CJCC - Behavioral Health Subcommittee — Agenda Packet

CJCC- Behavioral Health Subcommittee Agenda March 23, 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 - January 26, 2026 Public Comment Business 1. Recommendation of a New Chair for this Subcommittee 2. Grant Opportunity Updates 3. Legislative Updates 4. Discussion Regarding Medical Clearance issues for Emergency Detentions 5. Financial Exploitation of Older Adults 6. Sequential Intercept Model (SIM) Update 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 31 CJCC- Behavioral Health Subcommittee Minutes January 26, 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 January 26, 2026 meeting of the Community Justice Collaborating Council (CJCC) Behavioral Health Subcommittee to order at approximately 10:35 AM. Roll Call PRESENT: Shonda Helgeson, Elizabeth Klasen, Tim Kufus, Sharlene Lopez, Mark Richert, Bob Rohret, Kait Solinger, Samantha Pierson (late) ABSENT: Gordon Young, Brian Barlett, David Olson Others in Attendance: Justice Support Director Phil Galli, CCS/BH Administrator Becky Kerr, Diversion Program Supervisor Lisa Multhauf, & Robin Wosje with the Justice Management Institute Approval of Minutes HHS Director/CJCC BH Subcommittee Chair Bob Rohret asked if after reviewing the minutes from the CHCC -BH Subcommittee meeting on Nov. 24, 2025, if any editing was needed. With no changes requested, the minutes were approved as submitted. 1. Minutes of Previous Meeting - November 24, 2025 Public Comment HHS Director/CJCC BH Subcommittee Chair Bob Rohret opened the meeting to public comment for items on or off the agenda. No public comment requests were submitted today. Business 1. Review of the recommendations for each intercept of our Sequential Intercept Model (SIM) HHS Deputy Director Shar Lopez and Justice Support Services Director Phil Galli provided information on work being done with the Sequential Intercept Model (SIM). They reviewed what we currently have in place for each intercept 0–5, and the recommendations to strengthen our response at each intercept. Overall, it was noted that there is a need for more data, that peer support is highly valued but underfunded and that housing and transportation continue to be ongoing gaps that we see. Some areas that seem they could be easily resolved would be collecting more data regarding veterans, clarifying peer support roles and investing more in their services. Discussion was had on how these solutions could be implemented and who needs to be involved. HHS Director Rohret spoke regarding next steps on the SIM. He suggested that we track things that are available, such as peer support and potential Medicaid funding, as well as reach out to Veteran Services Officer to how to better engage veterans. Work to get services in the jail sooner and improve warm hand-offs. It might also be valuable to portray these gaps to the full CJCC and the County Board so they can see and understand the need for the funding and support for these services. 2. Exploring effective interventions targeting criminal thinking and behavior change HHS Deputy Director Shar Lopez and Justice Support Services Director Phil Galli discussed the need for targeted Page 2 of 31 criminogenic interventions along with traditional therapy. They shared some examples comparing what traditional therapy looks like vs other interventions. HHS Director Rohret suggested the need to come up with some targeted strategies that this subcommittee or others can take action steps on. What is possible now and what is more of a long-term goal. We need to formulate something that others can understand and move forward with. Rohret will work with Lopez, Galli, and others that are interested, to draft a plan for the next steps that then can be brought to the full CJCC and the County Board. Questions and discussion followed. Request for Future Agenda Items HHS Director/CJCC BH Subcommittee Chair Bob Rohret asked if anyone has requests for future agenda items. * Framework for recommendations of next steps to present to this subcommittee and then to full CJCC in May or July * Medical clearance issues discussed at Chief's meeting Announcements HHS Director/CJCC BH Subcommittee Chair Bob Rohret asked if there are any announcements today. * Diversion Program Supervisor Lisa Multhauf has an interest in being a full-time member of this subcommittee. Members agreed and Phil Galli will work to get her added Adjournment HHS Director/CJCC BH Subcommittee Chair Bob Rohret called this January 26, 2026, meeting of the CJCC Behavioral Health Subcommittee adjourned at approximately 12:03. Date of Next Meeting 1. Date of Next Meeting - March 23, 2026 Page 3 of 31 Recommendation of a New Chair for this Subcommittee Cover Memo To: CJCC- Behavioral Health Subcommittee From: Ken Witt, County Administrator Bob Rohret, HHS Director Date: March 23, 2026 Agenda Item: Recommendation of a New Chair for this Subcommittee Background Information: HHS Director Bob Rohret