CJCC - Behavioral Health Subcommittee — Agenda Packet

CJCC- Behavioral Health Subcommittee Agenda September 28, 2026 10:30 AM St. Croix County Service Center - Room 172 1752 Dorset Lane, New Richmond, Wisconsin Call to Order Roll Call Approval of Minutes 1. Minutes of Previous Meeting - June 1, 2026 Public Comment Business 1. Membership Update 2. BH CJCC Workgroup Update — TAD Grant Ideas 3. Behavioral Health Integrated Clinic Update 4. JMI Feedback / Update on SUD vs Criminogenic Interventions 5. Small and Rural Pretrial Dashboard - Testing Engagement 6. Treatment Alternative Program (TAP) Grant Feedback 7. HHS Grant Updates Request for Future Agenda Items Announcements Adjournment Date of Next Meeting 1. Date of Next Meeting - November 23, 2026 Reasonable efforts will be made to provide special accommodations for access to public meetings. To request a special accommodation, please contact the County Clerk’s Office at (715) 386-4600 at least two business days prior to the time of the meeting. For more information on St. Croix County's public meetings visit: sccwi.gov/meetings Page 1 of 8 CJCC- Behavioral Health Subcommittee Minutes June 1, 2026 10:30 AM St. Croix County Service Center - Room 172 1752 Dorset Lane, New Richmond, Wisconsin Call to Order HHS Deputy Director/CJCC BH Subcommittee Chair Shar Lopez called the June 1, 2026, meeting of the Community Justice Collaborating Council (CJCC) Behavioral Health Subcommittee to order at approximately 10:32 AM. Roll Call PRESENT: Brian Barlett, Shonda Helgeson, Elizabeth Klasen, Sharlene Lopez, Lisa Multhauf, Samantha Pierson, Bob Rohret, Kait Solinger, Gordon Young ABSENT: Tim Kufus, David Olson, Mark Richert Others in Attendance: Justice Services Director Phil Galli, Behavioral Health Administrator Becky Kerr, Katie Johnson (WWH), Natalie Radich, HHS Approval of Minutes The minutes were accepted as presented. 1. Minutes of Previous Meeting - March 23, 2026 Public Comment No public comment. Business 1. Report Out (Justice Management Institute) Robin Wosje & Aimee Wickman Wickman provided an overview of the assessment performed of the St. Croix County CJCC by JMI. Behavioral health services were identified as a top priority within the CJCC. Wosje and Wickman met with various stakeholders in March, including Rohret and Lopez, to learn about CJCC strategic focus, and to provide guidance. Potential for JMI to work with SCC to develop a formal strategic plan. Wosje, Wickman and Galli will determine the next course of action. 2. New SUD program at Western Wisconsin Health (Shonda Helgeson / Ellen Thompson) Shonda Helgeson and Ellen Thompson from WWH reported “Many Paths to Recovery” opened today. The program does not require patients to have a primary care provider at WWH Hospital, but they are willing to help connect clients to primary care if interested. Medication Assisted Treatment (MAT) is also available through this program. Page 2 of 8 Providers are located in Baldwin and Spring Valley with oversight from Dr. Schwartz. This is an outpatient ASAM (American Society of Addiction Medicine) level of care consisting of 3 hours of group and one individual session per week, and less than 9 hours total per week of services. The program will accept Medicaid. Uninsured clients will be assisted with acquiring insurance/Medicaid coverage. Any substance use disorder (SUD) can be treated. The program can provide urine testing, but this is not required of clients. WWH is exploring expansion to an intensive outpatient level of care in the future. Currently licensed as a co-occurring enhanced treatment provider under DHS Rule 75.49, it focuses on: motivational enhancement approaches; working with employed persons with mild- moderate SUD issues, and finalizing their curriculum. WWH will accept ASAM assessments from another provider depending on how recently it was performed. Only adults, no one under the age of 18 is accepted at this time. Do want to evolve focus to pregnant women with SUD. Current capacity is for 8–12 group participants. 3. Sequential Intercept Model (SIM); SIM Workgroup Meeting 4/9/26-Shar Lopez & workgroup members Subcommittee work group—reviewed notes from the work group meeting. Discussed HHS request for a 3rd co- responder position under the 2027 budget; will be pilot testing a “data dashboard” at least on a limited basis. It is difficult to develop a database that includes “outside” entities due to IT security and data privacy reasons; Public Health is also in the early stages of developing a similar dashboard to monitor various Public Health measures; Galli is reviewing Eau Claire’s efforts and a dashboard they are utilizing. 