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Continuum of Care  with a Community Transition Continuum of Care  with a Community Transition

Continuum of Care with a Community Transition - PowerPoint Presentation

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Continuum of Care with a Community Transition - PPT Presentation

Lucas County Your Presenters Michelle Butts   Lucas County PretrialPresentence Department Stan Cechvala   Correctional Treatment Facility Liz Conley Correctional Treatment Facility ID: 642063

aftercare treatment probation recovery treatment aftercare recovery probation county time lucas ohio risk adult pretrial assessment family community oras

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Slide1

Continuum of Care with a Community Transition

Lucas CountySlide2

Your PresentersMichelle

Butts,  Lucas County Pretrial-Presentence DepartmentStan Cechvala,

  Correctional Treatment Facility

Liz Conley, Correctional Treatment

Facility

Amanda

Wilson,

Lucas County Adult Probation Department

Joy Norwood, Lucas County Adult Probation

DepartmentSlide3

Lucas County Court of Common Pleas

Pretrial-Presentence DepartmentMichelle ButtsSlide4

What do we do?

Process clients from arrest to sentencing, and post-conviction relief3 components of department:Pretrial Booking

24/7, 365 days per year; located at county jail

Pretrial Bond Supervision

Includes Diversion screening and supervision, post-conviction relief reports

Presentence Investigation & ORASSlide5

Pretrial Booking

Complete pretrial risk assessment (Public Safety Assessment [PSA]) on everyone booked

PSA measures likelihood client will fail to appear, commit new crime and commit new violent crime

No interview needed, but we conduct interview on accused felons

Ask brief questions about substance abuse and

mental health problems

Make bond recommendationSlide6

GAIN—Short Screener

Completed in conjunction with PSA by TASC staffAdministered in five minutes

Identifies individuals who may have one or more behavioral health disorders

Gives recommendation (i.e.; full assessment)

Still working out how judges will use this informationSlide7

Treatment Alternatives to Safe Communities (TASC)

Provide referral and linkage to clients being released from jail, as identified by GAIN-SSConnect clients with Medicaid liaisonInforms current MH/AOD provider of consumer arrest and relink consumerSlide8

Pretrial Bond Supervision

Track any services recommended or established as a result of GAIN-SS

Make referrals for assessments based upon client’s self-report of MH/AOD problems or positive drug screensSlide9

CAUTION

Pretrial clients have certain legal and constitutional rights

Need to balance individual rights with

Need to protect public

Assure court appearance

Pretrial bond conditions should, therefore, not be excessive!Slide10

Ohio Risk Assessment System (ORAS)

Completed on

all

clients at time of referral for presentence investigation (PSI)

Predicts likelihood of recidivism and identifies clients’ highest Need areas

Primarily use the Community Supervision Tool (CST)

7 domains

Criminal History

Education, Employment and Financial Situation

Family and Social Support

Neighborhood Problems

Substance Use

Peer Associations

Criminal Attitudes and Behavioral PatternsSlide11

PSI & ORAS

ORAS officer suggests conditions and programming to address client’s needsORAS results and suggestions incorporated into PSI recommendation to Judges

PSI officer attempts to verify past/present MH/AOD treatment

ORAS vital to other parts of the judicial process………..Slide12

Treatment

Correctional Treatment Facility

Toledo, Ohio

Stan CechvalaSlide13

Ways of Entering a Community Based Correctional Facility

Community Sanction from Common Pleas CourtJudicial Releases

Adult Parole Authority

Outside Counties

Intervention

in Lieu/Community Control

Violations

Direct Sentencing

after completing ODRC.Slide14

Upon Arrival

ORAS (Ohio Risk Assessment System)AOD Assessment (alcohol & drug)ACE (Trauma Assessment)PREA (Prison Rape Elimination Act)Slide15

During Treatment

Assigned a Case ManagerTreatment Plans every 30 days based upon domains from ORAS.

High Risk Offenders serve roughly 120 days.

Moderate Risk Offenders serve roughly 90 days.

