NOTE FROM FREDA:  You will notice that the Report for the Jail Population is not included.  There was a glitz in the 30 November 2007 Daily Population Worksheet.  I will submit the Jail Statistics report as soon as I can find the time to work on it again and I am able to insure that what I report is correct.  For sure, there were 1756 Inmates at the Brevard County Jail Complex (BCJC) on 30 November 2007 of which  1375 (78.3%) were awaiting trial,  132 (7.52%) were awaiting transfer, 30 (1.71%) were awaiting sentencing, and 219 (12.5%) were sentenced to BCJC.  There were 21 Juveniles  in BCJC on 30 November!!  HAPPY HOLIDAYS.   Freda  

BREVARD MENTAL HEALTH SERVICES & JAIL STATUS REPORTS - 11 DECEMBER 2007

By 1st VP Freda Schildroth

Crisis Intervention Team (CIT) Training: Orville Clayton, Director of the Brevard County Jail Complex Mental Health Services, and staff are working to present the next CIT Training Class which is tentatively scheduled for 17-21 March 2008! This is a tremendous undertaking because it is a week-long, labor-intensive training curriculum which includes classroom presentations, role-playing scenarios, tours and/or observations of and briefings on the Mental Health Court, Drop-In Center and Circles of Care Crisis Stabilization Unit. The CIT Training Program involves a collaborative effort by many public and private organizations and individuals.

Crisis Stabilization Units Update: As of 10AM today, 11 December 2007, Circles of Care, Inc., had 15 and Wuesthoff Behavioral Health Systems had 0 people waiting for a Crisis Bed. Circles has 20 and Wuesthoff has 0 Clients who are court-ordered for long-term care (possible admission to Northeast Florida State Hospital). The Past Month “Worst Case Scenario” (greatest number of people waiting to be admitted to a Crisis Bed) was 15 for Circles and 0 for Wuesthoff. (Thanks to Bryan Myers of Circles of Care and Holly Greth of Wuesthoff Behavioral Health Systems for the Crisis Stats.)

Parrish Medical Center Report: Parrish Medical Center received 29 Baker Act Clients during the month of November 2007. Of those admitted to Parrish to wait for an open crisis bed, the “worst case” verifiable length of stay was 5 days. (Thanks to Deena Ellis, Security Supervisor, Parrish Medical Center, for this report.)

Health First, Inc., Reports for the month of November 2007 (Thanks to Jim Kendig, Vice President, Health First, Inc.): Holmes Regional Medical Center (HRMC) received a total of 11 Baker Act Clients. Of those admitted to HRMC to wait for an open crisis bed, the "worst case" verifiable length of stay was 7 days. Palm Bay Community Hospital (PBCH) received a total of 7 Baker Act Clients. Of those admitted to PBCH to wait for an open crisis bed, the "worst case" verifiable length of stay was 13 days. Cape Canaveral Hospital (CCH) received a total of 12 Baker Act Clients. Of those admitted to CCH to wait for an open crisis bed, the "worst case" verifiable length of stay was 8 days.

Brevard County Deaths by Suicide Report: There were 8 confirmed Deaths by Suicide in Brevard County and six cases that are pending which are deaths by possibly-accidental overdoses during November 2007. The 8 Suicide cases are as follows: 5 Deaths by Gun Shot Wounds - one 87-year-old male with numerous physical health problems, one person with a prior threat with no alcohol or cocaine abuse, one male who called girlfriend and shot self while she was on phone, one person reported to a friend -depression, one person with a diagnosis of manic depression and non-compliant with medications; 1 Death by Carbon Monoxide with no history of prior attempts reported; 1 Death by Hanging with known alcohol abuse and report of depression to family; 1 Death by Drug Overdose with Lotrel, Protonix, Vytorin, and Synthroid in system and no prior attempts. The reasons for the 6 Possibly-Accidental Overdose Deaths during November 2007 are as follows: 1 - Oxycodone; 1 - History of depression, overdosed approximately one year ago and was Baker-Acted. Known drugs include: Topamax, Zyprexa, Hydormorphone, Metollopramide, Diazepam, Mag/trisalicyclote and Liboderm patches; 1 - Long history of drug abuse. Known drugs include: Methamphetamine, Methadone, Crack Cocaine and Xanax; 1 - Oxycodone, Xanax, Cocaine, Cannabis; 1 - Recently Baker-Acted in California, history of prescription drug abuse, Cytomel found in system; 1 - Oxycodone. (Thanks to Nancy Slater, Brevard County Medical Examiner’s Office, for this report.)

Brevard County Mental Health Court Update (The Honorable Judge Cathleen Clarke presiding): Brevard County Mental Health Court Update (The Honorable Judge Cathleen Clarke presiding): As of 30 November 2007, there are 12 people who were diverted from Jail and under the supervision of the Mental Health Court. One Client was accepted into the court during the month of November 2007. On 31 October 2007 there were 11 people under the supervision of the Mental Health Court. One Client successfully completed the requirements of the court and graduated during the month of October 2007. (Thanks to Thomas Caulfield, Mental Health Court Coordinator, Circles of Care, Inc., for providing the Mental Health Court statistics.)

