Transcript P. (6-C) OMHAS Initiatives for Improvement and

Provide evidenced-based
treatment which teaches
the skills necessary for
offenders to remain drug
free upon release to the
community.
Recovery Services was
Reorganized and Transitioned
from DRC to the Ohio Department
of Mental Health and Addiction
Services


Scope it encompasses

We already
do Well!
- Yes, Low Recidivism

We have treatment
at every prison!
- Yes, but more of a
need
Recidivism:
Nationally
Ohio
40 - 44%
28.7% (2009)
27.1% (2010)
Correctional Recovery Services
Plays a major part in this
We will couple the expertise of
both agencies in order to expand
treatment and provide a better
transition and continuum of care
into the community
Ohio’s Prison Population
Currently 50,441 inmates
[as of August 10, 2015]
Ohio Pop. – 11,544,225 - Jul 2012
Source: U.S. Census Bureau
KY Pop. – 4,380,415 - Jul 2012
Source: U.S. Census Bureau
• 80% of inmates have History of
Substance Use and Abuse
•In total 8,600 + “Releasees” have a
need for Recovery Services treatment.
Current Tx Capacity =
4,500/year
• The transition allows for us to hire an
additional 58 positions
•
Approximately 45+ inside the prisons
• The remainder in the community
Enhance our efforts of rehabilitating
offenders to become productive,
substance-free citizens through
maximizing our ability as an agency to
treat offenders with identified Substance
Use Disorders and the desire to address
those issues.
Reintegration
Path System

Reintegration Prisons:
Pickaway Correction Institution
 Richland Correction Institution
 Ohio Reformatory for Women
 Northeast Reintegration Center
 Grafton Reintegration Center
 Yet all work towards Reintegration

Competing
Programs
 Security
Level
 Length of
Sentence
 Current
Sentencing
Guidelines

Match Offenders with
Appropriate Treatment Modality
 Determine Level of Care
 Determine level of Motivation

Intensive Outpatient Programs
– The Intensive Outpatient Program is a 3-Phase,
208-hour program that provides treatment
services delivered daily for a minimum of 12
hours a week. A minimum of ten of the hours
must be cognitive behavioral treatment specific.
The remaining hours will consist of ancillary
services. This program is offered to Recovery
Level 2 and 3 inmates.
Treatment Readiness Program (TRP)
Orientation
4 Weeks
IOP Three-Month Program
Rational Thinking
Criminal Lifestyles
Living With Others
(144 Hours)
4 Weeks
4 Weeks
4 Weeks
Recovery Maintenance Program
Recovery Maintenance
(48 Hours)
4 Weeks
(16 Hours)
(2 – 1 hr. sessions per week
or 1 – 2 hr. session per week)
RDAP Follow-up
4 Weeks
(2 – 1 hr. sessions per week
or 1 – 2 hr. session per week)
Intensive Program Prisons (IPP)
BeCI, LoCI, MaCI, ORW, PCI
A 90-day program focusing on substance abuse treatment,
DUI treatment, and/or other programs designed to provide
intensive programming for eligible inmates in accordance
with Ohio Revised Code 5120.032. Upon successful
completion of this program, the inmate’s sentence may be
reduced to 90 days and the inmate will then serve a
transitional type of detention followed by a release under
post-release control sanctions or, in the alternative, will be
placed immediately under post-release control sanctions.
Therapeutic Community (TC)
ORW, PCI, GRC, CCI (future sites MaCI, NCI)
– A treatment modality that uses an inmate
hierarchy in which treatment stages are used to
reflect personal and program growth.
Recovery Services Housing Unit
LoCI, ORW, PCI, RiCI
– Delivers cognitive behavioral treatment
services to inmates residing in a common living
area. Recovery Services Residential Units shall
consist of three months of cognitive behavioral
treatment services and two months of
continuing care services.
Recovery-Oriented Supplemental
- Those services that are complementary and
supportive of formal Recovery Services
treatment activities.
Contact Information:
John T. Sexten, LPCC-S
Director of Recovery Services
614-752-1728
Selena DeLozier – Program Admin. III
614-752-1728
===================
Bureau of Correctional Recovery Services,
OhioMHAS
770 W. Broad Street, 2nd Floor
Columbus, Ohio 43222
Chris Nicastro, LPCC-S
Bureau of Criminal Justice Services
Ohio Department of Mental Health and Addiction Services
 TASC
 Circle
for Recovery
 Drug Courts
 Community Linkage
 Criminal Justice CCOE
 Community
Innovations
 Specialized Dockets Payroll Subsidy
 Community Transition Initiative

Ohio implemented its first TASC program in 1990
to serve juveniles in Preble County. By 1999, a
total of fourteen (14) TASC programs became
operational. Some of the programs serve adults
only, or juveniles only. Four of the programs
serve both adults and juveniles.

TASC programs were implemented to serve the
court systems and individuals placed on
community control. Many of the adult TASC
programs now serve individuals released from
the state prison system under the supervision of
the Adult Parole Authority, or after serving a
determinate sentence.

There are ten (10) TASC programs that serve
adult offenders in the following fifteen (14)
counties:

Athens, Butler, Clermont, Cuyahoga, Gallia,
Hamilton, Hocking, Jackson, Lucas, Mahoning,
Meigs, Sandusky, Stark, and Vinton.

