In The Matter Of: Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Duffy & McKenna Court Reporters P. O. Box 1658 Dover, NH 03821 dmreporting@stenosearch.com 1-800-600-1000 603-743-4949 (voice) 603-743-4952 (fax) Original File MAINE.txt Min-U-Script® with Word Index Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 2 STATE OF MAINE APPEARANCES 1 2 US Commission on Civil Rights: Catherine E. Lhamon, Chair 3 4 5 MAINE ADVISORY COUNCIL 6 TO THE 7 UNITED STATES COMMISSION ON CIVIL RIGHTS BRIEFING ON THE CRIMINALIZATION OF THE MENTALLY ILL 8 9 10 11 12 Lewiston City Hall 13 27 Pine Street 14 Lewiston, Maine 04240 15 Wednesday, June 14, 2017 Maine Advisory Council: Diane A. Khiel, Chair Akintoye Akinjiola Maurice R. Gilbert Judith D. Jones Eric M. Mehnert Paul S. Robinson Carl M. Toney Phillipe J. Nadeau Barbara de la Viez Evelyn Bohor 16 Panel One: Tonya DiMillo, Long Creek Youth Development Center Jenna Mehnert, NAMI-Maine Bob Reed, Father of Anthony Reed Panel Two: Darrell Crandall, Sheriff, Aroostook County Jason Madore, Maine State Police Michael Sauschuck, Portland Police Chief Tyler Stevenson, Maine State Police Panel Three: Maeghan Maloney, District Attorney Troy Morton, Sheriff, Penobscot County Kevin Voyvodich, Managing Attorney, Disability Rights Maine Commencing at 9:25 a.m. 17 Tim Zerillo, Attorney, Hallet, Zerillo & Whipple, P.A. 18 Panel Four: Daniel Wathen, Court Master 19 Charlotte Warren, State Representative (via telephone) Patty Hymanson, State Representative (via telephone) 20 21 DUFFY & MCKENNA COURT REPORTERS P. O. Box 1658 Dover, New Hampshire 03821-1658 (603) 743-4949 (800) 600-1000 22 Public Panel: Jean Gore Charles Soule Laurie Turley James Lysen 23 24 Court reporter: Sharon G. Saalfield, RPR, CRR, LCR No. 147 25 Page 3 1 Page 4 INDEX 2 PROCEEDINGS MS. KHIEL: Good morning, everyone, and 3 welcome. My name is Diane Khiel and I'm the chair 1 PAGE 2 3 Introductions 4 4 Panel One: Mr. Reed Ms. DiMillo Ms. Mehnert Questions 11 21 28 36 4 of the Maine Advisory Committee to the US Commission 5 Panel Two: Sheriff Crandall Chief Sauschuck Sergeant Madore Sergeant Stevenson Questions 60 70 80 87 93 7 5 20 20 21 21 22 22 23 23 on Civil Rights. And this briefing shall come to order. I would like to ask my colleagues to introduce themselves starting at this end. MR. ROBINSON: Paul Robinson. Hometown, Lewiston. MR. MEHNERT: Good morning. My name is Eric Mehnert from Orono, Maine. MR. TONEY: Good morning. I'm Carl Toney from Scarborough, Maine. MS. JONES: I'm Judith Jones from Hope, Maine. MR. GILBERT: Good morning. Maurice Gilbert from Auburn, Maine. MR. AKINJIOLA: Good morning. My name is Akintoye Akinjiola. I'm from Portland, Maine. MR. NADEAU: Good morning. My name is Phillipe Nadeau. I'm from Lewiston Maine. MS. KHIEL: Thank you. We're also joined today by Catherine Lhamon, the Chair of the Civil Rights 24 24 Commission who would like to make some opening 25 25 6 7 8 9 10 11 12 13 14 15 16 17 18 19 8 9 10 Panel Three: Mr. Voyvodich Sheriff Morton Ms. Maloney Mr. Zerillo Questions 118 132 138 145 153 Panel Four: Court Master Wathen Representative Warren Representative Hymanson Questions 173, 189 182 185 195 Public Session: Mr. Soule Ms. Gore Ms. Turley Mr. Lysen 205 206 212, 222 218 Min-U-Script® 6 11 12 13 14 15 16 17 18 19 remarks. Duffy & McKenna Court Reporters 1-800-600-1000 (1) Pages 2 - 4 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 5 MS. LHAMON: Thank you. Page 6 to today. MS. KHIEL: Thank you, Catherine. We're also I'm from Maryland, so 1 2 3 thank you for welcoming me to Maine today. I just really want to start by saying to the State Advisory 4 Committee members how delighted I am to get to meet 4 joined by Barbara de la Viez and Evelyn Bohor from the Commission. A special thank you to the City of 5 5 Lewiston for the use of its excellent facility, and 6 you and to actually see you actually doing the work that you do. As I hope all in this room know, the 6 for our own committee member, Phillipe Nadeau, for 7 State Advisory Committee members for the US 7 8 Commission on Civil Rights are here in Maine and around the country volunteer members, and I'm so 8 9 his technical expertise. The US Commission on Civil Rights is an independent bipartisan agency of the federal deeply grateful to you for your service to the country, for your service to Maine, and for your service to civil rights, that you are choosing to give your time this way. I'm also incredibly pleased to be able to join you today for this important topic, to be able to hear the testimony that we're about to hear from this first panel and from all of the panelists today. This issue is incredibly important here in 10 government charged with studying discrimination or 11 15 denial of equal protection of the laws because of race, color, religion, sex, age, disability, or national origin, or in the administration of justice. In each of the 50 states and the District of 16 Columbia an advisory committee to the Commission has 17 been established and made up of persons who serve without compensation to advise the Commission on 1 2 9 10 11 12 13 14 15 16 17 18 19 20 21 Maine and incredibly important around the country. So I am grateful to be able to listen, to watch, to learn today and I look forward to what it is that 3 12 13 14 18 19 20 21 22 the State Advisory Committee members will produce 22 23 from today's briefing in a report and in a set of recommendations that I look forward to reading. 23 24 25 So thank you very much and I'm looking forward 24 25 relevant information concerning their respective state. The purpose of our briefing is to examine the issue of the criminalization of people with mental illnesses in Maine. The topic is broad and complicated with many entry and exit points into the criminal justice system. We will only touch on some Page 7 1 2 facets today but our aim is to take into consideration our state's large geographic area and its urban and rural settings. Page 8 1 II of the Americans with Disabilities Act. 2 Today we hope to spark conversations and answer 3 4 In the 1960s, there was a national movement to 4 5 5 6 system? Would the use of uniform screening tools in 7 our jails assist our law enforcement in identifying mental health issues? To what extent would a fully 10 deinstitutionalize and mainstream individuals suffering from mental illness. As part of the deinstitutionization of people with mental illnesses, mental health budgets were drastically cut, but funding to support the mainstream initiative or provide other supportive settings for some questions including would the expansion of Medicaid, known as MaineCare in Maine, provide treatment that would avoid the criminal justice 10 11 individuals suffering from mental health challenges 11 12 was never provided to the extent needed. Maine residents who in the past might have 12 received support and medical stabilization from the mental health system are now without such services. 14 3 6 7 8 9 13 14 15 16 As a result, some behavior is perceived as 8 9 13 15 16 17 "antisocial," increasingly coming into contact with 17 18 the criminal justice system. They exhibit this behavior in front of police officers they encounter 18 leading to arrest and jail including for misdemeanor offenses. This occurs across the state even though 20 19 20 21 19 21 staffed Board of Visitors in each of our correctional facilities promote the well being of people with mental illnesses? Do our law enforcement officers have adequate crisis intervention training? And what should be the treatment goals of a new forensic unit in Maine? These are only some of the issues that we hope to touch on today. Unfortunately, the Commissioner of the department -- the Maine Department of Corrections, the Commissioner of the Maine Department of Health and Human Services, a psychiatrist from the new Intensive Mental Health Unit at the Maine State Prison, and a psychiatrist from the Dorothea Dix Hospital were scheduled to 22 24 Maine courts have held that the failure of law enforcement officials to make a reasonable accommodation in the provision of services for 24 serve as panelists. Unfortunately, each has declined to participate. We have asked for their 25 people with mental illness is a violation of Section 25 input to ensure our work includes their viewpoints. 22 23 Min-U-Script® 23 Duffy & McKenna Court Reporters 1-800-600-1000 (2) Pages 5 - 8 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 9 1 2 3 4 5 6 7 8 9 10 11 12 13 At our briefing, we will hear from panelists who will help us better understand the problem as well as proposed solutions. At the outset, I want to remind everyone present of the ground rules for this briefing: This meeting is open to the general public and the media. And in addition, we have a court reporter who is recording the proceedings. We have a very full schedule today and in order to accommodate all of our presenters, each presenter will have 10 to 12 minutes for their opening statements. After all the presenters on a specific panel have made their opening statements, I will recognize the advisory Page 10 3 found on the agenda. Though some of the statements today may be controversial, we want to ensure that all invited 4 guests do not defame or degrade any person or any 5 organization. In order to ensure that all aspects 6 of the issues are represented, eligible persons with a wide variety of experience and viewpoints have 1 2 7 9 been invited to share information with us. Any person or any organization that feels defamed or 10 degraded by statements made in these proceedings may 11 provide a public response during the open comment 12 period. Alternately, each person or organization can file written statements for inclusion in the proceedings. I urge all persons making presentations to be judicious in their statements. The Advisory Committee does appreciate the willingness of all participating to share their views and experiences with the committee. We are very grateful to our presenters for their willingness to share their views, experiences, and expertise with our committee. On behalf of the Advisory Committee, I thank the panelists and members of the public for your engagement in this review. Your willingness to participate in this briefing is a testament to the importance of the 8 13 14 16 committee members for questions. To accommodate persons who are not on the agenda but wish to make statements, we have scheduled one open session today 17 at the conclusion of the briefing. If you wish to 17 18 speak in the open session, please put your name on 18 19 the open session sign-in sheet and speak with a member of the commission staff, either Evelyn or Barbara. In addition, written statements may be submitted by mail to the US Commission on Civil Rights at 1331 Pennsylvania Avenue Northwest, 19 Washington DC, 20425. Please call (202) 376-7533 for more information. Contact information is also 24 14 15 20 21 22 23 24 25 15 16 20 21 22 23 25 Page 11 Page 12 1 5 observance of civil rights in our society. The record of this meeting will remain open until July 14th, 2017, for anyone who wishes to submit a written statement. And with that, I will welcome our first panel and begin with our first 6 presenter. We will start with Mr. Bob Reed, father 6 7 of Anthony Reed. MR. REED: Good morning, everybody. I would 7 1 2 3 4 8 2 3 4 5 8 9 like to thank Diane Khiel and the committee today 9 10 10 11 for inviting me to participate in this morning's briefing. As Board President of NAMI-Maine, I 12 welcome the opportunity to discuss how we can better 12 11 13 serve those struggling with mental illness in our 13 14 communities. However, I wasn't prepared for how 14 15 15 17 difficult and emotional it would be to relive our son's tragic journey with his mental illness. As I prepared to speak with you today I asked 18 myself what was the most important take-away from my 18 16 19 20 21 22 23 24 25 son's experience. No person should be allowed to happen what happened to my son again. We have to stop criminalizing the mentally il, stop treating them as criminals and begin treating them as patients. I provided the Chair with two photographs, two pages of photographs: One of my son in 2000 and Min-U-Script® 16 17 19 20 21 2002, and then again just recently down in South Carolina. My wife and I live in Cape Neddick with our daughter. We also have older -- two older sons. This story is about Anthony, our oldest. He was a bright student, curious and charismatic, a three sport athlete, and a talented artist. The photo before you is Anthony in 2000 with his one year-old daughter. And the other photograph is from 2002 when he won the New England Golden Gloves Championship. At this particular time in his life in that photograph, the first photograph, his diagnosis was Bipolar I disorder. He was also in recovery for alcohol and substance abuse. From his late teens to a year before these photos, he struggled with his mental illness, self-medicating with substances. But finding spiritual guidance, taking care of his young daughter, and discovering boxing gave him a focus to stay sober and healthy. Within a year of training to be a boxer he 24 became the New England Golden Gloves Heavyweight Champion. He was often asked to speak at local high schools about his experience with drugs and alcohol. 25 Life was not easy but he was managing as well as he 22 23 Duffy & McKenna Court Reporters 1-800-600-1000 (3) Pages 9 - 12 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 13 1 2 3 4 5 6 7 8 9 10 ever had. Page 14 1 2 his new life. My wife and I were asked on many occasions to watch his daughter for long periods of time as he struggled with his depression. He finally decided to visit a doctor for help and medication. And unfortunately, he did not explain his bipolar history and only spoke of his deep 5 Anthony's experience in prison life was incarceration with no treatment where aggressive behavior was controlled with isolation and 6 medication. He was too unpredictable and aggressive 7 to handle safely which meant he was left alone for weeks at a time. Alone and untreated, he became unresponsive, catatonic, paranoid, and delusional. 3 4 8 9 10 depression. The doctor mistakenly prescribed Prozac for him which resulted in Anthony having a major manic break. Afterwards, he seemed to be either in 11 14 16 a manic or severely depressed state. Not long after his misdiagnosis during another manic episode, he was arrested for assaulting 17 someone who would not give him a cigarette. This 18 was the beginning of his involvement with the criminal justice system, the turning point that 18 ended the new life Anthony had worked so hard to maintain. We lost touch with him after his arrest but found out later that he had been bouncing in and out of prison with his mental health deteriorating 20 with each incarceration. He was aggressive, assaultive, and not cooperative, which resulted in 24 11 12 13 14 15 19 20 21 22 23 24 25 extended stays in the Special Management Unit at Warren State Prison, which is solitary confinement. Two years later, Anthony's boxing career was on the decline and he found himself slipping into bouts of depression he could no longer ignore and maintain 12 13 He spent approximately three years in this facility. When I heard Anthony was to be released in about two months for time served, I contacted Adult Protective Services to understand their plan 15 for him. They assured me the plan was not to release him unsupervised into the public. They 16 would be stepping him down in a more secure setting. 17 I found out two weeks later they were placing Anthony alone in an apartment in Portland with a case manager checking in on him once a day to give him his medication. They had no secure setting. I could not believe what was happening. I contacted NAMI-Maine and the state rep in Portland to tell them of this tragic plan that would most likely put Anthony and the public at risk. The state rep immediately scheduled a meeting with the 19 21 22 23 25 Page 15 Page 16 1 Commissioner of DHHS, head of corrections, state 1 2 psychologists. Pretty much everybody but the 2 3 Governor was at this meeting. Sitting there myself 3 4 uninvited, I asked if there's anyone in this room that thinks this is a good idea to place my son in this place? And no one responded. After a brief pause, they then asked me what I would do. They clearly had no solution. They reassured me that 4 5 6 7 8 9 10 they would find a proper placement for Anthony and would not stop looking until they did. And that was 5 6 7 8 9 10 11 the last time I heard from them. 11 12 12 14 The final plan upon his release was they would blue paper him into Riverview for an evaluation. After spending three-plus years in solitary he is 15 now allowed to walk the ward unrestrained. Within a 15 16 week he physically assaults a nurse because she 16 17 would only give him one banana when he asked for two 17 18 bananas. He was then restrained and taken back to jail. Eventually Anthony is found to be NCR, not criminal responsible, for an assault on the nurse. 18 13 19 20 bring Riverview staff there to treat him claiming this is the least restrictive environment for him, which is a clear violation of Maine state law. He stayed in jail a short time, though, as one day he sat across the table from the Riverview staff shackled in five point restraints receiving his mental health treatment. The staff member said something to cause Anthony to get up and lunge towards him. As he did, he stumbled to the floor in the restraints, bumping into the staff member. They immediately charged Anthony with a felony assault 20 prior -- because of his two prior assaults, and within days sent him back to state prison, placing him in a new Intensive Mental Health Unit for forensic patients with mental illness. This is why we're here today. If a person is incarcerated who is a patient, not an inmate, in the county jail who is then charged with a felony assault for bumping a staff member and sent to a mental health unit, because he's now an inmate, so 13 14 19 21 He is now a patient -- at this time he's a 21 they can put him there now. Anthony needed a felony 22 22 23 patient under the guardianship of DHHS. They cannot keep him in prison and Riverview will not take him 24 due to his assaultive history. So DHHS decides to 24 25 place him in a cell in Kennebec County Jail and 25 assault charge to receive clinical treatment and they needed him out of jail. Fast forward again two years. He's back in court for the felony assault when he was in jail as Min-U-Script® 23 Duffy & McKenna Court Reporters 1-800-600-1000 (4) Pages 13 - 16 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 17 Page 18 1 a patient. Anthony is again found to be NCR with a 1 2 2 7 lack of facility due to inaction by the state. There are still no in-state options for him. And DHHS decides that since he cannot be placed in Riverview, state prison, or jail, to have found a facility in South Carolina to take him, as a regional psychiatric hospital under the control of 8 South Carolina Department of Corrections. He would 8 9 17 still be under Maine DHHS control and the Maine legal system. No one has explained to me if you can't place a NCR patient in a correctional setting in Maine, how can you do it in a similar facility in South Carolina? During his -- this proceeding, Judge Murphy was frustrated with the director of Riverview Hospital when he offered an alternative to the South Carolina facility placement. The director suggested the 18 state should change the law to allow NCR and IST -- 18 19 IST, incompetent to stand trial -- patients to be 19 20 20 21 placed in the Intensive Mental Health Unit at Maine State Prison, further criminalizing the mentally il. 22 After much discussion and concern, Judge Murphy sent 22 overcrowded and understaffed, and we reduce access 23 Anthony to South Carolina, a thousand miles away 23 to treatment. Costs to support those incarcerated is at least four times more expensive than the cost of treatment, support and education on the front 3 4 5 6 10 11 12 13 14 15 16 24 25 from his home in family. 3 4 5 6 7 9 current physical condition. His diagnosis is now schizophrenia. He is not assaultive but he's extremely delusional. He hears voices most of the time. He rarely participates in programs, and it's difficult for him to be around other patients. I've been to the South Carolina facility about a month or two ago and have good 12 things to say about the staff, only good things, and his treatment. He moves about the ward unrestrained and unescorted. We all wish he was closer to Maine 13 but there is clearly no placement here at this time. 14 I doubt if he'll leave that facility unless something significantly changes. So where do we go from here? We need to be 10 11 15 16 17 21 24 The photograph, the second photograph you have from 2000 -- from actually recent, is photographs of Anthony as he currently is in South Carolina, his 25 proactive in our approach. We are spending way too much energy and resources on the wrong end of this problem. By cutting state and federal funding for mental health and treatment programs we increase the burden on our hospitals and prisons already Page 19 Page 20 end. So my suggestion would be to focus on the 1 2 3 following: Treatment. We need to increase funding 3 4 4 16 and access to treatment. I just read this morning that DHHS has tabled a bill to increase the MaineCare reimbursement rate for child psychiatrists. As we know, the rate -- the percentage of mental illness starting at the age 14 is pretty significant. Resources. The IMHU at Warren is a good start but there is additional facility needed for NCRs and ISTs that provide hospital-level care. If this facility was available to Anthony -- when Anthony needed placement years ago -- this is not a new approach -- his life may be different. With proper facilities, smart, educated administrators who 16 the IMHU at the Maine State Prison. I had the 17 oversee our mental health system would not be forced 17 opportunity to tour the IMHU two weeks ago and was 18 18 very impressed with their variety of programs and 19 21 into bad solutions due to lack of options. Education. We need to provide continuing mental health education to school administrators, staff, health care providers, and the legal treatment for the 25 forensic patients that are currently there. It's difficult and painful to look back at our 22 community and others to help them recognize mental 22 23 illness issues and provide guidance to those in crisis. Advocacy. We need to offer support and 23 1 5 6 7 8 9 10 11 12 13 14 15 19 20 24 25 Min-U-Script® 2 5 6 7 advocacy for the mentally ill on a daily basis, especially for those two cannot advocate for themselves. I believe NCRs and ISTs should have guardians to provide guidance through their court process. And then lastly, training. Provide continual Crisis Intervention Training for law enforcement and 8 corrections officers. NAMI-Maine is actively 9 involved in training, teaching and supporting many 10 of these directives. NAMI's focus is to support mental health and wellness. These are not new 11 14 concepts. Making them a priority, though, is vital to their success and the success of those we serve. I am encouraged with the progress being made by 15 Warden Randy Liberty and Dr. Banish, the director of 12 13 20 21 24 25 son's experience, and I wonder how it would have been different and what we could have done to help him. But we did fulfill one promise. I always -- this is always a tough one for Duffy & McKenna Court Reporters 1-800-600-1000 (5) Pages 17 - 20 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 21 1 2 me. Page 22 1 We always told Anthony that we would be there 2 staff that care for them. Equally important is our role to ensure the quality of programming for youth for his daughter in the event that he could not. She has been with us since she's five. I never got through this when I read it. So the time -- we were finally able to adopt her at 10 years old, and she's been a blessing to us 3 and brought only joy to our lives. I am very proud to announce that she -- last weekend she graduated. 8 I'm so sorry. She graduated. MS. MEHNERT: Absolutely. I'm proud to 10 12 help their child. As you listen today, please ask 13 announce last weekend she graduated with honors from Berwick Academy and will attend college in the fall 13 yourself how would you feel if this were my child? 14 majoring in psychology and art. Her dad would be 14 15 very proud. MR. REED: Thank you. Sorry. MS. KHIEL: Ms. DiMillo. MS. DIMILLO: Thank you. Thank you, Diane and 15 the Maine Advisory Committee. I think you can see this conversation is timely. I'm Tonya DiMillo and 19 Let's talk about Long Creek. Long Creek is Maine's only juvenile correctional facility. Its capacity is over 160. It currently holds just over 80 residents. That is on behalf of the work of different community organizations, probation officers to keep youth out of Long Creek. I'm the chair -- sorry. That was very moving. I'm the Chair of the Board of Visitors for Long Creek Youth Development Center. The Board of Visitors' work at Long Creek is vital to ensure the safety and well-being of youth residents and the 21 3 4 5 6 7 8 9 10 11 12 16 17 18 19 20 21 22 23 24 25 4 5 6 7 9 11 16 17 18 20 to assist in their restorative transition back to their community. This is my third term. Having over 20 years of experience working in child welfare systems and as a long-standing Board of Visitor member, I find it's a grim time for children, youth and families in Maine to find access to quality effective mental health care. We read it in the newspaper or it may be our friend, it may be our family member desperately seeking services to Long Creek is a constant balance of maintaining safety, while reducing risk through educational and 24 rehabilitative programming. When education, security or mental health staff are cut, it can severely undermine the ability for these staff to 25 form the necessary and positive relationships with 22 23 Page 23 Page 24 for or in the scope of their programming. 1 youth residents. When the balance is tipped, or the 1 2 2 6 models shift, rehabilitation efforts are impacted greatly. As it has been reported, Long Creek has had a tragedy. This last fall, a young youth resident took their life. Several youth continue to 7 self-harm, have attempted or made threats to harm 7 on one observation, use of correction restraints such as mechanical restraints to keep them safe, removal of clothing for safety, and use of a smock 8 themselves, and require unsustainable levels of 8 cover-up. They are also commingling with non-acute 9 constant observation. These acute care level youth residents are merely being managed for their safely 9 care residents which can be traumatizing and triggering at the very least, and possibly 3 4 5 10 3 4 5 6 10 Current safety management practice of youth in acute crisis consists of daily ongoing mental health assessments to determine the amount of constant one 11 destabilizing for other residential youth seeking to 12 and not specifically treated for these acute care needs. They do not receive the depth of mental 12 13 health interventions and medical treatment that they 13 engage in their own treatment programs. A recent Department of Corrections report 11 14 require, potentially causing a further increase of 14 reviewed 79 youth committed as of July, 2016. With 15 15 21 psychological risk. Simply put, Long Creek Youth Development Center is not a mental health facility. As Long Creek sees a rise in acute care cases, it also faces an inability to place these youth in a more appropriate setting. If there was somewhere for them to go, they would place them there. Long Creek's staff and the administration continue to do 22 the best that they can. They are dedicated, they 22 23 23 24 are committed to these youth, but they're doing the best they can with the tools that they have. They 25 are being asked to do things they are not trained 25 the help of the Department of Health and Human Services and the Office of MaineCare Services, it also provided data on some mental health services received for these young people beginning in the years of -- beginning for these youth in 2009. The purpose was to analyze and better understand the history of mental health and substance use diagnosis of committed youth and the level of mental health services they received prior to entering Long Creek. Here are some of what they found: 67 percent received special education services. Although 42 16 17 18 19 20 Min-U-Script® 16 17 18 19 20 21 24 Duffy & McKenna Court Reporters 1-800-600-1000 (6) Pages 21 - 24 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 25 Page 26 percent were living with their families prior to commitment, a third of the youth came from residential facilities. A third. That's a third of youth that would not need to be at Long Creek. 1 Almost 85 percent arrived at Long Creek with three or more mental health diagnoses. For females, the most frequent diagnosis, excluding conduct disorder, 5 8 10 24 percent, post-traumatic distress disorder; 19 percent, mood disorder; 15 percent, substance use disorder. For males, the most frequent diagnosis, 10 said, we are reeling from a tragedy and seeing an increase in acute care needs. The current budget proposal includes 11 teaching positions and a reduction of three staffing positions. Thanks to our Department of Corrections Legislative Committee, they have said no and are fighting for these positions. Recommendations. In the short term, with these alarming trends of placing and maintaining youth in acute mental health crisis at Long Creek, we must 11 excluding conduct disorder, 26 percent, ADHD; 20 11 immediately examine and remedy this. Long Creek is 12 percent, mood disorder; 20 percent, depressive disorder; and 11 percent, post-traumatic stress 12 13 not medically equipped to deal with the delicate needs of these vulnerable youth. Youth in acute disorder. Most use substances at 82 percent. Three females and 15 males have a substance use disorder 14 crisis must be immediately placed in an appropriate 15 therapeutic facility to receive intensive mental 16 health evaluations and acute care treatment. More in-depth training is needed for Long Creek staff to 20 diagnosis. I'd like to talk about budget cuts. Given that Long Creek is currently reeling from this past tragedy and trying to work with the rising level of acute care needs, these are the budget cuts that 21 were proposed this winter. The Governor's original 21 1 2 3 4 5 6 7 8 9 13 14 15 16 17 18 19 22 proposal included a 10 percent overall cut to 2 3 4 6 7 9 17 18 19 20 22 medical and mental health services across the board 23 24 for the Department of Corrections. This would 24 25 include Long Creek Youth Development Center. As I 25 23 understand mental health interventions. A multi-disciplinary review of acute care therapeutic options in Maine and the barriers to access them or maintain these placements is essential, a multi-disciplinary review of the youth in need of acute care services being placed out of the State of Maine. These tragic events have shed a light on the Page 27 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 current practice of placing youth in detention, often for undetermined amounts of time, typically waiting for placements or sentencing options. Additionally, a third of these youth arrive to Long Creek from residential placements. These practices have to be reviewed. Youth placed in detention. Are they able to receive or are they receiving the right types of assessment and services? Multi-discipline external review, again, of the available or lack of therapeutic level placement programs options in Maine. Why are these youth coming into the facility when they are already in a residential program? What policies and practices do we need to look at? In the long term, we know our best efforts are placed in reform, prevention and intervention programming based in both urban and rural communities that offer evidence-based effective and comprehensive care on a continuum. We need to Page 28 5 need to invest in alternatives to incarceration to hold youth accountable for their actions while giving them opportunity for restored productive lives. Programs such as Youth First Initiative, or organizations, or another program in California, 6 Reset, are looking at these options. When we know 7 that Early Intervention is key to staving off significant mental health, that it preserves the brain and the potential of each child, what are we saying when we cut funds and make it difficult to access them? MS. KHIEL: Ms. Mehnert. MS. MEHNERT: My name is Jenna Mehnert and I'm 1 2 3 4 8 9 10 11 12 13 14 15 16 17 18 19 20 the Executive Director of the National Alliance on Mental Illness, the Maine state chapter. I'm here today to raise some specific concerns related to the criminalization of mental illness. My specific concerns relate to a few areas: To individuals entering the county jail system, access to mental health treatment for those incarcerated include the Department of Health and Human Services. We need to include the Department of Education. We 21 individuals in the jail system, individuals found 22 not criminally responsible by the court system, and need to include mental health. This is not a one institute issue. 23 24 25 Can we think about Long Creek differently? We 25 the criminalization of survival behavior by our youth in Maine. The national Stepping Up initiative aims to 21 22 23 Min-U-Script® 24 Duffy & McKenna Court Reporters 1-800-600-1000 (7) Pages 25 - 28 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 29 1 divert individuals who have committed misdemeanor Page 30 1 2 6 level offenses from incarceration. Backed by research that shows that a person with a mental illness arrested for a misdemeanor level offense will on average serve three times as long in jail as a person without a mental illness, the National 7 Council for State Government's Justice Center has 7 8 issued a clear blueprint on the action that 8 9 communities can take to take to assess individuals 9 10 10 15 at the time of intake in hopes of diverting or effectively treating individuals with mental illness. A second effort launched in 2016 by the International Association of Chiefs of Police contributes to the outcomes of the Stepping Up 16 initiative. The One Mind campaign was launched with 16 17 the intent of helping departments across the nation empower officers with the tools they need to serve people with mental illness more effectively. Guided 17 by these two national efforts, there are two critical points of opportunities where we could possibly divert people from the criminal justice system with mental illness when that individual poses no threat to the public safety. 20 2 3 4 5 11 12 13 14 18 19 20 21 22 23 24 25 Law enforcement officers have an unparalleled 3 4 5 6 11 12 13 14 15 opportunity to redirect someone from the criminal justice system to the mental health system if given the right tools and resources. Police departments across the State of Maine report that over half of their calls have a direct relation to a mental health issue. The better the ability for law enforcement to understand when a citizen is struggling with a mental illness, the better the ability to divert individuals. There are many departments that are very committed. Portland has 100 percent of its officers CIT trained; Augusta, a good percentage; as well as Bangor as well, and many of the sheriffs' departments. In fact NAMI-Maine has certified over 700 law enforcement officers and mental health first aid since 2014 with over 1,500 certified in Crisis Intervention Team training, the gold standard since 22 2002. The ISEP's One Mind campaign calls for 100 percent of officers to be certified with mental health first aid and 20 percent for CIT. However, it also calls for clearly articulated operating 23 procedures between mental health crisis agencies and 18 19 21 24 police departments. The current lack of such 25 agreements, MOUs or otherwise stated, means that Page 31 Page 32 1 crisis and law enforcement agencies often don't 1 reality is that there are few alternatives to jail 2 operate on the same playbook. And that, once again, 2 for individuals who are causing a commotion in their community. The first step to building alternatives to incarceration is to know the population of individuals with serious and persistent mental 3 can be different depending on the locality. And 3 4 Portland has much more relationships than some other 4 5 aspects of the state, with far too many calls resulting in trips to jail or the emergency room because law enforcement is left to resolve the situation with a mental health partner. Maine's 5 6 7 8 6 7 8 illness who end up in the jail's custody. We do not know that population well in Maine. Some sheriffs will tell you they have a tool to assess mental illness, and in fact they do, but the challenges -I am not sure of one jail in the -- county jail that uses a validated screening instrument to assess for mental illness and risk of suicidality. While 10 current funding structure prevents the existence of a dynamic statewide mobile crisis response system 10 11 that would allow law enforcement's involvement to be 11 12 12 21 reserved only for calls where there is a violent element. The lack of a community-based mental health crisis response system results in the criminalization of mental illness because individuals are often forced to interact with law enforcement when their actions have no criminal component. The other opportunity to divert people with a mental illness away from jail as often missed in the State of Maine is upon jail intake. The majority, 22 the vast majority of sheriffs in Maine are committed 22 23 to diverting people with serious and persistent mental illness out of their jails. While the intent to divert people is very clear and strong, the 23 impirical research. And if we don't know the specific mental health histories of individuals entering jail, we aren't able to engage in program development that would fuel their diversion from jail. The need to truly move forward with a statewide validated mental health jail screening tool is apparent, yet far from a reality. The Stepping Up initiative provides a very concrete 24 framework that should be implemented in Maine. And 25 I brought copies of that if folks aren't familiar 9 13 14 15 16 17 18 19 20 24 25 Min-U-Script® 9 13 14 15 16 17 18 19 20 21 county jails often have some type of assessment for mental illness in place, these tools aren't based on Duffy & McKenna Court Reporters 1-800-600-1000 (8) Pages 29 - 32 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 33 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Page 34 with it. Diversion is not the -- will not be the solution for everyone arrested who has a mental illness. With that recognition in mind, we must 1 also look at the services provided while someone is incarcerated. The correctional standard of mental health care is behavior management, not recovery. This is a national standard and it needs to change. Anyone held responsible for providing medical or mental health treatment should be expected to meet JCAHO's standard of hospital level care, which means the desired outcome for mental health services is 5 2 I will unfortunately say that I was involved in a case in which an individual was a manic state, manic 3 and psychotic state traveling out of -- from New 4 York City, speeding through a county in Maine, and was arrested due to speeding, and did not receive care for several days because the private provider said to me, "I had no reason to suspect they were 6 7 19 experiencing a mental illness." Finally, there is no more blatant attempt to criminalize mental illness than the state's inability to provide care for patients found not criminally responsible. The story you heard from Bob Reed with his son Anthony highlights such a case. Simply stated, a judge cannot find a person NCR and then place them into the custody of the Department of Health and Human Services for treatment just for them to then end up in jail or prison. At no time should an individual who is so lost 20 in their psychosis that a judge has determined it is 21 legally inappropriate to hold them criminally responsible be placed into criminal justice 8 9 10 11 12 recovery. That said, the burden to provide such care that is focused on recovery cannot rest with county sheriffs. In fact, it cannot even rest with 13 county governments. As a nation we must revisit the CMS rule that does not allow Medicaid to fund mental 16 health services at the same rate for persons incarcerated as a person receiving services in the community. What this means is that jails cannot 18 provide a higher standard of care and people are not able to move forward in recovery because there's no funding for it. The quality of care by private mental health entities serving Maine's jails also differ greatly. 23 14 15 17 22 24 25 confinement by our Department of Health and Human Services. As a state, Maine has been struggling with how Page 35 Page 36 10 best to serve this population for a long time, as you heard with Anthony's story. This struggle is even more evident by the attitudes expressed by folks in the media. You've heard -- this population is often referred to by the administration as violent forensic patients. And in comments by legislators I have been told, "NCR is just a label. If they commit the act, they're violent and their behavior means they should be incarcerated." Over the past four years there have been 10 11 multiple attempts to house NCR patients in a variety 11 12 of jail or prison settings. Not once, not once has there been a public conversation about the cutting edge treatment approaches that Maine should import to better serve this small but complicated population of individuals with serious and persistent mental illness. I feel in closing it's important to stress that the points I've made above do in fact unfortunately apply to Maine's youth as well. We criminalize the behaviors displayed by young people that are rooted in trauma and mental health needs rather than wrapping services around every child who enters the custody of the Department of Health and Human Services through the child welfare system. We still 12 1 2 3 4 5 6 7 8 9 13 14 15 16 17 18 19 20 21 22 23 24 25 Min-U-Script® 1 2 3 end up bootstrapping kids into the juvenile justice system. We pathologize the survival strategies of abused and neglected children as evidenced that 6 there are children who have failed in DHHS's residential mental health treatment services who have been court ordered to Long Creek Detention 7 Center because Long Creek is the only place left for 4 5 8 them to go in this state. This pattern mirrors the 9 placement of individuals found NCR into jail, and we simply as a state cannot abandon hope for any member 13 14 15 16 17 18 19 20 21 22 23 24 25 of our community. MS. KHIEL: Thank you, panelists. We'll take questions from the committee. MR. ROBINSON: Excuse me. For Mr. Reed. What is the age of our son now? MR. REED: Anthony is 42. MR. ROBINSON: And during your comments you mentioned that he probably would not leave the facility that he's in in South Carolina? MR. REED: Well, my -- it will basically be based on his -- on his progress with his mental illness. He's currently not capable of being outside of the facility. And South Carolina state law will not allow him to be stepped down in that facility, from that facility, so if he is to step Duffy & McKenna Court Reporters 1-800-600-1000 (9) Pages 33 - 36 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 37 Page 38 1 down, be stepped down in any other setting, he would 1 2 have to come back to Maine. MR. ROBINSON: Thank you. MR. REED: As a resident. He's not a resident of South Carolina. MR. MEHNERT: Mr. Reed, good morning. MR. REED: Good morning. MR. MEHNERT: So I understand Anthony was put in the -- what DOC refers to as SMU. That's solitary confinement, though, correct? MR. REED: Yes. Yes. MR. MEHNERT: And you said he was headed there for extended periods of time? MR. REED: Yes. MR. MEHNERT: About three years? MR. REED: At least three years. MR. MEHNERT: Was that off and on or almost continuous? MR. REED: It was continuous for that period of time. MR. MEHNERT: And while he was there, were you able to visit him? MR. REED: No. MR. MEHNERT: And was there a continued deterioration of his mental health while he was 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 3 4 5 there? MR. REED: Clearly. MR. MEHNERT: In fact, if I understand, Justice Kennedy recently in a Supreme Court decision said that the problems with solitary confinement are they 7 lead to increased anxiety, self-mutilation, disassociation, delusions. Did you witness those 8 things coming -- when Anthony was released from SMU? 6 9 10 11 MR. MEHNERT: Clearly. described to me was a lot worse than what I 12 described to you with regard to his incarceration in 13 the SMU. MR. MEHNERT: In fact, in the solitary confinement unit, an individual is kept 23 hours a day in the -- in an 8x12 room with no outside stimuli; is that correct? MR. MEHNERT: That's correct. His one hour is walking back and forth inside in a chain link cage outside the facility. MR. MEHNERT: For someone with Anthony's mental health issues, that almost seems predetermined to ensure that he will continue to deteriorate. MR. REED: I clearly feel we're breeding mental illness in that setting. 14 15 16 17 18 19 20 21 22 23 24 25 Page 39 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Page 40 MR. MEHNERT: And is it your impression that it's fair to say that the use of disciplinary punishment is what occurs to those who are put in 1 SMU rather than -- or as Ms. Mehnert talked about, behavior control rather than any kind of treatment? 4 MR. MEHNERT: It's clearly behavioral control, behavior control, at least my experience at that particular time. MR. REED: Thank you. MR. AKINJIOLA: Good morning, everyone. Thanks, Mr. Reed, for testifying this morning. I have two questions if that's okay. One is for Ms. DiMillo and one is for Ms. Mehnert. My first question is, Ms. DiMillo, so you said a third of residents at Long Creek come from residential facilities. Do you mind expanding on that a little bit? Do they go into those facilities because of some underlying -- well, so that means they're uprooted from their families, correct? MS. DIMILLO: Yes. MR. AKINJIOLA: And put in there for some behavioral issue? MS. DIMILLO: Right. MR. AKINJIOLA: Is that correct? MS. DIMILLO: They're there for a behavioral 6 Min-U-Script® And from sources inside the prison, inside SMU, and his attorney. What they 2 3 5 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 health issue, and -- in most cases, and due to assaultive behavior that is related to those issues, they're then charged and they end up at Long Creek. MR. AKINJIOLA: For some kind of activity that happened at the residence? MS. DIMILLO: An activity that occurs. A behavioral activity that occurs at the residential therapeutic treatment facility. MR. AKINJIOLA: So like maybe like an assault on a caregiver, right? MS. DIMILLO: Correct. MR. AKINJIOLA: Thank you. And my second question is -- actually, I'll come back to it. Thanks. MR. TONEY: Good morning. Mr. Reed, I wanted to ask you a question, and Ms. DiMillo, I want to return to something you just said. Mr. Reed, your son's journey through the various systems has been complex and confusing at times, to say the least. My question, because I didn't really hear from your testimony, is at any time that he was in these various settings, was there ever a comprehensive medical psychiatric evaluation performed with him? MR. REED: That's actually a good question. He Duffy & McKenna Court Reporters 1-800-600-1000 (10) Pages 37 - 40 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 41 1 2 3 4 5 6 7 8 9 Page 42 had been at Riverview for a short period of time. He'd been in and out of different facilities. I'm not sure what his evaluation, psychiatric evaluation would have been. I really wasn't privy to that, not being a -- not being privy due to HIPAA issues. MR. TONEY: Okay. Thank you. And Ms. DiMillo, I wanted to follow up on the residential issue. So if someone is assigned or placed in the 1 residential issue because of behavioral problems and then they act out maybe at an accelerated level, why 9 2 3 4 MR. TONEY: Okay. Thank you. MR. AKINJIOLA: All right. So the question I was trying to ask you earlier is you had mentioned that some police officers have said in the past or 7 generally say that their contact with citizens is usually not for criminal activity, but you used the word commotion, that it's just commotion in 8 communities that creates this engagement. So how do 5 6 those people then eventually make it into the 10 criminal justice system? Do these commotions get is the residential facility not equipped to deal with that therapeutically rather than relocating them to Long Creek? MS. DIMILLO: That is the best question. That's what I want to know. I think those are the questions that we have to ask. Why are these 11 translated into some criminal activity? Like, do they take that commotion and try and fix it into -or place it into some criminal statute, for example? MS. MEHNERT: So I think the challenge is, so placements unsuccessful? What's happening in the treatment that -- what do we have to look at in the treatment programming? What do we have to look at 17 20 21 in terms of policy? Are there laws in terms of charging kids for some assaultive behavior that is 22 often out of their control? We need to look at what 22 state that I've trained or that I otherwise know who would want to take that person to jail. The issue is where do we take them? What community-based service is there for them to go? How do we operate 23 we have available in Maine for treatment programming 23 in a way that -- that person is really -- I mean, 24 and how effective is it? Because based on these numbers, it's not feeling very effective. 24 they are disorderly conduct, a public nuisance. You know, they could be charged with that. I don't know 10 11 12 13 14 15 16 17 18 19 20 25 12 13 14 15 16 18 19 21 25 if you're in a community and a small business owner is calling you because an individual is pacing back and forth in front of their business yelling at people, so I don't know any police officer in the Page 43 Page 44 7 right of refusal for youth, and so they can refuse any health-based behavior rather than if they're reimbursed the obligation to provide treatment. They can just bounce a child back out. MR. TONEY: Thank you. MR. MEHNERT: So as I understand the State of Maine system, there currently now is an option for 8 law enforcement to take somebody in for blue paper, 9 for inpatient, but there's no option right now, or limited options, for any kind of community-based diversion away from the blue paper; is that correct? 1 of any member of law enforcement who would want to 1 2 charge them with that. The challenge is what are 2 3 the other resources? What are the community-based mental health services where that individual could be going instead or redirected to instead, in some 3 6 9 parts? And it definitely is different in the state in different counties, but in some counties some municipal departments would end up taking that person to jail because at least they've addressed 10 the business owner who keeps calling them saying, 10 11 11 13 "You've got to do something." Do they think that's the best thing to do? I don't know of anybody that says that, "Yeah, that 14 person should go to jail." Then the research shows 14 15 up that someone like that will serve three times 15 16 longer in jail than somebody else who's committed a misdemeanor level offense who would be right out. And so the challenge is really about community-based 16 19 resources and the lack of them, not about -- you 19 20 know, and so it's not the intent of law enforcement. 