CJCC - Behavioral Health Subcommittee — Agenda Packet

CJCC- Behavioral Health Subcommittee Agenda January 26, 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 - November 24, 2025 Public Comment Business 1. Review of the recommendations for each intercept of our Sequential Intercept Model (SIM) 2. Exploring effective interventions targeting criminal thinking and behavior change Request for Future Agenda Items Announcements Adjournment Date of Next Meeting 1. Date of Next Meeting - March 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 11 CJCC- Behavioral Health Subcommittee Minutes November 24, 2025 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 November 24, 2025, meeting of the Community Justice Collaborating Council (CJCC) Behavioral Health Subcommittee to order at approximately 10:35 AM. Roll Call PRESENT: Elizabeth Klasen, Tim Kufus, Sharlene Lopez, Mark Richert, Bob Rohret, ABSENT: Kait Breuer, Amber Hahn, David Olson, Eilidh Pederson, Samantha Pierson, Gordon Young, Brian Barlett, Others in Attendance: Justice Support Director Phil Galli, BH Supervisor Natalie Radich, CCS/BH Administrator Becky Kerr, Shonda Helgeson, RN, BSN with Western WI Health (for Eilidh Pederson), Taylor Perrin, Treatment Court Case Manager (for Kait Breuer) & Peer Support Specialist Kyle VanBlaircom, Approval of Minutes HHS Director/CJCC BH Subcommittee Chair Bob Rohret asked after the review of the minutes from July 28,2025, if any changes were needed. With nothing noted, the minutes were accepted as submitted. 1. Minutes of Previous Meeting - July 28, 2025 Public Comment HHS Director/CJCC BH Subcommittee Chair Bob Rohret opened the meeting to public comment. No public comment requests were submitted today. Justice Support Director Phil Galli, took a moment to introduced Taylor Perrin, Adult Treatment Court Case Manager who is here today for Kait Breuer. Business 1. Sequential Intercept Model Mapping Report Justice Support Director Phil Galli reviewed the report with the subcommittee and highlighted intercept areas that seemed to be good focus areas for this subcommittee. Galli went on to provide some information on the mapping process and shared that Intercept 0 is before law enforcement becomes involved, and then on to Intercept 4 and 5, which could involve jail reentry up to parole/probation and release into the community. During the mapping process, they worked to look for gaps in our current services. This then led to the 5 recommendations given in the report. They include potential ways to provide additional resources or better programming to clients as they move through the court system. Much discussion and information was shared among the group, in particular about additional grant funds received or applied for, as well as legislative changes that are pending that could help in filling the needs of some gaps in intercepts. In April 2026, there may be Medicaid reimbursement coming for the Peer Support services we currently provide, and also another source might be the Medicaid-covered CCS services that clients might qualify for. These will both be good for expanding on what we already have to also fill some gaps in service. Galli believes this subcommittee should come up with one or two areas of focus and move our way through the recommendations. HHS Director Rohret and Justice Support Director Phil Galli will work to choose a couple of focus Page 2 of 11 areas, and draft some goals and objectives that this subcommittee can work on. This draft will be brought back to this subcommittee in January for discussion and approval and then to the full CJCC in February for their review and approval. 2. Health and Human Services updates relevant to the work of the CJCC-BH Subcommittee HHS Director Bob Rohret provided some updates on work being done within HHS, as well as grant funding, federal funding, and legislative policies that may affect the work that we do. HHS Deputy Director Lopez shared information regarding the restructuring of the Behavioral Health division. This restructuring will move Lopez to a full-time Deputy Director and CCS Administrator, Becky Kerr to the BH Administrator position covering both CCS and BH. Lopez also informed on some grant funds as well as she also shared a special shout out to our adult protection I-Team for being recognized by the state for their outstanding community work in the northwestern region. Galli informed about the roll- out of Family Treatment Court in early 2026. Request for Future Agenda Items HHS Director/CJCC BH Subcommittee Chair Bob Rohret asked for any future agenda requests. If items arise, please email Chair Rohret or Colleen Linder for consideration of the agenda. *Follow up on the drafted goals for work on the Intercept Mapping Announcements HHS Director/CJCC BH Subcommittee Chair Bob Rohret asked for any announcements. Adjournment HHS Director/CJCC BH Subcommittee Chair Bob Rohret called this Nov. 24, 2025 meeting to