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HomeMy WebLinkAbout11547RESOLUTION NO. 11547 A RESOLUTION AUTHORIZING THE CITY OF PUEBLO TO APPLY FOR A U.S. DEPARTMENT OF JUSTICE, °JUSTICE AND MENTAL HEALTH COLLABORATION: EXPANSION" GRANT, AND AUTHORIZING THE PRESIDENT OF CITY COUNCIL TO EXECUTE SAME WHEREAS, the City of Pueblo is eligible to submit a grant application to the U.S. Department of Justice for Justice and Mental Health Collaboration: Expansion Grant funding; and WHEREAS, the term of the grant covers a 24 -month period beginning October 1, 2009; NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF PUEBLO, that: SECTION 1. The grant application requesting $200,000 from the U.S. Department of Justice for funding to allow a partnership with the Treatment Alternative Collaboration (TAC) to expand mental health and substance abuse treatment and jail diversion for individuals involved with law enforcement and the criminal justice system, attached hereto, is hereby approved. The President of the City Council is authorized to execute the grant application in the name of and on behalf of the City of Pueblo, a Municipal Corporation. SECTION 2. This resolution shall become effective upon its passage. ATITSTDD SY: CITY CLERK INTRODUCED: March 9. 2009 BY: Judy Weaver Councilperson APPR D' } �. PRESIDENTai City Council M " e , Background Paper for Proposed RESOLUTION AGENDA ITEM # DATE: MARCH 9, 2009 DEPARTMENT: POLICE DEPARTMENT CHIEF JAMES W. BILLINGS, JR. TITLE A RESOLUTION AUTHORIZING THE CITY OF PUEBLO TO APPLY FOR A U.S. DEPARTMENT OF JUSTICE, °JUSTICE AND MENTAL HEALTH COLLABORATION: EXPANSION" GRANT, AND AUTHORIZING THE PRESIDENT OF CITY COUNCIL TO EXECUTE SAME ISSUE The U.S. Department of Justice has informed the City of Pueblo, through its Police Department that funds are available under the Office of Justice Programs' Bureau of Justice Assistance Grants. The term of this grant covers the 24 -month period beginning October 1, 2009. RECOMMENDATION Approval of the Resolution. BACKGROUND The grant requires a unit of local /city government involved in criminal justice /law enforcement to be the primary applicant and fiscal agent for this grant. Spanish Peaks Mental Health Agency will be the partnering agency for this grant. Spanish Peaks Mental Health Agency and the Pueblo Police Department are members of the Treatment Alternative Collaboration (TAC) Program along with the following entities: Pueblo County Sheriff's Office, Tenth Judicial District Combined Courts, Tenth Judicial District Attorney's office, Tenth Judicial District Probation Department, and Pueblo Office of the Colorado State Public Defender's Office. All members of TAC are partners in the establishment of mental health and substance abuse treatment and jail diversion for individuals involved with law enforcement and the criminal justice system. This grant request, for $200,000.00, will provide funding to increase public safety by facilitating collaboration among the criminal justice system and mental health and substance abuse treatment systems. It will be used to increase treatment services for offenders with mental illness or co- occurring substance abuse disorders; to expand specialized training programs for law enforcement and mental health treatment personnel; to expand law enforcement strategies to provide response options that meet the needs of the community and people with mental illness; and to expand diversion /alternative prosecution and sentencing programs for offenders with mental illness or co- occurring substance abuse disorders. FINANCIAL IMPACT The grant requires a 20% ($40,000) match by the City of Pueblo and Spanish Peaks Mental Health Agency, which can be in the form of cash or in -kind services. The intent is to avoid any cash matching by either agency. In -kind matching can be in the form of administrative or clinical staff salary/time, office space, equipment, supplies, etc., and that is the intent of the City of Pueblo and Spanish Peaks Mental Health Agency. Application for Federal Assistance SF -424 Grants.gov announcement: BJA- 2009 -2025 Competition ID: BJA- 2009 -2037 Applicant: City of Pueblo, Colorado/ Pueblo Police Department Co- Applicant: Spanish Peaks Mental Health Center, Pueblo, Colorado APPROVED: President of City Council ATTEST: City rk OMB Number: 4040 -0004 Expiration Date: 01/31/2009 Application for Federal Assistance SF-424 Version 02 * 1. Type of Submission: ❑ Preapplication ® Application Changed /Corrected Application * 2. Type of Application: * If Revision, select appropriate letter(s): FX - ] New ❑ Continuation * Other (Specify) F] Revision * 3. Date Received: 4. Applicant Identifier: Completed by Grants.gov upon submission. 5a. Federal Entity Identifier: * 5b. Federal Award Identifier: State Use Only: 6. Date Received by State: 7. State Application Identifier: 8. APPLICANT INFORMATION: • a. Legal Name: City of Pueblo, Colorado • b. Employer/Taxpayer Identification Number (EIN/TIN): * c. Organizational DUNS: 556467256 84- 6000615 d. Address: * Streed: #1 City Hall Place Street2: * City: Pueblo County: Pueblo * State: Province: CO: Colorado * Country: * Zip / Postal Code: 81003 USA: UNITED STATES e. Organizational Unit: Department Name: Division Name: Pueblo Police Department f. Name and contact information of person to be contacted on matters involving this application: Prefix: M . * First Name: Middle Name: Tally * Last Name: Rummel Thomas Suffix: Title: Pueblo Police Department Captain Organizational Affiliation: Pueblo Police Department * Telephone Number: 719- 553 -2542 Fax Number: 719- 553 -2499 * Email: trummel @pueblo.us y.. OMB Number: 4040 -0004 Expiration Date: 01/31/2009 Application for Federal Assistance SF-424 Version 02 9. Type of Applicant 1: Select Applicant Type: I C: City or Township Government Type of Applicant 2: Select Applicant Type: I M: Nonprofit with 501C3 IRS Status (Other than Institution of Higher Education) Type of Applicant 3: Select Applicant Type: * Other (specify): * 10. Name of Federal Agency: Bureau of Justice Assistance 11. Catalog of Federal Domestic Assistance Number: 1 16.745 CFDA Title: Criminal and Juvenile Justice and Mental Health Collaboration Program * 12. Funding Opportunity Number: I BJA - 2009 - 2025 * Title: 2009 Justice and Mental Health Collaboration Program 13. Competition Identification Number: I BJA-2009-2037 Title: 14. Areas Affected by Project (Cities, Counties, States, etc.): City of Pueblo Colorado and Pueblo County * 15. Descriptive Title of Applicant's Project: Treatment Alternatives Collaboration (TAC) Program Expansion Attach supporting documents as specified in agency instructions. KAdd Attach= �n���ts ',Vfa�t �� OMB Number: 4040 -0004 Expiration Date: 01/31/2009 Application for Federal Assistance SF-424 Version 02 16. Congressional Districts Of: * a. Applicant CO -003 * b. Program /Project CO -003 Attach an additional list of Program /Project Congressional Districts if needed. - - -� a Add Attachment Ii1i;t Atauvtthnet 17. Proposed Project: * a. Start Date: 10/01/2009 * b. End Date: 09/30/2011 18. Estimated Funding ($): • a. Federal 200, 000.00 • b. Applicant 