20 Mental Illness, in upstate New York. They're run by 21 I really find that the law enforcement system is 21 22 trying to do the best they can without any resources 22 23 on the community-based mental health side. And can I finish Carl's? The one thing, Carl, that I would say is that DHHS contracts has the 23 hospitals or community-based providers. But the idea being a place that is mental health focused that someone could go and either get services or comprehensive assessment. Because the other issue is for law enforcement, the choice is jail or 4 5 6 7 8 12 17 18 24 25 Min-U-Script® 4 5 12 13 17 18 24 25 MS. MEHNERT: Yes. MR. MEHNERT: And that's a legislative change, correct? MS. MEHNERT: It's a legislative change or a leadership change to decide to fund programs. In other parts of country there are assessment centers. Bexar County, Texas, is sort of the model of all. There's some that are run by peers, People with Duffy & McKenna Court Reporters 1-800-600-1000 (11) Pages 41 - 44 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 45 1 2 3 4 5 6 7 8 Page 46 1 those are the two places we have as options right now, and nothing else. MR. MEHNERT: And I had one question for Ms. DiMillo. Ms. DiMillo, you had said something that 3 6 might be able to expand a little bit about what struck me. You were talking about that there were a number of youth that were being sent out of state; 7 those programs are and also share with us whether you think either or both of those programs could be something that we could utilize here within Maine. MS. DIMILLO: Sure. I'm just getting to know these programs but the Youth First initiative is an 2 4 5 8 14 is that correct? MS. DIMILLO: Correct. MR. MEHNERT: Do we have any idea as to the number of youth that are being -- are they being sent for mental health issues? MS. DIMILLO: I believe so. And I do not have 15 the numbers for you. That's a Department of Health 15 16 and Human Services question. MR. MEHNERT: So we have youth that are in need of services in our state -MS. DIMILLO: Correct. MR. MEHNERT: -- and rather than providing them 16 9 10 11 12 13 17 18 19 20 21 22 23 24 25 MR. REED: Adults as well. MR. TONEY: Just to speak to the other side of that. I wanted to return to something that you spending a lot of time in a hospital. And emergency rooms are not good for anybody's mental health. And services, we're sending them away from their support systems, away from mental health -- any kind of support that they could have here, out of state to someplace where they don't know anybody? MS. DIMILLO: Correct. And we pay for that. 9 10 11 12 mentioned in passing. You mentioned two programs: Youth First and Reset. And I was wondering if you organization and their work is around 13 community-based programming on a continuum that 14 19 keeps children in their community, youth in their community, and closes facilities. And I think that that is something that we need to in the long term, that needs to be what we really look into. Children need to be close to their families and sometimes they need services. We need to develop the services 20 and we need to make sure people have access to those 21 services. The Reset program in California is -- although they may have a different population, what I really -- what I think is interesting about that program is that it's an open campus and it's 17 18 22 23 24 25 Page 47 Page 48 And if it's a high needs child, the school has to absorb three times the basic amount, per pupil amount, that they get through the state funding formula before they can access the high cost revolving fund that the state has. That fund is 14 education-based for those that have been involved with the law. And the staff are mostly educators and they're working to build their skills. And I think that something -- and it's a step-down program. So when you need a more higher level of structure, you'll have that, and you move along in a continuum. I think a continuum of care is appropriate. I think that youth sometimes do need a safe space to be so that they can start their programming. And so these are things that I hope that as a state we can make a determination that we need to change and we can start to look at some of these -- you know, how can we reform? How can we create better 15 community-based programs across the state? Not just 15 16 in the urban areas; we need to reach out to the rural areas as well. MR. TONEY: Thank you. MS. JONES: Yes. Again, your comment on 67 more or less percent of students having been in 16 that this is a multi-disciplined way in which we 17 need to approach. The youth at Long Creek are those 18 21 22 special education, it's a huge complex problem for the schools. The financing of special ed in Maine kids that were kicked out of schools, you know? I mean, if ADHD is one of the top diagnoses here, you know, and I've had -- that the ADA in Cumberland was able to say she can tell by some -- when somebody's 22 in sixth grade what's going to happen with them. 23 and elsewhere is really very discouraging. The 23 Education is a key piece to somebody's wellness and somebody's mental health. And so that has to be part of this discussion and it needs to be funded 1 2 3 4 5 6 7 8 9 10 11 12 13 17 18 19 20 21 1 2 3 4 5 6 7 8 9 after at least a year of application. So school systems are dealing with this extremely complex special education rules and a lot 10 of incentive is in there to not really figure out 11 how to meet special education students' needs. So I 12 just put that out there as one of the underlying factors here. MS. DIMILLO: If I may? Thank you for speaking 13 14 19 20 24 schools only receive a certain amount of money for a 24 25 child that's been identified in special ed needs. 25 Min-U-Script® never fully funded, and the money is only available to that. That is why I've commented several times Duffy & McKenna Court Reporters 1-800-600-1000 (12) Pages 45 - 48 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 49 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Page 50 appropriately. MS. MEHNERT: If I could just add a comment to 1 that? I had the honor of being Governor Rendell's children's policy person in the Commonwealth of Pennsylvania. In Pennsylvania there's a state plan amendment that allows any child with a federally qualifying mental health diagnosis to be considered a family of one. I have a son with autism. What that meant is that my son had the equivalent of an ed tech, only a therapeutic support staff person who was with him six and a half hours a day, funded with federal match, not special ed dollars. So he was able to bring in mental health-related resources to a child who was a completely contained kindergarten 3 2 4 MS. MEHNERT: Well, I think there's two components. One is, you know, we have many outstanding sheriffs. Some of them are in the room right behind me now. Many outstanding sheriffs. 11 The challenge is getting them all to agree to utilize one tool, because they are independently elected. The second is money, because they are funded by their counties to operate jails. And so that means the ability to take a validated tool which the Stepping Up some -- there are actually free validated tools but then you need a computer 12 guy, not me, to come in and be able to make those 13 validated screening instruments speak to their existing computer databases or existing screening tools, then provide resources to be able to train their staff. So that's another cost, right? Not only someone to do the training but the staff time to be able to be trained on how to appropriately implement a validated tool. So I think that we did this session try to -- 5 6 7 8 9 10 14 15 17 and just finished 8th grade completely without special ed services because we were able to draw down federal match and not expect the taxpayers, in 18 that case the Commonwealth of Pennsylvania, to pay 18 19 all those costs. We don't have such a state plan 19 20 amendment here in Maine so those resources have to 20 21 come in entirely out of the education budget. MS. KHIEL: Mrs. Mehnert, you had mentioned the 21 Stepping Up tool for assessment in the county jails. In your view, what would it take to bring that tool 23 end version that didn't move, but that we had 24 attempted to have, was to have DHHS fund someone to 25 facilitate that process to any county jail that was 15 16 22 23 24 25 to all of our jails in a uniform manner? 16 17 22 we had -- NAMI had a piece of legislation introduced where we tried to move forward in some effort. The Page 51 Page 52 So that's -- that's one piece. The second piece is it's really important to 1 3 at least willing to do so without a mandate to do so, and the department chose not to fund that. So I do think that we can't -- the criminal 4 justice system has ended up engaged in mental health 4 5 5 staff and we talk to youth. And as one board 6 member, it becomes a little more challenging to be 7 8 issues. They are not to blame for the challenges they face. We need to bring in more resources to them. So the ability to get that resource, not just say, "Here's a tool. Add it to your already 9 complicated world and train your people to do it and 9 10 we're not giving you any money." It will never happen without resources. MS. KHIEL: And Ms. DiMillo, you are the Chair 10 11 as available. I think the board should be filled across the state. I think the boards need to be aware of what their role is, how important their role is, and what they're charged with. And we're charged with looking at policy, practice, how it's 12 implemented, how budget cuts are going to affect the of the Board of Visitors for Long Creek. I wondered if you could just elaborate on the role of the Board of Visitors and how that group may -- having a fully 13 services being delivered to young people. This is all part of oversight and making sure that the needs are being met. Without those boards, I don't know appointed board may help to benefit youth with mental illnesses. MS. DIMILLO: Sure. Another timely question. Currently I am one of what should be five seats filled. And the board is crucial. We operate separately but we work together with the 16 1 2 6 7 11 12 13 14 15 16 17 18 2 3 8 14 15 17 18 have a full board. You need different perspectives and experiences. You know, we go in and we talk to how the public would be aware. MS. KHIEL: Thank you. And back to Ms. Mehnert. Could you describe the 40-hour Crisis 22 23 administration of Long Creek to make sure that the needs are being met of youth. It's important that Intervention Training, just what it consists of? MS. MEHNERT: Sure. CIT was started in Memphis, Tennessee. It has got 10 hours of deescalation training built into the 40 hours. It 23 also involves having family members like someone 24 the administration be transparent, so that's key. 24 like Bob come and talk about -- tell their story, 25 That allows us to be able to advocate appropriately. 25 peers as well, person with a diagnosis telling their 19 20 21 22 Min-U-Script® 19 20 21 Duffy & McKenna Court Reporters 1-800-600-1000 (13) Pages 49 - 52 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 53 1 story. And then it brings in a variety of Page 54 1 2 community-based mental health professionals in that 2 3 community, so it's county by county specific, to talk about different resources that are in place. 3 4 5 And one of the two-hour blocks is on understanding 5 6 autism. Another one relates to understanding 6 7 dementia and how best to interact with someone with 7 8 9 10 11 dementia. So really it is -- CIT is the gold standard enforced by the Bureau of Justice Assistance as well as the International Association of Chiefs of Police, to really say if we're going to equip 4 8 basic and does not have the opportunity for skill development that the 40 hours allow for. 40 hours also allow for site visits often to clubhouses in the State of Maine or peer centers or crisis programs to really try to build a bridge. The intent behind CIT is a team to build the bridge between the mental health community and the law enforcement community so when the training is 9 gone, the people still know each other and can 10 communicate. That's also why, having signed MOUs, or agreed upon operating procedures would be key. 11 13 Because I will tell you when I've trained officers up in the county or officers in York County, in 14 Washington County, Franklin County, Oxford County, 15 officers with a basic understanding and some skills of when it comes to interacting with a person with mental illness, the two models the ICP has enforced 16 are CIT, but it is a 40-hour training. It's about 16 17 $1,500 cost for overtime. NAMI-Maine is funded 17 18 through the consent decree with the closure of AMHI to pay CIT statewide. So we do the trainings. For 18 20 24 a department to send someone it's about $1,500 overtime to take them off the road. So then we also do the eight hours mental health first aid which is the other model endorsed by the mental health -- by the International 25 Association of Chiefs of Police, and it is much more 25 12 13 14 19 20 21 22 23 12 15 19 21 22 23 24 you name it -- all the counties in Maine. Can you type that? It would be better. And the issue is always when we get a call and there's no threat of violence, we cannot get crisis to come. The challenge is crisis's funding has been slashed by at least a third in the last two years. It's not that crisis doesn't want to come. It's not that the mental health agencies don't want to respond. It's that we used to have a much more robust crisis mental health system in this state and we don't. The end product of that is that law enforcement Page 55 Page 56 has to engage. And if law enforcement engages, think about how you feel if you're speeding or if 1 3 4 you're not even speeding but you're afraid you might be speeding and you go by a police officer. By no 5 fault of their own, their uniforms raise all of our 5 6 anxiety. So now you're a person in a mental health crisis, and a person with a badge and gun shows up. Even well-intended, well-trained, that can end up in 6 1 2 3 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 a situation. Now they're in the custody of the criminal justice system, where if a mental health worker would have arrive, that wouldn't have necessarily been the outcome. And so because we don't have crisis law 2 4 7 8 9 10 11 12 MS. KHIEL: Why don't we ask Carl's question and then -MR. TONEY: I actually have a question for you. Given the unique situation that you unfortunately found yourself in as a parent with a child who was struggling with these kinds of situations that ended up in the correctional systems and the journey that he ended on, could you help give us some guidance about how you think parents and families could participate in helping to address this question to move away from the potential, at least, for adversarial stances to a complementary 13 way of -- how does the community, all of the enforcement services to the depth and the degree and the mobile fashion that we need to, law enforcement 14 community, including law enforcement, including the 15 parents, including the mental health and medical has to engage in lots more cases and those cases then end up coming in contact, individuals end up coming in contact with the criminal justice system when they really just need mental health services. MS. KHIEL: Thank you. MR. TONEY: One question? MS. KHIEL: Sure. Is this a follow up? MR. TONEY: No. It's something that Mr. Mehnert, just a follow-up to Mr. Mehnert's question. 16 systems, how could that work together and what could 17 the role of parents and family be to help bring that 18 kind of collaboration to fruition? MR. REED: That's a good question. I think from the standpoint of parental involvement in a correctional setting is very difficult. You don't have a lot of access. There's really no -- you Min-U-Script® 19 20 21 22 23 know, any updates you ever get or anything you'd be 24 able to participate in usually comes through third parties: Attorneys, social workers, religious 25 Duffy & McKenna Court Reporters 1-800-600-1000 (14) Pages 53 - 56 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 57 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 individuals that frequently visit the prisons. So it's really difficult as a parent and as an advocate to reach into those settings and to really make any kind of a difference. I have to follow up with what -- Mr. Mehnert's question with regarding the SMU. About three years ago, Frontline did a documentary on what's called, "The Life in Solitary Confinement," and it was based on -- or a documentary they did at the Maine State Prison. There was a part one and now there's a part Page 58 1 don't want to be around people and are very -- they 2 like to be -- they're isolated, and being around people generates a lot of paranoia. And so consequently they're fighting, and typically behavioral issues that send them back to -- back 3 4 5 6 7 there. But again, Warden Liberty has done great -they have sort of step-down program if you're moving 13 back into the general population. But to go back to your question, it's very difficult from a parental standpoint. MR. TONEY: Thank you. MR. MEHNERT: Now, you had talked about that there was a need for clearly articulated MLUs 14 between mental health agencies and law enforcement, 15 but I think you said there was a current budget -the current budget structure prevented that interaction. How does the current budget structure prevent that interaction? MS. MEHNERT: No, the current budget structure doesn't prevent the interaction between the two. There's no requirement that they have agreed upon procedures. By current budget structure I mean the lack of crisis -- the budget funding of crisis services prevents mobile crisis units from really being able to be mobile. So often -- like, if 8 9 10 two. You can find it online on the Frontline website. It's -- it was very disturbing. Part one is certainly very disturbing. The population there was up over 100. I think my son -- this was after my son had left there, so he was certainly at that particular stage struggling with a large population 11 in the SMU. Past Warden Bouffard and now Warden Randy Liberty have made great progress at reducing the populations at the SMU and actually allowing -before if they were -- if an inmate was stepped down 17 out of SMU they would go directly back into the general population, which was more than likely a prescription for just being thrown back in there. Because one of the significant symptoms of people that are extended stays by themselves is that they 21 12 16 18 19 20 22 23 24 25 Page 59 Page 60 MS. KHIEL: Okay. We're ready to begin. There will be a slight change in the order. We'll start 13 you're in Franklin County and you're in Rangely, they're going to tell you to meet them at the hospital in Farmington, not be able to necessarily go out to where folks are because of that budget structure. The agreement -- the ability to have agreed upon, this is when we're going to respond, this is when you're going to respond, this is when we're going to respond together, there's no budget issue there. And in some jurisdictions they have chose to do that. NAMI has introduced twice legislation to try to create that mandate and twice we have failed, even though the International Association of Chiefs 14 of Police strongly recommends that such agreements 14 15 be in place. MR. MEHNERT: And the potential in the end is for law enforcement to be confronted with an individual who is out of control which can have a catastrophic event. Thank you. MS. KHIEL: Thank you very much, presenters. 15 from different disciplines. So I'll begin. As you've already heard and 16 even acknowledged in your opening remarks, the State 17 of Maine has many people living in the community with diagnosed and undiagnosed severe and persistent Next we'll bring up Panel Two, Law Enforcement at the Front Lines. And our presenters will go in the following order: Commander Madore, Commander Stevenson, Sheriff Crandall, and Chief Sauschuck. 21 1 2 3 4 5 6 7 8 9 10 11 12 16 17 18 19 20 21 22 23 24 25 (Brief recess.) Min-U-Script® 1 2 3 with Sheriff Crandall and then Chief Sauschuck, and 7 then we'll go on to the state troopers. Good morning. Thank you. SHERIFF CRANDALL: Thank you for having us. I would start by saying briefly that a vast majority 8 of my problem statement in my remarks was sort of 9 covered in a few sentences in responses by Ms. Mehnert so bear with me. As I said to the chief, that's good in one way 4 5 6 10 11 12 13 18 19 20 22 because it shows that we're not on entirely separate sheets of music based upon the fact that we come mental illness who are either not seeking or are unable to find adequate care in the community. There are others who have diagnoses and treatment plans but for one reason or another failed to follow 23 those plans to include failing to take prescribed 24 medications once their symptoms start to wane. Then 25 there are those who self-medicate with alcohol or Duffy & McKenna Court Reporters 1-800-600-1000 (15) Pages 57 - 60 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 61 Page 62 elicit drugs, in many cases severely exacerbating the underlying problems. Folks who fall into each of these aforementioned groups regularly come to the attention of local law enforcement. This appears magnified perhaps in rural areas where access to adequate services is much more difficult. These 1 8 9 folks are commonly arrested by local law enforcement because they commit petty crimes, which has already 10 been discussed, such as disorderly conduct for 10 11 hollering at vehicles or others in the community due to delusions of paranoia, criminal trespass because 11 13 18 they linger or loiter at businesses or private property and make others uncomfortable by their behavior, and even thefts, primarily to include shoplifting of items that they deem necessary to their very existence. I will say that these arrests are almost always 19 made after several attempts by local law enforcement 19 1 2 3 4 5 6 7 8 12 13 14 15 16 17 20 21 22 23 24 25 to get these folks mental health treatment unsuccessfully. The most serious and potentially dangerous of encounters for all involved are law enforcement responses to those individuals with severe and persistent mental illness who are in crisis or 2 3 4 5 6 7 9 12 14 15 16 17 18 20 21 22 23 24 25 become psychotic. Whether we like it or not, this is the reason that the legislature has made this a law enforcement problem and has given us this role because in some cases it is simply not safe for anybody else. Finally, we have a lesser known group of individuals who are not in immediate -- okay. Sorry, I thought you -MR. MEHNERT: No, I'm moving something. Sorry. SHERIFF CRANDALL: That's fine. A non-immediate psychiatric threat to themselves or others, in legal vernacular, but are nonetheless a threat to their own well-being because they're unable to care for their basic needs related to nutrition, medical, hygiene, shelter, et cetera. In all of these situations law enforcement may be legally responsible under Maine law, but to do what? In some cases probable cause exists to charge the person with a crime, and concurrently, probable cause exists to take the person into protective custody and deliver them to a health care facility for a mental health evaluation. Both options may be legally sound but what is the right thing to do? And is the right thing in one situation also the right thing in a slightly Page 63 Page 64 1 4 different situation we're confronted with later on that day or the next? The answer is we sometimes just don't know because there can be too many variables. And 5 sometimes the answer actually may be both. Our role 5 6 is a balance of ensuring public safety and also 6 7 helping take care of people that find themselves in 7 1 2 3 particular role has grown exponentially since Maine 3 made the decision to deinstitutionalize mental 4 health treatment, instead choosing to treat folks in the community. This is a noble and appropriate undertaking if the state had chosen to actually make sure adequate community-based services exist in all 9 areas of the state to take care of the folks who need it most. They did not and they do not. So stabilization is the obvious best and compassionate choice at first blush, involuntary commitment may not occur regardless of what we do, and they may end up back in the community over and over again. And 10 these individuals end up back where we were earlier 11 14 16 local law enforcement will, I can tell you, eventually take them to jail. That creates a whole host of issues for the jails and the patients that 17 Sheriff Morton will address in more detail later on. 17 18 18 19 All authority to arrest people for committing crimes rests with law enforcement. That's well 20 known. Under Maine law, Title 34B to be specific, 20 at a crossroads of going to jail, being forced into mental health evaluation, or in some cases much worse. Further, for those individuals who need stabilization in an institutional setting, bed space is far from adequate. We have waited 45 days or more for a forensic bed, and that is just simply not okay. If a local officer makes the decision to take someone into protective custody, the next stop is the local ER in most cases. A mental health crisis 21 all authority to take a person into protective custody for a mental health evaluation also rests exclusively with law enforcement. My point in all of this is that law enforcement is being forced once again to assume societal roles 21 worker comes in, does their evaluation, they and the 8 9 10 11 12 13 14 15 22 23 24 25 mental health crisis. While mental health evaluation and that are not traditional policing roles. This 2 Min-U-Script® 8 12 13 15 16 19 22 doctor sign off on the need for involuntary 23 commitment, stabilization, and review, and then the 24 real wait begins. In most cases, especially in rural areas served by rural hospitals, this is far 25 Duffy & McKenna Court Reporters 1-800-600-1000 (16) Pages 61 - 64 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 65 Page 66 6 historically how things can take place, they also chose to lay criminal charges as well as a fall back. While at the facility he developed a medical issue and was transferred 170 miles to another health care facility. The agency of two full-time officers was then obligated to secure the patient 7 for weeks costing the town over $5,000 they did not 1 from the end for the local police officer. Agencies 1 2 are forced into situations where they provide security for the hospital to keep the patient and staff safe for days on end and sometimes longer, waiting for a crisis bed to open somewhere in the state. Some facilities try to contract private security but either can't afford it or can't find it. In years past, some small agencies and even some that are not so small have acted out of 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 3 4 5 8 have. 9 This type of story is becoming far too common. Local agencies call on us regularly and ask us to try to help them out. "Can you patrol our town while we sit at the hospital?" "Can you sit at the hospital while we patrol our town?" And it's becoming a real serious issue. I could go on and on with stories like this and 10 frustration and transported people long distances to other communities or bought one-way bus tickets 11 shifting the burden elsewhere without actually dealing with the issue. We have actually had situations where other agencies have dropped patients at the door and driven away. Sad, but true. In 2015, a small local police department in 13 Aroostook County, an agency with an annual budget of only $125,000, took a man with severe and persistent 19 mental illness into custody after he had been 12 14 15 16 17 18 20 21 22 recklessly displaying a firearm near a local school, 22 23 a situation none of us want to see. They did the right thing and took him to the local hospital for a mental health evaluation. But understanding 23 24 25 24 25 I could even steal some thunder from Sheriff Morton about the tremendous impact this is having on our county jails and those inappropriately combined, but that is not my role here today. There are some major problems with our current system as I see it through the lens of a role of law enforcement leader. We accept the mandate of the legislature that this is our role. Frankly, we have no choice. However, many if not most agencies are not adequately training their officers with the Page 67 Page 68 1 3 tools to be truly effective in crisis management. This is putting everyone at greater risk. I'm proud to say that 100 percent of my sworn personnel are 4 trained by NAMI in their 40-hour CIT class that they 4 5 have spoken of this morning. However, that is 5 6 entirely voluntary on my part. In fact, my command 6 7 7 10 staff and I chose to cover patrol duties for an entire week so we could get all of our deputy sheriffs trained at once without bankrupting the county. 10 11 We worked with NAMI to bring the class to our 11 12 12 14 area for the first time in a long time. The training was publicized for months, and I even offered to help cover calls for local agencies so 15 they could also send officers. None of the 10 local 15 16 16 17 know what? That does not make me wrong. In their 23 agencies in our county sent any officers to the training. I've also CIT trained all of our intake and supervisory staff at the jail as well as our dispatchers. And CIT, I will tell you, also has helped greatly with interdisciplinary coordination with mental health crisis workers in our area. Through an agreement to avoid a legislative model policies which are shared with Maine law enforcement agencies. A quote from that is, "By January of 2018, 20 percent of all full-time police officers of each agency will receive at least eight hours of nationally recognized training in mental health identification awareness." Only recently the police academy has actually added that eight-hour mental health program to the syllabus of the basic law enforcement training program which is attended by all new Maine police officers. However, eight hours of training for only 20 percent of officers is simply not adequate or reasonable in rural areas. These are among the most volatile and sensitive situations we face. If some of my rural colleagues were here right now I might be getting pummeled with rotten tomatoes. But you 24 mandate, the Maine Criminal Justice Academy agreed 24 25 in 2005 -- excuse me -- 2015 to put this into their 25 1 2 8 9 13 17 18 19 20 21 22 Min-U-Script® 2 3 8 9 13 14 18 19 20 21 22 23 defense, most small rural local agencies are desperately struggling financially now more than ever. They are also struggling to recruit and retain officers and they are in a position where providing 40 hours of specialized training for 100 percent of their officers is for all practical purposes out of their reach. That said, the officers, those struggling with mental illness, and Duffy & McKenna Court Reporters 1-800-600-1000 (17) Pages 65 - 68 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 69 Page 70 the public deserve to see 100 percent of rural officers trained to the 40-hour level. I stress rural because agencies like Portland 1 personnel and budgets and will promote better and 2 or Bangor who both strongly embrace 40-hour CIT training, by the way, might possibly get away with a lower percentage of trained officers because they 4 7 8 have the staffing to have officers specializing in these efforts on each squad, each shift, in one 9 community regardless of how large that community may more consistent use by law enforcement of all appropriate elements of the existing system. Finally, the state must find a way to build themselves or contract with private vendors for significantly more crisis beds. This alone will also relieve a great deal of pressure and would fix many other related issues. Thank you. MS. KHIEL: Thank you. CHIEF SAUSCHUCK: Well, good morning, and thank you very much for having us and thank you for addressing this incredibly important issue that we're all facing. Darrell did a great job of detailing the problem as we know it. But a little bit what 1 2 3 4 5 6 7 10 be. 3 5 6 8 9 10 11 17 In rural areas a single deputy sheriff or state trooper may be the only officer within 70 or 100 square miles and certainly can't count on a specialist coming from a few miles away. There is no opportunity to call in the specialist, and therefore, we are stuck doing it ourselves. Based upon our legislatively mandated role, 18 this training should have been mandated and paid for 18 11 12 13 14 15 16 19 20 21 22 23 24 25 by the state a long time ago as part of their efforts to treat mental health in the community. The state also needs to develop a public or private system for -- excuse me -- for security at health care facilities when people are held in protective custody waiting for a crisis bed. This will relieve tremendous pressure on local law enforcement 12 13 14 15 16 17 happens day to day in the City of Portland, which is obviously why I'm here to speak about that urban kind of atmosphere. We've got 163 police officers 19 in Portland. We answer -- 163 police officers in 20 24 Portland. We answer about 85,000 calls for service a year which mean our officers are running really hard every day, all day, for various things. It can be anything from a 911 call to domestic to anything else across the board. We make about 3,500 arrests 25 a year in the City of Portland. And again, this 21 22 23 Page 71 Page 72 1 5 makes us incredibly, incredibly busy. I only give you those -- that information to provide some context. Data is incredibly difficult to pull from the criminal justice system, period. But in our system of that 85,000, as an example, 6 we've got about 1,250 or so, I would average, mental 6 7 health calls, calls that come in as mental health calls. We've got about 625 suicide threats or suicide ideation calls per year, and actual suicide attempts somewhere around 200. And again, calls come in one way and end another and they're very difficult to quantify in our world with data, but something that we've implemented recently is allowing and actually requiring at this point our officers to also add secondary dispositions in the calls. And these are those scenarios where you go to something that starts as a residential burglary and may end as a mental health call. And there's no way to really 7 1 2 3 4 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 2 3 4 5 8 9 10 11 12 13 14 15 16 17 18 19 catalogue that under our normal system so we want our officers to tell dispatch, "This is exactly what 20 I found. It wasn't a residential burglary. The young lady in question said this and it was clearly a mental health issue." That may not result and in most cases does it result in some kind of a 22 Min-U-Script® 21 23 24 25 transport to a facility or to an agency. It will require a referral, however. So that's a little bit of context on what we do day to day. To talk about what we do with mental health crisis situations in the city as a department, I'll go all the way back to the late '90s when we started a co-responder model in the City of Portland which means we have a mental health liaison. And the agency changed names about six different times but it's currently Opportunity Alliance which is a great organization. It's been around for decades. So that's a full-time mental health liaison that works with us every single day. And they have a radio. They have a call sign. They go to our roll calls. They're in our building every day building trust and relationships. They have an unmarked car. When we're responding to these mental health calls we respond in a co-responder model that we're going through the door in partnership. You have a uniformed police officer and you have a trained mental health professional that are walking through the door together as a team to try to work through whatever situation we may have. And again, we've been doing that since the late '90s. We started a CIT program with our incredible Duffy & McKenna Court Reporters 1-800-600-1000 (18) Pages 69 - 72 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 73 1 2 partners with NAMI back in about 2001, brought CIT to the State of Maine, the Memphis model. I Page 74 1 2 they are really attuned to that and that's what they want to do and that's going to make for a better service. I would argue that when they started that model, that was absolutely the way to go. But the simple fact is that CIT for me is no longer a specialty; it's a baseline of service that everyone 3 happened to be lucky enough to be in the first CIT 3 4 class in the state. It is something that we've -- 4 5 we really thought would enhance our service. And I think we're lucky. And I'm also proud to say that 5 7 9 this didn't -- these things didn't stem from a specific tragedy. They stemmed from a simple acknowledgment of the scope of the problem, the 10 volume of issues that we're facing in the community, 10 11 and how can we provide a better service to our clients, the people that we're really working with day to day? So we expanded out to CIT. 11 13 you be a police officer for two years and then we want you to get trained. We want to get your feet under you a little bit, which makes sense. But if my police officers are going to be faced with these 14 situations on day one, why would you wait two years 15 When I became a command staff member probably eight or nine years ago we made a commitment that we 15 16 would have 100 percent of our officers certified in 16 17 CIT, which we have done. And our primary goal now is that new police officers come out of the academy, we'll have them fully trained within a year for CIT. And NAMI's been great to help us accommodate that 17 to give them that kind of training? It just doesn't make any sense at all. So I've definitely had these conversations with a lot of folks around the country. And for me, it's a no-brainer that our police officers should be trained as CIT officers when they come out of the Maine Criminal Justice Academy. Before they ever hit the street, they should have that. And I've had conversations with chiefs that are in tough, tough spots with a couple officers. How do we do this? And really, you pay now or you pay later, but you're 6 7 8 12 13 14 18 19 20 21 22 23 kind of a schedule. Now, I'll tell you that I've had this debate nationally around CIT. You know, CIT is a 6 8 9 12 18 19 20 21 22 23 24 specialty. The Memphis model would say that you 24 25 pick special officers to do a special training, and 25 should have in law enforcement. And we don't have that today across the board. And what I would say is the Memphis model would say we're going to let Page 75 Page 76 3 that can run that entire program, and we added a masters level intern component. So in the State of Maine for these social 4 service programs, in many cases they need 900 hours 5 of internship, practical experience in order to get their masters degree. So we have a very, very strict and thorough process. But when we find the right masters level interns, we can bring them in, train them up on safety, make sure that they're familiar with our process. Train, train, train, train, train. And then we utilize them as liaisons as well. So we went from one liaison in the late '90s to a behavioral health coordinator, a mental health liaison, and at any given point, two or three interns that are out there. And all of them are busy running non-stop. And as a learning site, I can tell you I've 1 gonna pay. And we need to provide proper service to 1 2 our clients, these patients that are suffering out in the community. If police departments like Houston and Los Angeles and other major, major 2 departments with thousands of officers can somehow make this happen, I think we can make that happen, you know, right here in our own back yard. So that's the CIT component. As we move forward a little bit, in about 2010, the City of Portland took part in a national competitive process to be a learning site, a 7 3 4 5 6 7 8 9 10 11 6 8 9 10 11 national learning site on how we assist people with mental health issues. We were ultimately selected 12 14 15 of six national learning sites: Los Angeles; Houston; Salt Lake City; Madison, Wisconsin; 16 University of Florida; and Portland, Maine in how we 16 17 deal with these kind of issues. One reason they 17 18 kind of gave us a leg up in that competitive process was that we made a decision. We had a liaison and a 18 20 24 bunch of CIT officers, which was great, but that still wasn't enough. You know, there's 66,000 people in the City of Portland and they're running nonstop. You have one liaison for the whole city for thousands and thousands of calls for service. 25 So we added a behavioral health coordinator, someone 25 12 13 14 19 20 21 22 23 Min-U-Script® 13 15 19 21 22 23 24 been to Boston and talked to Commissioner Evans and others and talking about their program. They would have one mental health liaison in the whole City of Boston and I've got 66,000 residents and we may run four or five and they are out straight. It just goes to show that as a society we are still not paying attention. And we're still not giving these kind of issues and these kind of patients, these Duffy & McKenna Court Reporters 1-800-600-1000 (19) Pages 73 - 76 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 77 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 kind of clients, these kind of residents the kind of care that they need. It's just not happening across the board. So we enhanced it and we were selected as one of these. We've got people from around the world that have come to Portland, and sometimes we go to them to talk about those issues. That model was so effective as a co-responder that in February of 2016 we actually added a substance use disorderly liaison. It's the same model, but instead of going to strictly mental health calls or suicide attempt calls, you're going to overdose calls. So we're dealing with behavioral health issues overall. Because if we don't simply admit the fact that the co-occurring aspects of many of these situations is right there in your face the vast majority of time, you're just dealing with mental health calls, you're just dealing with substance use disorders, that's not the way the world works. It's a co-occurring aspect to many, many, many of these situations. So we've simply owned that fact by saying, okay, we're going to have a substance use disorder liaison to respond to these hundreds and hundreds of overdose calls that we're already going Page 78 1 to. 20 So those are some of the issues and some of the training paths that we've taken to get where we're at now. And we have not turned the corner. I'm not here saying that we've got all the answers. But as a learning site, what we do say is, boy, we screwed up all this stuff and this is how we made it better and this is what we want to show, this is what we want to teach. Don't spend a week with an attorney trying to figure out what these forms are for any of that. We've got it. We've got it right here. Just change some names, steal it, and use it for yourself. So what we find is that we lack treatment across the board in the state and we need to have an integrated and collaborative approach to that. Again, that deals with co-occurring aspects. And of course, the underlying theme of trauma across the entire spectrum, that really in law enforcement wasn't even a word that we paid attention to about a 21 decade ago. But trauma, trauma, trauma, and people 22 that are self-medicating and all of those kind of issues that are out there. We have to own the fact that my clients, the people that we're dealing with, do not have insurance, okay? They do not have 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 23 24 25 Page 79 Page 80 insurance. And I don't care what aspect of behavioral health that you're talking about. We 1 2 3 can't get them into a program because they can't pay 3 4 for it, and then the State of Maine does not have the appropriate treatment available, which you've heard the powerful story of Mr. Reed and Anthony. In the City of Portland this week alone I've had my behavioral health coordinator tell me about three situations where the discharge plan, if you will -- and I use that very aggressively with huge air quotes -- is to come out of Riverview and go to the shelter in the City of Portland. They house about 240 people a night, an average. And none of us here, I take it -- no disrespect intended -- is a rocket scientist, but it's pretty easy to say what's going to happen in a situation like that. We're discharging you out of Riverview to the shelter. We had a teenager in that same conversation go into the teen shelter with an official diagnosis. That's got a human trafficking victim written all over it. And yet that's the answer to what we're faced with day to day. So there's a lot of those things that we need to deal with. Bed space is imperative. Diversion is the name of the game in law enforcement in 2017. 4 1 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Min-U-Script® 2 5 6 7 8 You can be passionate about diversion. Where are you diverted to? If you lack bed space, you lack treatment, in any of those worlds, where are you diverting people to? So I'm always happy to talk from a law enforcement perspective but I also love to hear about education and treatment and the other aspects of this system that need a huge, huge hand if we're 9 ever going to make any true progress. This is a 10 system-wide change, a sea change, if we ever want to 11 12 13 14 15 make, you know, true progress with that. So guaranteed that was over my 10 minutes and I apologize. MS. KHIEL: Thank you. SERGEANT MADORE: Good morning. Thank you 16 everybody, for having me here. I was asked to come 17 here and speak specifically about the Maine State Police Crisis Negotiation Team. My name is Jason 18 19 Madore and I'm a sergeant with the Maine State 20 Police and the current commander of the Maine State Police Crisis Negotiation Team. I'm a Maine native and been a sworn member of our law enforcement 21 22 23 community since 2001. I joined the ranks of the 24 Maine State Police since 2004 and I've worked front line patrol in both Troop J, which is eastern Maine, 25 Duffy & McKenna Court Reporters 1-800-600-1000 (20) Pages 77 - 80 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 81 Page 82 1 and Troop D, which is our central and coastal Maine 1 performance, an application, oral board interview, 2 2 3 and a physical agility test every six months to ensure the health and safety of all our team 4 area. Before being promoted to sergeant I held the rank of corporal with our training unit in 4 members. Every new team member is placed on a 5 Vassalboro and was responsible for all recruitment 5 6 initiatives, training curriculum and cadre for the Maine State Police Recruit Training Academy. In 6 8 9 2005 I joined the Maine State Police Crisis Negotiation Team and in 2012 was selected as the 9 one-year probationary status in order to ensure training and certifications are met and that they exhibit the true characteristics of a negotiator. We believe a good negotiator will have the following qualities: A good listener, good 10 assistant commander, and shortly thereafter named 10 communicator, performs well under stress, is a quick 11 thinker, team player, has emotional maturity, has the ability to multi-task, and is a problem solver. Each team member attends the 40-hour basic FBI hostage negotiation class which consists of lecture and scenario exercises. The training teaches negotiation techniques for dealing with people in crisis or those who have a diagnosed mental illness. De-escalation techniques such as using active listening skills, tone of voice, content, nonverbal communication, and equipment like throw phones, public address systems, third party intermediary recordings, and two-way communication is highly encouraged. Training in yearly certification requirements established by the Maine Criminal Justice Academy 3 7 8 11 commander. 7 The crisis negotiation team has a complement of 13 team members spanning from the ranks of trooper, detectives, sergeants and lieutenants. Our mission 12 is to persuade the person or persons in crisis to change their current direction in an effort to 15 16 17 influence a safe resolution. Our primary objective 17 18 is to preserve life and to mitigate the risk to our tactical assets and the general public. 18 We are governed by our team policy under MSP policy GOE44 which outlines our team duties, team member retention requirements, activation, response 20 to calls, and deactivation after a call. The selection process to be a crisis negotiator consists of being a trooper in good standing with field 23 12 13 14 15 19 20 21 22 23 24 25 13 14 16 19 21 22 24 25 Page 83 Page 84 2 based out of Augusta. We are encouraged by our MSP policy to train 3 once a year with our tactical team which is met on a 4 yearly basis. Our front line troopers receive 12 hours of crisis intervention first aid training and four hours of dealing with a vulnerable such as Board of Trustees requires each agency to designate their negotiator who must be a full-time graduate of the basic law enforcement training program and have the 40-hour FBI basic negotiation training as well 1 5 11 as 40 hours of additional yearly training in order to remain certified by the Maine Criminal Justice Academy. The training requirements must also include specific training in the following areas: The ability to assess the emotionally -- excuse me, ability to assess the emotional stability of a 12 13 1 2 3 4 5 6 7 8 9 6 7 8 9 elder abuse, homelessness, and the hearing impaired during their 18-week basic law enforcement training program, and an additional four hours of training on 10 crisis intervention and negotiation during their 11 10-week recruit training. Colonel Williams, Chief person including those who have taken another person 12 13 of the Maine State Police, is committed and is diligently working to training all front line 14 supervisors in the 40-hour CIT certification and all 15 16 hostage, strategies involving crisis resolution, crisis negotiator communication skills. The Maine State Police crisis negotiation team trains 13 days per year resulting in 104 hours of troopers, front line troopers, in the CIT first aid training. 