Progress.

All right.

Good morning, everyone.

Welcome to Alamity County Board of Supervisors Public Protection Committee meeting for Thursday, November 20th.

Um, can we please start with a roll call?

Supervisor Miley.

Supervisor Marquez.

Present.

Thank you.

And if the clerk could please provide instructions for their members to speak on items on the agenda, whether they're in person or remote.

For in-person participation, the meeting site is open to the public.

If you'd like to speak on an item, you can fill out a speaker's card in the front of the room and hand it to me.

And for remote participation, you can use the raise your hand function, and we will have comment after each item.

Yes, we will.

Yes.

Thank you.

Thank you so much.

Again, good morning, everyone.

Welcome to the public protection committee's annual state of the jail hearing.

This year's update is particularly meaningful as it reflects our continued investment in reimagining adult justice initiative spearheaded by the late Supervisor Richard Vae, whose vision and values I am honored to carry forward as the current chair.

For current for context, RAJ initiative established 12 core elements that continue to guide the county's public safety work, emphasizing the need for ongoing data collection and analysis to better understand the drivers of Santa Rita Jail's population.

In 2023, our board received the final RAJ report managed by our past probation chief and district two project manager Wendy Still.

It is worth highlighting that several of the RAJ's recommendations align or overlap with the county's care first jails last initiative, especially around the importance of making data-driven decisions and informing program design.

The RAJ report is available on my website, District 2 Alameda County CA.gov under stay informed drop-down menu.

I am proud of Alameda County's consistent positive progress, including our ongoing work with Wendy Ware, who wears a who was a key, I apologize for that, who was a key force behind the RAJ initiative, and is with us here today to present an updated jail population analysis.

This includes providing a deeper dive into arrests and booking trends, jail population characteristics characteristics, recidivism analysis, and pretrial opportunities.

I applaud Sheriff Sanchez and her staff for continuing to fund Ms.

Ware's critical research to better guide the county's investments towards rehabilitation and further support key culture shifts.

Where there is more work ahead of us, the positive changes are visible.

In fact, tomorrow I will have the opportunity to see firsthand this progress happening inside the jail facility.

I'm very excited to attend the Labor's International Union of North America or Ailuna 304's seventh graduation at Santa Rita Jail.

This transformational vocational program offered in partnership with the Alameda County Sheriff's Office, trains participants in construction skills and provide certificates that keep certificates that help secure living wage jobs after their release.

These transformative milestones remind us that meaningful change is both possible and already underway, even as we continue pushing for deeper system transformation.

Again, our progress is the result of our partnerships across all stakeholders, including justice stakeholders, especially those with lived experience, county agency leadership and their central department staff, and our community advocates.

I am encouraged by our ongoing dialogue and deepening collaboration as evident by our presenters from AC Health, the Alameda County Sheriff's Office, so we may continue to build towards a more responsive and equitable public safety system.

Thank you all for being here.

I will also note that we do have to end this meeting shortly after 1 p.m.

because Supervisor Miley and I have a special meeting at 1 30.

So we will ask everyone to please keep their presentations concise and depending on how many speakers we may have to reduce public comment to one minute.

So we will now start with our first item, which is an informational item.

All the items on today's agenda are informational items.

The first presenter I'd like to welcome and thank you so much for being here in person, Wendy Ware, president of the JFA Institute.

Welcome, Wendy.

And there should be PowerPoint presentations available online for everyone to review.

And I believe your report has already been published and attached to our agenda.

So welcome, Wendy.

Thank you so much, and thank you for that wonderful introduction.

I appreciate it.

As you mentioned, I was part of the RAJ effort a couple of years ago, and all of the data that was incorporated in that report, we undertook this effort to update that data and look for emerging trends in the jail population.

Just a bit of an introduction.

I have been working exclusively in criminal justice research for the past 30 plus years.

Research analysis and forecasting are my specialties.

I'm currently working with over 30 jails around the country, including five in California.

Wendy, I'm gonna pause you just for a second.

Can someone please confirm that audio is coming in clearly for those listening online?

No issues.

A little bit louder.

Okay, you could adjust the mic.

Yeah, thank you.

Thank you very much.

Next slide.

So when we talk about drivers of the jail population and we look at the factors that go into that, the first thing we want to look at is the county resident population and what the trends are.

And one of the real benefits in continuing this work on either an annual or an every two-year basis, is it takes the point in time that you look at when you look at it before, and you see how it's trending.

And when we look at the county resident population, that's really pretty evident.

When we closed out this data before in 2023, we were looking at a total resident population in Alameda County on a declining trend, as well as males 15 to 34.

Usually males 18 to 34 is considered your at-risk or crime-prone population because of the way the census data is broken out for Alameda, it's 15 here.

So just note that.

But when we look at 2024, we see both of those trends have reversed.

So it's important to note that at this moment, Alameda is a growing county, and it's growing a lot more proportionally more in that male's 15 to 34.

So when you're looking at needs, and when you're looking at uh what the county is headed towards in terms of is this population going to enter the jail pipeline, we see that it is there's a growing need there.

Next slide.

So population, then we're gonna talk about crime, then we're gonna talk about arrest, and we're gonna see how that feeds into the jail.

This is what is considered UCR part one crimes, which are violent and property uh felony crimes.

Blue is violent crimes, orange is property, and these are number of incidences.

2023 was truly a spike in crime here in Alameda.

The number of violent crimes almost more than doubled, uh, and the number of property crimes went up almost 20 percent.

I'm happy to note that in 2024, you see that both of those have decreased to at just above levels on the violence side, and really you're matching uh the property levels.

So while I can't explain what happened in 2023, 2024 is a great sign that it is coming down, and it's coming down to what we see as sort of those normal levels uh in the years prior.

Next slide.

Just breaking out the types of crimes uh in those categories that I mentioned.

Um, and because we're producing this these stats and these reports uh through multiple years, we can track the data for multiple years, which I think is really powerful.

A couple of things to note here.

If you look at 2024 for homicide and rape, they are back down to or lower than levels in 2023.

So that's really generating that reversing trend that I mentioned.

Aggravated assault is really the one uh crime there that's sticking out.

It is still higher than what we saw pre-2023.

So there is still an increased number of aggravated assaults being reported.

Under property crimes, burglary is kind of a mixed bag.

You're back down to where you were in 2022 levels, but not really 2021.

That was still post-COVID, and crime rates were generally lower during that time frame.

Motor vehicle theft is still higher than what we saw pre-2023, but Larsene theft is really on average and arson is lower.

So when we think about crimes in the community, crimes that are being reported into the police, there's still an elevated level in aggravated assault, larceny theft and motor vehicle theft.

Okay.

The 2025 numbers usually come out about six to eight months after.

So we'll, if given the opportunity, we'll update those.

So we would just want to put it in context a little bit.

This is what is referred to as researchers as a crime rate per 100,000 residents.

So it's normalized so that we can compare it to, we've compared it with all of California and the US.

And as you see, traditionally, Alameda in the blue bars there has always had a higher than average, higher than California and higher than US average rate for violent crime.

You see the spike in 2023 that we mentioned, but really it's trending back down.

The same can be said for property.

Alameda, again in the blue bars, has always had a higher uh rate of crime per population than California and the US, and it's trending back down.

So if we want to look at, so crime then leads to arrest, and then we'll we'll get into the jail stats.

We want to see where these arrests are coming from.

This is a two-year average of 2022 and 2023.

Unfortunately, this data is not consistent back much further.

We are also missing Dublin and unincorporated areas, so it's not a perfect data set, but we see the largest bulk of arrests are coming from Newark, Oakland, Livermore, Berkeley, Hayward, and California.

Emoryville is a very small number, so I take that out of saying it's it's a large contributor.

But you see, those are the areas that are contributing the most amount of arrests.

Okay, so what does that mean for the jail population?

This is a chart, the bars represent releases from the jail, the line represents bookings.

When we have more bookings than releases, the jail population is going down.

I'm sorry, we have more bookings than releases, the jail population is going up.

When we have more releases than booking, the jail population is going down.

It's very evident there in 2019 when there were more releases than bookings.

What's really important to note here is that all jails across the country saw a big decrease in intakes during COVID as jails tried to manage your population, get their population down for safety.

A lot of jails in the country have seen some sort of rebound.

And Alameda has seen a rebound.

It's smaller though.

It can be the same person intake multiple times, but this is the number of intake events.

Your rebound has not been substantial, and you have sustained this lower number of bookings post-COVID.

Okay.

Some larger jail systems, Harris, Philadelphia, St.

Louis have all seen spikes back up that are continuing.

Okay, so Alameda has sort of maintained this lower volume of individuals coming into the jail.

Okay.

What does that mean for the average daily jail population?

The bars are broken out by male and female, and then there's a yellow line that talks about peak.

When we look at jail populations, we look at what's being reported is the average daily population.

So what's the average of every day for the year tied to the year?

But we also look at what's called a peak.

So that is the highest point the jail population reaches in a year.

And so for planning purposes, you want to make sure you have space for that many people, even though it might not be occupied all the time.

Okay.

And so very similarly what we saw with bookings, there was a drop during COVID, and then we're seeing just a gradual decline in the jail population through 2024.

We do have we don't want to present 2025 until it's closed out, but right now the jail population is holding steady at those levels.

Next slide.

So I'm just gonna break down the jail population in two categories, and they're important to note.

One is the sitting jail population, so who's in there today?

Okay, and the other that I'm gonna talk about later is the churn or the intakes and releases.

And I'm gonna separate them when I talk about them because they are two distinct populations and they have different characteristics, okay?

But for the sitting population, 94% is male, six percent female.

This is a little bit lower on the female side than we see nationally.

We see female populations around 10% in jail populations, so you're a little bit lower.

Um for race, we have 45% black, 34% Hispanic, 14% white, and then the largest age group, as I said, is in that 25 to 34.

There are some notes on these slides, which just compare the 2021 data that we started with under RAJ and where we are now.

Okay, next slide.

If we look at why they came in, the largest committing group is for a brand new arrest that is coming in and sitting in the jail.

Second biggest category are for warrants that have been picked up, and then what's here on the right, I think is really really telling.

Almost all of them are there on a most serious charge of felony.

Now they can have multiple charges under that, but their most serious charge is felony.

This is very low from what we see nationally.

You are utilizing your jail space for felony charges.

Okay.

Los Angeles, for example, is up to 18% misdemeanors.

Next slide.

I wanted to break down that, those broader categories of the sitting jail population by individual crime categories within that.

You'll see homicide under violent felony is 23%.

Okay, so a very large number of who's there today, who you're actively managing day in and day out are there on homicide.

Okay, another big category being that assault and battery, sex crimes and robbery.

