CJCC - Behavioral Health Subcommittee — Agenda Packet

CJCC- Behavioral Health Subcommittee Agenda June 1, 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 - March 23, 2026 Public Comment Business 1. Report Out (Justice Management Institute) Robin Wosje & Aimee Wickman 2. New SUD program at Western Wisconsin Health (Shonda Helgeson / Ellen Thompson) 3. Sequential Intercept Model (SIM); SIM Workgroup Meeting 4/9/26-Shar Lopez & workgroup members 4. Proposed programming / grants submitted - Shar Lopez 5. Intoxicated Driver Program, IPID Committee (WI DHS 62.04(4) - Natalie Radich Request for Future Agenda Items Announcements Adjournment Date of Next Meeting 1. Date of Next Meeting - To Be Determined. 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 17 CJCC- Behavioral Health Subcommittee Minutes March 23, 2026 10:30 AM St. Croix County Service Center - Room 172 1752 Dorset Lane, New Richmond, Wisconsin Call to Order HHS Director/CJCC BH Subcommittee Chair Bob Rohret called the March 23, 2026 meeting of the Community Justice Collaborating Council (CJCC) Behavioral Health Subcommittee to order at approximately 10:32 AM. Roll Call PRESENT: Shonda Helgeson, Sharlene Lopez, Lisa Multhauf, Samantha Pierson, Mark Richert, Bob Rohret, Kait Solinger, Gordon Young ABSENT: Elizabeth Klasen, Tim Kufus, Brian Barlett, David Olson Others in Attendance: Justice Services Director Phil Galli, Behavioral Health Administrator Becky Kerr Approval of Minutes HHS Director/CJCC BH Subcommittee Chair Bob Rohret asked if after reviewing the minutes from the CHCC -BH Subcommittee meeting on January 26, 2026, if any editing was needed. With no changes requested, the minutes were approved as submitted. 1. Minutes of Previous Meeting - January 26, 2026 Public Comment HHS Director/CJCC BH Subcommittee Chair Bob Rohret opened the meeting for Public Comment. No Public Comment requests were submitted today. Business 1. Recommendation of a New Chair for this Subcommittee HHS Director/CJCC BH Subcommittee Chair Bob Rohret made a motion that HHS Deputy Director Shar Lopez be named the Chair of the CJCC BH Subcommittee. Her role has changed as of Jan. 2026 and would align with taking this on. This motion was seconded by Chief Richert. A voice vote was taken, all approved. 2. Grant Opportunity Updates Jumped to #6 for quick discussion on the Sequential Intercept Model (SIM) as many of the grants up for discussion could possibly help with some of the gaps in the SIM Intercepts. After that discussion, HHS Deputy Director/ CJCC BH Subcommittee Chair Shar Lopez provided some updates on the various grants that have been received or are being applied for. We have already received a couple of State Crisis Intervention Program (SCIP) grants. One is being used for the jail therapist position, and the other will be used for harm- reduction items such as gun locks, locking ammo boxes, and locking med bags. Many federal grants have recently opened with due dates early in April, and could potentially help with our work on the SIM to help remove some of the barriers. If received, they could be used for additional staff in the jail to address the variety of needs of those incarcerated, some additional community intervention options, and also some equipment updates. Page 2 of 17 3. Legislative Updates HHS Director Bob Rohret shared information on legislation that is currently working through the legislature. Several of these could make a difference in how we are able to serve people. One that recently passed the Senate included the authorization to seek a federal waiver to allow Medicaid coverage for incarcerated individuals. What this would cover is 90 days of case management and behavioral health interventions, including 30 days of medication prior to release. Another federal waiver being considered, since last legislative cycle, would allow for counties to recoup the federal share of the costs for those in Winnebago who have Medicaid. This would be a significant help to our budget. Another bill that has passed the Senate is approval of state funding for the SNAP program to offset a $30 million reduction in Federal funding for the program, provide additional funding for the Foodshare Employment Training (FSET) program and allow for new state quality assurance positions to keep error rates down to avoid federal penalties. 4. Discussion Regarding Medical Clearance issues for Emergency Detentions This agenda item was brought forth from a conversation at the last meeting and from a Chief's meeting. Chief Young and Chief Richert provided some background on the subject and led a discussion regarding the medical clearance issue for emergency detentions. Chief Young informed that Winnebago has shared the best way to contact them when trying to get a client admitted. That may help to shorten the wait. There should always be someone on duty to return calls more promptly. Additional discussion was had. 5. Financial Exploitation of Older Adults HHS Deputy Director/CJCC BH Subcommittee Chair Shar Lopez reviewed the information that Adult Protective Services (APS) shared at the last HHS Board meeting regarding financial exploitation. APS informed that 218 of their investigations in 2025 were initiated as financial