Behavioral health criminal justice collaboration in beaver county pa re entry services
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Behavioral Health / Criminal Justice Collaboration in Beaver County, PA Re-entry Services. Council of State Governments Site Visit: May 15, 2013. Agenda / Itinerary. Beaver County: Overview.

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Behavioral Health / Criminal Justice Collaboration in Beaver County, PA Re-entry Services

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Behavioral Health / Criminal Justice Collaboration in Beaver County, PARe-entry Services

Council of State Governments

Site Visit: May 15, 2013


Agenda / Itinerary


Beaver County: Overview

  • Semi-rural county located in the southwestern region of the state about 30 miles northwest of Pittsburgh.

  • Diverse area with pockets of affluence, as well as very poor districts, urban, and rural areas, and varying economic resources.

  • The approximate population of Beaver County is 180,000

    • 23% of the population is under the age of 18.

      • 5.0 % of that population lives in poverty.

    • 11% of the total population lives in poverty

  • The average annual wage for Beaver County was stated at $25,254, as compared to the average annual wage for the Commonwealth of Pennsylvania of $30,081.

  • The racial composition of Beaver County is predominantly Caucasian (92.5%), followed by African American (6%), and has not changed significantly in the past 20 years.


Beaver County: Overview

  • Commissioners:Tony Amadio, Chairman; Joe Spanik; Dennis Nichols

  • Beaver County Behavioral Health:Gerard Mike, Administrator

  • Services

    • Mental Health Administration

    • Mental Retardation Administration

    • Drug and Alcohol Single County Authority

    • HealthChoices Medicaid Managed Care Administration

    • Early Intervention Administration

    • Human Services Development Fund Administration

    • State, Federal and Private Foundation Grant Management

    • Direct Services: Outpatient Assessment Center and Case Management


Behavioral Health Criminal Justice Partners

  • County Departments

    • SIM Subcommittee

  • Community partners

    • NHSETCBBBS

    • BCRCROOTS TRAILS

    • ACPOVRAliquippa Impact

    • AHCIBB BSBenefit Specialist

    • HPWHACBSPA


Beaver County System of Care

Criminal Justice

is a key part of the

Beaver County System of Care


System of Care Management Structure

Residents of Beaver County

Beaver County:

Board of Commissioners

Beaver County Behavioral Health

Leadership Committee

(Project Director, Steering Committee Co-Chairs, and Sub-Committee Chairs)

Family, Youth and Peer Voice

Change Agents

Steering Committee

(Providers, Change Agents, and Subcommittee Representatives)

Employment

-Transformation

BC-HOMES

BC LAUNCH

Housing

SIM

- Criminal Justice

Quality Improvement

BC SCORES

Child Serving Systems

Stakeholder Group

(Provider Representatives, Change Agent Representatives, Subcommittee Representatives, Consumers, Families, Natural Supports)

8-12


Evolution of COD Programs in the Justice System in Beaver County

WRAP


BCBH: Using Evidenced Based Practices

  • Motivational Interviewing - 2002

  • Comprehensive, Continuous, Integrated System of Care (CCISC) - 2007

  • Seeking Safety – 2007

  • Supported Employment - 2008

  • Supported Housing – 2009

  • Forensic Assertive Community Treatment (FACT) - 2009

  • Wellness Recovery Action Planning (WRAP) – 2009

  • Thinking for a Change - 2010


Publications and Presentations: National and State Arenas

  • Publications

    • Corrections Today (2005 and 2011)

    • Behavior Science and the Law (2009)

  • National GAIN Center (2008)

  • NASMHD Research Institute Conference (2006)

  • Forensic Rights Conference (2005, 2008, 2011)


Contracting Federal Grants

  • Contractors are provided with a budgeted contractual limit

    • Contract fees can be a combination of

      • Fee For Service

        • Units of service provided, or

        • Have begun to “experiment” with outcomes based payment terms on some grants

      • Cost Reimbursement

        • Typically only for out of pocket expenses such as start-up and travel

  • Contractors are provided a list of deliverables as part of the contract


Invoicing Federal Grants

  • Grants are invoiced from providers on a fee-for-service basis

    • Rates similar to HealthChoices (HC) Rates are utilized

  • Grants are only invoiced when HC does not cover the services, such as

    • Ineligible individuals

    • Service not covered under HC

  • Contractors are also permitted to bill grants for items not covered under HC, including:

    • Planning, Meetings, Training, Data Collection

    • State funds (County Base) are used for non-HC, non-grant services


BCBH: Current Grants


Training Summary: 10/2011 – 5/2013

  • 42 Training Programs

    • EBP’s

      • Motivational Interviewing

      • Seeking Safety

      • Supported Employment

    • Behavioral Health

    • Peer/Consumer

  • 183.5 Hours of Training

  • More than 1500 Participants

  • 5 MHFA Trainings


Key Data Systems: Support System-wide Evaluation / Quality Improvement

  • Aim is:

    • To support and sustain a data-driven process

    • Collect and report on consistent measures across programs or services as opposed to utilizing data collected differently within programs or services

    • Develop benchmarks, compare results against targets, implement corrective action plans

16


Key Data Systems

  • HealthChoices (BH Medicaid Managed Care)

  • County Base

  • Probation/Parole

  • Jail

  • Grant-Specific Data

  • Consumer Satisfaction Data


Data Warehouse

Electronic Service Plan (eSP) System Provides Framework


Reentry: FOCUS and PURPOSE

  • FOCUS: Increase public safety and reduce recidivism by providing services and supports to Beaver County residents with a substance use disorder (SUD) or a co-occurring substance use and mental health disorder (COD) incarcerated in the Beaver County Jail.

  • PURPOSE: Provide, both pre- and post-release, COD treatment educational/vocational services, peer support, family mentoring, and assistance with housing.


Reentry Flow Chart

Community

Integration

Reception

Engagement

Transition

Re-Entry

Re-Entry Liaison administers the GAIN and intake form.

Client re-integrates into the community with housing, along with sponsor relationship, and continues to work on vocational/ educational skills, treatment and other supports.

Re-Entry Liaison works with client in the jail..

Access to treatment groups in the jail.

TRAILS and ROOTS meet with clients in the jail to establish a sponsor relationship.

BCRC begins working with client in the jail on vocational/educational services


Summary of Reentry Services

  • Provided by NHS

  • HealthChoices (MA) supplemental

  • Jail-based

    • ChancesR – REACH – LAUNCH

  • Community-based

    • ChancesR – LAUNCH – REACH – HC – Base

  • # of positions

  • Assessment – Transition Planning – Follow-up


Screening and Assessment

Jail, Courthouse and Community

Co-occurring Disorder (COD) Treatment

Jail and Community

Re-Entry Liaison

Assertive Community Treatment

Seeking Safety / Trauma-Informed Care

Re-Entry Sponsor Coordinators

Assistance for Youth with an Incarcerated Parent

Housing / Outreach to the Homeless

Vocational / Educational Services

Peer Services

Available Forensic-Based Services – Throughout Criminal Justice System


Sequential Intercept Model (SIM) Planning

  • Collaboration between the Criminal Justice Advisory Board (CJAB) and Beaver County Behavioral Health (BCBH)

  • Builds on the key relationships and history of collaboration established with previous projects.

  • Goal is to enhance the integration of the criminal justice and behavioral health systems for adults and juveniles in Beaver County

  • Services from ChancesR are integral to the overall integration of systems


CJAB SIM Subcommittee

  • The task force is a subcommittee of the Criminal Justice Advisory Board

  • Members represent all major behavioral health and criminal justice partners

  • ChancesR Partners are represented

  • CJAB Representatives

  • County Commissioners

  • Administrative Criminal Court Judge

  • Magisterial District Judge

  • District Attorney

  • Chief Public Defender

  • Deputy District Court Administrator

  • County and State Adult and Juvenile Probation

  • Warden of the County Jail

  • County Sheriff

  • Local law enforcement

  • 911 Center

  • Behavioral Health Representatives

  • Behavioral Health Administrator

  • Behavioral health providers

  • Crisis providers

  • Community and Peer Representatives

  • Victim’s Advocate

  • Family members

  • Community partners

  • Peers


Sequential Intercept Model: Overview

Sequential

Intercept

Model

Behavioral Health

System

Criminal Justice

System

Criminal

Justice

System

Intercept 1

Pre-arrest Diversion

Law Enforcement / Emergency Services

Intercept 2

Post-arrest Diversion

Initial hearings / initial detention

Intercept 3

Court/Jail Diversion

Special jurisdiction courts

Intercept 4

Re-entry

from jail

Transitional support back to community

Intercept 5

Probation / Parole

Community support services

Diversion of appropriate non-violent juveniles and adults throughout CJ system

Community Services and Supports:

crisis support, residential and vocational support, SPA, outpatient

BH

System


Intercept 1: Pre-arrest Diversion Law Enforcement / Emergency Services


Intercept 2: Post-arrest Diversion Initial Detention / Initial Court Hearings

27


Intercept 3: Jail / Court Diversion

28


Intercept 4: Jail/Prison and Re-Entry

29


Intercept 5: Probation, Parole, Community Support

30


Contact Information

  • Alex Corkos, M.A., L.M.F.T.ChancesR Project DirectorAlex Corkos Counseling & Consulting, LLC4160 Washington Road - Suite 212McMurray, PA 15317

  • Phone: 412-567-3930

  • [email protected]


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