Jail Strategic Plan Update

Michael B. Colbert
County Administrator
June 25, 2019
 THEN and NOW
THEN (1989) NOW (2019)
Problem Problem
• Jail overcrowded • Jail overcrowded

Solution Solution
• Build more • Build more
space, add beds space, add beds
 Complex Inmate Problems
Jail Population is a Reflection
of Society
• More Substance Abuse
• Including opioid crisis
• More Mental Health Issues
• Fewer mental health
treatment facilities
• Attitudes toward authority
and responsibility have * Google Image

changed in 30 years.
• More Women in Jail
 Jail Population
Post-conviction Adult Parole Authority Federal Prisoners
7% 5% 3%
Sentenced to
the County Jail
15%

Pre-conviction
June 17, 2019
70%
 Female Jail Population
30%

25%

20%

15%

10%

5%

0%

Female
 Jail Population
800

700

600

500

400

300

200

100

0
2017 2018 2019
Avg Pop Alcohol Withdrawl Opioid Withdrawl Mental Health Medications
 Average Inmate Population
1000

950

900

850

800

750

700
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
 Medical & Mental Health Update
Service Providers
• Behavioral Health (BH): Samaritan Behavioral Health
(ADAMHS agreement, includes 9.25 BH FTEs)
• Medical: NaphCare (2017 agreement, includes 3.625 BH FTEs)
Jail Medical Support Staff
• Jail Treatment Coordinator (June 2017)
• Jail Treatment Case Manager (July 2018)
2018 Financial Credits
• Approx. $85,000 credit from psychotropic medication reimbursements
• Approx. $116,300 credit from NaphCare (short staffing)
2018 NaphCare Amendment
• Addition of 1 FTE LPN to cover Jail Inmate Intake 24/7, effective 10/1/18.
• Total annual cost: $297,666.24 (4.2 FTE)
2019 NaphCare Amendment
• Streamline behavioral health from 2 providers to 1 (7.7 BH FTEs from SBH to NaphCare)
• Addition of .225 Psychiatrist FTE
• Total annual cost: $863,151.96
• ADAMHS agreed to fund $948,000 (cost of increase, plus 2 FTEs in NaphCare agreement)
• NaphCare agreed to become certified through Ohio Department of Mental Health and
Addiction Services
 Jail Health Services Progression

January 2016 January 2017 January 2019

(Last year of Previous NaphCare Contract) (First year of Current NaphCare Contract) (First year of NaphCare Amendment)

Provider Annual Cost FTE Annual Cost FTE Annual Cost FTE
NaphCare $3,425,564 21.125 $3,551,253 27.075 $4,712,071 39.20
Samaritan $665,000 8.75 $665,000 8.75 (included) (included)

Total $4,090,564 29.875 $4,216,253 35.825 $4,712,071 39.20*

BCC: $3,425,564 BCC: $3,551,253 BCC: $3,764,071
ADAMHS: $665,000 ADAMHS: $665,000 ADAMHS: $948,000

3% Increase 20% Increase 11% Increase 9.4% Increase

Percentage Change Compared to Prior Period

*Total of 11.55 behavioral health FTEs (29.5% of total NaphCare FTEs)

 Jail Health Accomplishments
Discharge Planning
• Increased discharge planners from 1 to 3
• ~24,000 discharges per year
Medical Assisted Treatment (MAT)
• Onsite physicians suboxone certified to help care for opiate dependent,
pregnant inmates
• Vivitrol Program – 1st year had 114 individuals opt in, with no participants
identified on the overdose death list in Montgomery County or the 10
adjoining jurisdictions
• Peer Recovery Support – 2 previous offenders in more than 2 years recovery
meet with inmates to support them. This program has been certified by the
Ohio Department of Mental Health and Addiction Services.
• Highlighted in American Jail Association Magazine and national conferences as
presented by Montgomery County Sheriff Rob Streck
 Jail Mental Health
Inmate population is demonstrating higher rates of mental illness.
• NaphCare is evaluating inmates per the 14-day standard
• Patients being referred to psychiatrist and psych NP for medication evaluations

Patients on Mental Health Medications, Graph from Bradford McLane, May 29, 2019, NaphCare
Jail Health Accomplishments
 Jail Health Initiatives in Process
Universal Release of Information to assist with information sharing for
courts and community behavioral healthcare entities
 Requested. NaphCare Legal is working on how to appropriately incorporate into their system.
Potential Grant to help support discharge planning services
 Awaiting application response on if Grant will be approved. Response expected by 06/2019.
Partner with area universities to place students of accredited medicine
programs to provide additional medical and mental health resources
 One student from Indiana Wesleyan was on site in 2018. Looking to add Wright State.

