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CABHP 12 TH  ANNUAL SUMMER INSTITUTE JULY 21, 2011 Bridging the Gaps:  Agencies Working Together to Provide Re-Entry Planning for Women with Co-Occurring Disorders.
Bridging the Gaps ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Why Focus on Women? ,[object Object],[object Object],[object Object]
Why Focus on Women with  Co-Occurring Disorders? ,[object Object],[object Object],[object Object],[object Object]
Why Focus on Women with  Co-Occurring Disorders? ,[object Object],[object Object],[object Object],[object Object]
What Does the Term Gender- Responsive Mean? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What works best for women  coming out of prison? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What works best for women  coming out of prison? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Bridging the Gaps ,[object Object],[object Object],[object Object]
Behind the Fence ,[object Object],[object Object],[object Object]
Life Beyond Prison ,[object Object],[object Object],[object Object],[object Object],[object Object]
Behind the Fence ,[object Object]
Intake  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mental Health Scores ,[object Object],[object Object],[object Object]
Mental Health Scores ,[object Object],[object Object],[object Object]
Mental Health Scores ,[object Object],[object Object],[object Object]
Substance Abuse Scores ,[object Object],[object Object],[object Object],[object Object],[object Object]
Programming Opportunities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Programming Opportunities cont. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Re-entry Specific  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Re-entry Specific ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Grant Specific ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Community Corrections/Parole Paul O’Connell Operations Director Community Corrections Division Arizona Department of Corrections
FY 11 JUSTICE AND MENTAL HEALTH COLLABORATION PROGRAM GRANT ARIZONA DEPARTMENT OF CORRECTIONS COMMUNITY CORRECTIONS
Community Correction’s Focus….. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Arizona Department of Corrections Community Corrections ,[object Object],[object Object],[object Object],[object Object],[object Object]
Grant Purpose…… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Community Corrections….. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Goal of the Program…. ,[object Object]
SHERRY JOHNSTON, REENTRY PROBATION SUPERVISOR AND GRANT MANGER MARICOPA COUNTY ADULT PROBATION Community Supervision/Probation
Objectives ,[object Object],[object Object],[object Object],[object Object]
Edward Byrne Recovery Act Grant ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Reentry Model ,[object Object],[object Object],[object Object],[object Object],[object Object]
Numbers thru March 2011 ,[object Object],[object Object],[object Object]
Pre- vs. Post Grant Implementation ,[object Object],[object Object],[object Object],[object Object]
THE MENTAL HEALTH POPULATION AND REENTRY Overcoming Barriers
People with serious mental illness are overrepresented in U.S. criminal justice system Source: Teplin, 1990; Teplin, Abram, & McClelland, 1996 % Steadman, Osher, et al. (2009): 14% men and 31% women
Most have co-occurring substance abuse disorders Source: The National GAINS Center, 2004
Most are supervised in the community…and often “fail” Sources: Bureau of Justice Statistics (2007);  Skeem, Emke-Francis, et al. (2006) Probation Prison Parole Jail
Justice & Mental Health Collaboration Grant  ,[object Object],[object Object],[object Object]
No-Gap Design ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Goals of the Grant ,[object Object],[object Object]
Jan 2011 to June 2011 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Principles of Effective Intervention ,[object Object],[object Object],[object Object]
“ Central eight” for criminal behavior  (Andrews, 2006) *** p  <.001, ** p  <.01, * p  <.05, PMI > Non-PMI, Skeem, Nicholson, & Kregg (2008)  Risk Factor  Need History of criminal behavior Build alternative behaviors Antisocial personality pattern*** Problem solving skills, anger management Antisocial cognition* Develop less risky thinking Antisocial peers Reduce association with criminal others Family and/or marital discord** Reduce conflict, build positive relationships Poor school and/or work performance* Enhance performance, rewards Few leisure or recreation activities Enhance outside involvement Substance abuse Reduce use
Targeting Criminogenic Need:  Results from Meta-Analyses Reduction in Recidivism Increase in Recidivism Source:  Gendreau, P., French, S.A., and A.Taylor (2002).  What Works (What Doesn’t Work) Revised 2002.  Invited Submission to the International Community Corrections Association Monograph Series Project
Probation Assessments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Case Plan ,[object Object],[object Object],[object Object],[object Object]
 
 
Vivian’s Story
Gender Responsive Community Treatment  ,[object Object],[object Object],[object Object]
NCADD INTAKE FLOWCHART
 
Presenting Concerns… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Addressing the needs of MCAPD population   ,[object Object],[object Object]
Gender Responsive Community Treatment ,[object Object],[object Object],[object Object],[object Object]
COMMUNITY BRIDGES, INC.  WOMEN’S OUTPATIENT  TRAUMA INFORMED / RESPONSIVE INTERVENTIONS
 