17 training. Training consists of scenario, equipment 17 18 set up, functionality and review, mental health 18 19 refresher, criminal profiling, suicidal behavior and 19 20 training with other agencies. In addition to our 20 21 yearly training, the Maine State Police negotiators are trained in the 40-hour crisis intervention and 21 23 24 the 8-hour crisis intervention or mental health first aid training put on by the National Alliance 24 online training center. For example, in 2016, awareness of autism and other developmental disabilities, law enforcement's interaction with persons who have autism, awareness of cultural diversity, implicit human bias, policing cultural 25 on Mental Illness as we refer to as NAMI. They are 25 diverse communities, and implicit human bias and 10 14 15 22 23 Min-U-Script® 16 22 Law enforcement also has to complete mandated yearly training established by the Maine Criminal Justice Academy Board of Trustees through the JPMA Duffy & McKenna Court Reporters 1-800-600-1000 (21) Pages 81 - 84 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 85 1 2 3 4 5 6 7 8 bias-based policing, just to name a few. Page 86 1 search warrants. Calls for service since 2012 since The Maine State Police works together to foster relationships and share information with NAMI and 2 I became commander range anywhere between 20 calls 3 for service to 50 calls for service per year. The our county crisis intervention facilities. With regards to military veterans we work closely with Togus VA and receive training on PTSD. Our overall strategy is to establish communication with a person in crisis, convey a 4 majority of the people we negotiate with are non-med 5 compliant and have crossed into the world of 6 7 8 criminality where search warrants, arrest warrants based on probable cause have been established and been signed by a judge. We learn some of our most 12 trust has been developed, influence the person until 12 valuable intelligence through interviews with spouses, family and friends prior to attempting communication with a person in crisis. If the person we are negotiating with has a diagnosed 13 13 mental illness and is under a doctor's care, we will 14 16 their behavior has been modified. We also have a continuous status evaluation. We are looking for if there is a decrease in violence, threats or offensive language has 17 decreased, their emotions have come down and their 17 18 18 19 rationale has come back up to their baseline or their homeostasis line, the release of hostages, if make every attempt to reach out to the medical professional for any useful information that can help us in our mission to resolve the situation safely. The biggest difficulty we have as negotiators 19 is establishing communication through a non-face to 20 the person talks about the future, and discussion of 20 face interaction and being able to establish and 21 safe resolution. Calls for service for the Maine State Police Crisis Negotiation Team consist of barricaded persons, suicidal threats, hostage situations, and the service of high-risk Maine drug enforcement 21 22 build a rapport. We use modern technology such as cellular phones, throw phones, long range acoustic 23 devices, public address systems, texting apps, 24 Facebook, third party pre-recorded messages, and a 9 10 11 14 15 22 23 24 25 sincere and non-threatening demeanor, build rapport with a person over time, use active listening skills to allow the person to tell their story. After 9 10 11 15 16 25 state of the art crisis negotiation vehicle Page 87 1 2 3 4 5 6 7 8 outfitted with flat screen TVs, multiple radios, and other communication technology. Our command staff members of our tactical team believe firmly in negotiations before any tactical intervention as long as the general public or hostages and victims are not in immediate danger. We continue to work diligently to foster relationships and share information with the local Page 88 1 2 3 ill. The Maine State Police Tactical Team is comprised of 23 members, of up to 23 members. All 4 members are selected from the ranks of the State 5 Police and put through a vigorous selection process. Of the 23 members, two are assigned as medics and the other two are canine handlers. The mission of the Maine State Police Tactical Team is to respond to high risk incidents anywhere in the state. High 6 7 8 9 and county law enforcement along with mental health 9 10 professionals in Maine. Thank you. SERGEANT STEVENSON: Saving the best for last, 10 11 risk incidents that the tactical team will respond to include: Incidents involving the use or right? Hi. Thank you for having me. My name is Tyler Stevenson. I'm employed as a Maine State 12 threatened use of deadly force by one person against 13 14 15 Trooper. I've been with the State Police for 12 years. My current position is a sergeant assigned 16 to Troop B in Gray, and commander of the Maine State 16 another, high risk search warrants, major civil disorders, searches for missing or wanted people, bomb threats, terrorist or sniper incidents, an incident involving a suicidal subject who is armed 17 Police Tactical Team. I've been a member of the tactical team for the past seven years and a commander for the last two. Although much of my career has been a trooper in rural patrol, the chief and sheriff covered that pretty well, and the difficulties facing rural patrol and police officers in general. Today I will be discussing with you a little bit about the tactical team and some of the struggles we face when we encounter the mentally 17 with a dangerous weapon, or an incident in which the 18 Maine State Police Crisis Negotiation Team has responded to and needs our assistance. If an agency requests a tactical team they may speak to me or one of my assistant commanders directly. Information is obtained from these requests and if it fits the definition of a high risk incident and meets our criteria, only then do we activate the team. This decision is not taken 11 12 13 14 18 19 20 21 22 23 24 25 Min-U-Script® 15 19 20 21 22 23 24 25 Duffy & McKenna Court Reporters 1-800-600-1000 (22) Pages 85 - 88 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 89 Page 90 lightly. In the past four years we've had 315 calls requesting our assistance. The team was activated 1 3 6 143 times during the same time period. So on average we respond about 45 percent of the time we're requested. In order for a tactical team to be certified by 7 the Maine Criminal Justice Academy, the team must 7 8 8 9 meet specific criteria outlined in Specification S39. There are lots of criteria but one of the 10 criteria includes annual training on encounters with 10 11 persons exhibiting behavior indicative of mental illness. In addition to this, all Maine State Police 11 wouldn't wait long to utilize tactics and tools to arrest the subject, to a negotiations driven team meaning our standard operating procedures orient around our crisis negotiation team and supporting them in their communications with the subject 12 involved and to do everything possible to take the 13 Tactical Team members have attended the mental first aid, and many members including myself have attended NAMI's 40-hour Crisis Intervention Team training. 14 subject into custody without the use of force. The incidents that meet our criteria for 15 response have changed as well. When I came on seven 16 years ago it was not uncommon for us to activate to The reality that we face on the tactical team is that every incident we respond to, the subject involved is in some kind of mental crisis. The 17 a person threatening suicide alone in a residence with a dangerous weapon. The person in this 20 24 majority of the incidents involve someone who has used or threatened to use deadly force and they are either still homicidal or suicidal when we arrive. There have been incidents when the subject that's been involved has had a diagnosis of mental illness. 25 And we recognize that there is a difference that 25 1 2 3 4 5 12 13 14 15 16 17 18 19 20 21 22 23 2 4 5 6 9 18 19 21 there is someone who is in a mental crisis, say over their wife leaving them, and someone who has been diagnosed with mental illness like schizophrenia. The times have changed for us on the tactical team. We've changed how we've operated 15 or so years ago as a tactics-oriented team meaning we scenario has committed no crime and is only a danger to themselves. Today, unless there are extenuating circumstances, the tactical team will not respond to 22 a call like this for two reasons: Number one, I 23 don't want to put my teammates in a position where they're forced to use deadly or non-deadly force on a subject who has committed no crime and is only a 24 Page 91 Page 92 1 danger to themselves, and in many of these cases the 1 force, who poses a risk to the public, and who will 2 subject is looking for the police to aid them in their suicide. 2 not communicate effectively or at all with our negotiators. Decisions made in a case like this will be heavily scrutinized after the call. We do everything possible to ensure the safety of the police on scene, the public, and if possible, the subject involved. The vast majority of our calls end peacefully. 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Second, there have been numerous federal court decisions that have left police civilly liable for putting themselves in a position that they had to use deadly force or non-deadly force against a subject who is only a danger to themselves. This particular scenario is a -- is common and a no-win for law enforcement. We face pressure from friends and family who want their loved ones taken into custody and transported to a hospital so they can 3 4 5 6 7 8 9 10 11 a mental illness is or is in mental crisis they'll 12 be transported to the hospital for an evaluation and get the help, and we also face a risk of the possibility of a subject leaving and posing a risk to the public. I don't have any specific data to support this but it appears to me that the tactical team encounters with subjects with a diagnosed mental illness have increased. Maybe it's through better medical treatment or better awareness of mental illness, but I have noticed an increase. One of the biggest challenges and frustrations 13 that I face as the commander of the tactical team is managing an incident involving a subject who is suffering from a mental illness, has committed a crime involving the use or threatened use of deadly 22 Min-U-Script® The subject is taken into custody and turned over to the requesting agency. If the subject suffers from 14 15 16 17 18 19 20 21 23 24 25 then possibly on to the jail if a crime was committed. One more thing I'd like to add: And I noted this when I was sitting back there. If my team has been activated and things have gone bad if we're there, on the majority of our calls involving a person with mental illness, it seems to me that there has been warning signs and prior hospitalizations. Personally I feel that better evaluations and treatment would help reduce our calls, meaning the tactical team, involving a subject with a -- involving a subject with mental illness. Thank you. Duffy & McKenna Court Reporters 1-800-600-1000 (23) Pages 89 - 92 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 93 Page 94 1 3 MS. KHIEL: Thank you. Questions, panel? MR. ROBINSON: First off, thank you to the panel for being there, and each of you gave very 4 compelling statements and experiences and lots and 4 5 5 6 lots of detail. My question, I guess, is that you all have different jurisdictions, okay, and the 911 they're going to naturally respond to a call like that. If we have one of our mental health liaisons 6 working, they would also respond to that call. And 7 call comes in. Who decides to respond, and then at 7 8 8 10 12 the scene, that perhaps it is a mental issue as opposed to an arrest and everything that entails? Is that decision made on the spot or perhaps after an interview? Or with all the help that -- and training that your staff has received, when does 13 that victim or individual receive the help? Any one 13 then it really depends on exactly what the information is. It's all about an ongoing assessment. Is there a crime that was already alleged to have occurred? Or is there something else that a citizen is filing a complaint on or about? And then the officer arrives, and they're going to make an assessment as well. We have 14 officers that are assaulted I would say on a regular 15 20 basis where folks don't go to jail; they go to the hospital because that's why they're really there. And that's the underlying issue and that's the way we'll try to address that. There are instances, as an example, of that 3,500 arrests a year that we know that this person doesn't belong in jail but as 21 Darrell had mentioned, this is a 3rd, 4th, 5th time, 1 2 9 10 11 14 15 16 17 18 19 20 21 22 23 24 25 of you? CHIEF SAUSCHUCK: Yeah, it can be a combination. It's a great question, sir. It's pretty complicated. But for us, as example, we have a regional dispatch center that dispatches all 2 3 9 11 12 16 17 18 CIT certified officer to go with somebody else to go to a call. Everybody's going to be CIT certified so police fire EMS calls for Portland, South Portland, and Cape Elizabeth. You call 911 in that area, it's going to go to that dispatch center. They're going to make a determination on how many officers to 19 22 we've reached out to all of our providers in the send. It's easy to say all of our officers are CIT certified, so it's not a department where you have to go to a list and say, okay, I'm going to send a 23 area, we've tried to develop a plan. And even as a group, the decision is this person has to go to jail and then we'll get them stabilized in some kind of 24 25 Page 95 Page 96 1 location so that we can try to mandate some kind of 1 2 assistance down the road. And that's not a situation we want to be in. Jenna had mentioned 2 there. But that's a command staff level. There's a whole bunch of decision-making that's happening 3 along the way. And as Sergeant Stevenson mentioned, that earlier. That's never how we want to approach things. But when you lack the whole other back half 4 5 we really focus on priority of life. All of our police officers have a priority of life training, 6 which means you hear about tragedies where I'm going 13 of this system, and in some cases we're forced to make those unfortunate decisions. MR. ROBINSON: Let's say one of your officers are first on the scene and they do an evaluation and then they find out rather quickly that this could escalate into something else and maybe they need state assistance, if you will. And then even further escalation would be either a negotiation 14 team or a SWAT. That's all determined as time goes 14 15 on being on the scene; is that correct? CHIEF SAUSCHUCK: Yeah. We've got great relationships with the state police, without 15 3 4 5 6 7 8 9 10 11 12 16 17 18 19 20 21 22 23 24 25 7 to kick in a door to go into a house to save 8 somebody's life that's threatening suicide. Are you 9 11 creating more of a problem than in fact you're solving by putting yourself in that situation? I kick in your door, I go in, you've got a kitchen 12 knife in your kitchen. You're by yourself. Now we 13 have training around there's a threat to myself or somebody else, they have a knife, I'm within 31 feet, what am I going to do? First and foremost, you make a decision I'm not going to put myself in that situation. So that's all a part of an assessment now that, again, we didn't do 20 years ago. MR. ROBINSON: It sounds like some of that is 10 16 17 question, and Colonel Williams, his entire team. I think in the State of Maine we're blessed to have 18 great relationships like that. It is not that case in many places. MR. ROBINSON: Right. CHIEF SAUSCHUCK: But for us we'd have our own 20 SWAT team and our own negotiator team, so we would make that determination and what we would do from 24 that I'm gland you mentioned that. Because CIT and 25 diversion and all that stuff, CIT is not a magic Min-U-Script® 19 21 22 23 really split second decisions and being on the scene and one thing. But anyways, thank you very much. CHIEF SAUSCHUCK: Well, and I'll also say, sir, Duffy & McKenna Court Reporters 1-800-600-1000 (24) Pages 93 - 96 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 97 Page 98 1 pill, by any means. It's a training and it's also a 1 2 program wide, and it's a mindset. Just because you have all this training doesn't mean something bad 2 can't happen. Because we get put in incredibly difficult situations where you are making split 4 5 6 second life and death situations, and you're making 6 7 those decisions real time, decisions that people will spend in many cases years after the fact, you 7 3 4 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 know, dissecting by every second why you did this and why you did that. So we want to make sure our 3 5 8 9 10 one that's stretched the thinnest. So my question to you -- and it may sound like too broad of a question but I've got to start somewhere. My question to you is what do you need to bring those two pieces together so that it would work in a rural area? What do you need in terms of the law enforcement side to handle mental health issues in the geographic areas that you do and what do you need to enhance the medical or mental health resources that you could potentially collaborate with? SHERIFF CRANDALL: Thank you. Yes, we do certainly cover a large area. I've got -- again, my county is Aroostook County, which is just under officers have every tool available to them. But that's also why we hire the best human beings humanly possible and train them up to be cops so that they can make some of those decisions. MR. ROBINSON: Thank you. CHIEF SAUSCHUCK: Thank you. MR. TONEY: I have a few questions but I'll start slow. That's a lot of information to take in. I wanted to talk with you, Sheriff Crandall, 11 because at least for me listening to your testimony, you seem to be the guy that has the greatest problem because you have the least resources while you're trying to cover the largest geographical areas. So both from a law enforcement perspective as well as a mental health medical perspective you seem to be the 20 much area I'm covering? We cover about 11,000 calls for service just 21 about with the same number of people that Mike has 22 23 in the City of Portland, under 70,000 spread out across that whole area. A lot of that is 24 unorganized townships way to the west which I would 12 13 14 15 16 17 18 19 25 7,000 square miles which is the size of Connecticut and Rhode Island put together, and I very capably cover that with at least four deputy sheriffs on a daily basis. So if that gives you any sense of how like to say nobody lives there; unfortunately, they Page 99 Page 100 1 do, which means that we also have to go there, 1 2 which, you know, sometimes our response time to non-emergency calls may be as much as 45 minutes. 2 3 4 5 6 7 8 9 4 and a very active emergency room. So we don't have the capacity at the medical level. We also due to funding cuts don't have the capacity at the crisis worker level. Every single we have tried to -- we have made contact with every resource we can find to enhance what we are doing on 5 morning I get an e-mail from Aroostook Mental Health 6 the law enforcement side. I'm speaking strictly about the sheriff's office. So I'm sure there are, 7 Center who is the contracted agency for providing mental health crisis services in Aroostook County. They send out every single morning about 5:30 like clockwork, these are the number of crisis beds. And I'm not talking about someplace where someone's actually going to go once they've been involuntarily committed. I'm talking about where they can be outside an emergency room until they can get to a facility where they can genuinely be stabilized and evaluated and reviewed. And never in any of these three locations, which are two in Aroostook and one in northern Washington County, are there more than two beds. And usually it's goose eggs on two of I feel like that over the last couple of years you know, advanced trainings beyond CIT that again 3 8 9 would probably be out of our reach, but as far as our capacity to do what our role is in these, I'm very comfortable with that now. We are doing follow-up training as we are able to do that, as things change. The bigger issue is on the other side, and that is, we have five hospitals, which may sound like a lot, except the way statewide health has changed over the last 10 years, these used to be hospitals 10 and now quite frankly they're mainly mass units, for lack of a better term. Basically we're going to get 19 21 24 you stabilized, get you in a helicopter and you're either going to Bangor, Lewiston or Portland. That's how things work now. So hospitals in our area that used to have wings of patients, hundreds, 25 now may have at any given time 20 patients in there 25 10 11 12 13 14 15 16 17 18 19 20 21 22 23 Min-U-Script® 11 12 13 14 15 16 17 18 20 22 23 24 them and one at another, and one of these is specifically juveniles. So that's a problem. That is something that is much better than going to an ER, especially if you can get there and through their assistance convince the individual to stay on their own rather than being in an ER and they're still actively trying to Duffy & McKenna Court Reporters 1-800-600-1000 (25) Pages 97 - 100 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 101 Page 102 1 component to what we do and we have an obligation, 2 5 leave which requires our presence to remain. So really other than having half a dozen more deputies on every shift so that it didn't take us 45 minutes to get places, I feel comfortable with the training that my folks have. Obviously, if we had at least ethical obligation, to try to recognize the difference between somebody that's doing that just to be a jerk and somebody that's doing that because they have a mental illness. I mean, it's common 6 the opportunity for low cost advanced training that 6 1 2 3 4 7 8 9 10 would help us even more, we'd certainly take advantage of it. Our biggest problem is what do we do with the folks once we get them safe and secured and someplace, and what do we do with those folks 3 4 5 7 8 9 10 11 18 that are not at the point where they reached the legal level for us to take them into protective custody? What do we do with the folks that are standing in front of the store hollering at the customers that come inside? And let's be honest. Yes, that's a mental health issue, but it's not okay for a family and their children or for my grandmother or for that store owner to have to put 19 up with that. That's not okay. Because you have a 19 20 mental illness does not make it okay for you to 20 21 torment everybody else around you. However, we should be doing that in a much more compassionate and sensitive way than simply saying you're going to 21 go to jail now because you did this. So as I said earlier, we have a public safety 24 11 12 13 14 15 16 17 22 23 24 25 12 13 14 15 16 17 18 22 23 25 sense through and through. The problem we have is, is that as Mike said, and Jenna said earlier, those intermediate options between taking them to jail or seeing if they're going to be evaluated to the point of involuntary commitment don't exist at all. So that's our problem. Diversion is great. And as Mike said, to what? And where is it? And how do we get a hold of it? We'd gobble it up if we could get our hands on it. So that's really -- that and then again, the beds that are available once there is a decision made that we need to get this person somewhere judicially decided for stabilization and treatment and review. We should not have to sit on them for two weeks, three weeks, 45 days, to get them someplace where they can get what they need. MR. TONEY: Thank you. Thank you. MR. MEHNERT: First off, I want to thank you. Listening to you was a joy. I know that being in Page 103 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 Page 104 law enforcement, it's a very hard decision when you're faced with instantly saying, "I've got to 1 make a decision between public safety and security and individual liberties," and then you add on top of that an overlay of, "Now I've got an individual that may have a mental health issue. How do I deal 3 with all of that?" I'm really impressed listening to your discussions of CIT training. It sounds to me that there is a general agreement that one of the fundamental things that's lacking is -- and I think the chief of police talked about it -- the lack of a back half of the system. The sheriff has talked about it as no intermediate facilities. And I think the state troopers have talked about it as well saying there's no intermediate place for these individuals to go. Is that a fair statement? CHIEF SAUSCHUCK: That is fair, yeah. Sure. MR. MEHNERT: Okay. And so from that it strikes me that one of the things that -- Sheriff, that you were just talking about is we've got 7 2 4 5 6 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 involuntary commitment and we've got go to jail, but 22 23 there's no legislation that says what do we do with somebody who is creating the disturbance but not rising to the level of an involuntary commitment? 23 24 25 Min-U-Script® 24 25 Is that a fair statement? SHERIFF CRANDALL: Correct. MR. MEHNERT: So is there any thought from your perspective about whether legislation that could be introduced that would say look, when individuals get to this level, we have to divert them to a different place, provided that there is a different place, rather than taking -- because you're not going to get them in an involuntary commitment, correct? SHERIFF CRANDALL: Correct. MR. MEHNERT: The only other option you have is jail, right? SHERIFF CRANDALL: Correct. MR. MEHNERT: And we hear right now that that means that the individual is serving three times longer than anyone else that goes in on a misdemeanor charge; is that correct? SHERIFF CRANDALL: Correct. MR. MEHNERT: Has that been your experience as well, sir? SHERIFF CRANDALL: Yes, but generally speaking on the pre-adjudication side, not so much on the -once they've been adjudicated. I don't see disparate sentences, but it's getting to that point. MR. MEHNERT: Because they can't make bail. Duffy & McKenna Court Reporters 1-800-600-1000 (26) Pages 101 - 104 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 105 1 2 3 SHERIFF CRANDALL: In fairness to defense counsel, you know, some of these folks are uncooperative, to say the least, in their efforts to Page 106 9 entity, as an agency, to be able to talk somebody into voluntarily going to a location, whether it's peer driven or counselor driven, where they have someplace to stay and someplace to work through whatever crisis they happen to be having. It doesn't take them to that hospital, and shouldn't take them to that hospital. But maybe it's plugging them into somebody being able to sit down for a while and figure out, do you have a case worker? 10 Are you on your medication? Are you doing all these 1 2 3 4 try to get them -- we'll have many mornings where we 4 5 5 11 have what we call in-custody arraignments where folks that are supposed to see the judge within the 48-hour time frame are behaving so poorly you can't get them to court. They are literally psychotic and assaultive. And it's -- you know, we do all we can to try to get them just to the video center inside the jail and are unsuccessful at that until our 12 non-emergency mental health contractors come in and 12 13 do what they can either with our medical providers to do something to get them temporarily stabilized 13 enough just to be in front of the judge. So that does create some of the delays as well. CHIEF SAUSCHUCK: And sir, if I could for just a second? You talked about a legislative option. It wouldn't take legislation to have a warming 15 kind of things to try and drag them back out of whatever crisis they happen to be having at that particular time? And that doesn't take legislation. It just takes a system that doesn't exist. It goes without saying that de-institutionizing 16 the system made perfect sense given the atrocities 17 center, a -- some halfway point between you're not going to the hospital because you don't have what it 20 takes to get somebody up there, you know, unvoluntarily, and jail. If you have a provider, 22 somebody that can take charge of that, somehow get paid for that, somehow survive as a resource, as an 24 that were occurring. But Jenna had mentioned earlier there was no community-based services at all, and we think it's more humane to just let people wander around the street in a living hell in their own mind and we think that's okay somehow. There's got to be some mid-ground there someplace. SHERIFF CRANDALL: If I could just briefly? The only potential -- and just again, thinking of a risk manager here which of course we get stuck in, 6 7 8 9 10 14 15 16 17 18 19 20 21 22 23 24 25 6 7 8 11 14 18 19 21 23 25 Page 107 Page 108 1 the only potential legislative tweak that might be 1 overwhelmed that they're unable to facilitate it. 2 necessary if we were to find the intermediate and we were to fund the intermediate would be if the person 2 Because it appears a lot of these people suffer from 3 mental illness that we end up dealing with are 4 didn't want to go to the intermediate. Currently 4 5 under Maine law we can only use force of any kind, even if it's grab them by the arm and escort them to the vehicle or the ambulance, unless we're effecting 5 choosing not to be on their medication or choosing not to seek help. There does seem to be -- when I'm wearing my other hat on rural patrol, I always tell 8 11 an arrest, taking them into protective custody or preventing an escape. So if we weren't going to do one of those things, it would take a tweak to the statute to 12 allow us to at least physically escort them to where 12 13 they need to be. But other than that, it could be done. It's just a matter of finding it and funding it. MR. MEHNERT: If I may? For the state troopers, do you find -- I think you talked about it, that the crises that you're called to that 13 18 there's a missing agency or a missing key component involve people who have had mental health -- involve individuals who have had a history of mental health 19 20 to these people that really need treatment but aren't a danger to themselves or others, which issues and that they've only reached that point because there hasn't been treatment; is that a fair assessment? SERGEANT STEVENSON: Yeah, I would say 100 percent. Our their family is so completely 21 allows us to force them to go to the hospital. And 22 24 it's probably there but it's just not prevalent enough, I guess. SERGEANT MADORE: And to piggyback off that, 25 the issue with leaving the person there is you know 3 6 7 8 9 10 14 15 16 17 18 19 20 21 22 23 24 25 Min-U-Script® 6 7 9 10 11 14 15 16 17 23 people when we go to someone who is in crisis, suicidal, or not taking their meds, that we the police are like a broadsword in a situation where you need a scalpel. Our options are none. We have one option. You're either going to the hospital or you're not going to the hospital. So you go to the scene, you determine is this person a danger to themselves or others, or potentially property? If they're not and they don't want to go to the hospital, then you leave them. You can't force them to go. So it seems like Duffy & McKenna Court Reporters 1-800-600-1000 (27) Pages 105 - 108 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 109 1 you're going back, which is going to increase your Page 110 1 honest. That is not a place for somebody in crisis to be. We know that. We try and give the hospitals a heads up ahead of time to say can you please secure a room for us? But it all depends on how busy they are in that same breath. So what I've done with Kennebec Crisis and Counseling is if an individual calls and is in crisis, if they are not highly intoxicated or they are not assaultive, we can call the facility directly, the crisis facility directly, and they calls for service, it's going to increase your resources that you need. You know, there are individuals that we deal with specifically in the 2 Kennebec and Waldo County areas that there is not enough to take them into a protective custody mode 5 7 10 or they do not want to go to the hospital, or they don't want any type of crisis intervention whatsoever but they suffer from something like paranoia. And they call the police over and over 10 11 and over and over again, so that becomes problematic 11 12 12 13 for us. You know, one of the things that I've done in 13 them directly to the facility instead of going to 14 Kennebec County to try and help with the Kennebec 14 15 15 16 Crisis and Counseling is a lot of times it's -- I won't say convincing, but it is talking with that the hospital. Because, you know, bringing them into the ER, you know, it takes away from doctors and 17 person and letting them know that it's okay to go to 17 whatnot. And they don't have a physical health issue. They have a mental health issue. So our 18 the hospital if they need it, if they need to be evaluated. But a lot of people don't want to go to the hospital because, let's face it, we all go to the hospital and they put them right in the waiting room. So there they are with a law enforcement officer standing beside them. Their head is down, their shoulders are down. And what is the general public doing? They're gawking, right? Let's be 18 policy dictates that when we do take somebody in for 2 3 4 5 6 7 8 9 19 20 21 22 23 24 25 3 4 6 8 9 16 have a 24-hour person, you know, on the phone with them. But if they have the resources, we can bring 19 a mental health crisis, that we have to transport 20 them by the least restrictive means possible, which means as an adult, you know, sometimes they'll go by ambulance or they'll go by cruiser. But where we struggle is where we have that eight year-old, that eleven year-old, that 13 year-old. As a dad and as a supervisor with the state police, children do not 21 22 23 24 25 Page 111 Page 112 1 3 belong in the back of or in the front of a police cruiser. It is not a positive experience for them. So we have been utilizing our rescue personnel 4 extensively to transport patients or people who have 4 5 those mental health crisis to these facilities. But again, the problem comes where at 2:00 in 5 the morning when you're out on these calls and you call the crisis center and they don't have somebody available. So what are we left with? They want to go in maybe now or they don't want to go in. So we 7 1 2 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 have a choice. If we do take them into the hospital, it could be eight hours before they're seen by any crisis worker. If they're highly 11 intoxicated or under the influence of drugs, there's another problem there. There's another eight to 10 14 we have the public safety resources that the community needs and deserves. MS. KHIEL: I have a question. In a crisis situation -- and this could be directed possibly to all of you -- when would you have the option, if ever, to use non-lethal force? SERGEANT STEVENSON: Can you say that again? MS. KHIEL: In a crisis situation, would you have the option ever to use non-lethal source as opposed to lethal? Excuse me. Lethal force as opposed to non-lethal force? SERGEANT STEVENSON: If we're faced with lethal force? MS. KHIEL: If you're in a crisis situation, do 15 you have the option ever to use non-lethal force -- hours that we have to wait with them. And speaking from the State Police side, when 2 3 6 8 9 10 12 13 16 17 you have five areas of responsibility and you have five troopers working and you take one of them off 18 the road for three to eight hours, that could be three or four towns without any, or immediate, I 20 would say, police service. So we have to work with our county counterparts to try and kind of use the 22 Ouija board, if you will, and push resources left and right in order to cover those to make sure that 24 Min-U-Script® 19 21 23 25 SERGEANT MADORE: Yes. MS. KHIEL: -- as opposed to -- and what are the criteria? SERGEANT STEVENSON: Yes. I don't have it with me, but what they call it now? The Use of Force Continuum? SERGEANT MADORE: Excuse me. It's now called the Interactive -- it's not the Use of Force Continuum. That's the old model. It's the Interactive Use of Force. Duffy & McKenna Court Reporters 1-800-600-1000 (28) Pages 109 - 112 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 113 Page 114 1 SERGEANT STEVENSON: And it's a model based off 1 2 the academy standards and federal standards where basically law enforcement's use of force can meet the force that they are encountering. So if you are encountering someone who's combative then you're 2 able to use, like, you know, strikes. And if someone's assaultive, you're able to use, say, pepper spray. So we follow that use of force continuum to determine what level of force that we're going to use. The only time -- and this is state and federal law -- that we can use deadly force is if we're faced with an imminent threat of deadly force 6 things, you can respond in kind. And that's something that officers learn from day one throughout their entire career and it's something that we continue to train on routinely. And there are a lot of tools out there on the non-deadly force side, the less lethal force side 7 now than there ever has been in the past. And the 8 very first thing that we're doing is talking about de-escalation, right? That's what we're really hoping to do. You don't want to get to a situation 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 3 4 5 9 10 11 12 13 against ourselves or another person that's unlawful, or you can use it to effect an arrest from someone who has committed a crime using deadly force or threatened use of deadly force. But those are the only two times you can use it if you are faced that 14 imminent threat. MS. KHIEL: Anybody? CHIEF SAUSCHUCK: No, that's absolutely 19 accurate, without question. I mean, if you're faced with less lethal, then you'd respond with less lethal. If it's a deadly force situation, somebody's got a knife, a gun, any of those kind of 15 16 17 18 20 21 22 23 24 25 where you're working with tools and what am I going to do in order to effect something? We hope to gain voluntary compliance in all walks of life, and that doesn't happen, we may have to step our game up to meet whatever kind of resistance we're being faced with but -- yeah. MR. MEHNERT: When we were talking earlier we were discussing the issue that there are almost 100 percent, I think you said, or actually 100 percent of the individuals that you deal with in a crisis situation with a crisis intervention team, crisis negotiation team has been called in, have had some kind of untreated mental health issue. Is that what you said, or your belief system? It doesn't have to be -- I know it's not a statistical. Page 115 1 2 SERGEANT STEVENSON: That's what I believe. You know, I mean, in my opinion, to be homicidal or Page 116 1 2 10 suicidal, you're in some kind of mental crisis. MR. MEHNERT: Right. SERGEANT STEVENSON: The majority of the people that we are -- there are cases where we're doing like a high risk warrant for drugs or something. You know, a drug dealer might not be in mental crisis, but the barricaded subjects that we go to, you know, I'd put my -- pretty good chunk of my 10 11 paycheck that almost all of them are in some kind of 11 12 12 14 mental crisis. MR. MEHNERT: With that being said, it's actually become -- the failure to provide mental 15 health treatment for individuals actually becomes an 15 16 officer safety issue as well, isn't it? Because our failure in the system to provide the treatment for individuals mandates that you respond to certain situations. SERGEANT STEVENSON: I would agree with that. And I dare say that if you looked at a case study in Maine of an officer that had to use deadly force on someone with a mental illness and you backtracked that person's history, I'm sure that you would find failures along the way. 16 3 4 5 6 7 8 9 13 17 18 19 20 21 22 23 24 25 Min-U-Script® 3 4 5 6 7 8 9 13 14 17 18 19 20 21 22 23 24 25 MR. MEHNERT: Okay. MS. KHIEL: Any other questions? MR. TONEY: Chief Sauschuck, I wanted to check with you because you are the person sitting in a large urban area that's rich with medical resources, certainly as compared to the rural areas. What has your experience been in terms of being able to get appropriate and available medical resources to back up the needs that you're encountering on the street? CHIEF SAUSCHUCK: It's lacking across the board. You know, I commonly refer to our mental health system, it's not broken, it's shattered. And we have the same exact issues in my 21.2 square miles in the City of Portland. You know, I think there's a larger volume. There's a social service hub and a lot of folks in the region, not just in the State of Maine, if you need some kind of assistance that you'll find yourself rotating into the City of Portland at some point. It is not uncommon to have double digit patients waiting at Maine Medical Center to try to find some kind of bed. Literally stacked in hallways waiting for these bed spaces, these magical make believe bed spaces, to open up someplace. MR. TONEY: So the issue is economy of scale. Duffy & McKenna Court Reporters 1-800-600-1000 (29) Pages 113 - 116 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 117 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Page 118 Your same problem just larger? CHIEF SAUSCHUCK: Absolutely. Without 1 question. You know, as a patrol officer back in the day in an eight hour shift I could go to the Maine 3 have a lot of options there either. MR. TONEY: Thank you. MS. KHIEL: Thank you very much. We'll take a 4 10 minute break. If everybody could please be back Medical Center five different times with five different people and drive around the block and 5 start writing a report and have that person walk by me on the street and gave me the high five and keep 7 9 at 12 noon? (Recess taken.) MS. KHIEL: Thank you, ladies and gentlemen. We'll begin with Panel Three. Critical Decision Point Diversion for Treatment or Jail. And we'll 10 begin with Mr. Vo -- could you pronounce your name, walking. You know, so this issue is incredibly prevalent. You know, the reason that we're so 2 6 8 11 focused on this is because the backbone of what we do in law enforcement has a behavioral issue health 12 issue nexus of one sort or another, whether it's mental health or more prominently substance use disorders across the board. So that's why this is 14 such an important conversation for us to be involved with. But without question, we lack resources on 17 the treatment side and even having, you know, a level one trauma center and all that fun stuff with the great acute psych ward and staff that we work with nonstop. But again, it's still a choke point. We've got all these people coming in. Where are they going after that? So they want to make sure they're getting the proper treatment but they don't 19 13 15 16 18 20 21 22 23 24 25 please? MR. VOYVODICH: Yes. Voyvodich. MS. KHIEL: Mr. Voyvodich. Thank you. MR. VOYVODICH: Good afternoon now, members of the committee. My name is Kevin Voyvodich. I'm a managing attorney with Disability Rights Maine. We are the state designated protection advocacy organization for individuals with mental illness under the federal statute. And we in our capacity work in facilities. We -- I actually supervise the advocacy program that we have a contract with the state and the two state hospitals and additionally with a private hospital, and also go to other jails, prisons, facilities, nursing homes, group homes and anywhere else in the state where an individual with Page 119 Page 120 1 a mental illness may have an issue involving abuse, 1 change to reduce the interactions that those with 2 2 mental illness have with the criminal justice system 3 6 neglect or any other rights violation. So under the federal statute our organization has this broad access authority, and we are able to move across each point in the system to work on behalf of individuals with mental illness on their 7 express interest to get them somewhere they want to 7 8 8 9 be and to protect their rights. Now, that's a unique position that we're in because we get to as we've about already heard this morning. So really we work in two capacities: We're preventative, working on issues such as getting a mental health service system that has adequate crisis services, which we've already heard a lot about, but that is an extremely important part of the system as far as reducing those interactions 10 really work at every single point. We are not a set 10 11 point organization, so we are seeing individuals 11 3 4 5 4 5 6 9 12 sometimes multiple times, sometimes from the jail to 12 13 the hospital back into the community residential program, which allows us kind of a lens on the system that is different than some of the other set players in the situations. 13 So in thinking about my role as a PME advocate and an attorney, many times our relationship with your clients can help them communicate effectively with their defense attorney, advise them of possible options they may have to end up in the mental health 17 system, and the potential rights, implications, of being part of that system. We have a role that can allow us to be preventative within the system for our clients and further to advocate for systemic 22 14 15 16 17 18 19 20 21 22 23 24 25 Min-U-Script® 14 15 16 18 19 20 21 23 24 25 with law enforcement, access to medication as far as adequate medication services in the community so that if someone wants medication even in a rural area, they can get it, and they can get appointments in a reasonable, you know, area within where they live and where they reside, as part of community treatment teams that help people with severe and persistent mental illness navigate the community systems. And adequate housing as far as getting individuals housed with mental illness and not necessarily having that attached to a particular service model but getting them housed and bringing services in to them. Housing First model I believe is what it's called in a number of other states. So you know, and further, if a call is made, the hope that CIT training, Crisis Intervention Duffy & McKenna Court Reporters 1-800-600-1000 (30) Pages 117 - 120 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 121 1 2 Training, as we've heard about, mobile crisis services, which are extremely important, an Page 122 1 2 out of it? And that's at any point in the system. So additionally, I do want to add, you know, in being preventative, that looking at policies, 3 extremely important piece of the system, in my view, 3 4 4 practices and procedures in facilities where you're 5 7 and are not currently actively used, or a crisis ride-along with different police departments. I know in Augusta, I believe they had one. I don't know if it's still in place, but there were -- you dealing with charges, and we heard a little bit about that in both youth and adult residential facilities or hospitals where there are checks and 8 know, there were funding cuts and it was an issue of 8 9 who was going to pay for this ride-along service. And I can tell you even talking to my -- you know, my managing attorney, he was talking about seeing one of these ride-alongs in action just talk 9 5 6 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 6 7 10 11 balances on policies, practices and procedures, that before criminal charges are made, we look very, very, very hard at whether they are related to the very behaviors that get the person into that type of someone down. And I think that should be a resource for every police department, sheriff's department in 13 14 facility in the first place. And I was thinking as we were talking about youth residential facilities, and under I believe the state and it should be well-funded. Because it does -- it has a great effect on a person but also a cost down the line reduction of what it's going to cost the person and the system as a whole. So I kind of went through those preventative measures, but then also diversions. So once they're part of the criminal justice system, what I look at as an advocate are where are we in the system and what legal tools does the defense attorney have? Do the district attorneys have to divert someone that doesn't need to be in the criminal justice system 15 the MaineCare rules, you know, the Medicaid rules 16 for Maine, thinking about that if you look at the descriptors for the behaviors that would make you 12 17 18 19 20 21 22 23 24 25 eligible for the service in that residential facility, many times we've seen charges, you know, coming out of those residential facilities that are almost exactly describing the behaviors that would make you eligible to be in that facility. So that is about quality of treatment and the nature of treatment at any point in the line in those facilities. Page 123 In addition, I did a survey of services in the Page 124 1 are in the community? You know, what do they need? 2 3 community last summer and looked at what consumers were needing. And the things we've all been talking 4 about for this all morning are, you know, adequate 4 Now, assuming they've been brought to jail, I as the advocate will get calls sometimes from defense attorneys, people stuck in jail, reports from other people aware of individuals stuck in jail. And so I will look at before we're even talking about whether someone is incompetent to stand trial or not criminally responsible for the charges, could we get them transferred under the statute in a jail transfer where they're still, I believe, technically in the custody of the jail but could go to a mental health facility to get treatment while their charges are pending? 1 2 5 6 7 8 9 10 11 12 13 crisis services, medication services, access to housing, employment and peer services within the community such as peer respite which was talked a little bit about, I believe, as an alternative to hospitalization, going to the emergency department. 3 5 6 7 8 9 We have a peer run home that can take in individuals, and adequate crisis services units that are voluntary for individuals to go to. So in quickly thinking about a little bit of the diversion things that I would think about, again, I would think about the, you know, first contact with the officer. Is there a crisis worker with them? Have they been trained in Crisis Intervention Training? And the officers that don't necessarily have a crisis worker there are in a 10 difficult decision. They're making a snap judgment. Do I take them through the door of a hospital or a 20 11 12 13 23 resource because they don't meet the criteria, what 23 24 do I do next? Is there a crisis service that could 24 And in my mind, that's an alternative when I've talked to individuals they might want to look into because the timelines for the next things I'll talk about could be quite long whereas if the person could get up-front treatment while their charges are pending, sometime if they're getting adequate treatment and agree to it, the charges can be resolved there, the hospitalization will end, and they will get adequate community resources. So next I would ask if that wasn't -- you know, that ability wasn't there whether a competency 25 come evaluate that person for what their unmet needs 25 evaluation happened for the individual, whether they 14 15 16 17 18 19 20 21 22 jail in that instance? Or if I don't have it as a Min-U-Script® 14 15 16 17 18 19 21 22 Duffy & McKenna Court Reporters 1-800-600-1000 (31) Pages 121 - 124 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 125 were looking into that to find out if they're Page 126 1 of insanity in a lot of states. And I truly believe 2 competent to stand trial, at which point they may be 2 this should only be used in extreme circumstances as 3 3 the term of hospitalization is indefinite. Individuals have specifically voiced their regrets 5 sent to Riverview, the state hospital in Augusta. And that is one tool but they get evaluated and they go back to jail, so it's an imperfect tool. 6 And then there's a lag time in my experience between 6 7 7 10 when they're evaluated and when they may get an order of incompetent to stand trial. And that's the next thing I look for. And under the -- a lot of federal cases currently that have -- that are 10 11 pending and out there, the wait time between someone 11 12 being found incompetent to stand trial and starting their restoration treatment should be about seven to 12 1 4 8 9 13 4 5 8 9 13 14 14 days, and it's been -- the case law on that has 14 15 been kind of somewhere between seven to 14 days. And so in the State of Maine that's something we've advocated strongly for and seen some movement on people quickly moving through the system IST. But once you're IST you could be in the hospital for up to six months or longer. So we've already got a set 15 16 17 18 19 20 21 amount of time that the person is going to be 16 17 18 19 20 21 utilizing a very expensive resource and may not want to be there versus we've prevented that happening. 