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Solving the Rubriks Cube: Mastering the Puzzle of Regional Veterans Treatment Courts in Rural Communities

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Page 1: Solving the Rubriks Cube - nadcpconference.org · 2020. 11. 17. · ellenaj@lhcaz.gov. Title: Rural City Veterans Treatment Courts Author: Lowery, Colene Created Date: 5/9/2017 8:46:25

Solving the Rubriks Cube:

Mastering the Puzzle of Regional Veterans

Treatment Courts in Rural Communities

Page 2: Solving the Rubriks Cube - nadcpconference.org · 2020. 11. 17. · ellenaj@lhcaz.gov. Title: Rural City Veterans Treatment Courts Author: Lowery, Colene Created Date: 5/9/2017 8:46:25

Importance of Veteran Treatment Courts in

Rural Communities

• Link between military trauma and involvement in the court system.

• Growing number of Veterans appearing on rural dockets

• No services in rural areas

• Power of the Program in Rural Communities

• Traditional social services not equipped to address combat stress.

• Need to engage VA, State Vets Depts., veterans orgs., and family support groups.

Page 3: Solving the Rubriks Cube - nadcpconference.org · 2020. 11. 17. · ellenaj@lhcaz.gov. Title: Rural City Veterans Treatment Courts Author: Lowery, Colene Created Date: 5/9/2017 8:46:25

Mohave County

Mohave County Population: 204,737

• Lake Havasu City: 53,553

• Kingman: 45,000 including surrounding areas

• Bullhead City: 39,445

Of the total population of Mohave County,

approximately 25, 821 individuals have

been identified as Veterans

Page 4: Solving the Rubriks Cube - nadcpconference.org · 2020. 11. 17. · ellenaj@lhcaz.gov. Title: Rural City Veterans Treatment Courts Author: Lowery, Colene Created Date: 5/9/2017 8:46:25

Starting a Rural Veterans Treatment Court

It does not happen overnight

Who will be driving the idea?

Best if champion is a local elected leader

Need to deal with CAVE people

• Won’t it be too costly?

• Why should they get special treatment?

• Or more often – If they do the crime,

then they can do the time

Page 5: Solving the Rubriks Cube - nadcpconference.org · 2020. 11. 17. · ellenaj@lhcaz.gov. Title: Rural City Veterans Treatment Courts Author: Lowery, Colene Created Date: 5/9/2017 8:46:25

Starting a Rural Veterans Treatment Court

Meet with other local elected leaders

• County Supervisors

• Superior Court Presiding Judge

• Mayors in neighboring communities

• Council members

Budgets

• Costs are front loaded

• It will pay off

• Productive members of community

• Not back in the Criminal Justice System

Page 6: Solving the Rubriks Cube - nadcpconference.org · 2020. 11. 17. · ellenaj@lhcaz.gov. Title: Rural City Veterans Treatment Courts Author: Lowery, Colene Created Date: 5/9/2017 8:46:25

Starting a Rural Veterans Treatment Court

Speeches

Veteran Groups

People Asking about it

Make it uncomfortable

Use

Politics

Page 7: Solving the Rubriks Cube - nadcpconference.org · 2020. 11. 17. · ellenaj@lhcaz.gov. Title: Rural City Veterans Treatment Courts Author: Lowery, Colene Created Date: 5/9/2017 8:46:25

Challenges of Rural Veteran Treatment Courts

Limited VA presence

• Distance to VA hospitals

• Limited mental health

services

Limited resources

• Treatment providers

• Service providers

Fragmented Veteran organizations

• Veteran organizations

• Veteran friendly organizations

Limited program funding

• Treatment

• Urinalysis

• Transportation

Page 8: Solving the Rubriks Cube - nadcpconference.org · 2020. 11. 17. · ellenaj@lhcaz.gov. Title: Rural City Veterans Treatment Courts Author: Lowery, Colene Created Date: 5/9/2017 8:46:25

Lake Havasu City/Kingman Regional Veterans Treatment Court

• First Rural Veterans Treatment Court in Arizona: Nov 8, 2013 with 1 Veteran

• First Rural Regional Veterans Treatment Court in Arizona: Dec 9, 2015

• 81 Veterans successfully completed the VTC program (Graduated)

• 47 Dismissals – 29 Reductions in sentencing – 23 Reduction in Post-adjudicated fines

• 3.9% recidivism rate for Veterans who graduated the program – (3 Vets)

