Mental Health Association of Portland

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Lawsuit alleges Multnomah County jail was negligent after suicide attempt that paralyzed man

Posted by Jenny on 9th February 2013

By Maxine Bernstein, The Oregonian, Feb. 7, 2013

Westley Wilson

Westley Wilson

A Multnomah County inmate, who is now quadriplegic after jumping from a second-floor tier of the downtown Portland jail and landing head first, alleges the county and jail staff were negligent, according to a lawsuit filed this week.

Lawyers for Westley Wilson, 29, who was in custody in May on charges he violated a restraining order, say the jail failed to place Wilson on suicide watch or provide a secure environment since he was able to jump to his near-death.

The suit filed in Multnomah County Circuit Court, which seeks $12 million in damages, comes two years after the county recorded an increase in jail suicides and a grand jury report urged changes.

The sheriff’s office has installed suicide prevention bars on the upper level tiers of its two-level dorm. It also has provided eight-hour suicide prevention training to staff, and removed items in jail cells that might have enabled inmates to harm themselves, said sheriff’s chief deputy Mike Shults.

Wilson was on the lower level and apparently climbed up to the upper level railing and jumped, according to the sheriff’s office.

Attorney Greg Kafoury, of the Portland firm Kafoury and McDougal, said the sheriff’s office should have recognized Wilson was depressed and suffering a psychotic episode and placed him in a secure cell on suicide watch.

Wilson, arrested May 4, was transferred on May 10 from Inverness Jail to Multnomah County Detention Center. With his transfer, staff forwarded a handwritten note from the county’s Department of Corrections Health.

The note mentioned that he had been kept in a separate cell in Inverness, because he kept calling a sergeant “God.” A nurse found him seated on a bench, tearful and holding his head, and when she introduced herself, Wilson replied, “No you’re not. You are God!”

“His interaction indicated some unstable behavior and scheduling of mental health contact but no statements of suicidal thoughts,” according to a sheriff’s office report.

About 6:22 p.m. on May 10, during dinner service at the downtown jail, deputy Frank Newsome saw Wilson had climbed up a railing to the top tier and was facing foward. Newsome and other staff unsuccessfully tried to talk him down, a sheriff’s report said.

Shults said he could not comment on the specifics of the claim.

Attorney Greg Kafoury said the jail’s placement of Wilson with the general inmate population “was obviously flawed.” Wilson is being cared for at the Regency Gresham Nursing & Rehab Center.

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Grand jury finds no criminal wrongdoing in Sept. 29 Portland police officer-involved shooting

Posted by Jenny on 12th October 2012

By Maxine Bernstein, The Oregonian, Oct. 12, 2012

Joshua Baker

Joshua Baker

A Multnomah County grand jury has found no criminal wrongdoing by two Portland police officers involved in a Sept. 29 shooting that wounded Joshua Stephen Baker.

Instead, the grand jury returned an indictment against Baker, 27, charging him with attempted murder with a firearm, first-degree assault with a firearm, felony elude, fourth-degree assault involving domestic violence and two counts of menacing.

The incident stemmed from a domestic violence assault at the Hathaway Apartments on Southeast 134th Avenue. A Good Samaritan had tried to intervene, but got shot by the suspect, authorities said.

According to Portland police, East Precinct officers were called to Hathaway Apartments, at 3320 Southeast 134th Ave., at 3:54 a.m. on Sept. 29. The officers who responded found 38-year-old Vadim V. Kobenko shot. He was transported to a local hospital.

But police pursued a suspect as he fled in a truck.

“After a short pursuit, the suspect crashed into a fence at 148th and NE San Rafael,” Lt. Robert King said in a prepared news release issued after the incident. “At the crash site, there was an officer-involved shooting.”

Portland officers Erik Strohmeyer, a 12-year bureau veteran, and Garry Britt, a 4-year bureau member, fired shots at Baker.

Portland police said Baker suffered non-life threatening injuries, was treated at a local hospital and then booked into jail.

Police did not say how many shots were fired, or where Baker was struck.

“Following the shooting,” King continued in a news release, “the suspect refused to comply with commands from uniform officers, and then SERT was activated.”

Officers from the Special Emergency Reaction Team took Baker into custody. A firearm was located at the scene, police said.

Kobenko, the man Baker is accused of shooting in Southeast Portland, was hospitalized in critical condition, police said.

The grand jury also has indicted Baker on charges of strangulation involving domestic violence, fourth-degree assault and menacing in connection with incidents that occurred on July 1 and July 8, according to the district attorney’s office.

He’s being held at the Multnomah County Detention Center on $505,000 bail, according to jail records.

The Independent Police Review Division and investigators from the police bureau’s Internal Affairs Division both responded to the police shooting scene.

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Two Portland police involved in Saturday officer-involved shooting are identified

Posted by Jenny on 1st October 2012

Joshua Baker

Joshua Baker

By Maxine Bernstein, The Oregonian, Oct. 1, 2012

Two Portland police officers were involved in a shooting early Saturday after responding to a call of shots fired at a Southeast Portland apartment building.

East Precinct officers were called to Hathaway Apartments, at 3320 Southeast 134th Ave., at 3:54 a.m. Saturday. The officers who responded found 38-year-old Vadim V. Kobenko shot. He was transported to a local hospital.

But police pursued a suspect as he fled in a truck.

“After a short pursuit, the suspect crashed into a fence at 148th and NE San Rafael,” Lt. Robert King said in a prepared news release. “At the crash site, there was an officer-involved shooting.”

Portland police on Monday identified the suspect arrested as 27-year-old Joshua Stephen Baker, who police say suffered non-life threatening injuries.

Police did not say what led up to the shooting, or how many shots were fired, or where Baker was struck.

“Following the shooting,” King continued in a news release, “the suspect refused to comply with commands from uniform officers, and then SERT was activated.”

Officers from the Special Emergency Reaction Team took Baker into custody. A firearm was located at the scene, police said.

Kobenko, the man Baker is accused of shooting in Southeast Portland, is hospitalized in critical condition, police said.

The two officers involved in the shooting are Erik Strohmeyer, a 12-year bureau veteran, and Garry Britt, a 4-year bureau member.

The Independent Police Review Division and investigators from the police bureau’s Internal Affairs Division both responded to the police shooting scene.

Baker was booked into the Multnomah County Detention Center Monday afternoon after he was treated for injuries at a local hospital. Baker is accused of first-degree assault with a firearm, attempted murder with a firearm, and fourth-degree assault involving domestic violence.

King said the officers involved in the shooting have not been interviewed yet.

“Interviews are occurring this week and we will release more details when we are able to,” he said, in an e-mailed response to an Oregonian question.

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Business as usual at the Multnomah County jail

Posted by admin2 on 1st October 2012

Editorial column by Steve Duin, from The Oregonian September 29, 2012

Kenneth Yeo was shooting hoops in Hillsboro five years ago when he noticed the Washington Country sheriff’s patrol cars circling the park and decided the jig was up.

As the hoop was a few short blocks from the county jail, Yeo was once again imagining things. That’s not surprising: He has been diagnosed with anxiety disorder, bipolar disorder, schizoaffective disorder and post traumatic stress syndrome.

Nonetheless, Yeo presented himself at the jail and asked if he had an outstanding warrant.

As a matter of fact, Yeo did — failure to appear in Multnomah County — so Washington County took him into custody.

Yeo, 29, had a history at the facility; he was jailed there for two months in 2005. “They knew what happened to him when he didn’t get his meds,” says Joel Greenberg, an attorney with Disability Rights Oregon. Yeo reminded the intake staff that he needed those drugs.

But it was the Memorial Day weekend. When the jail staff phoned Yeo’s provider, it didn’t get a call back, much less the essential medications.

By the time Yeo was transferred to the Justice Center in Portland on May 27, he was coming apart. And the Multnomah County deputies, unlike those in Hillsboro, had no sense of Yeo’s medical history.

Yeo was placed in a separation cell. Greenberg says: “Within the next five hours, he took his clothes off, stood on the toilet and did calisthenics. They have a policy that no one gets housed until they’re seen by medical, but medical never saw him.”

Instead, Yeo was moved into a disciplinary unit. “Over the next two days, he’s twice found in a flooded cell, covered with his own feces and sliding back and forth in the water,” Greenberg says. “Sorta like a slip-and-slide.

“He’s completely decompensated now. Completely out of his skull.” And still without the meds he needs for anxiety, sleep and psychosis.

Thus, when the deputies eventually attempt the cell extraction, it didn’t go well. Yeo was tased. A cut on his head required stitches. He would spend a month at OHSU Hospital, Greenberg says, “before he’s lucid enough to see his family. Depending on whether you believe me, he’s never really been the same.”

When Yeo brought this story to Greenberg in 2008, the attorney figured he had a significant tort claim.

But he also had a case of deja vu. Too many people struggling with mental illness were getting lost in a county jail that was both underfunded and overcrowded.

So Greenberg approached Jacqueline Weber, a county attorney, in February 2009 and proposed the following: The county should compensate Yeo and pay “modest” attorney fees, a total of $100,000.

And it should direct the rest of its potential financial exposure in a federal civil-rights lawsuit to changes in “how the jail processes, assesses and treats inmates with obvious or known mental illness.”

Greenberg’s ideas? Equip each inmate with a medical “passport.” Ensure that mental health professionals who can provide psych meds are on site 24/7.

Train corrections staff to understand that when they can’t determine whether the inmate’s psychosis is the result of drug use or mental illness, they can’t assume drugs are the problem.

Forty-three months later?

“We settled for $80,000,” Greenberg says. “The systemic changes they agreed to were feeble. I don’t think they’re going to change what happens at the jail.”

Because he’s been around the block a few times — he was a special-ed teacher and public defender before joining Disability Rights Oregon — Greenberg recounts this with wry resignation.

The county’s risk management was dismissive. When Greenberg decided he had no choice but to file his lawsuit, he lost his leverage. The county went on the defensive, with attorney Patrick Henry at middle linebacker.

