2019-2024 Strategic Plan - Oregon
2019-2024Strategic PlanPsychiatric Security Review BoardDue Process - Research - Recovery - Partnership
MissionThe Psychiatric Security Review Board protects the publicby working with partnering agencies to ensure personsunder its jurisdiction receive the necessary services andsupport to reduce the risk of future dangerous behaviorusing recognized principles of risk assessment, victims’interest, and person-centered care.ValuesThe PSRB’s values are rooted in ourlegislative mandate to protect the public.We achieve maximum levels of publicsafety through:Due ProcessObserving individuals’ legal rights and adheringto principles of procedural fairness.ResearchDecision making and organizational practices drivenand influenced by the best available data.RecoveryClients understand and receive treatmentfor the psychiatric and comorbid conditions thatcontributed to their past criminal offenses andhave opportunities to achieve health, home, purpose, andcommunity.1PartnershipPromoting active communication and collaboration withinand between the systems serving PSRB clients and thecommunity at large.1PSRB endorses the Substance Abuse and Mental Health Administration’s (SAMHSA) definition of recovery.2 Psychiatric Security Review Board
5-Year VisionIn 2024, the Psychiatric Security Review Board (PSRB)maintains a positive reputation with the public, thelegislature, and the legal community and serves asa model for local and national agencies working toenhance the recovery of justice-involved individualswith mental health challenges. We define public safetyin terms, not only of reduced recidivism, but also interms of the PSRB’s ability to enhance the health,well-being, and re-connection of the individualsunder our jurisdiction with their natural supports andcommunities. Healthier clients and confidence in PSRBmonitoring help victims in their own recovery process.The Board uses the “problem-solving” philosophypromoted by specialty courts—such as mental health anddrug courts—and the most recent research to addressrecidivism and promote long-term recovery. Consistentwith this philosophy, the PSRB develops a best practiceguide to support our valued community and hospitaltreatment providers and conditional release monitors.The professionals working with individuals under thePSRB are adept at using forensically oriented, evidencebased assessment and treatment practices and areequipped with the tools necessary to identify and addressthe underlying biopsychosocial issues and criminogenicfactors that contributed to an individual’s instant offense.They use an inclusive, multi-disciplinary, and teamoriented approach to decision making. Providers feel theycan communicate candidly with the PSRB and consultwith the Board’s staff to address issues that might enricha client’s current or potential conditional release orprevent an unnecessary revocation.Principles of trauma-informed care and proceduralfairness are ingrained in PSRB culture and apply toour interactions with clients, victims, and the public,minimizing the stress associated with hearings andmaintaining confidence that the justice system istrustworthy and fair for individuals under PSRBjurisdiction and the victims of their instant offenses.Individuals under the PSRB have a clear understandingof how to progress, and the Board’s decision makingprocess is perceived as fair and consistent. Due tothe PSRB’s open communication channels with theDepartment of Justice’s victims’ advocate, victimsfeel heard and safe. Victim-centered programs areestablished and made available to victims interested inalternative opportunities for healing and recovery.2019-2024 Strategic Plan 3
A mental health peer-alumni group exists, enhancinglong-term community support and providing severaltypes of opportunities for individuals who havecompleted their PSRB jurisdiction (or are in advancedphases of their treatment) to inspire hope and sharetheir successes, challenges and recommendations withindividuals who are still under the PSRB. The PSRBmaintains other opportunities to hear peer voices, suchas during PSRB’s rule-making process.The PSRB has expanded its outreach to the legal and lawenforcement communities around the state, routinelyproviding trainings regarding laws, programs, and bestpractices concerning people under the PSRB. Lawenforcement better understands its role in supporting thePSRB when an individual under our jurisdiction is in crisisand needs to be returned to the Oregon State Hospital.The legal community understands the consequencesof a GEI plea, allowing for effective representation ofand communication with defendants, victims, and thestate. The judicial community better understands thelaws, procedures, and potential outcomes related toadjudicating an individual Guilty Except for Insanity,conditionally releasing individuals they find GEI directlyinto the community, and effectively uses the PSRB’s clearand streamlined civil commitment process.The PSRB, in collaboration with stakeholders, isactively engaged in the legislative process to educatelawmakers and propose legislation that advances ourmission and repairs deficiencies in the forensic system.4 Psychiatric Security Review BoardLegislative changes may also serve to decriminalize anddestigmatize individuals challenged by mental healthand substance use issues.The public is well-versed on the PSRB’s conditionalrelease program, diminishing the fear associated withPSRB clients’ placement in their communities. Aninformed legislature and public have improved thefunding and development of housing and treatmentresources in the community setting, providing greaterflexibility in