A Supervised Diversionary Program for People with Psychiatric Disabilities


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A Supervised Diversionary Program for People with Psychiatric Disabilities
Presented by: Brian Coco

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  • A Supervised Diversionary Program for People with Psychiatric Disabilities

    1. 1. CT. Initiatives <ul><li>A Supervised Diversionary Program for People with Psychiatric Disabilities </li></ul>
    2. 2. CT <ul><li>Mental Health Unit In Probation </li></ul><ul><li>ASIST </li></ul><ul><li>Jail Re-Interview </li></ul><ul><li>CREST </li></ul><ul><li>Jail Diversion* </li></ul><ul><li>Supervised Diversionary Program </li></ul>
    3. 3. Failure Rate on Community Supervision <ul><li>2 to 1 </li></ul>
    4. 4. Probation Mental Health Unit <ul><li>Policy The Court Support Services Division (CSSD) will establish Mental Health Probation Officers to provide intensive supervision for clients with identified mental health disorders. These officers will work collaboratively with DMHAS staff to ensure access to an expanded service continuum for psychiatric and co-occurring disorders. </li></ul>
    5. 5. MH Unit <ul><li>Address treatment needs </li></ul><ul><li>Address criminogenic and basic needs </li></ul><ul><li>Advocate </li></ul><ul><li>Build a relationship/trust </li></ul><ul><li>Fair but firm </li></ul><ul><li>Collaborate with treatment providers </li></ul>
    6. 6. MH Unit <ul><li>10 Probation Officers in 8 locations </li></ul><ul><ul><li>Bridgeport* </li></ul></ul><ul><ul><li>Hartford * (2 officers) </li></ul></ul><ul><ul><li>Waterbury* </li></ul></ul><ul><ul><li>New Haven* (2 officers) </li></ul></ul><ul><ul><li>Middletown </li></ul></ul><ul><ul><li>New Britain </li></ul></ul><ul><ul><li>New London </li></ul></ul><ul><ul><li>Norwich * 4 biggest cities </li></ul></ul>
    7. 7. MH Unit <ul><li>All the officers have received specialized training from NAMI, CABLE, DMHAS, and CSSD </li></ul><ul><li>All the officers have received CIT training with their police partners </li></ul><ul><li>Work closely with providers and natural supports </li></ul><ul><li>Smaller caseloads </li></ul>
    8. 8. MH Unit <ul><li>Central CT State University is conducting an independent evaluation of the program </li></ul><ul><li>Outcomes should be available in the spring of this year </li></ul>
    9. 9. Clients <ul><li>Sentenced probationers </li></ul><ul><li>Have to reside in one of the 8 locations </li></ul><ul><li>Referrals based on the results of our assessments, involvement with DMHAS and observed behaviors </li></ul><ul><li>Most clients have Serious Mental Illness </li></ul><ul><li>Clients can stay with the MHPO for the length of their probation or until they appear stable for a period of time </li></ul>
    10. 10. Advanced Supervision and Intervention Support Team (ASIST)
    11. 11. <ul><li>Multi-Agency Collaboration </li></ul><ul><ul><li>CSSD, DOC, and DMHAS </li></ul></ul><ul><li>Located at 7 AICs statewide </li></ul><ul><ul><li>Hartford, Middletown, New London, Waterbury Bridgeport, New Britain/Bristol and New Haven </li></ul></ul><ul><li>$1,710,000 in braided funding to provide LMHA staff at AICs, psychiatric services, case management and ABHS </li></ul>ASIST
    12. 12. ASIST Target Population <ul><li>Clients to be served - </li></ul><ul><li>Adults (age18 and older) </li></ul><ul><li>Serious to moderate Axis I psychiatric diagnosis; often with a co-occurring substance abuse disorder </li></ul><ul><li>Criminal Justice involvement </li></ul><ul><li>Goals: 1. Reduce incarceration </li></ul><ul><li>2. Increase AIC access/appropriateness </li></ul>
    13. 13. <ul><li>12 IAR Specialists – Statewide Coverage </li></ul><ul><ul><li>15,555 defendants re-interviewed in 2009 </li></ul></ul><ul><ul><li>Of that number- 10,465 were released (67%) </li></ul></ul><ul><ul><li>290 average Dept. of Correction bed days saved per month </li></ul></ul><ul><ul><li>7,848 successfully completed the program in 2009 (75%) </li></ul></ul><ul><ul><li>4/10 </li></ul></ul>Jail Reinterview Program