exploitation. This is leading to significant financial losses for our aging population. They spoke of the various ways this happens, but one of the more significant ones is with cryptocurrency. Information was shared on protecting yourself and your loved ones from these scams, as well as information on what to do if you think you've been scammed. Chief Richert informed on some of the work he has been doing around cryptocurrency in North Hudson, as well as general financial exploration of the elderly. Additional conversation had. 6. Sequential Intercept Model (SIM) Update HHS Deputy Director/CJCC BH Subcommittee Chair Shar Lopez and Justice Services Director Phil Galli provided a review of where things currently stand with the Sequential Intercept Model (SIM) and what work is being done. Discussion had on considering starting a workgroup to be sure we are capturing all the work that everyone is doing to help us move forward. Lopez will reach out to those involved in the SIM from other CJCC Committees, probation, as well as any community partners to be better informed of work they are doing on the SIM and see if they will be part of the workgroup. Samantha Pierson, Lisa Multhauf, Phil Galli, and Shar Lopez from this subcommittee agreed to participate in a workgroup. Request for Future Agenda Items HHS Deputy Director/CJCC BH Subcommittee Chair Shar Lopez asked if anyone has any suggestions for future agenda items. * Grant updates * Consider additional members from the County Board of Supervisors Announcements HHS Deputy Director/CJCC BH Subcommittee Chair Shar Lopez asked if anyone has any announcements today. * OVW trainings coming up in April * Turning Point is very busy, currently full. They do have handicap-accessible rooms as well as being pet friendly Page 3 of 17 * Colleen Linder is retiring Adjournment HHS Deputy Director/CJCC BH Subcommittee Chair Shar Lopez called this March 23, 2026 meeting of the CJCC BH Subcommittee adjourned at approximately 11:52. Date of Next Meeting HHS Deputy Director/CJCC BH Subcommittee Chair Shar Lopez informed that the next scheduled meeting would have fallen on Memorial Day, so wondering how this subcommittee wants to handle this. After discussion, it was decided it would be moved to June 1st. 1. Date of Next Meeting - To be Determined Page 4 of 17 Report Out (Justice Management Institute) Robin Wosje & Aimee Wickman Cover Memo To: CJCC- Behavioral Health Subcommittee From: Ken Witt, County Administrator Bob Rohret, HHS Director Date: June 1, 2026 Agenda Item: Report Out (Justice Management Institute) Robin Wosje & Aimee Wickman Background Information: Justice Management Institute will report on finding of the overall CJCC systems review. Page 5 of 17 New SUD program at Western Wisconsin Health (Shonda Helgeson / Ellen Thompson) Cover Memo To: CJCC- Behavioral Health Subcommittee From: Ken Witt, County Administrator Bob Rohret, HHS Director Date: June 1, 2026 Agenda Item: New SUD program at Western Wisconsin Health (Shonda Helgeson / Ellen Thompson) Background Information: Western Wisconsin Health as a new outpatient Substance Use Program starting 6/1/26. Staff from the program will discuss. Page 6 of 17 Page 7 of 17 Sequential Intercept Model (SIM); SIM Workgroup Meeting 4/9/26-Shar Lopez & workgroup members Cover Memo To: CJCC- Behavioral Health Subcommittee From: Ken Witt, County Administrator Bob Rohret, HHS Director Date: June 1, 2026 Agenda Item: Sequential Intercept Model (SIM); SIM Workgroup Meeting 4/9/26-Shar Lopez & workgroup members Background Information: Work group members will review the 4/9/26 meeting with recommendations for ongoing work and services, as well as ideas for additional programming within the Justice continuum. Page 8 of 17 Proposed programming / grants submitted - Shar Lopez Cover Memo To: CJCC- Behavioral Health Subcommittee From: Ken Witt, County Administrator Bob Rohret, HHS Director Date: June 1, 2026 Agenda Item: Proposed programming / grants submitted - Shar Lopez Background Information: Shar Lopez will provide an update with the current grant programming, grants submitted, and other grant opportunities to support the SIM continuum of care. Page 9 of 17 Intoxicated Driver Program, IPID Committee (WI DHS 62.04(4) - Natalie Radich Cover Memo To: CJCC- Behavioral Health Subcommittee From: Ken Witt, County Administrator Bob Rohret, HHS Director Date: June 1, 2026 Agenda Item: Intoxicated Driver Program, IPID Committee (WI DHS 62.04(4) - Natalie Radich Background Information: Natalie Radich will discuss the toxicated Driver Program and the desire to utilize the Behavioral Health CHCC as the Interagency Program for the Intoxicated Driver Committee (IDIP). Page 10 of 17 Intoxicated Driver Program, IDP-St Croix County Work Rules Intoxicated Driver Program (IDP) St. Croix County Health and Human Services Work Rules In compliance with WI DHS 75 & DHS 62 requirements for policy Updated: March 2026 Purpose The purpose of this policy is to outline the procedures and responsibilities under the St. Croix County Intoxicated Driver Program (IDP), in compliance with Wisconsin Administrative Code Chapters DHS 62 and DHS 75. Definitions Assessment Facility: A facility designated by the county to perform intoxicated