Correctional Recovery Services overview

1. Correctional Recovery Services overview John Sexten, LPCC-SBureau of Correctional Recovery ServicesOhio Department of Mental Health and Addiction Services

2. Correctional Recovery Services Mission Provide evidenced-based treatment which teaches the skills necessary for offenders to remain drug free upon release to the community.

3. July 1, 2015 • Recovery Services was Reorganized and Transitioned from DRC to the Ohio Department of Mental Health and Addiction Services • Scope it encompasses

4. Why Reorganize? • We already do Well! - Yes, Low Recidivism • We have treatment at every prison! - Yes, but more of a need

5. Ohio Department of Rehabilitation and Correction Recidivism: Nationally 40 - 44% Ohio 28.7% (2009) 27.1% (2010) Correctional Recovery Services Plays a major part in this

6. Increase in Services We will couple the expertise of both agencies in order to expand treatment and provide a better transition and continuum of care into the community

7. Ohio’s prison population Ohio’s Prison Population Currently 50,441 inmates [as of August 10, 2015] Ohio Pop. – 11,544,225 - Jul 2012 Source: U.S. Census BureauKY Pop. – 4,380,415 - Jul 2012 Source: U.S. Census Bureau

8. CORRECTIONAL RECOVERY SERVICES– What’s our need? • 80% of inmates have History of Substance Use and Abuse • In total 8,600 + “Releasees” have a need for Recovery Services treatment. • Current Tx Capacity = 4,500/year

9. CORRECTIONAL RECOVERY SERVICES– What’s our need? • The transition allows for us to hire an additional 58 positions • Approximately 45+ inside the prisons • The remainder in the community

10. CORRECTIONAL RECOVERY SERVICES – End Goal Enhance our efforts of rehabilitating offenders to become productive, substance-free citizens through maximizing our ability as an agency to treat offenders with identified Substance Use Disorders and the desire to address those issues.

11. Ohio Department of rehabilitation and correction • Reintegration Path System

12. Ohio Department of rehabilitation and correction 20,866 Releases Per year* CY2013 • Reintegration Prisons: • Pickaway Correction Institution • Richland Correction Institution • Ohio Reformatory for Women • Northeast Reintegration Center • Grafton Reintegration Center • Yet all work towards Reintegration

13. Population Challenges • Competing Programs • Security Level • Length of Sentence • Current Sentencing Guidelines

14. Treatment matching Goals • Match Offenders with Appropriate Treatment Modality • Determine Level of Care • Determine level of Motivation

15. Recovery ServicesTreatment Programs Intensive Outpatient Programs – The Intensive Outpatient Program is a 3-Phase, 208-hour program that provides treatment services delivered daily for a minimum of 12 hours a week. A minimum of ten of the hours must be cognitive behavioral treatment specific. The remaining hours will consist of ancillary services. This program is offered to Recovery Level 2 and 3 inmates.

16. Programming OutlineCognitive Behavioral Therapy Programming

17. Recovery ServicesTreatment Programs Intensive Program Prisons (IPP) BeCI, LoCI, MaCI, ORW, PCI A 90-day program focusing on substance abuse treatment, DUI treatment, and/or other programs designed to provide intensive programming for eligible inmates in accordance with Ohio Revised Code 5120.032. Upon successful completion of this program, the inmate’s sentence may be reduced to 90 days and the inmate will then serve a transitional type of detention followed by a release under post-release control sanctions or, in the alternative, will be placed immediately under post-release control sanctions.

18. Recovery ServicesTreatment Programs Therapeutic Community (TC) ORW, PCI, GRC, CCI (future sites MaCI, NCI) – A treatment modality that uses an inmate hierarchy in which treatment stages are used to reflect personal and program growth.

19. Recovery ServicesTreatment Programs Recovery Services Housing Unit LoCI, ORW, PCI, RiCI – Delivers cognitive behavioral treatment services to inmates residing in a common living area. Recovery Services Residential Units shall consist of three months of cognitive behavioral treatment services and two months of continuing care services.