Okay, sixty-six percent of the jail population is there for a violent felony, okay.

So you are utilizing your jail population or your more violently charged individuals.

Okay, you'll see.

I wanted to say I wanted to just talk a little bit about Prop 36.

Um, so as everyone knows, it provides prosecutors the discretion to charge some drug and property felonies.

The data that we have for this so far, and it you looked at the ADP, you looked at what we're looking at, we're not seeing an increase in the jail population, and sort of this data, and it's explained a little bit more in our report, shows that Alameda prosecutors are not utilizing it.

They're not bringing individuals to the jail with this.

If you want to spend a little more time in the report, you can see that statewide, it's a mixed bag.

I was just in Santa Clara yesterday.

They are actually having an increase in their jail population due to Prop 36.

Los Angeles has 400 people currently housed under Prop 36.

But the initial data through June of this year indicates that minimal cases are being charged under Prop 36 for Alameda County.

But I would very strongly recommend tracking this and keeping an eye on it because it really it really is at the discretion of the prosecutor.

Next slide.

So the other one I want to talk about, and I hope I'm not going too long.

We talked about the sitting jail population, who you're managing, and really the takeaways is it's male violent offenders waiting in jail for their charges to be cleared.

If we talk about the churn or who comes in, who goes out on a day-to-day basis, that's what we're going to shift our mindset to in this part of the presentation.

The average length of stay in your jail in 2024 is 25 days.

The average length of stay in jails across the country, all averaged out is 42.

Okay, so you're pretty substantially under what the national jail length of stay is.

Okay.

Oh, I'm sorry.

No, there's a lot on this table, so I'm gonna take it a little slow.

There were 26,124 total release events made up of 18,901 people.

Okay, so that's where we can break down and talk a little bit about high utilizers, individuals who are coming to the jail multiple times throughout the year.

If we look at three and above, and every jurisdiction's definition of high utilizer is different, but if we look at three and above, that's about 20% of your release events are being taken up by 1,500 people.

Okay, so when you think about needs in the community, needs in the jail, you want to sort of focus on these high utilizers and how to break the cycle.

The bottom part of this chart I also think is is pretty important.

10,000 of those release events were in 24 hours, and an additional about 5,000 within one to three days.

That makes up 58% of all those release events within three days of coming into the jail.

So there's a good number of individuals who come and stay for a very short amount of time.

Okay, that's very different than what we were talking about with our city, our sitting jail population, and we'll we'll see that a little further.

So if we're talking about this churn, if we're talking about the individuals who are coming and going pretty quickly, we've just sort of broken down those same statistics, and really a highlight here is you see that female number, it's 19% of the volume of ins and outs, but it as we talked about, it was only 6% of the sitting jail population.

So the females are staying even shorter with the males.

A good way to sort of process these statistics is you look at the average length of stay for each characteristic and you compare it to the average for total.

So females are staying just under 10 days compared to 25 for everyone.

So it's well under the average, is a good way to look at this.

Uh by race, blacks are serving about seven days longer than other races.

So it's another highlight.

What's the national average for females?

Their length of state, you know?

It's about 12 days.

It's about 12 days.

Next slide.

Okay.

Again, with those release events and the churn, how long are individuals staying by this felony by this uh most serious charge category?

Okay, we see felonies at an average length of stay of 31 days.

If we compare that to the average for everybody, it's 25.

Violent felonies, obviously serving the longest.

The misdemeanor category is really, really telling.

So anyone who's brought in for a most serious charge of misdemeanor, whether it be multiple misdemeanors, but only misdemeanors, are only staying just under two and a half days.

Okay.

So that's what the churn is.

That's what's making up this population.

And it's what's bringing the average down.

One thing I just want to note here jail length of stay can be misleading.

Okay.

When you calculate the length of stay, you need a release event to do the calculation.

Okay.

You have a significant number of individuals who are sitting in the jail for homicide that have been there for 300 days or 200 days.

And they're not as reflected in this number.

So it's something to keep in mind.

It's why we try to describe the sitting jail population versus the ins and outs, because you have, as we've seen, a large number of people who come and go very quickly, but then you've got this larger group that comes and stays.

Okay.

Next slide.

Okay, and this is where we can really highlight that.

So this is the that 2024 number, that 26,000 broken out by release reason.

So this is their eventual release from the county jail.

Citation, obviously, they're staying just over a half a day, but they're only making up 11 beds.

Okay.

And that's that's what I'm trying to highlight here.

26% of those release events only cost you 11 beds.

Okay.

The two that are highlighted there have your longest length of stays in the jail, and they take up about a third of the jail population.

Individuals who are eventually released to out of county charges, and those who are eventually released to state prison.

Okay, you see that the length of stay for those released to state prison is over 500 days.

Okay.

But I want to state that they're not waiting to be picked up for 500 days.

That is just their eventual release type tied to their entire stay.

Most of that time is spent awaiting case disposition for both of those categories.

Okay.

So again, when we're describing the jail population, we're thinking about who's in there, who we're managing on a day-to-day basis.

They are individuals who have violent felony charges that are waiting to be dismissed, and they will eventually be transferred out of county to serve other charges or transferred to state prison.

Okay.

Okay.

All right.

So our charge is also to produce a jail forecast.

And so we have a simulation model that we use that I use and wrote that we use on this.

We have females, males, and then total, you see the historical 2017 to 2023.

And then with everything we're seeing, a stable number of bookings every year for the past four years, a slightly declining length of stay, as some of the case processing delays due to COVID clear out, we're not seeing real projected growth in the jail population.

Okay, it is projected to remain phalee stable.

Next slide.

Again, with Prop 36 being new, and we don't really know how it is going to flesh out here in Alameda.

We did do an alternative, which we brought in some assumptions that there would be increased number of admissions under Prop 36, and they would stay.

So we've just we sort of like to do these alternative scenarios so you can see basically gauge what the impact of certain things would be.

So we've done that there.

It is not what I recommend at this point for Alameda.

I think the baseline is tracking pretty well in 2025 with our data, and we feel pretty confident about it.

Okay.

One thing that we got to add to our analysis here, uh which was pretty exciting.

Because we've been doing this for multiple years, we have multiple data, we can take a look at it.

We did a little recidivism analysis.

Recidivism is defined very differently all over uh the country, sometimes based on how they want it to flesh out.

We are basing it on the data we have.

So we have defined recidivism for this study as an individual who was released from the jail and came back in one of our cohorts.

We had a 2021 cohort and a 2022 cohort.

Your recidivism rate was 48% in 2021 under that definition.

In 2022, rounded to 50%.

So pretty stable.

Okay.

The again, recidivism is a tricky number to gauge and compare, but usually in jails we can see recidivism rates up to 60%.

Okay.

I just I caveat that because if uh a jail does not have pretrial release or it doesn't have extensive use of ROR, individuals are staying in the jail, and it artificially drives the recidivism rate down.

So this is it's a tough comparison, and I just warn you against that.

But as expected, the largest number of the bars represent percentages within each one of those individual rates that fall within those time frames.

So the majority of people, if they are gonna recidivate, is between 30 days and six months, second being 30 days.

So really, really short.

And when you think about planning, you think about how do I bring these numbers down, it's that time frame that you should target.

You get up to a year over two years, those numbers are really very small in terms of individuals coming back.

So the crucial time is really from release, you know, through six months to a year.

And then just wrapping up the recidivism analysis.

We we like to look at how long they spent in the jail and what their recidivism rate is, and not surprisingly, although not surprisingly to me as a researcher, but maybe counterintuitive, the more time they spend in the jail, the higher their risk of recidivating.

Okay, so those who are released within 24 hours are coming back at a rate of 36%, and as you see that percentage goes up the longer they serve in jail, questions.

Thank you.

Or I thought you had more.

Thank you so much.

Thank you so much.

I do have questions, and um I'm gonna ask everyone that would like to speak on this item to please raise your hand.

We're gonna see, um, come fill out a speaker card if you're in person.

If you're participating remotely, please raise your virtual hand.

If you're in person, fill out a speaker card so we could see, excuse me, how many speakers we have total so we could determine how much time plus the slips for total.

Okay, all right.

Um, so let's go ahead and um hear from the public first.

Since we have multiple items on the agenda, I'm gonna just keep public comment to one minute because we are gonna take public comment on every item on the agenda.

So you'll have one minute, we'll hear from the public, and then um the committee will ask their questions.

The clerk can please call the first speaker.

Mickey, Dux Mary, and then Alice Beller.

Alice, Richard.

Good morning.

I'm Richard Spiegelman with the Interfaith Coalition for Justice and Our Jails.

Want to express my sincere appreciation to the county and sheriff's office for this remarkable information that we so desperately need in Alameda County.

I wanted to pose three questions, um, which are meant for Wendy Wearer, but who knows who might answer them.

Um, first of all, I wondered whether there's any room in the future for community input into the kinds of questions and the ways or the places to look for data.

Secondly, I wanted to ask whether there's any way that Wendy Ware might be able to get data from the behavioral health or the healthcare agency incorporated into her reports.

We desperately need to understand the relationship between what we've seen in these graphs and charts and tables and people with more and less severe behavioral health problems.

And finally, I would love to ask her whether she what areas she thinks would most benefit from serious program evaluation.

Thanks.

Alice Fellard and then Terry Dunn.

Hi, thank you.

So I just have a remark on as a psychiatrist, I'm very interested in how jails function as hospitals since they've replaced the hospitals.

Um in handcuffs, or else the psychiatrist will go and see them at the at the, you know, that cell.

So that way, obviously, there's no privacy.

And you know, I can't imagine how it would be to go and see my psychiatrist in handcuffs.

Um I don't know what anyone can do about that.

I understand their security uh security reasons.

I didn't see any any uh cruel behavior.

It seemed like the guards were um perfectly fine.

So, but I just wanted to say that okay, since we've replaced our hospitals with jails.

There's there's that.

I just want to note for everyone we have several informational items.

So public comment right now is just specific to Wendy Ware's report.

So if you could please uh make your comment specific to that.

You will have an opportunity to speak on other items, but they have to be um aligned with agenda item.

I am Terry Dunn with Your Faith Coalition for Justice in our jails, and uh curious how the Sheriff's Office will continue this analysis in the future.

Will someone with the necessary skill set be responsible for continuing the system, keeping it up to date, and if not, how will the data collection and analysis take place and when will this be known?

Thank you.

Appreciate this work.

This is a feat I might not accomplish.

Um I was saddened to see the recidivism rate as high and as intractable as it seems over many years, not just the last several years.

In 2020, I created the Welcome Home Project.

I interviewed 20 formerly incarcerated people in Alameda County that had spent major time in prison for serious, very serious crimes, and everyone had some kind of psychological and spiritual transformation that helped them turn their lives around.

