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1
Marin Chronic Alcohol
with Justice Involvement
Project
BUSINESS PLAN – JUNE 2013
Draf t ing Adv isory Team (in alphabetical order)
Michele Berrong , Deputy Publ ic Guard ian A. J . Brady, Deputy D ist r ic t At torney
Ju l i e Michaels, Po l i cy Analyst Chr is t ine O’Hanlon, Deputy Publ ic De fender
Rob Reinhard, Resource Deve lopment Coordinator K im Turner , Court Execut ive Off i ce r
Mark Vanderscof f , Superv is ing Deputy Pub l i c Guardian
Version1.26‐4‐13
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Marin Chronic Alcohol with Justice Involvement Project
TABLE OF CONTENTS
INTRODUCTION 3 PROJECTOVERVIEW 4
MissionStatement MarinSIPProgramGoals MarinSIPOutcomeMeasures
PROJECTSTRUCTURE CourtTeam 7
JudicialOfficerDistrictAttorney
PublicDefender/DefenseCounsel Probation RecoveryCoaches ProjectCoordinator
ACTTeam 8
FMDT SocialWorker ProjectCoordinator
Oversight 9 ELIGIBILITYANDADMISSION 10
PROJECTFLOW PhaseI 11 PhaseII 12 PhaseIII 13 PhaseIV 14
PROGRAMFLOWCHART 15 BUDGETESTIMATE 17 CONCLUSION 18
PROGRAMCOORDINATORBIO 19
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Marin Chronic Alcohol with Justice Involvement Project
An Integrated, Mu lt id isc ip l inary Approach to Treatment
INTRODUCTION AccordingtoarecentcoststudyconductedbyHomeBase(2013),betweenJune1,2011andMay31,2012,34individualsintheCountyofMarinincurredacostof$2,039,463forservicesrelatedtochronicaddictiontoalcohol.Actualcostsare“mostlikelymuchgreater”(HomeBase,2013,p.i).Thevastmajorityofthese34individualsweremale,91percentwerehomeless,andtheaverageagewas47.
Inrecentyears,innovativeprogramsinseveralCaliforniacountieshavesprungupattemptingtoaddressthisissue(HomeBase,2013).SanDiego’sSerialInebriatePrograminparticularachieveda58%reductioninarrestsanda50%reductionintheuseofemergencyandinpatientmedicalservicesforparticipantswhocompletedtheprogram(HomeBase,2013,Appendicesp.5‐6).SanDiegoCountyusesajaildiversionmodelofferingtreatmentinlieuofincarceration(HomeBase,2013).
InJanuary2012,MarinCountyDeputyPublicDefenderChristineO’HanloninitiatedthecreationofasimilarprograminMarinCounty.Theprojectquicklybecameacollaborativeeffortbetweencountyandcommunity‐basedorganizations,leadingtoMarinHealthandHumanServicescommissioningtheHomeBasestudy.
Initsfinalreport,HomeBase(2013)madethefollowingrecommendations:
1. DesignatetheForensicMulti‐DisciplinaryTeam(FMDT)astheBodytoOverseetheContinuingandCoordinatedEfforts
2. ExpandtheCapacityoftheFMDTtoConductOutreachandFollowUp3. DevelopaJailDiversionProgram4. EstablishTargetedScattered‐SitePermanentSupportiveHousing5. CreateaViableMedicalDetoxificationOption
ThisBusinessPlanseekstoimplementHomeBase’sthirdrecommendation–developingajaildiversionprogramfortheCountyofMarin.
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Marin Chronic Alcohol with Justice Involvement Project
PROJECT OVERVIEW TheMarinChronicAlcoholwithJusticeInvolvement(CAJI)Projectofferstreatmentinlieuofincarceration(jaildiversion)forindividualswhohavesixormorealcohol‐relatedcontactswithina12‐monthperiod.Thecourseoftreatmentissevenmonths.Ahybrid,multidisciplinarymodelcombiningcollaborativecourtstructureswithAssertiveCommunityTreatment(ACT)isutilizedtoprovidehighlyindividualized,intensive,wrap‐aroundservices,support,andsubstance‐abusetreatment.
TheMarinChronicAlcoholwithJusticeInvolvementProjectincludesaninitialthree‐personpilot.Currentfundingis$300,000andestimatedcostsforone,seven‐monthpilotare$149,161.