40, 000.00 * c. State * d. Local * e. Other * f. Program Income *g. TOTAL 240,000.00 * 19. Is Application Subject to Review By State Under Executive Order 12372 Process? a. This application was made available to the State under the Executive Order 12372 Process for review on b. Program is subject to E.O. 12372 but has not been selected by the State for review. ® c. Program is not covered by E.O. 12372. * 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes ", provide explanation.) ❑ Yes ® No plaftaiott 21. *By signing this application, I certify (1) to the statements contained in the list of certifications ** and (2) that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances" and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001) ® ** I AGREE ** The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency specific instructions. Authorized Representative: Prefix: 1 * First Name: Thomas Middle Name: Tally * Last Name: Rummel Suffix: * Title: pueblo Police Department Captain *Telephone Number: 719- 553 -2542 Fax Number: 719- 553 -2499 *Email: trummel @pueblo.us • Signature of Authorized Representative: Completed by Grants.gov upon submission. * Date Signed: Completed by Grants.gov upon submission. Authorized for Local Reproduction Standard Form 424 (Revised 10/2005) Prescribed by OMB Circular A -102 r OMB Number: 4040 -0004 Expiration Date: OW1/2009 Application for Federal Assistance SF-424 Version 02 * Applicant Federal Debt Delinquency Explanation The following field should contain an explanation if the Applicant organization is delinquent on any Federal Debt. Maximum number of characters that can be entered is 4,000. Try and avoid extra spaces and carriage returns to maximize the availability of space. DISCLOSURE OF LOBBYING ACTIVITIES Approved by OMB Complete this form to disclose lobbying activities pursuant to 31 U.S.C.1352 0348 -0046 Attachment I Program Abstract Grants.gov announcement: BJA- 2009 -2025 Competition ID: BJA- 2009 -2037 Applicant: City of Pueblo, Colorado / Pueblo Police Department Co- Applicant: Spanish Peaks Mental Health Center, Pueblo, Colorado M Abstract The City of Pueblo, Colorado, on behalf of the Pueblo Police Department, and Spanish Peaks Mental Health Center have partnered to apply for this Justice and Mental Health Collaboration Program Grant (announcement # BJA- 2009 - 2025). We are applying for Grant Category HI- Expansion (Competition ID # BJA- 2009 - 2037). This funding would allow our community to expand our existing Treatment Alternatives Collaboration (TAC) Program, which was implemented in July 2008. Within the last year, our TAC Program collaboration has successfully created and implemented protocols to identify and provide mental health and co- occurring treatment services, and jail diversion services, for offenders in need of these services. The current program capacity is only 40 -50 clients. With the funding from this grant, we propose to hire a full -time clinician and one half -time co- occurring treatment specialist to enable us to enroll at least 60 additional clients into the TAC Program during the grant period. Additionally, we would like to expand upon our ability to enroll clients who are appropriate for jail diversion. We would target female offenders with non- violent misdemeanor offenses who have a mental illness or co- occurring disorder. Finally, with this funding, we would provide CIT Training to 20 -25 Post Certified Peace Officers to increase their ability to interact effectively with individuals with mental illness and co- occurring disorders. We are requesting grant funding in the amount of $200,000, with 20% matching funds /in -kind services provided by the applicants, to enable our community to expand the Treatment Alternatives Collaboration (TAC) Program as indicated above. Page 1 of 1 Attachment I Program Narrative Grants.gov announcement: BJA- 2009 -2025 Competition ID: BJA -2009 -2037 Applicant: City of Pueblo, Colorado/ Pueblo Police Department Co- Applicant: Spanish Peaks Mental Health Center, Pueblo, Colorado a i Pueblo and Pueblo County Jurisdiction Information Pueblo County is a southeastern Colorado community, with a population of 150,171 (U.S. Bureau of the Census, 2005). Most of that population (104,291) is concentrated in the City of Pueblo, which accounts for only 2% of the land area in the County. The County also includes a metropolitan district, with a population of 26,000, and three other population centers with fewer than 3000 people each. With a total of 2,397 square miles— larger than Rhode Island or Delaware— Pueblo County includes both rural and urban environments for mental health care services. Additional relevant demographic data for the City of Pueblo, Colorado. Factor Pueblo Colorado 2004 Median Household Income $34,750 $52,233 Percent of individuals below poverty level (City of Pueblo) 17.8% 9.3% Unemployment rate, February 2005 7.0% 5.3% Percent of adults with college or graduate degree 18% 33% Sources: U.S. Census Bureau; City of Pueblo 2003 Data Book; Colorado Department of Labor; Colorado Children's Campaign Grant Applicants: Pueblo Police Department: The Pueblo Police Department currently employs 206 sworn officers. In 2008, the Department responded to 114,159 calls for service. Of these calls for service, 772 came in as calls related to "emotional /mental problems" or "suicidal party" or "suicide attempt ". In 2008, the average man -hours spent on these calls was approximately 1,540 Page 1 of 20 hours. The Department estimates that the average officer time for each call for service is 1 man hour, for 2 officers, per call. The Pueblo Police Department is committed to obtaining CIT Training for all patrol officers, and to exploring ways to divert offenders with mental illness into treatment, instead of arresting /incarcerating them, whenever appropriate. Seventy -one officers have received CIT Training, to date, and ten more officers will be trained in April 2009. The Police Department is an active partner in the existing Treatment Alternatives Collaboration (TAC) Program and partnership. Spanish Peaks Mental Health Center (SPMHC): Spanish Peaks Mental Health Center is a private non - profit Community Mental Health Center, and was founded in 1962. SPMHC has served Pueblo, Huerfano and Las Animas Counties for the past 45 years. The mission of SPMHC is to make available a comprehensive range of high quality, community -based mental health and substance abuse treatment services in the least restrictive manner possible to the residents of Pueblo, Huerfano and Las Animas Counties, regardless of their ability to pay for services. The continuum of care available to all clients, including TAC clients, includes: outpatient individual and group mental health and substance abuse treatment, medication management and case management services, 24 -hour crisis services, inpatient residential treatment through our 16 -bed Acute Treatment Unit (ATU), PACT and CAT services, outreach to the homeless through the PATH Program, OBRA assessments, vocational rehabilitation, and consumer -run recovery center activities. During the 2007 -2008 Fiscal