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HomeMy WebLinkAboutBack-Up Documentsof May 23, 2018 Mr. Jon Adler Director Bureau ofJustice Assistance Office of.InStiee Programs 810 Seventh Street, NW Washington, DC 20531 mi EMILIO T GOWALEZ, Ph D City TA:wager Re: Justice and Mental Health Collaboration Program FY 2018 Competitive Grant Announcem n Dear Director Adler: Through the submission of this letter, the City of Miami Police Department offers its commitment as the implementing agency for the multi -disciplinary team establishing "Early, Diversion" services for people with behavioral and substance abuse challenges who have come in contact with law enforcement through the City of Miami Collaborative Early Pre -Arrest Diversion Program. If funded by the Bureau of Justice Assistance (BJA), this initiative will improve the lives of people suffering from mental illness (MI) or co- occurring mental illness and substance abuse (CMISA), by increasing access to an integrated treatment model that offers critical services and support that promotes recovely. The City ofMiami Police Department (MPD) will commit its Problem -Solving Team (PST) officers and other sworn personnel working in the Overtown ai•ea„ to offer a binding treatment agreement to people they encounter in possession of opioids. PST officers will then employ a "warm -hand off' approach to deliver patients to Jackson Health System for integrated treatment services. Officers will receive training for best practices when encountering diversion -eligible subjects, Furtherrnore, the Senior Executive Assistant to the Chief of Police, will perform as a Project Coordinator. The Project Coordinator will oversee grant -funded activities, performance measures and act as a liaison between MPD and its collaborative partner, Jackson Health System (1-1S). The City of Miami Police Department looks forward to aiding in efforts to expand the continuum of care with Jackson Health System and its team of multi -disciplinary experts in the mental and behavioral health fields. The opportunity to expand the continuum of care to provide diversion from arrest fits perfectly with the needs of an underserved population who often gets lost in the criminal justice system instead of receiving the care and services that are desperately needed, This partnership is a natural fit to work with law enforcement to both preserve and protect public safety, while responding to the needs of those with co- occurring mental illness and substance abuse disorders. Sincerely, ----\ Jorge R. Colina Chief of Police ;ft Lt.:La Contmoty afSerpie4 ilAM I POLICE DEPARTMENTIP,O. BON 016777 / Mnm, Flpritia 331 ti 1005) 60 WM Addres: chiploffidico@miami-poi(ce.om &lad on It HEALTH SYSTEM Miracles made cialki. May 23, 2018 Chief Jorge R. Colina City of Miami Police Department 400 NW 2nd Avenue Miami„ FL 33128 1611 KW. 12th Avenue Miami, FL 33'136 www.JacksonFlealth.org 05-585-1111 Re: Bureau opustice Assistance (BJA) Justice and Mental Health Collaborative PrOgra171 (BJA-2018-13907) Dear Chief Colina: The Public Health Trust of Miami -Dade County, FL dba Jackson Health System (JHS) is a nonprofit, academic healthcare delivery system affiliated with the University of Miami/Miller School of Medicine (UM). JHS has been the premier provider of healthcare in Miami -Dade County by offering comprehensive medical care for all who need it, regardless of ability to pay. As the County's safety -net hospital, JIB serves vulnerable, low-income individuals. JHS consists of its cornerstone, Jackson Memorial Hospital (JMII), which was founded in 1918 as the 13-bed Miami City Hospital. The main campus just north of downtown Miami houses JMH, as well as Jackson Behavioral Health Hospital (Mal). With 239 beds, JBHH provides comprehensive inpatient and outpatient services for children, adolescents, and adults, who are suffering from behavioral, emotional or substance -abuse issues. With a comprehensive public -academic psychiatric program, JBHH offers an array of interdisciplinary mental health and substance abuse services delivered within the hospital and the community. JBHH has astrong multi -disciplinary team of clinicians, psychologists, psychiatrists, social workerseand psychology trainees/psychiatric residents to serve the community's behavioral health needs. JBHH offers innovative wellness, trauma -sensitive, and recovery -based programs, including Medication Assisted Treatment (MAT), and resources addressing a broad-spechum of mental health and co-occurring disorders . From assessment and admission through treatment and discharge, all services are provided in a supportive and safe environment for those in substance abuse and/or mental health crisis.. The Florida Department of Children and Families certifies the hospital as an Addictions Receiving Facility offering inpatient detoxificatiOn. The JBHH team will be a full partner in the City of Miami Police Depar merit's application to the Bureau of Justice Assistance/Justice and Mental Health Collaboration Program in Category 3, If funded, JHS commits to providing screening, assessments, inpatient detoxification and Medication Assisted Treatment (MAT). Integrated Treatment of Co -Occurring Disorders (ITC) will include outpatient MAT, group counselling, cognitive behavioral health, and medical and social service referrals. Each person, who commits to the treatment alternative, will work with the treatment team