Jail Diversion Trauma Recovery Pilot - Veteran Specific
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Jail Diversion Trauma Recovery Pilot - Veteran Specific

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  • This presentation will discuss posttraumatic stress disorder (PTSD), a possible aftermath of extreme traumatic events.
  • In summary, PTSD is the fifth most prevalent major psychiatric illness. 5 Patients with PTSD often exhibit poorer general health 8,9 and greater functional impairment. 10,11 PTSD is highly comorbid with other psychiatric disorders and is costly to the healthcare system. 1,17 Effective treatment is available and may include medication, psychotherapy, or a combination of the two. 18,19

Jail Diversion Trauma Recovery Pilot - Veteran Specific Jail Diversion Trauma Recovery Pilot - Veteran Specific Presentation Transcript

    • Jail Diversion Trauma Recovery Pilot
    • Priority to Veterans
    Leon Evans, President and Chief Executive Office The Center for Health Care Services Mental Health Authority [email_address] 3 rd Annual Justice-Involved Veteran’s Conference San Antonio, Texas The Menger Hotel February 02-03, 2012 Aaron Diaz, Director Crisis and Jail Diversion Services The Center for Health Care Services [email_address] Gilbert Gonzales, Director Communications and Diversion Initiatives The Center for Health Care Services [email_address] Melanie Lane, Clinical Director, The Restoration Center The Center for Health Care Services [email_address] Veteran’s Jail Diversion and Trauma Recovery
  • Point of Contact with Law Enforcement Magistrate Court Bexar County Jail Post-Booking Diversion Community-based Wraparound Care CIT/Deputy Mobile Outreach Team Genesis Probation, Incarceration, Parole Emergency Transport to Hospital Pre-Trial Diversion Referrals to Community Providers *Pre-Arrest Diversion Residential Respite Arrested The Diversion Process Treatment in lieu of Incarceration 24/7 Crisis Services * Federal Grant Award 2003
  • Law Enforcement Detention/Jail CIT Judicial/Courts Magistrate, County, District Mental Health Public and Private Providers Crisis Care Center Jail Diversion Psychiatric and Medical Clearance Specialty Offender Services Community Dynamic Crisis Jail Diversion Information Exchange Police, Sheriff Probation, Parole Civil and Criminal Treatment Continuity of Care County City-wide Emergency Services
    • Data exchange through
    • Community Collaborative
    • Crisis Care Center
    • CIT/DMOT
    • Jail and Juvenile Detention
    • Statewide CARE Match
    Jail Diversion 2003-2012 System County City-wide Entry Points System Level
  • The Crisis Care Center The Restoration Center Haven for Hope Homeless Campus Community Collaborative Therapeutic Justice Services Pilot Intercept Prospect’s Courtyard
  • Jail Diversion Trauma Recovery - Pilot Crisis Response PRE-BOOKING Magistration PRE- & POST-BOOKING Diversion CHCS Trauma-Related Jail Diversion Services Bexar County Jail Point of Contact with Law Enforcement Crisis Center Restoration Center Assessors screen for Vet Status and PTSD Trauma Counselors assess for PTSD Trauma Counselors provide services
    • The expansion of trauma specific treatment ;
    • Monitoring of the delivery of veteran peer support services
    • related to behavioral health issues;
    • Monitoring of the implementation of family member facilitated
    • family-to-family education groups related to behavioral health
    • issues;
    • Developing of collaborative advisory groups for supports and
    • services for veterans and their families to initiate,
    • Enhance or expand community resource coordination related
    • to Basic needs with community partners, individuals and
    • organizations who are serving or have a demonstrated interest
    • in serving and supporting veterans and their families.
    • Linkage to Therapeutic Justice Services
    VETERANS SPECIFIC JAIL DIVERSION SERVICES
  • TOOLS BEING USED
    • Bringing Everyone in the Zone
    • Operation Resilient Families
    • Cognitive Processing Therapy
    • Operation Reunion
    • Texas Youth Suicide Prevention (TYSP) Screening (Ft.Sam/BAMC Schools)
    • Case Management – Liaison
    • Use of Peers: Peer Recovery Support Specialist
    • Trauma Specific Approach
    • Cognitive Behavioral Therapy
    • Seeking Safety
    • Traumatic Brain Injury Screening
    • Professional screening instruments via Licensed Staff
    Additional Approaches
  • The Restoration Center
    • Sobering Center
    • Medical Detox Facility
    • Injured Prisioner
    • In House Recovery
    • Community Substance Use Court
    • Intensive Outpatient Substance
    • Abuse Services
    • Continuing additional services
    “ Intercept Point” for Jail Diversion Trauma Recovery Pilot
    • Integrated with Prospects Courtyard
    • Homeless Mental Health Clinic
    • 80 Bed Residential within Courtyard
    • Provides evident based trauma
    • specific treatment (Seeking Safety)
  • The Beginning of CIT in Bexar County & San Antonio
    • Center for Health Care Services, start a jail diversion program in 2002
    • CHCS and Bexar County Sheriff start the Deputy Mobile Outreach Team (DMOT) in 2002
    • San Antonio Police Academy starts in-service training for officers in 2003
    • San Antonio Police obtained formal training from Houston Police Department in May 2003
    • In October 2003 SAPD started training our officers with the original goal of training 10% of the patrol officers
  • Posttraumatic Stress Disorder (PTSD): The Aftermath of Trauma © 2003 Pfizer Inc. All rights reserved. CIT Training segment with Trauma oriented role play senarios
  • PTSD—Summary
      • PTSD is the 5th most prevalent major psychiatric illness
      • PTSD patients often exhibit poorer general health and greater functional impairment
      • PTSD is highly comorbid with other psychiatric disorders
      • PTSD is costly to the healthcare system
      • Effective treatment is available
    Kessler 1999; Davidson 1991; Beckham 1998; Warshaw 1993; Giaconia 1995; Kessler 1995; Greenberg 1999; Sutherland 1999; Marshall 1998. CIT Training segment with Trauma oriented role play senarios
  • The Center for Health Care Services Leon Evans, President/CEO The Center for Health Care Services, Mental Health Authority 210 731-1300 [email_address]