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Home My WebLink AboutPS 2019-10-07 Item 2 - Handouts Distributed at Meeting - South Correctional Entity (SCORE)SCORE Highlights August 3O18'2O19 October 7, 2019 - Tukwila Public Safety Committee Devon Schrum ~ 32years with state corrections 0 1 year anniversary at SCORE History of SCORE w 2000Nng County terminated contracts with cities for use pfKing County Jail. AUGUST2D1Q First Meeting with SCORE was the formal meeting in which FW announced it was leaving. Which created aprojected loss of$Smillion dollars. • September of2018/|ncreasedRevenue o Filled beds o Began negotiating medical rates with DOC • Pursued revenue not charged/collected • Met with and testified infront nfState Legislature advocating for medical rate surcharge dollars. • Reduced[osts/Bud8et ' u Reduced OTrelated toShift Coverage o Hired Allocated Custody Staff (7were |atera|s!) � Created amid -shift � Delayed hiring some administrative positions ' • Hired BERKConsulting Inc. tolook -' /^' 'funding ` model �and make recommendations. o Created a multi -disciplinary work group of City Finance Managers and Operations Leaders/Po1iceChiefs. w Several Key Policy ' Strategies - All of ^vvhichaceruoted-n Predictability,' '`St|i'- E'-bi' ` and Feasibility: Policy Strategy # 1 - Contract Revenue Assumptions for SCORE Budget Development SCORE now utilizes prior year contract revenue askey part ofOperations budget infollowing year. A significant part of this strategy includes building a revenue forecast with a six (6) year projection. Adjustments will be limited to known and verifiable factors. Policy Strategy #2-Debt Service Paid through SCORE SCORE will include all costs /operating,maintenance, and debt service) when building their budget. For the 2020 budget build, SCORE will present options and recommendations for applying prior year contract revenue toassist in smoothing the 'transition to a possible new fee structure and the impacts to the total amount tobepaid bymember cities. Policy Strategy #3-Develop a Comprehensive Housing Contract System SCORE will analyze and make necessary changes toHousing Contracts inorder todevelop o comprehensive contract system that: protects SCORE's interest, is legally defensible, considers and incorporates cost recovery, and isreviewed annually. Policy Strategy #4-Transition SCORE toaBiennium Budget SCORE will transition from an Annual Budget to a Biennium Budget beginning with the 2021 Budget which will become the 2OZ1-Z0Z2budget. Policy Strategy #5—Develop aSix (6)Year Cost Projection Schedule SCORE will begin the process nfprojecting operating and capital costs out for six (6)years and include this as part of the budget proposal process. This work will begin with the 2021-2022 Budget. Policy Strategy#G—Missio Based Management SCORE's mission "To provide professional, cost effective and efficient correctional services to our Member Cities" will beincorporated into all budget based decisions and management philosophies. As such, SCORE will continue to identify and modify current practices, policies, and services that drive costs or inefficiencies. 2D2OOperations Budget assumes: . o Revenue o Expenditures o Debt * Accounts for FVV leaving • Reduces Member City contributions for 2O30 m Brings onanadditional 5Sbeds atmost conservative rate * Adds Medical and Mental Health Rate/sSurcharges • Reduced expenditures over previous year bySOOk w Bond Refunding Savings nfapproximately SO0k Other Critical Work BOND Refunding Working with Member Cities on refunding bonds at a significant annual savings for SCORE. |nteroca|Agreement Revision Working to address the Interlocal Agreement revisions needed to separate from Federal Way. includes changes to capital contribution and Des Moines as an Owner City vs. Host City. Policies VVejust finished pulling all ofSCDREspolicies into one system; accessible bvall staff. This new system will allow us to incorporate training on those policies and create an annual review process. This system is also more flexible and will allow Vs'toquickly adapt ln new and applicable legislation. MedbatipnAasistedTreatmentPmgram—Grant � SCORE isasub-recipient ofa$7.6nnU|ionfedera|QrantawandedtnVVAHealthCaneAuthority to provide Medication Assisted Treatment as part of the WA Opioid Treatment Network. SCORE has been awarded with $363,000 in the first year and will be seeking the same for year 2019 Legislative Session * Received vendor increase (first inOyears) and proviso language that QOCmust negotiate Design 2007 - 09 Transitional Planning 2010 Staffing 2010-11 Occupancy September 2011 OVERVIEW SCORE and its seven Member Cities comprised of Au- burn, Buhen, Des Moines, Federal Way, Renton,3eaTac, and Tukwila are committed to providing efficient and effective jail services. SCORE has contracted with national and local community service providers who lead the industry in medical, men- tal health, and inmate services. Our service providers specialize in meeting specific needs of an incarcerated population. Inmates at SCORE have the opportunity to connect with more than fifty organizations in the region. JAIL SERVICES Booking Services Booking including fingerprinting, medical screening, in- take questionnaire, and securing ofpersonal property. In -Custody Escorts Custody escorts inmates Lovideo court hearings and medical appointments. Video Court Video Court allows inmates toappear incourt without being transported outside the facility. This reduces transportation costs and reduces the security risk associ- ated withtransporbnginmetesoutsidetheseourefaci/i- ty. This service isavailable toall agencies except DOC and U3Maoha||s. Court Borrows SCORE facilitates access toinmates for multiple court appearances during aninmates' stay. Requesting agen- cies may becharged afee. Medical Services SCORE provides in -facility medical care commonly associ- ated with corrections operations as guided by American Correctional Association orNational Commission onCor- rectional Health Care. Specialized Housing Dedicated living units specializing in: ° Medical Acute ° Mental Health -Residential ° Mental Health Acute Hospital Security Custody Escort in a hospital setting for a fee. SOUTH CORRECTIONAL ENTITY ��|� ��/V��$� �'^'�^~��""'�� SCORE SINGLE CARE PLAN SCORE offers individualized care with avariety ofon-site medical services inasecure setting. SCORE contracts with anational correctional medical service provider, to support a 24-Hour medical staff. SCORE has access to 24- hour on -call medical doctors or nurse practitioner and a 24-houron-call mental health nurse practitioner. .~, SkA MEDICAL STAFFING OVERVIEW ^ National Correctional Medical Service Provider w 24/7 Nursing Care ° Health Services Administrator ° Director ofNursing ° Director nfMental Health ^ Medical Doctor ° Medica|ARNP 0 PsychiatricAKNP ° (4) Masters level Mental Health Professionals ° Dentist ° Dental Assistant ~ Sick Call Nurse ° Licensed Practical Nurses —All shifts * Registered Nurses All shifts INITIAL ASSESSMENTS All inmates receive screenings aLintake that include a receiving screening, health assessment, mental health screening, and Tuberculosis screening. All inmates re- ceive each ofthese screenings before entering the gen- eral population. SCORE'smedical service provider utiliz- es anelectronic health records system which makes providing care more efficient. DENTAL HEALTH Dental services are provided for all inmates. This service keeps costs down bvnot having totransport inmates to the dentist for routine dental care. SCORE also provides: ° Dental education video toall inmates (Produced by Hi8h|ineCoUoge) ° Extractions ifnecessary • Fillings temporary and permanent * Annual cleaning for individuals staying over one year. MEDICAL CLINIC - SICK CALL SCORE provides sick call services for further evaluation of inmates with non -emergent medical needs. Preventative treatment plans are also developed. SOUTH CORRECTIONAL ENTITY ��A��V ��kC]�� MEDICAL X-RAY SERVICES SCORE provides medical x-ray services tnall inmates. This reduces transportation and security costs associated with outside medical trips to hospitals orclinics for x' nays. X-Raysare taken onsite and evaluated bvatechni- cian contractedbySCORE'smedica|servicesprovider. FLU SHOTS Flu shots are provided for all chronic care inmates for the prevention of complications with illnesses. This is pro- vided free nfcharge to all agencies and is covered by our medical provider contract. SCORE isthe only facility to provide flu shots for free. OXYGEN CAPABLE ROOMS SCORE has designated four (4) oxygen capable rooms in medical housing enabling inmates tobeoncontinuous oxygen should their diagnosis require it. MEDICAL ISOLATION ROOMS SCORE has designated five (5)isolation rooms inmedical for inmates with contagious illnesses. 