Transcript Continuum of Care with a Community Transition

Continuum of Care
with a Community Transition
Lucas County
Your Presenters
• Michelle Butts, Lucas County PretrialPresentence Department
• Stan Cechvala, Correctional Treatment Facility
• Liz Conley, Correctional Treatment Facility
• Amanda Wilson, Lucas County Adult Probation
Department
• Joy Norwood, Lucas County Adult Probation
Department
Lucas County Court of
Common Pleas
Pretrial-Presentence Department
Michelle Butts
What do we do?
• Process clients from arrest to
sentencing, and post-conviction relief
• 3 components of department:
Pretrial Booking
o 24/7, 365 days per year; located at county jail
Pretrial Bond Supervision
o Includes Diversion screening and supervision, postconviction relief reports
Presentence Investigation & ORAS
Pretrial Booking
• Complete pretrial risk assessment (Public Safety
Assessment [PSA]) on everyone booked
• PSA measures likelihood client will fail to appear,
commit new crime and commit new violent
crime
• No interview needed, but we conduct interview
on accused felons
Ask brief questions about substance abuse and
mental health problems
• Make bond recommendation
GAIN—Short Screener
• Completed in conjunction with PSA by TASC
staff
• Administered in five minutes
• Identifies individuals who may have one or
more behavioral health disorders
• Gives recommendation (i.e.; full assessment)
• Still working out how judges will use this
information
Treatment Alternatives to
Safe Communities (TASC)
• Provide referral and linkage to
clients being released from jail, as
identified by GAIN-SS
• Connect clients with Medicaid
liaison
• Informs current MH/AOD provider
of consumer arrest and relink
consumer
Pretrial Bond Supervision
• Track any services
recommended or
established as a result of
GAIN-SS
• Make referrals for
assessments based upon
client’s self-report of
MH/AOD problems or
positive drug screens
CAUTION
• Pretrial clients have certain legal
and constitutional rights
• Need to balance individual
rights with
Need to protect public
Assure court appearance
• Pretrial bond conditions should,
therefore, not be excessive!
Ohio Risk Assessment System
(ORAS)
• Completed on all clients at time of referral for presentence
investigation (PSI)
 Predicts likelihood of recidivism and identifies clients’ highest Need areas
• Primarily use the Community Supervision Tool (CST)
 7 domains
1. Criminal History
2. Education, Employment and Financial Situation
3. Family and Social Support
4. Neighborhood Problems
5. Substance Use
6. Peer Associations
7. Criminal Attitudes and Behavioral Patterns
PSI & ORAS
ORAS
• ORAS officer suggests conditions
recommendation
and programming to address
client’s needs
PSI
• ORAS results and suggestions
recommendation
to Judge
incorporated into PSI
recommendation to Judges
Judicial
• PSI officer attempts to verify
sentencing
past/present MH/AOD treatment
• ORAS vital to other parts of the
judicial process………..
Treatment
Stan Cechvala
Correctional Treatment Facility
Toledo, Ohio
Ways of Entering a Community Based
Correctional Facility
• Community Sanction from Common Pleas
Court
• Judicial Releases
• Adult Parole Authority
• Outside Counties
• Intervention in Lieu/Community Control
Violations
• Direct Sentencing after completing ODRC.
Upon Arrival
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ORAS (Ohio Risk Assessment System)
AOD Assessment (alcohol & drug)
ACE (Trauma Assessment)
PREA (Prison Rape Elimination Act)
During Treatment
• Assigned a Case Manager
• Treatment Plans every 30 days based upon
domains from ORAS.
Criminal History Education/Empl Substance Abuse Family/Social
oyment/Fin
Neighborhood
Criminal Peers
Criminal
Mental/Medical
Attitudes/Beliefs
• High Risk Offenders serve roughly 120 days.
• Moderate Risk Offenders serve roughly 90 days.
