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TREATMENT, NOT JAIL: TREATMENT, NOT JAIL: Investing in Rational Investing in Rational System Change System Change Florida’s New Reinvestment Act Florida’s New Reinvestment Act Presented by: Presented by: Michele Saunders, LCSW Michele Saunders, LCSW Judge Mark Speiser Judge Mark Speiser

TREATMENT, NOT JAIL: Investing in Rational System Change Florida’s New Reinvestment Act Presented by: Michele Saunders, LCSW Judge Mark Speiser

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TREATMENT, NOT JAIL: Investing TREATMENT, NOT JAIL: Investing

in Rational System Changein Rational System Change

Florida’s New Reinvestment ActFlorida’s New Reinvestment Act

Presented by:Presented by:

Michele Saunders, LCSWMichele Saunders, LCSW

Judge Mark SpeiserJudge Mark Speiser

Focus of PresentationFocus of Presentation

Florida’s Landscape – the crisisFlorida’s Landscape – the crisis

Development of the Reinvestment Act to address the Development of the Reinvestment Act to address the crisiscrisis

Effective advocacy strategiesEffective advocacy strategies

Components of the Criminal Justice, Mental Health and Components of the Criminal Justice, Mental Health and Substance Abuse Reinvestment Act Substance Abuse Reinvestment Act

How this new Act is providing necessary resources to How this new Act is providing necessary resources to local communities to “Create more Effective Services”local communities to “Create more Effective Services”

Florida’s LandscapeFlorida’s Landscape Funding for community based services “flat” for over 10 Funding for community based services “flat” for over 10

yearsyears

Rank 48Rank 48thth in Nation per capita for mental health and in Nation per capita for mental health and substance abuse fundingsubstance abuse funding

Rank 12Rank 12thth in Forensic spending in Forensic spending

Over 125,000 people with serious mental illnesses Over 125,000 people with serious mental illnesses booked into jail annuallybooked into jail annually

Roughly 150,000 children and adolescents are involved Roughly 150,000 children and adolescents are involved with the Juvenile Justice Systemwith the Juvenile Justice System

Florida’s LandscapeFlorida’s Landscape

Jail budgets increasing to cover costsJail budgets increasing to cover costs

Increased liabilityIncreased liability

““The Last Straw” – Lawsuit brought against DCF The Last Straw” – Lawsuit brought against DCF Administrator for failing to comply with the law to Administrator for failing to comply with the law to move people deemed incompetent to stand trial move people deemed incompetent to stand trial to a forensic bed within 15 days – people to a forensic bed within 15 days – people lingering in jailslingering in jails

Definition of CrisisDefinition of Crisis

A Time of great danger or trouble, often one A Time of great danger or trouble, often one which threatens to result in unpleasant which threatens to result in unpleasant consequencesconsequences

A Turning point in the course of anything, A Turning point in the course of anything, decisive or crucial time, stage or event. decisive or crucial time, stage or event.

Crisis in Mandarin Chinese:Crisis in Mandarin Chinese:

Comprehensive Approach vs. Comprehensive Approach vs. Quick FixesQuick Fixes

Align state policy making and budgets with what Align state policy making and budgets with what worksworks

Increase use of best practices and evidenced Increase use of best practices and evidenced based practicesbased practices

Allow local flexibilityAllow local flexibility

Build State, local, public, private partnershipsBuild State, local, public, private partnerships

Comprehensive Approach vs. Comprehensive Approach vs. Quick FixesQuick Fixes

Increase cross system collaborationIncrease cross system collaboration

Increase capacity of community based servicesIncrease capacity of community based services

Decrease jail expendituresDecrease jail expenditures

Reinvest savings or cost avoidance spending Reinvest savings or cost avoidance spending back into the community based systemback into the community based system

Criminal Justice, Mental Health and Criminal Justice, Mental Health and Substance Abuse Reinvestment ActSubstance Abuse Reinvestment Act

Modeled after the Federal Mentally Ill Offender Modeled after the Federal Mentally Ill Offender Treatment and Crime Reduction ActTreatment and Crime Reduction Act

Similar format as the BJA Matching Grant Similar format as the BJA Matching Grant ProgramProgram

