Oregon CIT Newsleer. 200 Attend the Northwest Regional CIT Conference in Bend, OR. In this issue. Issue 6 Fall Kevin Rau, CIT Coordinator, DPSST

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1 Oregon CIT Newsleer Issue 6 Fall 2017 General session at the 2017 NW Regional CIT Conference, Bend, OR 200 Attend the Northwest Regional CIT Conference in Bend, OR Kevin Rau, CIT Coordinator, DPSST The 7th annual Northwest CIT Conference was held October 3-5, 2017 in Bend, OR. Attendees numbered near 200, which is higher than the attendance for this event to date. Nearly 100 attended from Oregon. The conference featured keynote speaker Sgt. (Ret) Kevin Briggs, formerly with the California Highway Patrol, Golden Gate Bridge Detail, as well as a vast array of subject matter experts sharing their expertise during breakout sessions throughout the three day event. In addition to the learning opportunities available at the conference, one of the highlights of the week was the Awards Banquet Wednesday evening. The event featured a semiformal banquet style dinner and presentation of awards followed by a silent benefit auction with nearly $2000 in proceeds going to the National Alliance on Mental Illness (NAMI) Multnomah and Central Oregon chapters. In this issue. In this issue. Scaled Response to Crisis Incidents Page 2 Psychiatric Security Review Board Being Trauma Informed Page 3 Making CIT Work in Rural Oregon CIT Scenarios Page 4 Oregon NAMI Conference Recap Time.An Asset to Reduce Use of Page 6 Force Join CIT International Conference Information Page 7 CIT Training Sample Agenda DPSST GOBHI Offer Grant Page 8 Portland s BHU Scholarships for CIT I Conference Sequential Intercept Mapping Oregon CIT Program Information Page 9 NW Regional CIT Conference Awards **NW CIT REGIONAL International CIT Certified CONFERENCE CIT Coordinators REGISTRATION NOW OPEN! ** Information on page 7 A list of NW Regional CIT award recipients can be found on page 8.

2 Agency Spotlight.. Making CIT Work in Rural Oregon Officer Ridge Medford, CIT Coordinator, Ontario Police Department While we have few resources in Malheur County, Oregon, we have had some success leveraging the resources we do have to achieve positive outcomes. It would be nice to be able to draw from a plethora of mental health services to provide the best possible outcome for those in crisis, but that is not a reality. What has made the difference for us is a group of dedicated individuals who have come together to maximize the effectiveness of those resources we do have to serve the community. We all have our ideas of what the other agencies should be doing. Questions we often ask are, do those agencies know our expectations? Are those expectations even reasonable or possible? We sometimes forget to ask what their limitations are and what they expect of us. Having open lines of communication and a high level of trust is paramount in developing strong relationships. Having built strong relationships leads to the use of each other s full potential to bring about the best possible outcomes for those in crisis. What would I tell my peers struggling to develop their CIT program? Communication is critical, and the key to communication is listening. Your agency is not perfect; neither are any of the agencies you work with. Don t be afraid to give and receive constructive criticism. It helps to have a trusting relationship in which a person can vent frustrations about the system without fear of alienation or judgment. Don t fear change. If something isn t working, change it. If that doesn t work, don t give up; change it again. The mental health system, like everything else, is fluid. If you are not willing to change, you are not providing the best possible services. I am fortunate to work with a very dedicated group of individuals and very open and, often times, forgiving administrations. Members of the core CIT group in Malheur County are more than just business partners, we are friends. Lindsay Fox said it best, Personal relationships are the key to good business. You can buy networking; you can t buy friendships Oregon NAMI Conference Recap Eilene Flory, Criminal Justice Behavioral Health Liaison, GOBHI The Annual NAMI Oregon Conference was held November 4, 2017 at the Village Green Resort in Cottage Grove. Nearly 100 NAMI members from around the state gathered to share their lived experiences and to hear from local presenters. The conference featured workshops on housing, tele-medicine, how to launch NAMI s newest education program for youth, Ending the Silence, in addition to other presentations. Crisis Intervention Teams Center of Excellence (CITCOE) was honored to be a part of this line up, and shared an update on CIT training around the state, plus some of the ways that CITCOE can support the development, implementation and sustainability of CIT programs in Oregon. For more information about NAMI, go to 2