conditional release decision making andeliminating costly and unnecessary commitments tothe State Hospital. By the time individuals reach theend of their jurisdiction, they have reintegrated into thecommunity, have attained permanent housing, and arewell-connected to the treatment and other resourcesnecessary to sustain their recovery, leading to a reductionin post-jurisdiction recidivism.The public and our partners have increased awarenessof PSRB’s Gun Relief and Sex Offender Reclassificationand Relief programs. Potential petitioners of theseprograms are not blocked unnecessarily from accessdue to financial limitations, logistical obstacles, or otherunintended, oppressive practices.A workplace using trauma-informed care principlespromotes a culture of trust, inclusion and teamworkthat optimizes both staff and Board effectiveness andaddresses the impact of secondary trauma and burnout.PSRB staff work in a collaborative environment,
where opportunities for teamwork strengthen moraleand distribute the workload fairly. PSRB staff arecomfortable sharing their ideas and actively participatein problem-solving and agency improvements.Management, the public, and other staff acknowledgeand value staff’s contributions. PSRB staff endorse highrates of job satisfaction and ample opportunities togrow professionally.The PSRB has clear policies and procedures that simplifywork, improve workflow, and enable our valued staffmembers to provide excellent customer service toour stakeholders and clients and support to our Boardmembers. The documentation the PSRB expects ofour providers is manageable, reducing unnecessarypaperwork and increasing the quality of informationthe Board receives to make informed decisions.Technological advances such as an integrated clientdatabase, case tracking, and other mature softwarestreamline our docketing and hearings processes, securedocument sharing with our stakeholders, and enhanceworkload efficiencies. Increased efficiency furtherpromotes procedural fairness for both the individualsunder our jurisdiction and victims.New Board members receive a comprehensiveonboarding module and all Board members receiveongoing training consistent with the principles outlinedin this vision. The Board’s administrative rules areupdated, clarified, and ultimately, manualized intoa practice guide that enhances decision making andensures the Board’s accountability to the public. TheBoard is regularly briefed on applicable laws to ensureconsistency of decision making.The PSRB continues to improve by proactively solicitingfeedback from the current and former clients we serve,our direct partner organizations, affected stakeholders,and the public. PSRB leadership provides educationto these groups on a routine basis through trainings,system/community meetings, our website, handbooks,or through other methods that enhance opportunitiesfor informed and constructive feedback. The PSRBhas also improved itself by establishing partnershipswith academic and other institutions that can developresearch questions, analyze our available data, andpublish professional papers that evaluate and informour approach to this valuable work.2019-2024 Strategic Plan 5
Five-Year Initiatives and GoalsInitiative 1: Use research and best practices to develop legislative and program changesthat improve and standardize how clients enter and lapse or discharge from the PSRBsystem and how the PSRB system treats victims.Goal 1.1: Form a collaborative legislative workgroup to examine system challenges and make comprehensive,system-fixing recommendations.Outcomes Endorsing Success2—PSRB has: Developed a scope document for the workgroup that addresses:o Pre-jurisdiction/Front Door: Issues related to inappropriate GEI adjudicationso Discharge/Back Door: Issues related to clients who are still deemed to have a qualifying mentaldisorder and are a danger to others at their discharge date or clients who no longer meetjurisdictional criteria, but are nevertheless deemed dangerous by virtue of a non-qualifying mentaldisorder.o Post-jurisdiction: Examining data related to recidivism post-PSRB jurisdiction Developed and maintains a document that captures potential legislative and rules changes that mayrefer to other workgroups.Goal 1.2: Examine procedural fairness and implement trauma-informed practices for victims of thoseadjudicated GEI/REI.Outcomes Endorsing Success—PSRB has: Established a victim-centered process toward healing consistent with our legislative mandate under ORS161.398. Partnered with the Attorney General’s Victim Task Force to develop clearer policies and proceduresrelated to victim impact statements, victim requests, no-contact orders, and fair treatment for bothvictims and clients.Goal 1.3: Streamline policies and procedures associated with the PSRB Civil Commitment.Outcomes Endorsing Success2—PSRB has: Developed legislative concepts to fix challenges associated with PSRB Civil Commitments. Developed a protocol to approach PSRB Civil Commitment cases systematically and consistently. Hired new staff to lead the PSRB Civil Commitment program. Examined the OARs associated with the PSRB Civil Commitment program and recommended rulechanges. Improved information-sharing process to assist with initiating PSRB Civil Commitment petitions.Goal 1.4: In February 2020, present to the Legislature revised Key Performance Measures that measureagency effectiveness accurately. 2PSRB has examined and adopted Key Performance Measures.A more extensive list of legislative concepts and goals will be incorporated into this goal.6 Psychiatric Security Review Board