“An opportunity lost,” Greenberg said. “Neither side got anything useful.”

Not for lack of trying, argues David Austin, the county’s communications director:

“We engaged Mr. Greenberg in conversation about ideas he had on a number of occasions and encouraged him to give us specific ideas on how we might improve the system of care. Taxpayers pay for this system that cares for some of the most vulnerable people and we hear from mental health providers and clients who get services all the time.

“The question we ask? Will the proposal lead to improved patient health and patient outcomes? Unfortunately, we are not able to agree to implement proposals that would cause a costly redirection of resources to an already underfunded system.

“It’s not realistic to bring in more doctors at the jail for a system that’s been faced with making cut after cut after cut.”

Which means that you don’t need Kenneth Yeo’s imagination to realize the Kenneth Yeo debacle didn’t change a thing.

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Report of the 2011 Multnomah County Corrections Grand Jury

Posted by admin2 on 24th December 2011

REPORT OF THE 2011 MULTNOMAH COUNTY CORRECTIONS GRAND JURY: Conditions and Management of Correctional Facilities within Multnomah County

October 2011 – December 2011

READ – Report of the 2011 Multnomah County Corrections Grand Jury, in original PDF formatting

STATUTORY BACKGROUND

Pursuant to the Oregon Revised Statute 132.440, a Corrections Grand Jury convened on October 11, 2011 to inquire into the condition and management of every adult and youth correctional facility in Multnomah County. The jurors were charged with the task of submitting a report encompassing their findings after physically inspecting 5 separate correctional facilities and taking witness testimony from those who operate, are housed in or are associated in some form with those facilities. In accordance with their statutory duty, this Corrections Grand Jury toured the following 5 operational facilities:

1. the Multnomah County Detention Center (MCDC),
2. the Multnomah County Courthouse Jail (MCCJ),
3. the Multnomah County Inverness Jail (MCIJ),
4. the Donald E. Long Juvenile Detention Center (JDH) and
5. the Columbia River Correctional Institute (CRCI).

During the course of 6 weeks, the jurors heard from 83 witnesses and reviewed numerous documents submitted by the agencies that are responsible for the conditions and management of each correctional facility. The grand jurors sought information from a wide variety of individuals with an eye toward receiving input from witnesses who had particularized knowledge about the conditions and management of each facility. The witnesses not only fielded a number of questions but were asked if they had any suggestions or opinions to provide.

FACILITIES

The Grand Jury recognizes the sustainability initiatives pursued by the Multnomah County Sheriff’s Office (MCSO) and those facilities under its purview. MCSO has replaced disposable eating utensils and dishes with reusable products where possible. The facilities compost, recycle, and recondition. Ongoing research to consider alternate methods of food service and procurement continues in an attempt to improve sustainability efforts. Also, the Grand Jury noted that rather than issuing pencils to the inmates, MCSO supplies flexible pens which are more environmentally friendly. As a result of such efforts the Sheriff’s office was awarded the Multnomah County Sustainability Award in 2011.

With the rewards of increased sustainability, comes the added advantage of significant decline in operating expenses. The Grand Jury noted the following:

  • 70% reduction of waste at CRCI due to composting
  • Significant cost savings by replacing golf pencils with flexible pens
  • Significant cost savings by procuring produce locally
  • Support of local economy by procuring produce locally
  • Minimized waste as the result of improved methods of serving food
  • Reconditioning mattresses at CRCI for cost savings

Multnomah County Inverness Jail (MCIJ)

The Corrections Grand Jury visited the MCIJ facility and reviewed the dorms transportation hub, control rooms, law libraries, offices, medical and common exercise facilities. Each dorm contains restrooms, showers, and small exercise facilities. MCIJ was well kept and sanitary.

The Grand Jury was served lunch and found the quality and quantity of food to be adequate. The cost of each meal is approximately $1.30. Bag lunches, required by the work crews, cost about $2.53 each. The higher cost is attributed to the additional packaging and the greater caloric requirement of these workers. MCIJ processes 1.5 million pounds of laundry per year for Multnomah County and the Red Cross. MCIJ also administers 7 work crew programs that consist of contracts between MCSO and Metro as well as other agencies. Approximately 200 community volunteers participate in the programs which include the following:

  • Alcoholics and Narcotics Anonymous
  • Counseling for Dual Diagnoses
  • Domestic Violence Awareness
  • HIV Awareness
  • Meditation

The physical layout of the entire facility at nearly a quarter mile from end to end could present logistical challenges in the event of an emergency. The medical, counseling and inmate visitation facilities appeared to be well-maintained, readily available for use. Where appropriate the use of video conferencing equipment was available for those inmates who need to appear before a judge thereby saving transportation costs.

Donald E. Long JDH

The 2011 Corrections Grand Jury was favorably impressed by the operations of the facility as well as the highly qualified staff at the Donald E. Long Juvenile Detention Center. We found it to be well-run by personnel at every level with attentive consideration provided to the youth entrusted to their care. Sustainability efforts continuously promoted and integrated into the food preparation and delivery are to be commended. We found meals to be cost effective while remaining nutritious and appetizing. Food cost is subsidized by the free and reduced food service program administered by the Federal National School Lunch Program. Although it was difficult to fully determine the quality of follow up to education due to the short lengths of stay, the jury felt that the instruction environment maximized teacher effectiveness, maintaining a low instructor to youth ratio and a calm atmosphere. Students and instructors interacted with each other easily and respectfully. Of particular note is the Project Payback program. For example, JDH is currently
contracted with the Portland Water Bureau in a program that allows youth to work. All Conditions and Management of Correctional Facilities within Multnomah County, 12/2011 Page | 6 proceeds earned recompense the victims. The result is that the program holds the youth accountable for their actions while allowing them to restore damages. This also aids in reformation of behavior and teaches them skills and competencies. We also noted that the youth are rewarded for good behavior in the form of additional privileges. Youth programs include the following:

  • Project Payback
  • Residential Alcohol and Drug Treatment Program (RAD)
  • Education Support Center
  • Incarcerated Youth Program and GED

The findings of the 2011 Corrections Grand Jury are summarized in the following points:

Positives

1. Diverse staff – good staff to youth ratio.
2. Caring staff; supportive of youth. Evident that they like and take pride in their job.
3. Use volunteers from Portland State University and Pacific Northwest College of Art.
4. Youth actively involved in various, creative activities that generate high self esteem.
5. Project Payback – a work program for the youth.
6. Reward for good behavior.
7. Café is profitable and sustainable.
8. Well designed facility saves money, e.g., courtrooms on premises is environmentally friendly as well as cost saving.

Recommendations

The Corrections Grand Jury was positively impressed by the artwork and creative writing produced by the youth. The jury witnessed beautiful art painted as wall murals. Several of us also had the opportunity to read a compilation of the youth’s creative writings. We feel that the quality of this work is exceptional and could possibly be sold to the community as a fundraiser for maintenance of the facility or to fund programs. Perhaps these items could be made available for sale in the café.

  • Construct greeting cards and/or t-shirts from the murals
  • Compile the writings into a professional book

Multnomah County Detention Center (MCDC)

The Grand Jury visited the Multnomah County Detention Center facility and reviewed modules and individual cells, kitchen facilities, control modules, exercise facilities, booking, medical and library facilities.

The Grand Jury was served lunch and found the quality and quantity of the food to be adequate. Each of the meals served at the MCDC costs approximately $2.47. Due to the design of the facility, paid staff rather than inmate workers must be used. This results in higher cost of food at MCDC than at MCIJ. The facility was well maintained and sanitary. Inmate workers clean the facility. MCDC is located in the flood plain in the downtown area of Portland. A need for sudden evacuation would pose several hazards to the staff, the inmates, and the community. In accordance with FEMA guidelines, the facility has a 3 day supply of fuel and food. However, no mock disaster recovery test has been conducted. Advantages to keeping the location of the facility downtown include its proximity to the courthouse and easy access to mass transit.

Columbia River Corrections Institution (CRCI)

The Grand Jury visited the Columbia River Correctional Institution facility and reviewed the cafeteria, dorm, medical, exercise area, offices, counseling offices, commissary, transitional and work facilities. The facility was well maintained and sanitary. We note that a recent escape from a work crew occurred for the first time in years. The jury was served lunch and found the food to be of high quality and sufficient quantity. The cost of food is approximately $2.10 per day per inmate.

The Grand Jury noted the lack of a railing on the second story. Witnesses testified that an inmate recently attempted to jump from the second story to the first floor. Although staff successfully impeded the jump, the potential for other suicide attempts exists. We recommend installing safety railing on the top floor.

CRCI runs internal and external work programs for the inmates. Four work programs were cut due to budget constraints. The external programs are service contracts with government agencies. The internal work programs include the following:

  • repair and manufacture of boots
  • vehicle reupholstering
  • building maintenance
  • workshops

In an effort to ease the inmates’ transition back into society, prepare them for job readiness, and equip them with life skills the following programs are offered.

  • Turning Point Residential Treatment Program (Drug and Alcohol Rehabilitation)
  • Parenting Inside-Out
  • Pathfinders
  • Computer Lab
  • GED Tutoring Program
  • Pre-Release Resource Education
  • Pre-Release Reach-In and Orientation Services

Multnomah County Courthouse and Jail (MCCJ)

The Corrections Grand Jury visited the MCCJ and reviewed the transportation area, old jail, holding area and desks. This jury found the facility to be well maintained and sanitary despite the obvious challenges associated with the age of the building. We have seen evidence that the MCSO has adopted as many safety measures as possible within the confines of the budget. For example, a sallyport is to be installed at the shipping entrance on the Salmon Street side of the building for added security. However, several witnesses testified that MCCJ is not earthquake ready. Addressing earthquake readiness is a function that has been tasked to Multnomah County and has yet to be solved.

The Grand Jury was escorted through the facility using the same route that the inmates from MCDC and MCIJ use for their daily court appearances at MCCJ. This extensive route begins at a street level elevator, continues through an underground tunnel, and finally up an elevator 7 floors to the jail facility. MCSO has dedicated a significant number of staff in support of this process.