    14. 14. Community Reporting Engagement Support and Treatment Center (CREST) <ul><li>For SMI adults referred by Parole, Probation, Court, and the Department of Correction </li></ul><ul><li>Day reporting center with access to vocational, educational, social and psychiatric rehabilitation services </li></ul><ul><li>Open 7 days/wk, 3 evenings/wk </li></ul><ul><li>State funded – 2008 Crime Bill </li></ul>
    15. 15. CREST <ul><li>Provides intensive case management, criminogenic assessment and treatment, skill development, case management and supervision </li></ul><ul><li>Capacity of 30 individuals served by New Haven area court. LOS 3-6 months </li></ul><ul><li>Program outcome evaluation by Central CT State University. </li></ul><ul><li>In last 12 months 83% of participants completed the program and avoided incarceration. </li></ul>
    16. 16. Jail Diversion <ul><li>In every CT Superior Courts </li></ul><ul><li>Improve options to community services for adults with psychiatric disabilities in the Criminal Justice system </li></ul><ul><li>Provide brief clinical screening of clients at any point from arraignment through sentencing. </li></ul><ul><li>Offer a treatment option to the client and court in lieu of incarceration. </li></ul><ul><li>Provide community case management to improve engagement in treatment services, obtain entitlements, obtain housing, etc. </li></ul>
    17. 17. A Diversionary Program for People with Psychiatric Disabilities
    18. 18. Supervised Diversionary Program (SDP) <ul><li>CGS 54-56 l formerly PA 08-1 (Eff. Oct. 1, 2008) : Created a diversionary program that combines behavioral health treatment with probation supervision for defendants with psychiatric disabilities. </li></ul><ul><li>Purpose : To reduce the number of clients with psychiatric disabilities incarcerated or insufficiently served while aiding in recovery. </li></ul>
    19. 19. Supervised Diversionary Program <ul><li>Modeled after CT’s Pre-trial Accelerated Rehabilitation Program (AR) </li></ul><ul><ul><li>Defendants charged with less serious offenses can be diverted from prosecution and a criminal record </li></ul></ul><ul><ul><li>Placed on probation supervision for a maximum of two (2) years </li></ul></ul><ul><ul><li>If the client completes supervision successfully, the case is dismissed. </li></ul></ul>
    20. 20. SDP & AR <ul><li>Supervised Diversionary Program (SDP) </li></ul><ul><ul><li>Unlimited period of probation supervision </li></ul></ul><ul><ul><li>Can be granted twice </li></ul></ul><ul><ul><li>Can have a criminal record </li></ul></ul><ul><ul><li>Previous use of some diversionary programs will not make you ineligible for the program </li></ul></ul><ul><li>Pretrial Accelerated Rehabilitation (AR) </li></ul><ul><ul><li>Maximum 2 years of probation supervision </li></ul></ul><ul><ul><li>Can be granted only once </li></ul></ul><ul><ul><li>Cannot have a criminal record </li></ul></ul><ul><ul><li>Previous use of some diversionary programs can make you ineligible for AR </li></ul></ul>
    21. 21. <ul><li>Supervised Diversionary Program </li></ul><ul><li>Psychiatric disability is defined in the statute as a mental or emotional condition, other than solely substance abuse, that has substantial adverse effects on the defendant’s ability to function and requires care and treatment. </li></ul>
    22. 22. Mental Health and Incarceration <ul><li>758 unsentenced inmates (Mental Health 3’s) </li></ul><ul><li>(Data received from Department of Correction on 1/4/07) </li></ul><ul><li>157 unsentenced inmates (Mental Health 4’s) </li></ul><ul><li>(Data received from Department of Correction on 9/14/07) </li></ul>
