HOUSE BILL No. 6388

 

 

September 26, 2018, Introduced by Reps. Howrylak, Chang and Kosowski and referred to the Committee on Law and Justice.

 

            A bill to create Michigan crime survivor trauma recovery

 

centers; to establish the purpose and duties of the Michigan crime

 

survivor trauma recovery centers; to provide standards for the

 

operation of Michigan crime survivor trauma recovery centers; to

 

create a crime survivor trauma recovery center advisory committee;

 

to create a crime survivor trauma recovery center fund; and to

 

provide for the powers and duties of certain state and local

 

governmental officers and entities.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

     Sec. 1. This act shall be known and may be cited as the

 

"Michigan crime survivor trauma recovery center act", or the

 

"CSTRCA".

 

     Sec. 2. This act shall be administered by the department of

 

health and human services.

 


     Sec. 3. As used in this act:

 

     (a) "Assaultive crime" means that term as defined in section

 

9a of chapter X of the code of criminal procedure, 1927 PA 175, MCL

 

770.9a.

 

     (b) "Assertive case management" means a type of case

 

management during which a mental health professional accompanies

 

clients to court proceedings, medical appointments, and other

 

community appointments as needed, assists with the completion and

 

filing of an application for assistance for crime victim

 

compensation and police reports and with a crime survivor's return

 

to work and securing employment, coordinates a crime survivor's

 

care, including assistance for obtaining safe housing, financial

 

entitlements, and access to medical providers, and serves as a

 

liaison with other community agencies, law enforcement, and other

 

support services.

 

     (c) "Assertive outreach" means removing barriers to care by

 

providing services in the crime survivor's home, in the community,

 

or at other locations outside the agency, as needed, ensuring that

 

crime survivors are not excluded from services because of emotional

 

or behavioral issues that often result from trauma.

 

     (d) "Crime survivor" means any of the following:

 

     (i) A victim of an assaultive crime, including, but not

 

limited to, sexual assault, domestic violence, physical assault,

 

vehicular assault, or human trafficking. As used in this

 

subparagraph, "domestic violence" means inflicting bodily injury,

 

causing serious emotional injury, causing psychological trauma, or

 

placing in fear of imminent physical harm by threat or force a


person who is a spouse of, a former spouse of, or a person who has

 

had a dating relationship with, resides or has resided with, or has

 

a child in common with the person committing or threatening

 

violence.

 

     (ii) Family members of homicide victims.

 

     (iii) Individuals who are 18 years of age or less, who have

 

had contact with the juvenile dependency or justice system, or who

 

have experienced trauma as a result of exposure to violence,

 

including domestic violence.

 

     (e) "Crime survivor trauma recovery center" or "CSTRC" means a

 

center established under this act that provides an integrated,

 

structured, and evidence-based program of trauma treatment and

 

support services that meet the minimum requirements established in

 

this act and other criteria as established by the department. Crime

 

survivor trauma recovery center or CSTRC does not include a mental

 

health facility or agency unless the facility or agency is awarded

 

a grant by the department from the crime survivor trauma recovery

 

center grant fund created in section 6.

 

     (f) "Crime survivor trauma recovery center advisory committee"

 

or "committee" means the crime survivor trauma recovery center

 

advisory committee established under section 4.

 

     (g) "Department" means the department of health and human

 

services.

 

     (h) "Director" means the director of the department.

 

     (i) "Mental health professional" means that term as defined in

 

section 100b of the mental health code, 1974 PA 258, MCL 330.1100b.

 

     (j) "Underserved crime survivor" means an individual who meets


the criteria and guidelines established by the Office for Victims

 

of Crime of the United States Department of Justice Office of

 

Justice Programs.

 

     Sec. 4. (1) The crime survivor trauma recovery center advisory

 

committee is established within the department.

 

     (2) The committee shall advise and assist the department on

 

all matters concerning the development, implementation, and

 

promulgation of rules for the implementation and continuing

 

operation of CSTRCs.