The Grand Jury heard testimony from many that MCCJ lost 8 Full Time Equivalent (FTE) positions, causing delays in transporting inmates to courtrooms. We noted that the presence of the Corrections Officers in the court rooms created a safe, calm environment.

Security

Several updates have been made within the last year to improve security at MCCJ. A metal detector inside the Fifth Avenue entrance used by the disabled was installed in response to an incident where a gun was brought into the building through that entrance by an individual in a wheelchair.

Most cameras in use at the facilities are not recording; they are simply providing real time video feeds. However, a camera does record activity in the booking area at MCDC. Of concern to the Grand Jury are blind spots in this area where these cameras are not able to catch all activity within that area. This concern was relayed to and witnessed by the Grand Jury upon inspection of the area.

CLASSIFICATION

The 2010 Corrections Grand Jury noted that use of the new classification system proceeded erratically, causing confusion among staff members who did not understand the new system. This noted confusion and misunderstanding was not a stated concern in any of the testimony heard by the 2011 Corrections Grand Jury. Testimony does indicate that mistaken classifications are rare. Possibly this is due to the fact that the quality of recruits is higher. Further testimony indicates that a better job is being done in keeping high risk inmates, e.g. those who are detoxifying or who have other behavior problems, separated from the general population. This jury was impressed by the initiation of more intensified watch over first-time offenders who might possibly be at higher risk for behavior that is harmful to them, including suicide. Cases are reviewed weekly which allows them to ensure correct classification including a reclassification if necessary. It was noted that the red diaries2 are being computerized and integrated into Correctional Inmate Management System (CIMS) which this jury recognizes as a positive move. Because classification is a special assignment 6 out of 15 deputies are being rotated into another position this year. This is a cause of concern because of the high learning curve required for one to become a proficient user of the new classification system.

Close Street Program

The Close Street Program provides an alternative to holding inmates in custody when determined that there is a low risk for failure to appear (FTA) to a court appointment or for reoffending. Various levels of supervision are provided that range from telephone check-in, in person visits, and electronic monitoring. This Corrections Grand Jury was impressed by the good job of evaluating candidates to be released pending trial. Allowing defendants to be at home is more cost effective than housing them within the jail system. Of particular note is the fact that the numbers indicate a positive trend. 43% of the population to be released pending trial was accepted into the program in 2009; this percentage rose to 47% in up to date 2011. The FTA rate has shown a significant decrease from 4.6% in 2009 down to 2.5% in up to date 2011. The Grand Jury views the Close Street Program as a positive because it helps to reduce the population of an already overburdened system.

The findings of the 2011 Corrections Grand Jury are summarized in the points following.

Positives

1. COVIS – Track disciplinary reports (records scanned following hearings)
2. Fewer classification mistakes
3. Successful identification of inmates with possible tendency toward high-risk behavior
4. Close Street program accurately evaluating candidates for release pending trial with low FTA rate Concerns
1. 6 out of 15 deputies will be rotated to another position resulting in a significant loss of classification expertise.

We recommend that deputy officer assignments be staggered to overlap with others. For example, perhaps only 2 deputies could rotate at a time rather than 6.

Red Diaries are handwritten logs that track the location and behavior of inmates when in their dormitories. A
camera monitors the corrections officer recording entries into the logs.

SAFETY

The Sheriff and his staff testified that their mission is to provide safety and security for the inmates and the people of Multnomah County. The Grand Jury concentrated heavily on these stated missions. The Grand Jury was generally impressed with the overall safety of inmates and staff.

When defendants enter the system they are sent to MCDC where they are given a short physical review to determine if medical attention is needed. The level of medical treatment required will determine whether an inmate needs treatment prior to the classification process.

Part of the intake process includes trying to assess whether an inmate will be a risk to other inmates or at risk for self harm. In the previous Grand Jury report mention was made of having the arresting officer remain in the intake area. The longer the arresting officer is present during the intake process the better. The arresting officer can provide valuable information about how the inmate has behaved and what the corrections staff might expect. Having the arresting officer remain at the intake area allows for a safer transition from the street to the jail. We are pleased that the Sheriff’s office has worked with the arresting agencies to adopt the procedure of overlap in the booking process. The Sheriff’s Office overhauled their booking process approximately ten years ago by instituting open booking. This type of booking process has been adopted in many institutions in the United States. Open booking essentially reversed the linear form of intake where inmates were housed in holding cells with one another. Inmates who were in the holding cells were frequently combative and angry once they left the cell. The old system proved to be dangerous for corrections officers as well as inmates. One corrections officer testified that it would not be unusual to engage in 5 ‘Use of Force’ incidents a shift during the old process. The open booking process has significantly reduced the numbers of fights in the booking area. The open booking model allows inmates to sit in chairs in an open room setting with a television on at all times. The inmates are then called for their one on one classification interview with a corrections officer. The move toward open booking caused the frequent fights among inmates inside cells to significantly decrease. The open booking system seems to pacify inmates during a time in which they might be more susceptible to combative behavior. While the open booking system has reduced fights in the booking area there remains the possibility of fights between inmates or between inmates and staff. A number of corrections deputies raised an incident that occurred approximately 2 years ago. A deputy in the intake area was permanently disabled after an inmate became combative. The inmate crossed into the staffing area and began to beat her. Officers who would ordinarily have been on hand were escorting inmates and otherwise occupied. It is difficult to know whether the inmate could have caused the same amount of injury to the officer had others been present. This incident has been referred to as the perfect storm.

The Sheriff’s office did an internal examination of the facility and decided that a saloon style door would deter future attacks. Corrections Officers indicated that the doors actually were a hazard given that they were tripping when entering or exiting the area. Eventually the doors came down. Most of the corrections deputies continue to be concerned about safety in the intake area. Deputies have suggested that Plexiglas could be used or that the open booking area has a chain linked fence which could still accommodate a television, a restroom and access to phones. The Grand Jury listened to the safety concerns of the corrections officers and to management. The safety of staff in the booking process is one of our primary concerns. Although physical barriers have been suggested by some correction officers, it would defeat the purpose of how open booking has diminished the violence in the intake process. We would recommend more corrections officers in the classification section. Policies and procedures need to be followed to ensure the safety of the officers. Officers did indicate that the cameras in the intake area do not cover all areas. Additionally, officers thought that the nursing staff should be supplied with radios to communicate with officers immediately in the event that they are at risk. A number of positive changes have occurred relating to the safety of the facilities. All deputies must attend an 8 hour class on suicide prevention. This class is administered by the Multnomah County Health Department and has been well received by the corrections officers. Management has done a number of things relative to preventing suicides within the facilities. The last suicide occurred in 2010. This inmate had not been red flagged as a suicide risk because he had been incarcerated approximately 30 times with no apparent attempts at self harm.

The Sheriff’s office has done a number of things to reduce suicides in the facilities. At MCDC, upper bunks have been taken out of the cells on the fourth floor in an effort to prevent inmates from hanging themselves. Additionally, if inmates are considered at risk for suicide, they will be placed in a cell that has a large window allowing for correction officers to clearly observe the inmate. The Sheriff has extended the upper tier hand rails to the ceiling, thereby limiting people from harming themselves or others. Flex pens were introduced as a cost saving measure with the added benefit of preventing inmates from using pencils to harm themselves or others.

HEALTH CARE

Providing Health Care to detained persons in Multnomah County is the responsibility of Multnomah County Corrections Health Department. Health care provided at the Multnomah County Detention Center is composed of booking, 4th floor special housing, and mental health housing and 3 additional floors of housing. The staff assists in screening inmates at booking until release. A significant amount of resources is used at MCDC based on the number of mentally impaired inmates and the unpredictability of the incoming inmates’ health needs. Over 35,000 individuals are cared for each year with over 60% having serious unstable and chronic health conditions such as diabetes, infections and mental or behavioral issues.

The medical staff at MCDC provide around the clock treatment for inmates. The medical infirmary has a limited number of skilled care beds and mental health beds on the fourth floor of MCDC. The health staff has a dialysis machine, a lab, an x-ray machine, dental care and other means to take care of the inmates. Having these services in the jail saves unnecessary trips; which would be costly. In the past an inmate would be transported in custody back and forth from jail costing much more than the present system.

An inmate initially meets with a medical professional during the intake process to identify whether the inmate is in need of medical care. If the inmate appears to be seriously injured the sheriff will not accept the inmate. These inmates are typically taken to a Portland area hospital. Some of these inmates may be placed in 1 of 2 secure rooms Portland Adventist Hospital. Throughout intake an inmate answers various questions, including medical information to assist in the placement process. The information is given to the nurse who will work with the classification officer to determine
where the inmate should be housed and later what type of treatment is required. The employees of the health department have a difficult job given the patient population. Many of the inmates come into the jail with Hepatitis C, HIV, and other medical issues associated with their lifestyle. Some inmates also suffer from mental problems and need treatment while they are in custody. With limited resources the nursing staff and the correctional officers pay close attention to inmates with mental health problems. The nursing staff know that many of the inmates who have mental problems require on-going medication to alleviate some of the symptoms. The nursing staff try to obtain information pertaining to the inmate’s medical history in order to allow them to identify any medications the inmate may require. The medical team attempt to stabilize any medical issues that inmates bring to their attention. The average inmate stays in jail for approximately 14.5 days; however, many inmates stay in custody pending trial well past 100 days. Many of the inmates who come into the jail are addicts and in need of medication to ease withdrawal symptoms. The nursing staff try to determine the type of medication necessary in order to keep the inmate stable. Prescriptions are outsourced to an independent pharmaceutical company in order to reduce costs.