Why is it important ?  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Incidence of Trauma ,[object Object],[object Object],[object Object],(James and Glaze, 2006). James. D, & Glaze, L. (2006). Mental health problems of prison and jail inmates. (NCJ 213600). Washington, DC: Bureau of Jus tice Statistics.
What is Trauma-Informed Care? ,[object Object],[object Object]
What are Trauma-Specific Interventions? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Strength-based Treatment Interventions  ,[object Object],[object Object]
Level of Burden  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Strengths based/ assets model  ,[object Object],[object Object]
[object Object],Medical Mental Health Vocational Educational Legal AIDS / HIV Risks Financial Housing &  Transportation Child Care Family Continuing Care Case Management Drug Testing Monitoring Adapted from Etheridge, Hubbard, Anderson, Craddock, & Flynn, 1997 ( PAB ) Judicial Monitoring Culture Self-Help (AA/NA) Pharmaco-therapy Group/Individual Counseling Abstinence Based Intake  Assessment Treatment  Plans Core Treatment
Bridging the Gaps :  Agencies Working Together to Provide Re-Entry Planning for Women with Co-Occurring Disorders ,[object Object]

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Bridging The Gaps

  • 1. CABHP 12 TH ANNUAL SUMMER INSTITUTE JULY 21, 2011 Bridging the Gaps: Agencies Working Together to Provide Re-Entry Planning for Women with Co-Occurring Disorders.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23. Community Corrections/Parole Paul O’Connell Operations Director Community Corrections Division Arizona Department of Corrections
  • 24. FY 11 JUSTICE AND MENTAL HEALTH COLLABORATION PROGRAM GRANT ARIZONA DEPARTMENT OF CORRECTIONS COMMUNITY CORRECTIONS
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30. SHERRY JOHNSTON, REENTRY PROBATION SUPERVISOR AND GRANT MANGER MARICOPA COUNTY ADULT PROBATION Community Supervision/Probation
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36. THE MENTAL HEALTH POPULATION AND REENTRY Overcoming Barriers
  • 37. People with serious mental illness are overrepresented in U.S. criminal justice system Source: Teplin, 1990; Teplin, Abram, & McClelland, 1996 % Steadman, Osher, et al. (2009): 14% men and 31% women
  • 38. Most have co-occurring substance abuse disorders Source: The National GAINS Center, 2004
  • 39. Most are supervised in the community…and often “fail” Sources: Bureau of Justice Statistics (2007); Skeem, Emke-Francis, et al. (2006) Probation Prison Parole Jail
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45. “ Central eight” for criminal behavior (Andrews, 2006) *** p <.001, ** p <.01, * p <.05, PMI > Non-PMI, Skeem, Nicholson, & Kregg (2008) Risk Factor Need History of criminal behavior Build alternative behaviors Antisocial personality pattern*** Problem solving skills, anger management Antisocial cognition* Develop less risky thinking Antisocial peers Reduce association with criminal others Family and/or marital discord** Reduce conflict, build positive relationships Poor school and/or work performance* Enhance performance, rewards Few leisure or recreation activities Enhance outside involvement Substance abuse Reduce use
  • 46. Targeting Criminogenic Need: Results from Meta-Analyses Reduction in Recidivism Increase in Recidivism Source: Gendreau, P., French, S.A., and A.Taylor (2002). What Works (What Doesn’t Work) Revised 2002. Invited Submission to the International Community Corrections Association Monograph Series Project
  • 47.
  • 48.
  • 49.  
  • 50.  
  • 52.
  • 54.  
  • 55.
  • 56.
  • 57.
  • 58. COMMUNITY BRIDGES, INC. WOMEN’S OUTPATIENT TRAUMA INFORMED / RESPONSIVE INTERVENTIONS
  • 59.  
  • 60.
  • 61.
  • 62.
  • 63.
  • 64.
  • 65.
  • 66.
  • 67.
  • 68.

Editor's Notes

  1. Steadman et al. – 14% men and 31% women 3 out of 4 have co-occurring substance abuse disorder
  2. Interventions often more effective in the community “ Make it or break it” – penetrate more deeply Twice the likelihood
  3. Persons with Mental Illnesses have more of these risk factors than those without
  4. Stage 1: The way that client’s are referred to NCADD varies. We are gender specific and work closely with pregnant women as well. When scheduling an appointment, it is important to consider whether or not the women are pregnant. If pregnant, they are scheduled within 48 hours and if not within 7 days.
  5. This section directly correlates with Dimension 4: Readiness for Change.