22 24 And the final one I'll talk about is being 24 25 non-criminally responsible, or not guilty by reason 25 22 23 23 to me when they have spent years in the NCR system and would have spent significantly less time in the criminal justice system, including just probation in some instances, and spending five, six, seven, eight, nine, 10 years in the mental health system. And so I truly believe that may be a tool in certain very serious cases for individuals but is not a tool that should be used lightly in the system. Now, when we go to treatment in the facilities, I am looking -- you know, if they're not diverted and aren't necessarily appropriate for mental -diversion to a mental health hospital, essentially a continuity of care from intake to discharge within the jails. And I think that that means that there's assessment, there's treatment in the jail that isn't utilizing segregation or solitary confinement, and that there's adequate planning for when they're released from jail for community resources, whether that's public benefits, whether that's mental health care, any of those things. And so that is our main concern. Page 127 Page 128 1 9 And I do think that it's a very important piece. And while they're in jail, I will say that adequate funding to the jails is important so that the medications can be consistent from what they might have gotten in a mental health hospital, because I've personally experienced clients that they get a medication at the hospital that isn't available due to limitations in the jail, and therefore, they go off their medications after a 10 good amount of treatment as soon as they get back to 10 1 2 3 4 5 6 7 8 types of treatment that are needed -- required to -- 2 the individuals are required to have including 3 treatment planning, discharge planning, all of those 4 5 things. So that is to be said that -- and we additionally have in Maine the AMHI consent decree 6 which dictates the creation of a comprehensive 7 mental health system in Maine and treatment of the 8 facilities but that is a case that is still outstanding so it has not been settled so the community health system is not in place as the consent decree envisions. So just kind of wrapping things up. A couple 9 11 16 jail and immediately decompensate again. So in thinking a little more in kind of wrapping these things up, I'm going to quickly go over the legal rights I look at and the rights protections that I look at within the system. And so when I'm looking at the system, I'm looking at 17 what rights protections would protect my client and 17 18 have the best standards of care and the best interventions possible for my client if that's what they're asking for. So I look at what does the hospital system 18 21 contact with the criminal justice system, and protections in that system so that they're not segregated or unnecessarily confined and that there's resources available within the correctional have? They have the rights of recipients of mental health services for adults and children, and those 22 system for them such as the Intensive Mental Health are the regulations that govern seclusion, restraint, the interventions that can be used, the 24 And just some case law quickly for standards of 25 care. I would say that the standards of care are 11 12 13 14 15 19 20 21 22 23 24 25 Min-U-Script® 12 13 14 15 16 19 20 23 other laws or places I look to: The ADA, the Title II, as I heard it in the initial remarks of the ADA, the Olmstead Community Integration mandate for individuals with mental illness including adequate community resources so they do not have to come in Unit at the Maine State Prison. Duffy & McKenna Court Reporters 1-800-600-1000 (32) Pages 125 - 128 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 129 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Page 130 very different in a correctional environment versus a health care environment. So when I look at health 1 recommendations. I've heard a lot about Crisis 2 care, I look at the Supreme Court case Young v. Romeo that states that people who have been involuntarily committed are entitled to more 3 considerate treatment and conditions of confinement than individuals whose conditions of confinement are designed to punish. And that is contrasted with the 6 Intervention Training for law enforcement. I think that's a very important tool for law enforcement. I think it should be funded and I think it should be funded on a statewide basis and make sure that every available law enforcement, you know, organization Supreme Court case Estelle v. Gamble that talks about the standard of care, constitutional standard of care in a prison environment which is the deliberate indifference standard that if someone essentially recklessly disregards a substantial risk of harm to the prisoner, then the -- you know, and it has to be knowingly and recklessly disregard, so substantial risk of harm to the prisoner. So when I'm thinking about my client, I'm thinking where do they have the most rights protections and how do I get them there if that's where they want to be? But I do work at express interest and I will tell you I've had people quite frequently say, "Leave me in jail. Do not put me in the mental health system." And I can wrap up with the recommendations, yes. So just quickly wrapping up with 4 5 7 8 9 10 11 12 13 14 15 16 17 can get that training. Robust crisis services. And I really think this is an incredibly important thing that we've heard about today. Mobile crisis, crisis ride-along, and you know, any -- and crisis respite services, crisis services units are very important because they can be that preventive piece in the system that gets people out of the system. And then finally, on a couple notes, the use of alternatives to someone being found not criminally responsible, or IST, meaning those jail transfers or 18 up front treatment agreements with the defense 19 attorney and the DA. The person will do something up front and agree to something so they do not have to spend sometimes, you know, months, years in a mental health facility. And educating the person 20 21 22 23 24 25 about you have certain rights but as soon as you enter a certain system you may lose some of those rights. Page 131 Page 132 10 So -- and also increased communication. This is another key one. I've read in some other states, I believe Maryland, there's some collaboratives that work as -- with different -- all the different stakeholders, all the different parties working together to come up with solutions to these problems. And it is really a communication piece, because when I get a call from a defense attorney or an individual, we can usually figure out a solution with all the parties but we have to know about it. 10 of the Maine Sheriffs' Association. I have to say that I am here representing only 11 We have to know. We have to have the data. We have 11 Penobscot County in my comments even though I am the 12 to have the knowledge of the system as a whole. And increased resources for the county jails to 12 second vice-president. A five-minute conversation 13 have people in the Department of Health and Human Services who they know this is my point person, this 14 is who I go to within the system, and if I do this, I can get an answer to my question about what kind of services this person gets. And then finally -- and this is an important one for me as an advocate -- that criminal charges in facilities coming out of the very behaviors that brought you into the facility need to be closely examined and there needs to be significant checks and balances on those. I don't think you'll ever fully prevent them because of the rights that 16 with the Chair probably led into two hours of conversation for me so I will try not to do that again today. I want to say that Mr. Reed -- if you get 17 anything out of today, Mr. Reed's brave testimony 1 2 3 4 5 6 7 8 9 13 14 15 16 17 18 19 20 21 22 23 24 25 Min-U-Script® 1 employees have in those settings but I think it has 2 to have -- it has to have a system that checks, where was this coming from? Where was -- what precipitated this incident? MS. KHIEL: Thank you. Sheriff? SHERIFF MORTON: Good afternoon, Madam Chair, 3 4 5 6 7 8 9 15 Committee members. My name is Troy Morton. I'm Sheriff of Penobscot County, second vice-president 18 first thing today said one of the most important 19 things. We're doing this backwards. We are trying 20 21 to get the criminal justice system to take care of the mental health system. And I feel like there's a 22 very shattered mental health system. Although the 23 criminal justice system is doing remarkable things -- training, services, work with the DA -the fact that you have a DA and defense counsel 24 25 Duffy & McKenna Court Reporters 1-800-600-1000 (33) Pages 129 - 132 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 133 Page 134 1 here, many committee members here today testifying 1 appropriate resolution for many cases? And many 2 about the good things that the criminal justice 2 times that comes down to where do we leave a person? Where do we -- where do they go? What happens to system is doing when it comes to mental health, we can clearly get better, but we have to fix the front end of this. We have to have services in place for 3 6 13 those who are struggling with mental illness. Sometimes, as you heard earlier today, when folks are -- end up in jail, the problem is exaggerated. It has gone so far untreated and sometimes even in death. And I think that it's critical that we make sure that we provide these services up front. I run the Penobscot County Jail which has a state-rated capacity of 157 inmates. 14 This morning I have 193 in custody in the facility, 14 15 another 70 were released on Pre-trial Services 15 16 through electronic monitoring or home confinement, and another 31 who are being housed in other state or county facilities. Nearly double my state-rated capacity. 70 percent of those folks incarcerated in 16 our facilities are pre-trial, meaning they have not been found guilty of the charges that they are being held on. The district attorneys and the defense have incredible challenges -- and I won't jump on their thunders -- of trying to figure out what is the 20 3 4 5 6 7 8 9 10 11 12 17 18 19 20 21 22 23 24 25 4 5 7 8 9 10 11 12 13 17 18 19 21 22 23 24 25 them? I've been in the system for 27 years. I was a corrections officer starting my career. There was a time in my career that I would get called from parents, family members, loved ones, attorneys, saying, "Please let my client, family member, out. They don't belong in jail." Unfortunately, today I get the call as sheriff saying, "Please keep my loved one there. Please keep my client there because we have no other place to put them right now." We have become the largest mental health detoxification center in northern Maine. And that is not what the county jail was designed for. I'm very, very concerned about the population that's -what I think is in the middle. We clearly can identify those with very serious mental illness and we're working hard to move them out of our facilities. I did chuckle a little bit when my partner said 7 to 14 days for moving folks because that's so unrealistic. And not his fault. But to move folks out we have a waiting list in my holding observation areas wiping feces on the Page 135 Page 136 1 wall. These are folks that are struggling. And 1 have very complex issues. I always felt like I was 2 yes, perhaps they do have serious criminal charges that only complicate the problem. But it's easy to look at those folks and understand those ones. The ones that I'm concerned with -- not that we're not concerned with this population -- what about the 2 3 a cop but today I know more about dual diagnosis and those who are impacted by substance abuse and mental 4 health than I do about solving burglaries today. It 7 10 13 folks in the middle? There's a population in the middle that's sitting in a criminal justice system or correctional facility only deteriorate. Perhaps it's because of medication issues. Perhaps it's because they're in a jail where there's supposed to be 157. I have 193 today. Housing is a problem. There is no jail in the 14 state that's set up for mental health wards. Two or 14 15 15 we're teaching officers today. That just shows you 16 how complex this problem is, how serious it is. 17 19 three cells here and there is not really a mental health ward. And so we really struggle there. And so that population, the middle, I'm very concerned about because they'll deteriorate the longer they sit in our facility. And nobody knows 20 where to release them. God bless our clinicians in 20 I think that we're doing wonderful things. And in Penobscot County we are the first county in the State of Maine, I think the only one in the State of Maine who has adopted the Stepping Up initiative. 21 our facility, being able to try to go in and evaluate and use these tools that you had Jenna 21 We went to Washington DC with the commitment of our 22 22 23 speak about earlier. And really thank you to NAMI 23 county commissioners and our local stakeholders. Here's another important point that I want to 24 for helping the counties that they have, but our clinicians that are trying to evaluate folks that 24 3 4 5 6 7 8 9 10 11 12 16 17 18 25 Min-U-Script® 5 6 just seems like things have changed. It's a sad fact that next week I'll have four new corrections officers come into my facility, and 8 my first talk to them won't be about protecting 9 yourself or making sure that nobody escapes; it will be about watching for the signs and symptoms of 11 12 13 18 19 25 suicide, watching for signs and symptoms of detoxification, providing them with a cut-down tool hoping that nobody commits or attempts suicide in our facilities. Those are the first things that make: You have some wonderful panel people coming forward with a lot of information that you probably Duffy & McKenna Court Reporters 1-800-600-1000 (34) Pages 133 - 136 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 137 Page 138 4 There isn't a single law enforcement officer out there that would not rather defer somebody from going to jail or an arrest when it's a clear mental health issue. But where do we take them? Do we 5 take them to the ER only to see them running out the 6 23 already know. Please seek out those that have not attended today. That is the challenge. We can sit here and provide you with great information but there are some critical people, critical stakeholders that you don't have on your panelists today. And it's not for the lack of trying but there are still others that I highly suggest that you seek out. We formed a Criminal Justice Coordinating Council as a result of going to the Stepping Up initiative and trying to defer those with mental illness from our jail. And what we realized is we can provide all the CIT training -- that's nearly 70 percent of my officers are CIT trained or mental health first aid trained, both in the law enforcement side and the jail side -- but if we don't have the critical stakeholders that come in and are able to make changes, provide funding, housing, programs outside our facility, folks are only going to continue to come back into the jail. I won't take any time on the law enforcement side because you heard a great deal about that but I felt like a third grader standing in the back of the 24 room when you folks were asking questions to the law 24 25 enforcement folks. They are absolutely right. 25 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 1 2 3 9 door before the officer even gets back to the car? And then what do we do? The Stepping Up initiative has a great comment. I will not be able to say it nearly as elegant as 10 the gentleman down there. But many other folks that 11 21 we deal with that are arrested, are we arresting them because they're nuisances or because we're truly afraid of them? Many times it's because they're a nuisance. And so even with all the great training that we're providing with law enforcement today, our prosecutors are part of receiving these training, the defense, our judges, where do these folks go? I think we can do better. So I will yield my time to my panel. Thank you. MS. KHIEL: Thank you. MS. MALONEY: Thank you, Maine Advisory 22 Committee to the United States Commission on Civil 23 Rights, honored guests, and fellow panelists. My name is Maegen Maloney. I'm the District Attorney for Kennebec and Somerset Counties. 7 8 12 13 14 15 16 17 18 19 20 Page 139 1 2 3 4 5 6 I do think that in my district I am particularly fortunate for some of the programs that I have available, for they are the only ones in the state. I have the only Veterans Court in the state. I have the only Co-occurring Disorders Court in the state. That is a court that is as -- part of its Page 140 1 2 3 4 Academy that addresses both substance abuse and mental health needs. I'm happy to answer questions on these programs if you want more specific details on how they work 5 but I really think that the main point that I want 6 to make is what you've heard from the panel before and what Sheriff Morton was speaking about, which is 7 mission is specifically focused on aiding those with 7 8 mental health problems and substance abuse problems. Because they are both the only kind -- the only ones 8 putting services at the front end. It's important 9 in the state, we do take people who commit crimes anywhere in the State of Maine; however, their case has to be transferred to Kennebec County and the person has to move to the Augusta area. So that's 10 that we have services at our end. These programs that I just talked about have turned lives around. Our Veterans Court, not a single graduate has ever 9 10 11 12 13 14 15 obviously not possible for everyone. We also have in our district a Community Drug 11 12 13 14 For our Community Drug Court program, also not 15 a single graduate has committed another -- has committed another crime. For our Co-occurring Disorders Court, we've not had another -- our 16 Court in Skowhegan that was created with the 16 17 community without the services of a judge because 17 18 the judiciary is just strapped too thin. And as 18 19 20 21 22 23 24 25 part of that program we do offer free mental health counseling to the people who are participants in the program. Hospital located in Augusta, and we do have an in-custody program in the Kennebec County Jail called the Criminogenic Addiction and Recovery Min-U-Script® 19 20 21 We also have, of course, Riverview Psychiatric committed another crime. Ever. I mean, zero recidivism rate is unheard of. 22 23 graduates have not committed another crime since 2014. So we did have -- we did have a problem there. But really when you look at the big picture and you look at the 75 percent recidivism rate of those who go to prison, I mean, these numbers are 24 extraordinary. These programs are important. We 25 need them and we need to provide that help for Duffy & McKenna Court Reporters 1-800-600-1000 (35) Pages 137 - 140 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 141 1 2 3 4 5 6 7 8 9 10 11 12 13 people. However, if we could provide more help before people reach my docket, that is by far the preference of everyone who has spoken to you today. And we all see the lack in the services before the person commits the crime. So to illustrate that, I just wanted to bring up three examples. These are real life examples. If I use a name, it's not going to be the person's real name because I don't want -- I want to protect their privacy. But I just think that when you can hear about real lives, it kind of -- it stays with you in a different way. So the first example is a woman who's in her Page 142 1 2 3 4 5 6 7 8 9 10 11 12 13 60s. This was one of my cases. She has no criminal record. She takes a picture of her wedding day and 14 16 19 hits her husband over the head with that picture. And it was in a frame, so it -- you know, it hurt his head. It's a domestic violence call. Misdemeanor crime. It was clear that she was 20 suffering from some mental health trauma when she 20 21 21 22 did this. And so what I offered to her defense attorney and what she took was what we call a 23 deferred disposition. This is something we use all 23 the time. And the only condition was to get 24 14 15 16 17 18 24 25 psychiatric evaluation and treatment and that at the 15 17 18 19 22 25 end of the year all charges are dismissed. I thought this would be a great solution. The problem was that while they called that day to get the appointment, the earliest appointment possible was six months into the future. During that six month wait she shot her husband in the back. Devastating. Absolutely devastating impact for her having to wait for that six months. Now she's sitting in our Kennebec County Jail. So think about what would have happened if she had been able to get the immediate psychiatric help that she needed, what the different result would have been. The second case: A man in his early 30s -again, someone with no criminal record -- recognized that he was having some mental health problems so he went to the hospital and he asked for help. He was given medication to -- he was diagnosed with being schizophrenic, given medication, and stabilized. He took -- he was given prescriptions after he left the hospital. Well, they were pieces of paper. He had no money to fill those prescriptions. So he went along for a couple months doing odd jobs and then felt again that his mental health was deteriorating, went back to the hospital and asked Page 143 Page 144 6 Psychiatric Hospital to receive treatment, to receive help. She went there willingly as a patient. While she was there, she was brutally assaulted by another patient who I will call Bill. Bill's mental illness causes him to believe that he needs to assault people in order to please God. 7 Riverview has no ability to treat someone like Bill for help again. And this time he was hospitalized for four days, given medication again, given those prescriptions again, and again discharged. Couldn't 1 4 8 fill the prescriptions. After -- over time again -- this time it was just a few weeks later, his mental condition deteriorated and this time he used alcohol, and in the middle of the night went to the home of a 73 8 and has no ability to keep the other patients at 9 year-old woman where she was -- where he brutally 9 10 raped and sodomized her. A 73 year-old woman in her 10 Riverview safe from someone like Bill. They don't have lockdown facilities. They don't have any of 1 2 3 4 5 6 7 2 3 5 11 home in the middle of the night. 11 12 He had been seeking help but he didn't have the money to fill the prescriptions that he was given. So now he's been sentenced to 28 years in prison followed by a lifetime of supervised release. 28 years times $45,000 a year, which is the cost of being in the Maine State Prison, is $1,260,000. What if instead our society had made an up 12 front commitment to pay for the medications that his doctors said he needed and he wanted? He wanted treatment. The cost would never approach a million dollars in his lifetime and an elderly woman would 19 13 14 15 16 17 18 19 20 21 22 23 24 25 have been spared an horrific -- a horrific nightmare. Finally, a woman who went to Riverview Min-U-Script® 13 the tools that they need to restrain someone like him. And it's devastating not only for Bill himself because he's not receiving the help he needs, but 14 for the patient that should have been receiving help 15 16 17 18 20 21 22 23 24 25 and instead found herself assaulted. So Maine desperately needs a separate forensic mental health hospital, and I'm glad that that is a part of your agenda for later today. So I'd ask you to please remember these three real life illustrations of what happens when our society fails to provide adequate mental health care. It hurts all of us in the end. It hurts us as our loved ones become victims. It hurts us when we pay more taxes because prison is by far the more expensive choice. I urge you to recommend access to mental health care Duffy & McKenna Court Reporters 1-800-600-1000 (36) Pages 141 - 144 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 145 8 for all those who seek treatment. Spending the money up front will reduce my caseload and the prison population. It is the cost effective choice and it is the humane choice. Thank you. MR. ZERILLO: Good afternoon, Committee. My name is Tim Zerillo. I'm the managing partner of Hallett, Zerillo and Whipple and I guess I am your token defense attorney for today. I've actually 1 2 3 4 5 6 Page 146 1 2 their words. But before I move to them, I note -and I noted the sheriff talking about Anthony Reed's 4 father and I missed this testimony earlier and I wish I had had the opportunity to be here. If it's 5 the same Anthony Reed, I represented Anthony Reed 12 6 or 13 years ago. He was a great heavyweight boxer. 7 3 9 been -- my spirits have been buoyed by what I heard 9 If it's the same person? MR. ROBINSON: Yes. MR. ZERILLO: I represented him on a variety of 10 on this panel. I came in at the very end of the 10 small issues. He was a gentleman who in my view was 11 last panel, but what I've heard from all three of my 11 kept alive in a way by the spirit of the Portland 12 fellow panelists has been excellent, I think. I sent a letter. I did not have an opportunity to send it until yesterday. I hope the panel has 12 Boxing Club and Bobby Russo who runs that club. He 13 received it. And I won't bother to talk much about what I've already written in the letter but want to, like the district attorney, ultimately give you some real-life examples from the defense perspective, and 15 16 was living there for periods of time when I was representing him. He had no access really to any real or substantive mental health services despite us trying to get them to him. And what I most 17 remember about him is you think of this heavyweight 7 13 14 15 16 17 8 14 18 fighter but he was really a sweet man. He didn't 19 have funds to pay for me. I remember that I had him 21 not just from my perspective. When the Chair gave me this opportunity to sit on the panel, I wanted to ask through the Maine 22 Association of Criminal Defense lawyers what some of 22 be a senior at Cheverus High School, had a little 23 the experiences have been recently in dealing with 23 baby brother who had just been born whose name was 24 criminalization and the mentally ill and so I've 24 25 assembled a couple of those to share with you from 25 also Anthony. So she said -- we introduced him, Anthony Reed, and she said, "His name can't be 18 19 20 20 21 painting my house in lieu of legal services for a period of time. And my daughter who's now going to Page 147 1 2 3 4 5 6 7 8 Page 148 Anthony. My little brother's name is Anthony. Your name is Haley, okay?" Which he loved, this sweet 1 man who was extremely talented and cut down. So let me just move on to some other criminal 3 defense lawyers' words if I can. Obviously like the district attorney, the names have been changed, but 5 these are their words. My client was apprehended on a few new 2 4 6 7 8 made comments to me such as, "Truth be told, she should have been taken to the hospital first before coming here." That Monday I appeared at the jail in person and demanded to see her. They said she was still detoxing and I couldn't see her. I said, "Clean her up. I need to see her. She has been in here nearly one week without access to counsel." I waited a 9 while and then visited her in the mental unit at 10 11 misdemeanor charges on March 8th, brought to the Cumberland County Jail and held on bail. At her in-custody appearance she was apparently out of it. 12 The judge was concerned. The judge asked the lawyer 12 13 of the day to call me. I got the call a few days later at the end of the business day regarding the 13 15 18 judge's concern of her mental state/odd behavior at her in-custody hearing. I called the jail and they told me that my client was in medical isolation for detox and was progressively getting worse. They CCJ. She was indeed out of it. She wasn't the same person I had met several months earlier when we met to discuss another charge. She was laying on the floor and barely moving. It was so inhumane. It smelled horrible. All I could think of was my pet who had an operation the week prior. He was treated 19 thought she may have tried to overdose on contraband 19 better at the vets. At the same time the Cumberland County Jail kept saying it was just detox, albeit an unusually long one, but assured me that all her labs and 20 vitals, et cetera, were coming back normal and she 21 was getting appropriate medical care. We had already scheduled a dispositional conference date a few days later that week, and despite her condition the jail actually brought her over. I tried to meet with her downstairs in 9 10 14 15 16 17 20 21 22 23 24 25 but couldn't be sure. She was throwing feces, not participating in self-care, not talking, and out of it. I asked them to take her to the hospital for an evaluation. They refused. Over the next few weeks some medical staff and mental health staff at the Cumberland County Jail Min-U-Script® 11 14 16 17 18 22 23 24 25 Duffy & McKenna Court Reporters 1-800-600-1000 (37) Pages 145 - 148 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 149 Page 150 13 holding and she was rocking back and forth and urinating on herself. I told the judge, and without objection from me the state requested an evaluation. The judge ordered an emergency evaluation. Judge, prosecutor, and I all thought it would be about a week. I figured the evaluation would reveal an issue and she'd be transported to either the hospital or a psychiatric hospital. The evaluator didn't arrive at the Cumberland County Jail until 10 days later. Then of course it took several days later to get his report. In the meantime we were in limbo. As a result of the evaluation, a very conservative plan of jail 14 counseling and psychotropic drugs were prescribed by 14 15 the jail psychiatrist. I visited her a few days after she started on her meds and she was actually able to have a limited conversation with me and was finally in the general population. I promptly got her scheduled for an eval in an in-patient program which wouldn't have been able to accommodate her earlier with her medical issue. 15 22 23 That took about a week but the program approved her. A bed opened up a few days later. And the good news 24 is she's now in a residential treatment program and 24 1 2 3 4 5 6 7 8 9 10 11 12 16 17 18 19 20 21 22 25 communicating just fine. 1 2 3 4 5 6 7 8 9 10 11 12 13 16 17 18 19 20 21 23 25 However, the jail detox process and isolation absolutely deteriorated her mental health. I have no doubt. The evaluation process took a while, and those recommendations were so conservative. Meds and jail counseling. From start to finish she served nearly 60 days in jail until a bed became available. My client has MaineCare. Imagine if she had no insurance. She went through a horrible detox and encountered an exacerbation of an underlying mental health issue. Her underlying charges were misdemeanors; however, I wouldn't plead her out due to competency issues. I think those are some of the people in the middle that I heard the sheriff talking about. And one more brief example from a different defense attorney. I wanted to give you one from Portland, and this one's in Aroostook County. Matt was raised in Aroostook County. By the time I dealt with him, Matt had already had a Title 15 done in a previous case which found him to be competent. In passing that evaluation, it mentioned that Matt had been adopted by a family in Aroostook County. Matt had not finished high school but had been in and out of mental hospitals at least three or four times prior to the first Title 15 being Page 151 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 done. I met with Matt when he was 18 or 19. His impression was that he was mild mannered and in no way physically intimidating. 1 2 3 As almost always happens, despite his numerous problems the Title 15 gave him very little room to plead to anything involving his mental status. Matt did plead guilty and then was released from the jail without his medication, no home, no housing, no food, no job, and no place to go. He was on probation, and after a couple of days on the street and hoping, picked up the phone and made some threats so that he could get a place to sleep. Parenthetically, he'd been banned from homeless shelters in Bangor for making threats as well. As he had no money and no place to go and he was on probation, Matt could not get himself released again. I worked with DHHS to get him released to a halfway house through the Department of Mental and Physical Disability mostly because of his extensive mental health history and prior institutionalization. After about a year or so during which time he was awarded Social Security disability based on his mental status, a DHHS employee did a spectacular job getting him placement at a home somewhere outside of Min-U-Script® Page 152 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Bangor. He had to have Social Security disability to get released because disability was what paid for him to live in another facility apart from the jail. And DHHS does not run those facilities as this panel knows. However, in that facility the particular vendor did not actually have an actual doctor on staff, so frequently there was only one person on staff as they had to drive other occupants of the home to various appointments, et cetera, and Matt was left unsupervised until they returned. Eventually Matt had problems again and was rearrested this time by Bangor PD. I had another Title 15 done. And even given the fact that he had been awarded disability based on his mental status and an evaluation at Riverview, he was still found competent. In sum, Matt has now spent at least four years in jail while significantly mentally ill without staff or an actual doctor to help him. Aroostook does not have a psychiatrist or even a psychologist on staff, and Matt was cycled back and forth between jails for much of the time I represented him because the jails don't have the staff or the funding to deal with people who have his level of issues. By the time -- I made some recommendations in Duffy & McKenna Court Reporters 1-800-600-1000 (38) Pages 149 - 152 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 153 1 2 my letter but I would just echo what the District Attorney said as well, that by the time these cases Page 154 12 of the system and you talk about when you get involved. So we know that the individual gets picked up and they're brought in to jail, and at that time they're often bailed but they can't make bail, and so they sit in jail for an extended period of time until you're appointed. How long do you think that often is? MR. ZERILLO: It can be -- I haven't been appointed on one of these cases, I can say in all honesty in several years. But it can be weeks, weeks, if not, waiting to the next -- to the dispositional conference if they can't make bail. 13 In the UCD -- and the Unified Criminal Docket, which 14 I think most of the state has now, if not all of it. Portland was one of the first counties to have it -you're supposed to from the time of your initial 1 2 3 end up on my docket, damage has been done. And most 3 4 4 5 of the cases I am dealing with that have mental health issues are not the ones that are in the 6 paper, frankly. They're not a murderer or something 6 7 like that. They are smaller cases that you will 7 8 never hear about unless you assemble a committee 8 9 such as this one and take testimony. And those cases are real disasters. But by the time they end up on my docket, those people have lost their housing or maybe they've lost their bed at a rehab facility or mental health facility. And I find that the District Attorney's office is very willing often to work with me at the stage that I get involved. 90 percent of the time I find prosecutors to be 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 5 9 10 11 15 16 willing to accept in those middle cases that people have mental health issues that need to be addressed. 17 The issue is identifying them before they get to that stage. The issue is identifying a medical issue versus a criminal issue. And I think that's the big challenge for this committee and for the state. MS. KHIEL: Thank you. Questions? MR. MEHNERT: You talk about the real disaster 19 18 20 21 appearance to the time you get to the dispositional conference, which is just a plea bargaining session but where most cases get resolved, is supposed to be a 14-week period. In reality, it never works that way. Maybe in a misdemeanor it works that way 24 occasionally if there is enough judge time and judges aren't on vacation or lawyers aren't on vacation, for that matter. But what happens 25 especially in serious cases is you have months that 22 23 Page 155 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 go on before you get to that dispositional conference date. Meanwhile in your hypothetical, Page 156 1 2 this person can't make bail and is sitting there unable to do anything but rot in the county jail. And that doesn't help the sheriff -- I should 3 say my comments are my own here. I also sit on the Board of Visitors for the Cumberland County Jail, and I've been happy to do that. But I can tell you 6 I think fairly that no sheriff I've ever spoken to, no jailer I've ever spoken to wants the situation 4 5 7 8 9 10 So I don't -- it's a tough question to answer. It brings up an excellent point but it's weeks if not months, potentially. MS. MALONEY: Now, I do want to add one thing to that, though, because Maine has what we call Maine Pretrial Contracts. It's really one of the unique features in our state, and we have to -- I have to talk about it because it enables people to sign a contract agreeing that they'll go to all their court dates and then be released from jail that you're describing, especially on misdemeanors. And let me -- I don't know if anyone received my letter but let me backtrack because we need to -- 11 without having to put up any money. There are many 12 I would suggest that you look at this at the juvenile level. I do very little juvenile work but I provided some statistics in that letter. I asked people who do exclusively juvenile work, first of 14 all, how many people have serious enough fluently schizophrenic type mental issues are in Long Creek? 18 states that don't have a system like this and I've actually spoken nationally about it because there are states that are trying to adopt a system like this. It's extraordinary that we have it. We need to do everything we can to preserve it. And it's not going to work for everyone, right? There are going to be cases where there is going to be an And the estimate I get is usually four or five. However, 75 percent of them are committed to Long Creek on misdemeanors and nearly all of them have a mental health history. So we're failing at that level, and then that translates directly into the adult population. Min-U-Script® 13 15 16 17 19 20 21 22 23 24 25 amount of money bail that does not allow a person to be released. But in Kennebec County we have over 130 people on Maine Pretrial Contracts right now. So more than -- it's the same as the population in the jail are on Maine Pretrial Contracts. MR. MEHNERT: But in those cases do they have the -- say we have an individual with a mental Duffy & McKenna Court Reporters 1-800-600-1000 (39) Pages 153 - 156 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 157 Page 158 23 health issue. Do they have a capacity to contract? MS. MALONEY: Right. And that exact -- that's an excellent question. That can -- is absolutely a problem. If they don't have the ability to contract then they can't sign a Maine Pretrial Contract, and of course Maine Pretrial assesses the person and makes certain that they feel that they have the ability to supervise this person. So Maine Pretrial can say no to supervising a person. They have to feel, right, that they have the capacity. MR. MEHNERT: And so we have individuals who have mental health issues -MS. MALONEY: Absolutely. MR. MEHNERT: -- that we recognize have mental health issues that are being held in jail on charges. MS. MALONEY: That's true, yeah. MR. MEHNERT: So we are criminalizing the mentally ill. MS. MALONEY: Well, if it's -- I mean, as you've heard from everyone, we are sort of the last stop for many people. So there are times when -- I have had a woman who kept being charged with 24 indecent exposure and engaging in prostitution. And 24 25 my initial impression was to just not charge her, 25 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 right? To just say -- but then I dug in deeper to what was going on and realized that if I didn't do something, nobody was doing anything. And so instead -- I actually brought a charge just to get her into a group home in Skowhegan and then I dismissed the charge when she had a placement so that she would be safe because I didn't want to read that she had been killed on the front page of my newspaper. So it's -- it becomes the only way to get someone services, which is completely wrong, but it's all we have. MR. ZERILLO: And if I could add? That is the definition of criminalizing the mentally ill. As well-intentioned as that obviously was, essentially the District Attorney is in a position where she has to charge somebody to get services, and that should never, ever, happen. I would also just briefly add -- and I'm not sure about this, but the Maine Pretrial Services Contracts are terrific. They do have the opportunity to screen people. And they do not have the resources, frankly, to supervise a lot of the people that you are concerned about on this committee, but they are a terrific organization, I Page 159 Page 160 22 would agree. And I'm not sure they're statewide. They didn't used to be. MS. MALONEY: Yeah, that could be that they're not. MR. ZERILLO: There used to be in other counties you would have groups like Volunteers of America attempting to do this. And I know they're in more urban populations in the state but I don't believe they're statewide. MS. MALONEY: Yeah, that could be true. SHERIFF MORTON: They are nearly statewide. And it's all Maine Pretrial Services. There are a couple counties, Somerset's one of them, that runs their own pretrial services but much the same. My one concern with the pretrial services, again, talking about penalizing somebody, is there's a risk assessment done to allow somebody to go out and receive treatment while they're out. Some days this is day check-in, some days it's supervision. But I'm so concerned that we're releasing folks knowing potentially that they're going to fail. And not only to fail, that they're going to be charged 23 with more charges that only make it more complicated 23 24 for that person. So we think -- we have 70 out today that are 24 person isn't competent? I'm going to give you a timeline, a real timeline, with everything he identified. An individual goes into a county jail last October. 18 year-old. Has -- ends up with a 25 competency evaluation in December so spends a period 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 25 Min-U-Script® 1 2 3 4 out, and not all of them have mental health issues, but those folks that are released in a pretrial service area, which is a great program, works most of the time, but the more risk that we take knowing 6 that a person isn't able to get into treatment, is waiting for that bed for months and months, goes 7 home and sits on the couch, and what happens? What 8 9 happens to them if they continue to deteriorate because they can't get into treatment and so they 10 sit on the couch? And maybe this medication just is 11 12 not being taken. Does it get to the point that another charge occurs? Do they get to the point 13 that they are an extreme danger to themselves? Now 5 14 there's a potential violation of the contract that 15 they were out on. And it only adds to the problem, 16 18 potential problem. It's a great program but it's one we have to manage. MR. VOYVODICH: I'd like to add on the 19 competency piece because you mentioned what if a 20 17 21 22 Duffy & McKenna Court Reporters 1-800-600-1000 (40) Pages 157 - 160 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 161 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 of time in the state hospital. Does not receive an IST order until May. They were out of their cell I think for -- reported to me by the jail because the jail called us asking for help. They were out of their cell for a total of five days, I think, in that period other than the time they spent at Riverview. And so I think -- I think some of this, not being in the criminal justice system, is figuring out strategies to move that process along in certain instances and get those conferences expedited when you know, for example, IST order is going to come back, to move those things along because that's October until May for the person to end up in a hospital when that was, you know, being decided in December that they should, you know, end up somewhere like that. MR. MEHNERT: I want to talk a little bit about the dilemma for counsel when you've got an NCR, a not criminally responsible. Because as Mr. Voyvodich pointed out, you've got a situation where you go, okay, I've got a relatively small charge here but the individual is not criminally responsible. I cannot -- I cannot as counsel say, yes, I'm going to have him plead to this offense Page 162 1 2 3 4 5 6 7 8 9 because he couldn't form the requisite intent to commit the offense. And yet on the other hand knowing if I plea him NCR, he can go away indefinitely in the state mental hospital. How big a dilemma is that for defense counsel? MR. ZERILLO: I think it's a humongous dilemma. And you know, normally as defense counsel you're sitting there thinking, okay, how can I get my best deal for my client, you know? I mean, it's as 10 simple as that. But you need -- it requires a much 11 more holistic approach if you have somebody who is 12 13 14 15 16 17 18 19 20 21 22 23 24 25 not competent. I don't want them in Riverview indefinitely if they have services and would do better with services on the outside, but getting those services is very difficult. And then of course you have the issue of whether you could even ethically plead that person to begin with. So from a defense counsel perspective, I mean, I would need help from the psychiatric -- from the psychiatric world to be explaining to me first of all whether or not this person is even competent to make the plea. Second of all, I would be needing -- I'd be asking myself the question even if the prosecutor went along with it whether or not a judge would accept it, depending on what the issues were. Page 163 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 And but that being said, in a misdemeanor case, honestly, if there were services on the outside world that I could get the plea through, I would probably rather that than -MR. MEHNERT: NCR. MR. ZERILLO: Than the NCR. MS. KHIEL: I have a question for the District Attorney. You described some unique programs to Kennebec County. MS. MALONEY: Sure. MS. KHIEL: And I wondered if there's any effort to expand those to other counties? MS. MALONEY: There is. So other counties have drug courts. They don't have the Co-occurring Page 164 2 prosecutor. If you have a Drug Court you already have a judge. So you need a person who is going to 3 be in charge of everyone who's in your Veterans 4 Court. And that usually can be somewhere between 15 5 to 20 people at a time depending on how high their needs are. And that case manager is responsible for getting them all of the services they need, whether 1 6 7 16 it's mental health services or substance abuse services, housing, helping with jobs, helping -just helping with everything. And that's been the impediment, is getting another case worker. MS. KHIEL: Do you know if there are federal funds that are involved? MS. MALONEY: You know, Senator King has expressed great interest in this and I know that he is looking into whether or not there are federal 17 funds involved. He came to a Veteran Court meeting 8 9 10 11 12 13 14 Disorders Court or the Veterans Court. And there's an effort in every legislative session to expand the Veterans Court. If has thus far failed because of money. So it's always voted on and then it hits the appropriations table and they don't find the money 15 18 on Veterans Day of last year and met with the 19 Veteran Court mentors and met with the team. And he to give to it. So I mean, to me that's -- it's very unfortunate because really what it takes to have a 20 is -- he's absolutely working on trying to find some funds for case managers and I'm certainly hopeful 23 24 Veterans Court or to have a Co-occurring Disorders Court is one case manager. I mean, that's what is 25 the unique feature. It's -- you've already got the 25 18 19 20 21 22 23 Min-U-Script® 21 22 24 that that will happen. MR. MEHNERT: DOJ has money for it. I know DOJ has money for that. Do you know how much a case manager cost on an annual basis? About $7,000? Per Duffy & McKenna Court Reporters 1-800-600-1000 (41) Pages 161 - 164 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 165 Page 166 participant? MS. MALONEY: Oh, per participant? I mean, it's the person's salary, right? And so it depends on the number of participants. The participant is going to be somewhere from, as I said, 15 to 20 1 6 depending on how high need they are. The -- a case 6 7 manager's salary is somewhere between 30 and $40,000 7 8 a year. Add on to that some money for benefits and what you have to take out for the retirement system. 