Year, the Center served 4,103 clients, including 2,848 adult clients. State and Local Challenges: The provision of mental health and substance abuse treatment to adult offenders with mental illness or co- occurring disorders, especially to those without Medicaid or other insurance Page 2 of 20 coverage, in Colorado and the City of Pueblo and Pueblo County, is made challenging by many factors: 1) Budget Cuts: Non - Medicaid Federal and State General Funds for mental health services decreased as a percentage total from 19.1% to 16.8% in Fiscal Year 2004. Overall, Colorado's State General Funds were reduced by 25.06% between FY 2001 and FY 2004. (An Analysis of Recent Trends in Colorado's Public Mental Health System, Division of Mental Health, Colorado Department of Human Services, 2005). Local government funding also declined from 6.3% in FY 2001 to 5.1% in FY 2004. Offenders with mental illness, who had disability benefits (i.e. SSI or SSDI) or Medicaid/Medicare at the time of arrest, often lose these benefits while they are incarcerated. Upon release to the community, they are often unable to pay for needed mental health or co- occurring treatment and medications, which can increase the likelihood of recidivism. Many offenders with mental illness have never had any benefits, or adequate income, to allow them to access treatment services on a consistent basis. 2) Severity of Mental Illness experienced by individuals served by SPMHC and Colorado Community Mental Health Centers: Of the 4,103 clients served by SPMHC in Fiscal Year 2007 -2008, 1,187 (28.9 %) were diagnosed with Major Depression or Mood Disorder, 601 (14.7 %) were diagnosed with a Bipolar Disorder, and 573 (13.9 %) were diagnosed with Schizophrenia or another Psychotic Disorder (Spanish Peaks Mental Health Center, Annual Report, 2007 -08). In FY 2004, 15,107 adults with SPMI (24.7% of total served) or SMI (50.04% of total served) were treated within Colorado's Public Mental Health System. (An Analysis of Recent Trends in Colorado's Page 3 of 20 Public Mental Health System, Division of Mental Health, Colorado Department of Human Services, 2005). 3) Increasing numbers of offenders with mental illness or co- occurring disorders in the Pueblo County Jail and Colorado Department of Corrections (DOC): As is the case for many local jails around the country, the Pueblo County jail increasingly houses adult offenders with serious mental illness or co- occurring disorders. The Pueblo County Jail reports that 8,311 inmates received mental health treatment while in custody during 2008. Of that number, the Jail provided psychotropic medications to 1,307 inmates in 2008. Demand for mental health services in Colorado Department of Correction general population facilities has increased dramatically since 1995, when only 2% of the prison population had been identified as having a serious mental illness. In 2008, 40% of DOC inmates in Colorado were determined to have some type of mental health issues, and of those, 21% of inmates in prison (4,186) had been diagnosed with a serious mental illness. (Colorado Department of Corrections, Budget Hearing, January, 2009). These offenders consume a significant share of the millions of dollars the State of Colorado spends on corrections. Additionally, in 2006, 78% of inmates in Colorado DOC facilities were identified to have substance abuse issues, and less than 25% of these offenders receive substance abuse treatment services. Research indicates that offenders with substance abuse addiction commit an average of 280 felonies per year. (State of Colorado, Office of State Planning and Budgeting, Fact Sheet, November 2007). 4) Recidivism rates for offenders with mental illness: Additional resources are needed to divert offenders with mental illness from incarceration and to reduce recidivism. Relative to offenders without mental illness, individuals with mental illness are twice as Page 4 of 20 likely to fail on community supervision (Dauphinot, 1999; Porporino & Motiuk, 1995). The recidivism rate for offenders with mental illness in Colorado is 53.8 %, which is higher than the estimated 49% recidivism rate among the general population. (State of Colorado, Office of State Planning and Budgeting Fact Sheet, November 2007) Treatment Alternatives Collaboration (TAC) Program Expansion Needs: The existing Treatment Alternatives Collaboration (TAC) Program was implemented in July 2008, and is a partnership between Spanish Peaks Mental Health Center and seven area law enforcement and criminal justice agencies (see program details below). The TAC Program was created to identify and provide mental health and co- occurring substance abuse treatment, and alternatives to incarceration, to offenders with mental illness, who do not, otherwise, have the means to access these services. To date, funding for the TAC Program has come from monies legislated through Senate Bill 97 and from the general fund budget of Spanish Peaks Mental Health Center. We are confident that this funding will continue, but it is not adequate to meet the level of need in our community. The TAC Program and partnership is now well - established. There have been 91 referrals to the TAC Program since July 2008, and more individuals are referred every month. Referrals to the TAC Program have come from all of the TAC Partners, and from other community agencies (i.e. homeless shelters). Unfortunately, our current program capacity only allows us to serve 40 -50 individuals at any given time. We would particularly like to expand our capacity to offer both pre and post adjudication jail diversion, and to do more outreach to offenders with Municipal Court violations. Programs and community collaborations like the TAC Program have been shown, across the nation, to be more effective for providing treatment and for reducing the recidivism rate for offenders with mental illness, as compared with incarceration alone. According to a research Page 5 of 20 review completed by the Colorado Division of Criminal Justice in 2008, "research shows little evidence that incarceration has a positive effect on later recidivism ". In fact, they found that, "rigorous studies have shown that incarceration is associated with higher rates of recidivism, when compared with community -based sanctions ". They found that, "research shows that when the supervision is service- oriented and focuses on offender's individual deficits that are related to criminal behavior (i.e. addiction, mental health issues, employment problems, unstable living arrangements and pro - criminal attitudes and associates), recidivism can be significantly reduced." (What Works: Effective Recidivism Reduction and Risk - Focused Prevention Programs, Colorado Division of Criminal Justice, February, 2008). Additionally, treatment is also more cost - effective. Pueblo and Pueblo County tax payers spend $16,000 per year, per inmate to house offenders in the county j ail. On the other hand, the cost for mental health and co- occurring treatment for individuals enrolled in the TAC Program is approximately $4500 per client, per year. Finally, expansion of the TAC Program would