Stats from Mental Health Services of Jail: Note: Revised statistics for October 2007 are in ( ) following the November 2007 stats. During November 2007, there were a total of 1111 (1138) Mental Health Contacts by Mental Health Specialists. There were 355 (358) Initial Assessments from Referrals at Booking. There were 480 (452) Mental Health Follow-up Visits, 135 (119) Rounds/Brief Mental Health Contacts, and 74 (75) Consultations and Case Staffings. There were 211 (182) Mental Health In-house Moves. Three hundred fifty-seven (357) Contacts for People on Special Watch Status (302 for October) and 0 Case Management Contacts were completed. There was a total of 132 Psychiatric Evaluation Referrals including 91 Referrals to the Jail Psychiatrist and 6 Emergency Medication Rechecks. Physician Contacts totaled 132. There were 39 Staffing Consults and 0 Baker Act Evaluations and Transfers.

During the month of August 2005, Orville Clayton, the Director of Mental Health, Brevard County Jail Complex, began a Psycho-educational Group to help Inmates learn techniques for stress management and coping skills. During September 2005, 66 Inmates participated in this program, 69 during October 2005, 88 during November 2005, and during December 2005, 157 Inmates participated! There were no Psycho-educational Groups during the months of January through May 2006. During the month of June 2006, 65 Inmates participated in the program, 45 during July 2006, 10 during August 2006, 87 during September 2006, 39 during October 2006, 77 during November 2006, and 123 Inmates participated in Psycho-educational Group during December 2006! Six (6) Inmates participated during January 2007, 43 during February 2007, 105 during March 2007, 12 during April 2007, 0 during May and June 2007, and 26 Inmates participated during July 2007. There have been no groups since July 2007. Mental Health Court Report - as of 30 November 2007: 15 Misdemeanor Files Reviewed; 2 Referrals to the State Attorney. Mental health services were all completed by Mental Health Services Unit Staff. (Thanks to Brevard County Jail Complex Mental Health Unit Staff Member Tracy Higginbotham, Secretary, for computerization and dissemination of the Mental Health Services Stats.)

Stats from Jail: Due to technical difficulties, the Brevard County Jail Complex Population Report for November 2007 was not completed in time for publication in the newsletter. When it is completed, it can be viewed at the NAMI - Space Coast website http://spacecoast.nami.org.

FACT Team Update: On 1 July 2006, Mental Health Resource Center (MHRC), Inc., a not-for-profit organization based in Jacksonville, Florida, became the provider for Florida Assertive Community Treatment (FACT) Team services in Brevard County. The Director of FACT Programs for MHRC is Cindy O’Brien, M.A. Melanie Goff, LCSW, is the Program Manager. Dr. R. Makkena joined the Team on 4 April 2007 to fill the full-time Program Psychiatrist position. As of 10 December 2007, Ms. Goff reported that the Brevard FACT Team is fully staffed.

On 28 April 2005, the Brevard FACT Team reached capacity enrollment of 100 Clients. As of 13 November 2007, the FACT Team staff is again serving 100 Clients and is no longer counting or reporting the number of Clients served since FACT became operational on 20 August 2001. The last report of Clients served was 154 (as of the October 2007 report). A FACT Team Staff Member is on call 24 hours per day, 7 days per week and promotes independent living for FACT Team Clients. (Thanks to FACT Team Program Manager Melanie Goff for contributions to this report.)

ADDITION OF JAIL STATISTICS TO 11 DECEMBER 2007

BREVARD MENTAL HEALTH SERVICES & JAIL STATUS REPORTS   

 Stats  from Jail:  The official Inmate Population total for 30 November 2007 was 1756 (high ????); low 1722).  On 30 November 2007, 92 Inmates were received and 60 Inmates were released.  The November 2007 MONTH AVERAGE number of Inmates in the Jail was 1793, the HIGH AVERAGE was 1809, and the LOW AVERAGE was 1778.  (Thanks to Teresa Revel, Administrative Assistant, Brevard County Jail Complex (BCJC), for providing the BCJC Population Worksheet and Population Averages.)    