will lead a discussion on the recommendation of a new chairperson for this subcommittee. Page 4 of 31 Grant Opportunity Updates Cover Memo To: CJCC- Behavioral Health Subcommittee From: Ken Witt, County Administrator Bob Rohret, HHS Director Date: March 23, 2026 Agenda Item: Grant Opportunity Updates Background Information: Deputy Director Shar Lopez will provide an update on all things grant related. Page 5 of 31 Legislative Updates Cover Memo To: CJCC- Behavioral Health Subcommittee From: Ken Witt, County Administrator Bob Rohret, HHS Director Date: March 23, 2026 Agenda Item: Legislative Updates Background Information: HHS Director Rohret and others will provide updates and information regarding current legislation. Page 6 of 31 Page 7 of 31 Page 8 of 31 Page 9 of 31 Page 10 of 31 Discussion Regarding Medical Clearance issues for Emergency Detentions Cover Memo To: CJCC- Behavioral Health Subcommittee From: Ken Witt, County Administrator Bob Rohret, HHS Director Date: March 23, 2026 Agenda Item: Discussion Regarding Medical Clearance issues for Emergency Detentions Background Information: Law enforcement and medical staff will share the issues they are seeing with medical clearance. Page 11 of 31 Financial Exploitation of Older Adults Cover Memo To: CJCC- Behavioral Health Subcommittee From: Ken Witt, County Administrator Bob Rohret, HHS Director Date: March 23, 2026 Agenda Item: Financial Exploitation of Older Adults Background Information: HHS Director Bob Rohret and Deputy Director Shar Lopez will review information presented by Adult Protection at the HHS Board meeting. Page 12 of 31 Page 13 of 31 Page 14 of 31 Page 15 of 31 Page 16 of 31 Page 17 of 31 Page 18 of 31 Page 19 of 31 Page 20 of 31 Page 21 of 31 Page 22 of 31 STOP FINANCIAL SCAMS Before you withdraw cash If someone is asking you to take out a large amount of money, pause. You may be in the middle of a SCAM. Ask yourself: • Are you being pressured to act quickly? • Is someone on the phone telling you what to do right now? • Were you told to lie to the bank staff, or to family, about why you need the cash? • Were you told not to talk to anyone about this or keep it a secret? • Are you afraid, confused, or unsure? If you can answer “yes” to any of these questions – S T O P. Don’t hand over your money. Scammers often pretend to be: • Law enforcement or government (IRS, Social Security, “court," “warrants”) • Tech support • Bank staff • A family member or romantic partner “in trouble” Scammers can sound convincing, but they are not who they claim to be. Cash, gift cards, cryptocurrency, wire transfers, are all red flags. What might be happening A real government official will never ask you to withdraw money. Remember You are not alone. Help is available right now. Call for help: • Wisconsin Elder Abuse Hotline (833) 586-0107 • Medicaid Fraud & Elder Abuse Unit (800) 488-3780 • DATCP Consumer Protection Hotline (800) 422- 7128 What to do next Protect yourself. Protect your money. A message from the Wisconsin Department of Justice, Division of Criminal Investigation If you or someone you know is in immediate danger, CALL 911. Page 23 of 31 State of Wisconsin Department of Financial Institutions Tony Evers, Governor Wendy Baumann, Secretary-Designee Division of Banking 4822 Madison Yards Way, North Tower, Madison, WI 53705 Mailing Address: PO Box 7876, Madison, WI 53707-7876 Phone: (608) 261-7578 Fax: (608) 267-6889 Website: dfi.wi.gov May 28, 2025 REGULATORY GUIDANCE ON FRAUD PREVENTION MEASURES REQUIRED OF BITCOIN ATM OPERATORS UNDER THE WISCONSIN MONEY TRANSMISSION LAW The Wisconsin Department of Financial Institutions – Division of Banking administers Wisconsin’s Money Transmission Law, which governs the licensure and regulation of money transmitters doing business in this state. Money transmitters include those engaged in the business of receiving money for transmission, as well as those engaged in selling or issuing payment instruments or stored value.1 Virtual currency kiosks, or “BTMs,” are fixed machines placed in heavily trafficked locations (grocery stores, gas stations, etc.) that enable users to engage in various cryptocurrency-related transactions. These transactions can involve money transmission. For example, a BTM user in this state may deposit cash into the machine to purchase cryptocurrency, which must be delivered to a specific virtual wallet or address. If the wallet or address belongs to a third party, then the operator has engaged in money transmission under Wisconsin law. Because ownership of virtual wallets and addresses is anonymous, a BTM operator cannot feasibly prevent its machines from being used for money transmission. Therefore, the Division requires BTM operators to obtain a money transmission license and comply with Wisconsin’s Money Transmission Law. In recent months, there has been an alarming uptick in reports of fraud facilitated by the use of BTMs. The Federal Trade Commission reported that Americans