MissionStatementThemissionoftheMarinCAJIProjectistobreakthecycleofchronicalcoholism,justicesysteminvolvement,andhomelessnessinordertoimprovethequalityoflifeforindividualparticipants,reducecostsassociatedwithchronicalcoholism,andpromotepublichealthandsafety.
MarinCAJIProjectGoals• Reduceoverallcoststothecommunityandthecriminaljusticesystemrelatedtopersons
sufferingfromalcoholismandchronichomelessnesswhocyclethroughemergencycareandthecriminaljusticesystemrepeatedly(hereinafter“participants”)
• Improvethequalityoflifeforindividualssufferingfromchronicalcoholismandhomelessnessbyfurnishingintensivecasemanagement,andassertivecommunitytreatment,usinganintegrated,multidisciplinaryapproach
• Assistparticipantsinmovingtowardsobrietybyofferingevidence‐basedtreatmentasanalternativetorepetitiveincarceration
• Assistparticipantsinobtaininghousing• Improvethecriminaljusticesystem'sabilitytoidentify,assess,evaluateandtreat
personssufferingfromalcoholismandchronichomelessness• Reducerecidivismamongparticipants• Safeguardparticipantsandthecommunitybystructuringinterventionsthatreducethe
numberofpersonssufferingfromalcoholismandchronichomelessnessonthestreet
MarinCAJIProjectOutcomeMeasuresInordertomeasureoutcomesfortheMarinCAJIProject,thefollowingoutcomemeasureswillbetrackedbytheMarinHomelessnessPolicyAnalystandreportedtotheProjectCoordinators(thislistisnotexhaustive):
• NumberofcontactsbetweenMarinCAJIparticipantsandSanRafaelPolice• NumberofarrestsforMarinCAJIparticipants• NumberofdaysMarinCAJIparticipantsareincustodyattheMarinCountyJail• NumberofcourtappearancesbyMarinCAJIparticipants• CostsofemergencycareatMarinGeneralHospitalforMarinCAJIparticipants• NumberofMarinCAJIparticipantswhoarestablyhoused
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Marin Chronic Alcohol with Justice Involvement Project
PROJECT STRUCTURE
HomeBase(2013)identifiedthefollowing Key Characteristics of Effective Programs ,seekingtoserveourtargetpopulation:
Havemechanismstotarget/identifythepopulationtobeserved,includingstreetoutreach,in‐reachtoinstitutions,useofcross‐systemdataanalysis,etc.
Aremulti‐disciplinary,involvingallofthesystemsandagenciesneededtoprovidecomprehensivecaretoclients
Provideintegratedmedical,mentalhealthandsubstanceabuseserviceswithcoordinationofcareamongproviders
Addressclients’housingneeds,throughHousingFirstandotherlow‐thresholdapproaches
Provideintensivecasemanagement,atleastuntilclientstabilizesandbasicneedsaremet
Incorporatetrauma‐informedcareandharm‐reductionapproaches Haveadiversefundingbase,includingfederal,stateandlocaldollarsaswellas
privatesourcesoffundingincludingfoundations,businessandotherfundraising. Includeasoliddata‐gatheringandevaluationcomponenttoenablecontinuous
programimprovementaswellastodocumenteffectivenesstopoliticalleaders,thepublicandfunders(HomeBase,2013,Appendices,p.2).
InadditiontotheabovekeycharacteristicsidentifiedbyHomeBase(2013),thestudyalsodiscussesAssertiveCommunityTreatmentTeams.HomeBasedefinestheseteamsas,“multi‐disciplinaryteamsthatprovidearangeofbehavioralhealthandsupportservicestoclientswithseverementalillnesseswhiletheyareinthecommunity”(2013,Appendices,p.2).
MarinCountyseekstocreateaninnovativehybridoftheAssertiveCommunityTreatment(ACT)Teamapproachbyblendingitwithexistingcollaborativecourtstructuresandapplyingthishybridmodeltothetreatmentofthosesufferingfromchronicalcoholismandjusticeinvolvement.Itdoessobyusinganexistingresource–theMarinCountyForensicMultidisciplinaryTeam(FMDT)–toassistinprovidingwrap‐aroundservices,brainstormingcreativesolutionstoissuesthatarise,andbyhelpingtosupporttheparticipantsinthecommunity.
