Lucas County - By the Numbers

1. Jail Projects to Reduce Incarceration Rates of the Mentally IllScott A. SylakExecutive Directorssylak@lcmhrsb.oh.gov

2. Lucas County - By the Numbers • Lucas County Correction Center opened 1977 • Rated Capacity 342 plus 24 medical beds • Approximately 20,000 bookings annually • Routinely held between 380 and 475 pretrial inmates • Additional 438 beds at Corrections Center of Northwest Ohio for sentenced inmates • Federal Court Order since 1977 acted as the only population management tool • In 2013 FCO mandatory releases resulted in 6,604 misdemeanant and non-violent felony releases, representing 1/3rd of all releases

3. Lucas County - By the Numbers • 50% of people booked were released within 24 hours, of those 30% within 8 hours • 60% of all Failure to Appear charges were from individuals released because of the FCO • 8.5% of individuals (1,000) booked represented 23% of all bookings • Of those 1,000 individuals, 70% were known to the MHRSB system of care, 32% of them receiving service within the last year. • Of those receiving services within the last year, 37% received crisis services, but only 2% went to the state hospital • January 2015 FCO enforced - Lucas County Correction Center capacity capped at 409 inmates

4. SEQUENTIAL INTERCEPT MAPPING & – PURPOSE AND GOALS • Develop a comprehensive picture • Identify Gaps, resources and opportunities • Develop Priorities for system improvements and responses which • Promote & support recovery • Provide safety and quality of life for all • Keep out of jail and in treatment • Provide constitutionally adequate treatment in jail • Link to comprehensive, appropriate, and integrated community-based services

5. MACARTHUR GRANT SAFETY AND JUSTICE CHALLENGE – PURPOSE & GOAL • Map justice system operations (arrest through post conviction supervision) • Identify problem areas, such as information flow, capacity issues, delays and resource gaps • Illuminate current policies and practices that are increasing local jail populations • Develop and prioritize viable jail reduction strategies • County Specific goal of 19% or more • Address DMC

9. INTERCEPT 1 – LAW ENFORCEMENT STRATEGIES • Crisis Intervention Team Training • 4 one week training sessions, 2 one day refresher sessions, over 500 trained. • Mental Health-based specialized response • Emergency Services, 24/7 with over 3,000 “in field” evaluations conducted annually • Hybrid Law Enforcement/Mental Health response • Law Enforcement Assisted Mental Health Mobile Crisis (planning stage) • Overdose Investigation and Referral • Lucas County Sheriff’s Department Drug Addiction Response Team (DART), investigates overdoses upon notification from EMS and refers victim to treatment and recovery housing • Psychiatric Urgent Care Center • Law enforcement diversion center for low level psychiatric offenders (planning stage)

10. INTERCEPT 2 – INITIAL DETENTION AND COURT APPEARANCE STRATEGIES • Pre – Arraignment Risk of Recidivism Screen • Public Safety Assessment created by the Arnold Foundation and administered by Lucas County Pretrial Booking Officers, began January 2015 • Pre – Arraignment Mental Health & Substance Use Screen • GAIN Short Screener to be conducted by Jail Counselors, projected start December 2015. • Pretrial Release AOD and MH Support Services • Assessment, referral to treatment and case management provided by Treatment Accountability for Safer Communities (TASC) of Northwest Ohio upon court order.

11. INTERCEPT 3 – JAILS AND COURTS STRATEGIES • Specialty Courts • Veteran’s Court in Toledo Municipal Court • 2 drug courts planning stages in Lucas County Common Pleas Court • Driver’s License Reinstatement Court in Toledo Municipal Court • In-Jail Services • Psychiatry Services 16 hours per week • Forensic Linkages Project screens and links current inmates with behavioral health services prior to release. Project conducted by TASC • Community Mental Health system CPST services available to inmates who are existing clients of MHRSB system • Jail Vivitrol Project conducted by A Renewed Mind • Medicaid Benefit Enrollment • Inmates are enrolled in Medicaid prior to release by LCJFS

12. INTERCEPT 4 – REENTRY STRATEGIES • Facilitated access to psychotropic medications • Inmates who are stable and taking meds can get up to 60 days of psychotropic medications upon release from CCNO or the LCCC • Reentry Services • Pre and post release services based upon the Risk, Need and Responsivity principles provided by TASC at CCNO, LCCC, ODYS, and ODRC facilities • Reentry support service provided by the Reentry Coalition of Northwest Ohio, including Citizen Circles and 1st Wednesdays • Program of Assertive Community Treatment (PACT) • Provides intensive mental health treatment services to the NGRI and ICST populations who are released from hospitalization, project conducted by Unison Behavioral Healthcare Inc.

13. INTERCEPT 5 – COMMUNITY CORRECTIONS STRATEGIES • Specialized Probation Officers • Community Based Correctional Facility • Work Release • Electronic Monitoring • Indigent Driver’s Alcohol Treatment Fund projects including SCRAM Monitoring • Probation Incentive and Improvement Grants (PIIG) • Mental Health Forensic Monitor

14. Impact throughout Lucas County • Jail is currently compliant with FCO, population is holding at 409 inmates, but needs to get down to 327 to effectively compete for MacArthur funds • Emergency shelters, hospital psychiatric units, crisis care units and state hospital beds are full most days • MH and/or AOD treatment is available within 48 hours of request • MAT services require additional wait time • Psychotropic medication access for new clients can take up to 6 weeks • Permanent supportive housing, supported employment, transportation and peer supporter services still needed • Medication Expansion has had the most impact on our ability to implement many of these strategies!

15. Questions?