8 It's certainly less than $100,000 a year. MR. MEHNERT: And I think the national average 10 1 2 3 4 5 9 10 11 2 that's the reason for the results. SHERIFF MORTON: Can I make a point about that? 3 The wonderful program that they have, here's where 4 the counties are doing things right. I think they are and I think the state's helping. But Penobscot does not have a Veterans Court but I don't have 30 people that would be eligible for it. I might have 5 9 two. Kennebec County, Somerset County will allow our inmates to go down to their facility, much like 11 we have the Rise program. We're the only entire facility in the state that uses Rise. Rise is an opiate addiction program where we use the medicine 12 is around $7,000 for a treatment court. And I think 12 13 you gave us a quote of $45,000 a year to put somebody in jail? MS. MALONEY: That's correct. And in our 13 Vivitrol. It's funded through (inaudible). It's 14 starting next week. We have opened, extended our 15 invitation out to other counties that may have somebody that's eligible for that program because not every jail is going to have these folks eligible. So I think we're doing great things there. And just quickly on the case management. My case managers in our area often talk about the 14 15 16 Veterans Court we have had people who have committed 16 17 armed robberies, people who've committed attempted murder, who have -- I have a successful graduate who 17 committed two bank robberies. We don't take the easy cases. And yet, we're successful because of putting the help in up front. Because the case 19 22 24 managers do such great work and we do have amazing Veteran Court mentors. We have judges who really are focused on this and who care. And everyone, all 25 of the players have -- sorry -- are buying in and 25 18 19 20 21 22 23 18 20 21 23 24 importance of having case management but they still need the resources. We can have great case management but our case managers are still going to say please make sure that we fund some programming. Page 167 8 Because I can guide them but I've got to have a place to guide them. MS. MALONEY: That's true. MR. ROBINSON: Diane? Excuse my ignorance on this but I've never heard of a Veterans Court. I think it's a hell of an idea. I'm a veteran. But I didn't realize that they had a court, say, with your county that are taken out of the general, let's say, 9 population, and then they're adjudicated, whatever, 1 2 3 4 5 6 7 10 11 12 13 and all of that, which to me sounds like unfortunately for the veteran it's very timely. And the caseload would be smaller regardless of the personnel and everything. But I think that's a Page 168 1 is -- my biggest concern is getting the word out to 2 make sure that people know that it's available. I once had a defense attorney say to me, "Hey, I can finally get someone into the Veterans Court 3 4 5 6 because I have a veteran in Kennebec County who committed a crime. I'm so excited to be a part of 10 this." And I said, "Well, you usually work in Portland but you can use our court." "I can?" So my biggest push is to just try to make sure that defense attorneys know that it's available 11 anywhere in the state and that prosecutors know it's 12 13 available anywhere in the state. The unique piece that veterans have is that they often have some type of monthly payment from 7 8 9 14 wonderful idea because so many of the veterans have 14 15 unique situations. And it does not only have to be mental illness but it can be other things associated 15 their time in the service and that does give them 16 with service. MS. MALONEY: Absolutely. So the way the 17 19 21 Veterans Court works is you do have to plead guilty before entering the court. So you have to choose to go on this track. The Veterans Court is located in the ability to relocate and gives them funding to do that. It's obviously a lot harder for those who are looking to enter our Co-occurring Disorders Court because they may not have a monthly stipend to pay 22 Augusta. You have to be living in that -- in the 22 23 23 veterans in Maine who are located in Sanford and in 24 Augusta area or agree to move to the Augusta area in order to have your case transferred to our Veterans 24 25 Court. So it's not by any means automatic. It 25 Lewiston and there are services in both areas for veterans but -- so it wouldn't take that much money 16 17 18 19 20 Min-U-Script® 18 20 21 for relocation. So we have been able to have relocation. However, with that said, there are a lot of Duffy & McKenna Court Reporters 1-800-600-1000 (42) Pages 165 - 168 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 169 14 to open up a Veteran Court docket in those areas, and I do think that the population there would fill up -- would be able to fill the courts in those areas. MR. ROBINSON: One more question? But one of the conditions, though, to be eligible for that court would be, as you say, you would have to plead guilty? MS. MALONEY: Yes. MR. ROBINSON: Now, would that be on the advice of your attorney? MS. MALONEY: Oh, absolutely. MR. ROBINSON: Oh, okay. MS. MALONEY: You absolutely have a defense 15 attorney. The defense attorney is with you when you 1 2 3 4 5 6 7 8 9 10 11 12 13 Page 170 1 the Veterans Court. They say, "Yes, I've done this 2 and I need help. I need help so that I don't do this again in the future." And we talk about serving your time on the 3 4 5 6 11 and still be a part of the Veterans Court, but that's it. It's a maximum of nine months. And ideally, you don't serve nine months. I mean, ideally it's really all about the out of custody time. And what happens after you plead guilty is 12 that once a week, every Monday you go to court and 13 the judge says, "How's your week been? Tell us about what you've been doing." And you have this conversation with the judge. It's a check-in. And 7 8 9 10 14 15 17 it's in front of all of the other veterans who are on the court. So they support each other. They 18 work with one another. And then after Monday, every 19 day there are different things required of the person. There's -- so for example, on Thursday it is the group meeting of all the veterans in the court where they have a group counseling session. You'll be ordered to have individual counseling. You'll be ordered to have -- depending on what you need, there will be different steps that a person 16 21 enter the Veterans Court. We also have a defense attorney who serves on the team of the Veterans Court so that when we're discussing cases there's always a defense attorney present in the room. So the model is -- so for example, the person who committed an armed robbery, it was in 22 Cumberland. He had his case transferred to Kennebec 22 23 and he was -- you know, he wanted to plead guilty 23 24 and he wanted to say that he needed help. And that's generally what it is that brings people to 24 16 17 18 19 20 25 outside instead of serving your time on the inside. So you can serve up to nine months in county jail 20 21 25 Page 171 Page 172 has to take. And we try to tailor it to that individual. So the person from Cumberland County who 1 entered the court after committing armed robbery, he said for him committing armed robbery was a win/win 4 situation because he felt so dead inside that by taking this action, he was either going to be 6 8 9 10 killed, in which case he wouldn't feel dead anymore, he just would be dead, or he was going to have that adrenaline rush which would cause him to feel alive within the Veterans Administration but to specifically even be civilly committed to that psychiatric unit at Togus in Augusta. So those commitment hearings happened at Riverview but they're happening for Togus. MR. ROBINSON: Thank you. MS. KHIEL: Any other questions? Well, we'll 10 break until 2:00 and begin promptly at 2:00 with our 11 again. And the Veterans Court is the first time 11 12 that he was able to feel like a normal human being 12 13 again before he served his three tours of duty in 13 legislative panel. (Recess taken.) MS. KHIEL: Okay. Good afternoon, everyone. 14 14 will resume our briefing this afternoon with Panel 15 Iraq. And he has now become a mentor for the court. He mentors others who are currently going through 15 Four entitled Legislative Developments and the New 16 the system. He's spoken nationally about our 16 Forensic Unit. We have joining us this afternoon two of our legislators from -- who are joining us by telephone from the committee of -- the Chair of the Health and Human Services Committee as well as the Chair of the Criminal Justice Committee and I think that because of their time constraints if we could 1 2 3 4 5 6 7 8 9 2 3 5 7 17 Veterans Court. And he's getting his masters degree 17 18 in physics at USM right now. MR. ROBINSON: Oh, my God. MS. MALONEY: So a real success story for us. MR. ROBINSON: Thank you. MR. VOYVODICH: And can I just add on that? The question about veterans is that the VA in Augusta does have a psychiatric unit. So a diversion -- before we get to the point where the 18 19 20 21 22 23 24 25 Min-U-Script® 19 20 21 22 23 24 25 charges occurred and they're in the criminal justice system, there are resources for veterans to get help We have them go first? And we will wait to hear if they are connected. MR. NADEAU: They haven't called in yet. MS. KHIEL: Okay. So we will start with Daniel Duffy & McKenna Court Reporters 1-800-600-1000 (43) Pages 169 - 172 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 173 Page 174 1 Wathen, the Court Master for the Riverview Consent 1 2 2 6 Agreement. COURT MASTER WATHEN: Okay. MS. KHIEL: Good afternoon. COURT MASTER WATHEN: Good afternoon. Nice to be here. Nice to see you all. I guess I don't know 7 many of you except Eric; I know him. I won't -- you 7 8 8 15 won't hold that against me, will you? Well, let me begin by -- I have a -- I brought my last progress report. I don't have a prepared speech, but I have my last progress report and I'll leave it with you. And the yellow part that I've marked off for you was sort of a snapshot of what the forensic situation looked like at the end of 2016. And it's pretty -- I just thought to would be 16 useful for you to have some of the figures that you 16 17 17 19 could take away with you. And it describes it. And what I hope to do today is to sort of update that because there have been some 20 improvements, but not enough. So that'll give you 21 24 sort of the baseline, and then I'll tell you a little bit about what's gone on since then, and be happy to answer any of your questions. When it comes to the forensic population in 25 Maine, first of all, you have to -- I know you folks 3 4 5 9 10 11 12 13 14 18 22 23 3 4 5 6 appreciate that the largest mental institutions in the state are in fact the jails and prison, bar none. I mean, there are more people in there that have mental illness than there is probably in the community, but there's a lot, in any event. And the issue with regard to forensic treatment in Maine is and has been for some time, capacity. The capacity of the hospital is not nearly enough. And it's been 13 that way since at least 2012. And the snapshot that I just gave you -- let me start out with by saying there are 44 beds at Riverview. Roughly half. There are 92 total. 44 beds that are allocated to forensics, and they're in 14 two separate units. So there's Lower Saco and Upper 15 Saco which are forensic units, total 44 beds, and then there's Lower Kennebec and Upper Kennebec, 9 10 11 12 18 civil, total 48 beds. I think that's right. So there's only 44 beds. And starting at about 19 2012, the forensic population kept building up and 20 21 building up. And the first thing they tried was just putting forensics on the civil side of the 22 hospital. And at one point there were as many as 70 23 24 forensic clients out of a total of 92, which meant there were forensics in all four wards. And that 25 proved to be unwise. There are different management Page 175 Page 176 problems with forensic clientele, not the least of which is security, than there is from civil. And 1 2 3 that soon became apparent. And they -- it took them 3 4 a while to undo that but that -- they backed away from that. As of the end of 2016, in my little snapshot that I just gave you, there are four ways that people come into the forensic side of the hospital: They either come in for mental evaluation, or they come in for -- because they've been found incompetent to stand trial, or they come in because they've been found not criminally responsible, or they come in as a jail transfer. And the jail transfers are people who are in jail or prison who have such mental health problems that they can't be 4 1 5 6 7 8 9 10 11 12 13 14 15 12 treat those about the same because when they get behind on evaluations, courts have found them in contempt for refusing to admit. So they've sort of elevated the -- I think they would treat the evals as one step down from the ISTs, but they try to keep them even. And then jail transfers come last. And when I wrote this report the end of last year, it was very rare that they took a jail transfer because they just didn't have the capacity. They were -- they had back-up. Just looking at the ISTs and the evals, they had back-up that time. In the report I say nine average waiting over a 13 three-month period. The high was they had 16 people 14 waiting for evals or ISTs, and they had at all times anywheres from five to eight or nine jail transfers waiting. So they took no jail transfers. So you'd think, well, okay, that takes that out of the works. No, it doesn't, because if they -- people understand 2 5 6 7 8 9 10 11 15 dealt with in that environment and they send them to Riverview for a bit of treatment, hopefully so that 16 18 19 they can be returned to jail. And that takes the pressure off particularly the county jails which 19 that if they can't get in one way, they request a 20 have limited ability to deal with mental health. So 20 competency evaluation, so that the same people that you would be turning aside will come back in for competency evaluations, or for NCR evaluations. And 16 17 18 21 22 23 24 25 17 that's the four ways of getting into the hospital. The hospital obviously gives first priority to the NCR, the folks who have been found not 21 criminally responsible. Next is the incompetent to stand trial, and the evaluations. And they sort of 24 so the hospital really likes to take these people when they have the capacity because it solves a 25 future problem, and so if they can take them, treat Min-U-Script® 22 23 Duffy & McKenna Court Reporters 1-800-600-1000 (44) Pages 173 - 176 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 177 1 2 3 4 5 6 7 8 9 10 Page 178 them, and send them back, so on and so forth. So they were pretty well jammed up at the end 1 of the year. There have been some improvement in those numbers, but as I say, not quite enough. And how did they improve it over the course of the last 3 year? Well, first of all, functionally, they created -- they, I'm referring to the state -created a new forensic unit at Dorothea Dix in Bangor. They didn't say that, but that's what they've done. Because as you'll note in the report, 6 2 4 5 7 8 9 10 I said at that time you should observe that some of the more recent forensic admissions have been into 11 12 13 Dorothea Dix, which was brand new. They hadn't done 13 11 14 15 16 17 18 19 20 21 22 23 24 25 that before. 12 14 During this current year there has been as many as 30 forensic admissions at Dorothea Dix. And I think the bed capacity of Dorothea Dix is either 46 or 48. So that's a pretty big chunk of their -- the hospital. Currently -- I just checked it yesterday; currently there are 20 forensic clients at Dorothea Dix. Dorothea Dix does good work as far as I know, and Kevin Voyvodich is here and he tells me that he's been there several times and they do good work with the forensics. But I think it's worthwhile 15 16 17 18 19 20 21 22 23 24 25 noting that Dorothea Dix was not designed for a forensic population, and historically it hasn't been used for that. And I think that there -- you know, you'd have to be concerned about the facility itself as opposed to the staff when you start putting forensics in there. So that's the situation. They've improved it by putting a big chunk of these folks that were waiting at the end of last year into Dorothea Dix, but they -- that's still not quite enough because there are still folks on wait lists. Today and for the past week I can give you sort of an average of the wait list to get into Riverview on the forensic side. There has been one evaluation waiting. And they try now to do evaluations anyplace else except Riverview, if they can. If they can do it in a county jail, they'll do it there, if they can do it wherever. And it's largely up to the state forensic service whether they feel that they can do that or not. So they reduce the demand for evaluations but there was still one eval waiting all this past week, two incompetent -- two people who had been found incompetent to stand trial, and four to five jail transfers waiting. And they are essentially full. They have a Page 179 1 2 3 4 5 6 7 8 9 Page 180 vacancy on each of the units. So out of 44 beds they have two beds vacant. They have very high acuity at the moment, and that often prevents them from using every bed that they have. If the acuity level is high, they don't quickly take somebody in 1 when they're having trouble. And I think Kevin can vouch for the acuity. He's around there more than I 6 proposed a unit in Augusta. The legislative council 7 sort of dragged its feet. I don't know who's at fault, don't really care, but the -- in any event, it didn't get done. He's sort of gone off on his own and said, "I'm going to do it in Bangor," and the legislature isn't really enthused about that, and he's taking the position he can do it without any legislative authorization. And the Attorney General in his legislature, some of them at least, are sort of resisting that thought, that it requires authorization. MS. KHIEL: Court Master, if we could follow up with what you're saying -COURT MASTER WATHEN: Yeah. MS. KHIEL: -- in a few moments? We have our legislators, I believe, on the phone. COURT MASTER WATHEN: Okay. Sure. MS. KHIEL: Don't go anywhere and we'll be right back to you. COURT MASTER WATHEN: Okay. am, probably, but at least as much. So that's what's waiting. And that's pretty 2 3 4 5 8 9 much standard that there would be -- if you look at it almost on any particular day there is, you know, one or two evals, one or two people who have been found incompetent to stand trial who are waiting to get in. At the end of last year they were waiting 10 15 16 like a month or more. Currently I don't think they're waiting quite that long. But bear in mind, 17 these are people who have been found incompetent to 17 10 11 12 13 14 15 18 19 stand trial and they're waiting in jail. That's where they're waiting. It's not like they're 11 12 13 14 16 18 19 20 ensconced in an emergency room somewheres. They're 20 21 waiting in jail. And these are people who really are in need of help, treatment. Okay. So they have -- they've helped the problem, they haven't quite solved it, and so everybody is in agreement that there is a need for 21 22 23 24 25 Min-U-Script® 22 23 24 25 additional forensic capacity and there's been all sorts of discussion about a new unit but a lot of disagreement about how. And I'm sure you folks probably know the -- a little bit of the history of this. The Governor Duffy & McKenna Court Reporters 1-800-600-1000 (45) Pages 177 - 180 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 181 11 the legislators are speaking, we can't hear from here. MR. ROBINSON: I'll go talk to them. COURT MASTER WATHEN: Technology is not usually -MR. MEHNERT: I make sure I never touch it. I just don't touch it. MR. NADEAU: So we have Rachel. We have Rachel on the phone call. She'll be in the room, okay, 12 along with Representative Warren and Representative 12 REPRESENTATIVE WARREN: Not really. MR. NADEAU: Not really? REPRESENTATIVE WARREN: No. MR. ROBINSON: We can hear them. MS. KHIEL: Phil Nadeau, they can proceed. We can hear them. MR. NADEAU: Go right ahead with your testimony. Thank you. Rachel? MS. TALBOT-ROSS: Yes? MR. NADEAU: Will you please have your guests proceed with their testimony? MS. TALBOT-ROSS: Okay. I'll just make it 13 Hymanson. Okay? MS. KHIEL: Okay. MR. NADEAU: Okay? And when I give you the signal, the mic will be live and you can introduce yourself and the panel, all right? The mic is on. MS. KHIEL: Good afternoon, Representatives 13 clear I'm with Representative Warren and she'll be 14 speaking first. REPRESENTATIVE WARREN: Hi, everyone. My name is Representative Charlotte Warren. I represent Hallowell, Manchester and West Gardiner in the 1 2 3 4 5 6 7 8 9 10 14 15 16 17 18 19 20 MS. KHIEL: Okay. If we have Representative Page 182 Warren and Representative Hymanson on the phone? If Warren and Hymanson and our Committee member, Rachel Talbot-Ross. Thank you for joining us this 1 2 3 4 5 6 7 8 9 10 11 15 16 17 19 House, the Maine House of Representatives, and I also am the Co-Chair of the Criminal Justice and 20 Public Safety Committee of the Legislature. Can you 18 21 afternoon. We appreciate your time and your busy 21 22 schedules there in Augusta. Can we start with Representative Warren? MR. NADEAU: Are you able to hear Chairman Khiel? 22 23 24 25 23 24 25 all hear me okay? MR. NADEAU: Yes. MS. KHIEL: Yes. REPRESENTATIVE WARREN: Okay. Great. Thank you. So just a question for you before I start, Page 183 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 which is when we're talking about the criminalization of mental illness, are we thinking about substance use disorder under that tab of mental illness? MS. KHIEL: Yes. MR. NADEAU: She said yes. REPRESENTATIVE WARREN: Okay. Great. Thank you. Sorry. It's easy to hear you, sir, but it's not easy to hear anybody else in the room. So here's what I can tell you: From our perspective -- and when I say our, I'm mostly referring to Representative Talbot-Ross and myself because we both serve on the Criminal Justice Committee. Absolutely the continued efforts, what we fight every day, what we just fought in our committee meeting which we left to get here, is absolutely this return to using the criminal justice system to deal with the opiate epidemics that we're facing here in the state. We in the Criminal Justice Committee don't spend a lot of time being successful at incorporating programming that will help folks that are struggling with substance use disorder. Instead, we are in constant fight mode. We are in -- I don't mean that we're fighting amongst each Min-U-Script® Page 184 1 other; I mean that we are defending against the same 2 old policies. Policies that punish people and -- 3 and, you know, even trying to fund money to treat 4 programs. We've had two bills in our -- in front of our 5 6 7 committee this session so far that would have in one incantation or another provided funds to the county 20 jail to provide substance use disorder assistance. Those were absolutely party line votes. And yet again, the -- you know, the proposal that we just fought against this afternoon is a proposal that for any drug offense -- and I want to be really clear that it is for absolutely any drug offense -- the Governor has proposed that that person would lose their license for six months, even when it's not a traffic violation. So let's say that you're walking down the street. You happen to have a few of a certain type of medicine that you do not have a prescription for in your pocket. That is a drug offense and that 21 would be an automatic suspension of your license for 8 9 10 11 12 13 14 15 16 17 18 19 22 six months. So we will fight that hard. I just 23 give that as an example of -- you know, of the sort 24 25 of issues that we deal with. Before I'll hand it over to Patty -- to Duffy & McKenna Court Reporters 1-800-600-1000 (46) Pages 181 - 184 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 185 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Page 186 I'm Patty Hymanson. I'm Co-Chair of the Health and Human Services Committee. My background is in medicine. I'm a physician. I'm a neurologist, was Representative Hymanson, who is the Co-Chair of the Health and Human Services Committee, I'll say that 1 one of the pieces that Representative Talbot-Ross and I speak about a bunch is that every single time 3 4 in private practice for 30 years in the seacoast we have seen the cuts that are happening in the Health and Human Services sort of arena of state government, we are spending the money in the criminal justice arena of state government. So we now are seeing all of these proposals to increase the rights and powers of police officers because police officers have become the first line of defense for folks that are struggling with any sort of imbalance in their lives, whether it be sort of a traditional mental health struggle or some sort of issue around substance use disorder. 5 area and southern Maine, the seacoast New Hampshire. We -- from my experience we have so much cut community-based supports for these people that the 6 7 8 9 10 11 12 13 14 15 16 So I would be most interested to hear the questions that you would have for me that I can directly address. MS. KHIEL: Questions? MR. MEHNERT: Good afternoon, Representative. I'm interested in -- my name is Eric Mehnert. I'm interested in what has been done -- what we've heard from law enforcement, both sheriffs -- actually, sheriffs, chiefs of police from major urban centers, and the state police, is a dramatic need for community-based services up front to divert 17 individuals away from the legal system, the criminal 18 19 mothers and fathers and partners and roommates have 19 20 is to call their local police department. And then we all know sort of what the results are from there. 20 22 23 So that's just sort of a -- you know, sort of 30,000 foot view from my perspective, and I'll let 24 Representative Hymanson sort of weigh in as well. 24 justice system. Can you tell us what is out there for budget -budget funding for community-based services for individuals who have mental health issues? REPRESENTATIVE HYMANSON: well. She's (inaudible) our committee quite often and is a fantastic advocate, and brings up this all 25 the time. And we think about this a lot because the 18 21 22 25 only -- the only sort of line of defense that 2 REPRESENTATIVE HYMANSON: Hi. Good afternoon. 21 23 I know your sister Page 187 Page 188 1 community-based services for mental health are 1 2 grossly under-funded, not only for the services but for salaries. And what's happened is our workforce 2 has shrunk because of that. And people are not certain if it's only the salaries or just the shrinking of the workforce that's endemic to the (inaudible) has also pulled in the community services for mental health. But whatever the reason we fall short. In fact, there's a bill that I'll be speaking about in front of the House tomorrow that funds outpatient mental health. We have -- there's a story that I'll be telling is a story of a 13 year-old from Lewiston who 4 under-funded. So this rate bill that we have coming 5 tomorrow puts more money back into it even though we 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 committed suicide because her family has been loudly outspoken about the problems gaining access to outpatient behavioral mental health. So we speak about that a lot. We have a bill in front of us that tries to write a rate study that's been done by a organization called Burns and Associates out of Arizona. When you put together a rate study, you 3 numbers that came out leave the community 9 have this $500,000 rate study just done. Does that answer your question? MR. MEHNERT: Thank you. It does, to some degree. I guess has the budget -- has a budget for 10 community-based services shrunk or increased over 11 the past five years, if you know? REPRESENTATIVE HYMANSON: numbers for you. I can tell you that currently we are grossly under-funded. I could gather that for you if that's important. I think I even have my folders in my bag next to me but I can -- do you 6 7 8 12 13 14 15 16 I don't have those 17 want me to get those and more fully answer this or 18 do you want me to come back to you with information? 19 MR. MEHNERT: If you could send it, that would be great. Thank you very much. REPRESENTATIVE HYMANSON: welcome. MS. KHIEL: Do we have other questions for the legislators? REPRESENTATIVE HYMANSON: Are there other 20 21 depend on the information that's given to you, and whatever comes out will be right or wrong depending 22 on what goes on. Well, the numbers that were put into the rate 24 Min-U-Script® study were not reflective of actual cost needs from the outpatient behavioral health services. So the 23 25 Duffy & McKenna Court Reporters 1-800-600-1000 Okay. Sure. You're (47) Pages 185 - 188 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 189 1 2 3 4 5 6 7 8 Page 190 questions that I can address? MS. KHIEL: No, thank you. We appreciate your 1 time this afternoon. And if you can hear us, you're welcome to listen in longer, but if you can't, then 3 sort of a concept bill which is designed, I believe, as sort of a placeholder for the legislative proposal to produce a unit either in Augusta or 4 Bangor but to produce a new capacity. And those two we understand. Thank you. REPRESENTATIVE HYMANSON: I'll listen in. Thank you. MS. KHIEL: Court Master, would you like to 5 things seem to be two ships passing in the night at Okay. I'll be here. 2 6 7 8 the moment. The Governor's plan, he just -- they just released a Request for Qualifications for a 9 developer on the Bangor site which would require the COURT MASTER WATHEN: Sure. MS. KHIEL: I'm sorry. COURT MASTER WATHEN: Sure. I'd be happy to. 10 developer to purchase the state land and develop it for a new unit that would house, I believe, 22 or 25 12 forensic population. The call is a Request for With Representative Hymanson listening in I'll have to be more careful. No, seriously. She's heard me on too many occasions so she'll probably tune out, 13 Qualifications and then I believe the date that work would begin on the actual development of it would be 16 19 say, "I've heard that song before." I was leading up to the progress that has -- or the lack of progress that has been made on a new unit. The conclusion was capacity was needed. 20 Pretty much everyone agrees that capacity is needed 20 21 21 22 for the forensic population but there hasn't been any agreement on how that capacity is to be 23 developed. The Governor has gone off on his own and 23 24 has proposed a unit to be established in Bangor. There's a bill in the legislature, LD 162, which is 24 9 10 11 12 13 14 15 16 17 18 25 finish what you were saying when we interrupted you? 11 14 15 17 18 19 22 25 January, 2018. So it's a bit out in the future. There is also a Request for Proposal for an operator for that unit that went out separately, and the proposal in that would be that there would be the operator would begin in March of 2019, so it looks like they're sort of planning on it would be built in 2018 into 2019, begin operation in 2019, and calls for a 10-year contract for operation. I think it's fair to say that when you put something out that would take place under a new administration, even if it went well, that's not the Page 191 Page 192 So that was one theory as to what the ideal way to proceed. But in any event, that's what is there. So at the moment, any plan for a new unit 1 2 population of this new unit would be, would be the clearly is quite a long ways off and there are clearly a lot of dots, I's to be dotted and T's to be crossed before we actually have one. The other thing that sort of caught my attention about the new unit is that there has not 3 stable people who no longer require in-patient 4 hospitalization. And then the other discussion that been a consistent message as to what population this new unit would be designed to serve. If you listen 8 10 11 people in South Carolina that they could not handle 13 just to sort of discussions and admittedly media accounts of discussions, which is not always the best source, but in any event, if you listen to those, at times there will be discussion that this you heard from Mr. Reed, at least according to your -- and his son would be an example of that. He's currently in South Carolina. Maine has two 14 new unit would serve the stable forensic population 14 And I'm not clear which way this new unit would 15 23 go, but what I am sort of clear on is that you can't house that same population in the same unit. Those are very different, very different situations require probably a different facility kind of thing. One is sort of a step-down from the hospital and the other one is a sort of a step-up from the hospital. So in addition to the sort of lack of clarity as to when the unit would be produced, in my mind at least, there's a similar lack of clarity as to what 24 would the population be that would be housed? Both 1 2 3 4 5 6 7 8 9 10 11 12 15 16 17 18 19 20 21 22 23 24 25 who have -- no longer require full in-patient 5 6 7 9 12 13 treatment but who have not received court approval for placement in the community. And of the current population in the forensic, Upper Saco which is the 16 more stable unit, there's 20 -- 22 people up there, and there probably are 15 of them that would fit into that category, that they don't really require in-patient -- full in-patient hospitalization. Some of them have been there for many, many years; 15, 20, 25 years, but they're not -- they have not yet received approval for placement in the community. 19 Min-U-Script® 17 18 20 21 22 25 you'll occasionally hear is that this would be the -- a unit that would serve to house people who could not be handled in the hospital. And I think at Riverview. And so the -- that is another discussion. of those things are needed. Duffy & McKenna Court Reporters 1-800-600-1000 (48) Pages 189 - 192 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 193 1 2 3 4 And the IMHU at Maine State Prison serves the step-up occasionally for people who have at least been charged with or found guilty of a crime, but like Mr. Reed's son, it does not serve the Page 194 1 2 3 4 5 population that has never been charged with or never 5 6 been convicted of a crime. So the IMHU is not a total solution to the need for step-up, and this new unit either has to have a split function or maybe we need another unit, whatever. So that's sort of where we stand at the moment. I'd be happy to answer any questions. I would say to you just in general that if you're looking at the mental health system, the forensic part of the 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 capacity to deal with that so we leave it in the hands of the other. The other thing, and this is probably -- I don't know if anybody agrees with me on it or not, but if you look at there are people in Riverview who are forensic clients who have a history of assault, 7 and like Mr. Reed's son, they have a very long 8 history of assault. And I don't know whether Maegen 9 18 Maloney is still here but I probably should check before I say this. MR. MEHNERT: She is. She just raised her hand. COURT MASTER WATHEN: Okay. They -- after a long series of assault within the prison, there will be a clinical decision made as to whether or not that person when they assaulted had the capacity to create a criminal act and then they seek prosecution. And that -- and that goes in that way. 19 Maegen and others like her make the decision whether 20 to prosecute those and to go forward. And I'm not 21 24 being critical of that decision, but I'm -- it just -- it's not a totally satisfactory system in either direction. I don't have the answer to it but it just isn't totally satisfactory that, you know, 25 you see someone with a long history of assaults and 10 11 12 13 mental health system, the movement from the criminal justice system into the mental health system and the 14 movement from the mental health system into the criminal justice system doesn't really always make a lot of sense. For example, you know, my discussion of the jail transfers is a pretty good illustration. You know, we should be treating mental illness. Whether you're in jail or wherever you are, we should just recognize it as an illness, treat it, just like if you broke your leg in jail, we'd take you out and treat it and maybe put you back or whatever. But we don't have that. There isn't the 16 15 17 22 23 Page 195 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Page 196 all of a sudden one of them is criminal. That's -okay, maybe it is. And I think Maegen does a very good job of reviewing them to make sure that there 1 is a basis for criminality despite the fact that the person obviously has a mental illness and doesn't prosecute them unless she's satisfied, I would guess. I've never talked with her about that, but from my experience that's true. So those are -- that's just an area that as I sit and watch these things going by, I think there should be a better way but I've never quite figured out how to make it a better way. MS. KHIEL: Any questions? MR. MEHNERT: In fact, the District Attorney has said that she is frustrated that there are times when it shows up, shows up, and shows up, and finally she says, "I've got to charge in order to get treatment," even though she knows it's not what she wants to do. I think that's a fair -- is that a fair characterization? MS. MALONEY: On the misdemeanor case I talked about, yes. MR. MEHNERT: And so you perceive that that -do you perceive that that is an endemic problem in the criminal justice system at this point in time? 4 Min-U-Script® COURT MASTER WATHEN: Well, I'm not sure. I 2 don't know enough about the criminal system now -- 3 I've been removed from it for a long time -- but I suspect that that's true. And I know -- I know that in the -- the court system often uses the mental health system in terms of charges are brought, they're agreed to be dumped provided there is a satisfactory treatment plan, and they -- sometimes the courts want to involve themselves in that treatment plan which is sort of awkward in terms of -- but yeah, that happens very much. I think we -- we're using both systems and 5 6 7 8 9 10 11 12 14 sometimes dumping from one to the other and at other times building upon -- you know, using the other to 15 strengthen the solution to a problem. And that's -- 16 18 yeah. MR. MEHNERT: Our system recognizes that it if an individual can't form the requisite intent to 19 commit the crime that they can't be held responsible 20 24 for that crime. COURT MASTER WATHEN: Right. MR. MEHNERT: Right? And so when you talk about individuals who have been found NCR, not criminally responsible, on a wait list to get into 25 Riverview or any place else, I think you said there 13 17 21 22 23 Duffy & McKenna Court Reporters 1-800-600-1000 (49) Pages 193 - 196 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 197 1 2 3 4 5 were two that you were aware of recently or -COURT MASTER WATHEN: No. The NCRs, they usually take you in. MR. MEHNERT: They take them right away? COURT MASTER WATHEN: They take those as Page 198 1 2 3 4 5 6 quickly as they can. The ones that they -- the ones 6 7 that they -- are further down on the list are the evaluations and the incompetent to stand trial. 7 8 9 10 That's the one that, you know, he's been charged, he or she's been charged, they've gone -- they've done 8 9 10 11 15 an evaluation. They've gone to court. The Court has said, "This person is not competent to stand trial; therefore, I commit them to the custody of the Commissioner of the Department of Health and Human Services to be placed in Riverview," and 16 there's no room at the inn. Those people sometimes 16 11 12 13 14 17 18 19 20 21 22 23 24 25 get hung up, and sometimes for -- in the past it's been as much as a month or so. MR. MEHNERT: And they're held in the jail facility? COURT MASTER WATHEN: Held in the jail. MR. MEHNERT: And do you see constitutional issues with that? COURT MASTER WATHEN: I never really have thought about it. I guess there could be a 12 13 14 15 17 18 19 20 21 22 constitutional issue in anything. I don't -- I don't know. I think that it -- I mean, there are constitutional issues probably in someone not getting an evaluation as well. Obviously, the judges who found the department to be in contempt thought there were constitutional issues. But yeah, yeah. MR. MEHNERT: Thank you. MS. KHIEL: Do you know whether this proposed forensic unit in Bangor is separate and apart from the Dorothea Dix facility? COURT MASTER WATHEN: Yes. MS. KHIEL: The proposal is? COURT MASTER WATHEN: My understanding from reading the request would be, because it's -- it would be purchased land so the -MS. KHIEL: Okay. COURT MASTER WATHEN: -- developer would own the land and the Request for Proposals for an operator is addressed to private companies. So it would be -- it would be privately operated. It would not be part of Dorothea Dix. And in the 24 current configuration it wouldn't make any sense to me that it would be part of Dorothea Dix because 25 they're not really the forensic capital of Maine. 23 Page 199 1 2 3 4 5 6 7 8 9 10 11 12 The forensic capital of Maine is Riverview. So yeah, it would call for that. And under the consent decree, it's not my -it's not my call how the state chooses to deliver services. You know, they can do it with state employees. They can do it with private. That's -as long as the services reach a level that is consistent with the consent decree, that's all that I have any concern about. But is it -- you know, it's just a matter of -- my practical sense tells me that if there is to be a unit, it could be in Bangor. I think it would be better off if it were Page 200 1 my knowledge, there hasn't been such a study 2 conducted and it's difficult to know. The forensic population, there's a lot of variation. And when 3 4 this first started occurring in 2012, I wrote in a 5 progress report, it's troubling but we ought to wait 6 and see if this is just a bubble or if it's a trend. And it turned out to be a trend. So I think -- I'm 7 8 9 10 11 12 13 in Augusta because the people are going to be coming 13 14 from Riverview, and if there are problems, they're going to be returning to Riverview and so on and so forth. So it just -- it seems to me it's a little more practical to think of it in Augusta. But it's not -- it could be in Bangor. MR. TONEY: Setting aside for a moment the location between Bangor, or Augusta, has it been determined whether the size and the operational scope of the proposed facility is going to be appropriate to meet the actual need that we have here in Maine? COURT MASTER WATHEN: I'm not sure that I -- to 14 15 16 17 18 19 20 21 22 23 24 25 Min-U-Script® unaware that there has been any sort of formal study to say how much capacity should the State of Maine have? I do know that the forensic requests and demand are building up. I've been practicing law or been a judge for 50 years plus, and it was very uncommon to ever request 19 an evaluation or to ever have a plea -- I think in all my years of judging I only saw one, a plea of not criminally responsible, for the reason that you were -- most people felt they were better off with the a jail sentence than with an indeterminate commitment to Riverview or whatever. 20 When they emptied out AMHI, there was a guy in 15 16 17 18 21 22 23 24 25 there who had been in for 30 years on a theft conviction -- or on a theft charge which he'd been found NCR on. It was a misdemeanor charge and he'd been there 30 years. Didn't want to leave when they turned him out. Duffy & McKenna Court Reporters 1-800-600-1000 (50) Pages 197 - 200 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 201 1 2 3 4 5 6 7 8 9 10 So it was very rare to use it, but people now are sicker. People really are sicker. We see even within the last five or 10 years at Riverview, the people who come there are really far more in need of Page 202 1 2 3 4 treatment than they were 15 years ago. The interesting thing -- I'm going all over the lot here. I heard you talking about opiates. It struck me recently, we don't have any opiates at 5 Riverview. The mentally ill in Riverview don't seem to self-medicate on opiates. They have alcohol and And when you set up a for profit enterprise that operates just within one system, how does it 8 interface with the other systems of government that 9 we need to have it interface with? Do you have concerns about that? COURT MASTER WATHEN: Yes. When this first -- 10 11 22 23 terms of hearing and not observing. I've never been 23 24 there. I should be there some day. I know that's operated by a private organization. 24 12 13 14 15 16 17 18 19 20 21 25 come out that there needs to be after-care plans and there needs to be how are we transitioning them out. 7 6 marijuana and other things but not opiates, so I don't know where that takes us but it's a -MR. TONEY: Thank you. MS. KHIEL: Any other questions? MR. MEHNERT: I'm trying to understand how the interface -- I know that some of our jails use for-profit providers for medical and mental health services. Do you have any experience in working with those providers? COURT MASTER WATHEN: Not direct. The IMHU at Maine State Prison is operated by private Correct Care, I think it's called. And so I've -- just in 11 MR. MEHNERT: Do you have any concerns -- one of the things that we talk about is the need for continuity of care for individuals, that as they 12 13 14 15 16 17 18 19 20 21 22 25 when the new unit was first proposed, the continuity of care at Riverview was so -- was not of the level that I'd want to see. The turnover -- the staffing, psychiatric -- psychiatrists and psychiatric providers were largely being staffed by locum tenens or psychiatrists, sometimes staying only a month or two. So the continuity of care at Riverview -- and if you look at that report, when I wrote last year I was still talking about this problem. And so at that point in time if you'd asked me that question, I would say, "You know, it's conceivable that under a private operator you might have more continuity of care than is currently provided at Riverview." But since then, that has been corrected. And the Page 203 1 staffing problems that I refer to in that report Page 204 1 2 7 that is before you, have largely been taken care of. So there is a concern. I mean, the ideal thing would be that you would have a psychiatric staff that would provide continuity of care. And if you went from Riverview into this organization and this new unit, ideally there would be some continuity 8 there. Because if you are a forensic client, your 8 9 key to getting out is convincing a judge that you no 9 10 10 12 longer represent a risk of harm to yourself or others. And the most important witness in that effort is going to be your psychiatric provider. 13 And if you have a psychiatric provider who has only 14 known you for a month and a half, I don't think 15 you've got quite the same kind of a case if you have someone who has worked with you for 10 or 15 years. 15 20 One of the long-time residents of Riverview, forensic residents, they told me that he had 22 psychiatrists in the last, I don't know, four or five years. And I know that that's true. I mean, 21 because they've just had a rapid turnover, and they 22 total -- not totally but almost totally relied upon 23 locum tenens. They are just now moving into where the majority of the psychiatric providers are state line full permanent employees, so on and so forth. 2 3 4 5 6 11 16 17 18 19 24 25 Min-U-Script® 3 And that's been quite a -- really an accomplishment. So long-winded answer, but it depends on what's going on at Riverview as to whether this would be an 5 improvement or not an improvement. MS. KHIEL: Thank you. That will close our 4th 6 panel. We're right on time and we really appreciate 7 12 your time and input here today. COURT MASTER WATHEN: Thank you. Good to be here. MR. TONEY: Thank you. MR. ROBINSON: Thank you. MR. MEHNERT: I'm glad I got to sit up here 13 rather than down there where usually you're up here. 14 16 COURT MASTER WATHEN: Yeah, it's better being up there. MS. KHIEL: Now to accommodate the persons who 17 are not on our agenda but wish to make statements. 18 21 We will start our open session. We have three people who have stated interest in speaking. We will call them one at a time. And there's a limit of five minutes each. However, anyone can submit 22 written comments as we indicated before, and we can 23 provide you with the address. MR. NADEAU: And they're welcome to sit at the table or use the podium. 4 11 19 20 24 25 Duffy & McKenna Court Reporters 1-800-600-1000 (51) Pages 201 - 204 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 205 1 2 3 4 5 6 7 8 9 10 Page 206 MS. KHIEL: We'll start with Mr. Soule. MR. SOULE: Charles Soule, 135 Bartlett Street, Lewiston, Maine. Age 64. Veteran of the 1970s military police action. I live at 135 Bartlett Street, Lewiston, Maine. A number of issues have been brought up, and this is very -- been a very enlightening committee 1 meeting. One issue I had was with Maine Pretrial. Maine Pretrial is funded by the taxpayers and other organizations. It is funded by residents of Maine, 8 2 3 4 5 6 7 9 10 11 13 and I believe that should be looked after. I believe that Maine paying police officers to arrest individuals and then the state residents paying for 14 individuals through the Maine Pretrial to be bailed 14 15 out with Maine dollars is another issue. I also wanted to let you know that Maine has 15 the fastest, oldest growing population in the United States. The average age is 43. The Governor has to -- has to watch out for a shrinking economy. And 17 the fact that Maine has an aging population in retirement. As I said, I'm 64. And he must watch out for the retirement -- you know, retirement monies of the other individuals who are in retirement. One of the issues that was brought up was the 20 11 12 16 17 18 19 20 21 22 23 24 25 12 13 16 18 19 21 22 mental health issues of people on drugs. Maine is currently looking into undertaking rehab facilities that may lessen some of the population in the mental health units. Another -- I think as long as you remember that Maine has the oldest population, Maine's economy is contracting, and the fact that we have an older population. Maine is doing as best as it could. As I was growing up -- I was born in 1953. I believe Maine has come a long ways as far as mental health issues and providing adequate attention to individuals who need a psychiatric care. And I do want to thank you for your time. It's been very enlightening. I'll tell you, I'm very happy with this committee's work. MS. KHIEL: Thank you, sir. MR. SOULE: Thank you. MS. KHIEL: Next we'll have Ms. Jean Gore. MS. GORE: Good afternoon. Thanks for letting me speak. I'm Jean Gore. I live in Shapleigh. I'm a family member. I have a son with a serious mental 24 illness. Has he schizoeffective disorder. I am also the president of a non-profit called Families 25 for Treatment of Serious Mental Illness. We are a 23 Page 207 Page 208 new organization just started in 2015. And one of the things that I wanted to bring up that no one had mentioned is the fact that 40 to 50 percent of people with a serious mental illness suffer from a condition, it's a neurological 1 condition called anosognosia which means that they do not know they're ill. They have no awareness of 6 8 their illness, and because of that they will never 8 9 ask for help no matter how sick they get. That was a really hard concept for me to grasp as a parent. My son was National Honor Society, captain of his 10 1 2 3 4 5 6 7 10 11 soccer team, IQ of 149. Just brilliant artist, 2 3 4 5 7 9 11 he had become a revolving door, just in and out of the hospital because they'd treat him, they'd send him on his merry way, he'd stop taking his medication, he'd get sick again, and he'd be back. And he was homeless. He'd been in jail twice. Anyways, along about his 30th hospitalization, I learned about AOT, Assisted Outpatient Treatment. And that was right about the time when the PTP, the Progressive Treatment Program, in Maine was first started as a pilot program. I believe it was just out of Augusta, maybe 20 or 25 patients. And I 13 musician, loved by everyone. And for him when he 13 desperately wanted that for my son. And we at the time lived in Cape Neddick and we -- myself, Joe 14 became ill, to not be able to see it -- even psychiatrists would say to me, "Oh, he's just in denial. He'll come around." And it wasn't until I educated myself reading about his illness and discovered that, hello, there's a condition called anosognosia which means you cannot see it, that I finally understood that, no, it wasn't denial; it was that he really can't see it. And then I learned that 40 to 50 percent of other people with schizophrenia, schizoeffective disorder, bipolar disorder, also don't know they're sick. And then along about his 34th hospitalization, 14 Bruce, who is another family member, and a few other 12 15 16 17 18 19 20 21 22 23 24 25 Min-U-Script® 12 15 people got together and we all went through the 16 legislature and had changes made to the law so that 17 18 19 20 21 22 23 24 25 we could access it for our kids. And before I was able to get my son in the PTP program, we basically had to jam the Governor's phone lines because no one would do it. They wouldn't let us do it. And finally, we were able to get someone to just say, "Fine. Let her do it. Let them do it." And all we had was a psychiatrist out of York Hospital, and that's it. Just a psychiatrist. And they wrote the treatment plan Duffy & McKenna Court Reporters 1-800-600-1000 (52) Pages 205 - 208 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 209 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Page 210 which was he was going to show up once a month for his, you know, medication review. He was going to 1 take his medication. If he didn't, he'd go back to the hospital. And he -- his psychiatrist at the time tried Clozaril because everything else, he had become a non-responder. And for two years he did great, and then his psychiatrist left the State of Maine. And his reason was at the time that it was too hard to fight to get paid. And as much as he loved his patients, it was just too hard to earn a living in this state. What specifically he meant, I should have asked. I don't know. Then we went to -- my son has private insurance 3 2 medication and wasn't on the on the PTP program. And he was hospitalized four times in four months at 7 Spring Harbor, in and out, in and out, in and out, no -- nothing -- nothing ever getting solved. Finally, I got guardianship. And so at least once he was in a hospital, I couldn't force him into a hospital, but once he was there, I could insist on 8 medication over his objection, and then we began the 9 road back to now he's doing great again. MS. KHIEL: Ms. Gore, if you could please wrap up your comments? MS. GORE: I guess my point is bringing up the 4 5 6 10 11 12 13 14 PTP program, no one knows it exists. And 40 to 50 percent of your people that are winding up in the criminal justice system have no insight. And if the state would promote and use the PTP program, they could perhaps prevent these people even winding up 15 as well as MaineCare because he -- because he became 15 16 16 19 ill before he was 26, I guess, or -- no, it was 22 for that piece of it. He's able to stay at my ex-husband's insurance. So we had private insurance. We had MaineCare. I called every -- 19 And the second thing I wanted to mention -- and 20 every organization, every private practice trying to 20 21 21 23 find a doctor for him and could not find a psychiatrist willing to take him. Finally got him to Sweetsir. But for about a year he became so ill I'll write a letter because I know I've gone way over my five minutes. I want -- I agree with the 24 again. And we wound up -- he had a PNMI bed, he had 24 25 an ACT team out of Sanford, but he wasn't taking 25 17 18 22 17 18 22 23 incarcerated in the first place. lack of services. It's a huge problem. But you had asked about if there were any tweaks that could be made in the law. And when the police officers were talking about, you know, the standardness of Page 211 1 dangerness (sic), and then there's a title, it's Page 212 1 2 statute 3801 4C, which is not used but it should be. 2 3 It's basically that they're unable to keep themselves from harm. If -- his example of the person standing in front of the store who's just a 3 nuisance and talking to himself and babbling on and on, if that was an 80 year-old who had Alzheimer's, I guarantee we would have gotten that person to a hospital or done something. He could use Section 4C but they don't because there's not enough beds and 6 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 4 5 7 8 9 10 they know that if they bring him to the hospital they're not going to keep him. And 4D, if you read 4D, that's a need for 11 treatment standard that unfortunately you can only use if they're in the PTP program. The beauty of the PTP program is you no longer have to wait for the person to become dangerous to get them help. I can bring my son to the hospital or have him brought 14 to the hospital. For example, his medication 12 13 15 16 17 18 19 20 stopped working several months ago. We had to get 20 21 him back to the hospital. We didn't have to wait for someone's, you know, life to be threatened or for him to get hurt. MS. KHIEL: Thank you very much, Ms. Gore. MS. GORE: You're welcome. 