lost more than $65 million to scams involving BTMs over the first six months of 2024 alone, often with the same general modus operandi: Many of these scams start with a call or message about something supposedly wrong: they might say there’s suspicious activity on your Amazon account, for example, or unauthorized charges on your bank account. (Untrue.) The caller will say your money is at risk, or even that you’re somehow linked to money laundering or drug smuggling, but they can help. (Also false.) They tell you to withdraw cash from your bank, investment, or retirement accounts and deposit it into a specific BTM. This, they say, will protect your money or fix the alleged 1 Wis. Stat. § 217.02(17). Page 24 of 31 problem. But it’s all a lie. Once you deposit the cash, it goes straight into the scammer’s wallet.2 Cryptocurrency-related scams accounted for almost 50 percent of the total financial losses from financial fraud complaints received by the Federal Bureau of Investigation in 2023,3 and BTMs are used for illicit transactions at double the rate of the overall cryptocurrency industry.4 Earlier this year, the Iowa Attorney General published the results of an investigation finding that the overwhelming majority of BTM transactions in that state were scam-related.5 These findings match on-the-ground reports from Wisconsin law enforcement agencies and this Department’s Division of Securities, which is experiencing a significant increase in the number of complaints by Wisconsin victims of scams facilitated by BTMs. Wisconsin’s Money Transmission Law, which took effect on January 1 of this year, requires BTM operators and other money transmitters doing business in this state to implement measures to reduce fraud. Among other requirements, the law: ● Restricts them from transmitting a sender’s money if the operator “has a reasonable belief, or a reasonable basis to believe, that the sender is a victim of fraud or that the transaction relates to a crime”6; ● Requires them to comply with all currency reporting, record keeping, and suspicious activity reporting requirements set forth in the Bank Secrecy Act and other federal and state laws pertaining to money laundering7; and ● Authorizes the Division to deny, suspend, or revoke their licensure if they are grossly negligent, if they engage in “unsafe or unsound practices in connection with the business of money transmission,”8 or if their financial responsibility, character, reputation, and general fitness indicate that it is not in the public interest to permit them to engage in money transmission in this state.9 2 FEDERAL TRADE COMMISSION, New FTC Data Shows Massive Increase in Losses to Bitcoin ATM Scams (Sep. 3, 2024) (last visited May 2025). 3 FEDERAL BUREAU OF INVESTIGATION, CRYPTOCURRENCY FRAUD REPORT 2023, at 3 (last visited May 2025). 4 TRM LABS, Rate of Illicit Activity at Crypto ATMs is Double That of Overall Crypto Industry (Aug. 28, 2024) (last visited May 2025). 5 OFFICE OF THE IOWA ATT’Y GEN., Slam the Scam: Cracking Down on the Crypto ATM Con (last visited May 2025). Iowa has commenced litigation against two BTM operators in the state for, among other things, failing to take adequate steps to prevent and mitigate scams facilitated by their machines. See Iowa v. Lux Vending, LLC & Bitcoin Depot Operating, LLC, No. 05771 EQCE091176 (Polk Cty., Iowa Dist. Ct. filed Feb. 26, 2025); Iowa v. GPD Holdings LLC d/b/a CoinFlip, No. 05771 EQCE091172 (Polk Cty., Iowa Dist. Ct. filed Feb. 26, 2025). 6 Wis. Stat. § 217.09(1). 7 Wis. Stat. § 217.07(5) 8 Wis. Stat. § 217.05(7)(a)3, 5, 10. 9 Wis. Stat. § 217.05(7)(a)10. Page 25 of 31 This document is intended to provide guidance as to how the agency intends to apply these provisions with respect to BTM operators, in light of the heightened risk of fraud facilitated by their machines. To ensure safe and sound practices relating to fraud prevention and mitigation, operators must implement the following measures with respect to their BTMs in this state: Daily transaction limits. To mitigate the scale of losses associated with scams, a BTM operator may not accept or dispense more than $2,000 of cash per day per customer in this state. This is consistent with BTM transaction limits in effect in other states,10 and it is necessary to reduce the harm resulting from scams that often depend on sowing confusion, distress, and urgency in their victims. Special fraud warnings. In addition to the transaction terms, receipts, and other disclosures required by Wis. Stat. § 217.09, BTM operators must provide customers with a specific warning intended to alert them to the possibility they are being scammed: FRAUD ALERT! Criminals seek to defraud virtual currency customers by impersonating loved ones, government officials, law enforcement officers, or charities; threatening jail time; stating that your identity was stolen or your accounts frozen; or claiming your computer was hacked. IF SOMEONE YOU DON’T KNOW IS ASKING