• 176 Veterans Court Participants Total

• Averaging 50 - 65 Veterans participating in the program between both Courts

• Average length of program is 9 to 18 months

• Pre – Adjudicated Municipal Court misdemeanor cases

• Post – Adjudicated Municipal and Justice Court misdemeanor cases

Page 9: Solving the Rubriks Cube - nadcpconference.org · 2020. 11. 17. · ellenaj@lhcaz.gov. Title: Rural City Veterans Treatment Courts Author: Lowery, Colene Created Date: 5/9/2017 8:46:25

Rural Veterans Treatment Court Judge Role

• Ambulance at the bottom of the cliff

• Coming from behind the bench

• Judge K “Special” – Carrot/Stick

• Team Leaders

• Great to be a Veteran but not a necessity

Page 10: Solving the Rubriks Cube - nadcpconference.org · 2020. 11. 17. · ellenaj@lhcaz.gov. Title: Rural City Veterans Treatment Courts Author: Lowery, Colene Created Date: 5/9/2017 8:46:25

Rural Veterans Treatment Court Coordinator Role

• Case management, administration and courtroom clerk

• Initial needs assessment

• Face of the program – Everyone’s go-to

• Establish trust in the court system and program

• “Probation Officer”

• Community ambassador

Page 11: Solving the Rubriks Cube - nadcpconference.org · 2020. 11. 17. · ellenaj@lhcaz.gov. Title: Rural City Veterans Treatment Courts Author: Lowery, Colene Created Date: 5/9/2017 8:46:25

Bootcamp: Connection - Approx. 30 days min.

• DD214/ ROI/ 1010EZ• Contract Signed• Vet Court “Resource Connection Guide” &

Criminogenic assessment• Veterans Resource Center Housing

Assessment• Arizona@work Employment assessment

• Treatment Assessment

• U/A’s – 5-8 per Month and/or SCRAM

• Assess Case Requirements (Jail time,

• fines, community services, etc.)

• Assess Social Needs (VA benefits,

Education, Support, etc.)

• Attend VTC Twice a Month

• Promotion to Next Phase

Phase 1: Stability - Approx. 30 days min.

• Proof of Enrollment in Treatment

• U/A’s – 5-8 per Month and/or SCRAM

• Establish a treatment plan

• Start Workbook (if applicable)

• Attend VTC Twice a Month

• Substance Use Free for 30

Consecutive Days

• Promotion to Next Phase

Page 12: Solving the Rubriks Cube - nadcpconference.org · 2020. 11. 17. · ellenaj@lhcaz.gov. Title: Rural City Veterans Treatment Courts Author: Lowery, Colene Created Date: 5/9/2017 8:46:25

Phase 2: Treatment - Approx. 90 days min.

• Attending/ Engaging in Counseling

• Attending/ Engaging in

Workshops/Workbooks

• Attending VTC Outings

• Assign a Mentor if Applicable

• U/A’s 3- 5 times per Month and/or

SCRAM

• Addressing Any Case Requirements

(Jail time, Fines, Community Services,

Restitution, etc.)

• Addressing Family Needs (VA Benefits,

Housing, Employment etc) through Peer

Support Services

• Enrolled in Other Forms of Treatment if

Applicable

• Complete Workbook (if applicable)

• Attend VTC Once a Month

• Substance Use Free for 90 Consecutive Days

• Promotion to Next Phase

Page 13: Solving the Rubriks Cube - nadcpconference.org · 2020. 11. 17. · ellenaj@lhcaz.gov. Title: Rural City Veterans Treatment Courts Author: Lowery, Colene Created Date: 5/9/2017 8:46:25

Phase 3: Maintenance - Approx. 90 days min.

• Graduation Date Given once per quarter

• Completing All Case Requirements

• (Jail Time, Fines, C/S, Restitution, etc.)

• Completing Counseling

• U/A’s 3 times per month

• Connected to All Peer Support Service Needs

• Establish Aftercare Plan with treatment

provider

• Attend VTC Once a Month

• Substance Use Free for 90 Consecutive

Days

• Graduation

Phase 4: Aftercare – 12 months

• 3 month Checkup

• 6 month Checkup

• 1 Year Checkup

(Phone Call and Counseling)

• Featured Graduate in Newsletter

• Veteran Court/ VTC Outing Participant

• Mentor Program

Page 14: Solving the Rubriks Cube - nadcpconference.org · 2020. 11. 17. · ellenaj@lhcaz.gov. Title: Rural City Veterans Treatment Courts Author: Lowery, Colene Created Date: 5/9/2017 8:46:25

Prosecutor’s Role in Veterans Treatment Court Cases

• Gate keeper role

• Change perspective/focus on cases – fix/treatment vs. punishment

• Work WITH the team (including defense attorney) – goal is treatment

• Strike a balance between what is part of treatment process and what is just

laziness.