3 Psychiatric Security Review Board (PSRB) Juliet Britton, J.D., Executive Director, PSRB When someone commits a felony and is found by the Courts to be guilty except for insanity, he or she is placed under the jurisdiction of the Oregon Psychiatric Security Review Board (PSRB), not the Department of Corrections or Community Corrections. As of November 2017, there are about 570 clients in Oregon, a majority of which are living in the community. All receive comprehensive psychiatric services and supervision. Questions frequently asked about the PSRB: Is it safe to move people who have committed violent crimes into the community? State law prohibits the Board from putting anyone on Conditional Release who is determined to be presently dangerous to others. Additionally, before individuals are released, they go through a comprehensive screening process that includes four levels of approval, including the county mental health agency. Conditional Release is not a new policy. Most states in the U.S. have some type of conditional release program. The PSRB has supervised hundreds of individuals on conditional release for 40 years. The cumulative recidivism rate for the last 5 years for clients on conditional release is 0.51%. As a professional courtesy, the Board notifies both the Sheriff and Chief of Police when a patient is first placed in their community from Oregon State Hospital. Once on Conditional Release, do they have rules they must follow? How are the people monitored? Yes, the Board designates a licensed clinician to be the person s case manager and ensure the person remains safe and stable. Additionally, all PSRB clients have a LEDS entry with the county mental health contact and the PSRB after-hours phone number. Typically, a person under PSRB jurisdiction has daily contact with some professional and is under tremendously more supervision than someone on probation. The majority of the persons live in licensed residential group homes which have 24/7 awake staff, undergo daily treatment, have random urinalysis testing and staff supervision of their medications. What happens if a person violates his/her conditional release or becomes symptomatic and dangerous? Oregon law allows for the Board to revoke a client and order their return to the state hospital. Depending on the violation or severity of dangerousness, other interventions may be utilized first instead of revocation (e.g. local hospitalization, increasing medication, suspending pass privileges). If a revocation is appropriate, PSRB will enter the law enforcement transport order in LEDS during business hours. If after hours, law enforcement is required to take a person into custody and transport immediately to the Oregon State Hospital, if requested to do so by PSRB or county mental health [see ORS (4)(b)]. For more information or to request training for your staff, contact Juliet Britton, Executive Director of the PSRB at (503) or after hours at (503) You can also visit the PSRB s website at 3

4 Join CIT International Today! CIT INTERNATIONAL, INC. Improving Responses to People in Crisis MORE THAN JUST TRAINING: Community Collaboraon A Vibrant and Accessible Crisis System Police/First Responder Training Behavioral Health Staff Training Family/Consumer/Advocate Parcipaon JOIN THE MOVEMENT! CIT Internaonal is a non-profit organizaon supporng local, naonal and internaonal efforts to improve responses to people affected by mental illness. For more informaon about CIT or how to become a member, please visit or (888)738-CITI(2484). About CIT Programs The Crisis Intervenon Team (CIT) Model is a soluon focused community response to helping people with mental illness. CIT programs bring stakeholders together from the law enforcement, behavioral health and advocacy sectors, along with people with lived experience with mental illness, to develop soluons for safely re-direcng people in crisis away from the judicial system and into the health care system whenever appropriate. About the CIT Internaonal Annual Conference The CIT Internaonal Annual conference, which takes place in August of each year, draws approximately 1,000 people largely from the law enforcement, behavioral health, and advocacy sectors. There are over 100 workshops related to topics involving the intersecon of law enforcement, mental health, and criminal jusce fields. CIT was founded in Memphis, TN in 1988 as a key component to the community s demand for safer first responder crisis services. CIT is founded on principles of dignity, understanding, kindness, hope and dedicaon. Benefits of CIT Membership Access to resources from around the country Access to Subject Ma7er Experts Reduced cost to a7end the annual CIT conference Membership to a highly respected organizaon Access to resources to strengthen your local community program 4

5 CIT Training Example Agenda Kevin Rau, CIT Coordinator, DPSST The following 40 hour CIT training agenda example is from the Columbia County CIT. In this example you will note that they have incorporated Mental Health First Aid (MHFA) into their program. 5