 

     (3) The committee shall include 12 members appointed by the

 

director not more than 90 days after the effective date of this act

 

as follows:

 

     (a) Three mental health professionals, including 1 mental

 

health professional with expertise in providing services to

 

adolescents and children.

 

     (b) One individual representing the department.

 

     (c) Two representatives of community-based organizations

 

providing recovery assistance such as housing, job placement, or

 

economic support to underserved crime survivors.

 

     (d) One individual representing advocates for alternatives to

 

incarceration.

 

     (e) One individual representing advocates for domestic and

 

sexual assault survivors.

 

     (f) One representative from a Michigan designated trauma

 

facility, level I.

 

     (g) One representative from a county prosecutor's office from

 

a jurisdiction with a concentration of underserved crime survivors.


     (h) One representative from a law enforcement agency serving

 

crime survivors.

 

     (i) One crime survivor.

 

     (4) Committee members shall serve for 3-year terms. If a

 

committee member vacates his or her position before the end of the

 

member's term, the director shall appoint a member for the

 

unexpired term in the same manner as the original appointment.

 

     (5) The committee shall select a member to serve as committee

 

chairperson annually.

 

     (6) The business that the committee may perform shall be

 

conducted at a public meeting of the committee held in compliance

 

with the open meetings act, 1976 PA 267, MCL 15.261 to 15.275.

 

     (7) The committee shall make recommendations regarding

 

additional funding mechanisms for CSTRCs. The committee shall

 

provide recommendations made under this subsection to the director

 

after a majority vote by the committee members on those

 

recommendations.

 

     (8) The committee shall meet not less than quarterly, but as

 

often as necessary to carry out its duties under this section.

 

     (9) A majority of the members of the committee constitute a

 

quorum for the transaction of business at a meeting of the

 

committee. A majority of the members present and serving are

 

required for official action of the committee.

 

     Sec. 5. To carry out its duties under this act, the department

 

shall do all of the following:

 

     (a) Establish CSTRCs in accordance with this act.

 

     (b) Develop, coordinate, administer grants to, and perform


evaluations of CSTRCs to ensure that the highest quality of

 

integrated trauma treatment and support services are provided to

 

underserved victims of assaultive crimes.

 

     (c) Facilitate and promote programs providing public

 

information and education concerning crime survivor trauma recovery

 

centers.

 

     (d) Develop and maintain the highest standards of integrated

 

trauma treatment and support services by doing all of the

 

following:

 

     (i) Seek technical assistance and monitor compliance with

 

standards to ensure that integrated, evidence-based, and effective

 

trauma treatment and support services are implemented by CSTRCs.

 

     (ii) Not less than annually, inspect or provide for the

 

inspection of each CSTRC to ensure compliance with standards

 

established under this act by the department.

 

     (iii) Promulgate rules to establish requirements for CSTRCs

 

and individuals providing services necessary to implement this act.

 

The department shall submit all proposed rules and changes to the

 

committee and provide a reasonable time for the committee's review

 

and recommendations before submitting the rules for public hearing

 

under chapter 3 of the administrative procedures act of 1969, 1969

 

PA 306, MCL 24.231 to 21.264.

 

     (e) Collect data as required under the crime survivor trauma

 

recovery center data collection act to ensure that evidence-based

 

standards for trauma care are being met and to guide the

 

development and evaluation of additional CSTRCs that are

 

geographically located in a manner making services accessible to


the greatest possible number of underserved crime survivors.

 

     (f) Make the data collected under subdivision (e) publicly

 

available in annual reports and on the department's website.

 

     (g) Provide training in evidence-based integrated trauma

 

treatment and support services for CSTRC personnel.

 

     (h) Provide training for law enforcement, criminal justice

 

personnel, paramedics and other emergency medical personnel, and

 

hospital personnel about CSTRCs that is designed to raise awareness

 

of trauma-informed services and increase access for underserved

 

victims of assaultive crime.

