Trueblood Task Force Stakeholder Webinar January 2018
The Trueblood Task Force Stakeholder Webinar in January 2018 brought together key stakeholders to address challenges in competency evaluation and restoration services. The core team members and agenda topics highlighted the collaborative efforts to improve the system. Background information on the Trueblood case and the landscape since the court order provided context for the discussions.
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Presentation Transcript
Trueblood Task Force Stakeholder Webinar January 2018
Welcomelet us introduce ourselves Trueblood Task Force Core Team David Carlson, Plaintiff s Counsel, Disability Rights Washington (Presenter) Chris Carney, Plaintiff s Counsel, Carney Gillespie Isitt Rashi Gupta, Senior Policy Advisor, Office of the Governor Randy Head, Assistant Attorney General, Attorney General s Office Amber Leaders, Assistant Attorney General, Attorney General s Office (Presenter) Kathryn Leathers, General Counsel, Office of the Governor Kim Mosolf, Plaintiff s Counsel, Disability Rights Washington Alexa Polaski, Plaintiff s Counsel, Disability Rights Washington Carla Reyes, Assistant Secretary, Behavioral Health Administration, DSHS (Presenter) Nick Williamson, Assistant Attorney General, Attorney General s Office 2
Agenda Topic Welcome and Introductions Trueblood Taskforce Background Information Task Force Goals Key Opportunities to Improve the System Instant Feedback: What would you change? Task Force Timeline and Actions Engaging System Partners Stakeholder Inventory Instant Feedback: Who did we miss? Stakeholder Opportunities to Engage Instant Feedback: Are there other options we didn t think of and what options for participation would work best for you? Wrapping Up Q & A Adjourn 3
Background Information The Case A.B. by and through Trueblood v DSHS -- Trueblood Case challenged unconstitutional delays for competency evaluation and restoration resulting in: 7 days to admit for restoration 14 days to complete evaluation The Class Members Individuals detained in city and county jails awaiting competency services The Task Force Collaboration between Class Counsel, DSHS, Attorney General s Office and the Governor s Office 4
Trueblood Landscape since Court Order 5,000 4,754 Statewide Total Referrals for Competency Services CY 2012 CY 2017 4,500 3,930 3,783 4,000 3,327 3,500 3,217 January 2016 27 Beds at ESH # of referrals 2,827 3,000 March July 2016 24 Beds at Yakima BEFORE AFTER Trueblood Decision 2,500 April July 2016 30 Beds at Maple Lane 2,000 1,500 April 2016 TRO on Yakima/Maple Lane May 2017 8 Beds at ESH May2016 13 Forensic Evaluators June 2016 TRO lifted July 2016 Contempt Order 2015 15 Beds at WSH 1,000 August 2017 8 Forensic Evaluators October 2017 Contempt Order 500 April2, 2015 Trueblood Decision 0 CY2012 CY2013 CY2014 CY2015 CY2016 CY2017* DATA SOURCE: WSH-FES Modules in Cache Database; ESH-MILO Database Graph by; Can Du-DSE, October 23, 2017 Note: *CY2017 Data for CY2017 is from January September only. Counts do not include those on Personal Recognizance. September 2017 is first-look data. 14
Task Force Goals Propose changes to the system that will yield: Right services to the right people--Don t send people to the ICU for a paper cut!!! Right time and place Don t send people to the ICU for a paper cut!!! Appropriate community based care in the least restrictive settings Array of services available to match level of care needed Early intervention Coordination across systems Avoid jail and hospitalization when other treatment can meet needs Right outcomes Don t send people to the ICU for a paper cut!!! Define what shows us we are serving the right people in the right places and time Identify things that are already working and share Don t Send People to the ICU for a Papercut!!! 7
Immediate Feedback Opportunity: What would you change in the forensic mental health system? What resources or solutions would be most helpful in your community to improve the forensic mental health system? Housing Mental health resources (other than housing) Substance use disorder resources Prevention services to stop the revolving door for high utilizers Diversion Programs Cross agency collaboration/continuity of care Other (please specify) 8
Immediate Feedback Opportunity: What would you change in the civil mental health system? What resources or solutions would be most helpful in your community to improve the forensic mental health system/mental health system? Housing Mental health resources (other than housing) Substance use disorder resources Prevention services to stop the revolving door for high utilizers Diversion Programs Cross agency collaboration/continuity of care Other (please specify) 9
Sounds good so far, right? HOW do we plan to do it? Now to April 2018 Gather information Convene Stakeholders across the state to gather input April 2018 to August 2018 Draft a plan Seek input on the plan Revise plan August 2018 to November 1, 2018 Seek Court approval Submit for inclusion in the Governor s 2019-2021 biennial budget Seek Legislative funding 10
Stakeholders we identified Class members and their families Tribes State Legislators; Local Legislators and Executives Labor Behavioral Health providers, agencies and advocates BHO s, MCO s, ASO s Law Enforcement Jails Courts Prosecuting Attorneys and Defense Attorneys Housing, Employment and Educational providers, agencies and advocates Clinicians Other state agencies 12 Washington Residents
Immediate Feedback Opportunity: Who is missing? Who did we miss? Which category best describes your connection to this work? 13
Now that you are interested, how can you help craft recommended solutions? Stakeholder meetings dates forthcoming between February and April 2018 Webinars In person meetings and teleconferences Tribes State-level groups (i.e. WAPA, WASPC, etc.) Regional/local groups Largest referring counties/urban centers (King, Pierce, Snohomish, Spokane, Clark) Rural east side; Rural west side Work groups on substantive issues and systems Submit thoughts, questions ideas to the Task Force mailbox truebloodtaskforce@dshs.wa.gov Watch for our communications about products seeking your input 14
Immediate Feedback Opportunity: Participation Options Is there another participation option you would recommend? Is there another meeting group or structure you would recommend? 15
Immediate Feedback Opportunity: How do you plan to participate? From the choices below, what ways are you interested in participating? Regional workgroup or feedback meeting Substantive workgroup Review and provide comment on draft solutions Submit feedback via email Other (please specify) 16
Our journey continues Questions?
For more information Office of Forensic Mental Health Website: https://www.dshs.wa.gov/bha/office-service-integration/office-forensic-mental-health-services Trueblood Website: https://www.dshs.wa.gov/bha/division-behavioral-health-and-recovery/trueblood-et-al-v-washington-state-dshs Trueblood Taskforce Email: truebloodtaskforce@dshs.wa.gov 18