enable Spanish Peaks Mental Health Center to facilitate additional CIT Training for Post Certified Peace Officers in our community. Existing Services in the Pueblo, Colorado area: HOUSING: The City of Pueblo has two homeless shelters, one of which has made special arrangements to house up to 10 adult parolees who are transitioning from DOC to the community. SPMHC operates four boarding homes for individuals with mental illness, and also owns several apartment complexes. INDIGENT MEDICAL SERVICES: Medical services for individuals without insurance or Medicaid are available through Pueblo Community Health Center (PCHC). TRANSPORTATION: The City of Pueblo has bus services within the City limits. Page 6 of 20 GOVERNMENT: The Tenth Judicial District has one probation officer dedicated to working with offenders who have mental illness and/or substance abuse disorders. This probation officer works closely with the TAC Program on shared cases. The Tenth Judicial Office of the District Attorney is considering appointing one Deputy District Attorney to work exclusively with offenders with mental illness. The Pueblo Police Department has 71 CIT Trained Patrol Officers, and is committed to obtaining CIT Training for all Officers. Components of the existing TAC Program: The TAC Program collaboration in our community works to create and implement protocols to identify offenders with mental illness and co- occurring substance abuse disorders, and ensure that treatment and options for alternatives to incarceration are available. Our mission is to provide alternatives to incarceration, whenever possible and appropriate. We also create, and participate in, multi - disciplinary cross - training opportunities for both mental health and law enforcement/criminal justice personnel. The Treatment Alternatives Collaboration (TAC) Program Partnership Established. July 2008 - MOU Effective October 2008 Spanish Peaks Mental Health Center The Pueblo Police Department The Pueblo County Sheriff's Office Tenth Judicial District Combined Courts The Tenth Judicial District Attorney's Office Tenth Judicial District Probation Office The Pueblo Parole Department The Pueblo Office of the Colorado State Public Defender's Office Page 7 of 20 is Leadership from all of the TAC Partner agencies meet at least every two months to review and evaluate protocols, and to communicate about procedural issues and cases. These regular meetings ensure that lines of communication remain open and that we continue to work together to best serve clients and our community. The TAC Treatment Program also convenes weekly multidisciplinary case staffings on all referrals and open TAC Cases. The current TAC Program Treatment Team The current TAC Program Treatment Team has the capacity to provide services for 40 -50 offenders at any given time. Team Member Name Title Agency/Employer % time dedication to TAC Program/Clients Lisa Rea, MA, LPC TAC Program Spanish Peaks Mental 60% Director Health Center Micki McBride, MA, TAC Mental Spanish Peaks Mental 100% RN Health Clinician Health Center Margarita Ochoa- Smith, TAC Substance Spanish Peaks Mental 100% BA, CAC III, LAC Abuse Treatment Health Center Specialist Jacqueline Ciancio, BA TAC Case Spanish Peaks Mental 100% Manager Health Center Individuals enrolled with the TAC Program have access to the full range of mental health, substance abuse treatment and case management services offered by Spanish Peaks Mental Health Center. Treatment Services Available to TAC Program Clients through Spanish Peaks Mental Health Center (SPMHQ Outpatient Mental Health Assessment & Counseling (group & individual) Integrated Outpatient Substance Abuse Assessment & Treatment (group and individual) Medication Evaluation and Medication Management Page 8 of 20 24 -Hour Crisis Services and access to 16 bed inpatient Acute Treatment Unit (ATU) treatment, as needed. Case Management Services to include referrals and linkage with community resources for housing, employment, benefits application, educational services, medical services) Assertive Community Treatment Programs (ACT / PACT) Housing- SPMHC operates four residential facilities, and subsidized HUD housing through SPMHC's certificate Gender -Based Trauma Services; EMDR for PTSD, female therapists available Consumer- Run Recovery Center- free classes, meals, social activities, computer training and leadership opportunities. Vocational Services through Aspen Diversified Industries Sequential Intercept Model- TAC Program Interventions The TAC Program and structure was created using principals outlined in the Sequential Intercept Model, (Munetz & Griffin). The TAC Program works to outreach and intercept offenders at all points in the system. Our collaboration and protocols enable us to intercept offenders as early as possible in the criminal justice system. All treatment services, and diversion opportunities, are voluntary for offenders referred to the TAC Program. TAC Program Lave Enforcement Patrol Level Interventions: The TAC Program has created a procedure to enable Pueblo Police Patrol Officers and Pueblo County Sheriff s Deputies to refer individuals directly to the TAC Program for outreach and assessment. Referrals can be made through law enforcement dispatch, or the patrol officer can contact the TAC Program, directly, to make the referral. Patrol Officers can also give the individual an information card, which makes them aware of the treatment resources available through the TAC Program. After receiving a referral from law enforcement, a member of the TAC Team makes an outreach contact, within 72 hours, to the individual to let them know about available treatment services, which are voluntary. Page 9 of 20 e TAC Program Pre - Adjudication Diversion: The TAC Program and the Tenth Judicial District Attorney's Office have created protocols and procedures to allow Deputy District Attorneys to refer cases to the TAC Program for assessment and treatment, in lieu of prosecution, when they think mental illness may be the primary contributing factor relating to the individual's involvement with the criminal justice system. With the consent of the offender, the District Attorney can request that filing of charges be suspended, and the offender be referred, instead, to diversion with the TAC Program for treatment. Upon successful completion of the TAC Diversion Treatment Program (6 -12 months), the case is dismissed by the District Attorney. TAC Program Post - Adjudication Diversion Program: District and County Court Judges in Pueblo County have worked with the TAC Program to implement protocols to allow offenders to be sentenced to the TAC Treatment Program for a period of 6 -24 months. Judges have the option to suspend DOC or County Jail incarceration, and "sentence" offenders, instead, to treatment with the TAC Program. Offenders can be sentenced to probation and the TAC Treatment Program, or only to the TAC Program, depending on the individual's needs for treatment and legal supervision. TAC Program personnel appear before the Judge, with the client, at least every 30 days to provide written and verbal progress reports. TAC