79% of SCORE inmates are on Detox Protocols 6O%ofOetoxProtocols are onOpiates Average of35'6OInmates on Detoxper day DETOXW1ON|TOR|NG SCORE' health services provider monitors all patients that test positive for drug and alcohol use. SCOREs medical service provider uses the following protocols: Clinical Opiate Withdrawal Scale ° COVVS(C>pioids)/ Assessed bymedical staff several times daily. Individuals will be housed in medico/ if medication detoxprotocols (Subutex)isinidaL' ed. Once stable they will return togeneral housing. Clinical Institute Withdrawal Assessment * 0VVA-A(A|cohm|): Medication provided for medi- cally qua|ifvin8 individual for advanced care for medi- cal detoxfn/nn alcohol for potential Delirium Tre- mens.Housed |nmedical for 72hours. ° CK04-B iaaap|nes: Medication provided for medically qualifying individual for advanced care for medical detoxfrom Benzodiazepines. MEDICATION ASSISTED TREATMENT PROGRAMS Methadone ° SCORE,smedical services provider provides continues treatment for individuals enrolled inanoutside Meth- adone program. SCORE averages approximately 1S'ZO inmates per day. Enrollment isconfirmed bvmedical documentationbnoughtinbytheinmateorveri#ca- ° Courtesy dosing isprovided bvoff-site contract ser- vice provideooncemedicationisvehUed. ° Pregnant women who state ortest positive for opi- oidshavetneatmentinitiatedatSCOREandaveen- roUedvvithSvvedish Ballard. ° SCORE has approximately anOG%success rate for pregnant women entering the treatment program and staying atleast one week. • Psychosodo| and physical assessments are completed on -site and initial dose established mtSCORE. SOUTH CORRECTIONAL ENTITY MEDICATION ASSISTED TREATMENT Buprennrphine * Monitored bvmedical staff. ~ individuals with aCOWS score of9orhigher are initi- ated ona5-daytaperofBuprenorphine. ° 8uprenorphinecontinuation isoffered tothose cur- rently enroUedinanoutsidepnognam. ° Treatment continuation is confirmed by medical doc- umentation brought in by the inmate or by verifica- tion from medical staff. ° Treatment programs will be re -initiated if the individ- ual has been enrolled in a community treatment pro- gram within the last months. 0 Inmate must be clean for 72 hours. � Courtesy dosing isprovided byonsbemedical staff once medication isverified. Vivitro| * SCORE medical service provider offers Vivitno! as a drug treatment option. w First dose in-house by medical staff. Must meet crite- ria for initiation. SCORE coordinates offsite provider appointment for subsequent dosing. * Medication effective for approximately 3Odays. * Funded byVivitro|manufacturer. Addiction Education Overdose Prevention Classes Include: w Nanonasapreventative measure • Treatment education MENTAL HEALTH SERVICES SCORE offers a clinical and administrative mental health team that works closely with local mental health agen- cies toeffectively manage inmates and plan for their care after release. SCORE'smental health program isbuilt onofoundation ofquality staff that focus on: * Proactive identification ofpersons with suicidal or behavioral health issues through comprehensive mental health screenings, • Stabilization, • Continued monitoring, w Rapid crisis intervention, w Effective programming, • Constant, clear and effective communication with facility security leadership and staff, and m Collaboration with community mental health provid- ers a1discharge. SCORE medical services uses corrections -specific elec- tronic health records system, which allows medical pro- fessionals toe|eotnonicaUyOeQaninnoate'sheo|thvecord ifhis/her responses during intake indicate the need for additional mental healthcare. This means that 3CORE's health services staff can identify inmates with suicidal tendencies, aswell asacute and chronic behavioral health issues rapidly. information entered in electronic health records system - alerts the clinical staff tntake action, such as: * Contacting custody about enissue and/or w Placing aninmate onsuicide precautions and/or w Assigning special housing MASTERS LEVEL MENTAL HEALTH SERVICES w Mental Health Screenings * Psychiatric Mental Health Nurse Practitioner (PK4HNP) assessment for all diagnosis Mental Health (MH)padents with continuation ofmedication. w PMHNP Assessment for patient needing to be pre- scribed Mental Health Medication Initiation. w SCORE offers these therapeutic groups inthe Mental SOUTH CORRECTIONAL ENTITY �� HEALTH SERVICES ..,�,°.',�",��.�....,�....~.