4. Proposed programming / grants submitted - Shar Lopez Lopez reported that HHS did not receive the Treatment Alternative Program (TAP) grant. Very competitive, only one award in the state. Sub-Committee members explored Intercepts 4 and 5 and currently available resources in these intercept areas, such as: a behavioral health professional embedded in the jail; a jail-based therapist (through September 2026); peer support; and recovery housing. Intercepts 2 and 3: Potential to use University of Wisconsin Extension to facilitate a curriculum (parent/skill building) for justice involved and others. Potential to use treatment court grant dollars to do something diversion- related; someone to facilitate something similar to what UW Extension is offering. Efforts could benefit the broader population. With Treatment Court ending, some of that funding could potentially pay for a part-time position. Multauf and Galli will work on next steps and explore a possible contract with UW Extension or Programs for Change for a part-time facilitator. 5. Intoxicated Driver Program, IPID Committee (WI DHS 62.04(4) - Natalie Radich Natalie Radich, Behavioral Health Supervisor (HHS) is working with WWH and Programs for Change around partnerships. Request for Future Agenda Items Lisa Multauf will provide an update on the TAD grant. Announcements Rohret stated that Crisis Care Facility (CCF) start-up/supportive funding allocated by the legislature last year ($10 million) is actually included in DHS-based funding going forward to support/help sustain CCFs, according to the DHS regional representative. Rohret announced that Diana Martinson began employment today as the Executive Administrative Assistant for HHS, Page 3 of 8 replacing Colleen Linder after her retirement. Adjournment The meeting was adjourned at 11:47 AM. Date of Next Meeting The next meeting is scheduled for July 27, 2026, at 10:30 AM. 1. Date of Next Meeting - To Be Determined. The next meeting is scheduled for July 27, 2026 at 10:30 AM. Page 4 of 8 created with assistance from JMI, July 2026 Page 1 P R A C T I C E G U I D E A Comparison of Substance Use and Criminogenic Assessment and Treatment Justice and behavioral health systems increasingly serve the same people, yet they assess and treat them through two very different lenses. This guide explains each lens, names the tools used for each, states their goals, and compares them side by side so practitioners can use them together for their intended goals. Introduction ASAM levels of care The ASAM Criteria, published by the American Society of Addiction Medicine, is the most widely used framework for matching a person with a substance use disorder to the right intensity of treatment. Rather than sorting people by drug of choice or by a single diagnosis, it evaluates the whole person across six assessment dimensions: • Dimension 1 — Intoxication, withdrawal, and addiction medications (acute risk of withdrawal). • Dimension 2 — Biomedical conditions and complications. • Dimension 3 — Emotional, behavioral, or cognitive conditions and complications. • Dimension 4 — Readiness to change. • Dimension 5 — Relapse, continued use, or continued problem potential. • Dimension 6 — Recovery and living environment. Scores across these dimensions point to a recommended level of care along a continuum, from the least to the most intensive: • Level 0.5 — Early intervention for people at risk who do not yet meet diagnostic criteria. • Level 1 — Outpatient services. • Level 2 — Intensive outpatient and partial hospitalization. • Level 3 — Residential and inpatient services (ranging from low-intensity to medically monitored). • Level 4 — Medically managed intensive inpatient services. The organizing principle is to place each person in the least intensive setting that can safely and effectively meet their needs, and to move them up or down the continuum as those needs change. ASAM released the fourth edition of The ASAM Criteria for adults in 2023, which refines this structure and its language; the six-dimension, multi-level logic above remains its foundation. The criminogenic risk-and-treatment plan A criminogenic risk-and-treatment plan comes from corrections rather than medicine. “Criminogenic” means “causing or likely to cause criminal behavior,” so a criminogenic assessment asks a different question than a clinical one: how likely is this person to reoffend, and which changeable factors are driving that risk? It is built on the Risk- Need-Responsivity (RNR) model developed by Canadian psychologists Donald Andrews and James Bonta, which rests on three principles: • Risk — match the intensity of supervision and services to the person’s risk level; concentrate resources on higher-risk cases. Page 5 of 8 created with assistance from JMI, July 2026 Page 2 • Need — target dynamic (changeable) criminogenic needs rather than factors unrelated