It should be noted that emphasis is placed on an inmate’s potential for attempting suicide. A therapist makes daily contact with inmates who are at risk of suicide. These inmates are placed in single cells where they are checked every 15 minutes by a corrections officer or watched 24 hours a day by a corrections deputy if the risk of suicide is high. The medical team advises the corrections officers if they deem an inmate to be highly suicidal. It is interesting to note that the 2 suicides that occurred in MCDC in 2010 were inmates who were not on suicide watch. Neither of the inmates talked about committing suicide and there was nothing in their past history that would indicate that they were suicidal. (Additionally 1 suicide occurred in 2011.) One of the concerns of the Grand Jury was the cost associated with housing suicidal inmates. The 2010 Corrections Grand Jury noted how costly it is to have a corrections officer watch an inmate for 24 hours a day. The watches are effective but costly. The 2010 Grand Jury reported that the overtime cost for direct supervision of the inmates is approximately $1.2 million. The 2010 Corrections Grand Jury recommended placing at risk inmates together in one module with clear visibility by one single corrections deputy and indicated that the Sheriff’s Office was studying a system design to adopt this type of suicide watch. To date the suicide watch protocol remains the same as it was in 2010. The staff indicated that the risk of suicide typically drops when an inmate is housed with another inmate. The 2011 Corrections Grand Jury recommends adding an open module for those inmates who are under 24 hour watch. We believe that the construction cost of remodeling will eventually save money in the long run.

Evidence suggests that when inmates are housed together suicide attempts drop, likely due to the fact that someone else is present. The Grand Jurors heard that until 1998 inmates were in single cells at MCDC. Testimony provided by the nursing staff indicated that 2 to 3 suicides would occur yearly in the jail from 1983 to 1998 when inmates were in single cells. Further testimony indicated that only 2 or 3 suicides happened during the entire 9 years when inmates were double bunked. Statistics indicate that single bunking is far more dangerous for suicidal inmates; it is clear that fewer suicides occur when inmates are housed together.

The Grand Jurors were impressed with the fact that all corrections officers attend an 8 hour suicide risk training provided by the Health Department. The officers who testified all found the class to be extremely useful.

As noted in the 2010 Grand Jury report, the cost of health care provided by the County had been contained for the previous 2 years. In the past, suggestions had been made to seek an outside medical provider to curtail costs; however, the Health Department was able to curtail their costs in 2009 and 2010. This past year the cost of health care from the County has risen by approximately $211,000. This is a marginal increase and significantly lower than other health programs nationally. Part of the cost saving is due to contracting pharmacy services to a specialized nationwide mail order pharmacy. Replacing 14 to 15 nurse FTEs with medication aides who are far less expensive to employ helped to curtail costs.

The 2010 Grand Jury recommended that the Corrections Health Division work to regain accreditation from the National Committee on Corrections Health Care. The senior medical staff testified that they intend to seek accreditation. This Grand Jury also recommends regaining accreditation. The 2011 Corrections Grand Jury has been favorably impressed with the dedication of the health care staff and witnessed obvious improvements over the last year. They are to be commended at having continuously kept costs low while keeping the level of care high.

The Grand Jury was also impressed by the medical services provided at CRCI. The facility has a dentist and regular medical staff. The inmates can make their own appointments for any medical concerns they may have. The health team also tracks people who have long term health care issues such as diabetes, heart problems or other diseases. The staff ensures that the inmates follow up with treatment and discharge them with enough medication for one month.

Another positive aspect of the medical care at CRCI is the counseling services provided. Any inmate can receive counseling. While touring CRCI the Grand Jury noticed how accessible the counselors are while making rounds in the separate dormitories.

Inmates interviewed at CRCI were complimentary of the medical and dental staff. A concern was expressed with how long it takes to dispense medication. Part of the delay in dispensing is ensuring that the inmate actually swallows the medication. The staff is vigilant in ensuring that inmates do not hoard medication. This is necessary to avoid redistributing the medications to other inmates or stockpiling to commit suicide.

CORRECTIONS OFFICERS


Work-Life-Balance/Counseling

The Grand Jury is concerned about the shortage of staff, down approximately 30 to 40 FTE. Several circumstances have lead to this shortage, including having only 1 FTE background checker position filled. In the next 3 to 5 years close to one-third of the corrections workforce will be eligible for retirement. In the past 5 years only about 30 deputies have been hired. However, recently 2 new background checkers have been hired and new officers have been hired as well.

The shortage of staff has led to excessive overtime which is costly, less flexible for training options and results in less than desirable work schedules. The added stress on the workforce also can lead to possible mistakes on the job and lost productivity. This lack of work life balance potentially is harmful to families and may lead to a shorter life expectancy for officers.

Recruitment of corrections officers from the higher education system, military and other sources may help provide more potential candidates. It is important to continue to seek ethnic diversity in the workforce, including recruiting female candidates. Opportunity exists to promote a diverse workforce with the needed new hires over the next several years.

This Grand Jury is very concerned about the overtime issue given that it is exceedingly expensive to pay overtime amounts when the hiring of new deputies would substantially keep costs down.

Hiring Process

Hiring new corrections officers is a lengthy and involved process. Those who are interested in corrections must have at least a 2 year degree. After filling out the corrections application a background check is done which can be quite time consuming. After taking a written exam, candidates are given a brief psychological exam, a drug test and a physical exam. The candidate must also pass the Oregon Physical Ability Test (ORPAT). The hiring process can take 6 months or longer. Each officer receives 6 weeks of training at the Department of Public Safety Standards Training (DPSST). Certification takes several weeks. MCSO recertifies Corrections Officers. Required training includes Defensive Tactics, OSHA, Mandatory Report Writing and Mental Health.

During the first year officers rotate through several assignments with different work schedules. When employees are past the probationary period they are placed in a permanent position. They must wait 3 years before they can apply for a special assignment. Special assignments require a separate application and interview but, there is no guarantee that they will receive that assignment.

Officers’ receive specialized training for special assignments, giving them new skill-sets and a fresh perspective. This also helps to keep morale high by providing a possible change of shift, schedule and working conditions. Rotations usually last 3 to 4 years; depending on the officer’s rank and assignment.

Scheduling and Pay

Scheduling issues play a big role in an officer’s work life balance. Prospective candidates are told up front about scheduling issues, including the reality of working most weekends and holidays, as well as a limited chance of getting vacations when desired. Vacation time and holidays are based on seniority. Since staffing is needed around the clock, Corrections Officers’ work schedule may be less than desirable. It could take as long as 10 to 15 years to get weekends off or vacation time during the summer months.

Wages are based on a stepped program with longevity pay. Shift differential is 4% for Graveyard and 3% for Swing. Some specialty programs and relief shifts also receive incentive pay. Knowledge of a second language that can be helpful to the department adds another 2% increase. Officers earn vacation plus 11 personal days a year. Vacation for starting staff is 2 weeks and up to 6 weeks for a 20 year employee. Understaffing has lead to the need for mandatory overtime (MOT). MOT requires an officer to work 2 shifts back to back. The pay is time and a half. Voluntary overtime is available to those who want it. Officers are paid double time on their seventh consecutive working day.

TX Trade Shift

MCSO staff universally praised the Trading shifts (TX) process. This process allows deputies to trade shifts with each other. TXing provides a more flexible schedule while allowing better work life balance. This process can be used 52 times a year and limits back to back shifts to no more than 16 hours per individual. These limits are in place to address the concern of excess fatigue.

Sick Leave Management

MCSO conducted a sick leave abuse study in 2008. Past Corrections Grand Juries and others criticized the persistent leave abuse that existed in the agency. Time Analysis Review Team (TART) tracks patterns of leave which might constitute abuse. This system allows counseling and management to follow those employees who are suspected of abuse. Sick leave usage has been reduced by 38% with a savings of 1.1 to 1.4 million dollars a year. This drop in sick leave abuse has helped to keep morale high, improve attitude, and increase professionalism in the department.

Vacation

Many Corrections Officers testified that they were unable to get the vacation time and/or days off that they wanted. This is largely due to the seniority process by which vacation is allocated. Some deputies with more than 15 years of experience still cannot always get the vacation dates they desire.

Although financial incentive of shift differentials and overtime help to offset a less than optimal work schedule there is no substitute for Work-Life-Balance that would lead to a happier and healthier workforce. Although we are aware scheduling is largely a union issue based on seniority, our wish would be to look at ways to improve the scheduling process.

Employee Health

Management staff and several deputies testified that to remain healthy, employees are encouraged to “have a life outside of work”. Their testimony also indicated an awareness and occasional use of the Employee Assistance Program (EAP). The Department of Corrections contracts with Cascade Counseling to provide a free, confidential counseling service to its employees. Employees and their immediate family members can use the services of EAP. Use of these services is strictly confidential and the employer will not know when employees use the program.

The EAP is available to corrections officers if the need arises. Peer counseling is also available, however because these programs are voluntary not everyone takes advantage of these services.

Promotion and Management Need

As stated in the 2010 Grand Jury Report, Corrections Officers are dedicated public servants in positions of great responsibility involving the safety of staff and inmates. We were favorably impressed with their standards. We heard testimony that staff are encouraged to seek promotion. Some of the deputy witnesses testified that they have no intention of seeking promotion because of disincentives such as less than desirable schedules. Many of the command staff had aspirations of seeking management level positions early in their careers. Some deputies and sergeants earn more money and
have more job security than those of higher ranks because of the amount of overtime they work.

Several of those who will be retiring within the next 5 years are in upper management positions. Of the 38 to 39 sergeants, 12 to 13 are eligible to retire. We recommend that MCSO develop a plan to encourage leadership and training.

Deputy Training

The Grand Jury has extensively reviewed the training issues that have arisen in previous years. Currently the Oregon State Sheriff’s Association (OSSA) recommends 82 hours of training over a 3 year period. It is recommended that deputies get 40 hours of training annually, but only average about 16 to 24 hours per year. This lack of training is partly due to budget cuts and limited personnel to cover other deputies while they are being pulled from their posts to attend classes. Currently officers get 8 hours of suicide prevention, 4 hours OSHA training and 4 hours for weapons and other combat training.

Taser training is available for those who wish to use this device. We noted a lack of physical fitness training after hiring, which is a concern in the area of safety to all deputies when responding to emergencies. We would like to see a provision for fitness training for all deputies during their tenure at MCSO. This jury recognizes that the union and management will need to address fitness.