to develop a personal recovery plan. JBHH seeks to minimize barriers that clients face when seeking primary and/or behavioral health treatment and will address these issues at the beginning of service provision, JHS is committed to participating actively in both process and outcome evaluations, providing trainings to police officers and to ongoing meetings and communication with the City of Miami Police. This collaboration will greatly enhance services for the neediest populationsin the City of Miami. Carlos A. Migoya President and Chief Executive Officer DocuSign Envelope ID: 44BE5981-B7F7-45EF-AF72-A0D3AFO7F280 UNIVERSITY OF MIAMI MILLER SCHOOL of MEDICINE May 21, 2018 Mr. Jon Adler Director Bureau of Justice Assistance Office of Justice Programs 810 Seventh Street, NW Washington, DC 20531 Re: Justice and Mental Health Collaboration Program FY 2018 Competitive Grant Announcement Dear Director Adler: Through the submission of this letter, I offer my commitment as the Program Evaluator for the City of Miami Collaborative Early Pre -Arrest Diversion Program. I am the founder and medical director of IDEA Exchange at the University of Miami Miller School Of Medicine. Operating within the University of Miami, the IDEA Exchange is the only syringe exchange in the state of Florida. In my work, I have an up -close view of the growing opioid epidemic crisis in Miami and its profound effects on the community. If funded by the Bureau of Justice Assistance (BJA), this initiative will improve the lives of people suffering from mental illness (MI) or co-occurring mental illness and substance abuse (CMISA), by increasing access to an integrated treatment model that offers critical services and support that promotes recovery. As the Program Evaluator, I will work with the Diversion Program teams at the City of Miami Police Department and Jackson Behavioral Health Hospital to develop the data protocols, a data collection plan, evaluation plans and deteiniine the easiest method for reporting results. The opportunity to expand the continuum of care to provide diversion from arrest fits perfectly with the needs of an underserved population who often gets lost in the criminal justice system instead of receiving the care and services that are desperately needed. This partnership is a natural fit to work with law enforcement to both preserve and protect public safety, while responding to the needs of those with co- occurring mental illness and substance abuse disorders. Sincerely, DocuSigned by: 5/29/2018 5:24:06 PM EDT 6A7B99BBB6A143D... Hansel Tookes, MD, MPH Assistant Professor of Clinical Medicine University of Miami Miller School of Medicine, IDEA Exchange Department of Medicine • Leonard M. Miller School of Medicine • Miami, Florida 33101 May 21, 2018 Mr. Jon Adler Director Bureau ofJustice Assistance Office ofJustice Programs 810 Seventh Street, NW Washington, DC 20531 Re: JlusticeandMentai Health Collaboration Progam PY 2018 Competitive Grant Annoy Dear Director Adler; EMILIO T. GONZALEZ, Ph.D. City 1,4anager On behalf of the City of Miami leadership, please accept this letter of commitment for the "City of Miami Collaborative Early Pre Arrest Diversion Program" project by the City of Miami Police Department (MDP). As City Manager, I have the executive authority to approve and support the City of Miami Police Department's application establishing "Early Diversion" services for people with behavioral and substance abuse challenges who have come in contact with law enforcement. "Overtown, a historically black neighborhood i2ear downtown Miami, has been the epicenter of the crisis in South Florida. Heroin and prescription painkillers have caused dozens of deaths and hundreds of overdoses in South Florida in recent years. Through all of 2016 and the.first six months of this year, 177 people died in the chy fi-om opioid overdoses, ace01-ding to record.s compiled by the police department. (IVIiami Herald, September 27, 2017). MiamiDade County is home to the largest percentage of people with serious mental illness in any urban community in the United States, with the highest number of consumers with mental health disorders living within Miami's city Emits. Therefore, innovative programs to aggressively assist individuals with these illnesses and co=occurring disorders are crucial to the City of Miami. If funded by the Justice and Mental Health Collaboration Program (jMHCP), the "City of Miami Collaborative Early Pre -Arrest Diversion Program" will improve the lives of people where the opioid crisis is at its most critical1 his project will mitigate the suffering of those afflicted by co-occurring mental illness and substance abuse disorders by increasing access to an integrated treatment model that offers critical services and support that promotes recovery. We will collaborate with our partner, Jackson Health System to ensure the success of this program. TheCity of Miami supports all efforts to enhance the *community's commitment to providing the necessary treatment for individuals with mental health and/or substance abusedisorders. The opportunity to expand the continuum of care to provide diversion from arrest, aligns perfectly with the City's mission to be a global city that works to improve the quality of life for all who live and visit Miami. Pleasebe assured of our continued support for this endeavor. Should additional information be required, please contact me at (30S) 4164025. Sincerely, Emilio T. Gonzalez, Ph.D. Miami City Manager OFEK:E OF GRANTS ADMINISTRATION 444 5,W, 2nd Avenue, '.5th Eior, flt Horida 3.3130 305)41(3-1509 Fax (305) 416-?..151 Maflirg Addre.