6 Portland Police BHU Brings System Partners Together Officer Jason Jones, CIT Coordinator, Portland Police Bureau Behavioral Health Unit The Portland Police Bureau s Behavioral Health Unit (BHU) has the mission of coordinating the response of law enforcement and the behavioral health system to aid people in crisis resulting from known or suspected mental illness and/or addiction issues. BHU uses crime analysis and community policing strategies to proactively and compassionately help Portland s vulnerable population, while working to find solutions outside the traditional criminal justice system model. The use of data also provides support for evidence-informed programming. The first element of BHU is the Enhanced Crisis Intervention Team (ECIT), which includes 40 hours of training for vetted, volunteer officers. Every Portland police officer receives 44 hours of basic behavioral health awareness, response and de-escalation training, and the expectation is that every member in the organization can positively interact with persons with mental illness. That enables ECIT officers to be utilized for more complex mental health crisis calls, which often involve weapons, violence, suicide or responses to mental health facilities. An example of a recent ECIT response occurred when officers contacted a distraught male who was on an elevated bridge during a time of heavy traffic. Initially, the man was resistant to police engagement and acted like he was going to jump. However, officers patiently built rapport with him, and he eventually agreed to be transported to an area hospital for treatment and stabilization. Currently, there are 118 ECIT members assigned to operational functions (e.g. patrol) with another 15 members in other organizational capacities. The second layer of BHU is the Behavioral Health Response Team (BHRT), which pairs police officers and clinicians to provide follow-up support to clients referred internally by police. The goal among the three officer-clinician teams is to help connect persons with appropriate resources and to reduce the frequency of police calls-for-service for these crisis events. In certain instances, persons are the subject of multiple crisis calls involving police, so BHRTs attempt to interrupt these cycles. Roughly 1,000 referrals are received per year with about 50% assigned to the BHRTs. A third part of BHU is the Service Coordination Team (SCT), which provides supportive housing and treatment resources for chronic offenders with addictions. Officer Sean Christian works with Program Manager Emily Rochon and other community partners to help persons escape cycles of criminality and substance abuse. A recent study conducted by Portland State University concluded that every dollar spent on the SCT program results in $13 of savings to the community and the criminal justice system. In 2015, SCT expanded by implementing the Supportive Transitions & Stabilization (STS) program with six beds. This allows BHU to proactively address the needs of those facing mental illness and co-occurring disorders by providing safe, service-connected housing. STS provides 24-hour staffing, including case management and peer support, with the goal of developing an uninterrupted transition to appropriate services and levels of care. One notable benefit of the Behavioral Health Unit is its ability to bring together system partners to tackle gaps in policy and to focus on especially challenging cases that may otherwise remain unaddressed. This has the added benefits of constructive collaboration while ensuring partner accountability. System coordination meetings typically convene twice per month. With all of these layers in place, the Behavioral Health Unit strives to connect individuals to the right resource at the right time and place. Jason Jones is the CIT Coordinator for the Portland Police Bureau. He can be reached at jason.jones@portlandoregon.gov or

7 Sequential Intercept Mapping Seeing the Big Picture Carol Speed, Criminal Justice Behavioral Health Manager, GOBHI Sequential Intercept Mapping (SIM) is a day and a half workshop that results in the creation of a map to illustrate how people with behavioral health needs come in contact with and flow through the criminal justice system. This process brings together stakeholders to create a systems map using the mapping framework developed by Substance Abuse and Mental Health Services Administration (SAMHSA) s GAINS Center for Behavioral Health and Justice Transformation at Policy Research Associates, Inc. (PRA). During the mapping process, resources are identified for diverting people away from the criminal justice system and into appropriate behavioral health services. As you work through the mapping process, the group is able to identify gaps in services. Based on the map and identified gaps, opportunities for system changes and areas of improvement are identified. The group can then determine areas where immediate steps can be taken to positively affect a better approach to service delivery; they can then establish a local set of priorities for change. Sequential Intercept Model This process can help identify underused resources, improve the early identification of people with mental health and substance use disorders coming into contact with the criminal justice system, increase effective service linkage, reduce the likelihood of recycling through the criminal justice system, enhance community safety, and improve quality of life for people in the community. At the completion of the mapping process, participants will receive a final report (including a map). This report can be used as a strategic plan to improve the services in the community. There are facilitators in Oregon to help communities with the Sequential Intercept Mapping process. Who should participate? Anyone involved in the system of care for corrections involved individuals with behavioral health issues. This includes law enforcement, ER staff, court and jail staff, probation / parole, mental health treatment providers, addictions treatment providers, service providers, consumers and other interested community members. For more information, or to request a SIM in your county, contact Carol Speed at carol.speed@gobhi.net or You can also visit 7