The new “VIVID Learning” program, an on-line training application, is expected to be installed and running by mid 2012. This will allow MCSO to become compliant with government recommendations. Because this new on-line training program can be scheduled to the officers’ convenience, staffing constraints will be eased. More time will be available for ongoing training needs after newly hired officers receive initial training. The Grand Jury would like to see a diversity course included in the “Vivid Learning” programs. Other modules such as stress in the workplace, communication skills, as well as advancement and leadership training would be helpful.

The training received by the Deputies has helped them become more understanding of inmates who are suffering from mental illness, whether from substance addiction or Conditions and Management of Correctional Facilities within Multnomah County, 12/2011 Page | 18 other underlying conditions. This is reflected in the amount of professionalism and empathy they show the inmates in their charge. While the quality of the training deputies receive is high, the Grand Jury would like to see more hours devoted to training.

Fitness Recommendations

We would like to see MCSO, with the help of the Union, develop a better plan to encourage deputies to seek a balanced lifestyle; including an emphasis on mental health and fitness. (We suggest looking at other police agencies to see how they promote physical fitness among their employees). Encouraging deputies to stay fit will benefit the workforce as a whole by reducing sick time, enabling faster response to emergencies.

DUE PROCESS

Inmates in all Multnomah County correctional facilities are afforded their basic constitutional rights. Those rights include but are not limited to the availability of an attorney, health care, food, safety, religious freedoms and the right to address their concerns in writing. Inmates who require a different diet due to their religious beliefs, medical needs or other preferences are provided such meals.

Inmates can address any concerns they might have directly to the floor corrections officer, a counselor or in writing. All requests are reviewed. If the complaint has merit the sheriff’s office tries to address the complaint expeditiously.

Inmates who have committed violations within the county jail system will be written up for their behavior. The inmate will receive a hearing within 96 hours of the violation. A hearings officer conducts a hearing where the defendant is allowed to speak. The average number of such hearings is 70 per month. Inmates found in violation of the inmate rules can receive loss of privileges, loss of good time or may be moved to a disciplinary cell depending on the severity of the violation.

Inmates are entitled to meet or call their attorneys during specific hours of the day. The correction officers do their best to accommodate attorneys wishing to speak with their clients. Delays can be expected due to security procedures. Inmates who are in disciplinary cells still have access to their attorneys but the time allowed for a visit may be shorter based upon the inmate’s status.

When inmates are on trial they are accompanied by at least one corrections officer. The corrections officers in the courthouse have to ensure that jurors do not see inmates while handcuffed or chained. This prevents jurors from making a decision based on the inmate’s custody status.

The Sheriff and his staff are committed to the Prison Rape Elimination Act (PREA). All deputies are trained to detect and prevent such incidents from occurring. Allegations of such crimes will be thoroughly investigated by a Deputy Sheriff. If the evidence of a crime is sufficient the deputy sheriff will forward reports to the Multnomah County District Attorney’s Office.

Chaplains, counselors and volunteers are available at MCIJ, MCDC, JDH and CRCI. One alcohol and drug counselor is shared between MCDC and MCIJ. A number of community volunteers assist the chaplain in reaching out to inmates.

Depending on the facility, inmates can participate on work crews, can obtain trade skills, and receive counseling. At CRCI inmates can work, attend parenting classes, go to alcohol and drug counseling and anger management classes. Inmates who are within 4 months of release obtain counseling services tailored toward their re-entry into the community.

This Grand Jury recommends adding corrections officers at the County Courthouse as a safety measure. During gang related murder trials extra officers are necessary in the courtroom in order to contain control of individuals who threaten witnesses. When such a trial is in progress the number of correction officers available for other appearances diminishes. The grand jurors heard testimony that court proceedings have been delayed in excess of an hour in criminal cases.

INFORMATION TECHNOLOGY

The Grand Jury gathered information about various computer systems used by the Sheriff’s office. Witnesses testified about the following systems:

  • Correctional Inmate Management System (CIMS)
  • Sheriffs Warrant Inmate System (eSWIS)
  • COVIS – database management software
  • On-line Training (Vivid Learning Systems)
  • Integrated Library System (ILS)
  • Red Diary systems

MCSO manages the inmate population data with eSWIS, CIMS, COVIS and other applications. The eSWIS system is a purchased software package that manages inmate records and correction data and is shared by various county agencies. The CIMS system is a custom application built by the Sheriff’s office that captures suicide watch data, tracks inmates and generates alerts. COVIS tracks disciplinary report data that can be shared with other facilities. It also allows for the scanning and indexing of documents related to the inmate population.

Communications Equipment

MCSO staff appears to be sufficiently equipped with Motorola radios for convenient communication and where necessary, such as the transportation staff, MCSO has provided Nextel multiband phones. The Motorola equipment used by most of the Sheriff’s staff is over ten years old and out of date. This jury recommend that this equipment be replaced within the next few years.

Control Modules

Of concern to the Grand Jury was the condition of the equipment within the control modules. In many cases we were made aware that parts were scavenged from unused, non-functional equipment in order to perform necessary repairs. Although the equipment has been updated at the MCDC 200 desk it has not been replaced at the 400 desk at MCCJ or at any of the desks at MCIJ. The Grand Jury understands that the remaining aged equipment will be replaced in 2014.

IT Findings

The Grand Jury was encouraged by the progressive attitude of the MCSO regarding the use of technology and its ability to automate collaboration as well as other functions. A new module to integrate hand written red diaries into CIMS is being evaluated. Digitizing these logs will allow Near Real-Time data to be shared, while assuring a higher degree of safety to both the inmates and MCSO staff. Transitioning from hard copy books to a computerized law library will result in significant cost savings to the county. Maintaining current hard copy law books costs $120,000 annually. Vivid Learning Systems, on-line training system being implemented by MCSO will result in cost savings and improved training opportunities for staff.

BUDGET

The Sheriff’s total budget for fiscal year 2012 is $116,591,334 down from the 2011 budget of $117,400,000. 67% or $77,986,912 of the Sheriff’s total budget is spent on the corrections side of the office with 56% of the corrections budget allocated to members of the Multnomah County Corrections Deputies Association. Additional money is spent on Local 88 employees, the executive Office and the Business Services Office. The Sheriff’s office is budgeted to fill 402 corrections officer positions. The budget for the fourth floor of MCDC consumes more than 10% of the Sheriff’s correction budget for a total of $11.3 million. The fourth floor houses mentally and physically ill inmates along with inmates who are in segregation due to their behavior. The 2010 Grand Jury suggested housing the mentally ill inmates in a group congregation or at one of the closed dorms at MCIJ so they could cut down on expenses. At present, deputies watch certain mentally ill inmates for up to 24 hours a day for multiple days. One of the added benefits of housing these inmates in a dorm setting is that the incidence of suicide should go down given that other inmates will likely try to stop any attempts at suicide.

The future of the Sheriff’s budget is hard to predict; however the Sheriff has been under budget constraints for nearly 10 years. During the fiscal year the state contributions to the Multnomah County Board of Commissioners were reduced resulting in a $1.1 million cut. Further revenue cuts by the State are projected to be 3%. The economic state of the country and specifically Multnomah County, will likely lead to more cuts in the Sheriff’s budget in the future.

7.3% of the Sheriff’s budget comes from housing federal prisoners. 9% of the Sheriff’s budget comes from housing state inmates who in the past would be incarcerated at one of Oregon’s penitentiaries. Reimbursement for a jail bed for the state inmates and the federal inmates are lower than the average bed cost, with the state at $92.81 per bed and the federal government at $128 per bed along with medical expenses. The average cost of a county bed is approximately $176.

We encourage the Sheriff’s office to continue to invest in sustainability measures which saves money. Additionally, we are encouraged by the Sheriff’s decision to replace one of the command staff with an experienced auditor. We are hopeful that this change will result in drilling down to areas that can be run more efficiently.

The Sheriff has done a number of things to reduce costs in the system. His program to reduce sick time abuse has saved between 1.1 and 1.4 million dollars (down 25 – 30%). The sustainability measures employed has saved 392,000 feet of plastic from being wasted. The Sheriff has saved $55,000 by having inmates wash their own clothing and towels. In the future the Sheriff hopes to cut down on the expense of water by using grey water where possible.

The Grand Jury is concerned about filling the correction officers’ positions to help reduce overtime expenses. This jury recognizes, however, that the Sheriff is in a tough situation given the limited amount of money that he receives from the county.

MANAGEMENT

Overview

The 2011 Corrections Grand Jury noted significant positive changes in the management of the Multnomah County jail system. Some of the noted issues are difficult to address because they are institutional.

Decision Making

Testimony from corrections officers indicates that there is some frustration about the decision making process and the time it takes to make critical decisions. The Grand Jury noted that changes have been instituted to alleviate what was previously a top heavy management structure and allow for decision making to be delegated to lower management staff. This has been accomplished by reducing the number of command staff, primarily captains. MCSO received significant praise from other agencies in the county for their openness and willingness to work with those agencies toward a common goal. These agencies included the Commissioner’s office, District Attorney’s office, Department of Human Services (DHS), and Judiciary staff.

Hiring/Turnover

Due to pending retirements MCSO will need to hire aggressively for the next 5 years. Steps to alleviate this issue include hiring new background checkers as well as prequalifying pools of individuals to have them available. At the inception of this Grand Jury there was only one background checker on the job. Recently another has been hired and another is in training.

Based on testimony the Grand Jury heard that turnover among MCSO staff is low. Testimony from several corrections officers indicated that they like their jobs. As mentioned in previous Grand Jury reports, annual performance evaluations for the entire staff would benefit the overall work quality of the organization. We recommend MCSO implementing a performance evaluation process.

Diversity

Overall the Sheriff’s office appears to be doing well in the area of diversity. In terms of racial diversity the Sheriff’s office staff is in proportion to the population of Multnomah County. Concerns were heard about the lack of female representation in the staff.