$5: P.O. eox .330708-0708 Miami, FL 33233-0708 PROJECT ABSTRACT City of Miami Collaborative Early Pre -Arrest Diversion Program The opioid crisis is a public health problem and limited resources for treatment strap even the most robust city and county budgets. Law enforcement and first responders are key in efforts to stem the effects of opioid use and dependency. In 2017, the City of Miami Police Department (MPD) handled 911 narcotics -related incidents and arrests. Statistics show that in the first nine months of 2016, City of Miami Fire -Rescue administered 1,700 Narcan doses. Opioid poisoning deaths jumped four fold to 229 between 2013 and 2016. The City of Miami Police Department (MPD) is responsible for the public safety of 453,579 residents and 15 million annual visitors. MPD and Jackson Behavioral Health Hospital (JBHH) will partner to implement the City of Miami Collaborative Pre -Arrest Diversion Program. Funding from the BJA Justice and Mental Health Collaboration Program will support activities under Category 3: Implementation and Expansion Competition. The cross -discipline collaboration will prioritize adults with mental illness (MI) or co-occurring mental illness and substance abuse disorders (CMISAs) who are at a high risk of recidivism. The Diversion Program will give MPD officers, who encounter a subject in felony possession of opioids within the city's jurisdiction, authority to offer a 12-month treatment program at JBHH as an alternative to arrest and involvement with the criminal justice system. If the person agrees to participate, the officer will ask the person to sign a legally binding agreement formulated by the Florida State Attorney's Office and MPD. The MPD officer will transport the individual to JBHH for screening and assessment, including criminogenic and violence risk assessments by behavioral health specialists. JBHH will admit participants to the hospital for medically supervised opioid withdrawal and the induction of Medication Assisted Treatment (MAT). Participants will receive continuing MAT, and individual and group therapies on a closely monitored outpatient basis under an integrated treatment program for co-occurring disorders. The Diversion Program has a strong evaluation component, and an established information exchange between MPD and JBHH to connect participants directly to treatment. The request to fund the Diversion Program is for $750,000 for 36 months to support the mental health services and provide medication and routine testing to serve 130 people. MPD will provide a match of $285,291 to cover the cost of the Program Director who will perform as the partnership's liaison and training costs for 1,200 officers to learn best practices to identify opioid users and help them avoid prosecution. 1 of 1 PROGRAM NARRATIVE City of Miami Collaborative Early Pre -Arrest Diversion Program A. Description of the Issue The opioid epidemic is part of a larger problem of untreated substance abuse disorder. The National Institutes for Health on Drug Abuse reported more than 64,000 drug overdose deaths in 2016 surpassing 52,404 deaths in 2015. The opioid crisis is a public health problem and communities and healthcare organizations have responded with prevention, treatment, and harm - minimization measures. Limited resources for drug treatment strap even the most robust city and county budgets. Law enforcement and first responders are involved in efforts to stem the effects of opioid use and dependency. As the law enforcement agency of the largest municipality in Miami -Dade County (MDC) and the second largest city in the State of Florida, the City of Miami Police Department (MPD) is responsible for the safety of 453,579 residents and over 15 million yearly visitors. One of the challenges facing MPD is the high-level of drug -related incidents in Miami, in particular opioids. In 2017, the MPD handled 911 narcotics -related incidents and arrests. The South Florida Behavioral Health Network plotted deaths in MDC by zip codes and identified the historic African -American Overtown neighborhood in Miami as having the most opioid deaths. David Ovalle (Miami Herald, Dec 7, 2016) called Overtown the 'hot zone' where addicts go to buy drugs and are dying. The most recent statistics show that in the first nine months of 2016, the Miami Fire -Rescue stations used Narcan nearly 1,700 times - more than double the rate of the previous year. Since 2015, at least 31 people have fatally overdosed in Miami's Overtown neighborhood with heroin or fentanyl — often both — in their blood. That makes it the deadliest zip code for opioid deaths in MDC. The City of Miami itself accounted for nearly 43 percent of all 236 county overdoses recorded since 2015. (Miami Herald December, 2016). The MDC Medical Examiner's Office reported alarming increases in opioid-related overdoses and deaths from 2005 to 2015. Between 1 of 10 PROGRAM NARRATIVE City of Miami Collaborative Early Pre -Arrest Diversion Program 2013 and 2016, opioid poisoning deaths in the County went from 58 to 229, a nearly 4 fold increase. For 2016-17, the City of Miami had more deaths (118) than MDC (96), which is much larger by both population and square miles. In December 2016, MDC