8 2017 NW Regional CIT Conference Continued from Page 1 On Wednesday, October 4, 2017, the 7th Annual Northwest Regional CIT Conference Committee was pleased to present annual recognition awards at The Riverhouse on the Deschutes Conference Center, in Bend, OR. The conference and awards banquet were hosted by the Washington State Criminal Justice Training Commission CIT Statewide and CIT-King County Programs, King County Behavioral Health and Recovery Division, CIT-King County Coordinators Committee, Oregon 2017 NW Regional CIT Award Recipients and CIT International Board members DPSST Center for Policing Excellence, FBI Seattle CAAA, Portland Police Bureau Behavioral Health Unit, Marion County (Oregon) Crisis Outreach Response Team, Greater Oregon Behavioral Health, Inc. (GOBHI), and the Oregon CIT Center of Excellence (CITCOE). CIT International board members were also present to recognize the nominees and award recipients. The following were recognized for their outstanding contributions to promoting excellence in CIT CIT Law Enforcement Officer of the Year Award Recipient Officer Anthony Powers, Roseburg Police Department, Oregon 2017 CIT Corrections Officer of the Year Award Recipient Deputy Alva Songer, Clark County Sheriff s Office Corrections, Washington Award Recipient Deputy Barbara Schubach, Clark County Sheriff s Office Corrections, Washington 2017 CIT Non-Commissioned Staff of the Year Award Recipient Kelly Washington, King County DAJD, Washington 2017 CIT Mental Health Practitioner of the Year Award Recipient Corporal Danielle Jenkins, Longview Police Department, Washington 2017 CIT Agency Executive of the Year Award Recipient Sheriff Tim Svenson, Yamhill County Sheriff s Office, Oregon Award Recipient Mr. Walt Beglau, Marion County District Attorney, Oregon 2017 CIT Supervisor of the Year Award Recipient Lieutenant Tad Larson, Marion County Sheriff s Office, Oregon 2017 CIT Coordinator of the Year Award Recipient Sergeant (RET) Don Gulla, King County Sheriff s Office 2017 CIT Instructor/Trainer of the Year Award Recipient Dr. Michael Leeds, Oregon 2017 CIT Community Resource of the Year Award Recipient Ms. Linda Maddy, DPSST, Oregon 8

9 CIT International Certified CIT Coordinators in Oregon First Last Agency/Organizaon CIT Program Affiliaon Locaon Ross Acker Coos County Health and Wellness Coos Coos Bay Deb Agee Yamhill County Health and Human Services Yamhill McMinnville Bethany Ball Yamhill County Health and Human Services Yamhill McMinnville Crystal Copenhaver Lifeways Malheur Ontario LeAcia Davila Malheur County Juvenile Department Malheur Ontario Sara Dotson Polk County Behavioral Health Polk Salem Jessica Dyer Lifeways Malheur Ontario Lynn Fernon Opons of Southern Oregon Grants Pass Grants Pass Eilene Flory Greater Oregon Behavioral Health, Inc. Statewide The Dalles David Flynn Marion County Health Department Marion Salem Sco7 Geeng University of Oregon Police Department University of Oregon Eugene Jusn Grisham Klamath County Community Correcons Klamath Klamath Falls Zachary Hermens University of Oregon Police Department University of Oregon Eugene Tyrone Jenkins Polk County Sheriff's Office Polk Dallas Jason Jones Portland Police Bureau Portland Portland Madeline Knutz Yamhill County Sheriff's Office Yamhill McMinnville Ronald Lang Yamhill County Sheriff's Office Yamhill McMinnville April Lee Performance Leadership Instute None Hood River Linda Maddy Oregon Dept. of Public Safety Standards and Training Statewide Salem Brianne Mares Columbia Community Mental Health Columbia St. Helens Melissa McRobbie Associaon of Oregon Counes Grants pass Grants Pass Ridg Medford Ontario Police Department Malheur Ontario Robert Mulcare Associaon of Oregon Counes Klamath Klamath Falls Kevin Rau Oregon Dept. of Public Safety Standards and Training Statewide Salem Rick Rawlins Jackson County Health and Human Services Jackson Medford Aimee Reichlin Klamath Falls Police Department Klamath Klamath Falls Colleen Roberts NAMI - Douglas County Douglas Roseburg Jessy Rose Associaon of Oregon Counes Hood River Hood River Josh Schilder Medford Police Department Jackson Medford Liz Sco7 Benton County Health Department Benton Corvallis Cliff Self Marion County Sheriff's Office Marion Salem Jennifer Skouras Oregon Dept. of Public Safety Standards and Training Statewide Salem Laurie Smith Lifeways Malheur Ontario Carol Speed Greater Oregon Behavioral Health, Inc. Statewide The Dalles Tyler Whitely Washington County Sheriff's Office Washington Hillsboro Ma7 Wilkinson Marion County Sheriff's Office Marion Salem 9

