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 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


Behavioral health criminal justice collaboration in beaver county pa re entry services

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.


Behavioral health criminal justice collaboration in beaver county pa re entry services

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

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

Beaver County System of Care

Criminal Justice

is a key part of the

Beaver County System of Care


Behavioral health criminal justice collaboration in beaver county pa re entry services

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

Evolution of COD Programs in the Justice System in Beaver County

WRAP


Bcbh using evidenced based practices

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 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

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

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

BCBH: Current Grants


Training summary 10 2011 5 2013

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

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

Key Data Systems

  • HealthChoices (BH Medicaid Managed Care)

  • County Base

  • Probation/Parole

  • Jail

  • Grant-Specific Data

  • Consumer Satisfaction Data


Data warehouse

Data Warehouse

Electronic Service Plan (eSP) System Provides Framework


Behavioral health criminal justice collaboration in beaver county pa re entry services

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

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

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


Available forensic based services throughout criminal justice system

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

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

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


Behavioral health criminal justice collaboration in beaver county pa re entry services

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


Behavioral health criminal justice collaboration in beaver county pa re entry services

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


Behavioral health criminal justice collaboration in beaver county pa re entry services

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

27


Behavioral health criminal justice collaboration in beaver county pa re entry services

Intercept 3: Jail / Court Diversion

28


Behavioral health criminal justice collaboration in beaver county pa re entry services

Intercept 4: Jail/Prison and Re-Entry

29


Behavioral health criminal justice collaboration in beaver county pa re entry services

Intercept 5: Probation, Parole, Community Support

30


Contact information

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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