Suicide prevention committee

 New curriculum for suicide prevention training
effective July 1, 2019
 Adding line staff to committee 6/19
 Community Initiatives

OneFifteen
for opioid addiction treatment

Access Ohio
for behavioral healthcare
and addiction recovery
 Facility Improvements
Montgomery County recognizes need to invest in our adult
detention facility. Original facility is 65 years old. Building
expansion in 1992, now 27 years old.
• County would like to have
a facility that meets current
detention standards set forth
by accreditation agencies.
• The County plans to design
the facility to meet current
population needs, as well as
the needs for 10, 20 and 30-
year detention population
forecasts.
 Jail Needs Assessment
• Montgomery County is not unique.
• It is 1 of 25 Ohio counties evaluating their detention
facilities in recent years.
Adams Delaware Harrison Pike
Allen Fayette Lake Portage
Ashtabula Franklin Lucas Ross
Brown Gallia Meigs Warren
Clark Greene Monroe Washington
Crawford Hamilton Montgomery Wayne
Cuyahoga

• Montgomery County is
investing in its Jail.
 Facility Continuous Improvements
Housing Units
($1,299,320 since 2009)
• New stainless steel tables
• Recreational equipment
• New lighting & night lights
 Facility Continuous Improvements
Technology ($3,328,124 from 2009-2020)
• Kiosks for inmate use
• Surveillance upgrades
• Locking control system upgrades
• Intercom replacement
 Facility Continuous Improvements
Infrastructure & Renovations
($2,320,000 since 2009)
• Hot water heaters & mixing controls
• Roof replacement
• HVAC controls & equipment upgrades
 Jail Needs Assessment
• Process began in 2016 when BCC formed Citizen
Justice Committee
• CGL Performed Study of Jail Operations - 2019
• Report includes two year analysis of:
• Inmate Grievances • Jail Facility
• Medical Health Care • Jail Operations
• Mental Health Care • Jail Staffing
• Inmate Programming
• Compliance
• Staff Training
• Classification
• Use of Force
 Expansion Project Approach

Follow process recommended by U.S. Department of Justice

National Institute of Corrections, “Jail Planning and
Expansion - Local Officials and Their Roles, Second Edition”
• Phase 1: Project Recognition - COMPLETE
• Phase 2: Needs Assessment Proposals Received May 29.
• Phase 3: Facility Program Development Consultant Selection in July.
Four firms to be interviewed.
• Phase 4: Project Definition and Implementation Plan
• Phase 5: Design (after planning complete)
• Phase 6: Bidding and Negotiations
• Phase 7: Construction
• Phase 8: Occupancy and Operation
• Phase 9: Post occupancy
 Needs Assessment Phase
The Needs Assessment identifies what the community
wants to provide in its detention facility.
• The number of beds needed in 2020, 2030, 2040, and 2050.
• The types of services and programs offered within the Jail,
such as pre-trial hearings, mental health treatment,
educational opportunities, recreational opportunities, etc.
• Analyze alternative, non-custody sanctions and services,
which are less expensive than adding more beds to a
detention facility.
• Summarize the policies and practices guiding the operation of
the jail and the criminal justice system.
 Needs Assessment Phase
Community involvement is a critical part of this process.
The underlying philosophy that reflects the community’s
values must be established during this step.
Stakeholders include:
• Sheriff • Representatives of justice agencies
• Board of County Commissioners that assign offenders to
• Judicial representatives Montgomery County’s Jail
• Departments of fiscal • Agencies which provide
responsibility for incarceration alternative, non-custody services
and corrections activities • Ohio Department of Rehabilitation
• Facilities Management and Corrections Bureau of Adult
Detention
• Citizen representatives
• Other stakeholders
Facility Program Development Phase
The Facility Program describes how the jail will function, and
defines the desired operation and workflow of each area of the
new facility.
Once spaces are defined, consultant will determine the size of the
building, identify potential locations for it, and develop budgetary
costs for both construction and operation.

* Google Image
 Project Definition and
Implementation Plan Phase
• Project Definition develops conceptual design plans to organize the entire
building.
• The Consultant completes a site
master plan to address issues
such as open space, parking,
site circulation, potential
environmental impacts, etc.
• This phase includes a cost-benefit
analysis and life-cycle cost analysis
for the proposed facility for
construction and operation.

* Google Image
 Construction Timeline
• May 2019 – Proposals received for Planning Consultant
• July 2019 – Interviews and Consultant selection
• March 2020 – Plan Phase Complete
• June 2020 – Architect Start Design Phase
• December 2021 – Construction Bid
• 2022-2025 – Building Construction
2019 2020 2021 2022 2023 2024 2025

Planning Phase

Design Phase

Construction Phase
Questions