT,LPC,LCSW) Human Services Manager May, 2014

2. The Cycle of Incarceration Mental Illness / SUD Crime Courts Incarceration Minimal / No Treatment Behavioral Health Courts Work to Stop this Endless Cycle

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

4. Essential Elements of Specialty Courts Non-adversarial process Non-adversarial process Non-traditional courtroom dynamic Non-traditional courtroom dynamic Intensive probation supervision (“probation on steroids”) Intensive probation supervision (“probation on steroids”) Frequent and random drug testing Frequent and random drug testing Treatment partners with criminal justice system Treatment partners with criminal justice system Focus on collaboration among agencies and other parts of the court system Focus on collaboration among agencies and other parts of the court system Holistic approach Holistic approach Rewards and sanctions Rewards and sanctions

5. Kenosha County Behavioral Health Treatment Court Mission Statement Mission Statement “The mission of the Kenosha County Behavioral Health Treatment Court is to enhance public safety and personal recovery by providing intensive supervision, evidenced based treatment, and cost effective services to convicted nonviolent adult offenders who endure severe and persistent mental illness. “The mission of the Kenosha County Behavioral Health Treatment Court is to enhance public safety and personal recovery by providing intensive supervision, evidenced based treatment, and cost effective services to convicted nonviolent adult offenders who endure severe and persistent mental illness.

6. Kenosha County Behavioral Health Treatment Court Goals & Objectives Goals & Objectives 1. Improve Quality of Life (Housing, Relationships, Meaningful Activities) 2. Increase Treatment Engagement (Recovery Plan, Personal Investment, Accountability) 3. Enhance Public Safety (compliance with probation, no new criminal activity)

7. Goals Improve public safety by reducing recidivism. Improve public safety by reducing recidivism. Reduce criminal justice costs for Kenosha County. Reduce criminal justice costs for Kenosha County. Enhance recovery related behaviors while reducing substance abuse by program participants. Enhance recovery related behaviors while reducing substance abuse by program participants.

8. Target Population Kenosha County residents Kenosha County residents Convicted of nonviolent crimes (such as, but not limited to, forgery, theft, felony hit and run, criminal damage to property, operating motor vehicle without owner's consent, drug charges except distribution for profit) Convicted of nonviolent crimes (such as, but not limited to, forgery, theft, felony hit and run, criminal damage to property, operating motor vehicle without owner's consent, drug charges except distribution for profit) Diagnosed Severe and Persistent Mental Illness Diagnosed Severe and Persistent Mental Illness Amenable to treatment Amenable to treatment

9. Eligibility Criteria Kenosha County resident Kenosha County resident Severe & Persistent Mental Illness and may have Substance Abuse Disorder Severe & Persistent Mental Illness and may have Substance Abuse Disorder Convicted of nonviolent crime(s) Convicted of nonviolent crime(s) Willingness to be honest & participate fully. Willingness to be honest & participate fully.

10. Not Eligible Violent offender Violent offender Conviction(s) for distribution of drugs for profit Conviction(s) for distribution of drugs for profit Unresolved charges or current supervision in another jurisdiction Unresolved charges or current supervision in another jurisdiction Subject to deportation Subject to deportation Present conviction(s) for alcohol-related traffic offense (OWI, etc.) Present conviction(s) for alcohol-related traffic offense (OWI, etc.)

11. BEHAVIORAL HEALTH TREATMENT COURT IS NOT “GET OUT OF JAIL FREE CARD ” Rigorous, intensive, closely monitored program participation is expected Rigorous, intensive, closely monitored program participation is expected “Probation on steroids” “Probation on steroids” Dedicated agent Dedicated agent Supervision level (high risk, maximum or medium) depending on individual situation Supervision level (high risk, maximum or medium) depending on individual situation Includes home visits, office visits, collateral contacts, frequent random drug tests and regular court appearances Includes home visits, office visits, collateral contacts, frequent random drug tests and regular court appearances

12. Kenosha Behavioral Health Treatment Court Team Judge – Chad Kerkman Judge – Chad Kerkman Prosecutor – Jim Kraus Prosecutor – Jim Kraus Public Defender – Carmen Lassiter Public Defender – Carmen Lassiter Coordinator – LaShonda Tolefree Coordinator – LaShonda Tolefree Program Manager- Jim Truchan Program Manager- Jim Truchan CSP & CCS Representatives CSP & CCS Representatives Law Enforcement – John Rohde (KPD) Probation Agent –Lori Kuehn Treatment Provider - Jeannie Seefeldt Evaluator - Jennifer Madore NAMI Advocate- Jack Rose

