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RESTORATION OF RIGHTS SUMMIT. MENTAL HEALTH AND HEALTH SERVICES. More effective outreach; Transportation enhancement; Community Crisis Teams; Utilize a data driven approach – initial costs offset re-incarceration; Fund social workers and measure outcomes;

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RESTORATION OF RIGHTS SUMMIT

MENTAL HEALTH AND HEALTH SERVICES


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More effective outreach;

Transportation enhancement;

Community Crisis Teams;

Utilize a data driven approach – initial costs offset re-incarceration;

Fund social workers and measure outcomes;

Increase pre-release education with emphasis on “staying well” not just one EOS visit;

Improve post-release community education and linkages;

EFFECTIVE/INNOVATIVE ELEMENTS


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EFFECTIVE/INNOVATIVE ELEMENTS

  • Creative sentencing for inmates who have mental health issues. Mechanism to enforce the linkage between court, prison and community providers.

  • Requesting live camera hook up with Jail/Prison with person. Having the visual helps getting the answers to the questions.

  • Incentives. Link up with a therapeutic court or system that ensures inmate follows through.

  • Mobile action teams. CIT and FACT Teams support.

  • Inmates released with co-occurring disorders.


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EFFECTIVE/INNOVATIVE ELEMENTS

  • Develop Guardian Ad-Litem program specifically for this population.

  • Baker Act - out patient treatment.

  • Explore other states – best practices – pilot projects?

  • Include APD, DCF and counties and cities.

  • Recognize issue is societal and public safety related.

  • Increase the role of faith-based volunteers.


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EFFECTIVE/INNOVATIVE ELEMENTS

  • Begin treatment pre-release planning earlier.

  • Use existing technology for face-to-face contacts with community providers.

  • Better focusing on split sentencing.

  • Specially trained P and P officers to deal specifically with population.

  • Seeking input from families – what would make it better. Where did we miss the mark? Reverse as well. The one that made it work!


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1. Identify the homeless inmate due to special needs and historical lack of follow-through.

Under state law, judge unable to re-consider sentence once issues are identified to afford the specific services.

Levels of expertise of the community providers.

Work with the highest risk factors – inmates with co-occurring disorders.

Housing issues.

INEFFECTIVE/BARRIER ELEMENTS


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INEFFECTIVE/BARRIER ELEMENTS

  • Availability and expense with medications;

  • Week and fragmented community linkages;

  • Education of Agencies;

  • Lack of Community Support;

  • 85% rule;

  • Legislature budget allocations;

  • No coordinated plan for medical release; and,

  • Definitions is priority population.


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Innovative Ideas

  • First half of MOU/MOA

  • Volusia – In-Reach

  • Veteran’s Affairs – Case Management Model

  • Resource Network for Offenders (living in the Community)


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Recommendations

  • In-reach to prisoners by treatment providers before release.

  • Outreach to inmates to ensure first treatment appointment and follow-up to maintain wellness; mobile crisis FACT teams, VA case managers.

  • Expand post-release outreach for complicated medically and mentally ill ex-offenders focusing on treatment compliance and social support systems.

  • Identify post-release barriers to compliance associated with transportation to health care appointments.

  • Supportive employment that maintains SSI eligibility.

  • Funding for medication.

  • Input from families and released inmates regarding what worked.


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Recommendations

  • Improve data collection and analysis to demonstrate cost effectiveness to interventions and increase public safety.

  • Provide social workers for medically complicated pre-release planning.

  • Provide more comprehensive and consistent pre-release education.

  • Create out-of-the box sentencing initiatives for inmates who have mental health issues that will enforce the linkages between court, prison and community providers.


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Recommendations

  • Model the Volusia and VA’s in-reach program to link inmates with community providers prior to EOS.

  • Implement community provider linkages (at the pre-release stage) using video technology.

  • Utilize “carrots” to improve re-entry continuity of care.

  • Develop Guardian Ad-Litem program specifically for this population that will provide 1:1 support for ex-offenders with mental illness. Utilize faith-based or NAMI volunteers.


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Recommendations

  • Utilize outpatient Baker Act. Use court jurisdiction under probation or civil outpatient commitment to ensure treatment compliance. Expand Felony Forensic and MH Courts.

  • Provide an opportunity to more thoroughly explore best practices from other systems.

  • Develop cultural change plan that will insist that all stakeholders (counties, DCF, DOH, DOC, etc) come to the table and recognize that this issue is societal and public safety related.

  • Develop a faith-based post-release program that will provide social supports to ex-offenders.


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Recommendations

  • Provide/expand specialized mental health probation officers.

  • Continue to seek funding for Re-Entry initiatives.

  • Expand existing MOU/MOA with DCF and explore same with other state agencies.


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Recommendations

Expand post-release outreach for ex-offenders with severe mental illness and/or medically complex conditions focusing on treatment compliance and social support systems.


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Recommendations

Emphasize housing, transportation and supportive employment that SSI/SSDI eligibility.


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Recommendations

Increase use of split sentencing and creative sentencing with treatment conditions on probation.


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Recommendations

Improve data collection and analysis to enhance decision-making for future recommendations; focus on outcome measures.


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Recommendations

Use of Felony Forensic, Mental Health Courts and Outpatient Baker Act to ensure treatment compliance.


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Recommendations

Develop an action plan that will insist all stakeholders (cities, counties, DCF, DOH, DC, APD, VA, and Providers, etc,) participate in re-entry initiatives which recognizes this as a societal and public-safety issue.


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Recommendations

Explore and expand existing best practices. Such as:

  • Mental Health Probation Officers;

  • Volusia’s React and Re-entry Program; and,

  • VA’s In-Reach Program.


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Recommendations

Expand existing MOU/MOA with DCF, to include APD and other state agencies.

Expand DC Re-Entry Initiatives.


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Recommendations

Use video technology to link resources to inmates for pre-release screening. Such as: SSI applications and Telemedicine.


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Recommendations

Medication funding for post-release inmates with incentives for compliance.


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Restoration of Rights Summit

SESSION F

Mental Health and Health Services


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