driver assessments under DHS 62. Driver Safety Plan: A personalized plan developed based on an individual's alcohol or drug assessment findings. WAID: Wisconsin Assessment of the Impaired Driver tool used during client assessments. Client Responsibilities An individual ordered by the court or the Wisconsin Department of Transportation (DOT) to undergo an assessment and develop a driver safety plan must register with the designated IDP assessment facility within 72 hours of receiving the order. Once the driver safety plan is signed, the client is responsible for registering with the designated driver safety plan provider within three working days. The client is required to pay all assessment and service fees, and if they choose a provider outside the designated geographic area (as defined in DHS 62.04(1) and (2)), they are solely responsible for those service costs. Clients assessed prior to conviction and categorized under DHS 62.07(4)(b)3-5 must comply with the recommended plan. Clients convicted in other jurisdictions must adhere to those jurisdictions’ comparable assessment and safety plan requirements. Assessment Process Assessments must be conducted by trained intoxicated driver assessors employed by or contracted with the designated facility. Using the Wisconsin Assessment of the Impaired Driver (WAID) tool, assessors conduct a Page 11 of 17 Intoxicated Driver Program, IDP-St Croix County Work Rules 2 personal interview supplemented with information from external sources, diagnostic screening tools, and records. Assessments must be completed and submitted within 14 days of the order. Clients must provide written consent for the use and release of their assessment findings. Assessment findings are documented on form MV 3634, or DHS F-20933 if the charge was obtained while operating a recreational vehicle, and categorized as: irresponsible use, irresponsible use-borderline, suspected dependency, dependency, or dependency in remission (DHS 62.07). Driver Safety Plan Development Driver safety plans are developed in accordance with DHS 62.07(6) and based on the assessment findings. They must be the least restrictive form of effective treatment and be documented on form MV 3633, or DHS F-20933 if the charge was obtained while operating a recreational vehicle. Clients participate in selecting their plan provider(s). Each plan must include a termination date not exceeding one year from the client’s signature date. Plans may include recommendations for driver license actions if substantiated by safety risks. Treatment types can range from traffic safety school (group dynamic or multiple offender programs), alternative education, outpatient or residential treatment, and medication-assisted treatment, based on the client's diagnosis. Appeals If a client disagrees with the assessment findings or plan, they are encouraged to first discuss these with the assessor. If unresolved, the client may appeal in writing to the facility director or designated coordinator within five working days. Should the decision stand, the client may undergo an alternate assessment at their own expense, with the original facility forwarding relevant records. The coordinator will issue a final determination within five days of receiving the new findings. Clients undergoing treatment who dispute their individualized plan may request review by their case manager or escalate to the agency director. Further appeals may be made to the county board, following local review procedures as required by DHS 62.15. Compliance and Noncompliance Reporting Assessment facilities and driver safety plan providers must report compliance and noncompliance to the Wisconsin DOT or the convicting court if the charge was obtained while operating a recreational vehicle or the assessment facility depending on the recommended provider. Clients must receive notice at least five working days before a noncompliance report is submitted. Reports are documented using forms MV 3631 and MV 3632, or DHS F-20933 if the charge was obtained while operating a recreational vehicle, and forwarded to the relevant Page 12 of 17 Intoxicated Driver Program, IDP-St Croix County Work Rules 3 authorities. Clients may request DOT review of noncompliance reports within 10 days of license suspension or revocation (DHS 62.08–62.09). In accordance with Wis. Admin. Code DHS 62.09(3), clients are hereby informed that, with the exception of participation in self-help groups, the assessment facility is required to submit a report of non-compliance under certain circumstances. A report of non-compliance will be issued if the client fails to provide written consent to the Driver Safety Plan; does not register with the Driver Safety Plan provider within three working days of the assessment or fails to participate within a reasonable period of time; does not accept Driver Safety Plan programming by failing to attend or cooperate; does not demonstrate reasonable progress toward completing the Driver Safety Plan in accordance with the goals of the individualized treatment plan or the criteria for successful completion of an alternative education program; does not complete the Driver Safety Plan within the documented plan period and no later than one year following