13. Kenosha Behavioral Health Treatment Court Team Meets weekly one hour before Court Meets weekly one hour before Court Reviews and decides requests for participation Reviews and decides requests for participation Reviews participant progress reports and incident reports Reviews participant progress reports and incident reports Recommends rewards & sanctions for participant behavior Recommends rewards & sanctions for participant behavior May terminate participation for good cause May terminate participation for good cause

14. Kenosha Behavioral Health Treatment Court Post-disposition model Post-disposition model Participants may enter pleas and, when possible, placed on probation at the same time Participants may enter pleas and, when possible, placed on probation at the same time Three phase program (Stabilization, Skill Building & Symptom Management, Continued Recovery) Three phase program (Stabilization, Skill Building & Symptom Management, Continued Recovery) Progressive approach: improved progress = less intervention Progressive approach: improved progress = less intervention

15. Phase One- Stabilization Minimum three months Minimum three months Starts upon plea/sentencing Starts upon plea/sentencing Weekly court appearances Weekly court appearances “High risk” supervision subject to team decision “High risk” supervision subject to team decision Coordinated services Coordinated services Attend self-help groups (AA/NA) 5x or as directed Attend self-help groups (AA/NA) 5x or as directed Employed, looking for work or job training Comply with all aspects of recovery plan Random drug tests coordinated by DOC, treatment provider or jail Advancement to Phase 2 based upon BHTC review and approval.

16. Phase Two- Skill Building ans continued Symptom Management Minimum six months Minimum six months Appear in court bi-weekly or as directed Appear in court bi-weekly or as directed Maximum or medium supervision subject to team decision Maximum or medium supervision subject to team decision Obtain peer or advocate Obtain peer or advocate Attend self-help groups 3x or as directed Attend self-help groups 3x or as directed Continued program compliance Continued program compliance Employed, or if job lost, engaged in educational programming or other meaningful daily activity as directed Comply with all aspects of treatment plan Continued random drug tests Advancement to Phase Three on BHTC approval

17. Phase Three- Continued Recovery Minimum six months Minimum six months Appear in court every other week Appear in court every other week Maximum or medium supervision subject to team decision Maximum or medium supervision subject to team decision Maintain sponsor Maintain sponsor Attend self-help groups 3x or as directed Attend self-help groups 3x or as directed Continued program compliance Continued program compliance Employed, or if job lost, engaged in educational programming or other meaningful daily activity as directed Comply with all aspects of treatment plan Continued random drug tests “Clean and sober” at least 120 consecutive days

18. BEHAVIORAL HEALTH TREATMENT COURTS: TEN KEY COMPONENTS

19. #1 Behavioral Health Treatment Courts integrate recovery and treatment services with justice system case processing.

20. #2 Using a non adversarial approach, prosecution and defense counsel promote public safety while protecting participants' due process rights.

21. #3 Eligible participants are identified early and promptly placed in the court program.

22. #4 Behavioral Health Treatment Courts provide access to a continuum of alcohol, drug, and other related treatment and rehabilitation services.

23. #5 Treatment is monitored by qualified mental Health providers. Abstinence is monitored by frequent alcohol and other drug testing.

24. #6 A coordinated strategy governs court responses to participants' compliance.

25. #7 Ongoing judicial interaction with each court participant is essential.

26. #8 Monitoring and evaluation measure the achievement of program goals and gauge effectiveness.

27. #9 Continuing interdisciplinary education promotes effective court planning, implementation, and operations.

28. #10 Forging partnerships among courts, public agencies, and community-based organizations generates local support and enhances drug court program effectiveness.

29. “FAKE IT AND YOU WON’T MAKE IT”

30. Behavioral Health Treatment Court Network Participant Treatment District Attorney Intensive Probation Supervision Law Enforcement Judicial Supervision Non-Profit & Social Service Agencies Local Government Public Defender Community

31. Specialty Courts Are Effective Nationally (NADCP) Save $27 for every $1 invested Save $27 for every $1 invested $22,650 ave. cost per prisoner per $22,650 ave. cost per prisoner per $6,985 ave cost per STC recipient $6,985 ave cost per STC recipient 75% don’t re-offend 75% don’t re-offend 2/3 stay on Recovery coarse after 1 year 2/3 stay on Recovery coarse after 1 year Total crime reduced by 45% Total crime reduced by 45% $8.3 billion saved in 2009 $8.3 billion saved in 2009 In Kenosha County 95% sobriety rate 212.6 days to 10.75 days $70 Jail / Detention Center vs $12.81 Specialty Court 65% to 90% avoid further jail Up to 80% involved in meaningful daily activities. 100% Drug free healthy babies (3) 75 to 90% Recovery compliant from week to week (incentive vs sanction 80% since graduation crime free

32. Bottom line: Treatment Courts Work!