Retirement/Succession Planning

The Sheriff’s office could lose a significant number of deputies and command staff over the next 5 years because they are eligible for retirement. During the first 10 months of 2011 there were 16 retirements and only 8 new hires. It is critical to replace these outgoing individuals with well trained and qualified staff to maintain the safety and high standards of the Sheriff’s office.

With such a large number of senior management eligible for retirement there is the potential for a significant loss of leadership within the MCSO. Witnesses testified that succession planning is being actively discussed at the highest levels of MCSO staff. To solve this problem, some staff are being promoted.

RECOMMENDATIONS FOR THE MULTNOMAH COUNTY SHERIFF’S OFFICE

Overall, the 2011 Corrections Grand Jury is favorably impressed by the professionalism of the staff of the Multnomah County Sheriff Office (MCSO). We found that inmates are treated with dignity and that due diligence is paid to their safety and care. The Grand Jury found the condition of the facilities clean and well maintained. Going forward our recommendations follow:

1. Continue hiring new deputies. We find that the recent hiring of 8 to 10 FTE’s is a positive trend. We’d recommend that this trend continue until most empty posts are filled, especially in light of the fact that approximately 30% of the staff is eligible for retirement in the next 5 years.

2. Use existing budget still available to hire additional background checkers. 1 to 2 additional FTE’s have been recently hired. We recommend that this staff be increased to a total of 4 to 5 FTE’s. Perhaps retirees and facility security officers (FSO) could serve as a resource of talent for the new hires.

3. More actively recruit perhaps using some of the methods employed by the military.

4. While this Grand Jury recognizes that the shortage of staffing severely curtails the number of training hours that can be made available to deputies, we do have a concern that only the bare minimum is being met. We recommend pulling in retirees to fill “desk-jobs”, rotating other deputies in such a way that would allow more extensive training for all staff. Current recommended guideline is 40 hours per year. In actuality they receive approximately 16 hours composed of 4 OSHA and Medical/4 Defensive Tactics/8 Suicide. The Grand Jury commends MCSO for implementing VIVID, an on-line training program, by the end of 2012.

5. The 2011 Grand Jury heard testimony regarding the need to stagger deputies while on special assignments. The Grand Jury’s concern from this testimony is that too many deputies begin and end the same assignments during the same time period. Reassigning skilled deputies to be replaced by newly trained deputies leaves programs and departments such as classifications, close street, and others vulnerable. We are concerned about the lack of cross training and solid team building that such vacancies could potentially leave. Testimony indicates that some of these programs require at least 2 years for a deputy to become completely proficient. Staggering deputies at different intervals would allow not only the more experienced deputies to smooth the transition for the newly trained deputy coming onto the new assignment, but would also allow the departments to run more efficiently. We believe such cross-training would ultimately result in greater bench strength and show significant cost savings.

6. MCDC was completed and opened in 1983. Since then, designs for jail facilities have greatly improved across the nation bringing about necessary modifications such as an easier, more thorough way for deputies to monitor inmates, advanced sustainability, more cost efficacy, and other significant advantages. This jury heard testimony and/or witnessed several adverse elements of this building.

They include the following:

    a. high cost of providing inmates with meals because they cannot b prepared by inmates in the current facility
    b. wear and tear on the elevators
    c. complexities of traffic navigation and parking around the building because of its location, as well as other factors

7. The Grand Jury heard testimony that indicates that MCCJ is not earthquake-ready posing obvious dangers to the staff, the defendants, and the inmates, as well as the great number of public citizens who occupy this building on any given day. Further, we believe that although the sheriff has continually raised the subject to the county level, we are concerned that no positive step has been taken toward reconciling this problem. One of the witnesses testified that more than a decade has been spent by the county looking at various options but, still no viable plan has been presented. We find this unacceptable and urge the county commissioners to present a solution.

CLEAN SLATE PROJECT

The 2011 Corrections Grand Jury heard testimony from Roy Jay, founder of Project Clean Slate. In an effort to help past offenders expunge their records and become eligible to qualify for a driver’s license, as well as procure jobs, Roy Jay founded Project Clean Slate on July 9, 2005. MCSO supports the program. The Grand Jury applauds the success of this program and is pleased to see the cooperation between Clean Slate Project and MCSO and other partners in the criminal justice system.

EXECUTIVE SUMMARY

The Corrections Grand Jury extensively reviewed the operations of the 3 public agencies responsible for the detention of inmates in Multnomah County. The public agencies include the Multnomah County Sheriff’s Office (responsible for MCDC, MCCJ, MCIJ JDH), the Department of Community Justice (responsible for JDH) the State Department of Corrections (responsible for the Columbia River Correctional Institute). The operations of the Multnomah County Health Department Corrections Health Division, which provides medical care in the county jails and the juvenile facility, were also reviewed.

In general the operations of the Sheriff’s county jail system continue to improve relative to issues that have been raised in previous Corrections Grand Jury reports. Sheriff Staton has acted on previous Grand Jury recommendations to eliminate some upper management positions including 4 captains’ positions. The Sheriff’s Office, like many county agencies have struggled to provide adequate service to the community given several years of budget cuts. The Sheriff instituted an effective program to combat sick time abuse which saved a significant amount of money, also increased savings by instituting sustainable living measures, and provided mandatory 8 hour training in the area of suicide prevention for all corrections deputies and management personnel. However, the Grand Jury does have a concern regarding the significant overtime expense and would urge immediate new hires.

A number of corrections officers and others who work within the Multnomah County Jail system have been complimentary of management. The officers showed a sense of pride in what they do and this is obviously conveyed to those around them. Other partners in the systems as well as inmates give the officers high marks in terms of their professionalism. The partnership between the corrections officers and the County Correction Health Department is one of mutual respect.

Several witnesses testified to the fact that communication with system partners and the overall safety of the courthouse has risen substantially. Operations are efficient and morale is high. Testimony largely attributed these factors to the positive, supportive attitude of the captain in charge of this unit.

The grand jurors thought that the operations at the Juvenile Detention Center were excellent. The juvenile detainees have school daily, counseling and a number of resources directed at intervening at a crucial stage in their life. The facility was clean, well managed and the food was exceptional.

Finally, the Grand Jury would like to see a safety railing implemented on the top floor of CRCI. Although no suicide has occurred, the Grand Jury felt that the potential of future suicide attempts exists. Overall, the operation of the Columbia River Correctional Institute, a state prison facility, appears to be running smoothly.

2011 CORRECTIONS GRAND JURY WITNESSES
1 Chad Guidos 2 Nate Reaver 3 Nathan Smith 4 Donald LeRoy Russel 5 Ronald Hubbert 6 Mary Lindstrand 7 Gayle Burrow 8 Barbara Topor 9 Steve Sutton 10 Shannon Goulter 11 Ron Bishop 12 Linda Yankee 13 Robert Camp 14 Dennis Bryant 15 Dave Rader 16 Byron Moore 17 Lewis Kyle 18 Katie Burgard 19 Jeannie Chesney 20 Rai Adgers 21 Edward Climer 22 Vera Pool 23 Shawn Skeels 24 Jon Mathews 25 Cathy Gorton 26 Christine Popoff 27 Deborah Kafoury 28 Beckie Lee 29 Judy Shiprack 30 Steve De Jongh 31 Scott Aljets 32 Gina Madsen 33 Brittany Phillips 34 Melanie Parker 35 Kevin Hunking 36 Craig Bachman 37 Rick Jensen 38 Thomas Cleary 39 Christina McMahan 40 Davia NemKevich 41 Elizabeth LaCarney 42 Dave Fife 43 Stephanie Gaidosh 44 Meredith Olson 45 Richard O’Brien 46 Leonard Kinnison 47 David Rieman 48 William Salser 49 Kari Kolberg 50 Kris Spencer 51 Barrett Taylor 52 Jordan Bryant 53 James Powers 54 Ruth Miller 55 Israel Chinn 56 Bernard Lynch 57 Markeley Drake 58 Drew Brosh 59 Wanda Yantis 60 The Honorable Jean Maurer 61 Mark Hale-Brown 62 Maureen Raczko 63 Guadalupe Lee De La Garza 64 Leo Irvan 65 Michael Shults 66 Daniel Staton 67 The Honorable Julie Frantz 68 Michael Schrunk 69 Kathleen Dunn 70 Tom Jacobs 71 Bobbi Luna 72 Roy Jay 73 Roger Gelvik 74 Dan Brown 75 John Tillinghast 76 Randall Mcpherson 77 Molly McDade-Hood 78 Erica Murray 79 Scott Williams 80 Joyce Griffin 81 Kurtiss Morrison 82 Tamara Levi 83 Mike Wroten

ACKNOWLEDGEMENTS

The 2011 Corrections Grand Jury wishes to acknowledge and thank the staff of MCSO and others, particularly the following individuals without whose enthusiastic support and assistance, this report would not have been possible.

Sheriff Daniel Staton, Director Nate Reaver, Captain Rai Adgers, Captain Mary Lindstrand, Captain Linda Yankee, Captain Ron Bishop, Security Manager Elizabeth LaCarney, Superintendent Christine Popoff, Sergeant Tom Jacobs, Sergeant Dennis Bryant, Deputy Chad Guidos, Executive Director Roy Jay,

MEMBERS OF THE 2011 CORRECTIONS GRAND JURY

Angela Quinones, Daniel Pratt, Danniel Schorr, Elaine Edgel, Farrell Ortiz, Laurie Christopher, Foreperson, Mary Nordlund

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When Justice Isn’t Fair

Posted by admin2 on 6th October 2011

From the Portland Mercury, October 6, 2011

Teenager Kyeron Fair’s Saga with Portland’s Justice System Comes to a Confusing Close

In the narrow hallway of Multnomah County’s main courthouse, the Fair family crowded into a tight circle last Wednesday, September 28.

“In Jesus’ name, we ask for justice for this boy!” called out Kelli Jarrell, the matriarch of a family that has gone through hell in the year since her son, Kyeron Fair, was arrested on suspicion of armed robbery. Fair’s saga with the local criminal justice system—including a mental breakdown and allegations that he was severely beaten by jail guards—has become a troubling example of the all-too-common intersection between mental illness and incarceration.