the original assessment, reassessment, or an approved extension by the Wisconsin Department of Transportation; or fails to pay the Driver Safety Plan fee as required under DHS 62.11. Unpaid fees The Final Report will not be submitted to the Wisconsin Department of Transportation (DOT) or the convicting court until all treatment fees owed to St. Croix County Outpatient Substance Use Treatment have been paid in full. If treatment fees remain unpaid at the Driver Safety Plan (DSP) deadline, no documentation will be submitted to the DOT at that time. This practice allows a 60-day grace period, during which the consumer may submit payment before the DOT initiates non-compliance proceedings that could result in suspension of driving privileges. If fees are not paid within this grace period, the DOT will proceed with a determination of non- compliance. Once all outstanding treatment fees have been paid, St. Croix County staff will submit the Final Report to the DOT and/or the convicting court, confirming compliance with the DSP. Amendments IDP Amendments- Substance Use Treatment Providers If the consumer needs to amend their Driver Safety Plan to a new substance use treatment provider, they will need to contact their IDP Assessor to discuss provider options. Once a new provider is selected and approved, consumer will need to coordinate with the Assessor for signature on the Amended Driver Safety Plan and subsequent Releases of Information. Once signatures are obtained and documentation is received by the Page 13 of 17 Intoxicated Driver Program, IDP-St Croix County Work Rules 4 Assessor, the Amended Driver Safety Plan will be submitted to the Wisconsin Department of Transportation or the convicting court if the charge was obtained while operating a recreational vehicle. The consumer will need to register with the new provider within 3 business days after signature of the Amended Driver Safety Plan, and verification of registration needs to be provided to the IDP Assessor. If a consumer fails to register and comply with their identified provider, fails to sign the Amended Driver Safety Plan and Releases of Information, or failure to provide verification of enrollment a report of non-compliance will be submitted to the Wisconsin Department of Transportation or provided to the convicting court if the charge was obtained while operating a recreational vehicle. IDP Amendments- Education Providers If a consumer needs to amend their Driver Safety Plan to a new education provider, consumer will request transfer directly from their identified Technical College provider. Consumer will need to ensure documentation of their completion of their traffic safety class is submitted to their IDP Assessor. Assessment Facility and Assessor Responsibilities Assessment facilities must implement written procedures addressing intake, recordkeeping, confidentiality in compliance with DHS 62.13 and DHS 92, referrals, interagency collaboration, fee collection, appeals, and conflict of interest. Facilities are responsible for ensuring assessor competency and compliance with state standards. Per DHS 62.05(2)(b), assessors must be evaluated through regular supervisor reviews, and supervisors must themselves be trained in intoxicated driver assessment protocol, psychopharmacology, and substance use disorders. Facilities are also required to maintain a written plan for outcome monitoring and quality improvement in accordance with DHS 75.25, which includes establishing measurable service goals, identifying performance indicators, collecting and analyzing admission and discharge data (including living situation, substance use, education, employment status, and arrests), and producing an annual quality report. Intoxicated Driver Assessors must complete state-approved assessor training and participate in ongoing annual continuing education to maintain competency. The assessor is responsible for conducting a personal interview with the client, typically utilizing the Wisconsin Assessment of the Impaired Driver (WAID) tool, and may administer supplemental diagnostic instruments when clinically indicated. Prior to the assessment, the assessor shall inform the client of all applicable facility policies, appeal rights, and fee obligations. Following completion of the assessment, the assessor must prepare and submit the assessment findings (MV-3634) and the Driver Safety Plan (MV-3633) to the Wisconsin Department of Transportation, the designated coordinator, the assigned driver safety plan provider, and the client. These documents must be submitted within 14 calendar days of the Page 14 of 17 Intoxicated Driver Program, IDP-St Croix County Work Rules 5 order by the court or DOT, or upon voluntary submission by the client. The assessor is also responsible for obtaining informed, written consent prior to any release of information and must ensure that the client is directly engaged in the development of the Driver Safety Plan. The client must sign and date the plan to confirm awareness and agreement. Alternative Education In accordance with Wisconsin Administrative Code DHS 62.07(5), DHS 75.15(4), and DHS 75.15(9)(a)(2), clients participating in the Intoxicated Driver Program (IDP) have the right to choose an