Otherkeyadditionstothishybridmodelinclude: RecoveryCoaches–workmostcloselywithparticipantstoprovideintensive,
individualizedtreatment,one‐on‐onesupport,andcasemanagement
SocialWorker–whilerecoverycoachesworkdirectlywiththeclienttomaintainsobrietyandprovidesupport,thesocialworkerassistsinslightlybroaderdutieslikesecuringbenefits,andobtainingmedicalandpsychiatricrecordsfordatacollection
IntegratedProgramCoordinator–overseesandcoordinatesallaspectsoftheproject,facilitatingcommunicationbetweenallpartiesonalllevels,monitoringdata,andsupervisingcertainpersonnel(FMDTSocialWorker;FMDTIntern)
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INTEGRATEDPROGRAMCOORDINATOR
INTEGRATEDPROGRAMCOORDINATOR
COURT
RECOVERYCOACH
HHS/POLICY&PLANNING
PD
BOARDOFSUPERVISORSDEPARTMENTHEADS–COURT
DA PARTICIPANTFMDT
SOCIALWORKER
Marin Chronic Alcohol with Justice Involvement Project
PROJECT STRUCTURE – F igure I
FMDT
PROBATION
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Marin Chronic Alcohol with Justice Involvement Project
PROJECT STRUCTURE – COURT TEAM ThestructureoftheMarinCAJIProjectusestwointerconnectedteams,aCourtTeamwhichconsistsoftheJudicialOfficer,DistrictAttorney,DefenseCounsel,Probation,RecoveryCoach,andProjectCoordinator,andanAssertiveCommunityTreatmentorACTTeamwhichconsistsoftheMarinForensicMultidisciplinaryTeam(FMDT),FMDTSocialWorker,andtheProjectCoordinator.TheCourtTeamconsistsofpartieswhowillattendcourtappearanceswithparticipants:JudicialOfficerTheJudicialOfficerpresidesoverallcourtproceedingsandinteractsdirectlywitheachparticipanttoestablishrapport.TheCourtholdsparticipantsaccountable,andutilizesitspositiontoprovideaffirmation,acknowledgementofprogress,andmotivationtoparticipants.Italsoimposessanctionsorgivesrewards,asappropriate.DistrictAttorneyTheDistrictAttorney(DA)verifiesthresholdeligibilityfortheSerialInebriateProgram(sixormorealcohol‐relatedcontactsina12‐monthperiod)andplaysanintegralroleinmonitoringparticipants’progressthroughouttheprocess.TheDAisalsoamemberoftheFMDT..PublicDefenderIDefenseCounselDefensecounselmeetswithprospectiveparticipants,explainsprojectprocedures,andplaysanintegralroleinmonitoringparticipants’progressthroughouttheirparticipation.ThePublicDefenderisalsoamemberoftheFMDT.ProbationProbationattendscourtproceedings,assistswithmonitoringparticipantswhileinthecommunity,andisalsoamemberoftheFMDT.RecoveryCoachesRecoveryCoachesworkcloselywithparticipantsbothin,andoutsideof,court.Theyareparticipants’closestalliesduringthisprocess,providingintensivepersonalandclinicalsupport.Theproposedbudgetincludestwohoursofcontact,fivedaysperweek,foreachparticipantandhis/herrecoverycoach.RecoverycoachesarepartoftheCourtTeam,reporttotheProgramCoordinators,andattendFMDTmeetingsoncepermonthtobrieftheFMDTonprogress,plans,andissues.ProjectCoordinatorTheProjectCoordinatorattendsCourt,recordsproceedings,participatesindiscussionsregardingsanctionsandrewards(wherenecessary)collectsdata,andworkscloselywiththeJudicialOfficertomonitorprojectprogress,concerns,andpossibleissues.(AdministrationcostsarekepttoaminimumwithProjectCoordinatorutilizingonly6.26%ofthetotalestimatedbudget.)
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Marin Chronic Alcohol with Justice Involvement Project
PROJECT STRUCTURE – ACT TEAM TheAssertiveCommunityTreatment(ACT)TeamconsistsoftheMarinFMDT,theFMDTSocialWorker,andtheProjectCoordinator:
MarinCountyForensicMultidisciplinaryTeam(FMDT)TheMarinFMDTconsistsofamonthlymeetingbringingtogetherapproximately20countyandcommunity‐basedorganizationstobrainstormcreativealternativestoincarcerationforpersonssufferingfrommentalillnesswhoarechronicallycyclingthroughthecriminaljusticesysteminMarinCounty.