be adjourned at approximately 11:42 AM. Date of Next Meeting 1. Date of Next Meeting - January 26, 2026 Page 3 of 11 Review of the recommendations for each intercept of our Sequential Intercept Model (SIM) Cover Memo To: CJCC- Behavioral Health Subcommittee From: Ken Witt, County Administrator Bob Rohret, HHS Director Date: January 26, 2026 Agenda Item: Review of the recommendations for each intercept of our Sequential Intercept Model (SIM) Background Information: Staff will review the work being done on the Sequential Intercept Model with the subcommittee. • Review of what we have vs. recommendations for each Intercept • Public Health Data • Peer Support as a Medicaid benefit • SCIP grant Page 4 of 11 1 Intercept 0 – Community Services Current State Recommendations to Strengthen Strong crisis line infrastructure (988, 911, local crisis lines) Build a crisis continuum of care (not just one solution) Behavioral Health Emergency Services and mobile crisis during business hours Expand peer support roles upstream (prevention, crisis, warm lines) Peer-led support (Recovering Together Café, peer respite) Increase harm reduction access and education Harm reduction access (Narcan, test strips, vending machine) Develop public-facing education on SUD, stigma, and resources Prevention work in schools, but not sustained Explore withdrawal management options No withdrawal management facility Improve coordination between 988 and 911 Limited funding for alcohol use disorder services Intercept 1 – Law Enforcement & Emergency Services Current State Recommendations to Strengthen High percentage of CIT-trained officers Expand co-responder and non-law- enforcement crisis response Co-responder model available, but limited after-hours Formalize 911/988 protocols and training Narcan widely carried by Law Enforcement and First Responders Develop post-overdose response pathways (peer or civilian follow-up) Long transports for inpatient psychiatric care Increase officer wellness and support No post-overdose civilian response protocol Continue and expand CIT and Mental Health First Aid Page 5 of 11 2 Intercept 2 – Initial Detention / Initial Court Current State Recommendations to Strengthen Jail intake includes medical, MH, SUD, suicide screening (standardized?) Implement standardized, evidence-based screening tools Public safety screening used at bond hearings Expand pre-charge and pretrial diversion Diversion options exist, underutilized Increase warm handoffs at release from custody No night or after-hours court Reduce delays to arraignment and services Limited embedded behavioral health support during pretrial Embed or link behavioral health support in pretrial services Intercept 3 – Jails & Courts Current State Recommendations to Strengthen MAT continuation allowed, but no initiation Expand SUD and BH services inside the jail Limited on-site medical and psychiatric hours Initiate MOUD in custody No infirmary; frequent hospital transports Increase use of peers in jail and court settings Short length of stay limits intervention Strengthen treatment court pipeline and reduce wait times Treatment courts exist but face enrollment delays Explore competency-focused court options No mental health court or veterans court currently operating Intercept 4 - Reentry Current State Recommendations to Strengthen One jail social worker coordinating reentry Enhance reentry planning and coordination Peer involvement exists but is not systematized Share daily release lists across systems No prescriptions at release (only remaining meds) Ensure medication continuity and bridge scripts Releases often occur without notice Expand peer-led reentry support Housing and transportation are major barriers Strengthen connections to housing, benefits, and transportation Page 6 of 11 3 Intercept 5 – Community Corrections Current State Recommendations to Strengthen COMPAS used consistently Develop specialized behavioral health caseloads High caseloads (90–100 per agent) Create graduated sanctions and incentives No specialized behavioral health caseloads Increase access to treatment instead of revocation Technical violations often lead to revocation Embed or align clinical and peer support Substance use is a leading driver of violations Align transportation barriers to compliance expectations Overall noted theme across all Intercepts: • Strong collaboration, but fragmented data • Peer support is highly valued but underfunded • Housing, transportation, and withdrawal management are systemic gaps “Quick Fixes” • Improve Veteran identification across all areas, “Have you ever served in the military?” • Enhance reentry coordination by sharing daily release lists with court partners and providers to support timely reentry planning and warm handoffs. • Clarify peer support roles across all areas • Add peer support and harm reduction to regular agendas (CJCC and other agencies) Systemwide Recommendations • Invest in peer services