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WCSHA Winter Conference

WCSHA Winter Conference. Department of Corrections Deputy Secretary Deirdre A. Morgan December 6, 2013. Division of Adult Institutions (DAI). Demographics. Divisional Structure. Population. Scope of Mental Health & Substance Abuse Needs in DAI. Mental Health

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WCSHA Winter Conference

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  1. WCSHA Winter Conference Department of Corrections Deputy Secretary Deirdre A. Morgan December 6, 2013

  2. Division of Adult Institutions (DAI) Demographics Divisional Structure Population

  3. Scope of Mental Health & Substance Abuse Needs in DAI Mental Health Criminogenic Need: Substance Abuse Approximately 90% of current inmates are either on a waiting list or enrolled in AODA Treatment

  4. The Wisconsin Resource Center(WRC) • Currently housing 345 inmates, WRC is administered by the Department of Health Services in partnership with the Department of Corrections.  • WRC is a specialized mental health facility established as a prison to treat mentally ill inmates • WRC provides education, therapeutic services, social services, clinical services, nursing, and medical care to deliver the inter-disciplinary programs at WRC.

  5. Opening Avenues to Reentry Success(OARS) • The Department of Corrections partners with the Department of Health Services to administer the OARS program • Vision: To enhance public safety by supporting the successful community transition, recovery, and self-sufficiency of offenders with mental health needs • Serves men and women releasing to 25 counties in Southeastern Wisconsin • Case managers facilitate medical and mental health care, medication management, housing, employment, and transportation for up to two years post release

  6. Division of Community Corrections (DCC) Divisional Structure Population

  7. DCC Mental Health Services “The primary mission of Psychological Services is to assist Agents, Supervisors, Community Partners, Courts, and others to identify and develop mental health services that may aid an offender in being successful in the community during his or her period of supervision and upon discharge.” Staffing

  8. DCC Criminogenic Need at Intake Fiscal Year 2012 intakes

  9. Division of Juvenile Corrections (DJC) Divisional Structure Population

  10. Evidence Based Programming - evidence based practices have been integrated into core program areas for youth on community supervision. Examples include: Substance Abuse Disorder Treatment Sex Offender Treatment Mental Health / Medication Management Juvenile Cognitive Intervention / Families Count Mentoring • Education and Employment Training: Middle and High School Credits, HSED, career and technical education • Alternate Care (out of home residential care) • Transitional Independent Living • Aggression-Replacement Training

  11. Community Partnerships Aligning Community Supervision Standards with Evidence Based PracticesCollaboration is ongoing with community partners in an effort to increase opportunities for youth and enhance public safety. DJC partners with local: • Schools • Employers • Workforce Investment Boards • Social Services Providers • Law Enforcement • Wraparound and Reentry Networks • Transition Team meetings with youth, families and community providers aiding re-entry planning.

  12. Onsite medical and psychiatric services are provided by: • Physicians • Psychiatrists • Optometrists • Advance practitioners • Registered Nurses Health Services Unit (HSU) The Health Services Unit provides comprehensive medical care assisting to restore and maintain the health of juveniles involved with our programs. HSU is comprised of nursing, medicine, psychiatry and dentistry all of whom provide overall health care services. Psychotropic Medication is dispensed through HSU.

  13. Trauma Informed Care (TIC) Utilizing the TIC Grant DJC has worked with Wisconsin Family Ties to provide a Parent Peer Specialist to 10 Dane County families. Parent Peer Specialists help navigate the Juvenile Justice system, work to understand the effects of trauma on youth and family, and also help prepare families for a youth’s return home. • DJC is working to align current practices with trauma informed care models in order to best address trauma issues affecting youth transition and return home. • In partnership with DHS, DJC launched a major initiative in May 2012 to improve treatment for youth who have experienced significant traumatic life events.

  14. TIC Planning and Implementation • Utilization of SENSORY INTERVENTIONS in housing and segregation units has produced some very promising outcomes. Staff training and input is a key component to TIC success. • Sensory items include: calming rooms that include a controlled light source, aromatherapy/smell items, tactile/touch/feel items, auditory items-etc… these involve as many senses as possible. • Example items include: Weighted blankets, high quality reading materials, MP3 player, body pillow, wall pictures, sound machines, stress balls, etc.

  15. Example of a Calming Room

  16. By the Numbers: 75% of boys at Lincoln Hills School 100% of girls at Copper Lake School • Receive some sort of ongoing psychological services (this does not count the 29 boys at MJTC) (8 of our 25 girls have significant mental health needs) 57% of boys at LHS 58% of girls at CLS • Have an identified special education need 39% of boys at LHS 74% of girls at CLS • Are currently prescribed psychotropic medication Mental Health Services Mental Health services for both the Lincoln Hills boys school (LHS) and Copper Lake girls school (CLS) continue to be a significant emphasis. Combining continued service provided by PSU and a post-doctoral intern program allows for comprehensive mental health coverage for both Lincoln Hills and Copper Lake. DJC also contracts with the Department of Health Services (DHS) to provide 29 residential placements focused on mental health services to male youth at the Mendota Juvenile Treatment Center (MJTC).

  17. Substance Abuse Treatment Substance abuse treatment is provided through our Seeking Safety curriculum for boys and Reflectionscurriculum for girls. These are evidence based programs designed to address substance abuse issues. 83% of boys are identified as having some kind of substance abuse issue. 76% of girls are identified as having some kind of substance abuse issue.

  18. Other Programs and Initiatives Dialectical Behavior Therapy (DBT) DBT is appropriate for girls with suicidal or para-suicidal behaviors occurring within the past 6 months, borderline personality traits, conduct disorder, substance abuse disorders, and eating disorders. DBT is an evidence based cognitive behavioral skills group infused with mindfulness practices. Core mindfulness, distress tolerance, emotion regulation and interpersonal effectiveness make up the components of this program. TRIAD TRIAD is provided at CLS as a treatment group designed to treat asnd assist young women with histories of substance abuse, emotional problems, and trauma in the form of violence and/or abuse. TRIAD aims to build perseverance, positive and empowering skills. Increasing Family Involvement DJC is considering a Mobile Technology Initiative which could allow families and other support persons to connect with youth in juvenile facilities from their homes. In addition, multiple models for increasing family involvement are being explored; e.g. family advisory councils

  19. Questions

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