to offending. • Responsivity — deliver interventions in a way that fits the person’s learning style, motivation, abilities, and circumstances. The “need” principle is anchored in the eight strongest predictors of reoffending, often called the Central Eight: history of antisocial behavior, antisocial personality pattern, antisocial cognition (attitudes and beliefs), and antisocial associates (the “Big Four”), plus family/marital circumstances, school or work, leisure and recreation, and substance abuse (the “Moderate Four”). A criminogenic plan scores a person’s risk and needs, then prioritizes the dynamic needs that treatment and supervision should address to lower the chance of reoffending. Assessment Tools Links below point to each instrument’s official publisher or a recognized authoritative source. Some criminogenic tools are proprietary and require licensing and certified training; confirm the current edition and access terms before use. Substance use assessment tools • The ASAM Criteria — the placement framework itself. asam.org/asam-criteria • ASAM CONTINUUM / CO-Triage — ASAM’s computer-guided clinical decision-support software that operationalizes the Criteria. asamcontinuum.org • Addiction Severity Index (ASI) — a structured interview rating problem severity across medical, employment, alcohol, drug, legal, family/social, and psychiatric domains. NIDA CTN resources • AUDIT (Alcohol Use Disorders Identification Test) — a 10-item screen developed by the World Health Organization. who.int • DAST-10 (Drug Abuse Screening Test) — a brief screen for drug-related problems. NIDAMED screening tools • SBIRT (Screening, Brief Intervention, and Referral to Treatment) — a validated screening and early- intervention approach supported by SAMHSA. samhsa.gov Criminogenic risk and need assessment tools • LSI-R (Level of Service Inventory–Revised) and LS/CMI (Level of Service/Case Management Inventory) — the flagship RNR instruments (Andrews, Bonta & Wormith); published by MHS. mhs.com • ORAS (Ohio Risk Assessment System) — a public-domain, stage-specific system from the University of Cincinnati Corrections Institute. University of Cincinnati (UCCI) • COMPAS — a widely used (and widely debated) risk/needs instrument from equivant. equivant.com • RNR Simulation / Program Tools — resources for matching people and programs to the RNR model (Taxman et al., George Mason University). gmuace.org Goals and Reasons Substance use assessment and treatment The purpose of substance use assessment is clinical: to determine whether a substance use disorder is present, how severe it is, and what intensity of treatment the person needs right now. The goals of the treatment that follows are to: • Stabilize any acute withdrawal or medical risk and keep the person safe. • Reduce or stop substance use and treat the underlying disorder as a health condition. • Address co-occurring medical and mental health needs. • Improve daily functioning, well-being, and quality of life. • Build and sustain long-term recovery, adjusting the level of care as needs change. Page 6 of 8 created with assistance from JMI, July 2026 Page 3 The underlying reason is that addiction is a treatable health condition, and outcomes improve when people are matched to the least intensive level of care that can still meet their needs — avoiding both under-treatment and unnecessarily restrictive placement. Criminogenic assessment and treatment The purpose of criminogenic assessment is public safety: to estimate the likelihood of reoffending and to identify the changeable factors driving that risk. The goals of the resulting plan are to: • Sort people by risk level so that supervision and services are concentrated where they matter most (the Risk principle). • Target dynamic criminogenic needs — antisocial thinking, associates, and the rest of the Central Eight — rather than factors unrelated to offending (the Need principle). • Deliver interventions in ways the person can actually respond to (the Responsivity principle). • Guide case-planning decisions such as supervision intensity, program referrals, and conditions. • Reduce recidivism and support successful, law-abiding reentry. The underlying reason is that risk of reoffending is not fixed: when supervision and programming are aimed at the right people and the right needs, reoffending measurably declines — and, importantly, intensive supervision aimed at low-risk people can backfire. Side-by-Side Comparison The table contrasts the two frameworks across the dimensions that most often cause confusion in justice and treatment settings. Dimension Substance Use Treatment Criminogenic Risk & Treatment Plan Core question How severe is the substance use disorder, and what intensity of care does this person need? How