education provider, including the option to request alternative education in place of traditional traffic safety programming. Approval Process Driver Safety Plans recommending alternative education must be approved by both the local Traffic Safety School Coordinator and the Designated Coordinator in the client’s county of residence. Approval ensures that the proposed alternative program meets established quality and content standards consistent with DHS regulations. Program Requirements If alternative education is approved for a client who does not present with a language barrier, literacy barrier, developmental disability, mental illness, or cognitive deficit, the program must be comparable to the appropriate Group Dynamic Traffic Safety Program or Multiple Offender Traffic Safety Program. To be considered equivalent, the alternative education program must align with the purpose and treatment objectives, curriculum content, instructor qualifications, and instructional hours established for state-approved traffic safety programs, as outlined in DHS 75.16(5).] Disagreements and Mediation If the Traffic Safety School Coordinator and the Designated Coordinator disagree regarding a referral to alternative education, the Designated Coordinator shall submit a written request to the Wisconsin Department of Health Services for mediation to resolve the issue. Client Responsibilities Clients approved for participation in an alternative education program must complete the program in accordance with the timeline and requirements specified in their Driver Safety Plan. They are required to submit Page 15 of 17 Intoxicated Driver Program, IDP-St Croix County Work Rules 6 documentation of enrollment and program completion to the Intoxicated Driver Program (IDP) Assessor and must register with the assigned provider within three business days of the Driver Safety Plan signature or amendment. Failure to comply with these requirements may result in a report of non-compliance being submitted to the Wisconsin Department of Transportation or the convicting court. Instructor Requirements To be considered a valid substitute for the traditional Group Dynamic or Multiple Offender Traffic Safety Program, an Alternative Education Program must employ instructors who meet specific qualifications. Instructors must hold at least a bachelor’s degree in a human services or related field such as psychology, social work, criminal justice, counseling, or education, or possess valid certification or licensure in a behavioral health discipline issued by the Wisconsin Department of Safety and Professional Services (DSPS). In addition, instructors must have a minimum of one year of experience in alcohol or other drug abuse (AODA) treatment, prevention, education, or related services, with direct experience serving adult populations. All instructors are required to complete a recognized facilitator training program that is consistent with the evidence-based curriculum used in the education program and prepares them to meet instructional goals and engagement standards applicable to traffic safety education. Providers are responsible for maintaining documentation of instructor qualifications and training, including evidence of ongoing continuing education or refresher training in traffic safety, substance use disorders, motivational strategies, and adult learning principles. Finally, programs must fully align with DHS 75.16(5) to ensure that content, delivery methods, and outcomes meet or exceed the standards of state- approved traffic safety programs. Additional Requirements for Alternative Education in Lieu of Multiple Offender Programs In accordance with DHS 75.15(9)(a)2, alternative education programs provided in lieu of a Multiple Offender Traffic Safety Program must meet additional requirements beyond the standard instructional components. These programs must include the participation of a concerned other—such as a spouse, parent, adult relative, or another appropriate individual approved by the instructor—in at least one session. The curriculum is required to provide education in critical life skills areas, including stress reduction, substance use refusal strategies, interpersonal communication, and anger management. Classroom instruction must total a minimum of 24 hours, which shall include a required group-oriented follow-up session conducted within three months of completing the initial 23 hours of instruction. For participants who reside 60 miles or more from the designated follow-up site, the follow-up session may be completed by telephone with both the participant and the Page 16 of 17 Intoxicated Driver Program, IDP-St Croix County Work Rules 7 concerned other present. In addition, program effectiveness must be systematically evaluated through the use of pretests and posttests to measure knowledge gained, assess changes in participant attitudes, and gather feedback on participant satisfaction through surveys. Contact Information St. Croix County Health and Human Services Department 1752 Dorset Lane New Richmond, WI 54017 Phone: 715-246-6991 Fax: 715-246-8284 TTY: 711 or 800-947-6644 Hours: Monday – Friday, 8:00 AM – 4:30 PM Website: https://www.sccwi.gov/165/Health-Human-Services Page 17 of 17