Other interesting Jail stats from the Jail Population Worksheet are:  Of the 1756 total Inmates in the Jail on 30 November 2007, 1495 (85.1%) were male and 261 (14.9%) were female.  There were 1375 Inmates (78.3% of the Jail population) awaiting trial of which 1164 were for felonies and 211 were for misdemeanors. Less than 2.0% (1.71%) of the Jail population - 30 Inmates - were awaiting sentencing.   More than three percent  (3.36%) of the Jail Population on 30 November 2007 - 59 Inmates  - were awaiting transfer to Department of Corrections,  over three percent (3.81%) - 67 Inmates of which 21 were Juveniles - were being held for other jurisdictions,  and  0.34%  - 6 Inmates - were awaiting transfer to a state hospital.  More than twelve percent of the Jail Population (12.5%) - 219 Inmates - are sentenced to BCJC as of 30 November 2007.   Note:   115 Inmates  were sentenced to BCJC as of 31Jan06,  151 as of 28Feb06, 171 as of 31Mar06,  202 as of  30Apr06,  200 as of 31May06,  178 as of 30Jun06,  174 as of 31Jul06, 186 as of 31Aug06, 181 as of 30Sep06,  173 as of 31Oct06, 182 as of 30 Nov06,  160 as of 31Dec06, 180 as of 31Jan07, 173 as of 28Feb07, 193 as of 31Mar07, 177 as of 30Apr07, 196 as of 31May07, 198 as of 30Jun07, 194 as of 31Jul07, 215 as of 31Aug07,   208 as of 30Sep07 and  215 Inmates were sentenced to BCJC on 31 October 2007.    Of the 219 Inmates sentenced to BCJC on 30 November 2007, 160 were there for Felony convictions and 59 were there for Misdemeanor convictions.  Of the 1756 total Inmate population on 30 November 2007, 112 Inmates are in Jail for Violation of Probation Only and 303 Inmates are there for Violation of Probation w/Charges.   

Comparison of 30Nov07 vs 31Oct07 vs 30Sep07 vs 31Aug07 vs 31Jul07 vs 30Jun07 vs 31May07 vs 30Apr07 vs 31Mar07 vs 28Feb07 vs  31Jan07 vs 31Dec06 vs 30Nov06 vs 31Oct06 vs 30Sep06 vs 31Aug06 vs 31 Jul06 vs 30Jun06 vs 31May06 vs  30Apr06 vs 31Mar06 vs 28Feb06 vs 31Jan06 vs  31Dec05 vs 30Nov05 vs 31Oct05 vs 30Sep05 vs 31Aug05 vs 31July05 vs  30Jun05 vs 31May05 stats -  Total Inmates:  1756 vs 1808 vs 1835 vs 1816 vs 1831 vs 1843 vs 1794 vs 1772 vs 1782 vs 1789 vs 1799 vs 1734 vs 1662 vs 1728 vs 1632 vs 1722 vs 1708 vs 1594 vs 1641 vs 1635 vs 1596 vs 1530 vs 1527 vs 1410 vs 1574 vs 1574 vs 1610 vs 1546 vs 1514 vs 1482 vs 1506; Inmates awaiting trial: 1375 vs 1432 vs 1470 vs 1457 vs 1494 vs 1517 vs 1437 vs 1446 vs 1434 vs 1434 vs 1453 vs 1425 vs 1306 vs 1378 vs 1236 vs 1344 vs 1366 vs 1245 vs 1264 vs 1211 vs 1220 vs 1185 vs 1230 vs 1153 vs 1218 vs 1229 vs 1268 vs 1187 vs 1177 vs 1129 vs 1239;  Inmates awaiting transfer to DOC: 59 vs 51 vs 51 vs 41 vs 47 vs 59 vs 68 vs 76 vs 75 vs 93 vs 79 vs 60 vs 84 vs 73 vs 116 vs 80 vs 65 vs 63 vs 73 vs 94 vs  102 vs 97 vs 89 vs 75 vs 125 vs 127 vs 91 vs 121 vs 121 vs 145 vs 91;  Inmates held for other jurisdictions: 67 vs 73 vs 65 vs 62 vs 60 vs 50 vs 68 vs 54 vs 60 vs 65 vs 63 vs 67 vs 68 vs 79 vs 75 vs 85 vs 82 vs 81 vs 74 vs 88 vs 73 vs 72 vs 77 vs 71 vs 83 vs 85 vs  83 vs 86 vs 86 vs 81 vs 72.   Percentage of the Inmate population awaiting transfer on 30Nov07 was 7.52% vs 7.19% on 31Oct07 vs 6.65% on 30Sep07 vs 6.00 on 31Aug07  vs 6.23% on 31Jul07  vs 6.02% on 30Jun07 vs 7.75% on 31May07 vs 7.62% on 30Apr07 vs 7.97% on  31Mar07 vs  9.11%  on 28Feb07 vs 8.3% on 31Jan07 vs 7.7% on 31Dec06 vs  9.6% on 30Nov06 vs 9.2% on 31Oct06 vs 12.1% on 30Sep06 vs 9.9% on 31Aug06 vs 9.1% on 31Jul06 vs 9.6% on 30Jun06 vs  9.6% on 31May06  vs 11.9% on 30Apr06 vs 11.5%  on 31Mar06 vs 11.5% on 28Feb06 vs 11% on 31Jan06 vs 11% on 31Dec05 vs 14% on 30Nov05 vs  13.8%  on 31Oct05 vs 11.2% on 30Sep05  vs 13.8% on 31Aug05 vs 13.9%  on 31Jul05  vs 15.6% on 30Jun05 vs. 11.2% on 31May05.