likely is this person to reoffend, and which changeable factors are driving that risk? Guiding framework The ASAM Criteria — a multidimensional assessment across six clinical dimensions. Risk-Need-Responsivity (RNR) model (Andrews & Bonta). Primary orientation Health and clinical care; patient-centered. Public safety; reducing recidivism. What is measured Withdrawal risk, biomedical, emotional/behavioral, readiness to change, relapse potential, and recovery environment. Static and dynamic risk factors — the “Central Eight” criminogenic needs. Primary output A recommended level of care along the ASAM continuum (0.5–4). A risk level (e.g., low / moderate / high) plus prioritized criminogenic needs. Goal of treatment Treat the disorder, reduce or stop use, and improve health, functioning, and sustained recovery. Lower reoffending by targeting dynamic risk factors and matching supervision to risk. Who administers it Clinicians — physicians, counselors, nurses, addiction specialists. Probation/parole officers, court and correctional staff, forensic evaluators. Typical setting Treatment programs, outpatient clinics, residential facilities, hospitals. Courts, pretrial services, probation, parole, and corrections. How results are used Placement in the least intensive, clinically appropriate level of care. Setting supervision intensity, case planning, program referral, and sometimes release or sentencing decisions. Stakes for the person Access to care; generally health-oriented consequences. Liberty consequences — supervision conditions, program mandates, custody, or release. Voluntariness Ideally voluntary and consent-based. Frequently mandated within justice supervision. Page 7 of 8 created with assistance from JMI, July 2026 Page 4 Dimension Substance Use Treatment Criminogenic Risk & Treatment Plan Common instruments ASAM CONTINUUM, ASI, AUDIT, DAST, SBIRT screeners. LSI-R, LS/CMI, ORAS, COMPAS. Relationship between them Substance use is a health condition treated on its own terms. Substance use is also one of the Central Eight — the two overlap, but a risk score is not a clinical placement, and vice versa. Read the table as two lanes that frequently run alongside each other, not as a single road with two names. A person under community supervision may carry both a criminogenic risk level and an ASAM level of care at the same time; each is answering its own question, and each should be acted on for its own purpose. Using the Two Together Because so many people move through both systems, the practical task is integration, not choosing a winner. A few principles help: • Don’t let a risk score gate clinical care. Criminogenic risk describes the likelihood of reoffending, not medical need. Treatment placement should follow clinical assessment. • Don’t assume treatment alone satisfies a supervision plan. Substance use is only one of the Central Eight; antisocial thinking, associates, and other needs still require attention. • Sequence and match. Use criminogenic assessment to prioritize who and what to target, and clinical assessment to determine how substance use itself is treated. • Share information carefully. Clinical and justice records carry different confidentiality rules and different consequences; coordinate without collapsing the two purposes. Additional Resources and Citations Primary frameworks • American Society of Addiction Medicine. The ASAM Criteria (4th ed., 2023). asam.org/asam-criteria • Andrews, D. A., & Bonta, J. The Psychology of Criminal Conduct (6th ed., 2017). Routledge. • Bonta, J., & Andrews, D. A. (2007). Risk-Need-Responsivity Model for Offender Assessment and Rehabilitation. Public Safety Canada. publicsafety.gc.ca Government and practice resources • SAMHSA: treatment improvement protocols and screening resources. samhsa.gov • National Institute on Drug Abuse: Principles of Drug Addiction Treatment, including criminal-justice populations. nida.nih.gov • National Institute of Corrections: evidence-based practice and risk-assessment resources. nicic.gov • All Rise (formerly the National Association of Drug Court Professionals): training and standards for treatment courts and justice-system responses to substance use. allrise.org Selected peer-reviewed source • Ramezani, N., Bhati, A., Murphy, A., Routh, D., & Taxman, F. S. (2022). Assessing the reliability and validity of the Risk-Need-Responsivity (RNR) program tool. Health & Justice, 10(1). doi.org/10.1186/s40352-022-00182-w A note on scope This guide compares two assessment-and-treatment frameworks; it does not incorporate DSM-5 diagnoses. A person assessed under either framework may also meet criteria for one or more co-occurring behavioral health disorders that require their own clinical evaluation and treatment. Page 8 of 8