 

     (i) Ensure that the committee develops rules for the

 

implementation and operation of the crime survivor trauma recovery

 

center grant fund created in section 6 by January 1, 2020.

 

     (j) Identify additional funding mechanisms and sources for the

 

operation of CSTRCs.

 

     (k) Promulgate rules necessary to implement this act under the

 

administrative procedures act of 1969, 1969 PA 306, MCL 24.201 to

 

24.328.

 

     (l) Perform other duties as set forth in this act.

 

     (m) Establish a grant program or contract with a public or

 

private agency to provide training, public information, and

 

assistance or conduct other activities specified in this act.

 

     (n) Establish procedures for annually reporting to the

 

governor and the legislature on the development and implementation

 

of and services provided by CSTRCs.

 

     Sec. 6. (1) The crime survivor trauma recovery center grant

 

fund is created within the state treasury.


     (2) Upon appropriation, additional excess revenue in the crime

 

victim's rights fund created in section 4 of 1989 PA 196, MCL

 

780.904, shall be deposited into the crime survivor recovery center

 

grant fund as provided for in section 4(2) of 1989 PA 196, MCL

 

780.904, along with any available matching federal funds.

 

     (3) The CSTRCs shall be established and operated utilizing the

 

money from the crime victim's rights fund created in section 4 of

 

1989 PA 196, MCL 780.904, and deposited into the crime survivor

 

recovery center grant fund as provided in section 4(2) of 1989 PA

 

196, MCL 780.904, and supplemented by matching funds under the

 

victims of crime act of 1984, chapter 14 of title II of Public Law

 

98-473.

 

     (4) The state treasurer may receive money or other assets from

 

any source for deposit into the fund. The state treasurer shall

 

direct the investment of the fund. The state treasurer shall credit

 

to the fund interest and earnings from fund investments.

 

     (5) Money in the fund at the close of the fiscal year shall

 

remain in the fund and shall not lapse to the general fund.

 

     (6) The department shall be the administrator of the fund for

 

auditing purposes.

 

     (7) The department shall expend money from the fund, upon

 

appropriation, for the following purposes:

 

     (a) Administering grants to support the operation of CSTRCs.

 

     (b) Technical assistance and evaluation of CSTRCs.

 

     (c) Database development for data collection for all CSTRCs as

 

required under the crime survivor trauma recovery center data

 

collection act.


     (d) Training for staff and administrators of CSTRCs on best

 

practices, policies, and data collection and entry.

 

     Sec. 7. (1) The department shall establish 2 pilot CSTRCs in

 

fiscal year 2020. Each CSTRC shall receive a 3-year grant of

 

$1,000,000.00 per calendar year from the crime survivor trauma

 

recovery center grant fund created in section 6.

 

     (2) The department may award consecutive grants to a CSTRC to

 

prevent a lapse in funding. The department may not award a CSTRC

 

more than 1 grant for any period of time.

 

     (3) Any portion of a grant that a CSTRC does not use within

 

the specified grant period shall revert to the crime survivor

 

trauma recovery center grant fund created in section 6.

 

     (4) To qualify for grant awards, a CSTRC must do all of the

 

following:

 

     (a) Employ an experienced, on-site multidisciplinary team of

 

mental health professionals who provide services using established

 

evidence-based practices. The team must include all of the

 

following individuals:

 

     (i) A psychiatrist as that term is defined in section 100c of

 

the mental health code, 1974 PA 258, MCL 330.1100c.

 

     (ii) A psychologist licensed under part 182 of the public

 

health code, 1978 PA 368, MCL 333.18201 to 333.18237.

 

     (iii) A social worker licensed under part 185 of the public

 

health code, 1978 PA 368, MCL 333.18501 to 333.18518.

 

     (iv) A licensed professional counselor licensed under part 181

 

of the public health code, 1978 PA 368, MCL 333.18101 to 333.18117.

 

     (b) Additional types of clinicians are permitted under


subdivision (a) if the additional clinicians are licensed by the

 

appropriate licensing board or are in the process of being

 

licensed.