10 CIT Program Coordinator Informaon Note: Program informaon is subject to change Clackamas County CIT Coordinator: Julie Collinson Columbia County CIT Coordinator: Brianne Mares Coos County CIT Coordinator: Ross Acker Deschutes County CIT Coordinator: Melissa Thompson Douglas County CIT Coordinator: Colleen Roberts Lincoln County CIT Coordinator: Lt. Jamie Russell Lane County CIT Coordinator: Sgt. Steve Sieczkowski Grant/Wheeler CIT Coordinator: Rick Brunk Yamhill County CIT Coordinators/ s: Cpt. Brandon Bowdle Cpt. Tim Symons Bethany Ball Marion County CIT Coordinator: Deputy Cliff Self Polk County Sheriff s Office Coordinator: Sgt. Tyrone Jenkins jenkins.tyrone@co.polk.or.us BOEC CIT (Tele-communicaons) Coordinator: Melanie Payne Melanie.payne@portlandoregon.gov Jackson County CIT Coordinator: Cpl. Josh Schilder josh.schilder@cityofmedford.org Morrow County CIT Coordinator: Rick Brunk rick.brunk@gobhi.net Umalla County CIT Coordinator: Sgt. Bill Wright wright@umalla-city.org Wasco/Hood River CIT Coordinator: Stephen Bradley stephen.bradley@mccfl.org Klamath County CIT Coordinator: In transion Malheur County CIT Coordinator: Officer Ridg Medford Ridg.Medford@ontariooregon.org Portland Police Bureau Coordinator: Jason Jones Jason.jones@portlandoregon.gov Oregon DOC CIT Coordinator: Chris Mortenson Christopher.W.Mortensen@doc.state.or.us Benton County CIT Coordinator: Liz Sco Elizabeth.Sco@co.benton.or.us Wallowa County CIT Coordinator: Quinn Berry quinn.berry@gobhi.net Washington County CIT Coordinator: Jay Auslander Jay_Auslander@co.washington.or.us Hillsboro Police Department Coordinator: Officer Jason Becker Jason.becker@hillsborooregon.gov Deschutes Co. Correcons CIT Developing Clatsop County CIT Developing Port of Portland Police CIT Developing Upcoming CIT Training Events: Columbia CIT Jan 8-12, 2018 Deschutes CIT Feb 5-9, 2018 Clackamas CIT Feb 12-16,

11 CITCOE Seeks contributors for the Oregon CIT Newsletter The CITCOE Newsletter staff want to make the Oregon CIT Newsletter a valuable tool for everyone who has an interest in advancing the impact of CIT in Oregon. To do that, we need your help! We are seeking information for articles on new and innovative programs, CIT success stories, effective partnerships and existing and/or emerging CIT programs, as well as coming CIT related events. If you have an Oregon CIT Newsletter idea, please let us know. Contact: kevin.rau@state.or.us CITCOE Team Kevin Rau DPSST kevin.rau@state.or.us Carol Speed GOBHI carol.speed@gobhi.net Linda Maddy DPSST linda.maddy@state.or.us Eilene Flory GOBHI eilene.flory@gobhi.net SAVE THE DATE! 2nd Annual Oregon CIT Summit When: March 20th and 21st, 2018 Location: Oregon Public Safety Academy 4190 Aumsville Hwy SE, Salem, OR REGISTRATION OPENING SOON! Integrity - Compassion - Accountability 11