Initiative 2: Influence identification and adoption of best practices for working with PSRBclients across the State.Goal 2.1: Examine Oregon’s Specialty Court Standards, other criminal justice/behavioral health models, andresearch to strengthen standards of practice for monitoring, supervising, and treating PSRB clients.Outcomes Endorsing Success—PSRB has: Developed a key component guide for community-based PSRB programs. Revised and kept current its Conditional Release Handbook for case monitors.Goal 2.2: Ensure that all case monitors and treatment providers servicing GEI clients have a basic minimumcompetence in the areas of risk assessment and forensic mental health.Outcomes Endorsing Success—PSRB has: Developed an onboarding training manual—to be completed within 6 months of hire—that includestraining on the following key topics:o Key Components for a successful PSRB program (once developed in Goal 2.1)o Trauma-Informed Careo Criminogenic Factorso Risk Needs Responsibility Modelo Correct Use and Interpretation of START and Other Risk Instrumentso Feedback-Informed Treatment Developed webinars on advanced training topics. Completed annual site visits (director, deputy, key partners from Oregon Health Authority) to provide sitetraining and support leading to shared understanding, application of best practices, and strengthenedpartnerships. Developed a training handbook, and also coordinates collaboration opportunities (e.g. with OSHprescribers) for community prescribers. Held annual or biannual PSRB forensic conferences for OSH and community providers.Goal 2.3: Enhance opportunities for feedback, collaboration, and understanding of program practices acrossthe State.Outcomes Endorsing Success—PSRB has: Regularly highlighted, featured, or acknowledged (via website or statewide meetings) positive programaccomplishments or practices happening in PSRB programs and/or the state hospital. Established a voluntary “open hours” consultation group for providers to enhance shared learning,problem-solving, and support. Established a peer-alumni group or other resource for the Board to obtain feedback from the clients itoversees. Revised and expanded the Conditional Release Guide to include more information about communitybased residences and programs. Collaborated with the Oregon State Hospital to put on a conditional release fair for clients to learn moreabout conditional release placements. Developed bench cards for judicial officers. Increased JPSRB admissions3 and petitions of relief.3PSRB will be examining the significant decreases in admissions for JPSRB over the past 5 years.2019-2024 Strategic Plan 7
Initiative 3: Equip Board members with the tools, training, and support to help themmake consistent, reasoned decisions while promoting procedural fairness and due processin a trauma-informed environment.Goal 3.1: Formalize Board member on-boarding and create opportunities for ongoing professionaldevelopment.Outcomes Endorsing Success—PSRB has: Developed a comprehensive onboarding protocol for new Board members. Developed, deployed, and kept current a comprehensive practice manual that incorporates past legaladvice. Developed, deployed, and kept current a policy handbook for hearings that incorporates both statutesand applicable case law. Provided periodic (at least annually) Board refreshers and new topic trainings including, but not limitedto: new laws, judicial ethics, unconscious bias, and case law updates, as needed by the Board. Developed a peer mentor program connecting newer Board members with more experienced Boardmembers.Goal 3.2: Integrate Trauma-Informed Care principles into hearing proceedings.Outcomes Endorsing Success—PSRB has: Engaged Board members and staff in trauma-informed care training. Used a Trauma Informed Care screening tool to assess and establish a baseline from which to makeimprovements to PSRB hearings and other agency practices. Identified changes that will increase Board and staff trauma-informed care practices and develop atimeline for implementation.8 Psychiatric Security Review Board
Initiative 4: Help stakeholders/partners (e.g. counties, law enforcement, districtattorneys, local criminal courts, local hospitals) understand their rights and roles whenworking with PSRB clients.Goal 4.1: The executive director or designee will establish a systematic approach to reach out routinely tolegal communities and law enforcement across the State to strengthen collaboration and provide updatedinformation, education, or other training related to agency operations.Outcomes Endorsing Success—PSRB has: Identified venues, conferences, or other settings to provide PSRB 101 trainings to legal professionals. Developed a contact list of statewide legal professionals to which to send important legal updates, factsheets, or other information relevant to the PSRB and legal community partnership. Revised and kept current templates, fact sheets, and handbooks for use by those in the legal community. Developed inter-agency protocols to enhance effective communication with law enforcement and thelegal communities. Established a protocol to enhance communication and better collaborate with the criminal courts toensure that new clients are effectively transitioned to PSRB’s jurisdiction.Goal 4.2: Increase understanding of PSRB’s “revocation of conditional release” protocol among ourcommunity providers, law enforcement, county crisis teams, and local hospitals.Outcomes Endorsing Success—PSRB has: Developed accessible, routinely reviewed and updated inter-agency protocols. Developed contingency plans for when a client’s immediate transportation to a specified placementcannot be executed.2019-2024 Strategic Plan 9