TASC’s core services include: assessment, case
management, and outpatient treatment.
 Circle
for Recovery Ohio (CFRO) projects
offer re-entry services for adult men and
women leaving the state correctional system
in nine of Ohio’s largest counties.
 The
CFRO projects offer treatment and
recovery support services which are
culturally competent.
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Akron-Urban Minority Alcoholism Drug Abuse Outreach
Program
Cincinnati Urban Minority Alcoholism and Drug Abuse
Outreach Program
Dayton Urban Minority Alcohol and Drug Abuse
Outreach Program
Franklin County UMADAOP
Lima Urban Minority Alcohol Drug Abuse Outreach
Program, Inc.
Lorain Urban Minority Alcoholism and Drug Abuse
Outreach Program
Mansfield Urban Minority Alcoholism and Drug Abuse
Toledo Urban Minority Alcoholism and Drug Abuse
Outreach Program
 Criminal
Drug Courts serving Adults in
common pleas or municipal courts
 Juvenile Drug Courts
 Family Drug Courts
 Comprehensive
supervision, drug testing,
treatment services, sanctions and incentives.
 A total of 23 Courts receive funding.
 OhioMHAS
and ODRC have a unique
relationship.
 The two departments work together to assist
in re-entry services for the SPMI population
exiting state prisons.
 Community Linkage Social Workers assist this
population in being linked with services in
their respective counties at every institution.
 Partnership with ODYS as well.
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Provide continuity of mental
health for offenders entering
or leaving an ODRC prison or
ODYS facility.
Reduce de-compensation
rates of released offenders
to increase chances at
recovery and successful
reintegration.
Reduce recidivism of
offenders with mental illness
who are involved in the
criminal justice system.
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Build and strengthen
information sharing and
alliances across systems.
Facilitate problem solving
between the corrections and
mental health systems and
offenders related to
accessing community mental
health services.
Enhance public safety by
arranging post-release
mental health services,
recovery supports and
benefits.
 Designated
Serious and Persistently
Mentally ill (SPMI)/C1
 Diagnosis
Schizophrenia/Schizoaffective
 Bipolar Disorders
 Major Depressive Disorder
 Psychotic Disorder
The local mental health agency will determine
appropriate level of service based upon the
information provided by the community linkage
referral packet.


 Voluntary
Program
 Offenders are interviewed
 Collateral information is gathered
 A referral packet is completed
 Appointment information for post-release is
obtained
 All parties are notified: CMHC, ADAMH,
ODRC/APA, HWH
 When appropriate, there is then assistance
with benefit applications, housing and
transportation assistance, and linkage to
other supports
Current behavioral
status
 Behavioral History
 Social History
 Violent Behavior
 Trauma/Victimization
History
 Education/Vocational/E
mployment History
 Criminal History

 Psychiatric
Treatment
History
 Medical History
 Substance Abuse
 Substance Abuse
Treatment
 Conditions of Release
 Discharge Summary
 Linkage
to other
services
 Assisting with SSI/SSDI
benefit applications
 Assisting with
Medicaid benefit
applications
 Coordination with
MCP’s
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In 2010, OhioMHAS and ODRC identified a need for
offenders with a severe and persistent mental illness to be
able to apply for SSI/SSDI prior to release.
The OhioMHAS Prison Pre-Release Project is considered to
be an expedited process due to the average 36 day
determination time.
One of the reasons for the success of this project is that
SSA and OhioMHAS developed a series of screening criteria
that allows all parties involved to focus on the lowest
functioning offenders who are most likely eligible for
benefits.
 Individualized
services to highest risk,
highest need offenders
 Limited functioning
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Can offender follow simple/repetitive tasks?
Can offender withstand stress and pressures of
daily work?
Can offender relate to others, i.e. supervisors,
co-workers?
 History
of hospitalizations/RTU placements
 Supportive documentation
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
Gender

1,238 male

355 female

Total = 1,593
RACE

Caucasian = 62%

African American = 36%
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Latino = 1%

Hx of Trauma = 49%

Hx. of Substance use = 77%

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Refusal (to meet w/
CLSW)- 10%

Top Institutions

ORW = 8%

NePRC = 8%
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CRC - 6%
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MaCI = 5%
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DCI= 5%
Top Counties

Cuyahoga = 15%

Franklin = 11%
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Hamilton = 11%
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Montgomery = 7%
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Summit = 4%

Lucas = 4%
 The
goal of the CJ/CCoE is for each county in
Ohio to develop an array of programs that will
divert people with mental disorders from jail
and keep people with mental disorders in
treatment.
 Crisis
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
Intervention Team (CIT) programs
Train police officers to help direct persons with
mental illness into treatment instead of
inappropriate incarceration.
The forty-hour training provides practical
techniques for de-escalating crises. Officers learn to
integrate their police training with some different
approaches to a person they believe to have a
mental disorder.
Role playing is utilized to make the experience as
close to reality as possible.
 Divert
appropriate individuals from the legal
system and into behavioral health and
support services

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
Screening
Appropriate Treatment
Re-entry Planning
 Twelve
(12) projects were funded in SFY2014
 Seventeen (17) projects were funded in
SFY2015
 Served 24 Counties in SFY14 and 30 Counties
in SFY15
 $2
million for SFY2016 and $2 million for
SFY2017
 Provide
Courts which operate specialized
dockets with operational costs, namely
personnel costs for court employed staff who
are members of the specialized docket team.
 118 Courts received funding from this
initiative last year.
 As a result, courts were able to increase the
number of participants to be served.

The proposal is three-pronged with a total budget of
$27.4 million in FY 16 and $34.3 million in FY 17:
1. Transfer current $12.5 million addiction treatment
budget from DRC to MHAS. This budget largely consists of
personnel who will become employees of OhioMHAS.
 2. Augment services within the state prison system to
increase treatment resources to levels that meets
identified need. This includes hiring approximately 60
additional personnel to work within the prison setting.
 3. Expand resources for outpatient recovery supports and
treatment for released inmates.