Types of Treatment
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TFAC
SAFE
University of Cincinnati Cognitive Intervention for Substance Abuse
Relationship Building
Epictetus
Commitment to Change
Anger Management
Pro-Social Behaviors
Criminal Thinking
Recreation
Meditation
Sober Living
Education (GED program)
Healthy Living
Grief and Loss
TREM
Health and Wellness (Female Only)
Moving On (Female Only)
Parenting (Female Only)
YWCA (Domestic Violence classes for Female Only)
Challenges during Treatment
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Resistance to Authority
Rapport, Rapport, Rapport
Stages of Change
Internal Sanctions
Communication is KEY
Releasing
• Housing challenges
• Warrants, Holders, Work Release, Electronic
Monitoring, No Contact Orders, Temporary Protection
Orders, Sex Offenders, Arson Offenders, Transitional
Sober Living Environments, Review Hearings,
Notification of Judges, Notification of Probation,
Vivitrol Series, Mental Health.
• Aftercare preparation
• Passing along information (Treatment Plans, Discharge
Summaries)
C.T.F. Aftercare
Presented by: Liz Conley
Recovery is a Lifelong Commitment
• Once discharged, readjusting
to everyday life can be difficult
and stressful.
• Since, it is common to relapse
back into old patterns within
the first few months posttreatment, a continuing
aftercare plan is crucial to the
overall drug recovery process.
• Communication and
collaboration with probation,
parole, mental health and
judges is important!
Combination of Treatment and
Recovery: Emphasis on Recovery
Treatment – demonstrating skills learned while in
aftercare on a daily basis.
Recovery – linking client with sober support in the
community for continued recovery following
completion of aftercare sentence.
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The benefits of 12-step recovery programs include:
The opportunity to connect with other recovering addicts at free meetings and
sober events
Access to motivational speakers and literature to help them to reach their recovery
goals
Practical guidelines and strategies for coping with the daily challenges of addiction
The guidance of a sponsor who can lead client through the 12 steps, providing
strength and motivation.
“It’s time to start living this!”
CTF Aftercare Requirements
Aftercare includes: CTF aftercare requirements: from 2-4 MONTHS
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MONDAYS, WEDNESDAYS AND FRIDAYS
Morning Group:
Afternoon Group:
Time: 8:45 am- 9:45am
Time: 1:30 pm- 2:30pm
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TUESDAY: Gender Specific groups
Women’s Group:
Men’s Group:
Time: 8:45-9:45am
Time: 10:15-11:15am
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THURSDAY: (Employment Readiness Group) Time: 9:00am- 10:30am
Attendance is Optional
Random Weekend Urine Drop Schedule: Saturday/Sunday
*Weekly urine screens (mandatory)
*Curfew calls nightly; 10p.m.-Sun-Thurs; 11p.m.-Fri-Sat. random call backs nightly
*Required to attend 6-8 12 step recovery meetings weekly (AA, CA, HA, NA).
*Phase progression is based on performance
*Allowed to work with stipulations
Components of Aftercare
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Treatment Planning
Family Programming
Gender Specific Groups
Integrated Recovery Services
12 step recovery meetings
Community resources
Employment
Collaboration with other counties
Transitional housing (referrals, monitoring)
Treatment Planning
Treatment planning in Aftercare is interactive based
on current issues or needs reported by the client.
• Completed within first week of aftercare
• Focus on the strengths and weaknesses as
reported by client.
• Reviewed with case manager regularly to
evaluate progress in aftercare.
Family Programming
Help For the Family: Bi-weekly; conducted prior to release
from residential programming.
• Aftercare programs help provide support and instruction
for the clients’ family members.
• Many times there is still a great deal of tension between
the individual and the family caused by events that
occurred during the period of drug use and/or criminal
activity.
Gender-Specific Groups
A Place to Talk: Weekly 1-hour sessions
Another valuable element of aftercare programs is
the channel of communication it opens up for the
recovering addict. The individual goes through a
lot when returning home after rehab: can become
easily and quickly overwhelmed.
i.e. relationships with significant other, kids, work,
appointments, transportation, housing, using thoughts,
etc.