Initiative 5: Provide PSRB staff with an inclusive, collaborative, and safe officeenvironment, where they have the training, resources, and communication necessary toeffectively perform their job duties; receive timely, constructive feedback and praise; andhave opportunities for professional development and growth.Goal 5.1: Develop, deploy, and keep current internal policies and procedures.Outcomes Endorsing Success—PSRB has: Compiled a table of contents of all current internal policies and procedures. Examined the need for additional internal policies and procedures and developed a plan for creatingthose deemed necessary. Developed a timeline for reviewing, updating, adding, and removing policies and procedures. Created and maintained a shared office binder that can be easily accessed and used (e.g. in staffmeetings, workgroups) by all staff.Goal 5.2: Implement a PSRB succession plan.Outcomes Endorsing Success—PSRB has: Developed a succession planning strategy that assesses and forecasts workforce needs by identifyingcritical positions and developing competencies to meet those needs.4Goal 5.3: Provide timely, constructive feedback about employee performance from supervisors,opportunities for professional development, and clear expectations about their job duties.Outcomes Endorsing Success—PSRB has: Examined and revised the agency’s performance appraisal process to improve opportunities for goalsetting, constructive feedback, praise, and training/skill building needs. Identified and used a (not yet identified) tool periodically to assess employee satisfaction and providemanagement with employee feedback. Employees provide feedback via a (not yet identified) tool indicating that they are satisfied and have thetools necessary to do their jobs well.Goal 5.4: Promote wellness, self-care, and safety in the PSRB ‘s office environment.Outcomes Endorsing Success—PSRB has: Team building and self-care/wellness integrated into weekly staff meetings. A Trauma-Informed Care (or similar) tool it uses to assess the workplace environment and determinewhat changes could improve workplace comfort and safety. An employee wellness committee that is actively represented at team meetings.4The PSRB will develop a succession plan consistent with the State of Oregon’s Secretary of State’s Audit Division’s 2017 Report andDepartment of Administrative Services recommendations.10 Psychiatric Security Review Board
Initiative 6: Expand, streamline, and make the PSRB’s programs, research, and businessneeds more efficient by adopting secure, mature technology that is consistent with theState Chief Information Office’s vision and adheres to requisite compliance standards.Goal 6.1: Develop and implement an agency-specific Information Technology Plan.Outcomes Endorsing Success—PSRB has: Completed a technological needs assessment. Developed a timeline and budget proposal for purchasing and implementing new technology. Implemented the use of secure email in its regular business practices. Developed, deployed, and kept current a process for ensuring compliance with security/confidentialitymandates and best practices.Goal 6.2: Streamline the PSRB hearings process by identifying and implementing hearings management software.Outcomes Endorsing Success—PSRB has: Automated our docketing process. Streamlined our witness identification and coordination efforts. Set up a process that allows us to complete the majority of orders within 48 hours of Board decisions.Goal 6.3: Invest in software that increases efficiencies, uses secure and electronic storage andcommunications, and reduces waste.Outcomes Endorsing Success—PSRB has: Implemented ORMS (Oregon Records Management Solution) technology. Implemented remote access to the shared network, reducing reliance on email, use of flash drives, andprinting otherwise-available files; increased efficiency by working on/saving documents to one place. Centralized electronic storage systems to eliminate superfluous programs (e.g. Document Mall) andreduced costs. Reduced on-site space required for storing paper files. Provided electronic interfaces with partners to simplify and speed up document sharing.Goal 6.4: Modernize our database to allow for more complex system communications, case trackingcapabilities, and streamlining/more effective preparation for hearings.Outcomes Endorsing Success —PSRB has: Completed a cost-benefit analysis of our current Access database and other comparable systems. Expanded data that can be used to recommend legislative and programmatic changes. Decreased emails from providers through a centralized, electronic method of submitting monthlyreports, incident reports, and other documentation.Goal 6.5: Establish partnerships with academic or other institutions to expand opportunities for data analysisand system improvements.Outcomes Endorsing Success—PSRB has: Established a shared vision, mutual goals and objectives with an academic institution. Developed a research plan that outlines our research interests, action plan, and timelines for action. Integrated research interests and research findings into PSRB presentations. Submitted posters, papers, or panel presentations to professional conferences.2019-2024 Strategic Plan 11
Psychiatric Security Review Board610 SW Alder St., Suite 420Portland, OR 97205Phone: 503-229-5596psrb@oregon.govwww.oregon.gov/prb
2019-2024 Strategic Plan 3 5-year Vision In 2024, the Psychiatric Security Review Board (PSRB) maintains a positive reputation with the public, the legislature, and the legal community and serves as a model for local and national agencies working to enhance the recovery of ju
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