Commissioners formed a Task Force to assess the opioid epidemic, identify best practices and develop an action plan (released in June 2017). Recognizing the limited effectiveness of traditional law enforcement strategies, the Florida Department of Children and Families recommended that Task Force members improve access to medically Assisted Treatment (MAT), enhance care coordination for overdose victims, and adopt police diversion programs. The principles of the proposed City of Miami Collaborative Early Pre Arrest Diversion Program (Diversion Program) are in keeping with the Task Force recommendations. The program will emphasize the rapid deployment of public health and public safety resources to high -priority areas. MPD and Jackson Behavioral Health Hospital (JBHH) of Jackson Health System will partner to implement the Diversion Program. Funding from this opportunity will support activities under Category 3: Implementation and Expansion Competition. This cross -discipline collaboration of local law enforcement and mental health professionals will prioritize adults with mental illness (MI) or co-occurring mental illness and substance abuse disorders (CMISAs), who are at a higher risk of recidivism. By reducing recidivism among this population, the number of encounters between law enforcement and people suffering from MI or CMISA is decreased. For every encounter that is eliminated, there is a decrease in opioid overdoses and narcotics related arrests/incidents, piercing by a used syringe, exposure to chemical contaminants or infectious disease. The Diversion Program promotes public safety of the community and police officers by coordinating law enforcement and mental healthcare resources. 2 of 10 PROGRAM NARRATIVE City of Miami Collaborative Early Pre -Arrest Diversion Program B. Project Design and Implementation The Diversion Program is a warm hand-off approach patterned on the Law Enforcement Assisted Diversion (LEAD) program in Seattle, WA. LEAD diverts people suspected of low-level drug and prostitution offenses at pre -booking to obtain social, medical, and psychological services. MPD officers who encounter any subject of legal age and any gender who meets the 21st Century Cures Act requirements in felony possession of opioids, will have the authority to offer them a 12- month program of direct treatment services at JBHH as an alternative to arrest and entering the criminal justice system. If the person accepts the offer to participate, the officer will ask the subject to sign a legally binding agreement formulated by the Florida State Attorney's Office and MPD. Because the highest incidents of opioid use occur in Overtown, officers who comprise the Overtown Problem Solving Team (PST) will receive a ten (10) hour Diversion Program Advanced Training to ensure law enforcement properly executes its role in the process, the legalities of the binding agreement, and polices/procedures. The Program Manager from JBHH's treatment team will give PST officers an understanding of the treatment process participants will undergo. While Overtown is the "hot zone" for opioid activity, per department policy, MPD will not limit the program exclusively to Overtown. Any subject of legal age, encountered within MPD's jurisdiction and found in felony possession of opioids will be offered participation in the Diversion Program. Therefore, a 2 hour Diversion Program Introductory Training will be given to approximately 1,200 sworn officers to establish basic protocol and procedures. The Introductory Training will be integrated into MPD's mandatory annual training for all sworn officers. Both the Advanced and Introductory training courses will be given yearly during the 36-month project period to ensure MPD officers are updated on revisions to policy, procedures, applicable laws, and enhanced competencies for assessing individuals for the Diversion Program. 3 of 10 PROGRAM NARRATIVE City of Miami Collaborative Early Pre -Arrest Diversion Program The Diversion Program at our public health partner, JBHH, will be directed by a Program Manager who will hire and train the treatment team (LCSW and two Community Health Workers (CHW)), advise about case management, service coordination, and screening procedures. University of Miami (UM), Program Evaluator, will be responsible to plan data collection, protect data privacy under HIPAA, develop the Evaluation Plan and adhere to the Category 3 Implementation Guide. JBHH will provide evidence -based services to participants using Integrated Treatment for Co -Occurring Disorders. In Year 1, Phase 2 implementation will begin in month 5 with an expectation of 35 participants. During Years 2 and 3, the Diversion Program anticipates 50 and 45 participants, respectively. The following Diversion Program process was developed by the partners - MPD, JBHH and UM: MPD officers offers a subject (legal adult) in felony possession of opioids a choice between a 12-month diversion program to receive treatment or routine criminal justice processing. • CRIMINAL JUSTICE PATH — subject is arrested, processed through the court system, and does not enter the Diversion Program. • DIVERSION PROGRAM PATH — MPD officer has subject sign binding agreement; calls JBHH Emergency Department (ED) to alert staff that they are in transit. Police conducts a warm hand-off to the LCSW or CHW. JBHH registers and completes full assessment and screening of subject (criinogenic