Criminal History

Education/Employment/Fin

Substance Abuse

Family/Social

Neighborhood

Criminal Peers

Criminal

Attitudes/Beliefs

Mental/MedicalSlide16

Types of Treatment

TFAC

SAFE

University of Cincinnati Cognitive Intervention for Substance Abuse

Relationship Building

Epictetus

Commitment to Change

Anger Management

Pro-Social Behaviors

Criminal Thinking

Recreation

Meditation

Sober Living

Education (GED program)

Healthy Living

Grief and Loss

TREM

Health and Wellness (Female Only)

Moving On (Female Only)

Parenting (Female Only)

YWCA (Domestic Violence classes for Female Only)Slide17

Challenges during Treatment

Resistance to AuthorityRapport, Rapport, RapportStages of Change Internal Sanctions

Communication is KEYSlide18

Releasing

Housing challengesWarrants, Holders, Work Release, Electronic Monitoring, No Contact Orders, Temporary Protection Orders, Sex Offenders, Arson Offenders, Transitional Sober Living

Environments

, Review Hearings, Notification of Judges, Notification of

Probation,

Vivitrol

Series, Mental Health.

Aftercare

preparation

Passing

along information (Treatment Plans, Discharge Summaries)Slide19

C.T.F. Aftercare

Presented by: Liz ConleySlide20

Recovery is a Lifelong Commitment

Once discharged, readjusting to everyday life can be difficult and stressful.

Since, it is

common to relapse back into old patterns within the first few months post-treatment, a continuing aftercare plan is crucial to the overall

drug recovery process

.

Communication

and collaboration with probation, parole, mental health and judges is important!Slide21

Combination of Treatment and Recovery: Emphasis on Recovery

Treatment – demonstrating skills learned while in aftercare on a daily basis.

Recovery

– linking client with sober support in the community for continued recovery following completion of aftercare sentence.

The

benefits of 12-step recovery programs include:

The opportunity to connect with other recovering addicts at free meetings and sober events

Access to motivational speakers and literature to help them to reach their recovery goals

Practical guidelines and strategies for coping with the daily challenges of addiction

The guidance of a sponsor who can lead client through the 12 steps, providing strength and

motivation.

 

“It’s time to start living this!”Slide22

CTF Aftercare Requirements

Aftercare includes: CTF aftercare requirements: from 2-4

MONTHS

MONDAYS, WEDNESDAYS AND FRIDAYS

Morning Group:

Time:

8:45 am- 9:45am

Afternoon Group

:

Time:

1:30 pm- 2:30pm

 

TUESDAY: Gender Specific groups

Women’s Group:

Time:

8:45-9:45am

Men’s Group:

Time:

10:15-11:15am

 

THURSDAY: (Employment Readiness Group)

Time:

9:00am- 10:30am

Attendance is Optional

 

Random Weekend Urine Drop Schedule: Saturday/Sunday

 

*Weekly

urine

screens (mandatory)

*

Curfew calls nightly; 10p.m.-Sun-Thurs; 11p.m.-Fri-Sat. random call backs nightly

*

Required to attend 6-8 12 step recovery meetings weekly (AA, CA, HA, NA).

*

Phase progression is based on performance

*

Allowed to work

with

stipulations

 Slide23

Components of Aftercare

Treatment Planning

Family Programming

Gender Specific Groups

Integrated Recovery Services

12 step recovery meetings

Community resources

Employment

Collaboration with other counties

Transitional housing (referrals, monitoring)Slide24

Treatment Planning

Treatment planning in Aftercare is interactive based on current issues or needs reported by the client.Completed within first week of aftercareFocus on the strengths and weaknesses as reported by client.

Reviewed with case manager regularly to evaluate progress in aftercare.Slide25

Family Programming

Help For the Family: Bi-weekly; conducted prior to release from residential programming.Aftercare programs help provide support and instruction for the clients’ family members.