KeyMembersoftheFMDTProvidingServicesand/orCoordinationtoParticipants:
MarinMentalHealthSubstanceUseServiceso ProvidesclinicalexpertiseandinputtotheTeamo Mayprovidepsychotherapeuticservicestoparticipants
RitterCentero Providesmedicaloversightandmedicationmanagemento Mayproviderepresentativepayeeservices
LawEnforcemento Assistsinmonitoringparticipantsinthecommunity
MillStreet/HomewardBoundo Assistsinplanningfor,andtheprovisionof,longertermhousingupon
completionofprimary(7months)treatment,wherepossible
BuckelewProgramso ProvidessoberingservicestoparticipantsthroughTheVineDetoxo Mayprovidevocationalrehabilitationtraining
FMDTSocialWorkerTheFMDTSocialWorkerworkscloselywiththerecoverycoachtoprovidealower‐costsupplementfortasksnotrequiringsubstance‐abusecounselingexpertise.Thisincludes,butisnotlimitedto,helpingparticipantsobtainbenefitslikePublicAssistance,SocialSecurity,andhealthbenefits.Thesocialworkerisalsoresponsibleforcompilingcomprehensivemedical,psychiatric,andtreatmentrecordsforthepurposesoftreatmentanddatacollection.Inaddition,theFMDTSocialWorkerwillassisttheFMDTLeadershipTeamindraftingpoliciesandproceduresandwillberesponsibleforseekingadditionalfundingthroughthecreationofgrantproposals.TheFMDTSocialWorkerreportstotheProjectCoordinator.
ProjectCoordinatorTheProjectCoordinator,alongwiththeDistrictAttorney,PublicDefender,Probation,andtheRecoveryCoaches,liaiseswiththeothermembersoftheFMDTtoapprisetheTeamofprogress,plans,andissues.
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Marin Chronic Alcohol with Justice Involvement Project
PROJECT STRUCTURE -- OVERSIGHT
ThisprojectwillbemonitoredbyMarinHealthandHumanServices,DepartmentofPolicyandPlanning,aswellastheCountyAdministrator’sOffice.MarinCountyDepartmentHeads,theCourtExecutiveOfficer,andtheBoardofSupervisorsalsoprovidemorebroad‐basedoversight.TheProjectCoordinatorisresponsibleforprovidingquarterlyreportssummarizingdata,progressintreatment,expenditurelevels,issuesandchallenges,andprojectedoutcomesattheCriminalJusticeBehavioralHealthAdvisoryCommitteemeetings,andasrequested.
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Marin Chronic Alcohol with Justice Involvement Project
EL IGIBIL ITY AND ADMISSION
ELIGIBILITY
• ParticipantsMUSThavesixarrestsorlawenforcementreferralsforpublicdrunkennessorotheralcoholrelatedoffenseswithinthepreceding12‐monthperiod
o QualifyingoffensesincludeanewcriminalcaseORaprobationviolation
• ParticipantsMUSTbeonprobationorhavecommittedanoffensethatwouldmakethemprobationeligible
• AllparticipantsMUSTberepresentedbycounsel
• ParticipantsMUSTbewillingtoabidebyallMarinCAJITermsandConditionsandsignawrittencontractagreeingtosame
ADMISSIONPROCEDURE• PotentialparticipantswillbeadvisedofeligibilityatarraignmentbytheDistrict
Attorney
• DefensecounselthenmeetswiththeproposedparticipanttoreviewtherulesandproceduresoftheMarinCAJIProject.Ifthepersonwishestoparticipate,defensecounselthenfillsoutthecontractandhastheproposedparticipantsignit
• Onceallpaperworkiscompleted,areferralismadetotheProjectCoordinatorforreviewandanallmembersoftheCourtTeamarenotifiedofapotentialadmission.(PilotparticipantswillbeselectedbytheCourtTeamandtheProjectCoordinator.)