Of course, they need food, housing, um, medical care.

They're all totally crucial, but they really each of them pointed to they had a mentor, whether it was on the inside or the outside.

Somebody said, I care about you, I'm gonna care about you through the process, your worth being carried about.

I'm gonna lift up Kevin Grant, some of you remember, uh, and he's he always said, don't talk about rehabilitation.

I never I never was habilitated in the first place.

I had trauma from the beginning of my life.

We need mentors and we need mentors from the formerly incarcerated.

Thank you.

Inside and outside the jail.

Thank you.

Caller, you're on the line, you have one minute.

Alison.

Hello, Alison Monroe here from FASME.

I appreciate this lucid data field presentation from Ms.

Ware.

I wonder if the data breaks out people who are at Santa Rita because they are waiting for restoration to competency.

People who are felony or misdemeanor IST.

I don't see that category in the data.

Also, I wonder if Ms.

Ware can estimate now the waiting time in Santa Rita for somebody who's been found incompetent and is waiting to go to Napa.

People, you know, family members have all kinds of different ideas how long their family members are going to wait.

And I wonder if she has any information on that.

Thank you so much.

Caller, you're on the line, you have one minute.

Caller, you're on the line.

You have one minute, Brian.

Hi.

Hi, it's Brian Bloom.

I'm the chair of the Mental Health Advisory Board in Alameda County.

Thanks for this presentation.

Um, I'll cut to the chase.

I don't have much time.

I would encourage us to think uh more critically about the recidivism rate.

Uh recidivism usually means uh being convicted of a new crime within a certain amount of time, a year or two or or three years.

When you ask who returns to jail within a year, you capture all kinds of people.

Someone who's released from jail on January 15th, told to come back in a few weeks to show proof of something, or just to come back and have his case, uh his or her case adjudicated uh further and fails to appear and then gets picked up on the warrant a few months later and pops back into jail is included.

That's not really a someone who recidivates in certainly in my sense, and I think we would agree.

I would hope that we would focus on recidivism as who reoffends, and then ask ourselves obviously the crucial question of well, what can we do programmatically to uh to lower that rate?

Thanks.

We have no additional speakers for item one.

Thank you so much.

Uh thank you, Wendy Weir for the presentation.

I do have a couple follow-up questions.

Um with respect to the high utilizers you mentioned.

Um can you speak to best practices that you've seen in other facilities throughout the country?

Do you have any suggestions or ideas?

Um, with what we have here, I would at this point uh suggest a deeper dive and into why they are returning.

I actually agree with uh Mr.

Bloom's comments about recidivism, but it would take a larger data effort than we had for this effort.

Rearrest and reconviction are usually the two metrics that you have, as well as reincarceration.

Um so examining those high utilizers and why they are being brought back.

Is it an unhouse situation?

Is it a mental health situation?

It more data is needed in order to develop those recommendations, but so that's all I can tell you at this point.

And then can you provide any guidance?

Um, as we know, the facility is outdated.

There's a lot of deferred maintenance, so we're consistently working with General Services Agency on contracts to um address issues at the facility, and there's always this question about the analysis of the population.

So, what we what should we be looking at in terms of future planning?

We're looking at the trends in the last five years.

Um obviously more data continuing to have this analysis on the annual basis would be beneficial, but any other factors that we should be considering?

Um, no, I I agree with you on um the conditions of the facility and if they are meeting the needs of the profile of the population that you're housed and managing.

And that's why I really wanted to, uh Alameda falls into the category of basically two jails.

You have an intake and a release that large volume of individuals, and then you have individuals who you have there for six months, a year, maybe more, and how to meet the needs of those individuals, programming, planning, uh any sort of uh re-entry or work for your even your middle servers, your six-month servers, those who are gonna come back to the community and not necessarily go to state prison.

How are you planning for them?

Okay, um, those are my only questions for Wendy where my other questions are for the share, but um Supervisor Miley.

Sure, thank you for this intriguing analysis.

Yeah, the um definitely like to get more information around the two separate populations, the once it's coming and then being released and maybe coming back, and then those that are there for a longer period of time.

Um, just to kind of I think get a little bit deeper into that.

I um I do think that um having um peer uh counselors maybe working with the jail population, I think is important.

Obviously, people who've had life experience uh and can relate to uh someone who's incarcerated, I think it's important.

The um then Supervisor Marquez also brought up the fact that you know I think you explained it the longer someone's stay, I mean the longer they're there, the more likely they are to you know come back.

So getting more information on that I think would definitely be helpful.

But uh this is very fascinating, and clearly, you know, it's good that you pointed out we don't have people in our jail for misdemeanors for the most part.

That's not the case.

They're there because they've committed some really bad uh crimes.

And so to understand um more around that, once again, the two populations in San Larita jail, I think would be helpful.

And then the other thing um hopefully you'll you'll be doing more of this because I too was curious, and maybe it'll come under the behavioral health, the breakdown of those who are there for behavioral health issues uh and you know, some analysis around that.

If you aren't doing that, maybe it'll be uh in this next um report uh today from behavioral health.

And then the final piece, I would also be curious to see of the population in the jail and the in the analysis, because we talk about Alameda County, and I'm very sensitive to where we talk about the entire county.

What what portion of the jail population is from one location in the county that's driving these numbers?

And I I would love to provide all of that.

It's heavily data dependent.

So if I you know the question about the behavioral health data, I would also be as a career researcher in this, very curious in tying those things together.

Um I know when we did it under RAJ, we were up against the um uh we were just told no, you know, that we couldn't have that data, it was protected, we couldn't match it even.

I mean, there's certainly ways to do it with stripping identifiers and things like that.

So there are some advanced metrics, it really needs to come.

We need to be able to do it, but it maybe the answer to your question is it's completely possible with the right access to the data.

Thank you.

Um thank you so much for being here for the excellent work.

And just as a reminder, your full report has been attached to our agenda for those that want to review it.

So thank you.

Um, my next question is for our sheriff.

Thank you for being here.

Thank you for continuing this critical work.

Um that started with the RAJ initiative, but I just wanted to respectfully ask Sheriff, um, do you have plans to continue to work with Wendy Ware?

Just obviously this data is critical and important.

We want to be able to continue to monitor track.

There's been recommendations on additional analysis that should be considered.

So I just wanted to hear from you in terms of your thoughts about next steps.

Well, um, we haven't had any continued discussions as far as any additional work for Wendy, but I know that we've been talking to an AI group uh where we were waiting for Wendy to be able to provide us with a foundation of data and what type of analysis that she can provide, and then potentially build off of that.

So we are looking at options as far as gathering data and being able to analyze it in many, many different factors, whether it's behavioral health, whether it's um programming that's occurring in the jail, and then what we do with that data as far as how we identify the best services uh that are going to be provided, and then what that means for population and what it looks like for the type of population that we have.

Thank you for that.

So we'll continue the conversation.

I I think um there's strong support from the public.

This information's been vital.

So would love to um further discuss that to see if we could continue that working relationship.

Um I'm gonna continue with item number two, which is also an informational item, state of the jail presenter is Lieutenant Daniel Murphy with Alameda County Sheriff's Office.

Welcome.

Uh hello, good afternoon.

Uh, I'm Lieutenant Dan Murphy.

I'm the contracts lieutenant at San Rita Jail.

Umline is Commander James McGrail is the division commander over the entire jail and tension corrections.

Captain Ray Kelly is the operations captain.

Captain Oscar Perez is the administrative or administrations captain, and Captain Jessica Evans is the compliance captain.

Next slide.

So in February 2022, the Alamini County Sheriff's Office and Adult Forensic Baver Health AFBH insert into what is known as the consent decree.

In the consent decree, there are 188 provisions.

Each one that was shown up there breaks down where we currently are.

Of the substantial compliance category, or even no longer monitored.

In this next year, we expect uh an increase to substantial compliance or no longer monitored at the direction of the court.

I do want to highlight though, uh 40 provisions are no longer being monitored.

Due to the hard work of our classification unit and Lieutenant Rob Young.

Uh, they have our classification unit based off the Dr.

Austin uh classification model.

Uh we have uh come into compliance and now no longer being monitored by the legal.

Next.

This is a slide of our not only our incarcerated population, but also our current staffing levels right now.

In the consent decree, staffing was obviously identified and addressed as something we need to uh increase.

Uh we are still need 194 deputies to meet our consent decree requirement, but in the next six months, we will have 61 more deputies graduating from the academy uh and coming uh becoming sworn deputies.

Uh, again, kind of shows the timeline of where we are.

18 will be in December, 43 will be in May, and then we again we have a new academy starting in February.

Our recruiting unit uh is working diligently uh to recruit more deputies into our ranks uh in order to meet our consent decree requirements.

Next slide, please.

All right, construction.

Uh Santa Rita jail is a biggest place of construction right now.

We have a multitude of um construction projects.

We're gonna kind of highlight these during this presentation.

Our outdoor recreation areas, the Michael Foley operations center, uh, the network infrastructure upgrade, which is a lot to do with cameras, and update of our living spaces for the incarcerated population.

This is an overview of the jail uh currently.

Uh, this highlights the current places where the outdoor recreations are being built and finalized.

Uh so we have eight going into the site on the left, which we call the max side of the facility, uh, and then we have two going on the right side, which we call the minimum medium side of the facility.

Uh, these are both for individual uh groups or individuals, but also large groups.

Next slide, please.

Uh, this is what they look like.

Uh, as they complete construction, we're expecting to expand uh outdoor recreation not only to the therapeutic housing unit population, but also to the majority of the population as a whole.

Uh this again aligns with the consent decree provisions.

Once this is open, hopefully in the beginning of next year.

Uh, we will be in substantial compliance for more provisions moving forward.

This allows them to get oh, sorry.

Uh, this allows to meet our uh structured out of cell time and outdoor recreation.

We anticipate this holding a whole host of courses to include education, recreation, wellness courses, uh, job training vocational for a population that uh truly needs it.

Next slide, please.

So this highlights the other construction uh going on.

So the network infrastructure upgrades is we're adding 900 cameras throughout the entire facility.

Uh again, uh, as a supervisor stated, the facility was never uh was built some time ago, and this brings us into best practices uh in modern technology times.

I want to highlight the C pod conversion.

So in several housing units, we identified that we needed more space to hold uh not only classes for the restrictive housing but the therapeutic population, but also where there's confidential spaces.

So in the upper left corner in the bottom picture, those are spaces that we converted what once was living spaces for the incarcerated population.

We converted to confidential spaces, educational spaces, more of a multi-use.

So this is where the clinicians and mental health professionals would do their interview in a confidential setting, which Director Taizan will touch on when he presents.

