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Transitioning Forensic Clients Back into the Community


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Transitioning Forensic Clients Back into the Community. This presentation will address some common problems facing clients who come from the criminal justice system into mental health housing.

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Transitioning Forensic Clients Back into the Community

  1. 1. So I’m out of prison…So I’m out of prison… Now what?Now what? Transitioning Forensic Clients BackTransitioning Forensic Clients Back into the Communityinto the Community ACLAIMH ConferenceACLAIMH Conference November 3, 2010November 3, 2010 Olga Brito, LMSW, Maria Nicolai, MA, Carmen DeJesus, CASACOlga Brito, LMSW, Maria Nicolai, MA, Carmen DeJesus, CASAC and Suzette Sclafani, LMSWand Suzette Sclafani, LMSW
  2. 2. Agency Mission:Agency Mission:  To change lives, by offering health, hope andTo change lives, by offering health, hope and opportunity to the most vulnerable in ouropportunity to the most vulnerable in our  We offer a comprehensive range of evidenced-basedWe offer a comprehensive range of evidenced-based rehabilitative services including mental health andrehabilitative services including mental health and substance abuse treatment, housing, vocationalsubstance abuse treatment, housing, vocational training, job placement, healthcare, education, andtraining, job placement, healthcare, education, and creative arts therapies.creative arts therapies.
  3. 3. The BridgeThe Bridge Outpatient ProgramsOutpatient Programs  Personalized Recovery Oriented Services (PROS)Personalized Recovery Oriented Services (PROS)  Clinic ServicesClinic Services  Vocational ServicesVocational Services  OASAS ProgramOASAS Program
  4. 4. Overview of ResidentialOverview of Residential ProgramsPrograms  Supervised Community Residence (Super CR)Supervised Community Residence (Super CR)  Apartment TreatmentApartment Treatment  Community Residence/Single Room OccupancyCommunity Residence/Single Room Occupancy (CR/SRO)(CR/SRO)  Community Care/Supported Housing, a.k.a.Community Care/Supported Housing, a.k.a. “Permanent” or “Graduate”“Permanent” or “Graduate”  Multiple Scatter-Site and CongregateMultiple Scatter-Site and Congregate Programs in Manhattan & The BronxPrograms in Manhattan & The Bronx  Sheridan Hill House, Iyana HouseSheridan Hill House, Iyana House
  5. 5. Iyana House:Iyana House: Program CharacteristicsProgram Characteristics  Permanent Supported HousingPermanent Supported Housing  16 Studio Apartments16 Studio Apartments  Gender SpecificGender Specific  24/7 Staffed residence24/7 Staffed residence  F/T Case ManagerF/T Case Manager  F/T Peer CounselorF/T Peer Counselor  P/T Substance Abuse CounselorP/T Substance Abuse Counselor
  6. 6. Iyana House:Iyana House: Program GoalsProgram Goals  PermanencyPermanency  Parole CompletionParole Completion  Reduction of RecidivismReduction of Recidivism  Community ReintegrationCommunity Reintegration  Family ReunificationFamily Reunification
  7. 7. What is theWhat is the selection process?selection process?
  8. 8. InreachInreach  Pre-release GroupPre-release Group  Referral from CUCS RCS (ReentryReferral from CUCS RCS (Reentry Coordination System)Coordination System)  Interview ProcessInterview Process  AcceptanceAcceptance  Individualized Pre-Release CounselingIndividualized Pre-Release Counseling
  9. 9. The First 30 Days:The First 30 Days: Engagement ServicesEngagement Services  PickupPickup  First visit to ParoleFirst visit to Parole  ““Bonding” PeriodBonding” Period  Coordinating Medical and PsychiatricCoordinating Medical and Psychiatric ServicesServices  Benefits CounselingBenefits Counseling  Visitor’s PolicyVisitor’s Policy
  10. 10. Unique Challenges for thisUnique Challenges for this PopulationPopulation  Identifying and de-programming prisonIdentifying and de-programming prison cultureculture  Breaking other maladaptive habitsBreaking other maladaptive habits  Over- or mis-medicated, undiagnosedOver- or mis-medicated, undiagnosed medical issuesmedical issues  Staff training (SPECTRM, Harm Reduction)Staff training (SPECTRM, Harm Reduction)  Boundaries and limit-settingBoundaries and limit-setting  Transitioning clients to more independentTransitioning clients to more independent housinghousing
  11. 11. Obstacles to RecoveryObstacles to Recovery  Substance abuse/addictionSubstance abuse/addiction  Medication and treatmentMedication and treatment noncompliancenoncompliance  Limited resources, financesLimited resources, finances  Unrealistic vocational goalsUnrealistic vocational goals  Unrealistic expectations around familyUnrealistic expectations around family reunificationreunification  BoredomBoredom
  12. 12. What we have learned…What we have learned…
  13. 13. How we have adapted ourHow we have adapted our services to this populationservices to this population  Integrating the Parole Officer into theIntegrating the Parole Officer into the treatment teamtreatment team  Foster a collaborative as opposed toFoster a collaborative as opposed to adversarial relationship betweenadversarial relationship between consumer and Parole Officerconsumer and Parole Officer  Fostering Personal ResponsibilityFostering Personal Responsibility  Advocacy*Advocacy*
  14. 14. Parole Release PreparationParole Release Preparation  Case PlanningCase Planning  Rehearsing for releaseRehearsing for release  Conferencing with treatment team andConferencing with treatment team and family membersfamily members  Assertiveness Training/EmpowermentAssertiveness Training/Empowerment
  15. 15. Contact:Contact: The BridgeThe Bridge 248 West 108248 West 108thth StreetStreet New York, NY 10025New York, NY 10025 (212) 663-3000(212) 663-3000