Program collaboration with the Pueblo County Jail: The mental health treatment staff at the Pueblo County Jail works closely with the TAC Team, and may refer inmates at any time for assessment for the TAC Program. The TAC Clinician can meet with inmates at the jail and complete an assessment before the inmates before their next court date. Recommendations are then provided to the court. The Pueblo County Jail also provides statistics regarding jail days for all TAC referrals and TAC clients. TAC Program Probation/Parole Collaboration: Both Probation and Parole Officers may refer cases directly to the TAC Program for mental health and co- occurring substance abuse Page 10 of 20 treatment. Both the Tenth Judicial District Probation Department and the Pueblo Parole Department have assigned specific officers to work with offenders with mental illness, and to coordinate services with the TAC Program. Gaps in available resources The City of Pueblo and Pueblo County, as is true for many communities around the nation, often lacks adequate resources to provide treatment, diversion, and re- entry /re- integration services for offenders with mental illness and co- occurring disorders. The following are some primary, specific "gaps" we have identified in our area: Housing: There is a shortage of affordable and safe housing in our community. We have found that, too often, individuals are released from DOJ or the County Jail, and are homeless. Sometimes, their history of criminal convictions excludes them from housing opportunities. The TAC Program works closely with both of the homeless shelters, Wayside Cross Mission and POSADA, to secure shelter and housing for TAC Clients whenever possible. The Wayside Cross Mission also works with parole, to allow offenders to parole to the Mission. The TAC Program also works closely with a local family -run "sobriety house ", which is willing to house our clients and collaborate with the TAC Treatment Team. Medication/ Laboratory Costs: Many offenders with mental illness are prescribed psychotropic medications while they are incarcerated, but they are unable to pay for their prescriptions upon release from the DOC facility or the jail. It can take time to apply for prescription assistance programs and/or other benefits to defray the cost of expensive medications. Some medications also require regular blood level evaluations. Inability to pay for required lab work may be cause for discontinuation of a prescription, and subsequent de- compensation of mental illness. As necessary, SPMHC, the Tenth Judicial District Probation Page 11 of 20 Department and the Pueblo Parole Office have provided temporary emergency funds to clients, based on level of need. Requirements for the exl2ansion of the TAC Program As mentioned previously in this application, the TAC Program currently has the capacity to enroll only 40 -50 offenders at any given time. We make every effort to transition TAC Program clients, with the exception of clients on diversion, into other treatment programming at SPMHC when they receive benefits or obtain employment and can pay for services. However, this can take up to 12 months for many clients. We require additional clinical staff resources, and financial resources to expand the capacity of the program to outreach and serve more offenders with mental illness and co- occurring disorders. Additional funding is also to continue to sponsor and provide CIT Training for law enforcement officers /deputies in our community, and to provide and participate in multi - disciplinary cross - training. The Need for Federal funding to expand the TAC Program: The funding available by the State, through Senate Bill 97, enabled us to create the TAC Program. While we have been assured this funding will continue for at least the next 2 years, barring State budget cuts, we continue to seek out other funding opportunities to sustain and expand this needed program. Federal grant funding is one way to accomplish this. We are vigilant and proactive about exploring funding options, and creating long -term sustainability. At this time, we are not aware of any other funding opportunities for TAC Program activities. SELECTION CRITERIA #2: PROJECT DESIGN & IMPLEMENTATION Additional funding would enable our community to expand the capacity of the existing TAC Program, allowing more offenders with mental illness and co- occurring disorders to access Page 12 of 20 treatment services and diversion opportunities. Additional TAC Program expansion goals are outlined in the table below. TAC Program Expansion Goals #1 Increase TAC Program Treatment Capacity: Employ additional clinical treatment staff and support staff to expand the capacity of the TAC program to identify, outreach and provide treatment services for at least 60 offenders with mental illness and co- occurring disorders. #2 Expand TAC Jail Diversion Program: Expand the capacity of the TAC Program to accept jail diversion referrals from District, County and Municipal court judges. Increase collaboration with Municipal court to identify offenders who may be eligible for diversion. Continue to collaborate with the District Attorney's Office to identify pre- adjudication diversion referrals. #3 CIT Training for Law Enforcement Patrol: Provide one CIT Training for 20 -25 Post - Certified Peace Officers during the 24 month grant period. #4 Multi- Disciplinary Cross - Training: All TAC Program Partners will sponsor and participate in quarterly cross - training opportunities for mental health law enforcement and criminal justice personnel. At least 4 trainings will be help during the two year grant period. #5 Research: Collaborate with a local university /college to evaluate TAC Program outcomes and effectiveness (see details of measurements of program effectiveness below) #6 Expand TAC Partnership: Mousing: We will invite local homeless shelters to partner with us to outreach homeless offenders with mental illness and co- occurring disorders. Department of Social Services: We would like to increase collaboration with the Pueblo County Department of Social Services, as many women who are involved with the criminal justice system also face the possibility of loss of custody of their children (due to untreated mental health disorders and involvement with the criminal justice system). Target Population and Number of individuals (adults) to be served with grant funding: With this grant funding, the TAC Program intends to specifically target adult female offenders with mental illness and co- occurring substance disorders. While we will not exclude adult male offenders, we will make particular effort to identify and enroll female offenders who are involved with the criminal justice system. DOJ Grant - Funded Target Population At least (60) adult offenders, ages 18 -59, diagnosed with an Axis I Mental Health Diagnosis and/or a co- occurring substance abuse disorder, prioritizing referrals of female offenders. Page 13 of 20 Individuals who have previously faced, could be facing, or are currently facing one or more misdemeanor non - violent offense(s), as defined by the Mentally Ill Offender Treatment