And now, 12 months after Fair’s arrest, the family has lost faith in justice. That Wednesday, they were at court attempting to fire Fair’s public defender, Gary Bertoni, days before a crucial deadline to decide whether to accept a guilty plea for 10 months in jail or go to trial. This week, in a quiet end to his plight, the family accepted the plea anyway.

“I have lost trust in Gary Bertoni,” Fair, an 18-year-old African American from Northeast Portland, told Judge Eric Bergstrom repeatedly during last week’s hearing, saying he believes Bertoni withheld crucial information from him.

“Your case has certainly had an unusual progression,” acknowledged the judge. “But it has also been given a pretty generous offer by the state. I’m not sure you want to start all over with a new attorney.”

Noting the public cost of restarting the legal process after a year of work, the court said Fair could get a new lawyer only if he paid for one out of pocket.

And so Fair pleaded guilty.

“He said he’s just bummed out, he just doesn’t have it in him to fight,” said Jarrell. “He’s not going to get the justice he deserves.”

As reported extensively in Portland African American newspaper The Skanner, Fair’s struggles with the court system began September 13, 2010, when officers pulled the Parkrose High School senior out of class to arrest him for his role in a three-person armed robbery of a pound of pot from a medical marijuana user. The 17-year-old was booked at the Multnomah County Detention Center (MCDC), then taken to the county’s juvenile detention center. That’s where things got weird.

READ – Portland Teen Hospitalized with Severe Internal Injuries While In Custody, The Skanner – October 12, 2010
READ – Kyeron Fair: State Investigation Details Beating, Tasing of Teen in Mental Health Crisis, The Skanner – June 2, 2011

Fair, who had no prior history of mental illness, began acting extremely erratically. Fair remembers almost nothing from this time, but when his mother visited him, she noted that he was jittery, wouldn’t make eye contact, and kept repeating the phrase, “I didn’t do it. I didn’t do it. Can they hear me? Can they hear me?”

He refused to eat or drink for three days, believing his food had been poisoned. He apparently became aggressive with staffers, who called MCDC on September 17, 2010, to have him transferred back to the adult jail because they couldn’t handle him. The juvenile center staff also feared he was suicidal, though that was not told to the MCDC officers who came to pick him up in a detention center van.

The local detention centers are used to dealing with people suffering from mental illness. Oregon’s jail and prison system is the state’s largest provider of mental health care—20 percent of the inmates who spend time at the Multnomah County Detention Center have a serious mental illness diagnosis ["The Criminalization of Mental Illness," Feature, Jan 14, 2010].

Six to eight juvenile detention center staffers escorted the teenager, whose feet and hands were cuffed, out of the juvenile facility. During the transfer from juvie to MCDC, and eventually to Oregon Health and Science University (OHSU), Fair repeatedly flopped on the ground—screaming at and kicking officers.

When Fair did not respond to officers’ orders during the transfer to the hospital, instead playing peek-a-boo with the officers by pulling his shirt over his face, MCDC officers decided to Taser him twice, and then use a series of straps to bind his arms, shoulders, and legs to a gurney, a tactic known as a “four-point restraint.”

Fair eventually spent 20 days in the hospital, mostly while shackled or handcuffed and allowed only one phone call a day from his mom, as his behavior fluctuated from paranoid to near-comatose. Exams revealed no drugs in his system except cannabis, and showed no injuries except air pockets that had formed under the skin of Fair’s face, neck, and chest—a strange condition that could occur spontaneously or be caused by physical trauma. On October 11, 2010, Fair was diagnosed with bipolar disorder and transferred to the Children’s Farm Home, a juvenile mental health treatment center.

When state police investigators wrote up a 1,100-page use-of-force report about the case months later, one of the few memories Fair relayed was that an officer pounded on his chest in the hospital, calling him stupid. Reviews of the state report found that “there is no basis for the conclusion that the individual was criminally assaulted by anyone.”

For the county, state, and city, Fair’s case is closed as he heads to jail.

But for his family, questions linger that no court will ever answer. What exactly happened during the days Fair doesn’t remember? And what will happen when he returns behind bars?

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The Criminalization of Mental Illness

Posted by admin2 on 10th January 2010

From the Portland Mercury, January 10, 2010

“In terms of institutions that the state runs, there are more people with major mental illness in prison and jail in Oregon than there are in mental hospitals,” says Bob Joondeph, executive director of Disability Rights Oregon, an advocacy group that works to protect the rights and safety of Oregonians with disabilities.

Here in Portland, many inmates spend time at the Multnomah County Detention Center (MCDC) on SW 3rd. The facility handles 40,000 inmates a year; 20 percent or 8,000 inmates have what’s known as an “Axis I” mental health diagnosis like schizophrenia, major depression, or serious bipolar disorder, estimates Gayle Burrow, the county’s corrections health director.

The jail spends half of its annual $600,000 drug budget on psychiatric medications for those inmates who will consent to taking them. For those who refuse, unlike a “real” psychiatric institution, jails can’t force inmates to take their meds. Far from solving our state’s mental health problems, almost everyone acknowledges that the current situation is probably making them worse.

“Jail is not a therapeutic environment,” says Joel Greenberg, a lawyer who works with Disability Rights Oregon. “It’s a scary place to be if you’re in good mental shape, let alone if you’re not.”

I went on a tour of the MCDC and talked to mental health advocates to find out more.

“ASSAULTIVE, WALK ALONE.”

“December 23, 1985, I got my first jail concussion right in that cell,” says Captain Ron Bishop, the Multnomah County sheriff in charge of operations at MCDC, giving me a tour in December. “An inmate jumped me from the side and punched me in the head.”

Hardly bitter, Bishop seems almost nostalgic describing the incident. We’re in unit 4B on the fourth floor at the jail. It’s where the 10 most psychologically unstable inmates are kept. Even though they’re all locked in their cells, there’s a crackle of menace in the air. One inmate is shirtless, looking out his cell window at us, shouting repeatedly, “What’s he writing?” as I take notes. Another kneels in his cell with his arms outstretched like he’s being crucified, talking to himself.

Each inmate has a notice on his cell, labeled with their names in black marker and in almost all cases the words, “Assaultive, two deputies, walk alone.” It means that when the inmates are let out of their cells they must have two deputies with them at all times, and they are not to associate with other inmates because they are likely to assault them. As one of the two deputies on duty, Kevin Fuller, puts it, “This is a very stressful place to work.” Bishop himself worked here for four months, five days a week. “And I finally said, ‘I have to be moved,’” he says.

As we leave, the shouting inmate seems to have figured out that I’m a reporter. He yells, “Extra! Extra! Read all about it!”

Downstairs in the booking area, Sergeant Jesse Luna has been trying to communicate with a mentally ill inmate who was booked half an hour ago for allegedly stealing a car. A big man in the mold of Bishop and Fuller (I wonder if there’s something about the job that makes them all so hulking), he also has an air of intelligence, compassion, and patience at odds with his size. Luna approaches an isolation cell and attempts to engage the inmate in conversation to stop him from further kicking and hitting the cell door.

“What’s your name?” asks the inmate.

“I’m Sergeant Luna,” he says.

“As in lunar eclipse?” asks the inmate.

“I’ll be right back,” Luna says.

“Fuck me, nigger!” shouts the inmate, hitting the door again.

Luna turns to me. “We like to get them through the process,” he says, calmly. “If it takes me an hour, I’ve got an hour. We check the cells every 15 minutes, and I do have medical and psychiatric staff. The problem we have is no history on this guy. Is there contact information for a family member, maybe?”

Luna explains that though the inmate is hitting the cell door repeatedly, he can “work with” that level of self-harm. His medical staff has checked the inmate, he says, and he sees no blood. But if the inmate starts to hit his head against the wall then Luna may have to restrain him further.

CREATIVE TREATMENT

Most mentally ill inmates end up at the detention center because they have acted out in a way that could be construed as criminal. A common charge, for example, is “interfering with public transportation,” when someone causes concern on TriMet buses or the MAX. Once they’ve been booked into the system, all inmates at MCDC go through ongoing evaluation by nurses and mental health counselors, and treatment plans are discussed at twice-weekly meetings.

Sometimes, treatment plans can be pretty creative, says Maureen Raczko, a corrections counselor. “You find out what is important to the person,” she says. “It might mean giving them a piece of paper and a crayon or books or just giving them two glasses of Kool-Aid instead of one. In one case, a deputy was helping an extremely schizophrenic person, who thought all the jail towels and uniforms were poisoned and soaked in gasoline. So the deputy just refolded all the towels and uniforms, and the inmate was eventually convinced it was linen from somewhere else. They finally got him to take a shower.”

Another inmate was “really obsessed with getting an ID,” says Steve Sutton, Raczko’s manager. “So we provided him a generic copy of his own mug shot.”

One of the biggest frustrations faced by the jail staff is that it’s almost impossible to get an inmate admitted to the psychiatric wards at local hospitals.

“We’re providing the best service that we can to a population that truly does not belong here in the jail,” says Captain Linda Yankee, who shares responsibility for running the jail with Captain Bishop. “The response that we get from local hospitals is that ‘there’s nothing we can do that you can’t do,’ and that’s simply an inaccuracy. They need medication, but we can’t force medication here.”

A BROKEN SYSTEM?

It’s very difficult for psychiatric hospitals to deal with mentally ill inmates, says Robin Henderson, chair of the Oregon Psychiatric Inpatient Committee, which represents hospitals around the state.

“Some hospitals have what are called custody agreements, but most require a sheriff’s deputy to stay with the inmate, and that causes significant staffing problems at the jail,” she says.

As such, inmates often stay in jail when it doesn’t seem safe for them to be there. Disability Rights Oregon filed a lawsuit against the jail along with the Oregon Law Center in November 2008 on behalf of Ken Yeo, a mentally ill inmate who was Tasered twice and cut in the head at MCDC after he lost touch with reality, also technically known as decompensating.

