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; Increase pre-release education with emphasis on “staying well” not just one EOS visit; Improve post-release community education and linkages; EFFECTIVE/INNOVATIVE ELEMENTS
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.
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.
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!
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
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.
Innovative Ideas • First half of MOU/MOA • Volusia – In-Reach • Veteran’s Affairs – Case Management Model • Resource Network for Offenders (living in the Community)
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.
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.
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.
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.
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.
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.
Recommendations Emphasize housing, transportation and supportive employment that SSI/SSDI eligibility.
Recommendations Increase use of split sentencing and creative sentencing with treatment conditions on probation.
Recommendations Improve data collection and analysis to enhance decision-making for future recommendations; focus on outcome measures.
Recommendations Use of Felony Forensic, Mental Health Courts and Outpatient Baker Act to ensure treatment compliance.
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.
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.
Recommendations Expand existing MOU/MOA with DCF, to include APD and other state agencies. Expand DC Re-Entry Initiatives.
Recommendations Use video technology to link resources to inmates for pre-release screening. Such as: SSI applications and Telemedicine.
Recommendations Medication funding for post-release inmates with incentives for compliance.
Restoration of Rights Summit SESSION F Mental Health and Health Services