and Crime Reduction Act. Responsibilities of each TAC Partner Agency and the resources each will Rrovide to support system- involved individuals with mental illness and co- occurring disorders: The agencies listed in the table below are active TAC Program Partners. Each plays a vital role in assuring that offenders with mental illness and co- occurring disorders are identified and offered appropriate treatment services, and diversion opportunities, when possible. All TAC Program Partners are committed to hosting and participating in multi - disciplinary cross - training opportunities TAC Program Partner Agency Responsibilities and Resources Supporting the Delivery of Services to System- Involved individuals with Mental Illness and Co-occurring Disorders Pueblo Police ® Implement patrol level protocols and CIT training to identify Department and refer offenders with MI/COD to the TAC program. ® Provide statistical information to the TAC program regarding referrals and arrests ® Send patrol officers to CIT Training ® Provide at least one dedicated liaison, with decision - making ability, to participate in the TAC Partnership Spanish Peaks Mental ® Provide comprehensive mental health and co- occurring Health Center assessment and treatment services to all TAC program clients • Provide office space at a SPMHC facility for TAC Program Treatment Team • Host and attend TAC Partnership meetings at least every 2 months and weekly case staffings • Compile and report program progress reports and statistics to all TAC Partner Agencies • Coordinate and facilitate CIT Training for certified peace officers • Provide at least one dedicated liaison, with decision - making ability, to participate in the TAC Partnership. Page 14 of 20 Pueblo County ® Provide meeting space conducive to confidentiality for Sheriff's assessments conducted at the Pueblo County Jail. Office /County Jail ® Provide statistics to the TAC Program regarding jail days served by TAC clients. e Send patrol deputies to CIT Training ® Provide at least one dedicated liaison, with decision - making ability, to participate in the TAC Partnership. Tenth Judicial District ® Refer cases, as appropriate, for assessment for jail diversion Combined Courts ® Provide at least one dedicated liaison, with decision - making ability, to participate in the TAC Partnership. Tenth Judicial District ® Refer cases, as appropriate, for assessment for pre- adjudication Attorney's Office diversion ® Provide at least one dedicated liaison, with decision - making ability, to participate in the TAC Partnership. Tenth Judicial District ® Refer cases and attend bi- monthly staffing on shared TAC Probation Department Cases ® Provide information and statistics to the TAC program regarding TAC client probation compliance and revocations of probation a Provide at least one dedicated liaison, with decision - making ability, to participate in the TAC Partnership. Pueblo Office of the ® Refer cases, as appropriate, for treatment and jail diversion Colorado State Public ® Provide at least one dedicated liaison, with decision - making Defender's Office ability, to participate in the TAC Partnership. Pueblo Parole Office ® Refer cases and attend bi- monthly staffing on shared TAC Cases ® Provide information and statistics to the TAC program regarding TAC client parole compliance and revocations of parole ® Provide at least one dedicated liaison, with decision - making ability, to participate in the TAC Partnership. Coordination of Ancillary Services: The TAC Case Manager coordinates all necessary ancillary services for clients enrolled in the TAC Program. Referrals and linkages are facilitated to enable clients to access stable housing, transportation, benefits, advocacy, educational resources, medical/dental services, and vocational services in the community. The TAC Case Manager meets regularly with representatives from local community agencies to identify resources for clients. Page 15 of 20 Expansion will improve the capacity and functioning of the existing TAC Program The TAC Program in Pueblo is now almost at full capacity, with current staff and financial resources. We have been very encouraged by the positive support the community has extended to the TAC Partnership, and the number of referrals to the program. We are exited about the possibility of expanding the capacity this successful program, especially with regards to outreach and treatment services for women with mental illness who are involved with the criminal justice system. Thus far, the majority of the clients enrolled in the TAC program are male, and we would like to increase outreach and treatment options for women who need these services. SELECTION CRITERIA #3: CAPABILITIES AND COMPETENCIES The TAC Program Partnership and structure has been formalized by a Memorandum of Understanding (MOU), signed by all of the current eight TAC Partner Agencies. This MOU allows for information sharing, with adherence to required confidentiality statutes. Each of these agencies has identified and dedicated at least one liaison, with decision - making ability, to participate in the TAC Partner Meeting, which is held every two months. These meetings are convened to create, review and improve program protocols, and ensure that communication occurs. All of the TAC Partner Agencies have expressed support for expanding the current TAC Treatment Program. Additionally, the TAC Treatment Team attends quarterly meetings in Denver to meet with representatives from other communities around the state that are creating or implementing similar programs. The role of consumers, advocates and family members in the TAC Program: Within the next 3 months, the TAC Treatment Team will begin offering a Family Therapy Group for family members and clients enrolled in the TAC Program. This meeting allows family members to share their concerns, receive support, and learn ways to best support their Page 16 of 20 s w family member with mental illness. There is also a family support group available for family members of TAC clients who are enrolled in co- occurring substance abuse treatment programming. Identifying and strengthening family supports is a goal we work toward with all TAC clients. Additionally, all TAC Program clients have access to programming at the consumer -run Recovery Center. The Recovery Center is staffed by Client Advocates and Peer Specialists, who offer support and advocacy for all clients of Spanish Peaks Mental Health Center. Potential barriers to implementing the pr®iect and strategies to overcome these barriers: Potential Barrier Strategies to Overcome Barrier Lack of understanding by partner agencies Regular cross - training opportunities for mental about the roles, responsibilities and limitations health, law enforcement and criminal justice of other partner agencies, with regard to their agency personnel, facilitated by each TAC interactions with offenders with mental illness Partner agency. Break -down of collaboration or 1. All TAC Partner Agencies attend TAC communication between Partner Agencies Partner Meeting every two months 2. TAC Partner representatives regularly