marin chronic alcohol with justice involvement project...may 31, 2012, 34 individuals in the county...

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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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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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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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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


PROJECT STRUCTURE – F igure I

FMDT

PROBATION

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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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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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PROJECT STRUCTURE -- OVERSIGHT

ThisprojectwillbemonitoredbyMarinHealthandHumanServices,DepartmentofPolicyandPlanning,aswellastheCountyAdministrator’sOffice.MarinCountyDepartmentHeads,theCourtExecutiveOfficer,andtheBoardofSupervisorsalsoprovidemorebroad‐basedoversight.TheProjectCoordinatorisresponsibleforprovidingquarterlyreportssummarizingdata,progressintreatment,expenditurelevels,issuesandchallenges,andprojectedoutcomesattheCriminalJusticeBehavioralHealthAdvisoryCommitteemeetings,andasrequested.

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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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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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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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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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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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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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PROJECT FLOWCHART

PsychologicalAssessmentat30+

Days

ResidentialTreatment90Days

OutpatientTreatment90Days

MovetoLongerTermHousing

PriortoGraduation

Graduation&CaseDismissed!

COURTSUPERVISION

Want more

details about

what happens

at each phase?

See pp. 11-14

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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.


ESTIMATED/PROPOSED BUDGET

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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...may 31, 2012, 34 individuals in the county...

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