YOU TO SEND VIRTUAL CURRENCY FROM THIS MACHINE, DO NOT PROCEED WITH THE TRANSACTION. LOSSES DUE TO FRAUDULENT OR ACCIDENTAL TRANSACTIONS MAY NOT BE RECOVERABLE. This warning must be physically affixed on the front of the BTM, within the field of vision of the customer, using at least 20-point font. In addition, the warning must be displayed electronically on the BTM screen each time a customer begins a transaction, prior to displaying any other written disclosures, and it must be acknowledged by the customer before any transaction may proceed. Anti-fraud policies and procedures. A BTM operator doing business in this state must maintain a written anti-fraud policy that, at a minimum, identifies fraud-related risks, the operator’s procedures to monitor and protect against those risks, and its process for updating and revising these procedures to address new or evolving threats and prevention measures. The policy must also specify the operator’s procedures for identifying and preventing transmission to virtual currency wallets that have been identified by the operator or reliable third parties as sanctioned or high-risk. BTM operators doing business in this state must implement these anti-fraud measures within 60 days of the date of this guidance. After that time, any operator that (1) permits 10 Minnesota and several other states have established daily transaction limits for BTMs, which generally range from $1,000 to $2,000 per customer. See Cal. Fin. Code § 3902; Conn. Gen. Stat. § 36a-613(g)(1); Minn. Stat. § 53B.75, subdiv. 5(a); Vt. Stat. § 2577(a). While some states have authorized higher transaction limits for repeat customers, the Department is concerned that these higher limits for repeat customers may exacerbate the losses associated with “pig butchering” and “romance” scams in which the scammers form longer-term relationships with their victims and drain their funds over time. Page 26 of 31 transactions in excess of the $2,000 per-customer daily transaction limit, (2) fails to provide customers with conspicuous warnings regarding known BTM-related scams and frauds, or (3) neglects to maintain and follow sufficient anti-fraud policies and procedures, will be considered to be engaged in unsafe and unsound practices in connection with the business of money transmission. The Division will take regulatory action to address such practices, which may include suspension or revocation of the operator’s money transmission license and restitution for scam victims who suffer losses that could have been avoided through these measures.11 In addition to the anti-fraud measures described in this guidance, BTM operators must comply with all other requirements of the Money Transmission Law, including licensure and disclosure to the Division of all locations in the state where BTMs are operated.12 Any companies found operating BTMs in this state without a money transmission license will be subject to administrative action and penalties, which may include the forfeiture of all fees received from Wisconsin residents during the period of unlicensed activity.13 11 See Wis. Stat. §§ 217.05(7)(a)3. (licenses may be suspended or revoked for engaging “in unsafe and unsound practices in connection with the business of money transmission”), 220.04(9)(d) (authorizing the Division to order regulated entities and their officers “to correct the conditions resulting from” a violation of law or unsafe/unsound practice). 12 Wis. Stat. § 217.05(3)(b)5. 13 Wis. Stat. § 220.04(9)(d); Morgan Drexen, Inc. v. Wis. Dep’t of Fin. Insts., 2015 WI App 27, 361 Wis. 2d 271, 862 N.W.2d 329 (affirming order requiring unlicensed entity to disgorge more than $4 million in fees received from Wisconsin residents during the period of unlicensed activity pursuant under Wis. Stat. § 220.04(9)(d)). Page 27 of 31 Warning Signs If You Have Been Victimized Unexpected contact by an unknown person. Requests to limit contact with financial institutions or advisors. New online friends sharing “can’t-miss” investment opportunities. Sense of urgency to invest more money or pay fees. Misspelled web links. Stop sending money to the criminals. Contact your bank. File a report with the FBI Internet Crime Complaint Center at IC3.gov. Keep records and communications relating to the scam. Crypto INVESTMENT SCAMS Crypto* investment scams, commonly referred to as "pig butchering" by scammers, cost consumers billions of dollars. Criminals befriend people to entice them to make crypto investments through phony apps and websites. The investments may start out slowly with small sums of money, but it's a scam aimed at stealing tens of thousands to millions of dollars. What You Should Know HOW DO CRIMINALS TARGET PEOPLE & HOW DOES THE CON START How Does the Con Start? They target people through texts, dating sites, social media channels, professional networking platforms and/or other apps. After establishing trust with their victims, criminals move conversations to