risk, needs assessment, behavioral health evaluation) • FINANCIAL ASSESMENT to determine insurance eligibility/coverage. If eligible, enrolled in coverage. NOTE: Health insurance carrier is billed first before grant funds for treatment, medications, and lab costs. • LCSW conducts BIOPSYCHOSOCIAL ASSESSMENT for substance abuse and mental health disorders, evaluation of criminogenic and violence risk factors to identify those who might commit violence in the future and be a threat to public safety. • Family practice Advanced Registered Nurse Practitioner (ARNP) completes medical history to include prescribed medications and evaluates patient' s mental health status. If needed, provide emergency treatment. • Conduct PSYCHIATRIC EVALUATION & review information from the LCSW, CHW and ARNP. Psychiatrist evaluates severity of the opioid/substance use disorder. • Mental healthcare team works with subject to develop personal recovery treatment plan and CHW is assigned to 4 of 10 City of Mia PROGRAM NARRATIVE i Collaborative Early Pre -Arrest Diversion Program remain in long-term contact with the subject/patient to encourage continued engagement in the recovery treatment plan. • JBHH Program Manager provides subject/patient assessment update to MPD Program Director Case Management, service coordination and opioid recovery treatment services provided to subject/patient as per recovery treatment plan. • Physicians with DATA 2000 waiver start induction of Medically Assisted Treatment (MAT) to mitigate symptoms of opiate withdrawal. MAT is combined with evidenced -based behavioral interventions as outlined in Integrated Treatment of Co -Occurring Disorders. • For inpatient residential care, the patient is transferred to local Rehabilitation Center through the South Florida Behavioral Health Network. • When social services are needed, the CHW makes the appropriate referrals. • Patient begins the outpatient treatment plan with weekly to monthly drug screenings, MAT treatment, and ongoing therapy to manage opioid use disorder, substance use disorder, serious mental illness, or other co-occurring disorders. • Patient is assigned to outpatient individual/group psychotherapy, Cognitive Behavioral Therapy, and other recovery -based treatment programs. • Provide monthly updates to MPD on patients' progress. When patient complies with 12-month treatment program, JBHH notifies MPD that the patient is eligible for discharge from treatment. • If the patient relapses/does not comply with agreement/treatment plan, CHW contact patient to request voluntarily return to program. If patient cannot be found/refuses to return, JBHH will petition for an ex- parte order (Marchman Act) for involuntary treatment. MPD will serve the ex-parte order and bring the patient to JBHH to continue treatment or will jail for failure to comply with agreement. The law enforcement policies and processes for the Diversion Program will be added to MPD's Departmental Orders, which dictate police procedures. MPD will assign the Executive Officer to the Police Chief as the Program Director (Director) who will function as the liaison between MPD and JBHH teams, develop data collection and information sharing processes with JBHH and UM, and coordinate monthly partner meetings. The Director will draft the Departmental Order (DO) to be reviewed and approved by the Assistant Chief of Police of the 5 of 10 City of PROGRAM NARRATIVE iami Collaborative Early Pre -Arrest Diversion Program Criminal Investigations Division. It will be sent for final approval to the Professional Compliance Section. Reporting directly to the Chief of Police, the Section ensures compliance with national accreditation standards per the Commission on Accreditation for Law Enforcement Agencies, Inc. (CALEA). The Director will also work with MPD's Training Administration Unit to develop and roll out police officer Diversion Program training. Persons with MI or CMISAs face significant barriers to treatment. Economic instability prevents many from accessing preventive healthcare and only a health crisis brings people to an emergency department. Though it serves as one of the nation's leading centers for trade, banking, tourism, and finance, it is among the poorest cities of its size in the country, 28.3% of Miami residents live in poverty. The Diversion Program is an opportunity to align the resources of law enforcement and the healthcare sector to help participants overcome these barriers to rehabilitative treatment. Furtheiniore, it will protect our most vulnerable residents from becoming a victim of this epidemic. As the public health system for MDC, JBHH's capacity is already stretched with the increase of opioid abuse and overdoses. Notinally, they would have been lost to the criminal justice system and not have been routed to care as MPD does not have a local program to asses and treat individuals in custody. With this program, each year there will be about 50 people with significant mental health needs and at higher risk of reoffending receiving intensive 12-month treatment that is not currently available. If awarded, $750,000 in grant funds will be utilized over a 36-month period for one (1) Licensed Clinical Social Worker, two (2) Community Health Workers and associated clinical costs, including Medically Assisted Treatment (MAT) and the Program Evaluator for the successful treatment of an average of 50 participants/year. The Evaluator