Not only that is that recommended by the consent decree or directed by the consent decree, it also aligns with BSCC direction.

Critical ops around the entire jail.

The jail was built in 1989, and it just needs some TLC, as every building does.

So we're working diligent on that.

Cell softening, anti-suicide, getting rid of sharp edges and tie-off points, but also bringing, and the next one is the housing unit digital upgrades.

All of our housing control switches are all analog push button.

We are in the process of upgrading our facility to modern times with more touch screen touch pads, more centralized locations, which best practices along with other jail facilities.

Next slide.

So the Michael Foley Operations Center.

So Michael Foley was a deputy that passed away in the line of duty due to a vehicle collision.

He was assigned to our transportation unit.

When we were looking for space, and as we bring on all these staff in the facility, especially with our partners, AFBH, everybody was very spread across the jail.

We needed one centralized place to where we could use not only is uh to build bridges and and struck and strengthen our partnership, but also so we have all of our staff together.

So, due to our current low population, uh the leadership uh said let's convert a housing unit to a facility that's office staff for both AFBH and the Sheriff's Office.

Uh next slide.

So of the Michael Foley operations center, this is the west side.

This is AFBH's office side.

Again, this aligns with wellness.

Uh everybody's together as a team.

Everybody's not spread out amongst the jail and tiny office spaces that we find.

Um it's a beautiful space.

You wouldn't even believe that it was a uh housing unit before.

You still see the infrastructure, but it's not that feel anymore.

There's couches for people to come have their long lunch and just decompress.

Uh, there's work group tables uh for brainstorming and multidisciplinary approach teams.

Um, next slide, please.

So this is the east side.

This is still in construction.

This will be where the deputies sit.

Uh right now, currently the sheriff's office staff are especially our team sergeants that manage the jail vice level team are in a very cramped office.

We're running out of space for the briefings.

Uh it's not very conducive to the future projection of where we this jail is going.

Uh so this will be where our new home is for deputies to do morning briefing, which you see in the middle picture.

Uh, the left picture is a place, again, uh for staff aligns with our wellness where staff come have lunch, decompress, de stress, kind of just take a break from the busy place of the jail.

And the right are the workstations that our sergeants uh and that will be uh occupied by our sergeants, as well as report writing stations.

Um, so this meets the future operational goals of Santa Rita jail.

Next slide, please.

One big thing that is coming to the jail uh in the new year uh is Foresight Labs.

So this is similar to an Apple Watch, is the best way for me to describe it.

It's a bio voluntary biometric monitoring system.

This will be used uh for our most medically fragile, those who are going through withdrawals and also uh a layer of care that have uh who have expressed suicidal ideations.

Again, this is completely voluntary, but this is I think helps us monitor those that need just additional monitoring.

When the it'll be placed on the individual, again, voluntarily upon uh an activation, it'll go to medical staff as well as uh custody staff in the facility to notify that there's emergency, and we will get staff there sooner.

We're still due diligent with our checks and things like that, but again, layer precautions and layered to ensure we take care of those in our care.

Next slide.

Structure out of cell time.

Our goal is to provide the incarcerated population with something to do during every awaken hour if possible.

One thing that we have found is there's there are gaps in service.

So we have a very smart deputy that essentially created a master calendar program.

You can imagine the jail is a very busy place with education, clinical, a whole host of things, medical.

This deputy created uh this software to where we could deconflict and find holes to where we can put recreation, vocational programs, extra services through mental health in there for the incarcerated population.

On top of that, with our guardian system that we've just uh gone to, our Guardian 2.0, which is our general observation checks.

We're able to uh not only check on the incarcerated population uh in a timely manner, which in Guardian we're at 98% compliance, but also bring more staff.

So we want to make sure people have classes to be successful to give them opportunities to address their mental health concerns, but also just past the time.

If we can imagine being in that setting, uh you need something to do uh to to just keep yourself healthy both physically and mentally.

Again, this uh by bringing this online, this will help us become substantial compliant with even more provisions in the next coming year.

Next slide.

All right, CalAim.

Cal Aim has been going on for the next the last few years.

Uh, the sheriff's office received uh through the Calian process 5.6 million dollars.

A lot of this is bringing onboarding staff.

We have to do medical enrollment, we have to do case management, we have to do warm handoffs, uh, but also upgrading the IT infrastructure to ensure that we have collaborative.

Uh again, this aligns with RAJ.

During the process, as things have been built and designed throughout the county, systems did not talk.

Uh, Epic will solve that problem when we roll that out, but right now we had to create bridges, a sense, to ensure that we're information from the jail or social services or public health were able to talk.

Uh so a lot of several of that, a lot of that funding went to that as well.

Again, uh based off alignment with RAJ and CARES First, but it's also best practices.

Next slide.

So Santa Rita Jail is anticipating to go live in July 1st, 2026.

Uh we the state requires uh implementation guide be submitted six months prior to that date.

So by December 31st, the sheriff's office will be submitting our implementation guide to the state on how we're going to roll this out.

Uh we've been working diligently.

I have myself, Captain President, others have been working on this since the beginning of the process.

Um, this initiative uh will benefit the incarcerated population, but the county as a whole uh in ways to come that I don't think we fully know, but this can address several concerns uh and in the future.

Next slide.

Well path uh so our contracted providers.

These are our four largest contractor providers.

They are not all of them, uh, but these are the four that we just want to highlight because they are our largest partners.

Well Path obviously is our medical service provider, Airmark is our food and commissary provider, uh, ViaPath does technology phone lines and the tablet program, and five keys is our charter school.

I meet with uh majority of them uh almost daily, it feels like sometimes.

Uh, but everyone in the sheriff's office, we are routinely communication and managing and uh having conversations with our contracted providers to ensure they provide the best quality uh and services for our incarcerated population.

Next slide.

Training.

Our training unit has over the last year, has really revamped the training.

So one thing we identified is we need to make sure all the new deputies that come on board understand the the direction we're going in the jail and that they're on uh in alignment with the direction from the sheriff.

So every new deputy goes through a one-week orientation course, a two-week BSCC, which is the state level corrections core course.

Plus, they do nine weeks of on-the-job training to ensure they are trained proficiently in their tasks.

But in that training, they cover de-escalation, use of force, how to handle those with mental health uh issues while in custody.

They do a lot of reality-based scenario training.

This is really given the foundation for all the new deputies that are coming on board to understand the direction we are going.

Next slide.

Use of force.

I really wanted to share the slide of the sheriffs.

I wanted to share the slide to be transparent and what we have going on.

So over the last two years, each year we've had a 21% decrease in use of force inside the facility.

That's that's huge, especially as we heard in Wendy Ware's presentation that 66% of our population is there for violent felonies.

It's a very violent facility to be in.

On the left side, uh it breaks down each by month, but I just want to point out the categories.

So as part of the consent decree, we revamped uh our criteria for use as a force.

Uh, category one is control holds and ground control with no injuries to staff or incarcerated persons.

Category two is personal body weapons, OC spray or taser, were used and minor injuries to incarcerated persons or staff.

Category three, there were severe injuries to either an incarcerated person or to a staff member.

As you can see, 68% of our use of force during that time frame was category one, which meant no injuries to staff or incarcerated persons, and it was no more than a control hold or a firm grip.

I think that says a lot.

When you look at the population we have, we're taking a clinical approach and building in de-escalation with our partners of AFBH to reevaluate how we handled how we would handle a situation in the past.

We build in cooling off periods, we reach out to the mental health professionals and have them contact the person in need before deputies act, if feasible.

Next slide.

So looking at this, we developed a strategic response team.

So this there's obvious situations in the jail, similar to in the in patrol where you need a special response unit or a SWAT team for situations that arise.

This is a 40-person team made up of sworn sergeants and deputies.

They get extensive additional training and tactics, critical thinking, de-escalation.

They attend the crisis communication course that is post-certified, put on by our agency, and to it basically resolve the best case scenario is resolved before force is used.

They have partnerships with both medical and mental health to try to defuse the situation before it comes to force.

Of the 17 times they've been deployed during the you can see that you can see on the slide.

Nine of them resulted in no use of force, five resulted in uh required OC spray to be deployed, and four required ground control techniques or control holds.

I do want to point out on one of those instances, uh they required both OC and uh ground control, so that's why the numbers are off.

Um but it showed this shows again that we are doing everything we can to do the lowest force needed to obtain the correctional objective within the facility.

So we uh over the last few years have been have been tracking uh situations that we believe that we saved an incarcerated person's life by deputies or staff intervening.

During this time frame, as you see, July 24 to June 25, we saved 319 lives within the sheriff's office and the facility.

Excuse me.

164 of those are for medical, 135 were those that have tried to commit self-harm or did commit self-harm.

Six were for assaults, were other IPs, assaulted IPs, and 14 of those were for drug overdoses.

This is a monumental thing because of the lives we saved.

Again, because our due diligence, but also this shows the culture shift we're having within the facility and in the in the agency.

To date from July 25 to current, 109 lives have been saved.

12 of those were Narcan deployments.

Next slide.

Reentry.

So this is something very near and dear to me.

I was the re-entry sergeant before I promoted lieutenant.

Reentry starts at intake.

That is bottom line how we this is what we're doing now.

Because as you saw large portions of our population are out within two days, two or three days.

We have to give them some type of tool or mechanism to go to upon release that they at least go to get help.

Some of the things to highlight over this year is our transition center in partnership with probation.

Saw 4,032 individual incarcerated persons.

We also have monthly multidisciplinary teams with probation, AFBH, Wellpath, and the Sheriff's Office to address reentry concerns and help those one our highest users, but also identify gaps that are in the process.

We also have now promoted, we now actually have a core and reentry systems of care director, Kelly Glossop, who not only helps us bridge uh the gaps, she helps us guide the agency and best practices and helps us uh build better partnerships so that we are aligned with best practices and keeps us on the steady path.

We're now looking at programs that are not just that don't end at the at the basically at the ramp.

We're looking at programs that bring in the IPs in to where upon their release they can continue the services outside, whether in education, vocational, or even just job training.

Uh it means it to be a continuous momentum through.

Next slide.

Education.

So we currently have two education providers, five key, which I is uh is I considered a high school level uh charter school in partnership with Chabot, which is junior college.

We're currently in the process of finalizing an MOU with Los Bacetis to again bring more college courses into the facility.

Edovo is on the tablets and it's more of an enrichment program.

Uh, it's similar to YouTube type videos where it's self-paced, and you could kind of watch uh, you know, we've all been there, we've all broken something, and we try to fix it.

That's kind of what it aligns to.

Um, so again, something to spend their time if they can't be in the classes because of its after hours, uh, but it still keeps them working and moving forward.

I do want to point out uh 18,281 times a student attended a class or interacted with a teacher during and or in distance learning this past year.