• Participate in community outreach and activities with the Veterans.

Page 15: Solving the Rubriks Cube - nadcpconference.org · 2020. 11. 17. · ellenaj@lhcaz.gov. Title: Rural City Veterans Treatment Courts Author: Lowery, Colene Created Date: 5/9/2017 8:46:25

Defense Counsel Role in Veterans Treatment Court Cases

Shift your focus

• Your case is no longer about the charge or the underlying facts

• Abandon any focus on evidentiary issues, defenses, or other legal

issues with the underlying offense

• Focus on the client’s underlying treatment needs while preserving

due process rights when there are sanctions

• Work with the treatment team and participate in outreach and

Veteran’s activities outside of Court

Page 16: Solving the Rubriks Cube - nadcpconference.org · 2020. 11. 17. · ellenaj@lhcaz.gov. Title: Rural City Veterans Treatment Courts Author: Lowery, Colene Created Date: 5/9/2017 8:46:25

Ensure a safe and Secure Community

Leave no Veteran Behind

Page 17: Solving the Rubriks Cube - nadcpconference.org · 2020. 11. 17. · ellenaj@lhcaz.gov. Title: Rural City Veterans Treatment Courts Author: Lowery, Colene Created Date: 5/9/2017 8:46:25

• Instilling Pride in their Community

• Community Service Hours Credited

towards the Court Payments owed.

• Dignity & Respect instilled, Personal Pride in

a Job Well Done Ownership Received

• Benefits of a Sober and Clean Environment

• Working Together as a Team

Page 18: Solving the Rubriks Cube - nadcpconference.org · 2020. 11. 17. · ellenaj@lhcaz.gov. Title: Rural City Veterans Treatment Courts Author: Lowery, Colene Created Date: 5/9/2017 8:46:25

Partnering with Outside Agencies

Partnerships are key for Veteran Treatment Courts

• Vet Center

• Counseling Agencies

• Mentor Coordinator

• Urinalysis Testing Facility

• Probation

• Veteran Housing Assistance

• Employment

• VA Hospital / Veteran Justice

Outreach - VJO

Page 19: Solving the Rubriks Cube - nadcpconference.org · 2020. 11. 17. · ellenaj@lhcaz.gov. Title: Rural City Veterans Treatment Courts Author: Lowery, Colene Created Date: 5/9/2017 8:46:25

What happens when a Veteran is not VA eligible?

The benefits to working Southwest Behavioral Health Services –

a community based treatment provider

• Free services for members who qualify for state Medicaid

• Assistance in determining eligibility and applying for AHCCCS

• Crisis services

• Behavioral and primary health care

• Co-occurring treatment

Utilizing Outside Treatment Providers

Page 20: Solving the Rubriks Cube - nadcpconference.org · 2020. 11. 17. · ellenaj@lhcaz.gov. Title: Rural City Veterans Treatment Courts Author: Lowery, Colene Created Date: 5/9/2017 8:46:25

Utilizing Outside Treatment Providers

Client directed – outcome informed, evidenced based treatment

Available services:

• MRT / MAT

• SA groups

• Individual/family counseling

• Skills training

• Vocational services

• Case management

• Peer support

• Residential SA treatment

• Acute psychiatric stabilization

• Primary health care services

Page 21: Solving the Rubriks Cube - nadcpconference.org · 2020. 11. 17. · ellenaj@lhcaz.gov. Title: Rural City Veterans Treatment Courts Author: Lowery, Colene Created Date: 5/9/2017 8:46:25

Veterans Resource Team

The Veterans Resource Team (VRT) was formed in response to the growing

needs of the Veterans in our community and justice system. The VRT is a

collaboration between many of the local Veteran and City organizations who

have one common goal…... Help our Veterans!

Our VRT consist of:

• Community Organizations

• Meeting at Courts

• Collaborate and discuss ideas

• Fundraise money for Veterans

Page 22: Solving the Rubriks Cube - nadcpconference.org · 2020. 11. 17. · ellenaj@lhcaz.gov. Title: Rural City Veterans Treatment Courts Author: Lowery, Colene Created Date: 5/9/2017 8:46:25

Why should rural communities have a VRT?