will 6 of 10 PROGRAM NARRATIVE City of Miami Collaborative Early Pre -Arrest Diversion Program ensure guidelines are properly developed during Phase 1. MPD will offer matching funds of $95,097 per year, for a total of $285, 291 to cover the cost of training for 1,200 sworn officers and Program Director. This Diversion Program will be the first of its kind in Miami and MDC to legally bind participants to direct substance abuse and mental health treatment services without having to enter the criminal justice system. Current local government programs for individuals found in felony possession of illegal substances are either within the criminal justice system or it is strictly voluntary, allowing the person to end treatment at any time. If successful, the Diversion Program will be a model that can be replicated by MDC and other jurisdictions nation-wide, which involve individuals with significant MI-CMISA needs and a higher risk of recidivism. C. Capabilities and Competencies The City of Miami (City) will serve as the fiscal agency for this project and MPD will function as the implementing department in partnership with Jackson Health System, which operates JBHH. The City manages 34 departments and agencies with approximately 4,346 employees and has an operating budget of $979 million dollars including $75 million federal, state, and local grants. MPD has extensive experience in managing and implementing Department of Justice grants. In 2016, the MPD Administration Division provided administrative and financial oversight for 34 grant -funded programs, totaling $24,894,788. In December 2014, the MPD received re -accreditation from the Commission on Accreditation for Law Enforcement Agencies (CALEA) reinforcing MPD's commitment to quality law enforcement and excellent policies and procedures. MPD will monitor grant expenditures and drawdowns, which are subsequently reviewed by the City's Management and Budget Department. As required by DOJ grants, tracking 7 of 10 PROGRAM NARRATIVE City of Miami Collaborative Early Pre -Arrest Diversion Program drawdowns and expenditures will be maintained separately from other funding. Expenses will be handled by the City's Finance Department, which was recently awarded the Certificate of Achievement for Excellence in Financial Reporting. JBHH provides comprehensive inpatient and outpatient services for children, adolescents, and adults who are suffering from behavioral, emotional or substance -abuse issues. JBHH offers an array of mental health and substance abuse services delivered within a full continuum of care — emergency, inpatient, and outpatient settings. In FY 2016-2017, more than 6,000 individuals received inpatient treatment. Of that number, 596 received treatment for substance abuse. JBHH currently operates the Jackson Outpatient Detoxification Program in conjunction with the Eleventh Judicial Circuit Adult Drug Court under a BJA and SAMHSA grant awarded in 2016. Medication Assisted Treatment (MAT) is used with those who agree to seek court -supervised treatment instead of jail. The Florida Agency for Health Care Administration licenses and the Joint Commission's Hospital Accreditation Program accredit all JHS hospitals. The Florida Department of Children and Families certifies the JBHH substance abuse services for the Inpatient Detoxification Program. Executive Officer to the Police Chief, Eldys Diaz, will function as the Program Director for the Diversion Program. Officer Diaz will be the liaison between MPD and JBHH, as well as the primary contact for all required grant reporting. Officer Diaz will oversee officer Diversion Program training, develop a data sharing agreement with JBHH, and coordinate monthly meetings and updates. Officer Diaz is an 11-year MPD veteran with extensive experience in special projects aimed at improving efficiency agency -wide. As Executive Officer to the Chief, Officer Diaz is tasked with researching and implementing emerging evidence -based models and technologies for crime prevention innovation in the City of Miami. 8 of 10 PROGRAM NARRATIVE City of Miami Collaborative Early Pre -Arrest Diversion Program Dr. Patricia Ares -Romero will oversee the JBHH Diversion Program treatment team as the Program Manager. She will be responsible for hiring and training staff, refining treatment procedures, overseeing data collection, and working with the Program Evaluator. Dr. Ares - Romero is an experienced psychiatrist and currently JBHH Chief Medical Officer. Dr. Ares - Romero has expertise in integrating evidence -based treatment modalities and best practices. Dr. Hansel Tookes, MPH, is founder and medical director of IDEA Exchange syringe exchange pilot program at the University Of Miami Miller School Of Medicine. Dr. Tookes has an extensive background in medical research and has been published in various academic journals. Dr. Tookes will be the Program Evaluator for the Diversion Program and work with the Project Director and Project Manager to determine the easiest method for reporting results and providing a thorough evaluation of the program. D. Plan for Collecting the Data Required for this Solicitation's Performance Measures MPD is creating the Diversion Program collaboration so law enforcement can identify prospective participants and directly connect them to treatment services at JBHH. MPD and JBHH will work together to develop a data sharing agreement to guarantee HIPAA privacy