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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

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

Council of State Governments

Site Visit: May 15, 2013

Agenda itinerary
Agenda / Itinerary County, PA

Beaver County: Overview County, PA

  • 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 County, PA

  • 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
Behavioral Health Criminal Justice Partners County, PA

  • County Departments

    • SIM Subcommittee

  • Community partners



    • ACP OVR Aliquippa Impact

    • AHCI BB BS Benefit Specialist


Beaver county system of care
Beaver County System of Care County, PA

Criminal Justice

is a key part of the

Beaver County System of Care

System of Care Management Structure County, PA

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)







- Criminal Justice

Quality Improvement


Child Serving Systems

Stakeholder Group

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


Bcbh using evidenced based practices
BCBH: Using Evidenced Based Practices County

  • 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 and Presentations: National and State Arenas County

  • 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
Contracting Federal Grants County

  • 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
Invoicing Federal Grants County

  • 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

Training summary 10 2011 5 2013
Training Summary: 10/2011 – 5/2013 County

  • 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
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


Key data systems
Key Data Systems Improvement

  • HealthChoices (BH Medicaid Managed Care)

  • County Base

  • Probation/Parole

  • Jail

  • Grant-Specific Data

  • Consumer Satisfaction Data

Data warehouse
Data Warehouse Improvement

Electronic Service Plan (eSP) System Provides Framework

Reentry: FOCUS and PURPOSE Improvement

  • 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
Reentry Flow Chart Improvement







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
Summary of Reentry Services Improvement

  • 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

Available forensic based services throughout criminal justice system

Screening and Assessment Improvement

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
Sequential Intercept Model (SIM) Planning Improvement

  • 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
CJAB SIM Subcommittee Improvement

  • 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 Improvement




Behavioral Health


Criminal Justice





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


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



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

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


Contact information
Contact Information Improvement

  • 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]