Integrated Recovery Services
Throughout the recovery process, treatment for
mental health disorders should be integrated
with treatment for addiction to ensure the best
outcome. (referrals made by both the p.o. and case mgr.)
In aftercare, mental health professionals and
addiction counselors should continue to work
together as members of your treatment team.
Community Resources and Partner
Agencies
Re-Entry Coalition:
1st Wednesday
The Going Home to Stay meeting was developed
cooperatively by the Reentry Coalition of
Northwest Ohio and the Ohio Adult Parole
Authority. It is designed for front loading
services to ex-offenders and their families. The
meeting is open to ANYONE on or off of
supervision.
Re-Entry Coalition
The format for the event is simple: Organizations that
attend the meetings are given 3-5 minutes to present an
overview of their organization and the services that they
provide. When the presentations are concluded time is
allotted for individual consultation with participants.
During this time the representative can:
• Arrange appointments
• Give more detailed information about the organization
• Address specific issues
Partner Agencies
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Government Agencies
Community agencies
Economic Opportunities
AIDS/ARC
Veteran Affairs
Job and Family Services
Child Support
University of Toledo
Ohio State Extension
YMCA
The Source
Social Security
ABRI
Weed N Seed
Citizen Circle
Faith Communities
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Rehabilitation Services Commission
Treatment Alternative to Street Crime
Haven Homes
CareNet
Ohio Benefit Bank
ABLE
Legal Aid of Western Ohio
Ohio Bureau of Motor Vehicles
Fair Housing
Neighborhood Properties
Cherry Street Mission
Parents Helping Parents
Ohio Benefit Bank (OBB)
(CTF CLOTHING CLOSET)
LUCAS COUNTY ADULT PROBATION
DEPARTMENT
Amanda
Wilson
18 months Continuum of Care
First 90 – 120 days
Intensive in-patient
Treatment
Orientation Group
Initial Meeting
Create Case Plan
CTF / Aftercare
• 30 – 90 days
– Office Visits – determined
by the ORAS score.
– Case plan
– Interventions – as
requested.
– If applicable - Life Skills
Groups.
CALM
• C = Cognition: Is this up
to me or not?
• A = Act: What is the best
course of action to take?
• L = Let It Go: Find a way
to accept what is
happening without
causing fear or stress.
• M = Move On: Do not
spend time dwelling on
things beyond your
control.
LCAPD Transition
• 6 – 12 months
– Case plan reviewed
– Goals modified
– Community referrals as needed.
– Professional life support.
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January, 2014 – February, 2016
Continuum of Care Success Rate
40
35
30
25
20
15
10
5
0
Compliant - Still on
Supervision
Noncompliant - Still on
Supervision
Terminated Early
(Successful)
Terminated
Unsuccessful
Lucas County Adult Probation
~Lucas Colusa County Adult Probation
Lucas County Adult Probation
~Lucas County Adult Probatio
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Joy Norwoodunty Adult Probation
Joy Norwood
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Joy Norwood
Joy Norwood
Risk-Need-Responsivity Model (RNR)
Three Core Principles:
Risk
Principle
Need
Principle
Responsivity
Principle
Risk Principle
Match the level of service to the offender’s risk to reoffend.
Need Principle
Assess criminogenic needs and target them in treatment.
Responsivity Principle
Maximize the offender’s ability to learn by providing cognitive
behavioral treatment and tailoring.
Therefore . . . To Increase Success We
Have To Start To• .Become
. . a “Change Agent”
• Traditional Supervision –
Formulated as a Case
Management System.
• Cognitive-Behavioral
Interventions
• Motivational Interviewing
• Trauma Informed Awareness
• Problem-solving – identify
obstacles.
• Client Directed Services
Future Planning: What Happens Now
Reassessment of Needs –
What Occurs After Reduction
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Positive Rapport Building
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Create a New Baseline and a New Focus
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Case Planning
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Utilize Assessment Tools
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Determine Future Goals
Result . . .
Success and
Productive Members
of Society.
Probation
Department