    23. 23. Eligibility <ul><li>Defendant must be amenable to treatment </li></ul><ul><li>Not more than 1 prior use of the SDP </li></ul><ul><li>Excluded charges are consistent with provision set forth in 54-56e sub. (c), Pretrial Accelerated Rehabilitation </li></ul><ul><li>Client found to have a psychiatric disability who would benefit from treatment. </li></ul>
    24. 24. Eligibility <ul><li>Can have a prior criminal record </li></ul><ul><li>Proposal being submitted to make the program length a maximum of two years </li></ul>
    25. 25. Referral Process <ul><li>The mental health provider (ABH, Jail Diversion, or current provider) will determine if the defendant has a psychiatric disability requiring treatment </li></ul><ul><li>The provider will submit a recommended plan for services to CSSD for all eligible clients </li></ul><ul><li>CSSD staff will supply the Court with the plan for services. </li></ul>
    26. 26. <ul><li>The client agrees to waive their right to a speedy trial. </li></ul><ul><li>The client must agree to comply with the conditions of the program. </li></ul>Referral Process (Continued)
    27. 27. Probation Officers <ul><li>Clients will be supervised by a specially trained probation officer who has the appropriate training or previous experience. All the officers have received specialized training from NAMI, CABLE, DMHAS, and CSSD </li></ul><ul><li>All the officers have received a modified 3 day CIT training </li></ul><ul><li>Caseloads of 35 clients </li></ul>
    28. 28. Case Dismissal <ul><li>The Judge will dismiss the case when the client successfully completes their period of supervision. </li></ul><ul><li>CSSD will provide the court with a report detailing the clients compliance with treatment and all other court ordered conditions of supervision. </li></ul><ul><li>CSSD can return a client back to court early when the client has exhibited a pattern of non-compliance with the treatment plan and special conditions. </li></ul>
    29. 29. Benefits <ul><li>Diverts some clients from pre-trial incarceration. </li></ul><ul><li>Improve treatment access and provide community supervision. </li></ul><ul><li>Expunged record can benefit the client as they re-integrate into the community. </li></ul>
    30. 30. CSSD Mandates per CGS <ul><li>CSSD has developed a database concerning people admitted into the program that is be available to local and state police when responding to incidents. </li></ul><ul><li>The database needs to be maintained for 5 years beginning at the person’s entry into the program </li></ul><ul><li>CSSD will keep all Police/Incident reports in the event that the court wants to review such when a defendant applies for a second time. </li></ul>
    31. 31. Goals <ul><li>Keep the client in treatment in the community </li></ul><ul><li>Promote and support recovery </li></ul><ul><li>Link clients to appropriate community treatment </li></ul><ul><li>Enhance community safety </li></ul><ul><li>Eliminate some systems barriers </li></ul>
    32. 32. OUTCOMES <ul><li>Supervised Diversionary Program </li></ul><ul><ul><li>Diversion program for individuals with psychiatric disabilities implemented in October 2008: </li></ul></ul><ul><ul><li> Program Investigations = 658 (cases) </li></ul></ul><ul><ul><li>  Granted = 336 (clients) </li></ul></ul><ul><ul><li>  Active Clients = 351 </li></ul></ul><ul><ul><li>  Successful Completions = 26 </li></ul></ul><ul><ul><li>  Unsuccessful Completions = 7 </li></ul></ul><ul><ul><li>As of 4/10 </li></ul></ul>
    33. 33. QUESTIONS ?
    34. 34. Glossary of Terms (for this presentation) <ul><li>CSSD- State agency that houses probation </li></ul><ul><li>DMHAS- State agency for serving serious mentally ill CSSD- State agency that houses probation </li></ul><ul><li>ABH- CSSD contracted providers- offer MH services </li></ul><ul><li>AIC- CSSD contracted providers </li></ul><ul><li>IAR- CSSD employee </li></ul>
    35. 35. Brian Coco <ul><li>Work – (860) 721-2176 </li></ul><ul><li>Work cell- (860) 550-5847 </li></ul><ul><li>[email_address] </li></ul>