Community Partnerships

Advocacy

Diversion/Intervention Programs

Advocacy:Advocacy: A Necessary Component for Creating Effective ProgramsA Necessary Component for Creating Effective Programs

The Power of One Voice: The Key Partners The Power of One Voice: The Key Partners for Advocacyfor Advocacy

Florida Partners In CrisisFlorida Partners In Crisis Criminal Justice, behavioral healthcare and consumer advocacy Criminal Justice, behavioral healthcare and consumer advocacy

leadersleaders

The Substance Abuse and Mental Health Corporation The Substance Abuse and Mental Health Corporation Legislatively created corporation to review and provide Legislatively created corporation to review and provide

recommendations to the legislature about needs for the systemrecommendations to the legislature about needs for the system Board members appointed by Governor, Senate President and Board members appointed by Governor, Senate President and

Speaker of the HouseSpeaker of the House

The Florida Association of CountiesThe Florida Association of Counties Trade Association for Florida CountiesTrade Association for Florida Counties Sheriffs in local counties run the jailSheriffs in local counties run the jail

Our Advocacy StrategiesOur Advocacy Strategies

THE FORGOTTEN THE FORGOTTEN FLOORFLOOR

Our Advocacy StrategiesOur Advocacy Strategies

Treatment, Not Jail:Investing in Community Solutions to

Florida’s Mental Health and Substance Abuse Crisis

Treatment, Not Jail:Investing in Community Solutions to

Florida’s Mental Health and Substance Abuse Crisis

Florida Partners in Crisis2007 Legislative Agenda

Our Advocacy StrategiesOur Advocacy Strategies Organized Op Ed pieces from key membersOrganized Op Ed pieces from key members

Organized testimony at committee meetingsOrganized testimony at committee meetings

Created various handoutsCreated various handouts

Developed a Button: SB 542Developed a Button: SB 542

Members met with local legislatorsMembers met with local legislators

High profile members met with key legislators – role of High profile members met with key legislators – role of judiciary and law enforcementjudiciary and law enforcement

Calls, emails and letter campaignCalls, emails and letter campaign

Criminal Justice, Mental Health and Criminal Justice, Mental Health and Substance Abuse Reinvestment ActSubstance Abuse Reinvestment Act

The components of the ACTThe components of the ACT

How it worksHow it works

The awardsThe awards

Local county projectsLocal county projects

Criminal Justice, Mental Health and Criminal Justice, Mental Health and Substance Abuse Reinvestment ActSubstance Abuse Reinvestment Act

Jointly funded by Healthcare and Criminal Justice Jointly funded by Healthcare and Criminal Justice Appropriations CommitteesAppropriations Committees

$3.8 million appropriated: 1 year planning or 3 year $3.8 million appropriated: 1 year planning or 3 year implementation/expansion grantsimplementation/expansion grants

Funds are matched dollar for dollar by the local countiesFunds are matched dollar for dollar by the local counties

Established local planning councilsEstablished local planning councils

Oversight by a state Policy CouncilOversight by a state Policy Council

Create a Technical Assistance Center at the Florida Mental Create a Technical Assistance Center at the Florida Mental Health InstituteHealth Institute

SignificanceSignificance

Begins a county and state partnership to reduce Begins a county and state partnership to reduce the number of individuals with substance abuse the number of individuals with substance abuse and/or mental health disorders in local jails and and/or mental health disorders in local jails and state prisons.state prisons.

Provides Florida with the necessary tools to Provides Florida with the necessary tools to redesign our fragmented mental health system.redesign our fragmented mental health system.

General PurposeGeneral Purpose

Provide matching grant funding dollars to Provide matching grant funding dollars to counties that will:counties that will:

increase public safetyincrease public safety

avert increase spending on criminal justiceavert increase spending on criminal justice

improve the accessibility and effectiveness of improve the accessibility and effectiveness of treatment services for adults and juveniles who have treatment services for adults and juveniles who have mental illness, substance abuse disorders, or co-mental illness, substance abuse disorders, or co-occurring mental health and substance abuse occurring mental health and substance abuse disorders. disorders.