and establish and revise data collection criteria for performance measures. MPD will utilize their public safety database management system to track the number of people to whom the Diversion Program is offered, number of people registered in the program, location of their encounter, demographics and charges which would have been applicable had the subject not been placed into treatment. MPD will check Florida Crime Information Center (FCIC) and National Crime Information Center (NCIC) databases on a monthly basis to flag participants who incur arrests. During Phase I (first four months), MPD, UM and JBHH will develop protocols for collecting, tracking, and exporting 9 of 10 PROGRAM NARRATIVE City of Miami Collaborative Early Pre -Arrest Diversion Program data reports from their respective programs. Data fields to be collected and analyzed in the aggregate will include: trainings, agreements signed, client demographics, screening assessment scores, MAT, attendance, drug and urine tests, linkages to care, development of personal recovery plan, program completion and goals reached. The Program Evaluator will use the data to generate monthly performance assessments. Data collected by MPD and JBHH will be examined relating to programmatic processes and socio-demographic variables to determine if this diversion and direct treatment services model is successful. The Program Evaluator will work with the Project Director and JBHH Program Manager to determine the best method for reporting results. rogram bJechves _erfoini e l4leasures .. Data,GranteePruyxdes 1. Protect public safety through Outcome Measure la.# of people in program who early intervention with 1. Reduce recidivism rate in incur arrest during 12-month treatment of people with MUCMISA target population. treatment Mental Illness (MI) or Co- lb.#of people in program who occurring mental illness and incur arrest 6 months after substance abuse disorders completing program (CMISA). 2a. # of people offered program; # Outcome Measure of people signing agreement 2. Maximize the use of 2. Increase # of MUCMISA 2b. # of people relapsing/not diversion from prosecution individuals receiving case complying with agreement; # of and alternative sentences management and service people completing treatment. through pre -arrest model coordination services, including 2c. # of behavioral health and # of with cross -discipline evidence based treatment criminogenic risk/need screening collaboration between law models assessments completed; enforcement and healthcare 2d. # of people receiving provider. treatment using Medication Assisted Treatment (MAT) and Integrated Treatment for Co - Occurring Disorders (ICT). Outcome Measure 3a. # of sworn officers 3. Promote adequate training 3. Increase capacity of MPD completing Diversion Program for MPD and JBHH and JBHH to identify and Introductory Training per year. personnel with respect to respond appropriately to 3b. # of Overtown PST officers mental illness, substance incidents in which individuals completing Diversion Program abuse disorders and cross -with MUCMISA are involved. Advanced Training per year. system resources. 3c. # of JBHH treatment staff trained. 10 of 10 Budget Summary Note: Any errors detected on this page should be fixed on the corresponding Budget Detail tab. Year 1 Year 2 (if needed) Year 3 (if needed) Year 4 (if needed) Year 5 (if needed) A. Personnel So $95,097 $o $95,097 so $95,097 So $0 so $0 $285,291 B. Fringe Benefits $0 $0; $0 $0'4•:'':' C. Travel $0 $0 so $0 so $o $0 $o so $0 so D. Equipment $o • so $0 $0. so $0 E. Supplies $0 $o $0 $0 $0 so $o $0 $0 $0 $0 F. Construction �$o 0° G. Subawards (Subgrants) $252,108 so $250,026 so $247,866 so $0 $0 $0 so $750,000 H.,Procurement Contracts 0 $ I. Other $o so $0 $0 so so $o so $o $0 so T itaL lektt"Cost - $9S',b 4448 $95 097 $a 1,035';291'" J. Indirect Costs so so $0 $0 so $0 $0 $0 $0 so so TOtal-Project COstss 527 250,0Z6 .. . :: $9„5,0951iz „.. $247;86„E $9$>097;.; 0 $ $ .$1,035,291.5 Does:this;budget contain confeence;casts t hittlIEdefined„broadly to Includ0,meetingsA etieats;seminars,=sympos}a andtrainirig;activities? Y/N'' 1 WORKSPACE FORM 1-800-518-4726 SUPPORT©GRANTS.GOV This Workspace form is one of the forms you need to complete prior to submitting your Application Package. This form can be completed in its entirety offline using Adobe Reader. You can save your form by clicking the "Save" button and see any errors by clicking the "Check For Errors" button. In -progress and completed forms can be uploaded at any time to Grants.gov using the Workspace feature. 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OPPORTUNITY & PACKAGE DETAILS: Opportunity Number: BJA-2018-13605 Opportunity Title: BJA FY 18 Justice and Mental Health Collaboration Program Opportunity Package ID: PKG00241523 CFDA Number: 16.745 CFDA Description: Criminal and Juvenile Justice and Mental Health Collaboration Program Competition ID: BJA-2018-13907 Competition Title: CATEGORY 3: IMPLEMENTATION AND EXPANSION Opening Date: 04/27/2018 Closing Date: 05/29/2018 Agency: Bureau of Justice Assistance Contact Information: For technical assistance with submitting an application, contact the Grants.gov Customer Support Hotline at 800-518-4726 or 606-545-5035, or via email to support@grants.gov. The Grants.gov Support Hotline operates 24 hours a day, 7 days a week, except on federal holidays. An applicant that experiences unforeseen