21 22 23 24 25 Min-U-Script® 22 23 24 25 MS. KHIEL: We will look forward to getting your comments -MS. GORE: Yeah, I'll write a lot more. MS. KHIEL: -- in writing. Thank you. Next we have a Laurie Turely. MS. TURLEY: Thank you. I am going to do my absolute best to get through this without tears. You've already witnessed that I'm not all that good at doing that which is why I was fast and furiously writing and I'm probably going to reiterate a lot of what has already been said today. I've listened to every session and I just want to really, first of all, tell you thank you so much for making this opportunity available and for looking into what is clearly a very complex and difficult issue. Families like ours here in Maine need you folks working on behalf of the seriously mentally ill. I also want to make it clear that in all of our family's interactions -- and I'm reading now to keep myself on a keel -- with our local police department, and there have been many in the past 10 years since our son was first diagnosed with a severe and persistent psychotic illness, our local police department and the police department in the adjoining town where we also lived for a while, have Duffy & McKenna Court Reporters 1-800-600-1000 (53) Pages 209 - 212 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 213 Page 214 1 always been exemplary. Compassionate, concerned, 1 2 alert. They've got us on speed dial. And if you don't mind my taking just a little 2 aside which I didn't write down, just a testimony to how good they are. One night I was getting ready for bed and I was playing with my cell phone moving 4 3 4 5 6 7 8 9 10 11 12 contacts around, and I mistakenly hit 911. 3 6 7 concerned, humane, and really concerned about trying Immediately hung up. Rolled over, my husband was already asleep. Within 30 seconds, 911 was calling 8 to help him and our family out. And so with that I have several statements me. And while I was on the phone and they were asking me if I was safe, if I was okay, was anybody 10 in my house telling me not to call, and I was 9 11 22 23 threatened and acted on those threats on more than 24 one occasion. And I am not exaggerating. The police in our town still have the knives 17 24 help us. Their hands are tied just like family members. And you've seen from the four police officers who were here earlier, their frustration in wanting to help the situation. So I just want to say that it is a big issue, which you obviously know. I would also like to voice my appreciation for our mental health workers, and especially in our 25 particular case to Riverview. Riverview's gotten a 25 15 16 17 18 19 20 21 22 23 today regarding many forms of mental illnesses and the problems addressing them. But like Jean just said, one of the things I haven't heard so much about today is the situation of persistent and severe mental illness. Our son has a diagnosis of paranoid schizophrenia. His schizophrenia, his illness, not him -- and I cannot make that clear enough -- his illness causes him to believe things about myself, his mother, and his father, that are not true, causes him to believe that he is threatened, causes him to feel that he needs to protect himself. And so consequently he has threatened on numerous occasions, violently 12 13 14 worked on. But our son's been in Riverview several times, and every time has come out better than when he went in, which of course is the goal. And we have always found them to be compassionate, 5 reassuring them that it was an accident, there were blue lights in my driveway because they know our family so well. They have been at our house, at our door. They have done everything in their power to 13 pretty bad rep in this state. There's been a lot of challenges and a lot of things have needed to be 14 15 16 18 19 20 21 Page 215 Page 216 14 from the last assault, which was on me. I haven't seen my son in over a year because of a court protection order which was put in place by the courts, not so much by ourselves. The story I want to tell you right now, because I know I have to be brief, and I know that you've heard so much. I don't think I'm going to repeat -say anything that you haven't heard already, but what I want to share with you is one story that is a story that we have seen repeated in our family countless times over the past decade. Countless times. This is not an isolated incident. And knowing because we tend to find each other, we families of those with severe and persistent mental 15 illness, we seek each other out. And I know that my 15 16 16 18 story is not unique to our family. It is common throughout Maine and throughout the country. Start a little further into the illness. He's 19 on medication, court ordered. He goes to Riverview 19 20 20 23 from jail. From Riverview he's put into a PTP program or a group home or a stabilization outpatient treatment and doing well. He's stable. He gets a job. A reputable job. He has a life. 24 Granted, he will always have his illness, but he has 24 1 2 3 4 5 6 7 8 9 10 11 12 13 17 21 22 25 a life. But then the court order ends. He's no Min-U-Script® 1 2 3 4 5 6 7 longer compelled to accept treatment, and he goes off medication for the very reason that Jean just told you about. The insight is lacking. And so we are back again. Our son is at our doorstep. And again, I just want to reiterate, this is a repeated cycle. This is not one time. This is the past 10, 12 years in our family. 8 He's back at our doorstep, essentially homeless 9 because he's left all of his services and because they can't force him to accept services if he doesn't want to now because he's no longer court ordered. He's delusional. He's psychotic. He's hallucinating. He's hearing the voices that tell him mom and dad are the threat. 10 11 12 13 14 17 18 21 22 23 25 And so once again, we're on the phone. We call his former case manager, his former psychiatrist. We call the police. Well, get to the police. You get the picture. Phone call after phone call and every single time the response is the same. "If you feel your son is a danger to himself or others, call 911." Every single time. He has had consistently over the past 10 years the exact same diagnosis by multiple psychiatrists in more than one hospital -- not just Riverview -paranoid schizophrenia. Paranoid schizophrenia. Duffy & McKenna Court Reporters 1-800-600-1000 (54) Pages 213 - 216 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 217 Page 218 1 Everyone that we have come in contact with through 1 2 this time knows his diagnosis and yet every time we're back to square one. "Call 911." So we call 911. And unless they can immediately and visibly see the threat, they are helpless to act. And they know the threat. I told you, they've got us on speed dial. They believe us. They know. They've 2 taken him before when they could. But we are always back to square one again until a crisis occurs which 8 it inevitably does. Inevitably there's an act of violence or assault, which is not him. It is his illness that causes him to attack for whatever reason. And then he's back in jail. From jail to the hospital, again having to wait for additional diagnosis which has already been done multiple times. I hope that you get my point. I wonder how -- 10 and I know this is a complex issue and I know there are no easy answers, but how can we bring all of 18 Lewiston. And Mo, thanks for keeping my seat warm. 19 these pieces together so that families like ours don't have to sit and wait? Right now our son is doing well, according to a friend who gets to visit 20 him. I haven't seen him. I love him. We don't get to see him when he's doing well because that's when he's under -- we're under protection. We get to see 23 I usually sit right over there. Again, thanks for providing this forum. It's a subject matter that's really important to this community. And a little less than two years ago during a 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 3 him when the protection is gone and he comes home. And that's where we see our son. And we are living in terror. But in two years the court-ordered 4 treatment will end. I would love to believe that in 5 two years he will have insight but the nature of paranoid schizophrenia not lend itself to that. MS. KHIEL: Thank you very much, Ms. Turley. MS. TURLEY: Families need to be heard. That's my main statement. Thank you. MS. KHIEL: You stated that very clearly and given us a good picture. Thank you. MS. TURLEY: And I didn't cry. MS. KHIEL: Thank you. And lastly, we have Jim Lysen, is it? MR. LYSEN: Thank you. On behalf of the city, I'd like to welcome you guys here. I know it's the end of your day. But I'm a city councilor here in 6 7 9 11 12 13 14 15 16 17 21 22 24 25 mayor debate, which people were instructed not to react to anything that's said, one of the candidates Page 219 Page 220 4 illness if we can get them treatment. And to me, this is not, you know, we don't want to spend anymore money. This is a good investment. And I think that's a debate that occurs across this state. 5 You know, they would rather jail people than to, you 6 8 know, fund mental health services properly. Also, you've got some threats out there. I mean, there are threats to eliminate 23,000,000 9 people from the Affordable Care Act. This is access 10 21 to health care. This is access to those services and those medications. And we've heard stories about people not being able to afford medications, and really the tragic outcomes that occur. I think we have to understand that. Also, in this state we've failed to expand the Medicaid program covering tens of thousands of people. The same issue of access to health care. Before I was a city councilor I ran a federally-qualified health center affiliated with St. Mary's that had 23 practice sites. I did that for 12 years so I was on kind of the front line of 22 providing services to everyone regardless of ability 23 to pay. I had five school-based health centers. We know that this preventive care works. We know people have access to doctors and will see 1 stood up and talked about the opioid crisis and how 1 2 2 7 it's time to kind of find treatment rather than to jail people. The whole -- you know, we were in Callahan Hall of the library, top floor. Probably 150 people broke out into applause. Cross party lines, cross -- you know, everyone is touched by this crisis, and I think that that's one of the 8 messages that I wanted to strongly convey is that -- 3 4 5 6 9 10 11 12 13 14 and this opiate crisis is not -- this is not a lifestyle choice. This is often people -- we have suburban housewives that were addicted to painkillers that were prescribed. It is just -- it touches all of our families. The way forward here -- and I wasn't here for 3 7 11 12 13 14 the morning but I kind of picked up on the morning sessions. It seems like we have agreement on this issue, a way forward that both the criminal justice system, including law enforcement and providers, and 15 19 23 quite frankly, the majority of the legislature agrees that this is something we need to put more resources toward. And it just seems that that will is not there. And again, that $45,000 a year to incarcerate 24 somebody here in this state, to me, the investment, 24 25 be it preventive or even during when somebody has an 25 15 16 17 18 19 20 21 22 Min-U-Script® 16 17 18 20 Duffy & McKenna Court Reporters 1-800-600-1000 (55) Pages 217 - 220 Maine Advisory Council to the United States Commission on Civil Rights June 14, 2017 Page 221 Page 222 them. They will get the kind of treatment they need and get the kind of medications they need that are 1 appropriate. The -- again, limits to access, to health care, 3 4 5 is limited to access to mental health services. And 5 1 2 3 2 4 6 I think the co-occurring issues that people have 6 7 with drug addition, mental health issues, I know we 7 8 9 10 11 12 13 14 15 have a health center -- still do -- right up the hill here from city hall called the B Street 8 9 Community Center, or health center. We did some studies. 80 percent of our patients who came back had co-occurring diseases. 80 percent. Eight out of 10. Obviously in a poor area of town. We were a 10 federally qualified health center. But it was -you know, that's a serious issue. So most people had both health and mental health issues. So again, I think the issue is important and I appreciate the attention on it. And I'm out of the 14 11 12 13 15 you for your time. MS. KHIEL: Thank you very much. MS. TURLEY: Would I be allowed to say one quick sentence? Is that allowed? If it's not, you can say so. MS. KHIEL: Sure. MS. TURLEY: Something I had written down and forgot to say. MS. KHIEL: Okay. MS. TURLEY: The issue of being a danger to oneself or others when an act of violence actually occurs, and I have said to the police, "Now it's obvious he's a danger to himself or others, correct? Now you can take him to the hospital?" And their response is no because now he's actually committed a 18 felony. I mean, that's something that we -- again, it's been said all day, but we don't treat before garden today to come here and listen to you guys and also hoping to add some input. Again, I think that 19 tragedy. We wait until tragedy and then eventually 20 21 24 there's a lot of awareness on this issue but I just think we need to somehow find the resources necessary to keep -- you know, to stop the criminalization of mental health disease and stop 24 treat. So that's all. MS. KHIEL: Thank you very much. MR. TONEY: Thank you. MS. KHIEL: That concludes our briefing today. Thank you very much, everybody, for attending, 25 doing it backwards, as Mr. Reed said. And I thank 25 committee, our chair of the US Commission on Civil 16 17 18 19 20 21 22 23 16 17 22 23 Page 223 1 2 3 Rights, it's an honor to have her here. Barbara, Evelyn. Thank you, everyone. (Concluded at 3:22 p.m.) 4 Page 224 C E R T I F I C A T E. 1 I, Sharon G. Saalfield, a Licensed Shorthand 2 3 Reporter for the State of New Hampshire, Registered 4 Professional Reporter and Certified Realtime Reporter, do 5 hereby certify that the foregoing is a true and accurate 6 transcript of my stenographic notes of the proceeding taken at 7 the place and on the date hereinbefore set forth to the best 8 8 of my skill and ability under the conditions present at the 9 9 time. 10 10 11 11 counsel for, nor related to or employed by any of the parties 12 12 to the action in which this proceeding was taken, and further 13 13 that I am not a relative or employee of any attorney or 14 14 counsel employed in this case, nor am I financially interested 15 15 in this action. 16 16 17 17 The foregoing certification of this transcript does not apply to any reproduction of the same by any means unless under the direct control and/or direction of the certifying 18 18 19 19 20 20 21 21 22 22 ________________________________ 23 23 NH Lic. No. 147, RPR, CRR 24 24 25 25 5 6 7 I further certify that I am neither attorney or reporter. Min-U-Script® Sharon G. 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45:21,22;56:11; 65:16;69:5,14; 110:15;162:3;173:17; 175:4;186:17;197:4 awkward (1) 196:10 B babbling (1) 211:6 baby (1) 146:23 back (61) 15:18;16:13,24; 20:21;22:3;37:2; 38:19;40:13;42:16; 44:4;52:17;57:21,23; 58:5,5,8,9;63:13; 64:10;66:3;72:6;73:1; 75:7;85:18;92:16; 95:5;103:13;106:11; 109:1;111:1;116:8; 117:3;118:4;119:13; 125:5;127:10;137:20, 23;138:6;142:6,25; 148:20;149:1;152:21; 161:13;176:21;177:1; 180:24;188:5,18; 193:24;208:4;209:3; 210:9;211:21;216:4, 8;217:3,9,13;221:11 backbone (1) 117:12 Backed (2) 29:2;175:4 background (1) 186:2 backtrack (1) 155:13 backtracked (1) 115:23 back-up (2) 176:10,11 backwards (2) 132:19;221:25 bad (4) 19:18;92:17;97:3; 214:1 badge (1) 55:7 bag (1) 188:16 bail (6) 104:25;147:10; 154:5,12;155:3; 156:19 bailed (2) 154:4;205:14 balance (3) 22:20;23:1;63:6 balances (2) 122:8;131:24 banana (1) 15:17 bananas (1) 15:18 Bangor (15) 30:13;69:4;99:22; 151:14;152:1,13; 177:9;180:10;189:24; 190:4,9;198:10; 199:12,18,20 Banish (1) 20:15 bank (1) 165:19 bankrupting (1) 67:9 banned (1) 151:13 bar (1) 174:2 Barbara (3) 6:3;9:21;223:1 barely (1) 148:13 bargaining (1) 154:18 barricaded (2) 85:23;115:9 barriers (1) 26:20 Bartlett (2) 205:2,4 based (12) 27:18;32:15;36:21; 41:24;57:8;60:13; 69:17;84:1;86:7; 113:1;151:23;152:15 baseline (3) 74:6;85:18;173:21 basic (9) 48:2;53:13;54:1; 62:14;68:9;82:13; 83:3,4;84:8 basically (5) 36:20;99:20;113:3; 208:19;211:3 basis (7) 20:1;84:4;94:15; 98:18;130:5;164:25; 195:4 bear (2) Duffy & McKenna Court Reporters 1-800-600-1000 60:10;179:16 beauty (1) 211:15 became (9) 12:22;14:8;73:14; 86:2;150:6;175:3; 207:14;209:15,23 become (9) 62:1;115:14; 134:14;144:23; 171:14;185:11;208:1; 209:6;211:17 becomes (4) 52:6;109:11; 115:15;158:10 becoming (2) 66:9,14 bed (17) 64:15,17;65:5; 69:24;79:24;80:2; 116:22,23,23;149:23; 150:6;153:12;160:6; 177:17;179:4;209:24; 213:6 beds (12) 70:6;100:9,18; 102:16;174:11,13,15, 17,18;179:1,2;211:10 began (1) 210:8 begin (12) 11:5,22;60:1,15; 118:8,10;162:17; 172:10;173:9;190:14, 19,21 beginning (3) 13:18;24:18,19 begins (1) 64:24 behalf (5) 10:21;22:17;119:6; 212:17;218:15 behaving (1) 105:7 behavior (16) 7:16,19;14:5;28:23; 33:7;35:9;39:5,7; 40:2;41:21;44:2; 61:15;83:19;85:13; 89:11;147:15 behavioral (14) 39:6,22,25;40:7; 41:9;58:5;75:25; 76:13;77:13;79:2,8; 117:13;187:17;188:2 behaviors (5) 35:21;122:11,17, 21;131:21 behind (3) 50:4;54:6;176:2 beings (1) 97:12 belief (1) (3) assaults - belief Maine Advisory Council to the United States Commission on Civil Rights 114:24 belong (3) 94:20;111:1;134:9 benefit (1) 51:16 benefits (2) 126:23;165:8 Berwick (1) 21:13 beside (1) 109:23 best (17) 23:22,24;27:16; 35:1;41:14;43:12,22; 53:7;63:10;87:11; 97:12;127:18,18; 162:8;191:12;206:9; 212:7 better (27) 9:2;11:12;24:20; 30:6,8;35:15;47:14; 54:16;70:1;73:11; 74:2;78:7;91:19,19; 92:21;99:20;100:22; 133:4;138:18;148:16; 162:14;195:11,12; 199:12;200:17; 204:14;214:4 Bexar (1) 44:18 beyond (1) 99:9 bias (2) 84:24,25 bias-based (1) 85:1 big (6) 140:21;153:22; 162:4;177:18;178:8; 213:22 bigger (1) 99:15 biggest (5) 86:18;91:21;101:8; 168:1,9 bill (10) 19:5;144:4,7,9,12; 187:10,18;188:4; 189:25;190:1 bills (1) 184:5 Bill's (1) 144:5 bipartisan (1) 6:9 Bipolar (3) 12:14;13:10;207:23 bit (16) 39:17;46:6;70:15; 72:2;74:12;75:9; 87:24;122:5;123:8, 13;134:21;161:18; 173:22;175:17;180:5; Min-U-Script® June 14, 2017 190:15 blame (1) 51:5 blatant (1) 34:9 bless (1) 135:20 blessed (1) 95:19 blessing (1) 21:7 block (1) 117:6 blocks (1) 53:5 blue (4) 15:13;44:8,11; 213:14 blueprint (1) 29:8 blush (1) 63:11 Board (24) 8:9;11:11;21:22,23; 22:6;25:23;51:13,14, 16,20;52:3,5,7;70:24; 74:8;77:3;78:15;82:1; 83:1;84:19;111:24; 116:11;117:16;155:7 boards (2) 52:8,15 Bob (3) 11:6;34:13;52:24 Bobby (1) 146:12 Bohor (1) 6:3 bomb (1) 88:15 bootstrapping (1) 36:1 born (2) 146:23;206:10 Boston (2) 76:18,21 both (18) 27:18;46:8;62:23; 63:5;69:4;80:25; 97:24;122:6;137:15; 139:9;140:1;168:24; 183:13;186:13; 192:24;196:12; 219:17;221:16 bother (1) 145:15 Bouffard (1) 57:17 bought (1) 65:12 bounce (1) 44:4 bouncing (1) 13:22 bouts (1) 13:3 boxer (2) 12:21;146:6 boxing (3) 12:19;13:2;146:12 boy (1) 78:6 brain (1) 28:9 brand (1) 177:13 brave (1) 132:17 break (3) 13:13;118:4;172:10 breath (1) 110:6 breeding (1) 38:24 bridge (2) 54:5,7 brief (4) 15:6;59:25;150:15; 215:6 briefing (10) 4:5;5:23;6:21;9:1,5, 17;10:25;11:11; 172:14;222:23 briefly (3) 60:7;106:23;158:19 bright (1) 12:6 brilliant (1) 207:12 bring (15) 16:1;49:13,24;51:6; 56:17;59:21;67:11; 76:8;98:5;110:12; 141:6;207:2;211:11, 18;217:19 bringing (3) 110:14;120:21; 210:12 brings (4) 53:1;156:2;169:25; 186:24 broad (3) 6:23;98:3;119:4 broadsword (1) 108:9 broke (2) 193:23;219:5 broken (1) 116:12 brother (1) 146:23 brother's (1) 147:1 brought (14) 21:8;32:25;73:1; 124:2;131:22;147:9; 148:24;154:3;158:4; 173:9;196:6;205:6, 25;211:18 Bruce (1) 208:14 brutally (2) 143:9;144:3 bubble (1) 200:6 budget (18) 25:17,20;26:3; 49:21;52:12;58:15, 16,17,19,22,23;59:4, 9;65:19;186:19,20; 188:9,9 budgets (2) 7:8;70:1 build (6) 47:3;54:5,6;70:4; 85:9;86:21 building (7) 32:4;72:15,15; 174:19,20;196:14; 200:11 built (2) 52:22;190:21 bumping (2) 16:10,19 bunch (3) 75:20;96:2;185:4 buoyed (1) 145:9 burden (3) 18:21;33:13;65:13 Bureau (1) 53:10 burglaries (1) 136:4 burglary (2) 71:18,22 Burns (1) 187:20 bus (1) 65:12 business (4) 42:15,17;43:10; 147:14 businesses (1) 61:13 busy (4) 71:1;76:16;110:5; 181:21 buying (1) 165:25 C cadre (1) 81:6 cage (1) 38:19 California (2) 28:5;46:22 call (43) Duffy & McKenna Court Reporters 1-800-600-1000 9:24;54:17;66:10; 69:15;70:23;71:19; 72:14;81:23;90:22; 92:4;93:7,20;94:2,3, 6;105:5;109:10; 110:9;111:8;112:20; 120:24;131:8;134:10; 141:18,22;144:4; 147:13,13;156:5; 181:11;185:20; 190:12;199:2,4; 204:20;213:12; 216:15,17,18,18,20; 217:3,3 Callahan (1) 219:4 called (18) 57:7;107:18; 112:22;114:22; 120:23;134:6;139:25; 142:3;147:16;161:4; 172:24;187:20; 201:22;206:24;207:6, 18;209:19;221:9 calling (3) 42:16;43:10;213:9 calls (38) 30:5,19,22;31:5,12; 67:14;70:20;71:7,7,8, 9,11,16;72:14,17; 75:24;77:11,12,13,18, 25;81:23;85:22;86:1, 2,3;89:1;92:8,18,23; 93:19;98:20;99:3; 109:2;110:7;111:7; 124:3;190:22 came (6) 25:2;90:15;145:10; 164:17;188:3;221:11 campaign (2) 29:16;30:19 campus (1) 46:25 can (139) 10:13;11:12;16:21; 17:12;21:19;22:23; 23:22,24;24:9;27:25; 29:9;31:3;43:22,24; 44:1,4;47:10,11,13, 14,14;48:4,21;54:9, 15;55:8;57:11;59:18; 63:4,14;66:1,11,12; 70:22;73:11;75:5,6; 76:1,8,17;80:1;86:15; 91:12;93:15;95:1; 97:14;99:6;100:12, 13,14,23;102:22; 105:9,13,24;107:5; 110:4,9,12;112:7; 113:3,12,15,18;114:1; 119:19,23;120:13,13; 121:10;123:10; 124:20;127:4,25; (4) belong - can Maine Advisory Council to the United States Commission on Civil Rights 129:24;130:7,13; 131:9,17;133:4; 134:18;137:2,13; 138:18;141:10;147:5; 154:8,9,10;155:8; 156:16;157:3,9; 162:3,8;164:4;166:2, 23;167:1,16;168:4,8, 8;170:6;171:22; 175:18;176:25; 178:12,16,16,17,19; 179:6;180:12;181:16, 22;182:4,5,6,20; 183:10;186:7,19; 188:13,16;189:1,3; 197:6;199:5,6; 204:21,22;211:14,18; 217:4,19;220:1; 222:5,14 candidates (1) 218:25 canine (1) 88:7 capable (1) 36:22 capably (1) 98:16 capacities (1) 120:4 capacity (22) 22:16;99:11;100:2, 4;118:19;133:13,19; 157:1,10;174:7,7; 176:9,24;177:17; 180:1;189:19,20,22; 190:4;194:1,16;200:9 Cape (3) 12:3;93:20;208:13 capital (2) 198:25;199:1 captain (1) 207:11 car (2) 72:16;138:6 care (61) 12:18;19:12,21; 22:1,9;23:9,11,17; 24:9;25:20;26:2,16, 19,23;27:20;33:7,11, 14,21,24;34:6,11; 47:8;60:20;62:14,21; 63:7;64:8;66:5;69:23; 77:2;79:1;86:13; 126:17,24;127:18; 128:25,25;129:2,3,10, 11;132:20;144:21,25; 148:21;165:24;180:8; 201:22;202:3,13,18, 24;203:2,5;206:13; 220:9,10,17,24;221:4 career (5) 13:2;87:20;114:3; 134:5,6 Min-U-Script® June 14, 2017 careful (1) 189:14 caregiver (1) 40:10 Carl (2) 4:13;43:24 Carl's (2) 43:24;56:1 Carolina (13) 12:2;17:6,8,13,16, 23;18:2,8;36:19,23; 37:5;192:10,11 case (36) 14:19;34:2,14; 49:18;92:3;95:20; 106:9;115:21;125:14; 128:8,24;129:3,9; 139:11;142:14; 150:20;163:1,24; 164:6,11,21,24;165:6, 21;166:20,21,22,23, 24;167:24;169:22; 171:8;195:21;203:15; 213:25;216:16 caseload (2) 145:2;167:12 cases (32) 23:17;40:1;55:16, 16;61:1;62:4,18; 64:12,20,24;71:25; 76:4;91:1;95:6;97:8; 115:6;125:10;126:11; 134:1;141:14;153:2, 4,7,10,17;154:9,19, 25;156:18,24;165:20; 169:18 catalogue (1) 71:20 catastrophic (1) 59:19 catatonic (1) 14:9 category (1) 191:21 Catherine (2) 4:23;6:2 caught (1) 191:6 cause (5) 16:8;62:18,20;86:7; 171:10 causes (5) 144:5;214:17,19, 20;217:12 causing (2) 23:14;32:2 CCJ (1) 148:10 cell (4) 15:25;161:2,5; 213:6 cells (1) 135:15 cellular (1) 86:22 Center (21) 21:23;23:16;25:25; 29:7;36:7;84:20; 93:18,21;100:6; 105:10,20;111:8; 116:21;117:5,20; 134:15;220:19;221:8, 10,10,14 centers (4) 44:17;54:4;186:14; 220:23 central (1) 81:1 certain (9) 47:24;115:18; 126:10;130:23,24; 157:7;161:10;184:18; 187:5 certainly (8) 57:13,15;69:13; 98:13;101:7;116:6; 164:21;165:10 certification (2) 82:24;84:14 certifications (1) 82:6 certified (9) 30:14,16,20;73:16; 83:6;89:6;93:24;94:1, 2 cetera (3) 62:15;148:20; 152:10 chain (1) 38:19 chair (12) 4:3,23;11:24;21:21, 22;51:12;132:6,13; 145:20;172:18,20; 222:25 Chairman (1) 181:24 challenge (7) 42:14;43:2,18;50:5; 54:19;137:2;153:22 challenges (6) 7:11;32:10;51:5; 91:21;133:24;214:2 challenging (1) 52:6 Champion (1) 12:23 Championship (1) 12:11 change (13) 17:18;33:8;44:13, 15,16;47:12;60:2; 78:12;80:10,10; 81:16;99:14;120:1 changed (7) 72:9;90:4,5,15; 99:17;136:5;147:6 changes (3) 18:15;137:18; 208:16 chapter (1) 28:15 characteristics (1) 82:7 characterization (1) 195:20 charge (16) 16:22;43:2;62:18; 104:17;105:24; 148:12;157:25;158:4, 6,17;160:12;161:23; 164:3;195:17;200:22, 23 charged (13) 6:10;16:11,18;40:3; 42:25;52:10,11; 157:23;159:22;193:3, 5;197:9,10 charges (18) 66:2;122:5,9,19; 124:9,13,18,20; 131:20;133:21;135:2; 142:1;147:9;150:10; 157:16;159:23;172:1; 196:6 charging (1) 41:21 charismatic (1) 12:6 Charles (1) 205:2 Charlotte (1) 182:16 check (2) 116:3;194:9 checked (1) 177:19 check-in (2) 159:19;170:15 checking (1) 14:19 checks (3) 122:7;131:23;132:2 Cheverus (1) 146:22 Chief (18) 59:24;60:3,11; 70:10;84:11;87:20; 93:15;95:16,23; 96:23;97:16;103:12, 18;105:17;113:21; 116:3,10;117:2 Chiefs (6) 29:14;53:11,25; 59:13;74:23;186:14 child (13) 19:6;22:6,12,13; 28:9;35:23,25;44:4; 47:25;48:1;49:6,14; Duffy & McKenna Court Reporters 1-800-600-1000 56:6 children (8) 22:8;36:3,4;46:14, 17;101:17;110:25; 127:23 children's (1) 49:4 choice (8) 44:25;63:11;66:24; 111:11;144:24;145:3, 4;219:10 choke (1) 117:22 choose (1) 167:20 chooses (1) 199:4 choosing (4) 5:12;64:4;108:4,4 chose (4) 51:2;59:10;66:2; 67:7 chosen (1) 64:6 chuckle (1) 134:21 chunk (3) 115:10;177:18; 178:8 cigarette (1) 13:17 circumstances (2) 90:21;126:2 CIT (35) 30:12,21;52:20; 53:9,16,19;54:6;67:4, 17,20;69:4;72:25; 73:1,3,13,17,19,23, 23;74:5,20;75:8,20; 84:14,15;93:23;94:1, 2;96:24,25;99:9; 103:9;120:25;137:13, 14 citizen (2) 30:7;94:11 citizens (1) 42:5 City (20) 6:4;34:4;70:16,25; 72:5,7;75:10,15,22, 23;76:20;79:7,12; 98:22;116:14,19; 218:15,17;220:18; 221:9 Civil (13) 4:5,23;5:8,12;6:8; 9:22;11:1;88:13; 138:22;174:17,21; 175:2;222:25 civilly (2) 91:5;172:4 claiming (1) 16:1 (5) candidates - claiming Maine Advisory Council to the United States Commission on Civil Rights clarity (2) 192:21,23 class (4) 67:4,11;73:4;82:14 Clean (1) 148:6 clear (11) 16:3;29:8;31:25; 138:3;141:19;182:13; 184:12;192:14,15; 212:18;214:16 clearly (15) 15:8;18:13;30:22; 38:2,9,24;39:6;58:13; 71:23;133:4;134:18; 191:3,4;212:15; 218:10 client (10) 127:17,19;129:17; 134:8,11;147:8,17; 150:7;162:9;203:8 clientele (1) 175:1 clients (10) 73:12;75:2;77:1; 78:24;119:19,25; 127:6;174:23;177:20; 194:6 clinical (2) 16:22;194:15 clinicians (2) 135:20,25 clockwork (1) 100:9 close (2) 46:18;204:5 closely (2) 85:5;131:22 closer (1) 18:12 closes (1) 46:15 closing (1) 35:18 closure (1) 53:18 clothing (1) 24:7 Clozaril (1) 209:5 Club (2) 146:12,12 clubhouses (1) 54:3 CMS (1) 33:17 coastal (1) 81:1 Co-Chair (3) 182:19;185:1;186:1 collaborate (1) 98:10 collaboration (1) Min-U-Script® June 14, 2017 56:18 collaborative (1) 78:16 collaboratives (1) 131:3 colleagues (2) 4:7;68:15 college (1) 21:13 Colonel (2) 84:11;95:18 color (1) 6:12 Columbia (1) 6:16 combative (1) 113:5 combination (1) 93:16 combined (1) 66:18 comfortable (2) 99:12;101:4 coming (15) 7:17;27:13;38:8; 55:17,18;69:14; 117:23;122:20; 131:21;132:3;136:24; 148:3,20;188:4; 199:13 command (4) 67:6;73:14;87:3; 96:1 Commander (9) 59:23,23;80:20; 81:10,11;86:2;87:16, 19;91:22 commanders (1) 88:21 comment (4) 10:11;47:19;49:2; 138:8 commented (1) 48:15 comments (8) 35:6;36:17;132:11; 148:1;155:6;204:22; 210:11;212:2 commingling (1) 24:8 Commission (11) 4:4,24;5:8;6:4,8,16, 18;9:20,22;138:22; 222:25 Commissioner (5) 8:16,18;15:1;76:18; 197:14 commissioners (1) 136:22 commit (6) 35:8;61:9;139:10; 162:2;196:19;197:13 commitment (12) 25:2;63:11;64:23; 73:15;102:11;103:22, 25;104:9;136:21; 143:19;172:6;200:19 commits (2) 136:13;141:5 committed (28) 23:23;24:14,22; 29:1;30:11;31:22; 43:16;84:12;90:19, 25;91:24;92:14; 100:12;113:16;129:5; 140:12,15,16,18; 155:21;165:16,17,19; 168:6;169:21;172:4; 187:15;222:15 Committee (37) 4:4;5:4,7,22;6:6,16; 9:14;10:16,18,21,22; 11:9;21:19;26:6; 36:13;118:15;132:7; 133:1;138:22;145:5; 153:8,22;158:25; 172:18,19,20;181:19; 182:20;183:14,16,20; 184:6;185:2;186:2, 23;205:7;222:25 committee's (1) 206:16 committing (3) 63:18;171:4,5 common (4) 66:9;91:9;102:5; 215:16 commonly (2) 61:8;116:11 Commonwealth (2) 49:4,18 commotion (4) 32:2;42:7,7,12 commotions (1) 42:10 communicate (3) 54:10;92:2;119:19 communicating (1) 149:25 communication (9) 82:20,22;83:14; 85:8;86:11,19;87:2; 131:1,7 communications (1) 90:11 communicator (1) 82:10 communities (6) 11:14;27:19;29:9; 42:8;65:12;84:25 community (48) 19:22;22:4,18;32:3; 33:20;36:11;42:15; 46:14,15;53:3;54:7,8; 56:13,14;60:17,20; 61:11;63:13;64:5; 69:9,9,20;73:10;75:3; 80:23;112:2;119:13; 120:11,15,17;123:2,7; 124:1,22;126:22; 128:10,15,17;139:15, 17;140:14;174:5; 187:7;188:3;191:17, 25;218:22;221:10 community-based (17) 31:13;42:21;43:3, 18,23;44:10,21; 46:13;47:15;53:2; 64:7;106:18;185:17; 186:16,20;187:1; 188:10 companies (1) 198:20 compared (1) 116:6 compassionate (4) 63:10;101:22; 213:1;214:6 compelled (1) 216:1 compelling (1) 93:4 compensation (1) 6:18 competency (6) 124:24;150:12; 160:19,25;176:20,22 competent (7) 125:2;150:21; 152:16;160:20; 162:12,21;197:12 competitive (2) 75:11,18 complaint (1) 94:11 complement (1) 81:12 complementary (1) 56:12 complete (1) 84:17 completely (4) 49:14,15;107:25; 158:11 complex (7) 40:19;47:21;48:9; 136:1,16;212:15; 217:18 compliance (1) 114:13 compliant (1) 86:5 complicate (1) 135:3 complicated (5) 6:24;35:15;51:9; 93:17;159:23 component (5) 31:18;75:8;76:2; Duffy & McKenna Court Reporters 1-800-600-1000 102:1;108:18 components (1) 50:2 comprehensive (4) 27:20;40:23;44:24; 128:6 comprised (1) 88:3 computer (2) 50:11,14 conceivable (1) 202:22 concept (2) 190:1;207:10 concepts (1) 20:12 concern (7) 17:22;126:25; 147:15;159:15;168:1; 199:9;203:3 concerned (11) 134:17;135:5,6,18; 147:12;158:24; 159:20;178:4;213:1; 214:7,7 concerning (1) 6:19 concerns (4) 28:16,18;202:1,10 Concluded (1) 223:3 concludes (1) 222:23 conclusion (2) 9:17;189:19 concrete (1) 32:23 concurrently (1) 62:19 condition (7) 18:3;141:24;143:6; 148:24;207:5,6,18 conditions (3) 129:6,7;169:6 conduct (4) 25:7,11;42:24; 61:10 conducted (1) 200:2 conference (4) 148:23;154:12,18; 155:2 conferences (1) 161:11 configuration (1) 198:23 confined (1) 128:20 confinement (10) 14:2;34:23;37:10; 38:5,15;57:8;126:20; 129:6,7;133:16 confronted (2) (6) clarity - confronted Maine Advisory Council to the United States Commission on Civil Rights 59:17;63:1 confusing (1) 40:19 connected (1) 172:23 Connecticut (1) 98:15 consent (6) 53:18;128:5,11; 173:1;199:3,8 consequently (2) 58:4;214:21 conservative (2) 149:13;150:4 considerate (1) 129:6 consideration (1) 7:2 considered (1) 49:7 consist (1) 85:23 consistent (4) 70:2;127:4;191:8; 199:8 consistently (1) 216:22 consists (5) 24:3;52:19;81:24; 82:14;83:17 constant (4) 22:20;23:9;24:4; 183:24 constitutional (5) 129:10;197:22; 198:1,3,6 constraints (1) 172:21 consumers (1) 123:2 contact (9) 7:17;9:25;42:5; 55:17,18;99:5; 123:16;128:18;217:1 contacted (2) 14:12,22 contacts (1) 213:7 contained (1) 49:14 contempt (2) 176:3;198:5 content (1) 82:19 context (2) 71:3;72:3 continual (1) 20:6 continue (7) 23:6,21;38:23;87:7; 114:4;137:20;160:8 continued (2) 37:24;183:14 Min-U-Script® June 14, 2017 continuing (1) 19:19 continuity (7) 126:17;202:3,12, 18,23;203:5,7 continuous (3) 37:18,19;85:14 continuum (7) 27:20;46:13;47:7,8; 112:21,24;113:9 contraband (1) 147:19 contract (9) 65:6;70:5;118:21; 156:9;157:1,4,5; 160:14;190:22 contracted (1) 100:6 contracting (1) 206:7 contractors (1) 105:12 contracts (5) 43:25;156:6,21,23; 158:21 contrasted (1) 129:8 contributes (1) 29:15 control (7) 17:7,9;39:5,6,7; 41:22;59:18 controlled (1) 14:5 controversial (1) 10:3 conversation (8) 21:20;35:13;79:18; 117:17;132:12,14; 149:17;170:15 conversations (3) 8:2;74:17,23 convey (2) 85:8;219:8 convicted (1) 193:6 conviction (1) 200:22 convince (1) 100:23 convincing (2) 109:16;203:9 co-occurring (10) 77:15,20;78:17; 139:5;140:16;163:14, 23;168:18;221:6,12 cooperative (1) 13:25 Coordinating (1) 137:9 coordination (1) 67:21 coordinator (3) 75:25;76:13;79:8 cop (1) 136:2 copies (1) 32:25 cops (1) 97:13 co-responder (3) 72:7,18;77:8 corner (1) 78:4 corporal (1) 81:4 corrected (1) 202:25 correction (1) 24:5 correctional (9) 8:10;17:11;22:15; 33:6;56:7,21;128:21; 129:1;135:9 Corrections (9) 8:18;15:1;17:8; 20:8;24:13;25:24; 26:5;134:5;136:7 cost (12) 18:24;48:4;50:16; 53:17;101:6;121:17, 18;143:16,21;145:3; 164:25;188:1 costing (1) 66:7 Costs (2) 18:23;49:19 couch (2) 160:7,10 Council (3) 29:7;137:10;180:6 councilor (2) 218:17;220:18 counsel (8) 105:2;132:25; 148:8;161:19,24; 162:5,7,18 Counseling (7) 109:15;110:7; 139:20;149:14;150:5; 170:22,23 counselor (1) 106:3 count (1) 69:13 counterparts (1) 111:23 counties (13) 43:7,7;50:8;54:15; 135:24;138:25; 154:15;159:6,13; 163:12,13;166:4,15 countless (2) 215:11,11 country (6) 5:9,11,19;44:17; 74:18;215:17 County (65) 15:25;16:18;28:19; 32:11,14;33:15,16; 34:4;44:18;49:23; 50:25;53:3,3;54:13, 13,14,14,14;59:1; 65:19;66:18;67:10, 16;85:4;87:9;98:14, 14;100:7,17;109:5, 14;111:23;131:13; 132:8,11;133:12,18; 134:16;136:18,18,22; 139:12,24;142:9; 147:10,25;148:17; 149:10;150:17,18,23; 155:4,7;156:20; 160:23;163:9;166:8, 8;167:8;168:5;170:6; 171:3;175:19;178:17; 184:7 couple (8) 74:24;99:4;128:12; 130:15;142:23; 145:25;151:10; 159:13 course (8) 78:18;106:25; 139:22;149:10;157:6; 162:16;177:5;214:5 court (87) 9:7;16:25;20:4; 28:22;36:6;38:4;91:4; 105:8;129:3,9;139:4, 5,6,16;140:11,14,17; 156:10;163:15,15,17, 23,24;164:1,4,17,19; 165:12,16,23;166:6; 167:5,7,19,20,21,25; 168:4,8,18;169:1,7, 16,18;170:1,7,12,17, 22;171:4,11,14,17; 173:1,3,5;180:17,19, 22,25;181:6;189:8,10, 12;191:16;194:13; 196:1,5,21;197:2,5, 11,11,21,24;198:12, 14,18;199:25;201:20; 202:11;204:8,14; 215:2,19,25;216:11 court-ordered (1) 218:3 courts (6) 7:22;163:14;169:3; 176:2;196:9;215:4 cover (7) 67:7,14;97:23; 98:13,17,20;111:25 covered (2) 60:9;87:21 covering (2) 98:19;220:16 cover-up (1) Duffy & McKenna Court Reporters 1-800-600-1000 24:8 Crandall (13) 59:24;60:3,6;62:10; 97:19;98:12;104:2, 10,13,18,21;105:1; 106:23 create (4) 47:14;59:12; 105:16;194:17 created (3) 139:16;177:7,8 creates (2) 42:8;63:15 creating (2) 96:9;103:24 creation (1) 128:6 Creek (29) 21:23,24;22:14,14, 19,20;23:4,15,17; 24:23;25:4,5,18,25; 26:10,11,17;27:5,25; 36:6,7;39:15;40:3; 41:13;48:17;51:13, 22;155:19,22 Creek's (1) 23:21 crime (17) 62:19;90:19,25; 91:25;92:13;94:9; 113:16;140:12,16,18; 141:5,19;168:6; 193:3,6;196:19,20 crimes (3) 61:9;63:19;139:10 criminal (62) 6:25;7:18;8:5; 13:19;15:20;29:22; 30:1;31:17;34:22; 42:6,10,11,13;51:3; 55:10,18;61:12;66:2; 67:24;71:4;74:21; 82:25;83:6,19;84:18; 89:7;120:2;121:21, 25;122:9;126:7; 128:18;131:20; 132:20,23;133:2; 135:2,8;137:9; 141:14;142:15; 145:22;147:4;153:21; 154:13;161:9;172:1, 20;182:19;183:13,17, 20;185:8;186:17; 193:14,17;194:17; 195:1,25;196:2; 210:15;219:17 criminality (2) 86:6;195:4 criminalization (7) 6:22;28:17,23; 31:15;145:24;183:2; 221:24 criminalize (2) (7) confusing - criminalize Maine Advisory Council to the United States Commission on Civil Rights 34:10;35:20 criminalizing (4) 11:21;17:21; 157:18;158:14 criminally (11) 28:22;34:12,21; 124:8;130:16;161:20, 23;175:12,24;196:24; 200:16 criminals (1) 11:22 Criminogenic (1) 139:25 crises (1) 107:18 crisis (100) 8:12;19:24;20:7; 24:3;26:10,14;30:16, 23;31:1,10,14;52:18; 54:4,18,21,23;55:7, 13;58:23,23,24; 61:25;63:8;64:20; 65:5;67:1,22;69:24; 70:6;72:5;80:18,21; 81:8,12,15,24;82:17; 83:13,14,15,22,23; 84:5,10;85:4,8,23; 86:11,25;88:18; 89:16,19;90:1,10; 92:11;100:4,7,9; 106:5,12;108:7; 109:8,15;110:1,6,8, 10,19;111:5,8,13; 112:3,8,14;114:20,21, 21;115:3,9,12;120:7, 25;121:1,4;123:5,11, 16,17,19,24;130:1,8, 10,10,11,12;217:9; 219:1,7,9 crisis's (1) 54:19 criteria (7) 88:24;89:8,9,10; 90:14;112:18;123:23 critical (7) 29:21;118:8; 133:11;137:4,4,17; 194:21 Cross (2) 219:5,6 crossed (2) 86:5;191:5 crossroads (1) 64:11 crucial (1) 51:20 cruiser (2) 110:22;111:2 cry (1) 218:12 cultural (2) 84:23,24 Cumberland (8) Min-U-Script® June 14, 2017 48:20;147:10,25; 148:17;149:9;155:7; 169:22;171:3 curious (1) 12:6 current (18) 18:3;24:2;26:3; 27:1;30:24;31:9; 58:15,16,17,19,22; 66:20;80:20;81:16; 87:15;177:15;191:17; 198:23 currently (19) 18:2;20:20;22:16; 25:18;36:22;44:7; 51:19;72:10;107:4; 121:4;125:10;171:15; 177:19,20;179:15; 188:13;192:10; 202:24;206:2 curriculum (1) 81:6 custody (19) 32:7;34:15;35:24; 55:9;62:21;63:22; 64:19;65:21;69:24; 90:13;91:12;92:9; 101:13;107:8;109:6; 124:11;133:14; 170:10;197:13 customers (1) 101:15 cut (6) 7:9;22:23;25:22; 28:10;147:3;185:16 cut-down (1) 136:12 cuts (6) 25:17,20;52:12; 100:3;121:8;185:5 cutting (2) 18:19;35:13 cycle (1) 216:6 cycled (1) 152:21 D DA (3) 130:19;132:24,25 dad (3) 21:14;110:24; 216:14 daily (3) 20:1;24:3;98:18 damage (1) 153:3 danger (10) 87:6;90:19;91:1,8; 108:14,20;160:13; 216:20;222:10,13 dangerness (1) 211:1 dangerous (4) 61:22;88:17;90:18; 211:17 Daniel (1) 172:25 dare (1) 115:21 Darrell (2) 70:14;94:21 data (5) 24:17;71:3,13; 91:15;131:11 databases (1) 50:14 date (3) 148:23;155:2; 190:13 dates (1) 156:10 daughter (6) 12:4,9,19;13:6; 21:3;146:21 day (32) 14:19;16:5;38:16; 49:11;63:2;70:16,16, 22,22;72:3,3,13,15; 73:13,13;74:14; 79:22,22;114:2; 117:4;141:15;142:3; 147:13,14;159:19; 164:18;170:19; 179:11;183:15; 201:24;218:17; 222:18 days (21) 16:13;34:6;64:16; 65:4;83:16;102:21; 125:14,15;134:22; 143:2;147:13;148:23; 149:10,11,15,23; 150:6;151:10;159:18, 19;161:5 DC (2) 9:24;136:21 de (1) 6:3 deactivation (1) 81:23 dead (3) 171:6,8,9 deadly (11) 88:12;89:21;90:24; 91:7,25;113:12,13,16, 17,24;115:22 deal (16) 26:12;41:11;70:7; 75:17;79:24;103:6; 109:4;114:20;137:22; 138:11;152:24;162:9; 175:20;183:18; 184:24;194:1 dealer (1) 115:8 dealing (12) 48:8;65:14;77:13, 17,18;78:24;82:16; 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188:9 deinstitutionalize (2) 7:5;64:3 deinstitutionization (1) 7:7 de-institutionizing (1) 106:15 delays (1) 105:16 deliberate (1) 129:12 delicate (1) 26:12 delighted (1) 5:4 deliver (2) 62:21;199:4 delivered (1) 52:13 delusional (3) 14:9;18:5;216:12 delusions (2) 38:7;61:12 demand (2) 178:20;200:11 demanded (1) 148:5 demeanor (1) 85:9 dementia (2) 53:7,8 denial (3) 6:11;207:16,20 (8) criminalizing - denial Maine Advisory Council to the United States Commission on Civil Rights Department (30) 8:17,17,19;17:8; 24:13,15;25:24;26:5; 27:21,22;34:16,23; 35:24;45:15;51:2; 53:20;65:18;72:5; 93:24;121:14,14; 123:9;131:14;151:18; 185:20;197:14;198:5; 212:21,24,24 departments (9) 29:17;30:3,10,14, 24;43:8;75:3,5;121:5 depend (1) 187:22 depending (6) 31:3;162:25;164:5; 165:6;170:24;187:23 depends (4) 94:7;110:5;165:3; 204:2 depressed (1) 13:14 depression (3) 13:4,7,11 depressive (1) 25:12 depth (2) 23:12;55:14 deputies (1) 101:3 deputy (3) 67:8;69:11;98:17 describe (1) 52:18 described (3) 38:11,12;163:8 describes (1) 173:17 describing (2) 122:21;155:11 descriptors (1) 122:17 deserve (1) 69:1 deserves (1) 112:2 designate (1) 83:1 designated (1) 118:17 designed (5) 129:8;134:16; 178:1;190:1;191:9 desired (1) 33:12 desperately (4) 22:11;68:19; 144:16;208:12 despite (4) 146:15;148:24; 151:4;195:4 destabilizing (1) Min-U-Script® June 14, 2017 24:11 detail (2) 63:17;93:5 detailing (1) 70:14 details (1) 140:4 detectives (1) 81:14 detention (3) 27:1,7;36:6 deteriorate (4) 38:23;135:9,18; 160:8 deteriorated (2) 143:7;150:2 deteriorating (2) 13:23;142:25 deterioration (1) 37:25 determination (3) 47:12;93:22;95:25 determine (3) 24:4;108:13;113:9 determined (3) 34:20;95:14;199:21 detox (4) 147:18;148:18; 150:1,8 detoxification (2) 134:15;136:12 detoxing (1) 148:6 Devastating (3) 142:6,7;144:12 develop (4) 46:19;69:21;94:23; 190:10 developed (3) 66:3;85:12;189:23 developer (3) 190:9,10;198:18 Development (6) 21:23;23:16;25:25; 32:19;54:2;190:14 developmental (1) 84:21 Developments (1) 172:15 devices (1) 86:23 DHHS (11) 15:1,22,24;17:4,9; 19:5;43:25;50:24; 151:17,24;152:4 DHHS's (1) 36:4 diagnosed (7) 60:18;82:17;86:12; 90:3;91:17;142:18; 212:22 diagnoses (3) 25:6;48:19;60:21 diagnosis (15) 12:13;18:4;24:21; 25:7,10,16;49:7; 52:25;79:19;89:24; 136:2;214:14;216:23; 217:2,15 dial (2) 213:2;217:7 Diane (4) 4:3;11:9;21:18; 167:4 dictates (2) 110:18;128:6 differ (1) 33:25 difference (3) 57:4;89:25;102:3 different (33) 19:15;20:23;22:18; 31:3;41:2;43:6,7; 46:23;52:3;53:4; 60:14;63:1;72:9;93:6; 104:6,7;117:5,6; 119:15;121:5;129:1; 131:4,4,5;141:12; 142:12;150:15; 170:19,25;174:25; 192:17,17,18 differently (1) 27:25 difficult (15) 11:15;18:7;20:21; 28:10;56:21;57:2; 58:10;61:7;71:3,12; 97:5;123:20;162:15; 200:2;212:16 difficulties (1) 87:22 difficulty (1) 86:18 digit (1) 116:20 dilemma (3) 161:19;162:5,6 diligently (2) 84:13;87:7 DiMillo (23) 21:17,18,20;39:13, 14,20,23,25;40:6,11, 16;41:6,14;45:6,6,10, 14,19,25;46:10; 48:14;51:12,18 direct (2) 30:5;201:20 directed (1) 112:4 direction (2) 81:16;194:23 directives (1) 20:10 directly (7) 57:21;88:22; 110:10,10,13;155:24; 186:8 director (4) 17:15,17;20:15; 28:14 Disabilities (2) 8:1;84:22 disability (7) 6:12;118:16; 151:19,23;152:1,2,14 disagreement (1) 180:3 disassociation (1) 38:7 disaster (1) 153:25 disasters (1) 153:10 discharge (3) 79:9;126:17;128:3 discharged (1) 143:3 discharging (1) 79:17 disciplinary (1) 39:2 disciplines (1) 60:14 discouraging (1) 47:23 discovered (1) 207:18 discovering (1) 12:19 discrimination (1) 6:10 discuss (2) 11:12;148:12 discussed (1) 61:10 discussing (3) 87:23;114:18; 169:18 discussion (8) 17:22;48:25;85:20; 180:2;191:13;192:4, 13;193:18 discussions (3) 103:9;191:10,11 disease (1) 221:24 diseases (1) 221:12 dismissed (2) 142:1;158:6 disorder (18) 12:14;25:7,8,9,10, 11,12,13,14,15;77:24; 183:3,23;184:8; 185:15;206:23; 207:23,24 disorderly (3) 42:24;61:10;77:10 disorders (8) Duffy & McKenna Court Reporters 1-800-600-1000 77:19;88:14; 117:16;139:5;140:17; 163:15,23;168:18 disparate (1) 104:24 dispatch (3) 71:21;93:18,21 dispatchers (1) 67:19 dispatches (1) 93:18 displayed (1) 35:21 displaying (1) 65:22 disposition (1) 141:23 dispositional (4) 148:22;154:12,17; 155:1 dispositions (1) 71:16 disregard (1) 129:15 disregards (1) 129:13 disrespect (1) 79:14 dissecting (1) 97:9 distances (1) 65:11 distress (1) 25:8 District (13) 6:15;121:24; 133:23;138:24;139:1, 15;145:17;147:6; 153:1,14;158:16; 163:7;195:14 disturbance (1) 103:24 disturbing (2) 57:12,13 diverse (1) 84:25 diversion (11) 32:19;33:2;44:11; 79:24;80:1;96:25; 102:13;118:9;123:14; 126:16;171:25 diversions (1) 121:20 diversity (1) 84:24 divert (8) 29:1,22;30:9;31:19, 25;104:6;121:24; 186:16 diverted (2) 80:2;126:14 diverting (3) 29:10;31:23;80:4 (9) Department - diverting Maine Advisory Council to the United States Commission on Civil Rights Dix (12) 8:22;177:8,13,16, 17,21,22;178:1,9; 198:11,22,24 DOC (1) 37:9 docket (5) 141:2;153:3,11; 154:13;169:1 doctor (6) 13:8,11;64:22; 152:7,19;209:21 doctors (3) 110:15;143:20; 220:25 doctor's (1) 86:13 documentary (2) 57:7,9 DOJ (2) 164:23,23 dollars (3) 49:12;143:22; 205:15 domestic (2) 70:23;141:18 done (22) 20:23;58:6;73:17; 107:14;109:13;110:6; 150:20;151:1;152:13; 153:3;159:17;170:1; 177:10,13;180:9; 186:12;187:19;188:6; 197:10;211:9;213:16; 217:15 door (9) 65:16;72:19,22; 96:7,11;123:21; 138:6;208:1;213:16 doorstep (2) 216:5,8 Dorothea (12) 8:22;177:8,13,16, 17,20,22;178:1,9; 198:11,22,24 dots (1) 191:4 dotted (1) 191:4 double (2) 116:20;133:18 doubt (2) 18:14;150:3 down (24) 12:1;14:16;36:24; 37:1,1;49:17;57:20; 85:17;95:2;106:8; 109:23,24;121:13,17; 134:2;138:10;147:3; 166:9;176:5;184:17; 197:7;204:13;213:4; 222:7 downstairs (1) Min-U-Script® June 14, 2017 148:25 dozen (1) 101:2 Dr (1) 20:15 drag (1) 106:11 dragged (1) 180:7 dramatic (1) 186:15 drastically (1) 7:8 draw (1) 49:16 drive (2) 117:6;152:9 driven (4) 65:16;90:8;106:3,3 driveway (1) 213:14 dropped (1) 65:15 drug (10) 85:25;115:8; 139:15;140:14; 163:14;164:1;184:12, 13,20;221:7 drugs (6) 12:24;61:1;111:14; 115:7;149:14;206:1 dual (1) 136:2 due (10) 15:24;17:2;19:18; 34:5;40:1;41:5;61:11; 100:3;127:8;150:11 dug (1) 158:1 dumped (1) 196:7 dumping (1) 196:13 during (12) 10:11;13:15;17:14; 36:17;84:8,10;89:3; 142:5;151:22;177:15; 218:23;219:25 duties (2) 67:7;81:21 duty (1) 171:13 dynamic (1) 31:10 E earlier (13) 42:3;64:10;95:4; 101:25;102:8;106:18; 114:17;133:7;135:23; 146:3;148:11;149:21; 213:20 earliest (1) 142:4 Early (2) 28:7;142:14 earn (1) 209:11 eastern (1) 80:25 easy (8) 12:25;79:15;93:23; 135:3;165:20;183:8, 9;217:19 echo (1) 153:1 economy (3) 116:25;205:19; 206:6 ed (5) 47:22,25;49:10,12, 16 edge (1) 35:14 educated (2) 19:16;207:17 educating (1) 130:22 education (12) 18:25;19:19,20; 22:22;24:25;27:22; 47:21;48:9,11,23; 49:21;80:7 educational (1) 22:21 education-based (1) 47:1 educators (1) 47:2 effect (3) 113:15;114:12; 121:16 effecting (1) 107:7 effective (7) 22:9;27:19;41:24, 25;67:1;77:8;145:3 effectively (4) 29:11,19;92:2; 119:19 effort (6) 29:13;50:22;81:16; 163:12,16;203:12 efforts (7) 23:2;27:16;29:20; 69:8,20;105:3;183:14 eggs (1) 100:18 eight (12) 53:22;68:4,11; 73:15;110:23;111:12, 15,20;117:4;126:9; 176:15;221:12 eight-hour (1) 68:8 either (19) 9:20;13:13;44:23; 46:8;60:19;65:7; 89:22;95:13;99:22; 105:13;108:11;118:1; 149:7;171:7;175:9; 177:17;190:3;193:8; 194:23 elaborate (1) 51:14 elder (1) 84:7 elderly (1) 143:22 elected (1) 50:7 electronic (1) 133:16 elegant (1) 138:9 element (1) 31:13 elements (1) 70:3 elevated (1) 176:4 eleven (1) 110:24 elicit (1) 61:1 eligible (7) 10:6;122:18,22; 166:7,16,18;169:6 eliminate (1) 220:8 Elizabeth (1) 93:20 else (15) 43:16;45:4;62:5; 70:24;94:1,11;95:11; 96:14;101:21;104:16; 118:25;178:15;183:9; 196:25;209:5 elsewhere (2) 47:23;65:13 e-mail (1) 100:5 embrace (1) 69:4 emergency (7) 31:6;45:1;100:1,13; 123:9;149:4;179:20 emotional (3) 11:15;82:11;83:11 emotionally (1) 83:10 emotions (1) 85:17 employed (1) 87:13 employee (1) 151:24 employees (3) Duffy & McKenna Court Reporters 1-800-600-1000 132:1;199:6;203:25 employment (1) 123:6 empower (1) 29:18 emptied (1) 200:20 EMS (1) 93:19 enables (1) 156:8 encounter (2) 7:19;87:25 encountered (1) 150:9 encountering (3) 113:4,5;116:9 encounters (3) 61:23;89:10;91:17 encouraged (3) 20:14;82:23;84:2 end (44) 4:8;18:18;19:1; 32:7;34:17;36:1;40:3; 43:8;50:23;54:25; 55:8,17,17;59:16; 63:12;64:10;65:1,4; 71:11,18;92:8;108:3; 119:21;124:21;133:5, 8;140:8,9;142:1; 144:22;145:10; 147:14;153:3,10; 161:14,16;173:14; 175:6;176:7;177:2; 178:9;179:14;218:4, 17 ended (4) 13:20;51:4;56:7,8 endemic (2) 187:6;195:24 endorsed (1) 53:23 ends (2) 160:24;215:25 energy (1) 18:18 enforced (2) 53:10,15 enforcement (67) 7:23;8:7,12;20:7; 29:25;30:7,15;31:1,7, 17;43:1,20,21;44:8, 25;54:8,25;55:1,14, 15;56:14;58:14; 59:17,21;61:5,8,19, 23;62:3,16;63:14,19, 23,24;66:22;68:2,9; 69:25;70:2;74:7; 78:19;79:25;80:6,22; 83:3;84:8,17;85:25; 87:9;91:10;97:24; 98:7;99:7;103:1; 109:22;117:13; (10) Dix - enforcement Maine Advisory Council to the United States Commission on Civil Rights 120:10;130:2,3,6; 137:16,21,25;138:1, 15;186:13;219:18 enforcement's (3) 31:11;84:22;113:3 engage (4) 24:12;32:18;55:1, 16 engaged (1) 51:4 engagement (2) 10:23;42:8 engages (1) 55:1 engaging (1) 157:24 England (2) 12:10,22 enhance (3) 73:5;98:9;99:6 enhanced (1) 77:4 enlightening (2) 205:7;206:15 enough (14) 73:3;75:21;105:15; 108:23;109:6;154:22; 155:18;173:20;174:8; 177:4;178:10;196:2; 211:10;214:17 ensconced (1) 179:20 ensure (9) 8:25;10:3,5;21:24; 22:2;38:23;82:3,5; 92:5 ensuring (1) 63:6 entails (1) 93:9 enter (3) 130:24;168:18; 169:16 entered (1) 171:4 entering (4) 24:23;28:19;32:18; 167:20 enterprise (1) 202:6 enters (1) 35:23 enthused (1) 180:11 entire (6) 67:8;76:1;78:19; 95:18;114:3;166:10 entirely (3) 49:21;60:12;67:6 entities (1) 33:25 entitled (2) 129:5;172:15 Min-U-Script® June 14, 2017 entity (1) 106:1 entry (1) 6:24 environment (5) 16:2;129:1,2,11; 175:16 envisions (1) 128:11 epidemics (1) 183:18 episode (1) 13:16 equal (1) 6:11 Equally (1) 22:1 equip (1) 53:12 equipment (2) 82:20;83:17 equipped (2) 26:12;41:11 equivalent (1) 49:9 ER (5) 64:20;100:22,25; 110:15;138:5 Eric (3) 4:11;173:7;186:11 escalate (1) 95:11 escalation (1) 95:13 escape (1) 107:9 escapes (1) 136:9 escort (2) 107:6,12 especially (6) 20:2;64:24;100:22; 154:25;155:11; 213:24 essential (1) 26:21 essentially (5) 126:16;129:13; 158:15;178:25;216:8 establish (2) 85:7;86:20 established (5) 6:17;82:25;84:18; 86:7;189:24 establishing (1) 86:19 Estelle (1) 129:9 estimate (1) 155:20 et (3) 62:15;148:20; 152:10 ethical (1) 102:2 ethically (1) 162:17 eval (2) 149:19;178:21 evals (4) 176:4,11,14;179:12 evaluate (3) 123:25;135:22,25 evaluated (5) 100:15;102:10; 109:19;125:4,7 evaluation (30) 15:13;40:24;41:3,3; 62:22;63:9,22;64:12, 21;65:25;85:14; 92:12;95:9;124:25; 141:25;147:23;149:3, 4,6,13;150:3,21; 152:15;160:25;175:9; 176:20;178:14; 197:11;198:4;200:14 evaluations (9) 26:16;92:22; 175:25;176:2,22,22; 178:15,20;197:8 evaluator (1) 149:9 Evans (1) 76:18 Evelyn (3) 6:3;9:20;223:2 even (41) 7:21;33:15;35:3; 55:3,8;59:13;60:16; 61:15;65:9;66:16; 67:13;78:20;94:23; 95:12;101:7;107:6; 117:19;120:12; 121:10;124:6;132:11; 133:10;138:6,14; 152:13,20;162:16,21, 23;172:4;176:6; 184:3,15;188:5,15; 190:25;195:18;201:2; 207:14;210:17; 219:25 event (6) 21:3;59:19;174:5; 180:8;191:1,12 events (1) 26:25 Eventually (5) 15:19;42:9;63:15; 152:11;222:19 everybody (7) 11:8;15:2;80:16; 101:21;118:4;179:25; 222:24 Everybody's (1) 94:2 everyone (20) 4:2;9:4;33:3;39:10; 67:2;74:6;139:14; 141:3;156:17;157:21; 164:3;165:24;172:13; 182:15;189:20; 207:13;217:1;219:6; 220:22;223:2 evidence-based (1) 27:19 evidenced (1) 36:3 evident (1) 35:3 exacerbating (1) 61:1 exacerbation (1) 150:9 exact (3) 116:13;157:2; 216:23 exactly (3) 71:21;94:7;122:21 exaggerated (1) 133:9 exaggerating (1) 214:24 examine (2) 6:21;26:11 examined (1) 131:23 example (15) 42:13;71:5;84:20; 93:17;94:19;141:13; 150:15;161:12; 169:20;170:20; 184:23;192:9;193:18; 211:4,19 examples (3) 141:7,7;145:18 excellent (4) 6:5;145:12;156:2; 157:3 except (3) 99:17;173:7;178:15 excited (1) 168:6 excluding (2) 25:7,11 exclusively (2) 63:23;155:17 Excuse (7) 36:14;67:25;69:22; 83:10;112:10,22; 167:4 Executive (1) 28:14 exemplary (1) 213:1 exercises (1) 82:15 exhibit (2) 7:18;82:7 exhibiting (1) Duffy & McKenna Court Reporters 1-800-600-1000 89:11 ex-husband's (1) 209:18 exist (3) 64:7;102:11;106:14 existence (2) 31:9;61:17 existing (3) 50:14,14;70:3 exists (3) 62:18,20;210:13 exit (1) 6:24 expand (4) 46:6;163:12,16; 220:15 expanded (1) 73:13 expanding (1) 39:16 expansion (1) 8:3 expect (1) 49:17 expected (1) 33:10 expedited (1) 161:11 expensive (3) 18:24;125:22; 144:24 experience (15) 10:7;11:19;12:24; 14:3;20:22;22:5;39:7; 76:5;104:19;111:2; 116:7;125:6;185:16; 195:8;201:18 experienced (1) 127:6 experiences (5) 10:18,20;52:4;93:4; 145:23 experiencing (1) 34:8 expertise (2) 6:7;10:21 explain (1) 13:9 explained (1) 17:10 explaining (1) 162:20 exponentially (1) 64:2 exposure (1) 157:24 express (2) 119:7;129:20 expressed (2) 35:3;164:15 extended (5) 14:1;37:13;57:25; 154:5;166:14 (11) enforcement's - extended Maine Advisory Council to the United States Commission on Civil Rights extensive (1) 151:20 extensively (1) 111:4 extent (2) 7:12;8:8 extenuating (1) 90:20 external (1) 27:10 extraordinary (2) 140:24;156:15 extreme (2) 126:2;160:13 extremely (6) 18:5;48:9;120:8; 121:2,3;147:3 F face (10) 51:6;68:14;77:16; 86:20;87:25;89:17; 91:10,13,22;109:20 Facebook (1) 86:24 faced (8) 74:13;79:22;103:2; 112:12;113:13,18,22; 114:15 faces (1) 23:18 facets (1) 7:1 facilitate (2) 50:25;108:1 facilities (29) 8:10;19:16;25:3; 39:16,17;41:2;46:15; 65:6;69:23;85:4; 103:14;111:5;118:20, 24;122:4,7,14,20,25; 126:13;128:8;131:21; 133:18,20;134:21; 136:14;144:10;152:4; 206:2 facility (52) 6:5;14:11;17:2,6, 12,17;18:9,14;19:11, 13;22:15;23:16; 26:15;27:13;36:19, 23,25,25;38:20;40:8; 41:11;62:21;66:3,5; 72:1;100:14;110:9, 10,13;122:12,19,22; 124:12;130:22; 131:22;133:14;135:9, 19,21;136:7;137:19; 152:3,6;153:13,13; 166:9,11;178:4; 192:18;197:20; 198:11;199:22 facing (4) Min-U-Script® June 14, 2017 70:13;73:10;87:22; 183:19 fact (24) 30:14;32:10;33:15; 35:19;38:3,14;60:13; 67:6;74:5;77:15,22; 78:23;96:9;97:8; 132:25;136:6;152:14; 174:2;187:10;195:4, 14;205:20;206:7; 207:3 factors (1) 48:13 fail (2) 159:21,22 failed (5) 36:4;59:12;60:22; 163:17;220:15 failing (2) 60:23;155:23 fails (1) 144:20 failure (3) 7:22;115:14,17 failures (1) 115:25 fair (8) 39:2;103:17,18; 104:1;107:22;190:23; 195:19,20 fairly (1) 155:9 fairness (1) 105:1 fall (5) 21:13;23:5;61:3; 66:2;187:9 familiar (2) 32:25;76:10 families (11) 22:8;25:1;39:19; 46:18;56:10;206:24; 212:16;215:14; 217:20;218:8;219:13 family (21) 17:24;22:11;49:8; 52:23;56:17;86:10; 91:11;101:17;107:25; 134:7,8;150:22; 187:15;206:22; 208:14;213:15,17; 214:8;215:10,16; 216:7 family's (1) 212:19 fantastic (1) 186:24 far (17) 31:5;32:22;64:16, 25;66:9;99:10;120:9, 10,18;133:9;141:2; 144:24;163:17; 177:22;184:6;201:4; 206:11 Farmington (1) 59:3 fashion (1) 55:15 Fast (2) 16:24;212:9 fastest (1) 205:17 father (3) 11:6;146:3;214:18 fathers (1) 185:19 fault (3) 55:5;134:23;180:8 FBI (2) 82:13;83:4 feature (1) 163:25 features (1) 156:7 February (1) 77:8 feces (2) 134:25;147:20 federal (12) 6:9;18:19;49:12,17; 91:4;113:2,11; 118:19;119:3;125:10; 164:12,16 federally (2) 49:6;221:14 federally-qualified (1) 220:19 feel (16) 22:13;35:18;38:24; 55:2;92:21;99:4; 101:4;132:21;157:7, 10;171:8,10,12; 178:19;214:20; 216:20 feeling (1) 41:25 feels (1) 10:9 feet (3) 74:11;96:15;180:7 fellow (2) 138:23;145:12 felony (5) 16:11,18,21,25; 222:16 felt (5) 136:1;137:23; 142:24;171:6;200:17 females (2) 25:6,15 few (16) 28:18;32:1;60:9; 69:14;85:1;97:17; 143:6;147:8,13,24; 148:23;149:15,23; 180:20;184:18; 208:14 field (1) 81:25 fight (4) 183:15,24;184:22; 209:9 fighter (1) 146:18 fighting (3) 26:7;58:4;183:25 figure (5) 48:10;78:10;106:9; 131:9;133:25 figured (2) 149:6;195:11 figures (1) 173:16 figuring (1) 161:9 file (1) 10:13 filing (1) 94:11 fill (5) 142:22;143:4,13; 169:2,3 filled (2) 51:20;52:7 final (2) 15:12;125:24 finally (15) 13:8;21:6;34:9; 62:6;70:4;130:15; 131:19;143:25; 149:18;168:4;195:17; 207:20;208:21; 209:22;210:5 financially (1) 68:19 financing (1) 47:22 find (29) 15:9;22:7,8;34:14; 43:21;57:11;60:20; 63:7;65:7;70:4;76:7; 78:14;95:10;99:6; 107:2,17;115:24; 116:18,21;125:1; 153:13,16;163:19; 164:20;209:21,21; 215:13;219:2;221:22 finding (2) 12:18;107:14 fine (3) 62:10;149:25; 208:22 finish (3) 43:24;150:5;189:9 finished (2) 49:15;150:23 fire (1) 93:19 firearm (1) Duffy & McKenna Court Reporters 1-800-600-1000 65:22 firmly (1) 87:4 first (53) 5:17;11:5,5;12:13; 28:4;30:15,21;32:4; 39:14;46:5,11;53:23; 63:11;67:12;73:3; 83:24;84:5,15;89:14; 93:2;95:9;96:15; 102:24;114:8;120:22; 122:12;123:15; 132:18;136:8,14,18; 137:15;141:13;148:2; 150:25;154:15; 155:17;162:20; 171:11;172:22; 173:25;174:20; 175:22;177:6;182:14; 185:11;200:4;202:11, 12;208:9;210:18; 212:13,22 fit (1) 191:20 fits (1) 88:23 five (21) 16:6;21:4;51:19; 76:22;99:16;111:18, 19;117:5,5,8;126:8; 155:20;161:5;176:15; 178:23;188:11;201:3; 203:20;204:21; 210:21;220:23 five-minute (1) 132:12 fix (3) 42:12;70:7;133:4 flat (1) 87:1 floor (3) 16:9;148:13;219:4 Florida (1) 75:16 fluently (1) 155:18 focus (4) 12:20;19:2;20:10; 96:4 focused (5) 33:14;44:22; 117:12;139:7;165:24 folders (1) 188:16 folks (41) 32:25;35:4;59:4; 61:3,8,20;64:4,8; 74:18;94:15;101:5,9, 10,13;105:2,6; 116:16;133:8,19; 134:22,24;135:1,4,7, 25;137:19,24,25; 138:10,18;159:20; (12) extensive - folks Maine Advisory Council to the United States Commission on Civil Rights 160:2;166:17;173:25; 175:23;178:8,11; 180:4;183:22;185:12; 212:17 follow (6) 41:7;55:22;57:5; 60:22;113:8;180:17 followed (1) 143:15 following (4) 19:3;59:23;82:9; 83:9 follow-up (2) 55:24;99:13 food (1) 151:9 foot (1) 185:23 force (32) 88:12;89:21;90:13, 24;91:7,7;92:1;107:5; 108:17,21;112:6,10, 11,13,15,21,23,25; 113:3,4,8,9,12,13,16, 17,24;114:6,6; 115:22;210:6;216:10 forced (7) 19:17;31:16;63:25; 64:11;65:2;90:24; 95:6 foremost (1) 96:15 forensic (36) 8:14;16:15;20:19; 35:6;64:17;144:16; 172:16;173:14,24; 174:6,15,19,23;175:1, 8;177:8,12,16,20; 178:2,13,18;180:1; 189:21;190:12; 191:14,18;193:13; 194:6;198:10,25; 199:1;200:2,10; 203:8,18 forensics (5) 174:13,21,24; 177:25;178:6 forgot (1) 222:8 form (3) 22:25;162:1;196:18 formal (1) 200:8 formed (1) 137:9 former (2) 216:16,16 forms (2) 78:10;214:10 formula (1) 48:4 for-profit (1) 201:17 Min-U-Script® June 14, 2017 forth (7) 38:19;42:17;149:1; 152:21;177:1;199:16; 203:25 fortunate (1) 139:2 forum (1) 218:20 forward (13) 5:21,24,25;16:24; 32:20;33:22;50:22; 75:9;136:25;194:20; 212:1;219:14,17 foster (2) 85:2;87:7 fought (2) 183:15;184:11 found (31) 10:1;13:3,22;14:17; 15:19;17:1,5;24:24; 28:21;34:11;36:9; 56:5;71:22;125:12; 130:16;133:21; 144:15;150:20; 152:16;175:10,12,23; 176:2;178:22;179:13, 17;193:3;196:23; 198:5;200:23;214:6 four (22) 18:24;35:10;76:22; 84:6,9;89:1;98:17; 111:21;136:6;143:2; 150:25;152:17; 155:20;172:15; 174:24;175:7,21; 178:23;203:19;210:2, 2;213:19 frame (2) 105:7;141:17 framework (1) 32:24 Franklin (2) 54:14;59:1 Frankly (5) 66:23;99:19;153:6; 158:23;219:19 free (2) 50:11;139:19 frequent (2) 25:7,10 frequently (3) 57:1;129:22;152:8 friend (2) 22:10;217:22 friends (2) 86:10;91:10 front (27) 7:19;18:25;42:17; 59:22;80:24;84:4,13, 15;101:14;105:15; 111:1;130:18,20; 133:4,12;140:8; 143:19;145:2;158:8; 165:21;170:16;184:5; 186:16;187:11,18; 211:5;220:21 Frontline (2) 57:7,11 fruition (1) 56:18 frustrated (2) 17:15;195:15 frustration (2) 65:11;213:20 frustrations (1) 91:21 fuel (1) 32:19 fulfill (1) 20:24 full (6) 9:8;52:3;178:25; 191:15,22;203:25 full-time (4) 66:5;68:3;72:12; 83:2 fully (6) 8:8;48:6;51:15; 73:19;131:25;188:17 fun (1) 117:20 function (1) 193:8 functionality (1) 83:18 functionally (1) 177:6 fund (10) 33:17;44:16;48:5,5; 50:24;51:2;107:3; 166:25;184:3;220:6 fundamental (1) 103:11 funded (10) 48:6,25;49:11;50:8; 53:17;130:4,5; 166:13;205:9,10 funding (16) 7:9;18:19;19:3; 31:9;33:23;48:3; 54:19;58:23;100:3; 107:14;121:8;127:3; 137:18;152:23; 168:16;186:20 funds (7) 28:10;146:19; 164:13,17,21;184:7; 187:11 furiously (1) 212:9 further (8) 17:21;23:14;64:14; 95:13;119:25;120:24; 197:7;215:18 future (5) 85:20;142:5;170:3; 176:25;190:15 G gain (1) 114:12 gaining (1) 187:16 Gamble (1) 129:9 game (2) 79:25;114:14 garden (1) 221:19 Gardiner (1) 182:17 gather (1) 188:14 gave (9) 12:19;75:18;93:3; 117:8;145:20;151:5; 165:13;174:10;175:7 gawking (1) 109:25 general (12) 9:6;57:22;58:8; 81:19;87:5,23; 103:10;109:24; 149:18;167:8;180:14; 193:12 generally (3) 42:5;104:21;169:25 generates (1) 58:3 gentleman (2) 138:10;146:10 gentlemen (1) 118:7 genuinely (1) 100:14 geographic (2) 7:2;98:8 geographical (1) 97:23 gets (6) 130:14;131:18; 138:6;154:2;215:23; 217:22 GILBERT (2) 4:16,16 Given (16) 25:17;30:2;56:4; 62:3;76:14;99:25; 106:16;142:18,19,20; 143:2,2,13;152:14; 187:22;218:11 gives (3) 98:18;168:16; 175:22 giving (3) 28:3;51:10;76:24 glad (2) 144:17;204:12 Duffy & McKenna Court Reporters 1-800-600-1000 gland (1) 96:24 Gloves (2) 12:10,22 goal (2) 73:17;214:5 goals (1) 8:14 gobble (1) 102:15 God (3) 135:20;144:6; 171:19 GOE44 (1) 81:21 goes (10) 76:23;95:14; 104:16;106:15;160:6, 23;187:24;194:18; 215:19;216:1 gold (2) 30:17;53:9 Golden (2) 12:10,22 gonna (1) 75:1 Good (50) 4:2,11,13,16,18,20; 11:8;15:5;18:9,10; 19:10;30:12;37:6,7; 39:10;40:15,25;45:2; 56:19;60:4,11;70:10; 80:15;81:25;82:8,9,9; 115:10;118:14; 127:10;132:6;133:2; 145:5;149:23;172:13; 173:4,5;177:22,24; 181:18;185:25; 186:10;193:19;195:3; 204:8;206:20;212:8; 213:5;218:11;220:3 goose (1) 100:18 Gore (8) 206:19,20,21; 210:10,12;211:24,25; 212:3 govern (1) 127:24 governed (1) 81:20 government (4) 6:10;185:7,8;202:8 governments (1) 33:16 Government's (1) 29:7 Governor (6) 15:3;49:3;180:5; 184:14;189:23; 205:18 Governor's (3) 25:21;190:7;208:19 (13) follow - Governor's Maine Advisory Council to the United States Commission on Civil Rights grab (1) 107:6 grade (2) 48:22;49:15 grader (1) 137:23 graduate (4) 83:2;140:11,15; 165:18 graduated (3) 21:9,10,12 graduates (1) 140:18 grandmother (1) 101:18 Granted (1) 215:24 grasp (1) 207:10 grateful (3) 5:10,20;10:19 Gray (1) 87:16 great (30) 57:18;58:6;70:7,14; 72:10;73:20;75:20; 93:16;95:16,20; 102:13;117:21; 121:16;137:3,22; 138:8,14;142:2; 146:6;160:3,16; 164:15;165:22; 166:18,23;182:24; 183:7;188:20;209:7; 210:9 greater (1) 67:2 greatest (1) 97:21 greatly (3) 23:3;33:25;67:21 grim (1) 22:7 grossly (2) 187:2;188:14 ground (1) 9:5 group (8) 51:15;62:6;94:24; 118:24;158:5;170:21, 22;215:21 groups (2) 61:4;159:6 growing (2) 205:17;206:10 grown (1) 64:2 guarantee (1) 211:8 guaranteed (1) 80:12 guardians (1) 20:4 Min-U-Script® June 14, 2017 guardianship (2) 15:22;210:5 guess (9) 93:5;108:23;145:7; 173:6;188:9;195:7; 197:25;209:16; 210:12 guests (3) 10:4;138:23;182:10 guidance (4) 12:18;19:23;20:4; 56:9 guide (2) 167:1,2 Guided (1) 29:19 guilty (8) 125:25;133:21; 151:7;167:19;169:8, 23;170:11;193:3 gun (2) 55:7;113:25 guy (3) 50:12;97:21;200:20 guys (2) 218:16;221:19 H Haley (1) 147:2 half (7) 30:4;49:11;95:5; 101:2;103:13;174:12; 203:14 halfway (2) 105:20;151:18 Hall (2) 219:4;221:9 Hallett (1) 145:7 Hallowell (1) 182:17 hallucinating (1) 216:13 hallways (1) 116:22 Hampshire (1) 186:5 hand (4) 80:8;162:2;184:25; 194:12 handle (3) 14:7;98:7;192:11 handled (1) 192:7 handlers (1) 88:7 hands (3) 102:15;194:2; 213:17 happen (13) 11:20;48:22;51:11; 75:6,6;79:16;97:4; 106:5,12;114:14; 158:18;164:22; 184:18 happened (7) 11:20;40:5;73:3; 124:25;142:10;172:6; 187:3 happening (7) 14:21;41:17;77:2; 96:2;125:23;172:7; 185:5 happens (9) 70:16;134:3; 144:20;151:4;154:24; 160:7,8;170:11; 196:11 happy (7) 80:5;140:3;155:8; 173:23;189:12; 193:11;206:16 Harbor (1) 210:3 hard (9) 13:20;70:22;103:1; 122:10;134:20; 184:22;207:10;209:9, 11 harder (1) 168:17 harm (5) 23:7;129:14,16; 203:10;211:4 hat (1) 108:6 head (4) 15:1;109:23; 141:16,18 headed (1) 37:12 heads (1) 110:3 health (223) 7:8,11,15;8:8,19, 20;13:23;16:7,14,20; 17:20;18:20;19:17, 20,21;20:11;22:9,23; 23:13,16;24:3,15,17, 21,22;25:6,23;26:10, 16,18;27:21,23;28:8, 20;30:2,6,15,21,23; 31:8,14;32:17,21; 33:7,10,12,18,24; 34:16,23;35:22,24; 36:5;37:25;38:22; 40:1;43:4,23;44:22; 45:2,13,15,22;48:24; 49:7;51:4;53:2,23,24; 54:7,22,24;55:6,10, 19;56:15;58:14; 61:20;62:21,22;63:8, 9,22;64:4,12,20; 65:25;66:5;67:22; 68:6,8;69:20,22;71:7, 7,19,24;72:4,8,12,17, 21;75:13,25;76:13,14, 20;77:11,13,18;79:2, 8;82:3;83:18,23;87:9; 94:5;97:25;98:7,9; 99:17;100:5,7; 101:16;103:6;105:12; 107:19,20;110:16,17, 19;111:5;114:23; 115:15;116:12; 117:13,15;119:21; 120:6;124:12;126:9, 16,23;127:5,23;128:7, 10,22;129:2,2,23; 130:22;131:14; 132:21,22;133:3; 134:14;135:14,16; 136:4;137:15;138:4; 139:8,19;140:2; 141:20;142:16,24; 144:17,21,25;146:15; 147:25;150:2,10; 151:20;153:5,13,18; 155:23;157:1,12,15; 160:1;164:8;172:19; 175:15,20;185:2,6,14; 186:1,21;187:1,8,12, 17;188:2;193:13,14, 15,16;196:6;197:14; 201:17;206:1,4,11; 213:24;220:6,10,17, 19,23;221:4,5,7,8,10, 14,16,16,24 health-based (1) 44:2 health-related (1) 49:13 healthy (1) 12:20 hear (20) 5:16,16;9:1;40:21; 80:6;96:6;104:14; 141:11;153:8;172:22; 181:3,24;182:4,6,21; 183:8,9;186:6;189:3; 192:5 heard (32) 14:11;15:11;34:12; 35:2,4;60:15;79:6; 120:3,7;121:1;122:5; 128:14;130:1,10; 133:7;137:22;140:6; 145:9,11;150:13; 157:21;167:5;186:12; 189:14,16;192:8; 201:7;214:12;215:7, 8;218:8;220:11 hearing (4) 84:7;147:16; 201:23;216:13 hearings (1) 172:6 Duffy & McKenna Court Reporters 1-800-600-1000 hears (1) 18:5 heavily (1) 92:4 Heavyweight (3) 12:22;146:6,17 held (10) 7:22;33:9;69:23; 81:3;133:22;147:10; 157:15;196:19; 197:19,21 helicopter (1) 99:21 hell (2) 106:20;167:6 hello (1) 207:18 help (47) 9:2;13:8;19:22; 20:23;22:12;24:15; 51:16;56:8,17;66:11; 67:14;73:20;86:16; 91:13;92:22;93:11, 13;101:7;108:5; 109:14;119:19; 120:16;140:25;141:1; 142:11,17;143:1,12; 144:2,13,14;152:19; 155:5;161:4;162:19; 165:21;169:24;170:2, 2;172:2;179:22; 183:22;207:9;211:17; 213:17,21;214:8 helped (2) 67:20;179:23 helping (8) 29:17;56:10;63:7; 135:24;164:9,9,10; 166:5 helpless (1) 217:5 Here's (4) 51:8;136:23;166:3; 183:10 herself (2) 144:15;149:2 Hey (1) 168:3 Hi (3) 87:12;182:15; 185:25 high (16) 12:23;48:1,4;88:9, 9,13,23;115:7;117:8; 146:22;150:23;164:5; 165:6;176:13;179:2,5 higher (2) 33:21;47:5 highlights (1) 34:13 highly (4) 82:22;110:8; 111:13;137:7 (14) grab - highly Maine Advisory Council to the United States Commission on Civil Rights high-risk (1) 85:25 hill (1) 221:9 himself (7) 13:3;144:12; 151:16;211:6;214:21; 216:20;222:13 HIPAA (1) 41:5 hire (1) 97:12 historically (2) 66:1;178:2 histories (1) 32:17 history (11) 13:10;15:24;24:21; 107:20;115:24; 151:20;155:23;180:5; 194:6,8,25 hit (2) 74:22;213:7 hits (2) 141:16;163:18 hold (4) 28:2;34:21;102:14; 173:8 holding (2) 134:25;149:1 holds (1) 22:16 holistic (1) 162:11 hollering (2) 61:11;101:14 home (12) 17:24;123:10; 133:16;143:8,11; 151:8,25;152:9; 158:5;160:7;215:21; 218:1 homeless (3) 151:13;208:5;216:8 homelessness (1) 84:7 homeostasis (1) 85:19 homes (2) 118:24,24 Hometown (1) 4:9 homicidal (2) 89:22;115:2 honest (2) 101:15;110:1 honestly (1) 163:2 honesty (1) 154:10 honor (3) 49:3;207:11;223:1 honored (1) Min-U-Script® June 14, 2017 138:23 honors (1) 21:12 Hope (11) 4:15;5:6;8:2,15; 36:10;47:11;114:12; 120:25;145:14; 173:18;217:17 hopeful (1) 164:21 hopefully (1) 175:17 hopes (1) 29:10 hoping (4) 114:10;136:13; 151:11;221:20 horrible (2) 148:14;150:8 horrific (2) 143:23,23 Hospital (71) 8:22;17:7,15;33:11; 45:1;59:3;65:3,24; 66:12,13;91:12; 92:12;94:16;105:21; 106:6,7;108:11,12,16, 21;109:7,18,20,21; 110:14;111:12; 118:23;119:13; 123:21;125:3,19; 126:16;127:5,7,21; 139:23;142:17,21,25; 144:1,17;147:22; 148:2;149:8,8;161:1, 15;162:4;174:8,22; 175:8,21,22;176:23; 177:19;192:7,19,20; 208:2,24;209:4; 210:6,7;211:9,11,18, 19,21;216:24;217:14; 222:14 hospitalization (7) 123:9;124:21; 126:3;191:22;192:4; 207:25;208:6 hospitalizations (1) 92:21 hospitalized (2) 143:1;210:2 hospital-level (1) 19:12 hospitals (10) 18:21;44:21;64:25; 99:16,18,23;110:3; 118:22;122:7;150:24 host (1) 63:16 hostage (3) 82:14;83:13;85:24 hostages (2) 85:19;87:6 hour (2) 38:18;117:4 hours (20) 38:15;49:11;52:21, 22;53:22;54:2,2;68:5, 11,22;76:4;83:5,16; 84:5,6,9;111:12,16, 20;132:13 house (13) 35:11;79:12;96:7; 146:20;151:18; 182:18,18;187:11; 190:11;192:6,16; 213:12,15 housed (4) 120:19,21;133:17; 192:24 housewives (1) 219:11 housing (8) 120:18,22;123:6; 135:13;137:19;151:8; 153:12;164:9 Houston (2) 75:4,15 How's (1) 170:13 hub (1) 116:16 huge (5) 47:21;79:10;80:8,8; 210:22 Human (18) 8:19;24:15;27:21; 34:16,23;35:24; 45:16;79:20;84:24, 25;97:12;131:14; 171:12;172:19;185:2, 6;186:2;197:15 humane (3) 106:19;145:4;214:7 humanly (1) 97:13 humongous (1) 162:6 hundreds (3) 77:24,25;99:24 hung (2) 197:17;213:8 hurt (2) 141:17;211:23 hurts (3) 144:21,22,23 husband (3) 141:16;142:6;213:8 hygiene (1) 62:15 Hymanson (13) 181:2,13,19;185:1, 24,25;186:1,22; 188:12,21,25;189:6, 13 hypothetical (1) 155:2 I ICP (1) 53:15 idea (5) 15:5;44:22;45:11; 167:6,14 ideal (2) 191:1;203:3 ideally (3) 170:9,10;203:7 ideation (1) 71:9 identification (1) 68:6 identified (2) 47:25;160:22 identify (1) 134:19 identifying (3) 8:7;153:19,20 ignorance (1) 167:4 ignore (1) 13:4 II (2) 8:1;128:14 il (2) 11:21;17:21 ill (12) 20:1;88:1;145:24; 152:18;157:19; 158:14;201:9;207:7, 14;209:16,23;212:18 illness (83) 7:6,25;11:13,16; 12:17;16:15;19:8,23; 28:15,17;29:4,6,12, 19,23;30:8;31:15,20, 24;32:7,10,13,15; 33:4;34:8,10;35:17; 36:22;38:25;44:20; 53:15;60:19;61:25; 65:21;68:25;82:17; 83:25;86:13;89:12, 24;90:3;91:18,20,24; 92:11,19,25;101:20; 102:5;108:3;115:23; 118:18;119:1,6; 120:2,17,19;128:16; 133:6;134:19;137:12; 144:5;167:16;174:4; 183:2,4;193:20,22; 195:5;206:23,25; 207:4,8,17;212:23; 214:14,16,17;215:15, 18,24;217:12;220:1 illnesses (5) 6:23;7:8;8:11; 51:17;214:10 illustrate (1) 141:6 Duffy & McKenna Court Reporters 1-800-600-1000 illustration (1) 193:19 illustrations (1) 144:20 Imagine (1) 150:7 imbalance (1) 185:13 IMHU (6) 19:10;20:16,17; 193:1,6;201:20 immediate (4) 62:7;87:6;111:21; 142:11 immediately (7) 14:25;16:11;26:11, 14;127:11;213:8; 217:4 imminent (2) 113:13,19 impact (2) 66:17;142:7 impacted (2) 23:2;136:3 impaired (1) 84:7 impediment (1) 164:11 imperative (1) 79:24 imperfect (1) 125:5 impirical (1) 32:16 implement (1) 50:19 implemented (3) 32:24;52:12;71:14 implications (1) 119:22 implicit (2) 84:24,25 import (1) 35:14 importance (2) 10:25;166:22 important (28) 5:15,18,19;11:18; 22:1;35:18;51:23; 52:2,9;70:12;117:17; 120:8;121:2,3;127:1, 3;130:3,9,12;131:19; 132:18;136:23;140:8, 24;188:15;203:11; 218:21;221:17 impressed (2) 20:18;103:8 impression (3) 39:1;151:2;157:25 improve (1) 177:5 improved (1) 178:7 (15) high-risk - improved Maine Advisory Council to the United States Commission on Civil Rights improvement (3) 177:3;204:4,4 improvements (1) 173:20 inability (2) 23:18;34:11 inaction (1) 17:2 inappropriate (1) 34:21 inappropriately (1) 66:18 inaudible (3) 166:13;186:23; 187:7 incantation (1) 184:7 incarcerate (1) 219:23 incarcerated (8) 16:17;18:23;28:20; 33:6,19;35:9;133:19; 210:18 incarceration (6) 13:24;14:4;28:1; 29:2;32:5;38:12 incentive (1) 48:10 incident (7) 88:16,17,24;89:18; 91:23;132:4;215:12 incidents (7) 88:9,10,11,15; 89:20,23;90:14 include (8) 25:25;27:21,22,23; 60:23;61:15;83:8; 88:11 included (1) 25:22 includes (3) 8:25;26:3;89:10 including (11) 7:20;8:3;56:14,14, 15;83:12;89:15; 126:7;128:2,16; 219:18 inclusion (1) 10:13 incompetent (11) 17:19;124:7;125:8, 12;175:11,24;178:22, 23;179:13,17;197:8 incorporating (1) 183:22 increase (9) 18:20;19:3,5;23:14; 26:2;91:20;109:1,2; 185:9 increased (5) 38:6;91:18;131:1, 13;188:10 increasingly (1) Min-U-Script® June 14, 2017 7:17 incredible (2) 72:25;133:24 incredibly (10) 5:14,18,19;70:12; 71:1,1,3;97:4;117:10; 130:9 in-custody (4) 105:5;139:24; 147:11,16 indecent (1) 157:24 indeed (1) 148:10 indefinite (1) 126:3 indefinitely (2) 162:4,13 independent (1) 6:9 independently (1) 50:6 in-depth (1) 26:17 indeterminate (1) 200:18 indicated (1) 204:22 indicative (1) 89:11 indifference (1) 129:12 individual (23) 29:23;34:2,19; 38:15;42:16;43:4; 59:18;93:13;100:24; 103:4,5;104:15; 110:7;118:25;124:25; 131:9;154:2;156:25; 160:23;161:23; 170:23;171:2;196:18 individuals (50) 7:5,11;28:19,21,21; 29:1,9,11;30:9;31:16; 32:2,6,17;35:16;36:9; 55:17;57:1;61:24; 62:7;64:10,14; 103:17;104:5;107:20; 109:4;114:20;115:15, 18;118:18;119:6,11; 120:19;123:11,12; 124:5,15;126:4,11; 128:2,16;129:7; 157:11;186:17,21; 196:23;202:3;205:13, 14,23;206:12 inevitably (2) 217:10,10 influence (3) 81:17;85:12;111:14 information (15) 6:19;9:25,25;10:8; 71:2;85:3;86:15;87:8; 88:22;94:8;97:18; 136:25;137:3;187:22; 188:18 inhumane (1) 148:13 initial (3) 128:14;154:16; 157:25 initiative (9) 7:10;28:4,25;29:16; 32:23;46:11;136:20; 137:11;138:8 initiatives (1) 81:6 inmate (3) 16:17,20;57:20 inmates (2) 133:13;166:9 inn (1) 197:16 inpatient (1) 44:9 in-patient (5) 149:20;191:15,22, 22;192:3 input (3) 8:25;204:7;221:20 insanity (1) 126:1 inside (7) 38:9,10,19;101:15; 105:10;170:5;171:6 insight (3) 210:15;216:3;218:5 insist (1) 210:7 instance (1) 123:22 instances (3) 94:18;126:8;161:11 instantly (1) 103:2 in-state (1) 17:3 instead (10) 43:5,5;64:4;77:11; 110:13;143:18; 144:15;158:4;170:5; 183:24 institute (1) 27:24 institutional (1) 64:15 institutionalization (1) 151:21 institutions (1) 174:1 instructed (1) 218:24 instrument (1) 32:12 instruments (1) 50:13 insurance (6) 78:25;79:1;150:8; 209:14,18,19 intake (4) 29:10;31:21;67:17; 126:17 integrated (1) 78:16 Integration (1) 128:15 intelligence (1) 86:9 intended (1) 79:14 Intensive (5) 8:20;16:14;17:20; 26:15;128:22 intent (6) 29:17;31:24;43:20; 54:6;162:1;196:18 interact (2) 31:16;53:7 interacting (1) 53:14 interaction (5) 58:17,18,20;84:22; 86:20 interactions (3) 120:1,9;212:19 Interactive (2) 112:23,25 interdisciplinary (1) 67:21 interest (4) 119:7;129:21; 164:15;204:19 interested (3) 186:6,11,12 interesting (2) 46:24;201:6 interface (3) 201:16;202:8,9 intermediary (1) 82:21 intermediate (6) 102:8;103:14,16; 107:2,3,4 intern (1) 76:2 International (4) 29:14;53:11,24; 59:13 interns (2) 76:8,15 internship (1) 76:5 interrupted (1) 189:9 intervention (18) 8:13;20:7;27:17; 28:7;30:17;52:19; 83:22,23;84:5,10; 85:4;87:5;89:16; Duffy & McKenna Court Reporters 1-800-600-1000 109:8;114:21;120:25; 123:18;130:2 interventions (4) 23:13;26:18; 127:19,25 interview (2) 82:1;93:11 interviews (1) 86:9 intimidating (1) 151:3 into (83) 6:24;7:1,17;13:3; 14:15;15:13;16:10; 19:18;27:13;34:15, 22;36:1,9;39:17;42:9, 11,12,13;46:17; 52:22;57:3,21;58:8; 61:3;62:20;63:21; 64:11,19;65:2,21; 67:25;79:3,19;86:5; 90:13;91:11;92:9; 95:11;96:7;101:12; 106:2,8;107:8;109:6; 110:14;111:11; 116:18;119:13; 122:11;124:15;125:1; 131:22;132:13;136:7; 137:20;142:5;155:24; 158:5;160:5,9,23; 164:16;168:4;175:8, 21;177:12;178:9,13; 187:25;188:5;190:21; 191:21;193:15,16; 196:24;203:6,23; 206:2;210:6;212:15; 215:18,20;219:5 intoxicated (2) 110:8;111:14 introduce (2) 4:7;181:16 introduced (4) 50:21;59:11;104:5; 146:24 invest (1) 28:1 investment (2) 219:24;220:3 invitation (1) 166:15 invited (2) 10:3,8 inviting (1) 11:10 involuntarily (2) 100:11;129:5 involuntary (6) 63:11;64:22; 102:10;103:22,25; 104:9 involve (4) 89:20;107:19,19; 196:9 (16) improvement - involve Maine Advisory Council to the United States Commission on Civil Rights involved (13) 20:9;34:1;47:1; 61:23;89:19,24; 90:12;92:7;117:17; 153:15;154:2;164:13, 17 involvement (3) 13:18;31:11;56:20 involves (1) 52:23 involving (10) 83:13;88:11,16; 91:23,25;92:18,23,24; 119:1;151:6 IQ (1) 207:12 Iraq (1) 171:14 I's (1) 191:4 ISEP's (1) 30:19 Island (1) 98:16 isolated (2) 58:2;215:12 isolation (3) 14:5;147:17;150:1 issue (58) 5:18;6:22;27:24; 30:6;39:22;40:1;41:7, 9;42:20;44:24;54:16; 59:9;65:14;66:4,14; 70:12;71:24;93:8; 94:17;99:15;101:16; 103:6;108:25;110:17, 17;114:18,23;115:16; 116:25;117:10,13,14; 119:1;121:8;138:4; 149:7,21;150:10; 153:19,20,21,21; 157:1;162:16;174:6; 185:15;198:1;205:8, 15;212:16;213:22; 217:18;219:17; 220:17;221:15,17,21; 222:10 issued (1) 29:8 issues (48) 8:8,15;10:6;19:23; 38:22;40:2;41:5; 45:13;51:5;58:5; 63:16;70:8;73:10; 75:13,17;76:25;77:7, 14;78:2,23;98:8; 107:21;116:13;120:5; 135:10;136:1;146:10; 150:12;152:24;153:5, 18;155:19;157:12,15; 160:1;162:25;184:24; 186:21;197:23;198:3, 6;205:6,25;206:1,11; Min-U-Script® June 14, 2017 221:6,7,16 IST (7) 17:18,19;125:18, 19;130:17;161:2,12 ISTs (5) 19:12;20:3;176:5, 11,14 items (1) 61:16 J jail (123) 7:20;15:19,25;16:4, 18,23,25;17:5;28:19, 21;29:5;31:6,20,21; 32:1,11,11,18,20,21; 34:17;35:12;36:9; 42:20;43:9,14,16; 44:25;50:25;63:15; 64:11;67:18;92:13; 94:15,20,24;101:24; 102:9;103:22;104:12; 105:11,23;118:9; 119:12;123:22;124:2, 4,6,10,11;125:5; 126:19,22;127:2,8,11; 129:22;130:17;133:8, 12;134:9,16;135:11, 13;137:12,16,20; 138:3;139:24;142:9; 147:10,16,25;148:4, 17,24;149:10,13,15; 150:1,5,6;151:7; 152:3,18;154:3,5; 155:4,7;156:10,23; 157:15;160:23;161:3, 4;165:14;166:17; 170:6;175:13,13,14, 18;176:6,8,15,16; 178:17,23;179:18,21; 184:8;193:19,21,23; 197:19,21;200:18; 208:5;215:20;217:13, 13;219:3;220:5 jailer (1) 155:10 jails (19) 8:7;31:24;32:14; 33:20,25;49:23,25; 50:8;63:16;66:18; 118:23;126:18;127:3; 131:13;152:22,23; 174:2;175:19;201:16 jail's (1) 32:7 jam (1) 208:19 jammed (1) 177:2 January (2) 68:3;190:15 Jason (1) 80:18 JCAHO's (1) 33:11 Jean (4) 206:19,21;214:11; 216:2 Jenna (5) 28:13;95:3;102:8; 106:17;135:22 jerk (1) 102:4 Jim (1) 218:13 job (6) 70:14;151:9,24; 195:3;215:23,23 jobs (2) 142:24;164:9 Joe (1) 208:13 join (1) 5:14 joined (4) 4:22;6:3;80:23; 81:8 joining (3) 172:16,17;181:20 Jones (3) 4:15,15;47:19 journey (3) 11:16;40:18;56:8 joy (2) 21:8;102:25 JPMA (1) 84:19 Judge (20) 17:14,22;34:14,20; 86:8;105:6,15; 139:17;147:12,12; 149:2,4,4;154:22; 162:24;164:2;170:13, 15;200:12;203:9 judges (4) 138:17;154:23; 165:23;198:5 judge's (1) 147:15 judging (1) 200:15 judgment (1) 123:20 judicially (1) 102:18 judiciary (1) 139:18 judicious (1) 10:15 Judith (1) 4:15 July (2) 11:3;24:14 jump (1) 133:24 jurisdictions (2) 59:10;93:6 justice (47) 6:14,25;7:18;8:5; 13:19;29:7,22;30:2; 34:22;36:1;38:3; 42:10;51:4;53:10; 55:10,18;67:24;71:4; 74:21;82:25;83:6; 84:19;89:7;120:2; 121:21,25;126:7; 128:18;132:20,23; 133:2;135:8;137:9; 161:9;172:1,20; 182:19;183:13,17,20; 185:8;186:18;193:15, 17;195:25;210:15; 219:17 juvenile (5) 22:15;36:1;155:15, 15,17 juveniles (1) 100:20 K keel (1) 212:20 keep (13) 15:23;22:19;24:6; 65:3;117:8;134:10, 11;144:8;176:5; 211:3,12;212:20; 221:23 keeping (1) 218:18 keeps (2) 43:10;46:14 Kennebec (16) 15:25;109:5,14,14; 110:6;138:25;139:12, 24;142:9;156:20; 163:9;166:8;168:5; 169:22;174:16,16 Kennedy (1) 38:4 kept (5) 38:15;146:11; 148:18;157:23; 174:19 Kevin (3) 118:15;177:23; 179:6 key (7) 28:7;48:23;51:24; 54:11;108:18;131:2; 203:9 KHIEL (75) 4:2,3,22;6:2;11:9; 21:17;28:12;36:12; 49:22;51:12;52:17; 55:20,22;56:1;59:20; 60:1;70:9;80:14;93:1; Duffy & McKenna Court Reporters 1-800-600-1000 112:3,8,14,17;113:20; 116:2;118:3,7,13; 132:5;138:20;153:24; 163:7,11;164:12; 172:9,13,25;173:4; 180:17,20,23;181:1, 14,18,25;182:5,23; 183:5;186:9;188:23; 189:2,8,11;195:13; 198:9,13,17;201:14; 204:5,16;205:1; 206:17,19;210:10; 211:24;212:1,4; 218:7,10,13;222:2,6, 9,21,23 kick (2) 96:7,11 kicked (1) 48:18 kids (4) 36:1;41:21;48:18; 208:17 killed (2) 158:8;171:8 kind (47) 39:5;40:4;44:10; 45:22;56:18;57:4; 70:18;71:25;73:21; 74:15;75:17,18; 76:25,25;77:1,1,1; 78:22;89:19;94:25; 95:1;106:11;107:5; 111:23;113:25;114:1, 15,23;115:3,11; 116:17,21;119:14; 121:19;125:15; 127:12;128:12; 131:17;139:9;141:11; 192:18;203:15;219:2, 15;220:21;221:1,2 kindergarten (1) 49:14 kinds (1) 56:6 King (1) 164:14 kitchen (2) 96:11,12 knife (3) 96:12,14;113:25 knives (1) 214:25 knowing (4) 159:21;160:4; 162:3;215:13 knowingly (1) 129:15 knowledge (2) 131:12;200:1 known (4) 8:4;62:6;63:20; 203:14 knows (5) (17) involved - knows Maine Advisory Council to the United States Commission on Civil Rights 135:19;152:5; 195:18;210:13;217:2 L la (1) 6:3 label (1) 35:7 labs (1) 148:19 lack (20) 17:2;19:18;27:11; 30:24;31:13;43:19; 58:23;78:14;80:2,2; 95:5;99:20;103:12; 117:18;137:6;141:4; 189:18;192:21,23; 210:22 lacking (3) 103:11;116:10; 216:3 ladies (1) 118:7 lady (1) 71:23 lag (1) 125:6 Lake (1) 75:15 land (3) 190:10;198:16,19 language (1) 85:16 large (5) 7:2;57:16;69:9; 98:13;116:5 largely (3) 178:18;202:16; 203:2 larger (2) 116:15;117:1 largest (3) 97:23;134:14;174:1 last (25) 15:11;21:9,12;23:5; 54:20;87:11,19;99:4, 18;123:2;145:11; 157:21;160:23; 164:18;173:10,11; 176:6,7;177:5;178:9; 179:14;201:3;202:19; 203:19;215:1 lastly (2) 20:6;218:13 late (4) 12:15;72:6,24; 76:12 later (13) 13:2,22;14:17;63:1, 17;74:25;143:6; 144:18;147:14; 148:23;149:10,11,23 Min-U-Script® June 14, 2017 launched (2) 29:13,16 Laurie (1) 212:5 law (82) 7:22;8:7,11;16:3; 17:18;20:7;29:25; 30:6,15;31:1,7,11,16; 36:24;43:1,20,21; 44:8,25;47:2;54:8,25; 55:1,13,15;56:14; 58:14;59:17,21;61:5, 8,19,23;62:3,16,17; 63:14,19,20,23,24; 66:21;68:1,9;69:25; 70:2;74:7;78:19; 79:25;80:5,22;83:3; 84:8,17,22;87:9; 91:10;97:24;98:7; 99:7;103:1;107:5; 109:22;113:3,12; 117:13;120:10; 125:14;128:24;130:2, 3,6;137:15,21,24; 138:1,15;186:13; 200:12;208:16; 210:24;219:18 laws (3) 6:11;41:20;128:13 lawyer (1) 147:12 lawyers (2) 145:22;154:23 lawyers' (1) 147:5 lay (1) 66:2 laying (1) 148:12 LD (1) 189:25 lead (1) 38:6 leader (1) 66:22 leadership (1) 44:16 leading (2) 7:20;189:17 learn (3) 5:21;86:8;114:2 learned (2) 207:21;208:7 learning (5) 75:11,12,14;76:17; 78:6 least (29) 16:2;18:24;24:10; 37:16;39:7;40:20; 43:9;48:7;51:1;54:20; 56:12;68:4;97:20,22; 98:17;102:2;105:3; 107:12;110:20; 150:24;152:17;174:9; 175:1;179:8;180:14; 192:8,23;193:2;210:5 leave (10) 18:14;36:18;101:1; 108:16;129:22;134:2; 173:12;188:3;194:1; 200:24 leaving (3) 90:2;91:14;108:25 lecture (1) 82:14 led (1) 132:13 left (12) 14:7;31:7;36:7; 57:15;91:5;111:9,24; 142:20;152:10; 183:16;209:8;216:9 leg (2) 75:18;193:23 legal (8) 17:10;19:21;62:12; 101:12;121:23; 127:14;146:20; 186:17 legally (3) 34:21;62:17,23 legislation (6) 50:21;59:11; 103:23;104:4;105:19; 106:13 Legislative (12) 26:6;44:13,15; 67:23;105:18;107:1; 163:16;172:11,15; 180:6,13;190:2 legislatively (1) 69:17 legislators (5) 35:7;172:17; 180:21;181:3;188:24 legislature (8) 62:2;66:23;180:11, 14;182:20;189:25; 208:16;219:19 lend (1) 218:6 lens (2) 66:21;119:14 less (7) 47:20;113:23,23; 114:6;126:6;165:10; 218:23 lessen (1) 206:3 lesser (1) 62:6 Lethal (6) 112:10,10,12; 113:23,24;114:6 letter (6) 145:13,16;153:1; 155:13,16;210:20 letting (2) 109:17;206:20 level (27) 23:9;24:22;25:19; 27:11;29:2,4;33:11; 41:10;43:17;47:5; 69:2;76:2,8;96:1; 100:3,4;101:12; 103:25;104:6;113:9; 117:20;152:24; 155:15,24;179:5; 199:7;202:13 levels (1) 23:8 Lewiston (9) 4:10,21;6:5;99:22; 168:24;187:14;205:3, 5;218:18 Lhamon (2) 4:23;5:1 liable (1) 91:5 liaison (9) 72:8,12;75:19,23; 76:12,14,20;77:10,24 liaisons (2) 76:11;94:5 liberties (1) 103:4 Liberty (3) 20:15;57:18;58:6 library (1) 219:4 license (2) 184:15,21 lieu (1) 146:20 lieutenants (1) 81:14 life (19) 12:12,25;13:5,20; 14:3;19:15;23:6;57:8; 81:18;96:4,5,8;97:6; 114:13;141:7;144:19; 211:22;215:23,25 lifestyle (1) 219:10 lifetime (2) 143:15,22 light (1) 26:25 lightly (2) 89:1;126:12 lights (1) 213:14 likely (2) 14:24;57:22 likes (1) 176:23 limbo (1) 149:12 limit (1) Duffy & McKenna Court Reporters 1-800-600-1000 204:20 limitations (1) 127:8 limited (4) 44:10;149:17; 175:20;221:5 limits (1) 221:4 line (12) 80:25;84:4,13,15; 85:19;121:17;122:24; 184:9;185:11,18; 203:25;220:21 Lines (3) 59:22;208:20;219:6 linger (1) 61:13 link (1) 38:19 list (5) 93:25;134:24; 178:13;196:24;197:7 listen (7) 5:20;22:12;189:4,7; 191:9,12;221:19 listened (1) 212:12 listener (1) 82:9 listening (6) 82:19;85:10;97:20; 102:25;103:8;189:13 lists (1) 178:11 literally (2) 105:8;116:22 little (25) 39:17;46:6;52:6; 70:15;72:2;74:12; 75:9;87:24;122:5; 123:8,13;127:12; 134:21;146:22;147:1; 151:5;155:15;161:18; 173:22;175:6;180:5; 199:16;213:3;215:18; 218:23 live (6) 12:3;120:15;152:3; 181:16;205:4;206:21 lived (2) 208:13;212:25 lives (6) 21:8;28:4;98:25; 140:10;141:11; 185:13 living (7) 25:1;60:17;106:20; 146:13;167:22; 209:11;218:2 local (21) 12:23;61:5,8,19; 63:14;64:18,20;65:1, 18,22,24;66:10;67:14, (18) la - local Maine Advisory Council to the United States Commission on Civil Rights 15;68:18;69:25;87:8; 136:22;185:20; 212:20,23 locality (1) 31:3 located (3) 139:23;167:21; 168:23 location (3) 95:1;106:2;199:20 locations (1) 100:16 lockdown (1) 144:10 locum (2) 202:16;203:23 loiter (1) 61:13 long (54) 13:6,15;21:22,24; 22:14,14,19,20;23:4, 15,17,20;24:23;25:4, 5,18,25;26:10,11,17; 27:4,16,25;29:5;35:1; 36:6,7;39:15;40:3; 41:13;46:16;48:17; 51:13,22;65:11; 67:12;69:19;86:22; 87:5;90:7;124:17; 148:19;154:6;155:19, 21;179:16;191:3; 194:7,14,25;196:3; 199:7;206:5,11 longer (14) 13:4;43:16;65:4; 74:5;104:16;125:20; 135:19;189:4;191:15; 192:3;203:10;211:16; 216:1,11 long-standing (1) 22:6 long-time (1) 203:17 long-winded (1) 204:2 look (31) 5:21,24;20:21; 27:15;33:5;41:18,19, 22;46:17;47:13; 104:5;121:21;122:9, 16;124:6,15;125:9; 127:14,15,21;128:13; 129:2,3;135:4; 140:21,22;155:14; 179:10;194:5;202:19; 212:1 looked (4) 115:21;123:2; 173:14;205:11 looking (17) 5:25;15:10;28:6; 52:11;85:15;91:2; 122:3;125:1;126:14; Min-U-Script® June 14, 2017 127:16,16;164:16; 168:18;176:10; 193:12;206:2;212:15 looks (1) 190:20 Los (2) 75:4,14 lose (2) 130:24;184:14 lost (4) 13:21;34:19; 153:11,12 lot (38) 38:11;45:1;48:9; 56:22;58:3;74:18; 79:23;97:18;98:23; 99:17;108:2;109:15, 19;114:5;116:16; 118:1;120:7;125:9; 126:1;130:1;136:25; 158:23;168:17,22; 174:5;180:2;183:21; 186:25;187:18;191:4; 193:18;200:3;201:7; 212:3,10;214:1,2; 221:21 lots (4) 55:16;89:9;93:4,5 loudly (1) 187:15 love (3) 80:6;217:23;218:4 loved (7) 91:11;134:7,11; 144:22;147:2;207:13; 209:10 low (1) 101:6 lower (3) 69:6;174:14,16 lucky (2) 73:3,6 lunge (1) 16:8 Lysen (2) 218:14,15 M Madam (1) 132:6 Madison (1) 75:15 Madore (6) 59:23;80:15,19; 108:24;112:16,22 Maegen (4) 138:24;194:8,19; 195:2 magic (1) 96:25 magical (1) 116:23 magnified (1) 61:6 mail (1) 9:22 main (3) 126:24;140:5;218:9 Maine (148) 4:4,12,14,15,17,19, 21;5:2,8,11,19;6:23; 7:13,22;8:4,14,17,18, 21;16:3;17:9,9,12,20; 18:12;20:16;21:19; 22:8;26:20,24;27:12; 28:15,24;30:4;31:21, 22;32:8,24;34:4,25; 35:14;37:2;41:23; 44:7;46:9;47:22; 49:20;54:4,15;57:9; 60:17;62:17;63:20; 64:2;67:24;68:1,10; 73:2;74:21;75:16; 76:3;79:4;80:17,19, 20,21,24,25;81:1,7,8; 82:25;83:6,15,21; 84:12,18;85:2,22,25; 87:10,13,16;88:2,8, 18;89:7,13;95:19; 107:5;115:22;116:17, 21;117:4;118:16; 122:16;125:16;128:5, 7,23;132:9;134:15; 136:19,20;138:21; 139:11;143:17; 144:16;145:21;156:5, 6,21,23;157:5,6,8; 158:20;159:12; 168:23;173:25;174:6; 182:18;186:5;192:10; 193:1;198:25;199:1, 24;200:9;201:21; 205:3,5,8,9,10,12,14, 15,16,20;206:1,6,9, 10;208:9;209:8; 212:16;215:17 MaineCare (7) 8:4;19:6;24:16; 122:15;150:7;209:15, 19 Maine's (5) 22:15;31:8;33:25; 35:20;206:6 mainly (1) 99:19 mainstream (2) 7:5,9 maintain (3) 13:4,21;26:21 maintaining (2) 22:20;26:9 major (6) 13:12;66:20;75:4,4; 88:13;186:14 majoring (1) 21:14 majority (11) 31:21,22;60:7; 77:17;86:4;89:20; 92:8,18;115:5; 203:24;219:19 makes (4) 64:18;71:1;74:12; 157:7 making (9) 10:14;20:12;52:14; 97:5,6;123:20;136:9; 151:14;212:14 males (2) 25:10,15 MALONEY (22) 138:21,24;156:4; 157:2,13,17,20;159:3, 10;163:10,13;164:14; 165:2,15;167:3,18; 169:9,12,14;171:20; 194:9;195:21 man (4) 65:20;142:14; 146:18;147:3 manage (1) 160:17 managed (1) 23:10 Management (8) 14:1;24:2;33:7; 67:1;166:20,22,24; 174:25 manager (6) 14:19;106:25; 163:24;164:6,25; 216:16 managers (4) 164:21;165:22; 166:21,24 manager's (1) 165:7 managing (5) 12:25;91:23; 118:16;121:11;145:6 Manchester (1) 182:17 mandate (6) 51:1;59:12;66:22; 67:24;95:1;128:15 mandated (3) 69:17,18;84:17 mandates (1) 115:18 manic (5) 13:13,14,16;34:2,2 manner (1) 49:25 mannered (1) 151:2 many (43) 6:24;13:5;20:9; 30:10,13;31:5;50:2,4; Duffy & McKenna Court Reporters 1-800-600-1000 60:17;61:1;63:4; 66:24;70:8;76:4; 77:15,20,21,21;89:15; 91:1;93:22;95:21; 97:8;105:4;119:18; 122:19;133:1;134:1, 1;138:10,13;155:18; 156:11;157:22; 167:14;173:7;174:22; 177:15;189:15; 191:23,23;212:21; 214:10 March (2) 147:9;190:19 marijuana (1) 201:11 marked (1) 173:13 Maryland (2) 5:1;131:3 Mary's (1) 220:20 mass (1) 99:19 Master (26) 173:1,3,5;180:17, 19,22,25;181:6;189:8, 10,12;194:13;196:1, 21;197:2,5,21,24; 198:12,14,18;199:25; 201:20;202:11;204:8, 14 masters (4) 76:2,6,8;171:17 match (2) 49:12,17 Matt (11) 150:18,19,22,23; 151:1,6,16;152:10,11, 17,21 matter (5) 107:14;154:24; 199:10;207:9;218:21 maturity (1) 82:11 Maurice (1) 4:16 maximum (1) 170:8 may (42) 9:21;10:2,10;19:15; 22:10,10;46:23; 48:14;51:15,16; 62:16,23;63:5,11,12; 69:9,12;71:18,24; 72:23;76:21;88:20; 98:2;99:3,16,25; 103:6;107:16;114:14; 119:1,21;125:2,7,22; 126:10;130:24; 147:19;161:2,14; 166:15;168:19;206:3 maybe (13) (19) locality - maybe Maine Advisory Council to the United States Commission on Civil Rights 40:9;41:10;91:18; 95:11;106:7;111:10; 153:12;154:21; 160:10;193:8,24; 195:2;208:11 mayor (1) 218:24 mean (25) 42:23;48:19;58:22; 70:21;97:3;102:5; 113:22;115:2;140:12, 23;157:20;162:9,18; 163:21,24;165:2; 170:9;174:3;183:25; 184:1;198:2;203:3, 20;220:8;222:17 meaning (5) 90:6,9;92:23; 130:17;133:20 means (17) 30:25;33:11,20; 35:9;39:18;50:9;72:8; 96:6;97:1;99:1; 104:15;110:20,21; 126:18;167:25;207:6, 19 meant (4) 14:7;49:9;174:23; 209:12 meantime (1) 149:12 Meanwhile (1) 155:2 measures (1) 121:20 mechanical (1) 24:6 media (3) 9:6;35:4;191:10 Medicaid (4) 8:4;33:17;122:15; 220:16 medical (24) 7:14;23:13;25:23; 33:9;40:23;56:15; 62:15;66:3;86:14; 91:19;97:25;98:9; 100:2;105:13;116:5, 8,21;117:5;147:17, 24;148:21;149:21; 153:20;201:17 medically (1) 26:12 medication (24) 13:9;14:6,20; 106:10;108:4;120:10, 11,12;123:5;127:7; 135:10;142:18,19; 143:2;151:8;160:10; 208:4;209:2,3;210:1, 8;211:19;215:19; 216:2 medications (7) Min-U-Script® June 14, 2017 60:24;127:4,9; 143:19;220:11,12; 221:2 medicine (3) 166:12;184:19; 186:3 medics (1) 88:6 meds (3) 108:8;149:16;150:5 meet (11) 5:4;33:10;48:11; 59:2;89:8;90:14; 113:3;114:15;123:23; 148:25;199:23 meeting (8) 9:6;11:2;14:25; 15:3;164:17;170:21; 183:16;205:8 meets (1) 88:24 MEHNERT (80) 4:11,12;21:11; 28:12,13,13;37:6,8, 12,15,17,21,24;38:3, 9,14,18,21;39:1,4,6, 13;42:14;44:6,12,13, 15;45:5,11,17,20; 49:2,22;50:1;52:18, 20;55:24;58:12,19; 59:16;60:10;62:9; 102:24;103:19;104:3, 11,14,19,25;107:16; 114:17;115:4,13; 116:1;153:25;156:24; 157:11,14,18;161:18; 163:5;164:23;165:11; 181:8;186:10,11; 188:8,19;194:11; 195:14,23;196:17,22; 197:4,19,22;198:8; 201:15;202:1;204:12 Mehnert's (2) 55:24;57:5 member (20) 6:6;9:20;16:7,10, 19;22:7,11;36:10; 43:1;52:6;73:14; 80:22;81:22;82:4,13; 87:17;134:8;181:19; 206:22;208:14 members (21) 5:4,7,9,22;9:14; 10:23;52:23;81:13; 82:4;87:3;88:3,3,4,6; 89:14,15;118:14; 132:7;133:1;134:7; 213:18 Memphis (4) 52:21;73:2,24;74:9 mental (283) 6:22;7:6,7,8,11,15, 25;8:8,11,20;11:13, 16;12:17;13:23;16:7, 14,15,20;17:20; 18:20;19:8,17,20,22; 20:11;22:9,23;23:12, 16;24:3,17,21,22; 25:6,23;26:10,15,18; 27:23;28:8,15,17,20; 29:3,6,11,19,23;30:2, 5,8,15,20,23;31:8,13, 15,20,24;32:6,9,13, 15,17,21;33:3,6,10, 12,17,24;34:8,10; 35:17,22;36:5,21; 37:25;38:21,24;43:4, 23;44:20,22;45:2,13, 22;48:24;49:7,13; 51:4,17;53:2,15,22, 24;54:7,22,24;55:6, 10,19;56:15;58:14; 60:19;61:20,25; 62:22;63:8,9,22;64:3, 12,20;65:21,25; 67:22;68:5,8,25; 69:20;71:6,7,19,24; 72:4,8,12,17,21; 75:13;76:13,20; 77:11,18;82:17; 83:18,23,25;86:13; 87:9;89:11,14,19,24; 90:1,3;91:18,20,24; 92:11,11,19,24;93:8; 94:5;97:25;98:7,9; 100:5,7;101:16,20; 102:5;103:6;105:12; 107:19,20;108:3; 110:17,19;111:5; 114:23;115:3,8,12,14, 23;116:11;117:15; 118:18;119:1,6,21; 120:2,6,17,19;124:12; 126:9,15,16,23;127:5, 22;128:7,16,22; 129:23;130:22; 132:21,22;133:3,6; 134:14,19;135:14,15; 136:3;137:11,14; 138:3;139:8,19; 140:2;141:20;142:16, 24;143:6;144:5,17,21, 25;146:15;147:15,25; 148:9;150:2,10,24; 151:6,19,20,24; 152:15;153:4,13,18; 155:19,23;156:25; 157:12,14;160:1; 162:4;164:8;167:16; 174:1,4;175:9,15,20; 183:2,4;185:14; 186:21;187:1,8,12,17; 193:13,14,15,16,20; 195:5;196:5;201:17; 206:1,3,11,22,25; 207:4;213:24;214:10, 14;215:14;220:6; 221:5,7,16,24 mentally (10) 11:21;17:21;20:1; 87:25;145:24;152:18; 157:19;158:14;201:9; 212:18 mention (1) 210:19 mentioned (13) 36:18;42:3;46:4,4; 49:22;94:21;95:3; 96:3,24;106:17; 150:21;160:19;207:3 mentor (1) 171:14 mentors (3) 164:19;165:23; 171:15 merely (1) 23:10 merry (1) 208:3 message (1) 191:8 messages (2) 86:24;219:8 met (9) 51:23;52:15;82:6; 84:3;148:11,11; 151:1;164:18,19 mic (2) 181:16,17 middle (8) 134:18;135:7,8,17; 143:8,11;150:13; 153:17 mid-ground (1) 106:22 might (11) 7:13;46:6;55:3; 68:15;69:5;107:1; 115:8;124:15;127:5; 166:7;202:23 Mike (3) 98:21;102:7,13 mild (1) 151:2 miles (6) 17:23;66:4;69:13, 14;98:15;116:14 military (2) 85:5;205:4 million (1) 143:21 Mind (9) 29:16;30:19;33:4; 39:16;106:21;124:14; 179:16;192:22;213:3 mindset (1) 97:2 minute (1) 118:4 Duffy & McKenna Court Reporters 1-800-600-1000 minutes (6) 9:11;80:12;99:3; 101:4;204:21;210:21 mirrors (1) 36:8 misdemeanor (11) 7:20;29:1,4;43:17; 104:17;141:19;147:9; 154:21;163:1;195:21; 200:23 misdemeanors (3) 150:11;155:11,22 misdiagnosis (1) 13:15 missed (2) 31:20;146:3 missing (3) 88:14;108:18,18 mission (4) 81:14;86:16;88:7; 139:7 mistakenly (2) 13:11;213:7 mitigate (1) 81:18 MLUs (1) 58:13 Mo (1) 218:18 mobile (6) 31:10;55:15;58:24, 25;121:1;130:10 mode (2) 109:6;183:24 model (16) 44:18;53:23;68:1; 72:7,18;73:2,24;74:4, 9;77:7,10;112:24; 113:1;120:21,22; 169:20 models (2) 23:2;53:15 modern (1) 86:21 modified (1) 85:13 mom (1) 216:14 moment (5) 179:3;190:6;191:2; 193:10;199:19 moments (1) 180:20 Monday (3) 148:4;170:12,18 money (20) 47:24;48:6;50:7; 51:10;142:22;143:13; 145:2;151:15;156:11, 19;163:18,19;164:23, 24;165:8;168:25; 184:3;185:7;188:5; 220:3 (20) mayor - money Maine Advisory Council to the United States Commission on Civil Rights monies (1) 205:23 monitoring (1) 133:16 month (7) 18:9;142:5;179:15; 197:18;202:17; 203:14;209:1 monthly (2) 168:14,19 months (20) 14:12;67:13;82:2; 125:20;130:21;142:5, 8,23;148:11;154:25; 156:3;160:6,6;170:6, 8,9;184:15,22;210:2; 211:20 mood (2) 25:9,12 more (62) 9:25;14:16;18:24; 23:19;25:6;26:16; 29:19;31:4;34:9;35:3; 47:5,20;51:6;52:6; 53:25;54:23;55:16; 57:22;61:7;63:17; 64:17;68:19;70:2,6; 92:15;96:9;100:17; 101:2,7,22;106:19; 117:15;127:12;129:5; 136:2;140:4;141:1; 144:23,24;150:15; 156:22;159:8,23,23; 160:4;162:11;169:5; 174:3;177:12;179:7, 15;188:5,17;189:14; 191:19;199:17;201:4; 202:23;212:3;214:23; 216:24;219:20 morning (25) 4:2,11,13,16,18,20; 11:8;19:4;37:6,7; 39:10,11;40:15;60:5; 67:5;70:10;80:15; 100:5,8;111:7;120:3; 123:4;133:14;219:15, 15 mornings (1) 105:4 morning's (1) 11:10 Morton (7) 63:17;66:16;132:6, 7;140:7;159:11;166:2 most (27) 11:18;14:24;18:6; 25:7,10,14;40:1; 61:22;64:9,20,24; 66:24;68:13,18; 71:25;86:8;129:18; 132:18;146:16;153:3; 154:14,19;160:3; 186:6;200:17;203:11; Min-U-Script® June 14, 2017 221:15 mostly (3) 47:2;151:19;183:11 mother (1) 214:18 mothers (1) 185:19 MOUs (2) 30:25;54:10 move (16) 32:20;33:22;47:6; 50:22,23;56:11;75:9; 119:5;134:20,24; 139:13;146:1;147:4; 161:10,13;167:23 movement (4) 7:4;125:17;193:14, 16 moves (1) 18:11 moving (8) 21:21;58:7;62:9; 125:18;134:22; 148:13;203:23;213:6 Mrs (1) 49:22 MSP (2) 81:20;84:2 much (44) 5:25;15:2;17:22; 18:18;31:4;53:25; 54:23;59:20;61:7; 64:12;70:11;87:19; 96:22;98:19;99:3; 100:22;101:22; 104:22;118:3;145:15; 152:22;159:14; 162:10;164:24;166:9; 168:25;179:8,10; 185:16;188:20; 189:20;196:11; 197:18;200:9;209:10; 211:24;212:13; 214:12;215:4,7; 218:7;222:2,21,24 multi-disciplinary (2) 26:19,22 Multi-discipline (1) 27:10 multi-disciplined (1) 48:16 multiple (5) 35:11;87:1;119:12; 216:23;217:15 multi-task (1) 82:12 municipal (1) 43:8 murder (1) 165:18 murderer (1) 153:6 Murphy (2) 17:14,22 music (1) 60:13 musician (1) 207:13 must (9) 26:10,14;33:4,16; 70:4;83:2,8;89:7; 205:21 myself (11) 11:18;15:3;89:15; 96:13,16;162:23; 183:12;207:17; 208:13;212:20; 214:18 N NADEAU (14) 4:20,21;6:6;172:24; 181:10,15,24;182:2,5, 7,10,22;183:6;204:24 name (24) 4:3,11,18,20;9:18; 28:13;54:15;79:25; 80:18;85:1;87:12; 118:10,15;132:7; 138:24;141:8,9; 145:6;146:23,25; 147:1,2;182:15; 186:11 named (1) 81:10 names (3) 72:9;78:12;147:6 NAMI (8) 50:21;59:11;67:4, 11;73:1;83:25;85:3; 135:23 NAMI-Maine (5) 11:11;14:22;20:8; 30:14;53:17 NAMI's (3) 20:10;73:20;89:16 nation (2) 29:17;33:16 national (13) 6:13;7:4;28:14,25; 29:6,20;33:8;75:10, 12,14;83:24;165:11; 207:11 nationally (4) 68:5;73:23;156:13; 171:16 native (1) 80:21 naturally (1) 94:3 nature (2) 122:23;218:5 navigate (1) 120:17 NCR (17) 15:19;17:1,11,18; 34:15;35:7,11;36:9; 126:5;161:19;162:3; 163:5,6;175:23; 176:22;196:23; 200:23 NCRs (3) 19:11;20:3;197:2 near (1) 65:22 Nearly (8) 133:18;137:13; 138:9;148:7;150:6; 155:22;159:11;174:8 necessarily (5) 55:12;59:3;120:20; 123:19;126:15 necessary (4) 22:25;61:16;107:2; 221:23 Neddick (2) 12:3;208:13 need (90) 18:16;19:3,19,25; 25:4;26:22;27:15,20, 22,23;28:1;29:18; 32:20;41:22;45:17; 46:16,18,19,19,20; 47:5,9,12,16;48:17; 50:11;51:6;52:3,8; 55:15,19;58:13;64:9, 14,22;75:1;76:4;77:2; 78:15;79:23;80:8; 95:11;98:4,6,9; 102:18,22;107:13; 108:10,19;109:3,18, 18;116:17;121:25; 124:1;131:22;140:25, 25;144:11;148:7; 153:18;155:13; 156:15;162:10,19; 164:2,7;165:6; 166:23;170:2,2,25; 179:22,25;186:15; 193:7,9;199:23; 201:4;202:2,9; 206:13;211:13; 212:17;218:8;219:20; 221:1,2,22 needed (14) 7:12;16:21,23; 19:11,14;26:17; 128:1;142:12;143:20; 169:24;189:19,20; 192:25;214:2 needing (2) 123:3;162:22 needs (29) 23:12;25:20;26:2, 13;33:8;35:22;46:17; 47:25;48:1,11,25; 51:23;52:14;62:14; 69:21;88:19;112:2; Duffy & McKenna Court Reporters 1-800-600-1000 116:9;123:25;131:23; 140:2;144:6,13,16; 164:6;188:1;202:4,5; 214:20 neglect (1) 119:2 neglected (1) 36:3 negotiate (1) 86:4 negotiating (1) 86:12 Negotiation (15) 80:18,21;81:9,12; 82:14,16;83:4,15; 84:10;85:23;86:25; 88:18;90:10;95:13; 114:22 negotiations (2) 87:4;90:8 negotiator (6) 81:24;82:7,8;83:2, 14;95:24 negotiators (3) 83:21;86:18;92:3 neurological (1) 207:5 neurologist (1) 186:3 new (35) 8:14,20;12:10,22; 13:5,20;16:14;19:14; 20:11;34:3;44:20; 68:10;73:18;82:4; 136:7;147:8;172:15; 177:8,13;180:2; 186:5;189:18;190:4, 11,24;191:2,7,9,14; 192:2,14;193:7; 202:12;203:7;207:1 news (1) 149:23 newspaper (2) 22:10;158:9 Next (15) 59:21;63:2;64:19; 123:24;124:16,23; 125:9;136:6;147:24; 154:11;166:14; 175:24;188:16; 206:19;212:4 nexus (1) 117:14 Nice (2) 173:5,6 night (5) 79:13;143:8,11; 190:5;213:5 nightmare (1) 143:24 nine (7) 73:15;126:9;170:6, 8,9;176:12,15 (21) monies - nine Maine Advisory Council to the United States Commission on Civil Rights noble (1) 64:5 nobody (5) 98:25;135:19; 136:9,13;158:3 no-brainer (1) 74:19 non-acute (1) 24:8 non-criminally (1) 125:25 non-deadly (3) 90:24;91:7;114:6 none (5) 65:23;67:15;79:13; 108:10;174:3 non-emergency (2) 99:3;105:12 nonetheless (1) 62:12 non-face (1) 86:19 non-immediate (1) 62:11 non-lethal (4) 112:6,9,11,15 non-med (1) 86:4 non-profit (1) 206:24 non-responder (1) 209:6 nonstop (2) 75:23;117:22 non-stop (1) 76:16 non-threatening (1) 85:9 nonverbal (1) 82:19 noon (1) 118:5 normal (3) 71:20;148:20; 171:12 normally (1) 162:7 northern (2) 100:17;134:15 Northwest (1) 9:23 note (2) 146:1;177:10 noted (2) 92:15;146:2 notes (1) 130:15 noticed (1) 91:20 noting (1) 178:1 no-win (1) 91:9 Min-U-Script® June 14, 2017 nuisance (3) 42:24;138:14;211:6 nuisances (1) 138:12 number (8) 45:8,12;90:22; 98:21;100:9;120:23; 165:4;205:6 numbers (7) 41:25;45:15; 140:23;177:4;187:25; 188:3,13 numerous (3) 91:4;151:4;214:22 nurse (2) 15:16,20 nursing (1) 118:24 nutrition (1) 62:15 O objection (2) 149:3;210:8 objective (1) 81:17 obligated (1) 66:6 obligation (3) 44:3;102:1,2 observance (1) 11:1 observation (3) 23:9;24:5;134:25 observe (1) 177:11 observing (1) 201:23 obtained (1) 88:22 obvious (2) 63:10;222:13 obviously (11) 70:17;101:5; 139:14;147:5;158:15; 168:17;175:22;195:5; 198:4;213:22;221:13 occasion (1) 214:24 occasionally (3) 154:22;192:5;193:2 occasions (3) 13:6;189:15;214:22 occupants (1) 152:9 occur (2) 63:12;220:13 occurred (2) 94:10;172:1 occurring (2) 106:17;200:4 occurs (8) 7:21;39:3;40:6,7; 160:12;217:9;220:4; 222:12 October (2) 160:24;161:14 odd (1) 142:23 off (18) 28:7;37:17;53:21; 64:22;93:2;102:24; 108:24;111:19;113:1; 127:9;173:13;175:19; 180:9;189:23;191:3; 199:12;200:17;216:2 offense (7) 29:4;43:17;161:25; 162:2;184:12,13,20 offenses (2) 7:21;29:2 offensive (1) 85:16 offer (3) 19:25;27:19;139:19 offered (3) 17:16;67:14;141:21 Office (3) 24:16;99:8;153:14 officer (17) 42:18;55:4;64:18; 65:1;69:12;72:20; 74:10;94:1,12; 109:23;115:16,22; 117:3;123:16;134:5; 138:1,6 officers (57) 7:19;8:12;20:8; 22:19;29:18,25; 30:11,15,20;42:4; 53:13;54:12,13;66:6, 25;67:15,16;68:4,11, 12,21,23,25;69:2,6,7; 70:18,19,21;71:15,21; 73:16,18,25;74:13,19, 20,24;75:5,20;87:22; 93:22,23;94:14;95:8; 96:5;97:11;114:2; 123:18;136:7,15; 137:14;185:10,11; 205:12;210:24; 213:19 official (1) 79:19 officials (1) 7:23 often (19) 12:23;27:2;31:1,16, 20;32:14;35:5;41:22; 54:3;58:25;153:14; 154:4,7;166:21; 168:14;179:3;186:23; 196:5;219:10 old (3) 21:7;112:24;184:2 older (3) 12:4,4;206:7 oldest (3) 12:5;205:17;206:6 Olmstead (1) 128:15 once (20) 14:19;31:2;35:12, 12;60:24;63:25;67:9; 84:3;100:11;101:9; 102:17;104:23; 121:20;125:19;168:3; 170:12;209:1;210:6, 7;216:15 one (133) 9:16;11:25;12:8; 15:6,17;16:4;17:10; 20:24,25;24:4,5; 27:23;29:16;30:19; 32:11;38:18;39:12, 13;43:24;45:5;48:12, 19;49:8;50:2,6;51:19; 52:1,5;53:5,6;55:21; 57:10,12,24;60:11,22; 62:25;69:8;71:11; 74:14;75:17,23; 76:12,20;77:4;88:12, 21;89:9;90:22;91:21; 92:15;93:13;94:5; 95:8;96:22;98:1; 100:16,19,19;103:10, 20;107:10;108:11; 109:13;111:19;114:2; 117:14,20;121:6,12; 125:4,24;131:2,20; 132:18;134:11; 136:19;141:14;148:8, 19;150:15,16;152:8; 153:9;154:9,15; 156:4,6;159:13,15; 160:17;163:24;169:5, 5;170:18;174:22; 176:5,19;178:14,21; 179:12,12;184:6; 185:3;191:5;192:1, 19,20;195:1;196:13; 197:9;200:15;202:1, 7;203:17;204:20; 205:8,25;207:2,3; 208:20;210:13;213:5; 214:12,24;215:9; 216:6,24;217:3,9; 218:25;219:7;222:3 ones (10) 91:11;134:7;135:4, 5;139:3,9;144:22; 153:5;197:6,6 one's (1) 150:17 oneself (1) 222:11 one-way (1) 65:12 Duffy & McKenna Court Reporters 1-800-600-1000 one-year (1) 82:5 ongoing (2) 24:3;94:8 online (2) 57:11;84:20 only (59) 6:25;8:15;13:10; 15:17;18:10;21:8; 22:15;31:12;36:7; 47:24;48:6;49:10; 50:17;65:20;68:7,11; 69:12;71:2;88:24; 90:19,25;91:8; 104:11;106:24;107:1, 5,21;113:11,18; 126:2;132:10;135:3, 9;136:19;137:20; 138:5;139:3,4,5,9,9; 141:24;144:12;152:8; 158:10;159:22,23; 160:15;166:10; 167:15;174:18; 185:18,18;187:2,5; 200:15;202:17; 203:13;211:14 open (11) 9:6,16,18,19;10:11; 11:2;46:25;65:5; 116:24;169:1;204:18 opened (2) 149:23;166:14 opening (4) 4:24;9:11,13;60:16 operate (4) 31:2;42:22;50:8; 51:20 operated (4) 90:5;198:21; 201:21,25 operates (1) 202:7 operating (3) 30:22;54:11;90:9 operation (3) 148:15;190:21,22 operational (1) 199:21 operator (4) 190:17,19;198:20; 202:23 opiate (3) 166:12;183:18; 219:9 opiates (4) 201:7,8,10,11 opinion (1) 115:2 opioid (1) 219:1 opportunities (1) 29:21 opportunity (14) (22) noble - opportunity Maine Advisory Council to the United States Commission on Civil Rights 11:12;20:17;28:3; 30:1;31:19;54:1; 69:15;72:10;101:6; 145:13,20;146:4; 158:22;212:14 opposed (5) 93:9;112:10,11,17; 178:5 option (8) 44:7,9;104:11; 105:18;108:11;112:5, 9,15 options (13) 17:3;19:18;26:20; 27:3,12;28:6;44:10; 45:3;62:23;102:8; 108:10;118:1;119:21 oral (1) 82:1 order (19) 4:6;9:9;10:5;59:23; 60:2;76:5;82:5;83:5; 89:6;111:25;114:12; 125:8;144:6;161:2, 12;167:24;195:17; 215:3,25 ordered (6) 36:6;149:4;170:23, 24;215:19;216:12 organization (15) 10:5,9,12;46:12; 72:11;118:18;119:3, 11;130:6;158:25; 187:20;201:25;203:6; 207:1;209:20 organizations (3) 22:18;28:5;205:10 orient (1) 90:9 origin (1) 6:13 original (1) 25:21 Orono (1) 4:12 others (15) 19:22;60:21;61:11, 14;62:12;76:19; 108:14,20;137:7; 171:15;194:19; 203:11;216:20; 222:11,13 otherwise (2) 30:25;42:19 ought (1) 200:5 Ouija (1) 111:24 ours (2) 212:16;217:20 ourselves (3) 69:16;113:14;215:4 out (119) Min-U-Script® June 14, 2017 13:22,23;14:17; 16:23;22:19;26:23; 31:24;34:3;41:2,10, 22;43:17;44:4;45:8, 23;47:16;48:10,12, 18;49:21;57:21;59:4, 18;65:10;66:11; 68:24;73:13,18; 74:20;75:2;76:15,22; 78:10,23;79:11,17; 84:1;86:14;94:22; 95:10;98:22;99:10; 100:8;106:9,11; 111:7;114:5;122:1, 20;125:1,11;130:14; 131:9,21;132:17; 133:25;134:8,20,24; 137:1,8;138:1,5; 147:11,21;148:10; 150:11,24;159:17,18, 25;160:1,15;161:2,4, 10,21;165:9;166:15; 167:8;168:1;170:10; 174:11,23;176:17; 179:1;186:19;187:20, 23;188:3;189:15; 190:15,17,24;193:24; 195:12;200:7,20,25; 202:4,5;203:9; 205:15,19,22;208:1, 11,23;209:25;210:3,3, 3;214:4,8;215:15; 219:5;220:7;221:12, 18 outcome (2) 33:12;55:12 outcomes (2) 29:15;220:13 outfitted (1) 87:1 outlined (1) 89:8 outlines (1) 81:21 outpatient (5) 187:11,17;188:2; 208:7;215:22 outset (1) 9:4 outside (9) 36:23;38:16,20; 100:13;137:19; 151:25;162:14;163:2; 170:5 outspoken (1) 187:16 outstanding (3) 50:3,4;128:9 over (40) 22:5,16,16;30:4,14, 16;35:10;57:14; 63:13,13;66:7;79:21; 80:12;85:10;90:1; 92:9;99:4,18;109:10, 10,11,11;127:14; 141:16;143:5;147:24; 148:25;156:20; 176:12;177:5;184:25; 188:10;201:6;210:8, 21;213:8;215:2,11; 216:22;218:19 overall (3) 25:22;77:14;85:7 overcrowded (1) 18:22 overdose (3) 77:12,25;147:19 overlay (1) 103:5 oversee (1) 19:17 oversight (1) 52:14 overtime (2) 53:17,21 overwhelmed (1) 108:1 own (15) 6:6;24:12;55:5; 62:13;75:7;78:23; 95:23,24;100:24; 106:21;155:6;159:14; 180:10;189:23; 198:18 owned (1) 77:22 owner (3) 42:15;43:10;101:18 Oxford (1) 54:14 P pacing (1) 42:16 page (1) 158:8 pages (1) 11:25 paid (5) 69:18;78:20; 105:25;152:2;209:10 painful (1) 20:21 painkillers (1) 219:12 painting (1) 146:20 panel (19) 5:17;9:12;11:5; 59:21;93:1,3;118:8; 136:24;138:19;140:6; 145:10,11,14,21; 152:4;172:11,14; 181:17;204:6 panelists (8) 5:17;8:23;9:1; 10:22;36:12;137:5; 