attend one another's staff meetings 3. Weekly multi - disciplinary TAC Case Staffin 4< V E 0 11 It V D1 R PERFORMANCE MEASURE DATA COLLECTION PLAN Program Evaluation and Outcome Measurements As stated above, the measurement of program effectiveness and outcomes will be ongoing throughout the 24 -month grant period. Federal grant funding will be used to provide services to offenders with mental illness and co- occurring disorders who do not have insurance of Medicaid benefits to pay for these services. All TAC program participants are referred, as appropriate, for assessment for eligibility for benefits (i.e. SSI , Medicaid, Medicare). Program I Performance I Outcome Data Provided by Grantee and Page 17 of 20 Component /Objective Outcome Measures method of data collection: Reduction of Number/Percentage Recidivism by TAC Program participants: recidivism by of program Number of new arrests while participant is offenders with participants who engaged in the TAC Program and one year mental illness recidivate while after program completion -data provided by engaged in the TAC Pueblo Police Department and Pueblo Program County Sheriff's Office ® Number of j ail/DOC days served one year Number/Percentage before TAC Program Enrollment -data of program provided by the Pueblo County Jail and participants who Pueblo Parole Office TAC program liaison successfully complete ® Number of jail/DOC days served by the program participants while engaged in the TAC Program -data provided by Pueblo County Number/Percentage Jail of program ® Number of revocations of probation/parole participants who for participants while engaged in the TAC recidivate within one program -data provided by probation year after the department and parole completion of the e Number of technical violations of TAC program probation/parole while engaged in the TAC program, resulting in jail time -data provided by probation and parole Number of participants enrolled in a TAC Jail Diversion program -data provided by SPMHC TAC Program Treatment Team ® Number of participants who successfully complete TAC Jail Diversion Program - data provided by SPMHC TAC Program Treatment Team ® Number of individuals terminated from the program due to non - compliance with program conditions /diversion participant agreement -data provided by TAC Program Treatment Team ® Number of participants who successfully complete programs supervised by the courts and corrections (i.e. probation/parole /diversion) -data provided by the court, probation and paro e Increase the Number of law Number of CIT Trainings facilitated number of criminal enforcement/mental ® Number of law enforcement personnel who justice personnel health providers received CIT Training during the grant training in or using cross - trained period -data provided by SPMHC and the law enforcement- Pueblo Police Department and Pueblo Page 18 of 20 y based diversion strategies County Sheriff's Office ® Number of multi - disciplinary cross - trainings attended -data provided by each TAC Program partner agency liaison ® Number of training attendees from each discipline (mental health and criminal justice) -data provided by each TAC Program partner agency liaison Increase the Dispositions of ® Number of individuals screened/assessed number of court- individuals assessed for mental illness for participation in: based diversion and individuals -TAC Pre - adjudication Diversion Program programs and enrolled in TAC Pre- -TAC Post - adjudication Jail Diversion alternative jail adjudication and Program -data provided by SPMHC TAC diversion strategies Post - adjudication Program Treatment Team, the court and Diversion programs. the District Attorney's Office ® Number of individuals accepted into above diversion programs -data provided by TAC Program Treatment Team ® Number of individuals who are denied enrollment in above diversion programs data provided by TAC Program Treatment Team ® Number of individuals who declined to participate in above diversion programs data provided by TAC Program Treatment Team Increase the Increase number and ® Number of service referrals to: quantity and types of services - mental health quality of mental available to offenders - substance abuse health and other with mental illness - housing services available and co- occurring - vocational services /employment to offenders with disorders enrolled in - education mental illness the TAC program -other ® Number of partners who have agreed to Improve the quality provide services for: of available services - Mental Health to offenders with - Substance Abuse mental illness and co- -Co- occurring occurring disorders - Housing - Vocational services /employment Improve service - Education coordination and - Other- data provided by SPMHC TAC communication Treatment Team between all partners ® Number of individuals who are discharged and community from the TAC Program with: agencies working - Written Discharge Plan to be shared with Page 19 of 20 a with TAC Program supervising criminal justice agency, faith - participants based and/or community providers - Adequate supply of medication until first appointment with psychiatrist, if changing prescribers -Care coordination and case management - Referrals to community services Number of multi - disciplinary case staffings and community meetings attended by TAC Treatment Team members- data provided by SPMHC TAC Treatment Team Long -Term TAC Program Sustainability: As stated above, it is imperative for programs like the TAC Program and partnership think about, and plan for, long -term sustainability of the program. We will always explore local, state and federal funding opportunities, and we are aware that grant funding may not always be available. It is our goal to partner with a local university /college to conduct a research study to evaluate the effectiveness of the TAC Program. When positive outcomes are demonstrated, it is more likely a community will recognize the value of a program, and make efforts to ensure it is continued. The TAC Partners have already begun discussing and strategizing about how each partner agency can, in the future, "absorb" some of the costs to continue the program (staff salaries, office space, equipment, etc). The TAC Program in Pueblo has been in existence for less than 12 months. We need time, and funding, to properly evaluate the program's effectiveness and demonstrate measurable, positive outcomes. This data will increase the likelihood that the community will continue to financially support the program. Page 20 of 20 e Attachment II Budget Worksheet Grants.gov announcement: BJA- 2009 -2025 Competition ID: BJA- 2009 -2037 Applicant: City of Pueblo, Colorado/ Pueblo Police Department Co- applicant: Spanish Peaks Mental Health Center, Pueblo, Colorado o Attachment 2: Budget Worksheet Appx. Grant Period: 10/1/2009 - 9/30/2011 Grant Request $200,000.00 In -Kind Matching $ 40,000.00 SPMHC= $35,000 City =$ 5000 TOTAL Project Budget $240,000.00 (24 Months) Grant In -Kind Total Personnel & Fringe Benefits 1 FTE Clinican II (MA,MSW) $ 123,980 $ 1,500 $ 123,980 .5 FTE Clin I $ 57,307 $ 1,500 $ 57,307 TOTAL Personnel