Yeo was originally booked in Washington County on May 27 of Memorial Day Weekend in 2007. He told jail staff that without medication he would go psychotic, and his family contacted sheriffs there to tell them about his needs. Nevertheless, Yeo wasn’t evaluated or given medication, and was transported to MCDC on an outstanding warrant in a spit sock and restraint chair.

Yeo wasn’t evaluated at MCDC, either, because of the holiday, and three days later staff found him covered with excrement, raving, and completely unresponsive to simple commands or questions. He was eventually Tasered in his cell after refusing to be handcuffed while it was cleaned, according to the suit.

This is the first lawsuit that lawyer Greenberg has filed in five years at Disability Rights Oregon. Normally he works cooperatively with jail staff to try to get better treatment for mentally ill inmates.

“But I think this particular case just encompassed so many things that we’ve been dealing with over and over, it just seemed like the only way to get them to focus on this stuff,” he says.

Greenberg says he can’t speak in depth about the lawsuit, but is happy to talk about the general problems his organization has encountered with jails that have led up to the filing of the suit.

“People with mental illness are frequently picked up for low-level crimes. Frequently, these folks are off their meds, and they’re obnoxious and difficult to deal with. When they get to the jail, they undergo a cursory evaluation of their mental and medical health, but it’s based on looking at the guy and asking some questions,” Greenberg says.

“And the ones who are really out there, they tend not to evaluate them, if they’re not cooperating or whatever,” he continues. “And once the jail staff has decided they can’t do this, the inmates don’t tend to see a medical professional very quickly. And so these folks, if they’ve not fully decompensated when they arrive, they [do so] soon. Then they’re Tasered and roughed up.”

County staff can’t discuss outstanding lawsuits, but almost everyone I spoke to for this story stressed that responsibility for the current problems does not necessarily lie with the jail.

“What we really need are for psychiatric services to be more available in the community, so we don’t have what is essentially a criminalization of mental illness,” says Sutton, MCDC mental health program manager.

As is the case for any agency providing care to seriously and persistently mentally ill people, Sutton says, “There are challenges to meeting their needs.” Working within the “structure and limitations of a jail compounds those challenges,” he adds, extending an invitation to anyone who is invested in the jail’s patients’ lives to pay him a visit.

“We have a transparent system,” he says.

NO COMMUNITY CARE

The county spends $2.2 million each year on Project Respond, a 24/7, 35-person mobile outreach team that responds to calls about mental health crisis from the police and concerned community members. For example, a neighbor might call the police about a neighbor acting increasingly paranoid, and a team from Project Respond would be dispatched to look into it. The city also contributes $365,000 annually to Project Respond

Project Respond gets about 10,000 calls every year, but is frequently dispatched to see the same person “many, many times,” says Greg Borders, clinical director of crisis services at Cascadia Behavioral Healthcare, which runs Project Respond.

The biggest problem, says Borders, is the lack of insurance coverage for the people he visits. That means he can’t send them for counseling or treatment or even get drugs prescribed.

“That’s our biggest frustration,” he says. “Because we leave thinking, sure, we may have deescalated them for the moment, but what’s going to happen next time there’s a crisis? These people simply don’t have access to ongoing mental health treatment.

Inevitably, many of the people Borders sees end up in jail when they could have gotten treatment earlier, if only they had health insurance.

THE BOTTOM LINE

Aside from the cruelty, the senseless business of waiting for mentally ill inmates to decompensate before we take responsibility for their mental health in Oregon’s jail system is that it’s cheaper to provide housing and treatment for them instead. But policy makers have tended to focus on funding the “Band-Aids” like Project Respond, rather than preventative care in the community that might alleviate pressure on jails, says Joondeph of Disability Rights Oregon.

Many have grown sick of a triage approach to this issue.

“It’s basically flushing money down the toilet,” says Jason Renaud, co-founder of the Mental Health Association of Portland, who is now running against City Commissioner Dan Saltzman for Portland City Council. “We could spend money far more effectively by providing community care and outpatient treatment earlier. What we want to do is be providing evidence-based, outcome-driven treatment, on demand. That means when there are 25 people in line at Hooper Detox wanting treatment, we give it to all of them, not just two or three. It means that someone doesn’t have to commit a crime to get inpatient mental health treatment.”

FIXING THE HOLE

The picture, though bleak, is not entirely hopeless. Following the settlement of its part in a lawsuit brought by the family of James Chasse, a man with schizophrenia who died in police custody in 2006, Multnomah County is moving forward with plans for a new Crisis Assessment and Treatment Center. It will be a 16-bed facility on East Burnside where the existing Hooper Detox Center is.

Chasse’s death “focused the public’s attention on the lives of people with mental illness who live here in the community, and who lack the services they need,” says Multnomah County Chair Ted Wheeler.

The treatment center will cost $4 million to build—the Portland Development Commission has committed $2 million and $2 million is yet to be procured. Wheeler hopes the $3 million a year operating costs will be funded by equal contributions from the county, city, and state. Wheeler says he’s “very encouraged” by conversations at the state level and with Mayor Sam Adams about funding the center when it opens in late 2011 or early 2012.

People in mental health crisis will stay on average four to 16 days at the center, says Dave Austin, with Multnomah County Department of Human Services.

“The idea is to let the person calm down to the point where the crisis is over, but you don’t just want to kick the person out on the street,” he says. “We want to make sure that they get access to services.”

Meanwhile, Cascadia Behavioral Healthcare has just procured a $30,000 grant from the Bazelon Center for Mental Health Law in Washington, DC, to look into scenarios where mentally ill people come into contact with police.

“It’s a three-year project doing root-cause analysis,” says Ashleigh Flynn, communications director at Cascadia. “We’ll take case scenarios of when our clients and those with mental illness end up being first contacted by police, and try to determine in those scenarios where the system went wrong and what could have been done to eliminate the police contact.”

The program began in the fall, and has also secured some money from the Soros Foundation. Perhaps unsurprisingly, it’s still looking for more local support.

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Mom told jail her son was unstable

Posted by admin2 on 7th November 2007

From The Oregonian, November 7, 2007 – not available online

As Joshua Shane Overstreet was booked into jail on a heroin count, the warning signs quickly added up.

The 18-year-old told jail staff that he had been diagnosed with suicidal depression. His mother, when contacted by telephone, warned that Overstreet was unstable, a danger to himself, and said he should stay in jail , records show.

Overstreet seemed such a risk to harm himself that a staff member recommended against the teen’s release even though the jail typically lets people with no previous criminal record go home right away.

“We did an override,” said spokesman Robb Freda-Cowie.

The mental health team at the Multnomah County Detention Center evaluated Overstreet, and he stayed the night in jail on a suicide watch.

But a Health Department employee at the jail later determined Overstreet was fit for release, allowing him to leave the jail last Friday. The Lake Oswego teenager died about an hour later, after plunging from the parking garage across the street from the jail .

On Tuesday, as Overstreet’s family were preparing for his funeral, officials at the county Health Department declined to provide an explanation or any information about the case, citing privacy rules.

“I’m a little concerned about the details of his release,” said Kevin Bermingham, an uncle speaking on behalf of the family. “We’re just trying to get a memorial service together and at least put that to rest and get some closure for the family. And then we’ll get into the minutia of what went wrong.”

As news of Overstreet’s death spread through mental health circles, officials lamented what they saw as another example of an overburdened jail system struggling to handle an influx of mentally ill people.

“They do the best they can, they’ve got a good staff, but they are swamped with people who should be in treatment rather than incarceration,” said Leslie Ford, chief executive officer of Cascadia, the largest nonprofit mental health care and addictions treatment provider in Oregon.

Ford said that cuts to the Oregon Health Plan and insufficient treatment space had the effect of pushing many mentally ill into the jails .

“This is a dramatic case because this young man was released and demonstrated so quickly that he was not ready to be on his own, but there are many much less dramatic cases that happen every day,” Ford said.

Even as the jail has cut space in recent years, the number of mentally ill people has increased, said Judy Shiprack, director of the county’s Local Public Safety Coordinating Council, which has studied mental illness in the criminal justice system. About 13 percent to 15 percent of inmates report to jail staffers that they have a mental illness, but the true number probably is much higher, she said.

“The sad fact is there is a lot of pressure to release mentally ill people to free up space in the jail ,” Shiprack said. “This is a sad result of that.”

Overstreet wound up in jail last Thursday after a tumultuous day. On Wednesday evening, Overstreet left the residential drug and alcohol treatment program where he had been staying and attending school, his mother told jail staff.

On Thursday afternoon, Portland police arrested Overstreet for using heroin in a downtown Starbucks restroom. They took Overstreet to the downtown jail .

At 10 p.m. Friday, police found him by the parking garage, dead of head, neck and back trauma.

Lee Brown, Overstreet’s former counselor at Lakeridge High School in Lake Oswego, said he can’t figure out what happened to the teenager. “I just feel a lot of shock and disbelief that this could happen to Josh, who had so much potential.”

Overstreet grew up in Eugene, where he attended Magnet Arts Elementary School, Jefferson Middle School and Churchill High School. In 2005, after his sophomore year, he moved up to Lake Oswego with his mother, Elizabeth, and began attending Lakeridge.

“I generally have 400 kids on my caseload, but Josh was a very memorable individual,” Brown said. “He was an exceptional student who took AP history and science and other classes, and he excelled across the board. He was very mature, and he could clearly see his path beyond high school.”

Despite the high marks, Overstreet had “attendance issues,” said Lake Oswego School District spokeswoman Nancy Duin. In March 2006, after about 100 days at Lakeridge, Overstreet, his mother and Brown decided that he would begin working toward his GED at Portland Community College.

There was no question that Josh –who came across as a serious, ambitious, “mainstream student” –would do just that, Brown said.

Yet by spring, a school district secretary noticed that he hadn’t actually been going to the college classes, Duin said.

Later he enrolled at the De Paul Alternative School, part of a youth residential alcohol and drug treatment program in Portland. An administrator declined to discuss Overstreet, citing privacy rules. Records indicate that he dropped out Thursday.

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