�~ Health Units: Dialectical Behavior Therapy, Seeking Safety and Aggression Replacement Therapy. • All the Mental Health Professiona|s/W1HPs\ provide milieu groups inall 3 Mental Health Units, providing case management, release planning, and recreation- al activities. w The Mental Health Director, working with SCORE and King County, has started aHigh Utilizer Group that includes community providers, first responders and hospitals. p The team continues tnwork with any community provider that wants toengage with clients that are incarcerated otSCORE. * Mental Health monitoring ifneeded. * Suicide Watch monitoring in medical housing. ON -SITE UOPNPENTE0CYEVALUATIONS SCORE partners with Western State Hospital toprovide a Forensic Psychologist onsite toperform competency evaluations. SCD*E'saverage wait time for evaluations is 3 days which significantly reduces the costs to all agen- cies by reducing length of stay thereby reducing billable days asadirect result. Other jails length ofwait time for competency evaluations isoften approximately 3Oto9O days. MENTAL HEALTH PARTNERSHIPS Various mental health agencies access SCORE regularly toprovide awide variety ofmental health services. SCORE provides case managers' access totheir clients to continue the care nrprovide release planning while they are incarcerated. These agencies provide access toinpatient/outpatient treatment and assist the inmates with navigating the healthcare system. Two of the five managed care organizations provide re- lease planning for their membership through one-on-one interviews, telephone, orvideo interviews. Public Health ' Seattle & King County Health Public Health Educators provides health education classes to the inmates onvarious topics. ON -SITE PATIENT REFERRALS, TREATMENT & CARE w Sound Mental Health * Valley Cities Counseling * REACH ' Behavioral Health w [ReVV Counseling, Recovery and Wellness Program • Seattle Indian Health Board w Cowlitz Indian Tribe Mental Health • W1uck|eshootBehavioral Health Program m START-Due|dioQnosis/Case Management/Housing • HEN Housing and Essential Needs w L|NC Mental Health Diversion • Familiar Faces Continuing Care Services w EverQneenTreatmentServioe-Vivitro[Methadone, SuboxoneTreatmen1 w Criminal Justice Initiative Early Release ioIn-Patient Treatment OFF -SITE PATIENT REFERRALS, TREATMENT &CARE * Swedish Ballard Treatment Center Opinid treatment for pregnant females w Muck|eshootChi|d & Family Services • NAVOS * Transitional Resources • Community Psychiatric Clinic • DEGC-Behaviora|Hea|th * Youth and Family Services ~ ConaejoCounse|inQ w Greater Lakes Mental Healthcare * Northwest Psychiatry ADDITIONAL PROGRAM CONNECTIONS ~ Rebuilding Hope Sexual Assault Center * LakesideMi|am Treatment • Lifelong Alliance - HIV Management * FISH Program - Forensic Intensive Supported Housing * ED|E'Emergency Department Information Exchange Cross Agency Continuation ofCare • United Health Care 'VVomen's Health Classes w King County Public Health ' Family Planning w Familiar Faces Continuity ofCare SOUTH CORRECTIONAL ENTITY PROGRAMS INTEGRATED STATE PROGRAMS AT SCORE ~ WA State DSHS- Food Stamps/Housing Essential Needs • DGHS-App|eCare • Western State Hospital Forensic Psychiatrist On -Site Competency Evaluations * King County DCR Involuntary Hospitalization w Department ofVeterans Affairs State and Federal Release Planning * Department ofCorrections OpinidTreatment and Diversion • King County Mental Health BHO Continuity nfCare • King County Reentry ' Various Programs ° King County Crisis and Commitment Services -Diver- sion & Release Planning RELIGIOUS CONNECTIONS Various religious representatives access SCORE regularly and provide a variety of religious services. EDUCATION PARTNERSHIPS • High|ineCoUe8e • South Seattle College MEMBER - WA STATE OPIOD TREATMENT NETWORK SCORE isesub-recipient ofa$I6million federal grant awarded tothe VVAHealth Care Authority toprovide Medication Assist-ed Treatment as part ofthe VVAState OpioidTreatment Network p SCORE MAT Program Funding per year $363,OOO w Year lfunding awarded (l/2O1D1og/28/2O19) • Year Ifunding pending (9/3O/2O19toy/Z9/IO20) LIBRARY SYSTEM SCORE offers a dedicated volunteer run library system with weekly book rotations and opportunities tomake special requests. SOUTHCORRECTIONAL ENTITY ACHIEVEMENTS & ACCREDITATION OLRGROUP RECEIVES "CITATION AWARD" FOR SCORE'S ARCHITECTURAL DESIGN In 2014, the American Institute of Architects Washington Council honored DLR Group at its Civic Design Awards. To be eligible, projects must either be de- signed by architects from Washington or be located in this state. Projects were judged on design, utility, economy, environmental harmony, sustainabil- ity,accessibi|ity,aestheticde|iQhtcreadvity,croftsmanshipandinnovadon. 