Grants.gov technical issues beyond its control that prevent it from submitting its application by the deadline must email the contact identified below within 24 hours after the application deadline in order to request approval to submit its application after the deadline. Additional information on reporting technical issues appears under Experiencing Unforeseen Grants.gov Technical Issue) in the How to Apply section. For assistance with any unforeseen Grants.gov technical issues beyond an applicants control that prevent it from submitting its application by the deadline, or any other requirement of this solicitation, contact the National Criminal Justice Reference Service (NCJRS) Response Center: toll -free at 800-851-3420; via TTY at 301-240-6310 (hearing impaired only); email grants@ncjrs. gov; fax to 301-240-5830; or web chat at https://webcontact.ncjrs.gov/ncjchat/chat. jsp. The NCJRS Response Center hours of operation are 10:00 a.m. to 6:00 p.m. eastern time, Monday through Friday, and 10:00 a.m. to 8:00 p.m. eastern time on the solicitation close date. APPLICANT & WORKSPACE DETAILS. Workspace ID: WS00147661 Application Filing Name: City of Miami DUNS: 0722207910000 Organization: MIAMI, CITY OF Form Name: Application for Federal Assistance (SF-424) Form Version: 2.1 Requirement: Mandatory Download Date/Time: May 24, 2018 02:31:20 PM EDT Form State: No Errors FORM ACTIONS:; _______..__........._.,... OMB Number: 4040-0004 Expiration Date: 12/31/2019 Application for Federal Assistance SF-424 * 1. Type of Submission: Preapplication Application * 2. Type of Application: * If Revision, select appropriate letter(s): X New Continuation Revision * Other (Specify): X Application Changed/Corrected * 3. Date Received: 4. Applicant Identifier: Completed by Grants.gov upon submission. 5a. Federal Entity Identifier: 5b. Federal Award Identifier: State Use Only: 6. Date Received by 7. State Application Identifier: State: 8. APPLICANT INFORMATION: * a. Legal Name: City of Miami * b. Employer/Taxpayer Identification Number (EIN/TIN): * c. Organizational DUNS: 59-6000375 0722207910000 d. Address: * Streetl: Street2: * City: County/Parish: *State: Province: *Country: * Zip / Postal Code: 444 S.W. 2nd Ave. 5th Floor Miami Miami -Dade County FL: Florida USA: UNITED STATES 33130-1910 e. Organizational Unit: Department Name: Division Name: City of Miami Police Dept. f. Name and contact information of person to be contacted on matters involving this application: Prefix: Middle Name: * Last Name: Suffix: Ms * First Name: Lillian p Blondet Title: Director, Office of Grants Administration Organizational Affiliation: * Telephone Number: 305-416-1536 Fax Number: 305-416-2151 * Email: lblondet@miamigov.com Application for Federal Assistance SF-424 * 9. Type of Applicant 1: Select Applicant Type: C: City or Township Government Type of Applicant 2: Select Applicant Type: Type of Applicant 3: Select Applicant Type: * Other (specify): * 10. Name of Federal Agency: Bureau of Justice Assistance 11. Catalog of Federal Domestic Assistance Number: 16.745 CFDA Title: Criminal and Juvenile Justice and Mental Health Collaboration Program * 12. Funding Opportunity Number: BJA-2018-13605 *Title: BSA FY 18 Justice and Mental Health Collaboration Program 13. Competition Identification Number: BJA-2018-13907 Title: CATEGORY 3: IMPLEMENTATION AND EXPANSION 14. Areas Affected by Project (Cities, Counties, States, etc.): Areas Affected By Pro ect. df 7 P tt lhTi Delete Attachment U[ewAfiaC�imen� s, * 15. Descriptive Title of Applicant's Project: City of Miami Collaborative Early Pre -Arrest Diversion Program Attach supporting documents as specified in agency instructions. 'IA'CI d Atiach[nens �I�e � yacht e ieuv A Eft tit Application for Federal Assistance SF-424 16. Congressional * a. Applicant Districts Of: FL-025 * b. Program/Project FL-025 Attach an additional list of Program/Project Congressional Districts if needed. City of Miami Congressional Districts.pdf Add tY nent DeleteAttachmen Ili wAffaCh11)ent 17. Proposed * a. Start Date: Project: 01/01/2019 * b. End Date: 12/31/2021 18. Estimated Funding ($): *a. Federal * b. Applicant * c. State * d. Local * e. Other * f. Program Income *g.TOTAL 750,000.00 285, 291.00 0 . 0 0 0 .00 0 . 00 0. 00 1,035,291.00 * 19. Is Application a. This application b. Program Subject to Review By State Under Executive was made available to the State under is subject to E.O. 12372 but has not been selected is not covered by E.O. 12372. Order 12372 Process? • the Executive Order 12372 Process for review on by the State for review. X c. Program * 20. Is the Applicant Yes If "Yes", provide Delinquent On Any Federal Debt? (If "Yes," provide explanation in attachment.) X No explanation and attach �F} tiachrn t iete P c#ai tent fse # tachment 21. *By signing herein are true, comply with any subject me to this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001) and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency X **IAGREE ** The list of certifications specific instructions. Authorized Representative: Prefix: Middle Name: * Last Name: Suffix: Prof. *FirstName: Lillian P Blondet *Title: Director, Office of Grants Administration * Telephone Number: 30 5- 416-153 6 Fax Number: 305-416-2151 * Email: lblondet@miamigov.com * Signature of Authorized Representative: Completed by Grants.gov upon submission. * Date Signed: Completed by Grants.gov upon submission.