Uh, that's a huge number.

Uh the re-entry support services team offers 108 classes a week at Santa Rita Jail, a week.

Uh, we're a very busy place, uh, and we keep on improving and moving forward.

Next slide.

So last year, uh, I think supervisor, uh, we didn't have enough programs for the incarcerated women.

Uh, and that was brought up, and we changed that.

So, in partnership with five keys and Juilliard School of Music, yes, the Juilliard in Boston.

Uh, we have this program where musicians from Juilliard come and teach music composition to the incarcerated population.

Uh, it's an amazing course.

Um, how it starts is the Juilliard musicians come on day one and they play a piece and it uh and then they teach composition to the population, and then at the end that Friday, we have a concert, and the musicians play the music composed by the incarcerated population, which again, I've never composed music, so it's pretty cool to hear that.

Um, and it's quite successful.

Um, we currently have uh we've had two classes, we have one currently going, and we'll have one starting in January as well.

Uh, I do want to highlight in our second cohort.

Uh, the music composed by the incarcerated population was actually played at the Kennedy Center in New York by Juilliard musicians, and it was streamed to them so they could hear it.

Um, it's it's pretty amazing.

Pretty amazing.

Um, so this was initially offered to the female population.

This next class will be the male population.

Uh in January.

Uh, next slide, please.

Another program we brought this past year is Freedom Breeders.

Uh, this course uh helps with reentry, entrepreneurship, build building a business.

Um, we uh we brought it over.

We currently have uh one class finished early year.

We're currently in process of a second course right now, um, and it'll be anticipated to complete here in the next few weeks.

Next slide.

All right, this is a great course that we have in partnership with Airmark.

Uh so in California, there's state law where individuals who work in the food uh handling food service industry have to have a certificate uh a food handling certificate.

Airmark teaches this course as part of a vocational program to help individuals get jobs upon their release.

Um the first two courses were offered to the incarcerated uh women's population.

The last two, uh, one being a session right now was offered to the male population.

But I want to point something out about this.

In the first cohort, we had someone get out, uh incarcerated uh female got out and um and she applied to Airmark.

Part of this process is Eramark will give you a job uh in their in their company to work for them.

Uh she applied for an instructor position.

So she's recently released, she was out a few months, and she applied for instructor position.

Uh, and we uh the Airmark hired her, and we uh approved her to come in our facility and teach this course to our incarcerated population.

Uh we understand the sheriff's office that it is important to have those with lived experience come into our facility.

Uh, one to share their experiences, but also be a positive role model for different options instead of the one that got you into our custody.

So this is just one of many, many, many examples of where the sheriff's office has had individuals with lived experience come in and teach the current incarcerated population.

Uh I personally have walked dozens of uh process of applications to the command staff for uh um uh approval to bring those people in.

Next slide.

All right, Lyuna, the pre-apprentip.

So this program was initially funded through Bureau uh through a DOJ grant, uh Bureau of Justice Assistance.

Um, where we started this program, when we looked at where we needed and where the most need is for those that are uh formally incarcerated and who will hire them, uh we went to the trades because if you know the trades, majority of leadership in the trade unions and are formally incarcerated themselves, and they are good uh mentors and good role models to show that there's different ways uh to make a living in life.

So this kind of breaks it down.

22 are currently in the union.

Uh some of the 75 that have graduated uh and been released, five are currently graduated the program, but we consider their foreman.

They're kind of mentors to the junior class, if you want to say uh 19 have been released to other facilities, and 17 are currently enrolled, which our seventh cohort graduation is tomorrow, which I'm glad it's not raining.

Um this program is amazing.

Uh, they get 19 certificates that are nationally recognized to help them be successful.

This, I don't know how yes you can put it.

This this thing is one of the best things going to hear the stories and still be in contact and talk to all the individuals that have been released.

Uh I have one highlight here.

A great person who graduated out of our third cohort uh just celebrated his one-year anniversary of being out of custody.

Over the last 12 and a half years, he was incarcerated in Santa Ruby jail 14 times.

So he has since been out over a year working in the union, changing his life because of this program.

It's amazing the things that they see and do uh and accomplish.

It's still it's amazing they share their stories and still text with the deputies involved in this program and just thank them.

When you go to the graduations and you see the parents, grandparents, the families, just the sheer pride you see in these individuals is amazing.

Um the grant for this program has ended, and we will be putting it in the future budget to continue to fund this amazing program.

But this program is the beginning was the first start to all the other amazing programs we have at Santa Rita Jail.

This is where we could prove uh that there's other ways to do incarceration and give people opportunities for reentry in our community.

I do want to thank Off the Street Ministries who has helped us uh with housing.

As you know, in Alamini County, housing is a very hard thing to come by.

Uh and when this program first began, off the street ministry stepped up and allocated some beds for our participants uh upon their release.

Next slide.

Operation My Home Town.

So uh Director Glossop oversees a team of clinical case managers uh that help with reentry uh at the jail, specifically at the jail.

Uh it's a three individuals are assigned to that team, one supervisor and two clinicians as of right now.

Uh during that last year, they saw 315 cases.

That is astonishing because case management is very uh intensive, a lot of hours involved to get the person uh prepared for reentry and coordinate care plans, work with uh mental health, work with social services, work with all of our county partners.

Uh, that is a huge number for such a small team.

Next slide.

All right, future outlook.

Uh Santa Rita jail is going to continue to exceed uh the expectations put forth by the community.

Santa Rita jail is considered a gold standard in the correctional system now.

Uh the consent decree only made us better.

It found gaps where we are lacking, and we have since addressed those gaps and improved.

There's numerous times that leadership uh of all areas of the sheriff's office get reached get contacted by other jurisdictions across the country uh and ask for how we're doing, how we're addressing this, how we're solving this problem.

When I thought about how I could think of last night, thinking of my notes and how I could really show this and show how we've changed.

A few months ago, uh Captain Ray Kelly got a call.

Um, about 120 judges from across the uh California were here for a conference, and they their tour fell through at another facility.

He got the call, and Sheriff Sanchez said, bring them.

Let's show them everything we got going on.

120 judges from all over California toured that jail, and by the end of it, they all said, How do we bring your programs to our jail?

How do we bring the murals?

How do we bring this?

How do you make this jail not seem like a jail?

Santa Rita jail is not a place for incarceration.

Santa Rita jail has become a place for individuals to have a second chance.

There's opportunities there for them to be successful upon reentry.

We've it's been reimagined, it's not what it was.

It is, and the future is bright.

The future, I'm excited about what is to come and all the things that we are going to do.

Um, thank you.

Thank you, Lieutenant Murphy.

Let's give them a round of applause.

That was a lot of information to share.

And you only took one sip of water, but um think you should be very proud.

Um, Tisa, how many uh public comments do we have on this item only?

Two, okay.

One minute, because we have two more presentations, and then we'll get into our questions after public comment.

So if they're both in person, please just stand up.

Let's make this a little bit more quicker.

Come on up.

Mickey Daxberry and Richard Spiegel.

The sheriff and everyone that made this possible because these are incredible changes.

And it's Sheriff Sanchez, you ran on making culture changes at the jail, and it's happening, and we're very glad to see that.

I'm gonna lift up this one woman, Alice.

Alice is one of the people in the Welcome Home Project.

Her um daughter remembers being four when she had to learn how to put food in the microwave because Alice was in the next room, smoking crack.

There was one person, there's not one person who was in and out of Santa Rita who did not have intense trauma, which is not to let them off the hook.

Everyone in the Welcome Home Project found somebody who said, I'm gonna love you even though you're messed up.

I'm gonna love you even though you're gonna fall down.

And I'm gonna partner with you while you're working on picking yourself up.

I applaud all these programming changes.

One of the things that I didn't see or recognize in the training was what you're working with deputies to help them look at the narratives they have because we all have them about criminality so that they can see that everybody's redeemable.

Thank you.

This is Richard Spiegelin again, and I'll echo Mickey's appreciation and congratulations.

I wanted to um raise the question of whether some of the things that you highlighted, Lieutenant, could show up in the Wendy Ware reports of the future program involvement, monitoring for medical problems, uh involvement with Operation My Hometown, both to see what kind of detainees are involved, felons, misdemeanors.

You know, what do you do with people who are only in for two days?

Not too much, but to illuminate that and also to look at the recidivism connection.

And then I wanted to raise a problem, I think, for Cal Aim and everything else in this county, and that is Medicaid cuts.

So that's a huge topic, but I just wondered with Medicaid cuts coming.

Will Cal Aim still continue on course?

Thanks.

Thank you.

Um, I'll just be brief, just thank you again to um Lieutenant Murphy.

I just um really appreciate your passion.

I I've um been in the facility and I've seen you two more.

I see two hands out.

Okay, last call for this item.

So if you want to speak on the last item, you're only gonna get one minute.

We still have two more presentations, and we're gonna close public comment on this item.

So we have two more speakers.

Okay, go ahead.

Caller, you're on the line.

You have one minute.

Lonnie.

Oh, hi.

Um, also, I want to congratulate everybody on this report and Wendy Ware on hers as well.

Um it's all about the enthusiasm in your voice, and thank you very much, Lieutenant Murphy, and also the sheriff that oversees all of this.

Uh, a couple of questions.

Uh Cal Aim will give housing assistance.

Have you found that there is enough housing for everybody getting out?

And how do you interact with the housing department in Alameda County?

If we need more housing, more supportive housing, uh, how can we get that to happen?

The other just quickie is the outdoor space did look a little bit like cages.

Um, are there gonna be a large field like they have at San Quentin, for example, where people can experience the outdoors.

Thank you all so much.

That's it.

Okay.

So just uh thank you again.

I I've seen you in person.

I've seen the rapport you have with um individuals.

So just thank you for um being care and respectful to everyone.

Um, I think that goes a long way.

So I hope you're part of the training.

This is what to do.

Um, you're doing an excellent job.

Um, I have a lot to say.

We can talk offline, appreciate the public commenters, but we still have two more presentations to get through.

So I'm gonna ask Supervisor Miley if he has any comments or questions.

Yeah, just real quickly comments.

Uh, appreciate great presentation.

I'm really happy with the reimagining of Santa Rita jail, and I'm very pleased that you're balancing incarceration with rehabilitation and services to help people turn their lives around.

Uh I appreciate you've got that balance going on.

So thank you.

Um, more investments in programming services and um connecting with individuals.

It's clearly paying off.

So congratulations.

We are gonna move on to the third item.

This is also an informational item.

This is Saturday at Jail Title 15 inspection for report for 2025.

We have two presenters, Dr.

Nicholas Moss and Antonio Gallard.

Thank you so much for being here.

Sorry for the delay and happy you're here.