Many times there is still a great deal of tension between the individual and the family caused by events that occurred during the period of drug use and/or criminal activity. Slide26

Gender-Specific Groups

A Place to Talk: Weekly 1-hour sessionsAnother valuable element of aftercare programs is the channel of communication

it opens up for the recovering addict. The individual goes through a lot when returning home after rehab: can become easily and quickly overwhelmed.

i.e.

relationships with significant other, kids, work, appointments, transportation, housing, using thoughts, etc.Slide27

Integrated Recovery Services

Throughout the recovery process, treatment for mental health disorders should be integrated with treatment for addiction to ensure the best outcome.

(referrals made by both the p.o. and case mgr.)

In aftercare, mental health professionals and addiction counselors should continue to work together as members of your treatment team. Slide28

Community Resources and Partner AgenciesSlide29

Re-Entry Coalition:1st Wednesday

The Going Home to Stay meeting was developed cooperatively by the Reentry Coalition of Northwest Ohio and the Ohio Adult Parole Authority. It is designed for front loading services to ex-offenders and their families. The meeting is open to

ANYONE

on or off of supervision. Slide30

Re-Entry Coalition

The format for the event is simple: Organizations that attend the meetings are given 3-5 minutes to present an overview of their organization and the services that they provide. When the presentations are concluded time is allotted for individual consultation with participants. During this time the representative can:

Arrange appointments

Give more detailed information about the organization

Address specific issuesSlide31

Partner Agencies

Government AgenciesCommunity agenciesEconomic OpportunitiesAIDS/ARCVeteran Affairs

Job and Family Services

Child Support

University of Toledo

Ohio State Extension

YMCA

The Source

Social Security

ABRI

Weed N Seed

Citizen Circle

Faith Communities

Rehabilitation Services Commission

Treatment Alternative to Street Crime

Haven Homes

CareNet

Ohio Benefit Bank

ABLE

Legal Aid of Western Ohio

Ohio Bureau of Motor Vehicles

Fair Housing

Neighborhood Properties

Cherry Street Mission

Parents Helping Parents

Ohio Benefit Bank (OBB)

(CTF CLOTHING CLOSET)Slide32

LUCAS COUNTY ADULT PROBATION DEPARTMENT

Amanda WilsonSlide33

18 months Continuum of Care

First 90 – 120

daysSlide34

CTF / Aftercare

30 – 90 daysOffice Visits – determined by the ORAS score.

Case plan

Interventions –

as requested.

If applicable -

Life Skills Groups.

CALM

C

= Cognition: Is this up to me or not?

A

= Act: What is the best course of

action

to take?

L

= Let It Go: Find a way to accept what is happening without causing fear or stress.

M

= Move On: Do not spend time dwelling on things beyond your control. Slide35

6 – 12 monthsCase plan reviewed

Goals modifiedCommunity referrals as needed.

Professional life support.

LCAPD Transition Slide36
Slide37

Lucas County Adult Probation

~

Joy Norwood

Lucas County Adult Probation

~

Lucas

Colusa

County Adult Probation

~Lucas County Adult Probation

~

Joy Norwood

unty

Adult Probation

~

Joy Norwood

Joy NorwoodSlide38

Risk-Need-Responsivity Model (RNR)Slide39

Three Core Principles:

1

Risk Principle

2

Need Principle

3

Responsivity Principle

Slide40

Risk Principle

Match the level of service to the offender’s risk to reoffend.

1Slide41

Need Principle

Assess criminogenic needs and target them in treatment.

2Slide42

Responsivity Principle

Maximize the offender’s ability to learn by providing cognitive behavioral treatment and tailoring.

3Slide43

Therefore . . . To Increase Success We Have To Start To . . .

Become a “Change Agent”

Traditional Supervision – Formulated as a Case Management System.

Cognitive-Behavioral Interventions

Motivational Interviewing

Trauma Informed Awareness

Problem-solving – identify obstacles.

Client Directed ServicesSlide44

Reassessment of Needs –

What Occurs After Reduction

Positive Rapport Building

Create a New Baseline and a New Focus

Case Planning

Utilize Assessment Tools

Determine Future Goals

Future Planning:

What Happens NowSlide45

Result . . .

Success and Productive Members of Society.

Probation Department