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KY Jail Mental Health Crisis Network KY’s New Service Delivery System. Council of State Governments Southern Regional Meeting July 31, 2006 Rita Ruggles, KY Dept. MH-SA Services and Connie Milligan & Ray Sabbatine Bluegrass Regional MH-MR Board.

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ky jail mental health crisis network ky s new service delivery system

KY Jail Mental Health Crisis NetworkKY’s New Service Delivery System

Council of State Governments

Southern Regional Meeting

July 31, 2006

Rita Ruggles, KY Dept. MH-SA Services

and

Connie Milligan & Ray Sabbatine

Bluegrass Regional MH-MR Board

a model of partnership handshake between jails and mental health
A Model of Partnership…Handshake between Jails and Mental Health
  • People with mental illness filling KY jails – suicide rate high
  • CJ report in 2002
  • Mandatory training for jail staff
  • Jails still wanted services
  • Developed Telephonic Triage
  • Success of pilot in ’03 prompted legislative lobbying
  • Legislation passed 2004
  • Implementation 2004 - 06
implementation process
Implementation Process
  • Statewide protocols
  • Software, phone & data connectivity
  • 86 jails – 14 CMHC regions have MOU and MOAs
  • Collaborative training
  • CMHC initiates on-call system
  • Jails put in screening instruments
jail mental health crisis network
Jail Mental Health Crisis Network

Identify

Triage

Level

Respond

Charge

Shame

Crisis

Counseling

Critical

Intake

Assessment

Substance

Abuse

Diversion

High

Booking

Screening

Telephonic

Triage

Suicide

Risk

Assessment

Follow-up

Referral

202A504

Institutional

Alert

Moderate

Mental

Illness

Observation

Psychiatrist

Low

Mental

Retardation

Request

Hospital

Acquired

Brain

Injury

slide5

Risk Assessment

Levels

Leveling Process

Charge Related Risk

Critical

Substance Abuse

Suicide Risk

High

Mental Health Symptoms

Depression

Moderate

Mania

Psychosis

Low

Personality Disorder

MR/ABI/ SA

jail risk protocols
Jail Risk Protocols

Housing

Safest Location

Supervision

Frequency of Observation

Clothing

Instrument of self harm

Property

Instrument of assault or self harm

Food

Instrument of self harm

kjcn program summary
KJCN Program Summary
  • 90% jail participation
  • 80% reduction in-custody suicide
  • Triaging 5-15% of bookings
  • Protocols provide consistency
  • Follow-up provides immediate MH expertise
  • Diversion is increased
  • Collaboration/interface with pretrial release services, courts, forensic hospitals and substance abuse diversion
triage program data
Triage Program Data
  • Over 12,000 Triages
  • 36% hospitalized in the last year
  • 65% have some suicide risk - 35% have critical or high suicide risk
  • 36% have substance abuse risk
  • 77% have symptoms of mental illness
  • Summary of Mental Health Risk Level
      • Critical = 2%
      • High = 37%
      • Moderate = 46%
      • Low = 15%
  • 45% of all Triages have CMHC visit with 98% response time compliance