Welcome.

Thank you, Supervisor Marquez.

Tough act to follow there with Lieutenant Murphy's presentation.

Supervisor Marquez, I could skip to slide 11 in the interest of time and people could refer.

It's just background material on the regs.

That would be great.

Thank you.

Okay, so uh good morning, everyone.

I'm Dr.

Nicholas Moss, County Health Officer, and I'll be presenting the Title 15 inspection report for Santa Rita Jail, and uh we'll be joined by Antonio Galar from the Environmental Health Department.

So I'm just gonna start uh explaining who is on this inspection from the public health department.

It's uh myself, also uh a registered nurse, certified legal nurse consultant who is a contractor and an expert in these Title 15 inspections that really leads the medical and mental health inspection for us, three registered dietitians, and several members of our public health nursing team, including the director and our jail inspection program coordinator, also two registered environmental health specialists.

Next slide.

Our approach to the inspection includes reviewing facility policies and procedures that are required in the Title 15 minimum standards, performing a visual inspection of the facility, and also uh the nutrition staff performs a chart review focusing on special medical diets, and we um the team typically samples several meals as part of the inspection.

Next slide, please.

This is the inspection tool we use.

It's published by the Board of State and Community Corrections.

Next slide, and we'll move on to slide 15 with our findings.

So the inspection took place on April 15th, 2025, and the population on the date of inspection was 1640, and I will summarize the findings and recommendations.

Next slide, please.

Compliance was met with the Title 15 requirements in the medical and mental health sections of Title 15.

However, the inspection team made recommendations for improvement.

Next slide, please.

This slide shows the recommendations based on inspector observations by section of Title 15.

Please note there's an error on the slide.

There was no recommendation pertaining to Section 1220 first aid kits in 2025.

The recommendations pertaining to 1202 and 1216 are based on observations that did not rise to the level of non-compliance.

Um, however, um, we did feel recommendations were appropriate, and these are um areas that were um carried over from prior years.

Similar observations have been made in years past.

Section 1202 requires annual statistical summaries and reports of health care services provided, a mechanism to ensure the quality and adequacy of these services, and a means to correct identified deficiencies.

The Wellpath Continuous Quality Improvement Program falls under 1202 and includes quarterly meetings, annual reports, and corrective action plans.

At the time of the inspection, the MAZAR's review of WellPath quality assurance and quality improvement work was ongoing and included monitoring of any well path corrective actions.

With the lapse of that contract, Alameda County Health is covering the review role.

And this work has been presented in greater depth at recent hearings.

We uh recommend these efforts continue.

Syringe management under section 1216 has improved since last year, but tracking syringe inventory remains a challenge due to a large and varied supply.

We recommend continuing to work to develop a more efficient tracking system of these materials.

Next slide, please.

This slide shows the recommendations from the 2024 inspection.

You can see that two of them were carried forward as we covered.

The other 2024 recommendation pertaining to first aid kits has been addressed.

I don't have a separate slide this year on highlights and strong programs, but I did want to mention several things that stand out year after year, including the women's clinic, the educational programs, the veterans housing facility, and in recent years, as you've already heard about today, the pre-apprenticeship program with the Northern California Laborers International Union.

On the behavioral health side, the implementation of care leveling for every intake and the ongoing pilot of incentive and treatment planning for those found incompetent to stand trial were also noted.

This is not a complete list.

Next slide, please.

Title 15, Section 1046 requires the facility to have a death review process.

The Title 15 inspection team verifies that death reviews happen and meet the requirements of the section for any in-custody deaths that have occurred since the prior inspection.

Neither I nor anyone from the inspection team participate in those reviews, and only limited data is included in our report.

There were two in-custody death reviews during the period covered, and an additional death review was included in the report that was also included in the previous year's inspection report.

Review information related to a death that was reported in March of 2025 was not yet available at the time of our inspection in April.

Details of these deaths and the review process are briefly summarized in this slide.

No changes to policy and procedure were reported at the time of our inspection.

Regarding the undetermined cause of death for the death on 824-24, this was the information available to the inspection team in April when our inspection was done.

At AC Health, we continue to offer our support in efforts to addressing custody deaths and our sympathies to those who have lost loved ones.

Next slide, please.

Now I will cover nutritional health.

There were findings of noncompliance and corrective actions put forth as in years past.

The overall number of findings increased, but the pertinent sections and themes are similar to past years, and several findings of noncompliance this year were included as observations last year, pointing to some of the consistent challenges in optimizing this program.

Next slide, please.

The findings are listed on this in the following slide, along with corrective actions.

In the interest of time, I will summarize.

Findings involved the healthfulness and palatability of the food, the amount of fruits and vegetables, the management of menu substitutions, and the management of stored food.

Next slide, please.

Additional findings involve the condition of the serving trays, portion consistency, and the management of special medical diets.

Next slide.

The findings from 2024 were noted again this year, although the team complemented efforts to move away from ultra-processed foods in recent years.

Next slide, please.

Two of six recommendations from 2024 were corrected.

So these were in the prior year, they were recommendations, not compliance findings.

But as I noted, several of these that were uncorrected in 2024 were converted to findings of noncompliance in 2025 essentially because they persisted.

And this accounts for some of the overall increase in noncompliance findings that we're seeing this year's report.

And with that, I will turn the presentation over to Antonio Galar from Environmental Health.

Thank you, Dr.

Maas.

Welcome, Mr.

Keller.

And I'll return at the end.

Okay, thank you.

Welcome.

Hello, everyone.

Can you guys hear me?

Antonio Golo with Alameda County Environmental Health Department.

I will try to speak through this as soon as possible.

Time reasons.

The inspection was cut conducted by God, I've lost your name.

Alyssa DeVilla, I'm sorry about that.

It was conducted, like Dr.

Moss said, on the 16th of April of this year.

Next slide, please.

At the food facility, we have three, we issue three permits.

We issue a permit for the main kitchen.

I mean, at the uh jail week, we issue a permit for the main kitchen, the bakery, and actually the officer's dining area.

Uh, like one of the gentlemen said earlier, we look for uh food handlers, uh, food handler certification, food handlers cards for the airmark staff, and actually we review the documents for the policies and procedures in place for the actual uh incarcerated person who actually work in the kitchen.

Uh we review the documents to ensure that they are getting ongoing training and are continuously uh being monitored to ensure that they are actually uh in compliance with the California Retail Food Code.

Next slide, please.

Um, we look at the food service plan to ensure that the um food is all from an approved source, uh, that the food is properly stored, that the uh inventory control is there's inventory control where they have FIFA FIFA first in, first out.

Um we actually look how the food is being transported and how it's being covered and protected in the process.

Next slide.

Um in the kitchen area, there were some minor violations, but overall there wasn't any uh uh major violations.

Everything were in compliance.

I'll go through the violations in another slide.

Next slide, please.

Uh we looked at the area where the incarcerated persons prepare their own meal.

Typically they prepare the meal the day before and they have to reheat it the next day.

It's vital that they reheat the food to 165.

All of the equipment in the commission in the kitchen was commercial grade and the bakery was commercial grade, meaning that it has to be NSF ANSI or ETL certified or uh UL certified to be allowed in the facility.

Um she inspected the actual uh dish machines to ensure that all rent cycles were reaching 165 to get adequate uh disinfectant.

Um she looked at the four walls and serial uh ceilings in that area because that's a water at high water activity area.

So she wanted to make sure that there wasn't any meal though, meal do or mold or anything of that nature.

Next slide, please.

Um here they were in everything was compliant.

Um pretty much says that if someone is held after arraignment after court, they get they are issued standard clothing, shoes, things of that nature.

Next slide.

Okay, vermin infestation, clothing and personal hygiene.

She reviewed the policies in place just to ensure that there were procedures in place in case an incarcerated person had infested clothing.

Uh they would have to clean, disinfect, uh store the clothing in a sealed container to eliminate the infestation and to prevent the spread amongst the uh other inmates.

Um if an individual is held 24 hours, over 24 hours within the first 12 hours, they have to have uh two brush, toothpaste, soap, comb, and shaving implements if needed.

Uh next slide.

Showering uh incarcerated people or persons have the right to have a shower every other day or more frequently as needed.

Um, if showers are prohibited, the facility manager has to uh document the reason why.

Haircuts are available on upon request by the sworn agency member.

Um standard bedding and litting.

Uh, if you stay overnight, you're issued a mattress, uh sheet cover, sheet, towel, blanket, or you can get two blankets and an actual sleeping bag.

Um the sheets and the and the linen have to be uh laundered at least once a week.

The actual blankets and the sleeping bag at least once a month.

Next slide.

Mattresses must be free of holes.

They actually have to be enclosed in what we call a non-assorbent ticking.

In one of the actual units, there was a torn mattress, which actually was replaced during the inspection.

Um then you have the facility sanitation and sanitary uh policies and procedures in place, just overall housekeeping.

Everything was clean and maintained.

Um, and we she looked at actual the um documentation to ensure that there were um inspections to identify unsafe and unsanitary conditions.

Next slide in the kitchen, okay.

There were minor violations.

Um there were um some pivot or missing tile inside a walk-in unit, which was actually uh wasn't replaced during the inspection, but they a work order was provided during the inspection.

Um faucet at the food prep sink was leaking, a faucet at the spray or scullery to three compartment sink where you wash, for instance, sanitize your utensils was was repaired.

Both of these items were repaired on site during the inspection.

Condensation line that was draining inside of the floor sink was elevated to provide a one-inch air gap that uh prevents sewage from backing up and traveling up the plumbing to contaminate the equipment.

Uh there were no temperature violations, uh no major violations.

Uh, a drinking water sample was taken, the results came back negative for E.

coli and uh coliform.

Next slide, please.

In the bakery and the laundry areas, everything was pretty well maintained and operable.

The bakery did have a towel that was actually missing in front of one of the ovens.

The water sample came back negative for E.

coli and coliform, and actually the laundry hour was well maintained.

Next slide, please.

The housing units uh again, a water sample was taken at the drinking founding here as well, and it came back negative for E.

coli and coliform.

Uh there were about four units that did not get inspected because they were under construction.

Um, overall it was it was really maintained.

Um, there was a mattress that was torn, like I said earlier, that was actually replaced during the inspection.

There was no temperature violations, and they had portable portable water and all the units.

And then the trash area, the garbage, the trash, the receptacle and organic waste areas was pretty much well maintained on this slide.

I mean, this is uh uh uh a slide from actually the previous inspection where it says necessary processing observing for SB 1383.

Uh Alameda County Environmental Health Department partners with um uh Alameda County Waste Management Authority, stop waste uh to conduct these 1383 inspections.

But now at the jail, I don't think you guys are exempt though, so we don't have to go out and do that anymore.