• OncetheCourtTeamandProjectCoordinatorapprovesaproposedparticipant’sadmission,anintakeinterviewisscheduledwitharecoverycoach
• Therecoverycoachmeetswiththeproposedparticipantincustodyandperformsaninformal,preliminaryscreening
• Atthenextscheduledcourtappearance,completedMarinCAJIpaperworkisprovidedtotheCourtTeamandtheindividualisadmittedintotheProject
• TheCourtTeamthencoordinatesreleasetoTheVineforPhaseIoftreatment
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Marin Chronic Alcohol with Justice Involvement Project
PROJECT FLOW – PHASE I
Thecourseoftreatmentinthisprojectisdividedintofourphases:1)Arrest‐Jail‐CaseDisposition;2)DetoxificationandNeedsAssessment;3)InpatientTreatment,and4)OutpatientTreatment.Aftersuccessfulcompletionofoutpatienttreatment,theunderlyingcriminalcasewillbedismissed.
PhaseI‐‐Arrest‐Jail‐CaseDispositionEstimatedTimePeriod–5to10days
General: DuringPhaseI,theproposedparticipantisarrested,identifiedaseligibleforMarinCAJIatarraignmentbytheDA,andissentencedtoaminimumof180dayswithCAJIprobationtermsandconditions.AwaiverofGT/WT(good‐time/work‐time)creditsmaybeapartofhisorherpleaagreement.
Goals: Determineparticipanteligibility Educateparticipantfullyaboutspecificrules,expectations,andprocedures Haveparticipantcompleteallprogrampaperworkincludingreleases Formalacceptanceofparticipantintotheprogram
Probation ProbationtermsfortheMarinCAJIProgramshallincludebutarenotlimitedTerms: tothefollowing:
• Leadalawabidinglife• Totalabstentionfromalcoholandallillegalandnon‐prescribeddrugs• Participateinacomprehensivebiopsychosocialassessment• Fullycommittoandfollowtheindividualtreatmentplandesignedbythe
treatmentproviders,recoverycoaches,CourtandACTTeamsincludingbutnotlimitedto:
o Substanceabuseassessmentandscreeningo Mentalhealthassessmentand/ortestingo Medicalexaminationand/ortestingo Residentialsubstance‐abusetreatmento Outpatientsubstance‐abusetreatmento Individualand/orgrouppsychotherapyo 12‐StepMeetingsorotherself‐helpgroupso Totalmedicationcompliance(medicalandpsychiatric)o Employment/vocationaltraining/educationasdirectedo Agreetosearchandseizureofpersonandbelongingswithoutprobable
causeandatanytimerequestedbyapeaceofficerorrecoverycoacho Submittorandomdrugandalcoholtestingo Communityservice,whereappropriateo Angermanagement,whereappropriateo AgreetosignaReleaseofInformationallowingtheCourtTeam,theACT
Team,treatmentproviders,andtheProgramCoordinatorstoshareinformationandobtainpastmedical,psychological,and/orsubstance‐abusetreatmentrecords
o Wearacontinuousalcohol‐monitoringbracelet,iforderedo Agreetoresideatdesignatedhousingorreturntocustodyo Finesandfeesifallphasesoftreatmentarenotsuccessfullycompleted
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Marin Chronic Alcohol with Justice Involvement Project
PROJECT FLOW – PHASE I I
PhaseII–Detox&NeedsAssessmentEstimatedTimePeriod–30daysGeneral: Oncetheparticipanthascompletedallpaperworkandisacceptedintothe
MarinCAJIProject,theparticipantwillbeassignedarecoverycoachwhowillactashis/herdedicatedrecoverycoachthroughouttheprocess.Theparticipantwillbereleasedfromcustodytohis/herrecoverycoachandtransportedtoTheVinefordetoxification.Duringthedetoxificationperiod,theparticipants’immediatemedicalandpsychiatricneedsareattendedto,andgroundworkislaidbyboththerecoverycoachandsocialworkerforobtainingallpossiblebenefits.Acomprehensive,individualizedassessmentofeachparticipant’sneeds.isalsoperformed.