 

     (c) Provide trauma treatment and support services with a

 

primary goal of a decrease in psychosocial distress, the

 

minimization of long-term disability, improvement of overall

 

quality of life, reduction of the risk of future victimization, and

 

promotion of post-traumatic growth for crime survivors by doing all

 

of the following:

 

     (i) Using a single point of contact for the crime survivor

 

with support from an integrated multidisciplinary trauma treatment

 

team. All treatment teams shall collaboratively develop treatment

 

plans in order to achieve positive outcomes for crime survivors.

 

     (ii) Utilizing inclusive eligibility criteria to serve crime

 

survivors of a wide range of crimes, including, but not limited to,

 

crime survivors of sexual assault, domestic violence, battery,

 

crimes of violence, vehicular assault, and human trafficking, as

 

well as family members of homicide victims to ensure that no person

 

is excluded from services solely on the basis of emotional or

 

behavioral issues resulting from trauma, including, but not limited

 

to, substance abuse problems, low-initial motivation, or high

 

levels of anxiety.

 

     (iii) Offering a structured evidence-based program of mental

 

health and support services that provide victims with services that

 

include intervention, individual and group treatment, medication

 

management, substance abuse treatment, case management, and

 

assertive outreach. This care shall be provided in a manner that


increases access to services and removes barriers to care for crime

 

survivors of violent crime, such as providing services to a crime

 

survivor in his or her home, in the community, or in other

 

locations that may be outside the agency.

 

     (iv) Serving crime survivors who are homeless, chronically

 

mentally ill, members of immigrant and refugee groups, or disabled,

 

who have severe trauma-related symptoms or complex psychological

 

issues, who are of diverse ethnicity or origin, or who are juvenile

 

crime survivors.

 

     (v) Delivering services that include assertive case

 

management.

 

     (vi) Utilizing assertive outreach.

 

     (vii) Providing any other services under any other criteria

 

established by the department to ensure that CSTRCs provide high-

 

quality, evidence-based trauma treatment and support services for

 

underserved crime survivors of assaultive crime.

 

     (5) The department shall ensure that each CSTRC provides the

 

minimum number of treatment sessions and targeted support services

 

to effectively meet the clinical goals established for a crime

 

survivor. Sixteen treatment sessions is the minimum number of

 

treatment sessions required for each crime survivor, with up to 32

 

treatment sessions available if authorized by the multidisciplinary

 

team.

 

     (6) The department shall only award grants to CSTRCs that

 

conduct assertive outreachand provide services to underserved

 

crime survivors.

 

     (7) Each CSTRC that receives a grant from the department shall


be selected by the department through a well-defined process that

 

takes into account crime rates and geographical distribution to

 

ensure services are provided to the greatest possible number of

 

underserved crime survivors.

 

     (8) A CSTRC that is awarded a grant shall do both of the

 

following:

 

     (a) Provide a report to the department that includes how grant

 

funds were spent, the number of crime survivors served as tabulated

 

by counting each individual crime survivor once regardless of the

 

number of services offered to that crime survivor, staff

 

qualifications, crime survivor demographic information, units of

 

service provided by the CSTRC, treatment outcomes, and data related

 

to treatment, processes, outcomes, and numbers.

 

     (b) Submit any forms and data requested by the department to

 

allow the department to receive federal matching funds for eligible

 

crime survivor services and allowable expenses.

 

     (9) The department shall provide an annual report to the

 

governor and the legislature that includes aggregate and detailed

 

data provided by the CSTRCs to the department on services, the

 

demographics of crime survivors served, and outcomes of the

 

treatment provided by the CSTRC.

 

     Enacting section 1. This act takes effect 90 days after the

 

date it is enacted into law.

 

     Enacting section 2. This act does not take effect unless

 

Senate Bill No.____ or House Bill No.____ (request no. 06366'18) of

 

the 99th Legislature is enacted into law.