across the SIM • Improve data sharing and dashboards • Expand warm handoffs / no wrong door practices • Align systems around trauma-informed, recovery-oriented care Strategic Plan Work 1. Increase peer support 2. Enhance reentry planning process 3. Increase warm handoffs promoting no wrong door 4. Develop integrated services within the jail sooner Page 7 of 11 Exploring effective interventions targeting criminal thinking and behavior change Cover Memo To: CJCC- Behavioral Health Subcommittee From: Ken Witt, County Administrator Bob Rohret, HHS Director Date: January 26, 2026 Agenda Item: Exploring effective interventions targeting criminal thinking and behavior change Background Information: HHS Deputy Director Shar Lopez and Justice Support Services Director Phil Galli will review some targeted interventions for behavior change. Page 8 of 11 1 Treatment vs. Criminogenic Interventions: Why Distinction Matters A common point of confusion is the assumption that therapy alone reduces reoffending. Research shows that while treatment improves health and functioning, criminogenic risk requires targeted interventions. Integrated Therapeutic Intervention RNR Model -Evidence Based Criminogenic Intervention Key Distinction Stabilize and heal so change is possible. Change behavior to reduce crime. Staffing Master Level Clinician or higher (LPC, LMFT, LCSW, Psychologist, Psychiatrist) No educational requirement for most but must be trained in providing the curriculum to efficacy (case manager, peer support, probation agent, etc.) Theoretical Framework DSM5 & ASAM level of care & treatment rec’s Risk-Need-Responsivity, CBT & Social Learning approaches as they apply to criminal thinking Primary Goal / Targeted Outcomes Improve mental health and recovery (reduction of symptoms, improved functioning & quality of life) Reduce reoffending by addressing criminogenic needs based on a risk/need/responsivity model Target Population Those with clinical need (depression, anxiety, SUD, trauma, suicidality) Those with risk factors linked to crime (antisocial thinking/peers/patterns, family, work/school, SUD, leisure activities, lack of prosocial skills/attitudes) Examples of Interventions Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Accelerated Resolution Therapy, etc. Moral Reconation Therapy, Core Correctional Practices, Thinking for a Change, Contingency Mgt., & other psychoeducational criminogenic focused interventions Measurements / Assessment Tools Clinical interview, observation, client report, client measurement surveys, ASAM, individualized treatment plan, crisis events, engagement Validated risk assessment tool, curriculum driven intervention dosage to meet risk level, compliance to programming, skill practice, behavior change, new arrests (recidivism) Fidelity and QA Clinical supervision, licensing standards, notes, QA by med records and billing Reliance on fidelity to the curriculum Page 9 of 11 2 Review of Risk Need Responsivity for non-Justice Involved Staff Understanding Reduce reoffending by focusing on the right people (risk), the right problems (need), and the right approach (responsivity). • Risk is assessed by COMPAS (Correctional Offender Management Profiling for Alterative Sanctions) assessment (may have overriding factors, as well) o High-risk individuals need more intensive intervention o Low-risk individuals should not be over-served • COMPAS assesses criminogenic Needs to include: o Criminal involvement o Antisocial personality traits o Criminal thinking o Antisocial peers o Substance use o Family/social support o Education/employment o Leisure/recreation • Responsivity includes indicators to inform: o Motivation o Stability o Barriers to engagement (cognitive impairment, diagnosis, etc.) The Big Four Domaines (Strongest Predictors of Recidivism) 1. History of Antisocial Behavior (static) o Early and persistent criminal behavior o Frequency, severity, and pattern of offending 2. Antisocial Personality Pattern o Impulsivity, aggression o Poor self-control, risk-taking o Difficulty with emotional regulation 3. Antisocial Cognition o Criminal thinking patterns o Rationalization, entitlement, minimization o Hostile or callous attitudes 4. Antisocial Associates o Criminal peers o Weak prosocial social supports Page 10 of 11 3 The Moderate Four (Secondary Predictors) 5. Family / Marital Relationships o Poor supervision, conflict o Lack of support or stability 6. School / Work o Unemployment, poor performance o Low engagement or instability 7. Leisure / Recreation o Lack of prosocial activities o Excess unstructured free time 8. Substance Abuse o Alcohol and drug misuse connected to offending o Particularly when paired with antisocial peers/thinking Substance use is a criminogenic risk factor in the RNR model, but it is not “treatment.” Treatment improves health and recovery; RNR interventions change criminal behavior. High- risk individuals usually need both. Page 11 of 11