And that's it.

Thank you very much.

We will um take public comment first and then we'll go to our questions and comments.

Are there any members of the public in person or online that would like to speak specifically to this item?

Richard Spiegelman, I'll do one minute, please.

Richard Spiegelman again.

Thank you for all this good information.

Uh, I wanted to express my concern about the nutrition report looking worse than last year, and I have no understanding of what might lead to a change in the future.

I don't think it's up to Dr.

Moss to implement changes, but I don't know who does, so I'd be interested in learning about that.

Uh and and secondly, um, slide 17 refers to the health services audits, which I think used to be conducted by Mazars.

I'd appreciate an update on whether that contract is has been RFP'd.

If not, why not?

What's going to happen?

Where are we at on that?

Seems like they provided really important information.

Thank you.

Thank you.

We have no more speakers.

Okay.

Do you have any?

Okay.

So I have similar concerns about the nutrition, lack of information about the cause of death uh back in August of 2024.

Um, and it is not Dr.

Moss's responsibility to correct these items.

So thank you for flagging that.

So, um, as a chair of public protection, I want to acknowledge uh my advisor on public safety, Brenda Gomez.

She's been in contact with all the presenters.

She's done an amazing job with coordinating this meeting.

So I am publicly saying as a chair of public protection, we will track these items when we meet with the sheriff on a monthly basis.

But I want to be respectful to our next presenter that has a lot of great information that I'm sure a lot of people want to hear.

So thank you for everyone's patience and the concerns are noted.

And with respect to Mazars, we'll also get an update to the public on the status of that.

But welcome, Director Tyson.

Can I control for four?

Oh, great.

Thank you, Supervisor Marquez and Supervisor Miley.

My name is Juan Tai San.

I'm the director of the forensic diversion and reentry system of care for Alameda County Behavioral Health.

Here to give our annual update on our progress at Adult Forensic Behavioral Health, or AFBH, as I will say throughout the presentation, and our work in progress on the consent decree, Calame, and all of our changes at Santa Rita jail.

Given time, I will go quickly and I'll skip some of the demographic information that we have.

I just want to acknowledge the work of our partners, the sheriff's office at the jail.

You know, under the consent decree, we were tasked with not only revamping classification, out of cell time, programming, a lot of the stuff that Lieutenant Murphy was able to highlight, but also lift up a brand new therapeutic program at the jail.

And this is really, this was really a tremendous lift for our staff.

As you can see, prior to the consent decree, AFBH, the adult forensic behavioral health program really operated off of a referral and crisis triage framework.

We would get referrals, individuals who are in crisis, we would see them.

We did have a dedicated unit for our behavioral health uh clients, but we did not have the robust clinical teams that we have now built out.

Thanks in large part to the the uh positions that were approved by your board, um, the great work of our uh senior leadership uh under the direction of Dr.

Tribble.

We've really expanded AFBH at the jail and really expanded to to a new therapeutic model.

Um you can see here uh our services that we implement, and I'll go into some of these in depth, but really ensuring that all everyone who is booked into the jail is assessed, uh providing that level of care that uh Dr.

Moss mentioned, really increasing care coordination, um, the establishment of our therapeutic housing units, our crisis intervention, and our reentry planning.

This gives you a breakdown of uh individuals served as well as demographics.

Again, I don't want to spend too much time here.

Um, I want to acknowledge that uh while the jail population has continued to decrease uh the AFBH clients that we serve has actually increased.

So from the last year and the last time we presented, our clients served has actually increased by 1,500 individuals, and that's unique individuals uh over the year.

Um this gives you a breakdown, pretty much reflects the the jail population itself as far as who we serve in age breakdowns.

I just will note um there's a big uh 84 percent fall between 25 and 64, but we know about 50 percent of our clients uh fall between the ages of 30 and 49 years old.

In terms of staffing highlights, I want to point out we have been very aggressively and actively recruiting for staff at the jail.

Um we have been successful given the new classifications that we uh now have at the jail, the forensic specific classifications and our um clinical super uh clinical clinicians, clinical supervisors, and clinical managers that has attracted people who are really passionate about uh working with our community and and serving our population at the jail.

You can see that because of our efforts, we are currently 75% filled in terms of our staffing with 115 uh total FTE.

You'll see the breakdown here in terms of what those classifications represent and the actual FTE numbers.

We uh have the largest number of clinicians of any county-run um uh program uh within behavioral health department, so uh huge operation.

We also staff the jail 24-7.

So we have staff on site through our contracted providers uh through telecare, who runs our overnight services in the intake unit.

Um, they also have overnight psychiatry available, um, and a number of clinicians.

So we have 24/7 clinical coverage at Santa Rita jail, not only to do intakes or assessing everyone who's booked into jail, but also to respond if there are crises that occur in the jail.

And we also have on call clinicians and supervisors that are county staff who are available if these staff need additional consultation.

I want to highlight our intake, quickly highlight our intake.

As I mentioned, this is an operation that is staffed 24 7 between AFBH and telecare.

This is unique compared to other jurisdictions.

Other jurisdictions, many other jurisdictions do not assess every individual who's booked into their county jail.

They assess individuals who have a history of mental health mental illness or connections to mental health services.

We assess every individual who was booked into the jail.

So that is quite a lift and a lot of collaboration and coordination that occurs between the medical provider at the jail as well as our colleagues in the sheriff's office.

Our assessments are really designed to help us identify mental health needs, mental health history.

We identify individuals who had suicide and self-harm risk to put them in appropriate housing and make sure that they are leveled appropriately.

A new area for us within the last year has really been expanding our work and identifying individual individuals who have intellectual and developmental disability and really coordinating with the sheriff's office so that we are assessing them, doing appropriate tests, and then identifying any accommodations that they need while they're incarcerated.

And then, as I mentioned, our level of care that really informs housing.

This gives you a quick breakdown of level of care.

Again, these are in the slides.

I just want to note about 30%.

This is a point in time snapshot of our level of care.

But at any given time, about 30% of individuals who are incarcerated are in our therapeutic housing units, and then about 75% of individuals are open to adult forensic behavioral health services.

So getting some kind of therapeutic services or medication.

As I mentioned, the establishment of our therapeutic housing units has been a tremendous success for us.

For AFBH, this really means dedicating clinical teams, so clinicians, psychiatrists, adjunct mental health staff or mental health specialists who really sit on the units, are available to our clients on a daily basis, provide individual therapy, provide group therapy, they're available for crisis support, and they work very closely with the deputies on the units for consultation or if someone is in crisis.

We also provide a lot of counseling and group and skill development for our clients.

So that can be something as art therapy, engaging in sports, any way to really keep them active and keep them engaged in treatment.

I will say that as a note, I mentioned we had dedicated units where we had our behavioral health clients housed prior to the consent decree, and now we have clinical teams spread out across five housing units across the jail.

This just kind of goes into some of the best practices I've presented on this in the past, around our best practices that we implement at the therapy in the within the therapeutic housing units.

This is a collaborative effort.

So daily we have interdisciplinary huddles that occur with our clinicians, the deputies, sheriff leadership from the jail, as well as the medical provider, really to identify any clients who may need immediate support and needs.

You can see on the left side, we've actually this was a some clients who are actually being seen in these pods.

So this allows more confidentiality for our clients, more groups to be run, multiple services to occur.

I will say that the majority of our clients are not seen while they are cuffed.

We do have some clients because of their mental illness, because of psychosis, because of security risks that do have to come out and do have to be cuffed while they're being treated.

You'll see that the programming chairs that were recently installed actually allow for our clinicians to meet with someone safely.

So they're secure to the chairs.

They're able to write and and engage in actual treatment modalities while they're safely secured.

So that's that's new progress that's also been made.

Also operates groups.

So I just want to quickly highlight them.

Telecare is a great partner to us in the jail.

You can see they run two continuous groups seeking safety and a co-occurring education.

So substance use and mental health group, really designed so that clients can drop in as they choose.

These are offered seven days a week.

You can see how much these have grown over the last two years and continue to grow just in terms of client participation and the number of groups that we're able to run.

We're able to run these because we have these spaces available, but also because the Sheriff's Office provides behavioral health deputies who support these groups and facilitation of these groups.

Similarly, lifelong lifelong started last year, July of last year.

They restarted their programming within the jail and partnering with AFBH.

Lifelong is really critical.

They provide meditation mindfulness, again, really engaging individuals in substance use counseling and substance use treatment.

And you can see how much they've grown since they started in 2024.

Already to date they're at 235 groups and have already served over a thousand participants.

So incredible growth there.

The other piece I want to highlight here is that we've done a lot of work with Wellpath as the medical provider to really support medication assisted treatment for those individuals who have a history of opioid use.

This is our ease program.

This is actually a Department of State Hospitals mandated funded program that we operate contractually with them.

The idea is individuals who have been found incompetent to stand trial and referred to state hospital are then referred back to AFBH, that we can initiate treatment early during their incarceration.

And this has really helped us speed up the time that individuals are on the waiting list to be then moved to treatment by the Department of State Hospitals.

To date, we have served 170 clients in this program.

Our current client caseload is 11 individuals, and we see about an average about four to five weeks individuals are being then placed into treatment by the Department of State Hospitals after being initiated in our program.

So a lot of success with this program, and we continue to grow this.

Again, this we could not do this without the partnership of the sheriffs who provide access to clients and who are really involved in this program as well.

Here, I want to just take some time to really go over this slide because I think this is a huge success for Santa Rita jail, for our sheriff partners, for our adult forensic behavioral health.

We have made tremendous progress in terms of suicide prevention and really initiating best practices, collaborative efforts to interrupt the number of deaths by suicide that were occurring at the jail and really support our clients.

I've lifted listed them here.

So we have we have implemented our suicide precautions.

This is our LOC 4s, where our clinicians, all these individuals are on the radars of our clinicians, our clinical supervisors, the deputies, the leadership staff within ACSO at the jail.

As I mentioned, we do daily rounds on these individuals, and it's it's not just laying eyes on the individual, it's really trying to engage them into treatment, encouraging them to be in treatment or to be into programming.

We hold daily interagency huddles.

So as I mentioned, those huddles just to identify like what are we seeing, anything new, any new developments, and then the safety plans and treatment plans are really integrated now within our electronic health record and they're a visible to all of our staff, and and actually now an individual who has a safety plan, a flag pops up on their electronic health records so that they come to the awareness of our staff as well as telecare staff who are working overnight.

And then lastly, we have our monthly interdisciplinary suicide prevention meetings.

Again, in partnership with uh the Sheriff's Office, Wellpath, our clinical leads, really to identify individual individuals who we know are at higher risk and who need additional support.

Because of this, we have not, the Santa Ria Jail has not recorded a death by suicide in over two years.

