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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

slide4

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.
slide5

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
    • NHS ETC BBBS
    • BCRC ROOTS TRAILS
    • ACP OVR Aliquippa Impact
    • AHCI BB BS Benefit Specialist
    • HPW HACB SPA
beaver county system of care
Beaver County System of Care

Criminal Justice

is a key part of the

Beaver County System of Care

slide8

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

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
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

slide19

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
slide25

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

slide26

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

slide27

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

27

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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