Policy Council’s RolePolicy Council’s Role Work in conjunction with grantee countiesWork in conjunction with grantee counties

Ensure that effective strategies developed are Ensure that effective strategies developed are disseminated statewide disseminated statewide

Establish a state-local dialogue for policy and budget Establish a state-local dialogue for policy and budget development and for system change and improvementsdevelopment and for system change and improvements

Coordinate its work with the newly created Technical Coordinate its work with the newly created Technical Assistance CenterAssistance Center

Prepare an annual report to the legislaturePrepare an annual report to the legislature

Technical Assistance CenterTechnical Assistance Center The Reinvestment Act created the Criminal Justice, The Reinvestment Act created the Criminal Justice,

Mental Health and Substance Abuse Technical Mental Health and Substance Abuse Technical Assistance Center at the Louis de la Parte Florida Assistance Center at the Louis de la Parte Florida Mental Health Institute at the University of South Florida. Mental Health Institute at the University of South Florida. Its primary functions are: Its primary functions are:

To provide technical assistance to counties for the preparation To provide technical assistance to counties for the preparation and implementation of grantsand implementation of grants

Assesses the impact of grant awards on county criminal justice Assesses the impact of grant awards on county criminal justice systemssystems

To serve as a clearinghouse for information about criminal To serve as a clearinghouse for information about criminal justice, mental health and substance abuse issues, including justice, mental health and substance abuse issues, including best practices.best practices.

Awards and Description Awards and Description of Local Programsof Local Programs

COUNTYCOUNTY AMOUNT AWARDEDAMOUNT AWARDED MATCH DOLLARSMATCH DOLLARSAlachuaAlachua $999,000$999,000 $999,000$999,000

BrowardBroward $991,368$991,368 $991,368$991,368

CharlotteCharlotte $60,190$60,190 $60,190$60,190

CitrusCitrus $50,166$50,166 $50,166$50,166

DuvalDuval $91,200$91,200 $93,319$93,319

FlaglerFlagler $40,447$40,447 $23,061$23,061

HillsboroughHillsborough $999,999$999,999 $1,000,000$1,000,000

LakeLake $60,000$60,000 $60,000$60,000

LeeLee $997,699$997,699 $2,030,473$2,030,473

LeonLeon $792,623$792,623 $989,007$989,007

MarionMarion $59,000$59,000 $68,587$68,587

MartinMartin $100,000$100,000 $100,000$100,000

Miami – DadeMiami – Dade $999,000$999,000 $999,000$999,000

MonroeMonroe $92,568$92,568 $96,275$96,275

NassauNassau $225,000$225,000 $1,018,556$1,018,556

OrangeOrange $954,665$954,665 $2,476,789$2,476,789

OsceolaOsceola $87,500$87,500 $87,500$87,500

Palm BeachPalm Beach $100,000$100,000 $100,000$100,000

PolkPolk $980,706$980,706 $1,021,530$1,021,530

St. LucieSt. Lucie $688,572$688,572 $1,087,929$1,087,929

SumterSumter $50,000$50,000 $25,000$25,000

VolusiaVolusia $65,300$65,300 $65,408$65,408

Types of ProgramsTypes of Programs

CIT ProgramsCIT Programs OutreachOutreach HousingHousing Mental Health CourtsMental Health Courts Forensic Case ManagersForensic Case Managers Forensic ProbationForensic Probation Increase use of Peer SpecialistsIncrease use of Peer Specialists

BROWARD COUNTYBROWARD COUNTY

Next StepsNext Steps

Work with counties who received grants for successful Work with counties who received grants for successful implementationimplementation

Work with Legislature to sustain funding and expand Work with Legislature to sustain funding and expand fundingfunding

Build on this legislation with additional legislation for Build on this legislation with additional legislation for effectively invest in rational system change away from effectively invest in rational system change away from the justice systemthe justice system

Use this legislation to help “Create More Effective Use this legislation to help “Create More Effective Services”Services”

Contact informationContact information

Michele Saunders, LCSWMichele Saunders, LCSWExecutive DirectorExecutive Director

Florida Partners in CrisisFlorida Partners in Crisis407/574-7182407/574-7182

[email protected]@comcast.net

Judge Mark SpeiserJudge Mark Speiser1717thth Judicial Circuit Court Judicial Circuit Court

Felony Mental Health CourtFelony Mental Health Court954/831-7805954/831-7805

[email protected]@17th.flcourts.org