Goals: Detoxification
Recoverycoachandsocialworkertomeetwithclient• Performglobalneedsassessmentinalldomains• Screenforco‐occurringdisorders
o Fullpsychevaltobeperformedafter30dayssobrietybutearlyscreeningforco‐occurringdisordersisperformed
Recoverycoachandsocialworkertodeveloppreliminarytreatmentplan RecoverycoachandsocialworkertoprovideProjectCoordinatorwith
preliminarytreatmentplan Initiateandbuildtherapeuticalliancebetweenrecoverycoachand
participantwithdailycontact(5daysperweek)
Physical/medicalexamination Addressphysicalneeds/chronichealthconditions Medicalhistorytaken Assessedbymedicalstaffforsuitabilityforpsychotropicmedications
• Acquisitionofpsychotropicmedicationswhereappropriate
Socialworkertobeginbenefitapplications Socialworkertocompilecomprehensivebiopsychosocialhistory Socialworkertoorderallpossiblemedical,psychiatric,andsubstance‐
abusetreatmentrecords Recoverycoachtocoordinatepsychiatricevaluationafter30days
sobriety;priortotransitioningintoresidentialtreatment GAIN(GlobalAssessmentofIndividualNeeds)tobeadministered Recoverycoachtocoordinatetransitionintoresidentialtreatment
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Marin Chronic Alcohol with Justice Involvement Project
PROJECT FLOW – PHASE I I I
PhaseIII–InpatientTreatment EstimatedTimePeriod–90daysGeneral: Oncetheparticipanthascompleted30daysofdetoxificationatTheVine,and
hisorherimmediatemedicalandpsychiatricneedsareaddressed,theparticipantisreadytobegin90daysofresidentialorinpatienttreatment.TheparticipantwillalsoappearincourttwicepermonthsotheCourtcanmonitorprogressintreatment.
Goals: Maintainsobriety
Leadalaw‐abidinglife Engagefullyintreatment Followalltreatmentprovider’srules Participatefullyinallrequiredgroups,homeworkassignments,and
chores Behaviorwithstaffandpeersshouldberespectfulandappropriate Remainmedicationcompliantwithbothmedicalandpsychiatric
medications Attendallmedicaland/orpsychiatricappointments Cooperatewithassignedrecoverycoachandsocialworkertogetavailable
benefitsinplace(SSI/SSDI/MediCal/GA/Veterans) Complywithalcoholmonitoringdevice,ifordered Recoverycoachand/orsocialworkertoarrangevocationalrehabilitation
evaluation Participanttobeginindividualtherapyandattendallscheduled
appointments(recoverycoachtofacilitate) Recoverycoachtoprovidetherapistwithacopyoftheparticipant’s
signedreleaseandwillliaisewiththerapistasnecessaryandkeepTeamsapprisedofcriticalissuesrelatingtosobriety
Recoverycoachtocoordinatetransitiontooutpatienttreatment Ifrelapseoccurs,participantissenttoTheVinefordetoxification,andis
placedonthecourtcalendaratthefirstavailableopportunityfordeterminationofsanctions
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Marin Chronic Alcohol with Justice Involvement Project
PROJECT FLOW – PHASE IV
PhaseIV–OutpatientTreatment EstimatedTimePeriod–90daysGeneral: Whentheparticipanthascompleted90daysofresidentialtreatment,s/he
willtransitioninto90daysofintensiveoutpatienttreatment.TheparticipantwillcontinuetoappearincourttwicepermonthsotheCourtcanmonitorprogress.
Goals: Maintainsobriety
• Leadalaw‐abidinglife• Participanttoengagefullyintreatment
o Followallprogramruleso Participatefullyinallrequiredgroups,homeworkassignments,and
choreso Handleselfappropriatelyinthecommunity
• Remainmedicationcompliantwithbothmedicalandpsychiatricmedications
• Attendallmedicaland/orpsychiatricappointments• Cooperatewithassignedrecoverycoachand/orsocialworkertobegin
vocationalrehabilitationo Participantsmayalsooptforattendingcommunitycollegeor
otherstructuredactivitiesatthediscretionoftheCourtTeamandProjectCoordinator
• Cooperatewithrecoverycoachand/orsocialworkertoclearuplegalissues(licenseholds,ticketstobehandledinHomelessCourt,etc.)
• Complywithalcoholmonitoringdevice,ifapplicable• Attenddaily12‐stepmeetings• Engageinremainingtherapysessions(recoverycoachtofacilitate)• Recoverycoachandsocialworkertobeginpursuitoflongertermhousing
assoonastheparticipantentersoutpatienttreatment• Ifrelapseoccurs,participantissenttoTheVinefordetoxification,andis
placedonthecourtcalendaratthefirstavailableopportunityfordeterminationofsanctions
BytheendofPhaseIV,longertermhousingshouldbesecuredandparticipantsshouldbeworking,performingcommunityservice,attendingcommunitycollege,orengagedinotherstructuredactivitiesofsomekind.OncePhaseIVissuccessfullycompleted,theparticipantgraduates,probationisterminatedandtheunderlyingcase(s)aredismissed.