20. Recovery ServicesTreatment Programs Recovery-Oriented Supplemental - Those services that are complementary and supportive of formal Recovery Services treatment activities.

21. Contact Information: John T. Sexten, LPCC-S Director of Recovery Services 614-752-1728 Selena DeLozier – Program Admin. III 614-752-1728 =================== Bureau of Correctional Recovery Services, OhioMHAS 770 W. Broad Street, 2nd Floor Columbus, Ohio 43222 Questions?

22. OhioMHAS Strategies to Reduce Recidivism Chris Nicastro, LPCC-S Bureau of Criminal Justice Services Ohio Department of Mental Health and Addiction Services 

23. CJ Services Initiatives • TASC • Circle for Recovery • Drug Courts • Community Linkage • Criminal Justice CCOE

24. CJ Services Initiatives • Community Innovations • Specialized Dockets Payroll Subsidy • Community Transition Initiative

25. TASC (Treatment Alternative to Street Crime) • Ohio implemented its first TASC program in 1990 to serve juveniles in Preble County. By 1999, a total of fourteen (14) TASC programs became operational. Some of the programs serve adults only, or juveniles only. Four of the programs serve both adults and juveniles. • TASC programs were implemented to serve the court systems and individuals placed on community control. Many of the adult TASC programs now serve individuals released from the state prison system under the supervision of the Adult Parole Authority, or after serving a determinate sentence.

26. TASC • There are ten (10) TASC programs that serve adult offenders in the following fifteen (14) counties: • Athens, Butler, Clermont, Cuyahoga, Gallia, Hamilton, Hocking, Jackson, Lucas, Mahoning, Meigs, Sandusky, Stark, and Vinton. • TASC’s core services include: assessment, case management, and outpatient treatment.

27. Circle for Recovery Ohio (CFRO) • Circle for Recovery Ohio (CFRO) projects offer re-entry services for adult men and women leaving the state correctional system in nine of Ohio’s largest counties. • The CFRO projects offer treatment and recovery support services which are culturally competent.

28. CFRO Providers • Akron-Urban Minority Alcoholism Drug Abuse Outreach Program • Cincinnati Urban Minority Alcoholism and Drug Abuse Outreach Program • Dayton Urban Minority Alcohol and Drug Abuse Outreach Program • Franklin County UMADAOP • Lima Urban Minority Alcohol Drug Abuse Outreach Program, Inc. • Lorain Urban Minority Alcoholism and Drug Abuse Outreach Program • Mansfield Urban Minority Alcoholism and Drug Abuse • Toledo Urban Minority Alcoholism and Drug Abuse Outreach Program

29. Drug Courts • Criminal Drug Courts serving Adults in common pleas or municipal courts • Juvenile Drug Courts • Family Drug Courts • Comprehensive supervision, drug testing, treatment services, sanctions and incentives. • A total of 23 Courts receive funding.

30. Community Linkage • OhioMHAS and ODRC have a unique relationship. • The two departments work together to assist in re-entry services for the SPMI population exiting state prisons. • Community Linkage Social Workers assist this population in being linked with services in their respective counties at every institution. • Partnership with ODYS as well.

31. Community Linkage Objectives Provide continuity of mental health for offenders entering or leaving an ODRC prison or ODYS facility. Reduce de-compensation rates of released offenders to increase chances at recovery and successful reintegration. Reduce recidivism of offenders with mental illness who are involved in the criminal justice system. Build and strengthen information sharing and alliances across systems. Facilitate problem solving between the corrections and mental health systems and offenders related to accessing community mental health services. Enhance public safety by arranging post-release mental health services, recovery supports and benefits.

32. Eligibility Criteria for ODRC • Designated Serious and Persistently Mentally ill (SPMI)/C1 • Diagnosis • Schizophrenia/Schizoaffective • Bipolar Disorders • Major Depressive Disorder • Psychotic Disorder • The local mental health agency will determine appropriate level of service based upon the information provided by the community linkage referral packet.