So I think that's a tremendous success and really shows uh the benefits of collaboration, communication, and honestly the culture shift that we are seeing in the jail, particularly over the last uh two years.

Um quickly, I want to talk about our re-entry services.

Um, as Lieutenant Murphy mentioned for AFBH re-entry also begins at intake, but we have kind of implemented and initiated a multi-pronged approach to re-entry.

So individuals are assessed for their needs, as I mentioned at intake, and we begin re-entry planning with those individuals within 72 hours.

So we get a newly booked list, our clinicians start to identify individuals who are on our caseload in our therapeutic housing units, identify services they had well while they were in the community, and then work to reconnect them to those providers.

During incarceration, if someone is flagged, if we know that they need referrals for new services, we work internally with our access team to refer those individuals so that they are assigned a provider, and then we inform our access team upon release so that that provider can then connect with that individual.

And then day of release, this is something we've started new this year, getting daily release lists from the sheriff's office that we're able to identify individuals who we know need support and then really engage them prior to the release, make sure that they have their re-entry plan, uh, their psychiatric medications, and then try to make those linkages.

This kind of gives you a breakdown.

I've gone over a lot of this already, so I don't want to spend too much time here.

Um, but really, you know, re-entry, given um uh Wendy Ware's report uh that you heard re-entry is difficult because of the moving parts and because how quickly people are released from the jail.

So we have we start early, it's an ongoing process, and then we also really focus on post-release, post-release efforts, so that individuals who we know are um higher level acuity who may be SMI who may need additional support, then we're able to meet with them and follow up with them after their release to make sure that they, in case they need support navigating our system or that maybe they didn't make connections with their provider, we have clinicians dedicated who are serving those clients as well.

So this goes over our post-release.

Um the other two things I want to highlight in terms of post-release.

We work very closely.

Uh, you know, the behavioral health department along with the courts and the public defender's office have lifted up our CARE Act court, and we have done a lot of work with our re-entry team and with AFBH to get individuals who are flagged as potentially benefiting from CARE Act Court referred, assessed, and connected to that court.

So that that is another lift that our re-entry team has taken on this year.

And then the last part for us, really just highlighting that we don't stop at re-entry.

We continue even post-release, and as a department, we've really invested in community services that that serve our forensic population.

The safe landing trailer operated by Roots Community Health has been a longstanding partner and really helps engage individuals as they're leaving.

And then our diversion triage center is our newest site that is actually in Pleasanton, about 10 minutes from the jail that supports individuals who may need connection to ongoing substance use treatment.

Quickly highlighting our partners here.

This slide has been presented before, and we continue to partner with Safe Landing to really really provide that immediate release and counter ongoing engagement in the linkages to services.

You can see some of the benefits that they have here.

This is a six-bed location.

It's a beautiful site, sits on the water, and really allows individuals to come, get some services, get case management, and then navigation to other services after they leave, including how ongoing housing and support through behavioral health services.

And then here you'll see our the safe harbor goals.

And then lastly, just highlighting our diversion and triage center as one of our newest sites.

The great thing I just want to acknowledge are our partners at Horizon Treatment Services.

So if as we flag them while they're incarcerated and our re-entry team supports them, we can make a direct referral to Horizon and the Diversion Triage Center, and they will actually come and pick them up, take them over to the center, help them get stabilized and help them get connected to ongoing substance use services.

In terms of next steps, you know, for us, hiring remains the number one priority.

That's the only way we will continue to expand our clinical foot footprint within the jail and expand our expand our treatment services within the jail.

So our team consistently is engaging with local colleges, universities.

We have a road show that we do at conferences to try to encourage people to come and work for Alameda County.

We'll continue to work with the sheriff's office and GSA around some of the specific specific facility mandates in the consent decree.

Specifically, that is like the confidential meeting spaces, increasing our confidential meeting spaces, as well as continuing to build out the environmental field of our therapeutic housing units.

And then as we have laid the found work of this new therapeutic model, our team is really now focused on moving towards qualitative, looking at the quality and assurance and the quality improvement efforts of our clinical team and making sure that we have the data to show the proof of practice for the consent decree.

And with that, I will open it up for questions.

Thank you.

I'm gonna jump in with my comments before we go to public comment.

But if you'd like to speak on this item, please raise your virtual hand or fill out a speaker card.

We'll do a minute again.

But let's just give Director Jason a huge round of applause.

That is um extremely impressive.

No suicides in the last two years, just the wraparound services, the increase in staffing.

Um, also want to publicly just thank you.

I know it's not on the agenda, but everybody should know you and Dr.

Tribble are also the backbone in the significant progress that has been made at juvenile hall.

So not only is he turning things around at Centerita, but they're showing positive trends, increase in staffing support for our young people as well.

So just thank you.

Thank you for what you do.

Um, let's do you have any questions or comments before we go to public comment?

Okay.

Perfect.

So let's go to public comment.

Are there any speakers that would like to speak on this item?

Caller, you're on the line.

You have one minute, Myrna.

Uh, yes, thank you so much.

Um, I'm Myrna Schwartz.

I'm with the Interfaith Coalition for Justice in Our Jails and the MHAP Care First Committee.

Uh, I want to say thanks very much for that presentation and for all the hard work and all the progress.

Uh, really, it's it's quite remarkable and wonderful.

Um, I have um I have couple two questions.

Uh one is it would seem that um the uh behavioral the forensic uh behavioral health clinicians and re-entry teams are well positioned to identify potential candidates for behavioral health court or other treatment courts, and I'm wondering if they communicate with defense attorneys or court clinical managers to initiate uh timely referrals to these courts.

That's desperately needed.

Um, second, um, of the 170 individuals who've been served in the East program.

Can you tell us what proportion have transitioned to community-based treatment um as opposed to state hospitals as part of the IST diversion program?

Thanks.

Caller, you're on the line.

You have one minute, Carrie.

Hello, this is Cari.

Um I'm calling from Restore Oakland.

Um I want to say, yeah, thank you for the work that has been done and for highlighting the updates.

I will also just name that I'm glad to hear, of course, that there are no suicides recorded in the last two years.

And also I will reaffirm as a member of the M Hab ad hoc committee on care first jails last and as an organizer that we know still that the jail is not a place for anyone with mental health issues or substance abuse issues.

It is a place that is dangerous for people with those issues, and we cannot have our community members languishing in there even for a couple of days.

Um I want to also name that we have already, as a county, determined that the way forward is to prioritize community-based care, and that getting people the support they need before they are incarcerated and diverting them as much as possible from incarceration must be prioritized.

I would also really encourage the county to end contracts with Wellpath, which has been there are no more speakers for public home.

Yes, um, I do I also want to uh just acknowledge having been on the board for many years and been around when we've had very serious concerns about the jail.

Um this is extremely impressive.

You know, the fact that we're assessing everybody, I know that was something I felt was very, very um critical and to see that happening is just monumental, and I think that's helped a lot, and then getting the number of clinicians you need out there has helped.

The collaboration between all the partners has helped all of these are tremendous steps forward because the bottom line is, you know, as one speaker pointed out, and I think everybody agrees, we want people to get care in the community, but if they happen to end up in Santa Rita jail, we want to make sure they get quality care.

And this indicates to me we're well on that path towards ensuring folks are getting quality care.

I'm I'm a con and I know once we get EPIC in place, uh, so that behavioral health, well path, um, uh, health systems, the clinics, everybody is networked on an electronic uh system, that's gonna help with care as well.

I'm very, very pleased with the reentry piece so that there's care in the jail, there's handoff when they leave the jail.

Uh, and all that's uh being very well coordinated.

I think those are tremendous.

I do, you know, I do want to follow up on safe landing.

We will be following up on that.

I'd possibly want to follow up on the uh diversion piece uh with the diversion triage center with horizon, because I wasn't familiar with that.

Um, and then the only other thing I would just mention is, you know, I am concerned.

Um I want to flag our supervisors are concerned about this.

Uh the fact that we, you know, with the implementation of Prop One, how that's gonna affect our ability to provide a preventive services around mental health, there's gonna be tremendous strains there.

So, and you're already saying you're dealing with more people in jail who have mental and substance abuse at this moment.

We don't want to see that number increase because we're putting money or services into Prop One, but we don't have the money going into prevention.

So that's that's not on you.

We have to try to figure that piece out.

But this is really, really good, uh, really, really great.

So thank you.

Um, just want to faggot a couple more items, um, and it's gonna be comments related to many of the presentations, not just the last one.

But I didn't see uh Lieutenant Murphy highlight Joshua's gift, but I know that the sheriffs have been trained by them and glad to see that now we're screening for individuals with intellectual developmental disabilities.

That is critical.

Also the medical bracelets, really excited to hear the update next year.

I know that that's voluntary, but hopefully we can move in a better direction with respect to that.

Um, but just tremendous work.

Obviously, the silos are um no longer there.

So just congratulations to everyone in the room, everyone listening online.

Um, this is a testament to our sheriff's leadership, our executive team, and just everyone really focused on whole person care.

And with respect to next steps, there's a lot this county is grappling with in terms of the cuts to HR1.

We talked about Medi-Cal, CalAim, Prop 1.

Unfortunately, the hits keep on coming, but we are going to have more discussions specifically in January to see what can be done to minimize those negative impacts.

Um, before my closing remarks, we still have one more item on the agenda that's general public comment under the purview of this committee.

So if you call me talking about ROV stuff, I'm gonna ask the clerk to mute you.

So if it's specific to this um committee, are there any general public comments?

We have no speakers for public comment.

Wonderful.

Okay, so thank you again to all of today's presenters for your thoughtful and well prepared presentations and for the continued partnership across all justice and health systems.

Your work and collaboration are essential as we move forward in strengthening services, improving outcomes, and advancing our shared commitment to safety, transparency, and accountability.

I appreciate everyone's engagement today.

Look forward to continuing to work together.

Want to flag for everybody next month, Thursday, December 18th.

We are going to have a joint public protection and health committee meeting to discuss county violence prevention efforts.

This is extremely a critical topic for our community, especially in light of last week's tragic events at Skyline High School and the painful loss of coach John Beam.

As a reminder, the public can sign up for public protection committee updates by following my Instagram.

That is supervisor underscore Elisa Marquez, or if you would like to receive an email notifications about when the future agendas are posted.

Please email CBS at acgov.org and request public protection committee agenda updates, also flagging we are going to have a joint public protection and health committee meeting has not been scheduled, but hopefully in January to track the next steps with respect for the RFP for the medical contract for Santa Rita jail.

So we are working here, folks, and I appreciate the partnership collaboration and just congratulations to everyone to making significant positive pride progress with respect to everyone that is in our care.

Thank you.