Travel $ 181,287 $ 181,287 2 Staff 1 day Grantee Orientation $ 2,000 $ 1,500 $ 2,000 Meeting(Air hotel Per Diem) $ 1,500 1,500 4 Staff 2 -day National Meeting $ 4,000 $ 1,500 $ 4,000 (Air hotel Per Diem) $ 1,500 1,500 1 CIT training for post Certified Law $ 8,000 $ 8,000 enforcement Patrol (20 -25 Officers) Total Travel $ 6,000 $ 6,000 Trainin Total Training Equipment & Supplies $ 8,000 $ 8,0 Computers $ 1,500 $ 1,500 Supplies (expendable office supplies) $ 1,500 1,500 Fees & Expenses associated with client - services Total Supplies $ 3,000 $ 3,000 Client Services DELETED Total Client Services $ Research Consultant DELETED Misc. Research Fees Total Research $ - r 6 Admin /Other Indirect expenses .5 FTE Support staff $ 12,713 $ 22,245 $ 34,958 Other Indirect (Pro Liability Ins. Supervision $ 1,755 $ 1,755 Police dept supervision $ 5,000 $ 5,000 Total Admin /indirect $ 12,713 $ 29,000 5 41,713 Total Program Expenses Grant In -Kind $ 200,000 $ 40,000 $ Total 240,000 e O MEMunANDUM OF UNDERSTANDING z ,` �•� � '• i ' � ` e � � � ,, �� , • ' j� �• � ;�� �� Vim• i UNW IND , PURPOSE: The Pueblo County Sheriffs Office, the Tenth Judicial District Combined Courts, the Tenth Judicial District Attorney's Office, the Pueblo Police Department, the Tenth Judicial District Probation Office, the Office of the Colorado State Public Defender (hereinafter referred to as "Community Partners ") and Spanish Peaks Mental Health Center (SPMHC) desire to enter into this Memorandum of Understanding (MOU). The purpose of this MOU is for all aforementioned agencies to establish and develop the Treatment Alternatives Collaboration (TAC) Program. This Program is funded, in significant part, through monies received by Spanish Peaks Mental Health Center from Senate Bill 97. This collaboration will work together to identify and offer treatment options to offenders who have a mental illness or co- occurring substance abuse disorder which may be contributing to their involvement in the criminal justice system. Through this collaboration, adult offenders who meet the criteria for participation in the Treatment Alternatives Collaboration (TAC) Program may be offered mental health and co- occurring substance abuse treatment services designed to meet their individual needs. Offenders may be intercepted at different points in the criminal justice system. Some offenders may be offered diversion to treatment alternatives, in lieu of incarceration or as a condition of sentencing or probation. Additionally, juveniles with mental illness or co- occurring substance abuse disorders will be assessed and linked with appropriate treatment upon release from Pueblo Youth Services Center. Services available to enrolled clients by Spanish Peaks Mental Health Center (SPMHC) • Mental health and substance abuse Assessments and diagnostic services • Outpatient psychotherapy (individual and group) • Psycho - educational groups • Outpatient substance abuse treatment • Case Management Services • Medication Evaluation by SPMHC psychiatric staff • Ongoing medication management by the SPMHC psychiatric staff • Assertive Community Treatment (ACT) Services • Transitional Employment (TE) and Supported Employment (SE) opportunities • Residential treatment for individuals who would benefit from professional oversight and assistance with Activities of Daily Living 1 r r ® Intensive residential mental health treatment at our Acute Treatment Unit (ATU) for individuals whose illness are more acute and require medication management and intensive treatment and supervision on a 24 -hour basis • Emergency services with 24/7 availability • Housing and financial assistance (benefit acquisition, payeeship services, HUD vouchers and other supported living options). ® Consumer -run support groups and Clubhouse activities. This includes social and recreational supports, as well. AGREEMENTS: SPMHC : • SPIVIHC will track, compile and report program statistics to the State and to partner agencies • SPMHC will provide IT support and assistance, as necessary, to facilitate information sharing, communication and other technical support, in coordination with other agencies' IT personnel. • In collaboration with law enforcement agencies, SPMHC will provide Crisis Intervention Training (CIT) for at least 20 officers /deputies during FY 2008 -2009. • SPMHC will provide and participate in inter - agency cross - training, as needed, to facilitate education, communication and collaboration. This cross - training will be at no cost to the agency receiving the training. COMMUNITY PARTNERS: • Each agency will assign at least one dedicated staff liaison to participate in a meeting/ case staffing, at least once per month, to assure ongoing communication and decision - making. • Agency representatives will attend the monthly meeting /case staffing to review cases of mutual concern and involvement. Each agency representative will be responsible for maintaining communication with all parties regarding specific cases and procedural issues. • Each partner agency will provide information to SPMCH necessary to document outcomes of the Treatment Alternatives Collaboration (TAC) Program. • Confidential information will be shared between agencies, as allowed by law, rule or standard, regarding mutually served individuals. Such confidential information shall be treated in the legally prescribed manner dictated by law. ® The Pueblo County Sheriffs' Office, the Pueblo Police Department and the Colorado State Patrol will identify at least 20 officers /deputies to receive CIT Training during the 2008 -2009 Fiscal Year. ® The Sheriffs' Office, County Jail and the Police Department will make available space for the TAC Program to meet with prospective clients, as needed. The space will be conducive to confidentiality. 2 In *� ® All partners in this collaboration agree to pursue opportunities to guarantee sustainability of the program. ® The Community Partners will participate to the extent that funding is appropriated and available. TIME, RENEWAL AND TERMINATION This Memorandum of Understanding shall be effective for one (1) year from the latest date of the signatory below and may be extended upon written mutual agreement. Any party may terminate their agreement to this Memorandum of Understanding without cause upon thirty (30) days written notice to the other parties. AUTHORIZATION The signatories will strive to reach, to the best of their ability, the objectives stated in the MOU. On behalf of the organization I represent, I wish to sign this Memorandum of Understanding. Gilbert Sanchez, President & CEO Date Spanish Peaks Mental Health Center 1026 West Abriendo Ave. Pueblo, Colorado 81004 Date Bill Thiebaut, District Attorney Tenth Judicial District, Colorado 701 Court Street Pueblo Colorado 81003 Date 3 Kirk Taylor, eriff Pueblo County Sheriff's Office 909 Court Street 130 Central Main Street Pueblo, Colorado 81003 David Srdicial a , Chief Probation Officer Tenth J District Probation Department 1120 Court Street Pueblo, Colorado 81003 Kim Karn Pueblo Regional Public Defender's Office 132 West B. Street, Suite 200 Pueblo, CO 81003 O '�` Date Date Date Date 4