33. Community Linkage Process • Voluntary Program • Offenders are interviewed • Collateral information is gathered • A referral packet is completed • Appointment information for post-release is obtained • All parties are notified: CMHC, ADAMH, ODRC/APA, HWH • When appropriate, there is then assistance with benefit applications, housing and transportation assistance, and linkage to other supports

34. Linkage Packet Information Current behavioral status Behavioral History Social History Violent Behavior Trauma/Victimization History Education/Vocational/Employment History Criminal History Psychiatric Treatment History Medical History Substance Abuse Substance Abuse Treatment Conditions of Release Discharge Summary

35. Additional Focus Areas Linkage to other services Assisting with SSI/SSDI benefit applications Assisting with Medicaid benefit applications Coordination with MCP’s

36. Expedited SSI • In 2010, OhioMHAS and ODRC identified a need for offenders with a severe and persistent mental illness to be able to apply for SSI/SSDI prior to release. • The OhioMHAS Prison Pre-Release Project is considered to be an expedited process due to the average 36 day determination time. • One of the reasons for the success of this project is that SSA and OhioMHAS developed a series of screening criteria that allows all parties involved to focus on the lowest functioning offenders who are most likely eligible for benefits.

37. Expedited SSI • Individualized services to highest risk, highest need offenders • Limited functioning • Can offender follow simple/repetitive tasks? • Can offender withstand stress and pressures of daily work? • Can offender relate to others, i.e. supervisors, co-workers? • History of hospitalizations/RTU placements • Supportive documentation

38. Calendar Year 2014- Data • Gender • 1,238 male • 355 female • Total = 1,593 • RACE • Caucasian = 62% • African American = 36% • Latino = 1% • Hx of Trauma = 49% • Hx. of Substance use = 77% • Refusal (to meet w/ CLSW)- 10% • Top Institutions • ORW = 8% • NePRC = 8% • CRC - 6% • MaCI= 5% • DCI= 5% • Top Counties • Cuyahoga = 15% • Franklin = 11% • Hamilton = 11% • Montgomery = 7% • Summit = 4% • Lucas = 4%

39. Criminal Justice Coordinating Center of Excellence The goal of the CJ/CCoE is for each county in Ohio to develop an array of programs that will divert people with mental disorders from jail and keep people with mental disorders in treatment.

40. Criminal Justice Coordinating Center of Excellence • Crisis Intervention Team (CIT) programs • Train police officers to help direct persons with mental illness into treatment instead of inappropriate incarceration. • The forty-hour training provides practical techniques for de-escalating crises. Officers learn to integrate their police training with some different approaches to a person they believe to have a mental disorder. • Role playing is utilized to make the experience as close to reality as possible.

41. Community Innovations • Divert appropriate individuals from the legal system and into behavioral health and support services • Screening • Appropriate Treatment • Re-entry Planning

42. Community Innovations • Twelve (12) projects were funded in SFY2014 • Seventeen (17) projects were funded in SFY2015 • Served 24 Counties in SFY14 and 30 Counties in SFY15 • $2 million for SFY2016 and $2 million for SFY2017

44. Specialized Dockets Payroll Subsidy • Provide Courts which operate specialized dockets with operational costs, namely personnel costs for court employed staff who are members of the specialized docket team. • 118 Courts received funding from this initiative last year. • As a result, courts were able to increase the number of participants to be served.

45. Community TransitionsInitiative • The proposal is three-pronged with a total budget of $27.4 million in FY 16 and $34.3 million in FY 17: • 1. Transfer current $12.5 million addiction treatment budget from DRC to MHAS. This budget largely consists of personnel who will become employees of OhioMHAS. • 2. Augment services within the state prison system to increase treatment resources to levels that meets identified need. This includes hiring approximately 60 additional personnel to work within the prison setting. • 3. Expand resources for outpatient recovery supports and treatment for released inmates.

46. Questions?