'It isclear bousthat the design team moved the client torethink security con- trol, which we thought was done in very humane and efficient ways."'AIA Jury SCORE EARNS NATIONAL ACCREDITATION FROM THE NATIONAL COMMISSION ONHEALTH CARE /NCCHC\ SCORE is one of approximately 250jai|s in the United States to earn the NCCHCaocveditation and only 896ofjails are nationally accredited. When it comes to delivering quality care in correctional settings, the NCCHCStondords provide the framework to ensure that systems, policies and procedures are in place to produce the best outcomes in the most cost-efficient and effective manner. Developed by leading experts in the fields nfhealth, law and corrections, the Standards are our recommendations for managing the delivery ofmedical and mental health cave in correctional systems. These essential resources have guided the field toward continual improvement of care for the incarcerated, strengthening organizational effectiveness and reducing the risk of adverse legal judgments. The Standards are also the foundation ofNCCHC'saccredita- tion program. SCORE RECEIVES 100%ONPRISON RAPE ELIMINATION ACT (PREA) COMPLIANCE In ZOlS, SCORE completed the agency's first PRE4 (Prison Rape Elimination Act) audit, demonstrating 1O09&compliance onall forty-one applicable PR64 Standards for Adult Detention facilities. Standards included an audit on agency policies that included prevention planning, response planning, training and education, screening for risk of sexual victimization and abusiveness, re- porting, official response following report, investigations, discipline, medical and mental health care, data collection and review. D| R Gmn�" . ��N�� ~~..^~�,.'.._ �� A Ilk� SOUTH CORRECTIONAL ENTITY ��]�� |��lW ''--''—'—'--'''— —'''--'--- ACCREDITATION SCORE CORRECTIONS OFFICERS EARN NATIONAL JAIL CERTIFICATIONS SCORE Corrections Officers have received the national designation of Certified Jail Officer/CJO\ and Certified Jail Manager /CJK4\bythe authority ofthe American Jail Association through the Jail Manager Certification Commission UW1CC\. The C1O Program provides jail officers with an opportunity to demonstrate their knowledge, skills and abilities as well astheir commitment tn the corrections pro- fession on a national level. The {JK4 certification process focusing specifically on the individual providing documented evidence to the public that the individual has been examined by an independent professional organization and found to possess current competency in his/her field. Currently, SCORE has fifteen Certified Jail Officers and two Certified Jail Managers. SCORE JAIL AWARDED FIRST VVASH|NGTO0ASSOCIATION (]F SHERIFFS AND POLICE CHIEFS (VVASPC)JAIL ACCREDITATION In 2016, The South Correctional Entity (SCORE) was awarded accreditation through the Washington Association ofSheriffs and Police Chiefs (VVASPC)byproving com- pliance vvith15Uopp|icab|eVVASPCjai|siandordsanddemonstrates3[0REisoper- ating under industry best practices and standards. Agencies seeking accreditation must prove compliance with standards addressing major areas of oversight such as use of force, records management, information technology, investigations func' dons, evidence and property control, health and safety, fiscal management, in- mate management and communication, sanitation and maintenance, security, ne- cruitmentand training. DISABILITY RIGHTS VVASH|NGTONCONCLUDES SCORE JAIL STUDY In August 2015, Disability Rights Washington's (DRW) started monitoring SCORE in aneffort tomake improvements inthe lives nfinmates with disabilities. In August 2017, DRVV published a report regarding the cooperative relationship between DRVVand SCORE and the positive changes that have been made for inmates with disabilities which demonstrated a path forward for all Washington jails. Based on DRW's monitoring of visits and the review ofrecords, DRVVdecided to end their active work at the jail. They recognized SCORE's genuine dedication to meeting the needs of inmates with mental illness and shared their appreciation for the willing- nesstovvorkwithDRVV|eQa|teamoveratwoyeorspan. After receiving positive feedback about mental health programming at the jail, DRVVconfirmed that inmates are receiving psychiatric evaluation and medication in a timely fashion. Mental health staff are generally providing individualized treat- ment plans and regular follow up for inmates who have serious mental illness. SCORE is proactively engaging with community service providers to improve pro- gramming, coordination of care, and re-entry planning. Source: Disability Rights Washington AMERICAN AIL ASSOCIATION The AVID Jail Project