encrypted messaging apps and introduce crypto. They coach victims into investing using fake platforms. Websites might look legitimate, but it's all phony and controlled by criminals. Once people begin "investing," criminals manipulate the sites/apps to show fake profitable returns. Victims might even be allowed to make initial withdrawals, but it's a ploy to encourage further investments. Criminals often pose as people interested in: Friendship, Romantic relationships, or Business investments. Using fake profiles, they take time and build connections with their targets. They claim to be, or to know, experts who can help investors make money. To mask their identities, they: Use fake phone numbers (spoofing) Rely on deepfake videos, voices or images Employ artificial intelligence Protect Yourself When victims try to withdraw larger sums of money, they are told they need to pay a fee or taxes. But there’s no getting the money back, even if they pay the supposed fees or taxes. In the end, victims lose everything they invested. Research before you invest in anything. Recognize that pressure to “act fast” might be a sign of a scam. Do not send money to anyone you meet online or via apps, and don’t make investments based on their advice. Do not download or use any unfamiliar apps. Do not pay for services that claim they can recover lost funds. Do not trust anyone who offers a “sure bet.” All investments involve risk. Recognize that even video chats and online trading platforms which appear real can be fake. ABA Foundation is proud to work with: *Crypto is also referred to as cryptocurrency by users How Does it End? 2024 ABA Foundation Page 28 of 31 Sequential Intercept Model (SIM) Update Cover Memo To: CJCC- Behavioral Health Subcommittee From: Ken Witt, County Administrator Bob Rohret, HHS Director Date: March 23, 2026 Agenda Item: Sequential Intercept Model (SIM) Update Background Information: HHS Deputy Director Shar Lopz Justice Services Director Phil Galli will provide an update on work being done with the SIM. Page 29 of 31 St. Croix County Continuum of Intervention SIM-Aligned Overview St. Croix County’s Intervention Continuum is guided by the Sequential Intercept Model (SIM), providing a coordinated, cross-system framework to address behavioral health and substance use needs from prevention through recovery. This continuum emphasizes early intervention, diversion from justice involvement and sustained recovery support while balancing public safety and public health. Across all intercepts, peer support services are integrated as a cross-cutting strategy, enhancing engagement, trust, and continuity of care through lived-experience support. Intercept 0: Upstream & Early Intervention St. Croix County invests in prevention and early engagement strategies to reduce crisis and system involvement. Key efforts include public health-led harm reduction (Narcan distribution, testing supplies), embedded behavioral health professionals, family-centered services, and community-based initiatives such as the Recovering Together Café. These approaches strengthen protective factors, reduce stigma, and promote early access to care. Intercept 1: Crisis Access & Response Individuals access crisis services through multiple pathways, including 911, 988, mobile crisis, co-response teams, walk-in services, and emergency departments. The County provides daytime crisis services, with 24/7 coverage through Northwest Connections. This layered response ensures individuals are directed to the least restrictive, most appropriate setting, supporting diversion from unnecessary justice involvement. Intercepts 2–3: Justice System Intercepts (Detention & Courts) At initial detention and court stages, diversion and treatment pathways are prioritized. Pretrial services, treatment courts, and embedded behavioral health staff support assessment, stabilization, and connection to care. These intercepts provide critical opportunities to redirect individuals toward treatment rather than deeper justice involvement. Intercept 4: Reentry Reentry services focus on coordinated transition planning from jail or prison to the community. Embedded clinicians, peer support, and care coordination promote continuity of care, reduce service gaps, and support successful reintegration. Intercept 5: Community Corrections Probation and parole systems reinforce ongoing accountability while supporting treatment engagement and long-term recovery. Collaboration across systems ensures individuals remain connected to services and support within the community. System Impact St. Croix County’s integrated continuum reduces reliance on high-cost emergency and justice systems while improving outcomes for individuals and families. By aligning prevention, crisis response, diversion, and recovery support and embedding peer support throughout the County strengthens its ability to intervene early, respond effectively, and sustain long-term recovery. Page 30 of 31 Page 31 of 31