138:23;145:12 paper (5) 15:13;44:8,11; 142:21;153:6 paranoia (3) 58:3;61:12;109:10 paranoid (5) 14:9;214:15; 216:25,25;218:6 parent (3) 56:5;57:2;207:10 parental (2) 56:20;58:10 Parenthetically (1) 151:13 parents (4) 56:9,15,17;134:7 part (24) 7:6;48:25;52:14; 57:10,10,12;67:6; 69:19;75:10;96:17; 119:23;120:8,15; 121:21;138:16;139:6, 19;144:18;168:6; 170:7;173:12;193:13; 198:22,24 participant (3) 165:1,2,4 participants (2) 139:20;165:4 participate (5) 8:24;10:24;11:10; 56:10,24 participates (1) 18:6 participating (2) 10:17;147:21 particular (10) 12:12;39:8;57:16; 64:2;91:9;106:13; 120:20;152:6;179:11; 213:25 particularly (2) 139:2;175:19 parties (3) 56:25;131:5,10 partner (3) 31:8;134:22;145:6 partners (2) 73:1;185:19 partnership (1) 72:19 parts (2) 43:6;44:17 party (4) 82:21;86:24;184:9; 219:5 passing (3) 46:4;150:21;190:5 passionate (1) 80:1 Duffy & McKenna Court Reporters 1-800-600-1000 past (17) 7:13;25:18;35:10; 42:4;57:17;65:9; 87:18;89:1;114:7; 178:12,21;188:11; 197:17;212:22; 215:11;216:7,22 pathologize (1) 36:2 paths (1) 78:3 patient (10) 15:21,22;16:17; 17:1,11;65:3;66:6; 144:3,4,14 patients (20) 11:23;16:15;17:19; 18:8;20:19;34:11; 35:6,11;63:16;65:16; 75:2;76:25;99:24,25; 111:4;116:20;144:8; 208:11;209:10; 221:11 patrol (8) 66:11,13;67:7; 80:25;87:20,22; 108:6;117:3 pattern (1) 36:8 Patty (2) 184:25;186:1 Paul (1) 4:9 pause (1) 15:7 pay (13) 45:25;49:18;53:19; 74:25,25;75:1;79:3; 121:9;143:19;144:23; 146:19;168:19; 220:23 paycheck (1) 115:11 paying (3) 76:24;205:12,13 payment (1) 168:14 PD (1) 152:13 peacefully (1) 92:8 peer (5) 54:4;106:3;123:6,7, 10 peers (2) 44:19;52:25 penalizing (1) 159:16 pending (3) 124:13,19;125:11 Pennsylvania (4) 9:23;49:5,5,18 Penobscot (5) (23) opposed - Penobscot Maine Advisory Council to the United States Commission on Civil Rights 132:8,11;133:12; 136:18;166:5 people (126) 6:22;7:7,25;8:11; 24:18;29:19,22; 31:19,23,25;33:21; 35:21;42:9,18;44:19; 46:20;51:9;52:13; 54:9;57:24;58:1,3; 60:17;63:7,18;65:11; 69:23;73:12;75:12, 22;77:5;78:21,24; 79:13;80:4;82:16; 86:4;88:14;97:7; 98:21;106:20;107:19; 108:2,7,19;109:19; 111:4;115:5;117:6, 23;120:16;124:4,5; 125:18;129:4,21; 130:14;131:14; 136:24;137:4;139:10, 20;141:1,2;144:6; 150:13;152:24; 153:11,17;155:17,18; 156:8,21;157:22; 158:22,24;164:5; 165:16,17;166:7; 168:2;169:25;174:3; 175:8,14;176:13,18, 20,23;178:22;179:12, 17,21;184:2;185:17; 187:4;191:19;192:3, 6,11;193:2;194:5; 197:16;199:13; 200:17;201:1,2,4; 204:19;206:1;207:4, 22;208:15;210:14,17; 218:24;219:3,5,10; 220:5,9,12,17,25; 221:6,15 pepper (1) 113:8 per (6) 48:2;71:9;83:16; 86:3;164:25;165:2 perceive (2) 195:23,24 perceived (1) 7:16 percent (36) 24:24;25:1,5,8,9,9, 11,12,12,13,14,22; 30:11,20,21;47:20; 67:3;68:3,12,23;69:1; 73:16;89:4;107:25; 114:19,19;133:19; 137:14;140:22; 153:16;155:21;207:4, 22;210:14;221:11,12 percentage (3) 19:8;30:12;69:6 perfect (1) 106:16 Min-U-Script® June 14, 2017 performance (1) 82:1 performed (1) 40:24 performs (1) 82:10 perhaps (7) 61:6;93:8,10;135:2, 9,10;210:17 period (11) 10:12;37:19;41:1; 71:4;89:3;146:21; 154:5,20;160:25; 161:6;176:13 periods (3) 13:6;37:13;146:13 permanent (1) 203:25 persistent (10) 31:23;32:6;35:17; 60:18;61:25;65:20; 120:17;212:23; 214:13;215:14 person (87) 10:4,9,12;11:19; 16:16;29:3,6;33:19; 34:14;42:20,23;43:9, 14;49:4,10;52:25; 53:14;55:6,7;62:19, 20;63:21;81:15; 83:12,12;85:8,10,11, 12,20;86:11,12; 88:12;90:17,18; 92:19;94:20,24; 102:18;107:3;108:14, 25;109:17;110:11; 113:14;116:4;117:7; 121:16,18;122:11; 123:25;124:17; 125:21;130:19,22; 131:15,18;134:2; 139:13;141:5;146:7; 148:4,11;152:8; 155:3;156:19;157:6, 8,9;159:24;160:5,20; 161:14;162:17,21; 164:2;169:20;170:20, 25;171:3;184:14; 194:16;195:5;197:12; 211:5,8,17 Personally (2) 92:21;127:6 personnel (4) 67:3;70:1;111:3; 167:13 persons (10) 6:17;9:15;10:6,14; 33:18;81:15;84:23; 85:24;89:11;204:16 person's (3) 115:24;141:8;165:3 perspective (9) 80:6;97:24,25; 104:4;145:18,19; 162:18;183:11; 185:23 perspectives (1) 52:3 persuade (1) 81:15 pet (1) 148:14 petty (1) 61:9 Phil (1) 182:5 Phillipe (2) 4:20;6:6 phone (11) 110:11;151:11; 180:21;181:2,11; 208:20;213:6,10; 216:15,18,18 phones (3) 82:20;86:22,22 photo (1) 12:7 photograph (5) 12:9,13,13;17:25, 25 photographs (3) 11:24,25;18:1 photos (1) 12:16 physical (4) 18:3;82:2;110:16; 151:19 physically (3) 15:16;107:12;151:3 physician (1) 186:3 physics (1) 171:18 pick (1) 73:25 picked (3) 151:11;154:3; 219:15 picture (5) 140:21;141:15,16; 216:18;218:11 piece (11) 48:23;50:21;52:1,2; 121:3;127:2;130:13; 131:7;160:19;168:13; 209:17 pieces (4) 98:5;142:21;185:3; 217:20 piggyback (1) 108:24 pill (1) 97:1 pilot (1) 208:10 place (31) 15:5,6,25;17:11; 23:18,20;32:15; 34:15;36:7;42:13; 44:22;53:4;59:15; 66:1;103:16;104:7,7; 110:1;121:7;122:12; 128:10;133:5;134:12; 151:9,12,15;167:2; 190:24;196:25; 210:18;215:3 placed (10) 17:4,20;26:14,23; 27:7,17;34:22;41:8; 82:4;197:15 placeholder (1) 190:2 placement (10) 15:9;17:17;18:13; 19:14;27:11;36:9; 151:25;158:6;191:17, 25 placements (4) 26:21;27:3,5;41:17 places (4) 45:3;95:21;101:4; 128:13 placing (4) 14:17;16:13;26:9; 27:1 plan (14) 14:13,14,23;15:12; 49:5,19;79:9;94:23; 149:13;190:7;191:2; 196:8,10;208:25 planning (4) 126:21;128:3,3; 190:20 plans (3) 60:22,23;202:4 playbook (1) 31:2 player (1) 82:11 players (2) 119:16;165:25 playing (1) 213:6 plea (6) 154:18;162:3,22; 163:3;200:14,15 plead (9) 150:11;151:6,7; 161:25;162:17; 167:19;169:7,23; 170:11 please (15) 9:18,24;22:12; 110:4;118:4,11; 134:8,10,11;137:1; 144:6,19;166:25; 182:10;210:10 pleased (1) 5:14 Duffy & McKenna Court Reporters 1-800-600-1000 plugging (1) 106:7 plus (1) 200:13 pm (1) 223:3 PME (1) 119:17 PNMI (1) 209:24 pocket (1) 184:20 podium (1) 204:25 point (32) 13:19;16:6;63:24; 71:15;76:14;101:11; 102:10;104:24; 105:20;107:21; 116:19;117:22;118:9; 119:5,10,11;122:1,24; 125:2;131:15;136:23; 140:5;156:2;160:11, 12;166:2;171:25; 174:22;195:25; 202:21;210:12; 217:17 pointed (1) 161:21 points (3) 6:24;29:21;35:19 police (73) 7:19;29:14;30:3,24; 42:4,18;53:12,25; 55:4;59:14;65:1,18; 68:3,7,10;70:18,19; 72:20;73:18;74:10, 13,19;75:3;80:18,20, 21,24;81:7,8;83:15, 21;84:12;85:2,22; 87:14,17,22;88:2,5,8, 18;89:13;91:2,5;92:6; 93:19;95:17;96:5; 103:12;108:9;109:10; 110:25;111:1,17,22; 121:5,14;185:10,11, 20;186:14,15;205:4, 12;210:24;212:21,24, 24;213:19;214:25; 216:17,17;222:12 policies (6) 27:14;68:1;122:3,8; 184:2,2 policing (3) 64:1;84:24;85:1 policy (7) 41:20;49:4;52:11; 81:20,21;84:2;110:18 poor (1) 221:13 poorly (1) 105:7 population (38) (24) people - population Maine Advisory Council to the United States Commission on Civil Rights 32:5,8;35:1,4,16; 46:23;57:13,16,22; 58:8;134:17;135:6,7, 17;145:3;149:18; 155:25;156:22;167:9; 169:2;173:24;174:19; 178:2;189:21;190:12; 191:8,14,18;192:2,16, 24;193:5;200:3; 205:17,20;206:3,6,8 populations (2) 57:19;159:8 Portland (27) 4:19;14:18,23; 30:11;31:4;69:3; 70:16,19,20,25;72:7; 75:10,16,22;77:6; 79:7,12;93:19,19; 98:22;99:22;116:14, 19;146:11;150:17; 154:15;168:8 poses (2) 29:24;92:1 posing (1) 91:14 position (7) 68:21;87:15;90:23; 91:6;119:9;158:16; 180:12 positions (3) 26:4,5,7 positive (2) 22:25;111:2 possibility (1) 91:14 possible (9) 90:12;92:5,6;97:13; 110:20;119:20; 127:19;139:14;142:4 possibly (5) 24:10;29:22;69:5; 92:13;112:4 post-traumatic (2) 25:8,13 potential (8) 28:9;56:11;59:16; 106:24;107:1;119:22; 160:14,16 potentially (6) 23:14;61:22;98:10; 108:15;156:3;159:21 power (1) 213:16 powerful (1) 79:6 powers (1) 185:10 practical (4) 68:23;76:5;199:10, 17 practice (6) 24:2;27:1;52:11; 186:4;209:20;220:20 Min-U-Script® June 14, 2017 practices (4) 27:5,14;122:4,8 practicing (1) 200:12 pre-adjudication (1) 104:22 precipitated (1) 132:4 predetermined (1) 38:22 preference (1) 141:3 prepared (3) 11:14,17;173:10 pre-recorded (1) 86:24 prescribed (4) 13:11;60:23; 149:14;219:12 prescription (2) 57:23;184:19 prescriptions (5) 142:20,22;143:3,4, 13 presence (1) 101:1 present (2) 9:5;169:19 presentations (1) 10:15 presenter (2) 9:10;11:6 presenters (5) 9:10,12;10:19; 59:20,22 preserve (2) 81:18;156:16 preserves (1) 28:8 President (2) 11:11;206:24 pressure (4) 69:25;70:7;91:10; 175:19 Pretrial (14) 156:6,21,23;157:5, 6,8;158:20;159:12,14, 15;160:2;205:8,9,14 Pre-trial (2) 133:15,20 Pretty (13) 15:2;19:9;79:15; 87:21;93:17;115:10; 173:15;177:2,18; 179:9;189:20;193:19; 214:1 prevalent (2) 108:22;117:11 prevent (4) 58:18,20;131:25; 210:17 preventative (4) 119:24;120:5; 121:19;122:3 prevented (2) 58:16;125:23 preventing (1) 107:9 prevention (1) 27:17 preventive (3) 130:13;219:25; 220:24 prevents (3) 31:9;58:24;179:3 previous (1) 150:20 primarily (1) 61:15 primary (2) 73:17;81:17 prior (9) 16:12,12;24:23; 25:1;86:10;92:20; 148:15;150:25; 151:20 priority (4) 20:12;96:4,5; 175:22 Prison (25) 8:21;13:23;14:2,3; 15:23;16:13;17:5,21; 20:16;34:18;35:12; 38:10;57:10;128:23; 129:11;140:23; 143:14,17;144:24; 145:3;174:2;175:14; 193:1;194:14;201:21 prisoner (2) 129:14,16 prisons (3) 18:21;57:1;118:24 privacy (1) 141:10 private (16) 33:24;34:6;61:13; 65:6;69:21;70:5; 118:23;186:4;198:20; 199:6;201:21,25; 202:23;209:14,18,20 privately (1) 198:21 privy (2) 41:4,5 proactive (1) 18:17 probable (3) 62:18,19;86:7 probably (18) 36:18;73:14;99:10; 108:22;132:13; 136:25;163:4;174:4; 179:8;180:4;189:15; 191:20;192:18;194:3, 9;198:3;212:10;219:4 probation (4) 22:18;126:7; 151:10,16 probationary (1) 82:5 problem (32) 9:2;18:19;47:21; 60:8;62:3;70:15;73:9; 82:12;96:9;97:21; 100:21;101:8;102:7, 12;111:6,15;117:1; 133:8;135:3,13; 136:16;140:19;142:2; 157:4;160:15,16; 176:25;179:24; 195:24;196:15; 202:20;210:22 problematic (1) 109:11 problems (16) 38:5;41:9;61:2; 66:20;131:7;139:8,8; 142:16;151:5;152:12; 175:1,15;187:16; 199:14;203:1;214:11 procedures (6) 30:23;54:11;58:22; 90:9;122:4,8 proceed (3) 182:5,11;191:1 proceeding (1) 17:14 proceedings (3) 9:8;10:10,14 process (11) 20:5;50:25;75:11, 18;76:7,10;81:24; 88:5;150:1,3;161:10 produce (3) 5:22;190:3,4 produced (1) 192:22 product (1) 54:25 productive (1) 28:3 professional (2) 72:21;86:15 professionals (2) 53:2;87:10 profiling (1) 83:19 profit (1) 202:6 program (41) 27:14;28:5;32:18; 46:22,25;47:5;58:7; 68:8,10;72:25;76:1, 19;79:3;83:3;84:9; 97:2;118:21;119:14; 139:19,21,24;140:14; 149:20,22,24;160:3, 16;166:3,10,12,16; 208:9,10,19;210:1,13, Duffy & McKenna Court Reporters 1-800-600-1000 16;211:15,16;215:21; 220:16 programming (10) 22:2,22;24:1;27:18; 41:19,23;46:13; 47:10;166:25;183:22 programs (21) 18:7,20;20:18; 24:12;27:12;28:4; 44:16;46:4,7,8,11; 47:15;54:5;76:4; 137:19;139:2;140:3, 9,24;163:8;184:4 progress (10) 20:14;36:21;57:18; 80:9,11;173:10,11; 189:17,18;200:5 Progressive (1) 208:9 progressively (1) 147:18 prominently (1) 117:15 promise (1) 20:24 promote (3) 8:10;70:1;210:16 promoted (1) 81:3 promptly (2) 149:19;172:10 pronounce (1) 118:10 proper (4) 15:9;19:15;75:1; 117:25 properly (1) 220:6 property (2) 61:14;108:15 proposal (8) 25:22;26:3;184:10, 11;190:3,16,18; 198:13 proposals (2) 185:9;198:19 proposed (8) 9:3;25:21;180:6; 184:14;189:24;198:9; 199:22;202:12 prosecute (2) 194:20;195:6 prosecution (1) 194:18 prosecutor (3) 149:5;162:24;164:1 prosecutors (3) 138:16;153:16; 168:11 prostitution (1) 157:24 protect (4) 119:8;127:17; (25) populations - protect Maine Advisory Council to the United States Commission on Civil Rights 141:9;214:21 protecting (1) 136:8 protection (5) 6:11;118:17;215:3; 217:25;218:1 protections (4) 127:15,17;128:19; 129:19 Protective (8) 14:13;62:20;63:21; 64:19;69:23;101:12; 107:8;109:6 proud (5) 21:8,11,15;67:2; 73:6 proved (1) 174:25 provide (29) 7:10;8:4;10:11; 19:12,19,23;20:4,6; 33:13,21;34:11;44:3; 50:15;65:2;71:3; 73:11;75:1;115:14, 17;133:11;137:3,13, 18;140:25;141:1; 144:21;184:8;203:5; 204:23 provided (9) 7:12;11:24;24:17; 33:5;104:7;155:16; 184:7;196:7;202:24 provider (4) 34:6;105:23; 203:12,13 providers (9) 19:21;44:21;94:22; 105:13;201:17,19; 202:16;203:24; 219:18 provides (1) 32:23 providing (9) 33:9;45:20;68:22; 100:6;136:12;138:15; 206:12;218:20; 220:22 provision (1) 7:24 Prozac (1) 13:11 psych (1) 117:21 psychiatric (20) 17:7;40:23;41:3; 62:11;139:22;141:25; 142:11;144:1;149:8; 162:19,20;171:24; 172:5;202:15,15; 203:4,12,13,24; 206:13 psychiatrist (10) 8:20,21;149:15; Min-U-Script® June 14, 2017 152:20;208:23,25; 209:4,8,22;216:16 psychiatrists (6) 19:7;202:15,17; 203:19;207:15; 216:23 psychological (1) 23:15 psychologist (1) 152:20 psychologists (1) 15:2 psychology (1) 21:14 psychosis (1) 34:20 psychotic (5) 34:3;62:1;105:8; 212:23;216:12 psychotropic (1) 149:14 PTP (8) 208:8,18;210:1,13, 16;211:15,16;215:20 PTSD (1) 85:6 public (25) 9:6;10:11,23;14:15, 24;29:24;35:13; 42:24;52:16;63:6; 69:1,21;81:19;82:21; 86:23;87:5;91:15; 92:1,6;101:25;103:3; 109:25;112:1;126:23; 182:20 publicized (1) 67:13 pull (1) 71:4 pulled (1) 187:7 pummeled (1) 68:16 punish (2) 129:8;184:2 punishment (1) 39:3 pupil (1) 48:2 purchase (1) 190:10 purchased (1) 198:16 purpose (2) 6:21;24:20 purposes (1) 68:24 push (2) 111:24;168:9 put (29) 9:18;14:24;16:21; 23:15;37:8;39:3,21; 48:12;67:25;83:24; 88:5;90:23;96:16; 97:4;98:16;101:18; 109:21;115:10; 129:22;134:12; 156:11;165:13; 187:21,25;190:23; 193:24;215:3,20; 219:20 puts (1) 188:5 putting (8) 67:2;91:6;96:10; 140:8;165:21;174:21; 178:5,8 Q Qualifications (2) 190:8,13 qualified (1) 221:14 qualifying (1) 49:7 qualities (1) 82:9 quality (4) 22:2,9;33:24; 122:23 quantify (1) 71:12 quick (2) 82:10;222:4 quickly (9) 95:10;123:13; 125:18;127:13; 128:24;129:25; 166:20;179:5;197:6 quite (13) 99:19;124:17; 129:21;177:4;178:10; 179:16,24;186:23; 191:3;195:11;203:15; 204:1;219:19 quote (2) 68:2;165:13 quotes (1) 79:11 R race (1) 6:12 Rachel (4) 181:10,10,19;182:8 radio (1) 72:13 radios (1) 87:1 raise (2) 28:16;55:5 raised (2) 150:18;194:11 ran (1) 220:18 Randy (2) 20:15;57:18 range (2) 86:2,22 Rangely (1) 59:1 rank (1) 81:4 ranks (3) 80:23;81:13;88:4 raped (1) 143:10 rapid (1) 203:21 rapport (2) 85:9;86:21 rare (2) 176:8;201:1 rarely (1) 18:6 rate (10) 19:6,7;33:18; 140:13,22;187:19,21, 25;188:4,6 rather (14) 35:22;39:4,5;41:12; 44:2;45:20;95:10; 100:24;104:8;138:2; 163:4;204:13;219:2; 220:5 rationale (1) 85:18 reach (7) 47:16;57:3;68:24; 86:14;99:10;141:2; 199:7 reached (3) 94:22;101:11; 107:21 react (1) 218:25 read (6) 19:4;21:5;22:9; 131:2;158:7;211:13 reading (4) 5:24;198:15; 207:17;212:19 ready (2) 60:1;213:5 real (12) 64:24;66:14;97:7; 141:7,9,11;144:19; 146:15;153:10,25; 160:21;171:20 reality (4) 32:1,22;89:17; 154:20 realize (1) 167:7 realized (2) 137:12;158:2 real-life (1) Duffy & McKenna Court Reporters 1-800-600-1000 145:18 really (71) 5:3;40:21;41:4; 42:23;43:18,21; 46:17,24;47:23; 48:10;52:2;53:9,12; 54:5;55:19;56:22; 57:2,3;58:24;70:21; 71:19;73:5,12;74:1, 25;78:19;94:7,16; 96:4,21;101:2; 102:16;103:8;108:19; 114:9;119:10;120:4; 130:8;131:7;135:15, 16,23;140:5,21; 146:14,18;156:6; 163:22;165:23; 170:10;176:23; 179:21;180:8,11; 182:1,2;184:12; 191:21;193:17; 197:24;198:25;201:2, 4;204:1,6;207:10,21; 212:13;214:7;218:21; 220:13 rearrested (1) 152:12 reason (12) 34:7;60:22;62:2; 75:17;117:11;125:25; 166:1;187:9;200:16; 209:9;216:2;217:13 reasonable (3) 7:23;68:13;120:14 reasons (1) 90:22 reassured (1) 15:8 reassuring (1) 213:13 receive (14) 16:22;23:12;26:15; 27:8;34:5;47:24;68:4; 84:4;85:6;93:13; 144:1,2;159:18;161:1 received (9) 7:14;24:18,23,25; 93:12;145:15;155:12; 191:16,25 receiving (6) 16:6;27:8;33:19; 138:16;144:13,14 recent (3) 18:1;24:13;177:12 recently (7) 12:1;38:4;68:7; 71:14;145:23;197:1; 201:8 recess (3) 59:25;118:6;172:12 recidivism (2) 140:13,22 recipients (1) (26) protecting - recipients Maine Advisory Council to the United States Commission on Civil Rights 127:22 recklessly (3) 65:22;129:13,15 recognition (1) 33:4 recognize (6) 9:13;19:22;89:25; 102:2;157:14;193:22 recognized (2) 68:5;142:15 recognizes (1) 196:17 recommend (1) 144:25 recommendations (6) 5:24;26:8;129:24; 130:1;150:4;152:25 recommends (1) 59:14 record (3) 11:2;141:15;142:15 recording (1) 9:8 recordings (1) 82:22 recovery (6) 12:14;33:7,13,14, 22;139:25 recruit (3) 68:20;81:7;84:11 recruitment (1) 81:5 redirect (1) 30:1 redirected (1) 43:5 reduce (5) 18:22;92:22;120:1; 145:2;178:20 reducing (3) 22:21;57:18;120:9 reduction (2) 26:4;121:17 Reed (32) 11:6,7,8;21:16; 34:13;36:14,16,20; 37:4,6,7,11,14,16,19, 23;38:2,24;39:9,11; 40:15,18,25;46:1; 56:19;79:6;132:16; 146:5,5,25;192:8; 221:25 Reed's (4) 132:17;146:2; 193:4;194:7 reeling (2) 25:18;26:1 refer (3) 83:25;116:11;203:1 referral (1) 72:2 referred (1) 35:5 Min-U-Script® June 14, 2017 referring (2) 177:7;183:12 refers (1) 37:9 reflective (1) 188:1 reform (2) 27:17;47:14 refresher (1) 83:19 refusal (1) 44:1 refuse (1) 44:1 refused (1) 147:23 refusing (1) 176:3 regard (2) 38:12;174:6 regarding (3) 57:6;147:14;214:10 regardless (4) 63:12;69:9;167:12; 220:22 regards (1) 85:5 region (1) 116:16 regional (2) 17:7;93:18 regrets (1) 126:4 regular (1) 94:14 regularly (2) 61:4;66:10 regulations (1) 127:24 rehab (2) 153:12;206:2 rehabilitation (1) 23:2 rehabilitative (1) 22:22 reimbursed (1) 44:3 reimbursement (1) 19:6 reiterate (2) 212:10;216:5 relate (1) 28:18 related (5) 28:16;40:2;62:14; 70:8;122:10 relates (1) 53:6 relation (1) 30:5 relationship (1) 119:18 relationships (7) 22:25;31:4;72:16; 85:3;87:8;95:17,20 relatively (1) 161:22 release (5) 14:15;15:12;85:19; 135:20;143:15 released (12) 14:11;38:8;126:22; 133:15;151:7,17,18; 152:2;156:10,20; 160:2;190:8 releasing (1) 159:20 relevant (1) 6:19 relied (1) 203:22 relieve (2) 69:24;70:7 religion (1) 6:12 religious (1) 56:25 relive (1) 11:15 relocate (1) 168:16 relocating (1) 41:12 relocation (2) 168:20,21 remain (3) 11:2;83:6;101:1 remarkable (1) 132:23 remarks (4) 4:25;60:8,16; 128:14 remedy (1) 26:11 remember (4) 144:19;146:17,19; 206:5 remind (1) 9:4 removal (1) 24:7 removed (1) 196:3 Rendell's (1) 49:3 rep (3) 14:22,25;214:1 repeat (1) 215:7 repeated (2) 215:10;216:6 report (13) 5:23;24:13;30:4; 117:7;149:11;173:10, 11;176:7,12;177:10; 200:5;202:19;203:1 reported (2) 23:4;161:3 reporter (1) 9:7 reports (1) 124:4 represent (2) 182:16;203:10 Representative (24) 181:1,2,12,12,23; 182:1,3,13,15,16,24; 183:7,12;185:1,3,24, 25;186:10,22;188:12, 21,25;189:6,13 Representatives (2) 181:18;182:18 represented (4) 10:6;146:5,9; 152:22 representing (2) 132:10;146:14 reputable (1) 215:23 request (7) 176:19;190:8,12, 16;198:15,19;200:13 requested (2) 89:5;149:3 requesting (2) 89:2;92:10 requests (3) 88:20,23;200:10 require (8) 23:8,14;72:2;190:9; 191:15,21;192:3,18 required (3) 128:1,2;170:19 requirement (1) 58:21 requirements (3) 81:22;82:24;83:8 requires (4) 83:1;101:1;162:10; 180:15 requiring (1) 71:15 requisite (2) 162:1;196:18 rescue (1) 111:3 research (3) 29:3;32:16;43:14 reserved (1) 31:12 Reset (3) 28:6;46:5,22 reside (1) 120:15 residence (2) 40:5;90:17 resident (3) 23:5;37:4,4 residential (18) Duffy & McKenna Court Reporters 1-800-600-1000 24:11;25:3;27:5,14; 36:5;39:16;40:7;41:7, 9,11;71:18,22; 119:13;122:6,14,18, 20;149:24 residents (13) 7:13;21:25;22:17; 23:1,10;24:9;39:15; 76:21;77:1;203:17, 18;205:10,13 resistance (1) 114:15 resisting (1) 180:15 resolution (4) 81:17;83:13;85:21; 134:1 resolve (2) 31:7;86:16 resolved (2) 124:21;154:19 resource (6) 51:7;99:6;105:25; 121:13;123:23; 125:22 resources (31) 18:18;19:10;30:3; 43:3,19,22;49:13,20; 50:15;51:6,11;53:4; 97:22;98:10;109:3; 110:12;111:24;112:1; 116:5,8;117:18; 124:22;126:22; 128:17,21;131:13; 158:23;166:23;172:2; 219:21;221:22 respective (1) 6:19 respite (2) 123:7;130:11 respond (17) 54:22;59:7,8,9; 72:18;77:24;88:8,10; 89:4,18;90:21;93:7; 94:3,6;113:23;114:1; 115:18 responded (2) 15:6;88:19 responding (1) 72:17 response (8) 10:11;31:10,14; 81:22;90:15;99:2; 216:19;222:15 responses (2) 60:9;61:24 responsibility (1) 111:18 responsible (18) 15:20;28:22;33:9; 34:12,22;62:17;81:5; 124:8;125:25;130:17; 161:20,24;164:6; (27) recklessly - responsible Maine Advisory Council to the United States Commission on Civil Rights 175:12,24;196:19,24; 200:16 rest (2) 33:14,15 restoration (1) 125:13 restorative (1) 22:3 restored (1) 28:3 restrain (1) 144:11 restrained (1) 15:18 restraint (1) 127:25 restraints (4) 16:6,10;24:5,6 restrictive (2) 16:2;110:20 rests (2) 63:19,22 result (6) 7:16;71:24,25; 137:10;142:12; 149:12 resulted (2) 13:12,25 resulting (2) 31:6;83:16 results (3) 31:14;166:1;185:21 resume (1) 172:14 retain (1) 68:21 retention (1) 81:22 retirement (5) 165:9;205:21,22, 22,24 return (3) 40:17;46:3;183:17 returned (2) 152:11;175:18 returning (1) 199:15 reveal (1) 149:6 review (8) 10:24;26:19,22; 27:10;64:23;83:18; 102:19;209:2 reviewed (3) 24:14;27:6;100:15 reviewing (1) 195:3 revisit (1) 33:16 revolving (2) 48:5;208:1 Rhode (1) 98:16 Min-U-Script® June 14, 2017 rich (1) 116:5 ride-along (3) 121:5,9;130:11 ride-alongs (1) 121:12 right (53) 27:8;30:3;39:23; 40:10;42:2;43:17; 44:1,9;45:3;50:4,16; 62:24,24,25;65:24; 68:15;75:7;76:8; 77:16;78:11;87:12; 95:22;104:12,14; 109:21,25;111:25; 114:9;115:4;134:12; 137:25;156:17,21; 157:2,10;158:1; 165:3;166:4;171:18; 174:17;180:24; 181:17;182:7;187:23; 196:21,22;197:4; 204:6;208:8;215:5; 217:21;218:19;221:8 Rights (22) 4:5,23;5:8,12;6:8; 9:23;11:1;118:16; 119:2,8,22;127:14,14, 17,22;129:18;130:23, 25;131:25;138:23; 185:10;223:1 rise (4) 23:17;166:10,11,11 rising (2) 25:19;103:25 risk (20) 14:24;22:21;23:15; 32:13;67:2;81:18; 88:9,10,13,24;91:13, 14;92:1;106:25; 115:7;129:13,16; 159:17;160:4;203:10 Riverview (45) 15:13,23;16:1,5; 17:5,15;41:1;79:11, 17;125:3;139:22; 143:25;144:7,9; 152:16;161:7;162:12; 172:6;173:1;174:12; 175:17;178:13,16; 192:12;194:5;196:25; 197:15;199:1,14,15; 200:19;201:3,9,9; 202:13,18,24;203:6, 17;204:3;213:25; 214:3;215:19,20; 216:24 Riverview's (1) 213:25 road (4) 53:21;95:2;111:20; 210:9 robberies (2) 165:17,19 robbery (3) 169:21;171:4,5 Robinson (21) 4:9,9;36:14,17; 37:3;93:2;95:8,22; 96:20;97:15;146:8; 167:4;169:5,10,13; 171:19,21;172:8; 181:5;182:4;204:11 robust (2) 54:23;130:8 rocket (1) 79:15 rocking (1) 149:1 role (15) 22:2;51:14;52:9,10; 56:17;62:3;63:5;64:2; 66:19,21,23;69:17; 99:11;119:17,23 roles (2) 63:25;64:1 roll (1) 72:14 Rolled (1) 213:8 Romeo (1) 129:4 room (16) 5:6;15:4;31:6; 38:16;50:3;100:1,13; 109:22;110:4;137:24; 151:5;169:19;179:20; 181:11;183:9;197:16 roommates (1) 185:19 rooms (1) 45:2 rooted (1) 35:21 rot (1) 155:4 rotating (1) 116:18 rotten (1) 68:16 Roughly (1) 174:12 routinely (1) 114:4 rule (1) 33:17 rules (4) 9:5;48:9;122:15,15 run (7) 44:19,20;76:1,21; 123:10;133:12;152:4 running (4) 70:21;75:22;76:16; 138:5 runs (2) 146:12;159:13 rural (18) 7:3;27:18;47:17; 61:6;64:25,25;68:13, 15,18;69:1,3,11; 87:20,22;98:6;108:6; 116:6;120:12 rush (1) 171:10 Russo (1) 146:12 S S39 (1) 89:9 Saco (3) 174:14,15;191:18 Sad (2) 65:16;136:6 safe (10) 24:6;47:9;62:4; 65:4;81:17;85:21; 101:9;144:9;158:7; 213:11 safely (3) 14:7;23:10;86:17 safety (14) 21:25;22:21;24:2,7; 29:24;63:6;76:9;82:3; 92:5;101:25;103:3; 112:1;115:16;182:20 salaries (2) 187:3,5 salary (2) 165:3,7 Salt (1) 75:15 same (24) 31:2;33:18;77:10; 79:18;89:3;98:21; 110:5;116:13;117:1; 146:5,7;148:10,17; 156:22;159:14;176:1, 20;184:1;192:16,16; 203:15;216:19,23; 220:17 Sanford (2) 168:23;209:25 sat (1) 16:5 satisfactory (3) 194:22,24;196:8 satisfied (1) 195:6 Sauschuck (14) 59:24;60:3;70:10; 93:15;95:16,23; 96:23;97:16;103:18; 105:17;113:21;116:3, 10;117:2 save (1) 96:7 Saving (1) Duffy & McKenna Court Reporters 1-800-600-1000 87:11 saw (1) 200:15 saying (16) 5:3;28:10;43:10; 60:7;77:22;78:5; 101:23;103:2,16; 106:15;134:8,10; 148:18;174:11; 180:18;189:9 scale (1) 116:25 scalpel (1) 108:10 Scarborough (1) 4:14 scenario (4) 82:15;83:17;90:19; 91:9 scenarios (1) 71:17 scene (6) 92:6;93:8;95:9,15; 96:21;108:13 schedule (2) 9:9;73:21 scheduled (5) 8:22;9:16;14:25; 148:22;149:19 schedules (1) 181:22 schizoeffective (2) 206:23;207:23 schizophrenia (8) 18:4;90:3;207:23; 214:15,15;216:25,25; 218:6 schizophrenic (2) 142:19;155:19 school (6) 19:20;48:1,8;65:22; 146:22;150:23 school-based (1) 220:23 schools (4) 12:24;47:22,24; 48:18 scientist (1) 79:15 scope (3) 24:1;73:9;199:22 screen (2) 87:1;158:22 screening (5) 8:6;32:12,21;50:13, 14 screwed (1) 78:6 scrutinized (1) 92:4 sea (1) 80:10 seacoast (2) (28) rest - seacoast Maine Advisory Council to the United States Commission on Civil Rights 186:4,5 search (3) 86:1,6;88:13 searches (1) 88:14 seat (1) 218:18 seats (1) 51:19 seclusion (1) 127:24 second (15) 17:25;29:13;40:12; 50:7;52:2;91:4;96:21; 97:6,9;105:18;132:8, 12;142:14;162:22; 210:19 secondary (1) 71:16 seconds (1) 213:9 Section (2) 7:25;211:9 secure (4) 14:16,20;66:6; 110:4 secured (1) 101:9 security (8) 22:23;65:3,7;69:22; 103:3;151:23;152:1; 175:2 seeing (5) 26:1;102:9;119:11; 121:12;185:9 seek (6) 108:5;137:1,8; 145:1;194:17;215:15 seeking (4) 22:11;24:11;60:19; 143:12 seem (5) 97:21,25;108:5; 190:5;201:9 seemed (1) 13:13 seems (7) 38:22;92:19; 108:17;136:5;199:16; 219:16,21 sees (1) 23:17 segregated (1) 128:20 segregation (1) 126:20 selected (4) 75:13;77:4;81:9; 88:4 selection (2) 81:24;88:5 self-care (1) 147:21 Min-U-Script® June 14, 2017 self-harm (1) 23:7 self-medicate (2) 60:25;201:10 self-medicating (2) 12:17;78:22 self-mutilation (1) 38:6 Senator (1) 164:14 send (11) 53:20;58:5;67:15; 93:23,25;100:8; 145:14;175:16;177:1; 188:19;208:2 sending (1) 45:21 senior (1) 146:22 sense (8) 74:12,16;98:18; 102:6;106:16;193:18; 198:23;199:10 sensitive (2) 68:14;101:23 sent (8) 16:13,19;17:22; 45:8,13;67:16;125:3; 145:13 sentence (2) 200:18;222:4 sentenced (1) 143:14 sentences (2) 60:9;104:24 sentencing (1) 27:3 separate (4) 60:12;144:16; 174:14;198:10 separately (2) 51:21;190:17 SERGEANT (17) 80:15,19;81:3; 87:11,15;96:3; 107:24;108:24;112:7, 12,16,19,22;113:1; 115:1,5,20 sergeants (1) 81:14 series (1) 194:14 serious (15) 31:23;32:6;35:16; 61:22;66:14;126:11; 134:19;135:2;136:16; 154:25;155:18; 206:22,25;207:4; 221:15 seriously (2) 189:14;212:17 serve (16) 6:17;8:23;11:13; 20:13;29:5,18;35:1, 15;43:15;170:6,9; 183:13;191:9,14; 192:6;193:4 served (4) 14:12;64:25;150:6; 171:13 serves (2) 169:17;193:1 service (30) 5:10,11,12;42:22; 70:20;73:5,11;74:3,6; 75:1,24;76:4;85:22, 25;86:1,3,3;98:20; 109:2;111:22;116:15; 120:6,21;121:9; 122:18;123:24;160:3; 167:17;168:15; 178:19 services (101) 7:15,24;8:19;14:13; 22:11;24:16,16,17,23, 25;25:23;26:23;27:9, 21;33:5,12,18,19; 34:16,24;35:23,25; 36:5;43:4;44:23; 45:16,18,21;46:19,19, 21;49:16;52:13; 55:14,19;58:24;61:7; 64:7;100:7;106:18; 120:7,11,22;121:2; 123:1,5,5,6,11; 127:23;130:8,12,12; 131:15,18;132:24; 133:5,12,15;139:17; 140:8,9;141:4; 146:15,20;158:11,17, 20;159:12,14,15; 162:13,14,15;163:2; 164:7,8,9;168:24; 172:19;185:2,6; 186:2,16,20;187:1,2, 8;188:2,10;197:15; 199:5,7;201:18; 210:22;216:9,10; 220:6,10,22;221:5 serving (4) 33:25;104:15; 170:4,5 session (10) 9:16,18,19;50:20; 154:18;163:16; 170:22;184:6;204:18; 212:12 sessions (1) 219:16 set (7) 5:23;83:18;119:10, 15;125:20;135:14; 202:6 setting (9) 14:16,20;17:11; 23:19;37:1;38:25; 56:21;64:15;199:19 settings (6) 7:3,10;35:12;40:22; 57:3;132:1 settled (1) 128:9 seven (5) 87:18;90:15; 125:13,15;126:8 Several (11) 23:6;34:6;48:15; 61:19;148:11;149:11; 154:10;177:24; 211:20;214:3,9 severe (7) 60:18;61:24;65:20; 120:16;212:23; 214:14;215:14 severely (3) 13:14;22:24;61:1 sex (1) 6:12 shackled (1) 16:6 shall (1) 4:5 Shapleigh (1) 206:21 share (8) 10:8,17,20;46:7; 85:3;87:8;145:25; 215:9 shared (1) 68:1 shattered (2) 116:12;132:22 shed (1) 26:25 sheet (1) 9:19 sheets (1) 60:13 shelter (4) 62:15;79:12,17,19 shelters (1) 151:14 Sheriff (30) 59:24;60:3,6;62:10; 63:17;66:16;69:11; 87:21;97:19;98:12; 103:13,20;104:2,10, 13,18,21;105:1; 106:23;132:5,6,8; 134:10;140:7;146:2; 150:13;155:5,9; 159:11;166:2 sheriffs (9) 31:22;32:8;33:15; 50:3,4;67:9;98:17; 186:13,14 sheriffs' (2) 30:13;132:9 sheriff's (2) Duffy & McKenna Court Reporters 1-800-600-1000 99:8;121:14 shift (4) 23:2;69:8;101:3; 117:4 shifting (1) 65:13 ships (1) 190:5 shoplifting (1) 61:16 short (4) 16:4;26:8;41:1; 187:9 shortly (1) 81:10 shot (1) 142:6 shoulders (1) 109:24 show (3) 76:23;78:8;209:1 shows (8) 29:3;43:14;55:7; 60:12;136:15;195:16, 16,16 shrinking (2) 187:6;205:19 shrunk (2) 187:4;188:10 sic (1) 211:1 sick (3) 207:9,24;208:4 sicker (2) 201:2,2 side (16) 43:23;46:2;98:7; 99:7,15;104:22; 111:17;114:6,6; 117:19;137:16,16,22; 174:21;175:8;178:14 sign (4) 64:22;72:14;156:9; 157:5 signal (1) 181:16 signed (2) 54:10;86:8 significant (4) 19:9;28:8;57:24; 131:23 significantly (4) 18:15;70:6;126:6; 152:18 sign-in (1) 9:19 signs (3) 92:20;136:10,11 similar (2) 17:12;192:23 simple (3) 73:8;74:5;162:10 Simply (9) (29) search - Simply Maine Advisory Council to the United States Commission on Civil Rights 23:15;34:14;36:10; 62:4;64:17;68:12; 77:14,22;101:23 sincere (1) 85:9 single (11) 69:11;72:13;100:4, 8;119:10;138:1; 140:11,15;185:4; 216:19,21 sister (1) 186:22 sit (15) 66:12,12;102:20; 106:8;135:19;137:2; 145:20;154:5;155:6; 160:10;195:10; 204:12,24;217:21; 218:19 site (6) 54:3;75:11,12; 76:17;78:6;190:9 sites (2) 75:14;220:20 sits (1) 160:7 Sitting (7) 15:3;92:16;116:4; 135:8;142:8;155:3; 162:8 situation (26) 31:8;55:9;56:4; 62:25;63:1;65:23; 72:23;79:16;86:16; 95:3;96:10,17;108:9; 112:4,8,14;113:24; 114:10,21;155:10; 161:21;171:6;173:14; 178:7;213:21;214:13 situations (17) 56:7;62:16;65:2,15; 68:14;72:5;74:14; 77:16,21;79:9;85:24; 97:5,6;115:19; 119:16;167:15; 192:17 six (11) 49:11;72:9;75:14; 82:2;125:20;126:8; 142:5,5,8;184:15,22 sixth (1) 48:22 size (2) 98:15;199:21 skill (1) 54:1 skills (5) 47:3;53:13;82:19; 83:14;85:10 Skowhegan (2) 139:16;158:5 slashed (1) 54:19 Min-U-Script® June 14, 2017 sleep (1) 151:12 slight (1) 60:2 slightly (1) 62:25 slipping (1) 13:3 slow (1) 97:18 small (8) 35:15;42:15;65:9, 10,18;68:18;146:10; 161:22 smaller (2) 153:7;167:12 smart (1) 19:16 smelled (1) 148:14 smock (1) 24:7 SMU (9) 37:9;38:8,10,13; 39:4;57:6,17,19,21 snap (1) 123:20 snapshot (3) 173:13;174:10; 175:6 sniper (1) 88:15 sober (1) 12:20 soccer (1) 207:12 social (5) 56:25;76:3;116:15; 151:23;152:1 societal (1) 63:25 society (5) 11:1;76:23;143:18; 144:20;207:11 sodomized (1) 143:10 solitary (7) 14:2;15:14;37:10; 38:5,14;57:8;126:20 solution (6) 15:8;33:3;131:9; 142:2;193:7;196:15 solutions (3) 9:3;19:18;131:6 solved (2) 179:24;210:4 solver (1) 82:12 solves (1) 176:24 solving (2) 96:10;136:4 somebody (24) 43:16;44:8;94:1; 96:14;102:3,4; 103:24;105:22,24; 106:1,8;110:1,18; 111:8;138:2;158:17; 159:16,17;162:11; 165:14;166:16;179:5; 219:24,25 somebody's (5) 48:21,23,24;96:8; 113:25 somehow (5) 75:5;105:24,25; 106:21;221:22 someone (38) 13:17;30:1;33:5; 38:21;41:8;43:15; 44:23;50:17,24; 52:23;53:7,20;64:19; 75:25;89:20;90:1,2; 108:7;113:5,15; 115:23;120:12; 121:13,24;124:7; 125:11;129:12; 130:16;142:15;144:7, 9,11;158:11;168:4; 194:25;198:3;203:16; 208:22 someone's (3) 100:10;113:7; 211:22 someplace (8) 45:24;100:10; 101:10;102:21;106:4, 4,22;116:24 Somerset (2) 138:25;166:8 Somerset's (1) 159:13 sometime (1) 124:19 sometimes (19) 46:18;47:9;63:3,5; 65:4;77:6;99:2; 110:21;119:12,12; 124:3;130:21;133:7, 10;196:8,13;197:16, 17;202:17 somewhere (12) 23:19;65:5;71:10; 98:4;102:18;119:7; 125:15;151:25; 161:17;164:4;165:5,7 somewheres (1) 179:20 son (25) 11:20,25;15:5; 34:13;36:15;49:8,9; 57:14,15;192:9; 193:4;194:7;206:22; 207:11;208:12,18; 209:14;211:18; 212:22;214:14;215:2; 216:4,20;217:21; 218:2 song (1) 189:16 sons (1) 12:4 son's (5) 11:16,19;20:22; 40:18;214:3 soon (3) 127:10;130:23; 175:3 sorry (8) 21:10,16,21;62:8,9; 165:25;183:8;189:11 sort (36) 44:18;58:7;60:8; 117:14;157:21; 173:13,18,21;175:25; 176:3;178:12;180:7, 9,15;184:23;185:6,12, 13,14,18,21,22,22,24; 190:1,2,20;191:6,10; 192:15,19,20,21; 193:10;196:10;200:8 sorts (1) 180:2 Soule (4) 205:1,2,2;206:18 sound (3) 62:23;98:2;99:16 sounds (3) 96:20;103:9;167:10 source (2) 112:9;191:12 sources (1) 38:9 South (14) 12:1;17:6,8,13,16, 23;18:2,8;36:19,23; 37:5;93:19;192:10,11 southern (1) 186:5 space (4) 47:9;64:15;79:24; 80:2 spaces (2) 116:23,24 spanning (1) 81:13 spared (1) 143:23 spark (1) 8:2 speak (13) 9:18,19;11:17; 12:23;46:2;50:13; 70:17;80:17;88:21; 135:23;185:4;187:17; 206:21 speaking (9) 48:14;99:7;104:21; 111:17;140:7;181:3; Duffy & McKenna Court Reporters 1-800-600-1000 182:14;187:10; 204:19 special (12) 6:4;14:1;24:25; 47:21,22,25;48:9,11; 49:12,16;73:25,25 specialist (2) 69:14,15 specialized (1) 68:22 specializing (1) 69:7 specialty (2) 73:24;74:6 specific (11) 9:12;28:16,18; 32:17;53:3;63:20; 73:8;83:9;89:8;91:15; 140:4 specifically (8) 23:11;80:17; 100:20;109:4;126:4; 139:7;172:4;209:12 Specification (1) 89:8 spectacular (1) 151:24 spectrum (1) 78:19 speech (1) 173:11 speed (2) 213:2;217:7 speeding (5) 34:4,5;55:2,3,4 spend (5) 78:9;97:8;130:21; 183:21;220:2 spending (6) 15:14;18:17;45:1; 126:8;145:1;185:7 spends (1) 160:25 spent (5) 14:10;126:5,6; 152:17;161:6 spirit (1) 146:11 spirits (1) 145:9 spiritual (1) 12:18 split (3) 96:21;97:5;193:8 spoke (1) 13:10 spoken (6) 67:5;141:3;155:9, 10;156:13;171:16 sport (1) 12:7 spot (1) 93:10 (30) sincere - spot Maine Advisory Council to the United States Commission on Civil Rights spots (1) 74:24 spouses (1) 86:10 spray (1) 113:8 spread (1) 98:22 Spring (1) 210:3 squad (1) 69:8 square (5) 69:13;98:15; 116:13;217:3,9 St (1) 220:20 stability (1) 83:11 stabilization (6) 7:14;63:10;64:15, 23;102:19;215:21 stabilized (5) 94:25;99:21; 100:14;105:14; 142:19 stable (4) 191:14,19;192:3; 215:22 stacked (1) 116:22 staff (35) 9:20;16:1,5,7,10, 19;18:10;19:21;22:1, 23,24;23:21;26:17; 47:2;49:10;50:16,17; 52:5;65:4;67:7,18; 73:14;87:3;93:12; 96:1;117:21;147:24, 25;152:7,8,19,21,23; 178:5;203:4 staffed (2) 8:9;202:16 staffing (4) 26:4;69:7;202:14; 203:1 stage (3) 57:16;153:15,20 stakeholders (4) 131:5;136:22; 137:5,17 stances (1) 56:12 stand (13) 17:19;124:8;125:2, 8,12;175:11,25; 178:23;179:13,18; 193:10;197:8,12 standard (12) 30:17;33:6,8,11,21; 53:9;90:9;129:10,10, 12;179:10;211:14 standardness (1) Min-U-Script® June 14, 2017 210:25 standards (5) 113:2,2;127:18; 128:24,25 standing (5) 81:25;101:14; 109:23;137:23;211:5 standpoint (2) 56:20;58:10 start (20) 5:3;11:6;19:10; 47:10,13;60:2,7,24; 97:18;98:3;117:7; 150:5;172:25;174:11; 178:5;181:22;182:25; 204:18;205:1;215:18 started (8) 52:20;72:6,25;74:3; 149:16;200:4;207:1; 208:10 starting (6) 4:8;19:8;125:12; 134:5;166:14;174:18 starts (1) 71:18 State (141) 5:3,7,22;6:20;7:21; 8:21;13:14;14:2,22, 25;15:1;16:3,13;17:2, 5,18,21;18:19;20:16; 26:23;28:15;29:7; 30:4;31:5,21;34:2,3, 25;36:8,10,23;42:19; 43:6;44:6;45:8,18,23; 47:11,15;48:3,5;49:5, 19;52:8;54:4,24;57:9; 60:4,16;64:6,8;65:6; 69:11,19,21;70:4; 73:2,4;76:3;78:15; 79:4;80:17,19,20,24; 81:7,8;83:15,21; 84:12;85:2,22;86:25; 87:13,14,16;88:2,4,8, 9,18;89:13;95:12,17, 19;103:15;107:16; 110:25;111:17; 113:11;116:17; 118:17,22,22,25; 121:15;125:3,16; 128:23;133:17; 135:14;136:19,19; 139:4,4,6,10,11; 143:17;149:3;153:23; 154:14;156:7;159:8; 161:1;162:4;166:11; 168:11,12;174:2; 177:7;178:18;183:19; 185:6,8;186:15; 190:10;193:1;199:4, 5;200:9;201:21; 203:24;205:13;209:8, 11;210:16;214:1; 219:24;220:4,15 state/odd (1) 147:15 stated (4) 30:25;34:14; 204:19;218:10 statement (5) 11:4;60:8;103:17; 104:1;218:9 statements (11) 9:11,13,16,21;10:2, 10,13,15;93:4; 204:17;214:9 state-rated (2) 133:13,18 states (9) 6:15;120:23;126:1; 129:4;131:2;138:22; 156:12,14;205:18 state's (3) 7:2;34:10;166:5 statewide (8) 31:10;32:21;53:19; 99:17;130:5;159:1,9, 11 statistical (1) 114:25 statistics (1) 155:16 status (5) 82:5;85:14;151:6, 24;152:15 statute (6) 42:13;107:11; 118:19;119:3;124:10; 211:2 staving (1) 28:7 stay (4) 12:20;100:24; 106:4;209:17 stayed (1) 16:4 staying (1) 202:17 stays (3) 14:1;57:25;141:11 steal (2) 66:16;78:12 stem (1) 73:7 stemmed (1) 73:8 step (4) 32:4;36:25;114:14; 176:5 step-down (3) 47:4;58:7;192:19 stepped (3) 36:24;37:1;57:20 stepping (9) 14:16;28:25;29:15; 32:23;49:23;50:10; 136:20;137:10;138:8 steps (1) 170:25 step-up (3) 192:20;193:2,7 Stevenson (12) 59:24;87:11,13; 96:3;107:24;112:7, 12,19;113:1;115:1,5, 20 still (26) 17:3,9;35:25;54:9; 75:21;76:23,24; 89:22;100:25;117:22; 121:7;124:10;128:8; 137:7;148:5;152:16; 166:22,24;170:7; 178:10,11,21;194:9; 202:20;214:25;221:8 stimuli (1) 38:17 stipend (1) 168:19 stood (1) 219:1 stop (8) 11:21,21;15:10; 64:19;157:22;208:3; 221:23,24 stopped (1) 211:20 store (3) 101:14,18;211:5 stories (2) 66:15;220:11 story (15) 12:5;34:12;35:2; 52:24;53:1;66:9;79:6; 85:11;171:20;187:13, 14;215:5,9,10,16 straight (1) 76:22 strapped (1) 139:18 strategies (3) 36:2;83:13;161:10 strategy (1) 85:7 street (9) 74:22;106:20; 116:9;117:8;151:10; 184:18;205:2,5;221:9 strengthen (1) 196:15 stress (4) 25:13;35:18;69:3; 82:10 stretched (1) 98:1 strict (1) 76:7 strictly (2) 77:11;99:7 strikes (2) Duffy & McKenna Court Reporters 1-800-600-1000 103:20;113:6 strong (1) 31:25 strongly (4) 59:14;69:4;125:17; 219:8 struck (2) 45:7;201:8 structure (7) 31:9;47:6;58:16,17, 19,22;59:5 struggle (4) 35:2;110:23; 135:16;185:14 struggled (2) 12:16;13:7 struggles (1) 87:25 struggling (12) 11:13;30:8;34:25; 56:6;57:16;68:19,20, 25;133:6;135:1; 183:23;185:12 stuck (4) 69:16;106:25; 124:4,5 student (1) 12:6 students (1) 47:20 students' (1) 48:11 studies (1) 221:11 study (7) 115:21;187:19,21; 188:1,6;200:1,8 studying (1) 6:10 stuff (3) 78:7;96:25;117:20 stumbled (1) 16:9 subject (17) 88:16;89:18,23; 90:8,11,13,25;91:2,8, 14,23;92:7,9,10,24, 24;218:21 subjects (2) 91:17;115:9 submit (2) 11:4;204:21 submitted (1) 9:22 substance (16) 12:15;24:21;25:9, 15;77:9,19,23; 117:15;136:3;139:8; 140:1;164:8;183:3, 23;184:8;185:15 substances (2) 12:17;25:14 substantial (2) (31) spots - substantial Maine Advisory Council to the United States Commission on Civil Rights 129:13,16 substantive (1) 146:15 suburban (1) 219:11 success (3) 20:13,13;171:20 successful (3) 165:18,20;183:21 sudden (1) 195:1 suffer (3) 108:2;109:9;207:5 suffering (5) 7:6,11;75:2;91:24; 141:20 suffers (1) 92:10 suggest (2) 137:7;155:14 suggested (1) 17:17 suggestion (1) 19:2 suicidal (6) 83:19;85:24;88:16; 89:22;108:8;115:3 suicidality (1) 32:13 suicide (10) 71:8,9,9;77:12; 90:17;91:3;96:8; 136:11,13;187:15 sum (1) 152:17 summer (1) 123:2 supervise (3) 118:20;157:8; 158:23 supervised (1) 143:15 supervising (1) 157:9 supervision (1) 159:19 supervisor (1) 110:25 supervisors (1) 84:14 supervisory (1) 67:18 support (11) 7:9,14;18:23,25; 19:25;20:10;45:21, 23;49:10;91:16; 170:17 supporting (2) 20:9;90:10 supportive (1) 7:10 supports (1) 185:17 Min-U-Script® June 14, 2017 supposed (4) 105:6;135:11; 154:16,19 Supreme (3) 38:4;129:3,9 sure (37) 32:11;41:3;46:10, 20;51:18,22;52:14, 20;55:22;64:7;76:9; 97:10;99:8;103:18; 111:25;115:24; 117:24;130:5;133:11; 136:9;147:20;158:20; 159:1;163:10;166:25; 168:2,9;180:4,22; 181:8;188:21;189:10, 12;195:3;196:1; 199:25;222:6 survey (1) 123:1 survival (2) 28:23;36:2 survive (1) 105:25 suspect (2) 34:7;196:4 suspension (1) 184:21 SWAT (2) 95:14,24 sweet (2) 146:18;147:2 Sweetsir (1) 209:23 sworn (2) 67:3;80:22 syllabus (1) 68:9 symptoms (4) 57:24;60:24; 136:10,11 system (104) 6:25;7:15,18;8:6; 13:19;17:10;19:17; 28:19,21,22;29:23; 30:2,2;31:10,14; 35:25;36:2;42:10; 43:21;44:7;51:4; 54:24;55:10,18; 66:21;69:22;70:3; 71:4,5,20;80:8;95:6; 103:13;106:14,16; 114:24;115:17; 116:12;119:5,15,22, 23,24;120:2,6,9; 121:3,18,21,22,25; 122:1;125:18;126:5, 7,9,12;127:15,16,21; 128:7,10,18,19,22; 129:23;130:14,14,24; 131:12,16;132:2,20, 21,22,23;133:3; 134:4;135:8;154:1; 156:12,14;161:9; 165:9;171:16;172:2; 183:18;186:17,18; 193:13,14,15,15,16, 17;194:22;195:25; 196:2,5,6,17;202:7; 210:15;219:18 systemic (1) 119:25 systems (11) 22:6;40:19;45:22; 48:8;56:7,16;82:21; 86:23;120:18;196:12; 202:8 system-wide (1) 80:10 T tab (1) 183:3 table (3) 16:5;163:19;204:25 tabled (1) 19:5 tactical (19) 81:19;84:3;87:3,4, 17,18,24;88:2,8,10, 20;89:6,14,17;90:4, 21;91:16,22;92:23 tactics (1) 90:7 tactics-oriented (1) 90:6 tailor (1) 171:1 take-away (1) 11:18 Talbot-Ross (5) 181:20;182:9,12; 183:12;185:3 talented (2) 12:7;147:3 talk (25) 22:14;25:17;52:4,5, 24;53:4;72:4;77:7; 80:5;97:19;106:1; 121:12;124:16; 125:24;136:8;145:15; 153:25;154:1;156:8; 161:18;166:21;170:4; 181:5;196:22;202:2 talked (14) 39:4;58:12;76:18; 103:12,13,15;105:18; 107:17;123:7;124:15; 140:10;195:7,21; 219:1 talking (23) 45:7;76:19;79:2; 100:10,12;103:21; 109:16;114:8,17; 121:10,11;122:13; 123:3;124:7;146:2; 147:21;150:14; 159:16;183:1;201:7; 202:20;210:25;211:6 talks (2) 85:20;129:9 taxes (1) 144:23 taxpayers (2) 49:17;205:9 teach (1) 78:9 teaches (1) 82:15 teaching (3) 20:9;26:4;136:15 Team (53) 30:17;54:6;72:22; 80:18,21;81:9,12,13, 20,21,21;82:3,4,11, 13;83:15;84:3;85:23; 87:3,17,18,24;88:2,8, 10,18,20,25;89:2,6,7, 14,16,17;90:5,6,8,10, 21;91:17,22;92:16, 23;95:14,18,24,24; 114:21,22;164:19; 169:17;207:12; 209:25 teammates (1) 90:23 teams (1) 120:16 tears (1) 212:7 tech (1) 49:10 technical (1) 6:7 technically (1) 124:11 techniques (2) 82:16,18 technology (3) 86:21;87:2;181:6 teen (1) 79:19 teenager (1) 79:18 teens (1) 12:15 telephone (1) 172:18 telling (3) 52:25;187:13; 213:12 tells (2) 177:23;199:10 temporarily (1) 105:14 tend (1) 215:13 tenens (2) Duffy & McKenna Court Reporters 1-800-600-1000 202:16;203:23 Tennessee (1) 52:21 tens (1) 220:16 term (6) 22:4;26:8;27:16; 46:16;99:20;126:3 terms (7) 41:20,20;98:6; 116:7;196:6,10; 201:23 terrific (2) 158:21,25 terror (1) 218:3 terrorist (1) 88:15 test (1) 82:2 testament (1) 10:25 testifying (2) 39:11;133:1 testimony (9) 5:16;40:21;97:20; 132:17;146:3;153:9; 182:8,11;213:4 Texas (1) 44:18 texting (1) 86:23 Thanks (6) 26:5;39:11;40:14; 206:20;218:18,20 that'll (1) 173:20 theft (2) 200:21,22 thefts (1) 61:15 theme (1) 78:18 theory (1) 192:1 therapeutic (5) 26:15,19;27:11; 40:8;49:10 therapeutically (1) 41:12 thereafter (1) 81:10 therefore (3) 69:16;127:9;197:13 thin (1) 139:18 thinker (1) 82:11 thinking (10) 106:24;119:17; 122:13,16;123:13; 127:12;129:17,18; 162:8;183:2 (32) substantive - thinking Maine Advisory Council to the United States Commission on Civil Rights thinnest (1) 98:1 third (11) 22:4;25:2,3,3;27:4; 39:15;54:20;56:24; 82:21;86:24;137:23 thorough (1) 76:7 though (11) 7:21;10:2;16:4; 20:12;37:10;59:13; 132:11;156:5;169:6; 188:5;195:18 thought (10) 62:8;73:5;104:3; 142:2;147:19;149:5; 173:15;180:15; 197:25;198:6 thousand (1) 17:23 thousands (4) 75:5,24,24;220:16 threat (10) 29:24;54:17;62:11, 13;96:13;113:13,19; 216:14;217:5,6 threatened (8) 88:12;89:21;91:25; 113:17;211:22; 214:20,22,23 threatening (2) 90:17;96:8 threats (10) 23:7;71:8;85:16,24; 88:15;151:12,14; 214:23;220:7,8 three (26) 12:6;14:10;25:5,14; 26:4;29:5;37:15,16; 43:15;48:2;57:6; 76:14;79:9;100:16; 102:21;104:15; 111:20,21;118:8; 135:15;141:7;144:19; 145:11;150:24; 171:13;204:18 three-month (1) 176:13 three-plus (1) 15:14 throughout (3) 114:3;215:17,17 throw (2) 82:20;86:22 throwing (1) 147:20 thrown (1) 57:23 thunder (1) 66:16 thunders (1) 133:25 Thursday (1) Min-U-Script® June 14, 2017 170:20 thus (1) 163:17 tickets (1) 65:12 tied (1) 213:17 Tim (1) 145:6 timeline (2) 160:21,21 timelines (1) 124:16 timely (3) 21:20;51:18;167:11 times (31) 18:24;29:5;40:20; 43:15;48:2,15;72:9; 89:3;90:4;104:15; 109:15;113:18;117:5; 119:12,18;122:19; 134:2;138:13;143:16; 150:25;157:22; 176:14;177:24; 191:13;195:15; 196:14;210:2;214:4; 215:11,12;217:16 tipped (1) 23:1 Title (7) 63:20;128:13; 150:19,25;151:5; 152:13;211:1 today (47) 4:22;5:2,15,18,21; 6:1;7:1;8:2,16;9:9,16; 10:2;11:9,17;16:16; 22:12;28:16;66:19; 74:8;87:23;90:20; 130:10;132:15,17,18; 133:1,7;134:9; 135:12;136:2,4,15; 137:2,6;138:16; 141:3;144:18;145:8; 159:25;173:18; 178:11;204:7;212:11; 214:10,13;221:19; 222:23 today's (1) 5:23 together (11) 51:21;56:16;59:9; 72:22;85:2;98:5,16; 131:6;187:21;208:15; 217:20 Togus (3) 85:6;172:5,7 token (1) 145:8 told (8) 21:2;35:7;147:17; 148:1;149:2;203:18; 216:3;217:6 tomatoes (1) 68:16 tomorrow (2) 187:11;188:5 tone (1) 82:19 Toney (21) 4:13,13;40:15;41:6; 42:1;44:5;46:2;47:18; 55:21,23;56:3;58:11; 97:17;102:23;116:3, 25;118:2;199:19; 201:13;204:10; 222:22 Tonya (1) 21:20 took (12) 23:6;65:20,24; 75:10;141:22;142:20; 149:11,22;150:3; 175:3;176:8,16 tool (15) 32:9,22;49:23,24; 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123:11;130:12; 174:14,15;179:1; 206:4 University (1) 75:16 unlawful (1) 113:14 unless (6) 18:14;90:20;107:7; 153:8;195:6;217:4 unmarked (1) 72:16 unmet (1) 123:25 unnecessarily (1) 128:20 unorganized (1) 98:24 unparalleled (1) 29:25 unpredictable (1) 14:6 unrealistic (1) 134:23 unresponsive (1) 14:9 unrestrained (2) 15:15;18:11 unsuccessful (2) 41:17;105:11 unsuccessfully (1) 61:21 unsupervised (2) 14:15;152:11 unsustainable (1) 23:8 untreated (3) 14:8;114:23;133:9 unusually (1) 148:18 unvoluntarily (1) 105:23 unwise (1) 174:25 Duffy & McKenna Court Reporters 1-800-600-1000 up (107) 6:17;16:8;28:25; 29:15;32:7,23;34:17; 36:1;40:3;41:7;43:8, 15;49:23;50:10;51:4; 54:13;55:7,8,17,17, 22;56:7;57:5,14; 59:21;63:13;64:10; 75:18;76:9;78:7; 83:18;85:18;88:3; 97:13;101:19;102:15; 105:22;108:3;110:3; 114:14;116:9,24; 119:21;125:19; 127:13;128:12; 129:24,25;130:18,20; 131:6;133:8,12; 135:14;136:20; 137:10;138:8;141:7; 143:18;145:2;148:7; 149:23;151:11;153:3, 11;154:3;156:2,11; 160:24;161:14,16; 165:21;169:1,3; 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146:10;185:23 viewpoints (2) 8:25;10:7 views (2) 10:18,20 Viez (1) 6:3 vigorous (1) 88:5 violation (5) 7:25;16:3;119:2; 160:14;184:16 violence (5) 54:18;85:16; 141:18;217:11; 222:11 violent (3) 31:12;35:6,8 violently (1) 214:22 visibly (1) 217:4 visit (4) 13:8;37:22;57:1; 217:22 visited (2) 148:9;149:15 Visitor (1) 22:7 Visitors (5) 8:9;21:22;51:13,15; 155:7 Visitors' (1) 21:24 visits (1) 54:3 vital (2) 20:12;21:24 vitals (1) 148:20 Vivitrol (1) 166:13 Vo (1) 118:10 voice (2) 82:19;213:23 voiced (1) 126:4 voices (2) 18:6;216:13 volatile (1) 68:14 volume (2) 73:10;116:15 voluntarily (1) 106:2 voluntary (3) 67:6;114:13;123:12 volunteer (1) 5:9 Volunteers (1) 159:6 voted (1) 163:18 votes (1) 184:9 vouch (1) 179:7 Voyvodich (9) 118:12,12,13,14,15; 160:18;161:21; 171:22;177:23 vulnerable (2) 26:13;84:6 W wait (17) 64:24;74:14;90:7; 111:16;125:11;142:6, 7;172:22;178:11,13; 196:24;200:5;211:16, 21;217:14,21;222:19 waited (2) 64:16;148:8 waiting (23) 27:3;65:5;69:24; 109:21;116:20,22; 134:24;154:11;160:6; 176:12,14,16;178:9, 14,21,24;179:9,13,14, 16,18,19,21 Waldo (1) 109:5 walk (2) 15:15;117:7 walking (4) 38:19;72:21;117:9; 184:17 walks (1) 114:13 wall (1) 135:1 wander (1) 106:20 wane (1) 60:24 wants (3) 120:12;155:10; 195:19 ward (4) 15:15;18:11; 117:21;135:16 Warden (4) 20:15;57:17,17; 58:6 wards (2) 135:14;174:24 warm (1) 218:18 warming (1) 105:19 warning (1) 92:20 warrant (1) 115:7 warrants (4) 86:1,6,6;88:13 Warren (13) 14:2;19:10;181:2, 12,19,23;182:1,3,13, 15,16,24;183:7 Washington (4) 9:24;54:14;100:17; 136:21 watch (5) 5:20;13:6;195:10; 205:19,21 watching (2) 136:10,11 Wathen (24) 173:1,3,5;180:19, Duffy & McKenna Court Reporters 1-800-600-1000 22,25;181:6;189:10, 12;194:13;196:1,21; 197:2,5,21,24;198:12, 14,18;199:25;201:20; 202:11;204:8,14 way (37) 5:13;18:17;42:23; 48:16;56:13;60:11; 69:5;70:4;71:11,19; 72:6;74:4;77:19; 94:17;96:3;98:24; 99:17;101:23;115:25; 141:12;146:11;151:3; 154:21,21;158:10; 167:18;174:9;176:19; 191:1;192:14;194:18; 195:11,12;208:3; 210:20;219:14,17 ways (4) 175:7,21;191:3; 206:11 weapon (2) 88:17;90:18 wearing (1) 108:6 website (1) 57:12 wedding (1) 141:15 week (15) 15:16;67:8;78:9; 79:7;136:6;148:8,15, 23;149:6,22;166:14; 170:12,13;178:12,21 weekend (2) 21:9,12 weeks (11) 14:8,17;20:17;66:7; 102:20,21;143:6; 147:24;154:10,11; 156:2 weigh (1) 185:24 welcome (8) 4:3;11:5,12;188:22; 189:4;204:24;211:25; 218:16 welcoming (1) 5:2 welfare (2) 22:6;35:25 well-being (2) 21:25;62:13 well-funded (1) 121:15 well-intended (1) 55:8 well-intentioned (1) 158:15 wellness (2) 20:11;48:23 well-trained (1) 55:8 (35) used - well-trained Maine Advisory Council to the United States Commission on Civil Rights weren't (1) 107:10 west (2) 98:24;182:17 whatnot (1) 110:16 What's (8) 41:17;48:22;57:7; 79:15;173:22;179:9; 187:3;204:2 whatsoever (1) 109:9 whereas (1) 124:17 wherever (2) 178:18;193:21 Whipple (1) 145:7 whole (9) 63:15;75:23;76:20; 95:5;96:2;98:23; 121:18;131:12;219:3 who's (7) 43:16;113:5; 141:13;146:21;164:3; 180:7;211:5 whose (2) 129:7;146:23 who've (1) 165:17 wide (2) 10:7;97:2 wife (3) 12:3;13:5;90:2 Williams (2) 84:11;95:18 willing (4) 51:1;153:14,17; 209:22 willingly (1) 144:2 willingness (3) 10:17,20,24 win/win (1) 171:5 winding (2) 210:14,17 wings (1) 99:24 winter (1) 25:21 wiping (1) 134:25 Wisconsin (1) 75:15 wish (5) 9:15,17;18:12; 146:4;204:17 wishes (1) 11:3 Within (20) 12:21;15:15;16:13; 46:9;69:12;73:19; Min-U-Script® June 14, 2017 96:14;105:6;119:24; 120:14;123:6;126:17; 127:15;128:21; 131:16;172:3;194:14; 201:3;202:7;213:9 without (25) 6:18;7:15;29:6; 43:22;49:15;51:1,11; 52:15;65:13;67:9; 90:13;95:17;106:15; 111:21;113:22;117:2, 18;139:17;148:8; 149:2;151:8;152:18; 156:11;180:12;212:7 witness (2) 38:7;203:11 witnessed (1) 212:8 woman (6) 141:13;143:9,10, 22,25;157:23 won (1) 12:10 wonder (2) 20:22;217:17 wondered (2) 51:13;163:11 wonderful (4) 136:17,24;166:3; 167:14 wondering (1) 46:5 word (3) 42:7;78:20;168:1 words (3) 146:1;147:5,7 work (35) 5:5;8:25;21:24; 22:17;25:19;46:12; 51:21;56:16;72:22; 85:5;87:7;98:6;99:23; 106:4;111:22;117:21; 118:20;119:5,10; 120:4;129:20;131:4; 132:24;140:4;153:15; 155:15,17;156:17; 165:22;168:7;170:18; 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209:7;212:22;216:7, 22;218:3,5,23;220:21 yelling (1) 42:17 yellow (1) 173:12 yesterday (2) 145:14;177:19 yield (1) 138:19 York (4) 34:4;44:20;54:13; 208:24 young (7) 12:19;23:5;24:18; 35:21;52:13;71:23; 129:3 Youth (46) 21:23,25;22:2,8,19; 23:1,5,6,9,15,18,23; 24:2,11,14,19,22; 25:2,4,25;26:9,13,13, 22;27:1,4,7,12;28:2,4, 24;35:20;44:1;45:8, 12,17;46:5,11,14; 47:9;48:17;51:16,23; 52:5;122:6,14 Y Z yard (1) 75:7 year (28) 12:16,21;48:7; 70:21,25;71:9;73:19; 83:16;84:3;86:3; 94:19;142:1;143:16; 151:22;164:18;165:8, 10,13;176:8;177:3,6, 15;178:9;179:14; 202:19;209:23;215:2; 219:23 yearly (5) 82:24;83:5,21;84:4, 18 year-old (9) 12:8;110:23,24,24; 143:9,10;160:24; 187:14;211:7 years (55) ZERILLO (9) 145:5,6,7;146:9; 154:8;158:13;159:5; 162:6;163:6 zero (1) 140:12 1 1,250 (1) 71:6 1,500 (1) 30:16 10 (17) 9:10;21:7;25:22; 52:21;67:15;80:12; 99:18;111:15;118:4; 126:9;149:10;201:3; 203:16;212:22;216:7, 22;221:13 Duffy & McKenna Court Reporters 1-800-600-1000 100 (11) 30:11,19;57:14; 67:3;68:22;69:1,12; 73:16;107:24;114:18, 19 104 (1) 83:16 10-week (1) 84:11 10-year (1) 190:22 11 (2) 25:13;26:3 11,000 (1) 98:20 12 (7) 9:10;84:4;87:14; 118:5;146:5;216:7; 220:21 13 (5) 81:13;83:16; 110:24;146:6;187:14 130 (1) 156:21 1331 (1) 9:23 135 (2) 205:2,4 14 (4) 19:8;125:14,15; 134:22 143 (1) 89:3 149 (1) 207:12 14th (1) 11:3 14-week (1) 154:20 15 (13) 25:9,15;90:5; 150:20,25;151:5; 152:13;164:4;165:5; 191:20,23;201:5; 203:16 150 (1) 219:5 157 (2) 133:13;135:12 16 (1) 176:13 160 (1) 22:16 162 (1) 189:25 163 (2) 70:18,19 170 (1) 66:4 18 (2) 151:1;160:24 18-week (1) 84:8 (36) weren't - 18-week Maine Advisory Council to the United States Commission on Civil Rights 19 (2) 25:8;151:1 193 (2) 133:14;135:12 1953 (1) 206:10 1960s (1) 7:4 1970s (1) 205:3 2 2:00 (3) 111:6;172:10,10 20 (15) 22:5;25:11,12; 30:21;68:3,12;86:2; 96:18;99:25;164:5; 165:5;177:20;191:19, 24;208:11 200 (1) 71:10 2000 (3) 11:25;12:8;18:1 2001 (2) 73:1;80:23 2002 (3) 12:1,9;30:18 2004 (1) 80:24 2005 (2) 67:25;81:8 2009 (1) 24:19 2010 (1) 75:9 2012 (5) 81:9;86:1;174:9,19; 200:4 2014 (2) 30:16;140:19 2015 (3) 65:18;67:25;207:1 2016 (6) 24:14;29:13;77:8; 84:20;173:15;175:6 2017 (2) 11:3;79:25 2018 (3) 68:3;190:15,21 2019 (3) 190:19,21,21 202 (1) 9:24 20425 (1) 9:24 21.2 (1) 116:13 22 (4) 190:11;191:19; 203:18;209:16 23 (5) Min-U-Script® June 14, 2017 38:15;88:3,3,6; 220:20 23,000,000 (1) 220:8 24 (1) 25:8 240 (1) 79:13 24-hour (1) 110:11 25 (4) 20:19;190:11; 191:24;208:11 26 (2) 25:11;209:16 27 (1) 134:4 28 (2) 143:14,15 205:18 44 (5) 174:11,12,15,18; 179:1 45 (5) 64:16;89:4;99:3; 101:3;102:21 46 (1) 177:17 48 (2) 174:17;177:18 48-hour (1) 105:7 4C (2) 211:2,9 4D (2) 211:13,13 4th (2) 94:21;204:5 3 79 (1) 24:14 8 80 (4) 22:17;211:7; 221:11,12 82 (1) 25:14 85 (1) 25:5 85,000 (2) 70:20;71:5 8-hour (1) 83:23 8th (2) 49:15;147:9 8x12 (1) 38:16 5 9 3,500 (2) 70:24;94:19 3:22 (1) 223:3 30 (7) 165:7;166:6; 177:16;186:4;200:21, 24;213:9 30,000 (1) 185:23 30s (1) 142:14 30th (1) 208:6 31 (2) 96:14;133:17 315 (1) 89:1 34B (1) 63:20 34th (1) 207:25 376-7533 (1) 9:24 3801 (1) 211:2 3rd (1) 94:21 4 40 (8) 52:22;54:2,2;68:22; 83:5;207:3,22;210:13 40-hour (10) 52:18;53:16;67:4; 69:2,4;82:13;83:4,22; 84:14;89:16 42 (2) 24:25;36:16 43 (1) 5:30 (1) 100:8 50 (6) 6:15;86:3;200:12; 207:3,22;210:13 5th (1) 94:21 6 60 (1) 150:6 60s (1) 141:14 625 (1) 71:8 64 (2) 205:3,21 66,000 (2) 75:21;76:21 67 (2) 24:24;47:19 90 (1) 153:16 900 (1) 76:4 90s (3) 72:6,24;76:13 911 (8) 70:23;93:6,20; 213:7,9;216:21; 217:3,4 92 (2) 174:12,23 7 7 (1) 134:22 7,000 (1) 98:15 70 (6) 69:12;133:15,19; 137:13;159:25; 174:22 70,000 (1) 98:22 700 (1) 30:15 73 (2) 143:8,10 75 (2) 140:22;155:21 Duffy & McKenna Court Reporters 1-800-600-1000 (37) 19 - 92