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Marin Chronic Alcohol with Justice Involvement Project
PROJECT FLOWCHART
ARREST
JAIL
DAInformsPotential
ParticipantofEligibilityatArraignment
IFACCEPTED:ResolveCourt
Case*CAJITerms*Admission*TransporttoTreatment
DEFENSECounselMeetsw/Client
CompletedPaperworkto
ProjectCoordinator
CourtTeamNotified
RecoveryCoachNotified&VisitsIndividualinCustody
DETOX30Days
*PhysicalNeedsAttendedto*Comprehen‐siveAssess‐ment&Planning*CollectionofRecords
COURTSUPERVISION
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Marin Chronic Alcohol with Justice Involvement Project
PROJECT FLOWCHART
PsychologicalAssessmentat30+
Days
ResidentialTreatment90Days
OutpatientTreatment90Days
MovetoLongerTermHousing
PriortoGraduation
Graduation&CaseDismissed!
COURTSUPERVISION
Want more
details about
what happens
at each phase?
See pp. 11-14
17
PleaseNote:AllCostEstimatesBelowareApproximations&SubjecttoChangeDependingonResponsestoRequestsforProposals(RFPs)
EstimatesareBasedonaSeven‐MonthPilot
DetoxBedsatHelenVine $14,400. $150/person/day
o $160x3x30
ResidentialTreatment $27,000. $95perdayperperson
o $95x3x90 o Approx.$3000/person/month
OutpatientTreatment/SoberLiving $16,200. $2000/person/month
o $1,800x3x3
RecoveryCoach Currentlycontractedat$55/hour
o $55x30x30 $49,500.
SocialWorker $19,760. $38/hour
o 38x20x26
PsychologicalTesting&Evaluation $3,600. $1200perpersonx3
Psychotherapy $135/hour
o 3hoursperweekx13weeks $5,265.
VocationalRehabilitation $135/hour
o 3hoursperweekx10weeks $4,050.
IntegratedProgramCoordinator $9,386. $38/hour
o 38x9.5x26 $149,161.
Marin Chronic Alcohol with Justice Involvement Project
ESTIMATED/PROPOSED BUDGET
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Marin Chronic Alcohol with Justice Involvement Project
CONCLUSION
Inadditiontosettingforththestructureandflowofaninnovativehybridmodelforassistingthosewhosufferfromchronicalcoholismandjusticeinvolvement,herein,adetailed“GoList”ofadditionalinformationandtoolsneededtomoveforwardwiththisprojecthasbeenprovidedtoHealthandHumanServices.Itisbelieved,however,theMarinCAJIProjectcannowbegintomoveforwardpendingapprovalbyappropriateparties.
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MICHELER.BERRONG
MicheleR.Berrong,J.D.joinedtheCountyofMarinin2005.MicheleinitiallyworkedasaDeputyPublicDefenderandherassignmentsincludedthecollaborativecourts(AdultDrugCourt,Proposition36Court,andS.T.A.R.Court)mentalhealthconservatorshiplitigation,post‐convictionrelief,misdemeanor,andjuvenilelitigation.MicheleparticipatedinhomelessoutreachinpartnershipwithLegalAidofMarinwhileatthePublicDefender’sOfficeandalsodevelopedtrainingmaterialsonpost‐convictionrelief.SheattendedlawschoolattheUniversityofSanFrancisco.In2009,MichelemovedtotheMarinCountyPublicGuardian’sOfficeinapart‐timecapacitytopursueaMastersDegreeinPsychologywithaDepthEmphasisatSonomaStateUniversity.SheexpectstograduateinAugust2013.MichelehasservedastheLPSConservatorshipInvestigatorforthePublicGuardian’sOfficeforthepastfouryears,workingexclusivelywiththeseverelymentallyillandduallydiagnosed.Forthepasttwoyears,Michelehasco‐chairedandcoordinatedtheMarinCountyForensicMultidisciplinaryTeam,hasbeenapartoftheMarinChronicAlcoholwithJusticeInvolvementProjectsinceitsinception,andwasinstrumentalindraftingtheBusinessPlan.Ms.BerrongwasrecentlyadmittedtotheClinicalPsychologydoctoralprogramattheCaliforniaInstituteforIntegralStudies.Shebeginsdoctoralstudiesinthefallof2013.
PROJECT COORDINATOR BIO
Marin Chronic Alcohol with Justice Involvement Project