Wed
Nov 25 2015
07:16 am

Maybe it hasn't been reported or maybe I missed the news stories, but it would appear more information is needed before the community can support a new Safety Center.

In a recent KNS news story, it was reported, Randy Nichols, counsel to the Knox County Sheriff’s Office "estimates [a new Safety Center] could cost as little as $10-15 per person, per day. Keeping a single inmate incarcerated in Knox County runs up to $80 a day." The article goes on to say the costs of medicine to the county would be a lot less, county inmate populations would be reduced and additional county inmate pods would not need to be built.

It is also mentioned that "Jail staff aren’t trained to handle an addict in the grip of withdrawal, or someone going through a true psychotic episode." The new Safety Center would "likely" be staffed by the Helen Ross McNabb Center, a not-for-profit provider of behavioral health services. According to the article, the McNabb Center gets most of its funding through TennCare/Medicaid or the State of Tennessee. Thus, it sounds like a new Safety Center will pass the County costs to the State/Federal government.

What if the State of Tennessee had just expanded Medicaid? Would that help those with mental illness and reduce the jail population?

Men and women struggling with various mental illnesses and drug addictions make up as much as 25 percent of a jail population. Based on numbers mentioned in the article, 25% of the jail population is approximately 282 inmates. The center would have far fewer beds than the jail, perhaps as few as a dozen.

There is a need for a facility such as the Safety Center. But, before it can proceed the full story should be explained. How can they treat mental illness and drug addiction for $10-$15/day? Is it that they cannot, and are instead working to pass the cost on to other government entities? What is the exact design of the proposed facility? If the center is only likely to be staffed by the McNabb Center, what are the alternatives? Are twelve beds enough? What will be the resident/inmate turnover in the new Safety Center?

Finn Mattson's picture

Very little impact

Back when this facility was proposed to be set up on North Central St, the public was told the following:

- The maximum stay in the Safety Center would be three days.
- After three days, the offender would be referred to "outpatient care".
- Any single offender would be allowed only one visit per lifetime. Either you make it on the first try, or you're back to being hauled to jail for future offenses.
- There would not be any guards, so the offender would be free to walk out at any time (and be banned from the program in the future).

Basically, the Safety Center as it was planned, would do little to serve the chronically mentally ill and long time substance abuser "frequent flyers".

Bird_dog's picture

The Safety Center is long overdue

Mental illness often manifests in early 20's - often only treatable when bizarre actions are called to attention of law enforcement. Not talking about violence here, but appearing intoxicated, trespassing, disrobing in public... symptoms of psychosis. The Safety Center would divert these victims of their own mental illness to treatment instead of jail - if they qualify and if they agree. After stabilization efforts for a few days, they will be released for supervised treatment (family or facility) or taken on to jail and the resulting criminal record which never goes away.

I know folks only think about homeless "frequent flyers" and don't see what good this would do. But I tell you from personal experience that if my son had been diverted, we would have had some leverage to help him continue treatment. Instead, multiple arrests later (all for non-violent offenses) and treatment at Maloneyville and Lakeshore, we could not get him into subsidized housing because of his arrest record. He has not had a good outcome and is now almost 40, subsisting somehow, somewhere on the west coast. This was an honor graduate, all-state athlete, ivy league school dropout. I fully support the efforts to create a safety center and have attended most public meetings where this was discussed for the past 10 (?) years...

There are a lot of misconceptions about the Safety Center, but consider whether having a mental illness should be a crime??? A just society must have a more humane way to treat these unfortunate folks who have poor insight into their illness - remember, a disease of the BRAIN...

Jamie Satterfield's picture

as proposed

I've read Helen Ross McNabb's response to the RFP. With the parameters set by KCSO on who would qualify, this center will divert maybe 120 people total from the jail in any given year. If an inmate has been assaultive, which nearly all mentally ill are since that's how they wind up in the attention of law enforcement, he or she won't qualify as a for instance. It is stabilization only - dope 'em, calm them, offer future services. The fact that we do not have those services - housing, affordable treatment centers, dedicated as in assigned case workers, income (these folks are broke period), job training, longterm after care (the mentally ill don't think they need meds or, if they do, can't afford them or don't know how to go about the process of getting them) etc... - even that small few who get diverted are highly unlikely to find real solutions and - the epic fail - they can't ever go back to the safety center. And when you do the math of the cost per bed, it's not even more cost effective especially when you consider that because so few will be diverted, JJ is still going to want money to build more pods. Helen Ross is driving this train. They were the only facility to bid. They've already been turned down for two grants because their plans were too vague. (This is all research I've done on my own time and I have not been assigned the story so save the why haven't you written this. I've tried to steer, but I'm not driving. I had planned on blogging it, which I may still do in some personal blog format). The concept of a diversion program is sound. But this one, as crafted thus far? Jury's out. I would compare it to drug court sans the baumgartner scandal. Drug court hasn't solved addiction. It hasn't shut down the court revolving door. But it has, with very little extra money and thanks to dedicated judges, probation officers etc..., changed some lives because a) failures didn't bar you (consequences, yes, but on a scale) b) admission wasn't so strictly defined and recognized that thieves are addicts 99 percent of the time. So, instead of just saying those with drug charges, the entry door was set wider to capture crimes driven by drugs c) there were actually services available - dedicated beds in treatment facilities and halfway houses, AA, NA meetings (required), transition programs, social services for all the side issues (kids, jobs, etc...) If you look at drug court on paper, you'd go man that failure rate is pretty high. But when you add in the math - the cost to run it - it is a cost-effective means to at least, at least give people a serious chance at serious change and those few who take that chance and work their program and make it out - well, that's a miracle and a blessing, to our judicial system and our community. In the hands of people who are not already invested in the solution they've already set based on their own beliefs, prejudices and, let's face it, benefit, a diversion program has real potential to change the lives of the mentally ill and improve our system in the process. But when the only people driving this ship are the sheriff and helen ross, well, there's just not enough voices there. Why hasn't the public defender's office been invited into this conversation. These inmates to be diverted, that's their people. They know what can work and what can't. Where are the judges who would have to authorize diversion and approve the parameters? Where are state officials? None of these and other stakeholders have spurned this conversation. They haven't been invited to join. This so called judicial committee has met maybe once in five years and even when they meet, it's JJ's people and Helen Ross doing the agenda setting. That's my personal opinion based on my 27 years of professional experience for what it's worth.

Bad Government's picture

questionable at best, won't help

The better investment,if that word can be used, would be to build the pods and find someway to get more ankle bracelets on those people who can be vetted. The pods will be built.

This idea, will not prevent the pods from being built. It will only delay them. And it is another taxpayer to non-profit diversion. Which at some point has to stop.

If you think 72 hours to "stabilize" the people this is supposed to serve will matter. You don't understand the issue. We torn down a perfectly good facility to do this to make a park at Lakeshore. And put new customers for the pods on the street.

We're stupid like that. We're really stupid. We think non-profits can do the work of government. They can't. They haven't. And they won't.

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