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CRIPA
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ADJC’s CRIPA Process:  The Road to Improvement

What is CRIPA?
The Civil Rights of Institutionalized Persons Act (CRIPA) was enacted by Congress in 1980. It authorizes the United States Department of Justice to conduct investigations and litigation relating to conditions of confinement in government operated institutions, including juvenile correctional facilities.

The CRIPA statute allows the U.S. Department of Justice (DOJ) to take action when it finds a pattern or practice of violations of residents’ rights. It is important to note that CRIPA establishes no substantive rights; however it creates a vehicle for the United States Department of Justice to enforce existing constitutional and statutory rights.

ADJC’s CRIPA Chronology
June 6, 2002: the U.S. Department of Justice (DOJ), Civil Rights Division notified then- Governor Jane Dee Hull of its intent to conduct an investigation of three state juvenile correctional facilities:  Adobe Mountain School (AMS), Catalina Mountain School (CMS), and Black Canyon School (BCS)
 
October 1, 2002 and January 13, 2003: DOJ attorneys and expert consultants conducted on-site investigations at the AMS, BCS and CMS facilities.

January 23, 2004: DOJ releases its findings in a letter to Governor Janet Napolitano. The report focused on five main issue areas:
         Suicide Prevention
         Juvenile Justice
         Education
         Medical Care
         Mental Health/Rehabilitative Services

Sixteen remedial measures were recommended to resolve the identified deficiencies.

March 22, 2004: Governor Napolitano and DOJ officials toured Adobe Mountain School to review and discuss initial facility renovations as recommended by the federal government.

March 23, 2004 – September 15, 2004: Arizona engages in negotiations with the Department of Justice.

September 15, 2004:  Governor Napolitano and Bradley Schlozman, Deputy Assistant Attorney General, Civil Rights Division, Department of Justice, sign a Memorandum of Agreement calling for major reform at AMS, BCS and CMS.  (NOTE:  ADJC makes internal decision that the agreement will also be implemented at Eagle Point School, its other secure care facility).   At the same time, DOJ files United States v. State of Arizona, et. al. in the United States District Court.  DOJ and the State of Arizona file a joint motion to conditionally dismiss the case, pending implementation of the MOA.  The Court grants the motion.

The Memorandum of Agreement

  • Three year implementation period with twice-yearly monitoring by a four person Consultants Committee
    • Russell K. Van Vleet, MSW, Chair
    • Lindsay Hayes, M.S.
    • Peter Leone, Ph.D.
    • Louis Kraus, M.D.
  • Divided into five areas
    • Suicide prevention
      • physical plant changes
      • screening all youth
      • policy, procedure and training in suicide prevention
      • mental health services for suicidal youth
      • follow up and debriefing of serious suicide attempts
    • Juvenile Justice
      • protection of youth from harm
        • adequate staffing
      • effective grievance system for youth
      • policy and training of staff in crisis intervention
      • limitations on isolation of youth
      • due process
      • Quality Assurance program
    • Education
      • compliance with all state and federal special education laws
      • compliance with  Section 504 of the Rehabilitation Act
    • Medical Services
      • sufficient dental care
      • adequate nursing services
      • pharmaceutical services
      • appropriate medical services
    • Mental Health Services
      • adequate professional staff and behavioral health services
      • screening of youth
      • maintenance of appropriate records
      • substance abuse services

Steady Progress[1]

  • First Report, March 15, 2005
    • Substantial Compliance: 23 provisions
    • Partial Compliance: 91 provisions
    • Non-compliance: 9 provisions
    • Not rated: 13 provisions
       
  • Second Semi-Annual Report, September 15, 2005
    • Substantial Compliance: 55 provisions
    • Partial Compliance: 70 provisions
    • Non-compliance: 1 provision

  • Third Semi-Annual Report, March 15, 2006
    • Substantial Compliance: 107 provisions
    • Partial Compliance: 19 provisions
    • Non-compliance:  0 provisions
       
  • Fourth Semi-Annual Report, September 15, 2006
    • Substantial Compliance: 118 provisions
    • Partial Compliance: 10 provisions
    • Non-compliance:  0 provisions
       
  • Fifth Semi-Annual Report, March 15, 2007
    • Substantial Compliance: 120 provisions
    • Partial Compliance: 3 provisions
    • Non-compliance:  0 provisions

  • Sixth Semi-Annual Report, September 15, 2007
    • Substantial Compliance: 60 provisions
    • Partial Compliance: 0 provisions
    • Non-compliance:  0 provisions

Conclusion of Case

September 14, 2007:  Department of Justice and State of Arizona file Joint Motion of Final Dismissal of case.

Highlights of Final Report

  • Outstanding effort by Director Branham and staff
  • Department’s infrastructure is exemplary
  • Suicide Prevention
    • Housing units physically as safe as possible
    • Policy and procedure appropriate for identification, assessment, monitoring and treatment of suicidal youth
    • Revised screening and assessment tolls have created measures to communicate management needs of suicidal youth
    • All staff appropriately trained and sensitive to the issue of juvenile suicide in confinement
    • Pertinent records from juvenile courts being received and reviewed in a timely fashion
    • Department has developed a comprehensive morbidity and mortality review process for learning from serious suicide attempt incidents
  • Juvenile Justice
    • Staffing ratios mirror best practices
    • Pre-service Academy training staff prior to direct line responsibility
    • Policies and adopted and implemented in all necessary areas
    • Youth grievance process is exemplary
    • Juvenile Ombuds staff at each facility
    • Inspections and Investigations Unit unique in juvenile corrections effective in identifying staff who are abusive toward youth
    • Quality Assurance Office establishing and functioning is the key to continued success
    • Behavior management program for youth developed and being implemented; other necessary programs in place
    • Staff attitude toward Exclusion of youth has changed;  placing youth in their rooms no longer viewed as the only behavior management tool in the housing units
      • Use of Exclusion closely tracked and monitored
    • Use of Separation (temporary removal of housing unit) reduced and conducted in collaboration with mental health staff
      • Departmental oversight improved
      • Staff in each facility properly trained
  • Special Education
    • Sufficient instructors, equipment and assessment tools
    • IEPs written, updated and revised timely and appropriately
    • School staff maintain contact with parents/guardians
    • Special education students co-taught in general education classrooms
    • Proper logs maintained for service provision auditing
    • Transition plans in place for youth 16 and older
    • Department found to be in compliance by Arizona Department of Education, which monitors every three years
  • Medical Services
    • Youth have access to care
    • Expanded nursing coverage provided – now 24 hour coverage at all facilities
    • Medical care is adequate, appropriate, and timely
    • Dental coverage adequate
    • Pharmaceutical services adequate
  • Mental Health Services
    • “Tremendous level of improvement in overall mental health services”
    • Department has implemented appropriate series of intake assessments and screenings for all youth
    • New policies developed and implemented ensure that juveniles on psychotropic mediation receive appropriate diagnosis and follow up
    • Significant training has been developed and implemented for mental health staff and, where appropriate, other staff
    • Psychiatric services are consistent and comprehensive
    • Comprehensive, multi-disciplinary treatment planning now occurs
    • Cultural competency in providing services has improved
    • Appropriate processes for obtaining informed consent now in place

[1] The total number of provisions in each report is inconsistent for two reasons:  (1) over the course of the agreement, some provisions were combined and others separated for ease of monitoring; and (2) the agreement provided that any provision in substantial compliance for three consecutive reporting periods was eligible for termination from monitoring.  Beginning with the Fourth Semi-annual Report, a number provisions were terminated from monitoring.


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To view the complete report visit www.usdoj.gov/crt/split/index.html

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