LA County Board

5. Addressing In-Custody Overdose Deaths in the Los Angeles County Jails\nRecommendation as submitted by Supervisors Solis and Hahn: Request the\nSheriff to collect and track data outlining narcotics recovery in County jail\nfacilities to evaluate the efficacy of drug detection interventions and provide\ninformation to the Inspector General, and strengthen existing policy on\nincreasing and conducting more comprehensive searches of the belongings of\nstaff and civilians who enter the facility, beyond visual inspections; and take the\nfollowing actions:\nInstruct the Inspector General, in collaboration with the Sheriff, the\nDirector of Health Services, through the Office of Correctional Health\nServices, and as needed, the Medical-Examiner, to present updates to\nthe Sheriff Civilian Oversight Commission every quarter on the status of\nin-custody overdose deaths in the County jails, and provide updates\nregarding in-custody overdose deaths in its quarterly reports to the\nBoard on, but not limited to, the number of in-custody deaths that have\nbeen confirmed were due to an overdose, number of in-custody deaths\nthat are assumed to be due to an overdose, and progress the Department\nis making on the recommendations included in the Inspector General’s\nquarterly reports and this motion’s directives, and additional\nrecommendations to resolve in-custody overdose deaths;\nInstruct the Director of Health Services, through the Office of\nCorrectional Health Services, and request the Sheriff, in collaboration\nand consultation with the Inspector General, and the Director of Public\nHealth’s Substance Abuse Prevention and Control, to report back to the\nBoard in writing in 90 days on a feasibility and implementation plan to:\nRe-evaluate existing and create evidence-based strategies for\nidentifying individuals at risk of substance use dependencies and\npairing them with a treatment plan upon intake;\nProvide peer (formerly incarcerated individuals/incarcerated\nindividuals with lived experience) support and therapeutic and\nrehabilitative programming to incarcerated patients who are\nreceiving Medication-Assisted Treatment (MAT);\nDevelop programming and provide supportive services for those\nwho may not be receiving MAT services, but are on the substance\nuse dependency spectrum;\nCreate a feasibility and implementation plan for a pilot to develop a\npeer-support model, similar to the FIP Stepdown Program, for\npeople who are incarcerated and have substance use\ndependencies who can be supported by Merit Masters and\ncommunity-based providers;\nDevelop better coordination between Correctional Health Services\nand Substance Abuse Prevention and Control to ensure clients are\nparticipating in substance use dependency services and programs\nupon reentry through data collection, assessments, and evaluation;\nand strengthen and streamline processes to allow eligible people\nwho are incarcerated to benefit from Medi-Cal services 90 days\nprior to their release for substance use dependency services,\namong others; and\nProvide additional recommendations to reduce illicit substances\nfrom entering the facilities, limit accessibility of illicit substances in\nthe facilities; and increase the availability of resources and\nservices to be provided in and out of the facilities; and\nDirect the Chief Executive Officer to report back to the Board in writing\nduring the Fiscal Year 2024-25 Final Changes Budget, on the fiscal\nimpact and potential funding sources, including the use of Assembly Bill\n109 funds and other sources. (23-4514)