• Main point of contact

• Share resources and ideas

• Excellent way to disseminate information

VRT can assist with needed benefits to Veterans

• U/A Testing cost

• Transportation

• Immediate Financial aid

Benefits…. Benefits… Benefits…

Page 23: Solving the Rubriks Cube - nadcpconference.org · 2020. 11. 17. · ellenaj@lhcaz.gov. Title: Rural City Veterans Treatment Courts Author: Lowery, Colene Created Date: 5/9/2017 8:46:25

The Beginning of the Veterans Resource Team

Disabled American Veterans (DAV) Chapter 27

LHC Veteran Treatment Court

Marine Corps League Det 757

Page 24: Solving the Rubriks Cube - nadcpconference.org · 2020. 11. 17. · ellenaj@lhcaz.gov. Title: Rural City Veterans Treatment Courts Author: Lowery, Colene Created Date: 5/9/2017 8:46:25

The Regional Veterans Resource Team Now

Lake Havasu City Council Members

LHC Veteran Treatment Court

Marine Corps League Auxiliary Det 757

Marine Corps League Det 757

Military Moms

Mohave Community college

Mohave County Community Services

Mohave County Housing Authority

Mohave Mental Health

NAZCARE

Northern Arizona Veteran Resource Center (VRC)

One-Stop Career Center

Praise Chapel

River Fund, Inc.

Salvation Army

Southwest Behavioral Health Services

Triwest Healthcare Alliance

Vet Center

Veterans of Foreign Wars (VFW) Post 9401

Veterans Thrift Store

Vietnam Veterans of America Chapter 975

American Legion Auxiliary Post 81

American Legion Post 81

American Legion Riders

Arizona Coalition for Military Families

Arizona@Work

Arizona Department of Veterans’ Affairs

ASU Lake Havasu

AVVA975 Mohave County

Better Business Bureau

Community Legal Services

Cornerstone Mission

Disabled American Veterans (DAV) Ch 27

Goodwill

Havasu Community Health Foundation

Hero's on the Water

Hospice of Havasu

Interagency

Jerry Ambrose Veterans Council

Journey Church

Kingman Veterans Treatment Court

Kingman Council Members

Page 25: Solving the Rubriks Cube - nadcpconference.org · 2020. 11. 17. · ellenaj@lhcaz.gov. Title: Rural City Veterans Treatment Courts Author: Lowery, Colene Created Date: 5/9/2017 8:46:25

How to get agencies involved in the VRT?

• Paradigm shift

• Get out in the Community

• Speaking engagements

• Involve staff members

Page 26: Solving the Rubriks Cube - nadcpconference.org · 2020. 11. 17. · ellenaj@lhcaz.gov. Title: Rural City Veterans Treatment Courts Author: Lowery, Colene Created Date: 5/9/2017 8:46:25

The Collaboration of Rural Communities

• Planning and Training

• Established a Veterans Resource Team in adjoining cities

• Regional Staffing and Administration

• Weekly phone conference with the courts.

• Efficient use of Resources

• Collaboration and Synergy

• Modeled after LHC program with differences unique to Kingman

• Participation in Joint Outings (Family Day, Hikes)

• Future Funding

The Lake Havasu City/Kingman Regional Veterans Treatment Court

Page 27: Solving the Rubriks Cube - nadcpconference.org · 2020. 11. 17. · ellenaj@lhcaz.gov. Title: Rural City Veterans Treatment Courts Author: Lowery, Colene Created Date: 5/9/2017 8:46:25

Regional Staffing

Regional staffing conducted twice monthly

Regional staffing beneficial to the treatment providers and to the VTC programs

Page 28: Solving the Rubriks Cube - nadcpconference.org · 2020. 11. 17. · ellenaj@lhcaz.gov. Title: Rural City Veterans Treatment Courts Author: Lowery, Colene Created Date: 5/9/2017 8:46:25

Questions???

Mark Nexsen

Lake Havasu City Mayor

[email protected]

Mitchell Kalauli

Lake Havasu City Magistrate

[email protected]

Jeffery Singer

Kingman Magistrate

[email protected]

Kristin Rienfeld

LHC Prosecutor

[email protected]

Bryan Whitney

LHC Public Defender

[email protected]

Tara Lurz

Southwest Behavioral Health

Services Program Director

[email protected]

Jennifer Harrold

Lake Havasu City Court Supervisor

[email protected]

Colene Lowery

Veterans Treatment Court Coordinator

[email protected]

John Ellena

Lake Havasu City Jail Supervisor

[email protected]