Transcript Illinois Department of Human Services
Illinois Department of Human Services
Division of Mental Health Services and Forensic Initiatives April 23, 2009
Presenters
Anderson Freeman, PhD., Director, Forensic Services Jordan Litvak, Executive Director, Region 3&4 Gustavo Espinosa, Executive Director, Region 1 Central James Novelli, Executive Director, Region 5 Robert Granger, Acting Executive Director, Region 1 South Dan Wasmer, Acting Director of Region Services
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Hospital-Based Care
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There are 9 State Operated Hospitals h mental illness.
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There are 23 private hospitals providing care funded by DMH under the Community Hospital Inpatient Psychiatric Services (CHIPS) contracts.
Illinois Department of Human Services Division of Mental Health State Operated Facilities Catchment Area Map by Hospital
DMH Community Providers
• • • • •
Regions manage contracts with 149 private provider organizations.
Each provider operates a different array of program and residential sites.
Some providers operate 1 site, others operate multiple sites. DHS/DMH sets standards the providers must conform to maintain certification.
Individual services must comply with Rules and Regulations set by DHS/DMH.
DMH Vision
It is the vision of the DMH that all persons with mental illness recover, and are able to participate fully in life in the community.
“The Expectation is Recovery!”
Three Ways to Access DMH Service System
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2.
3.
Consumer request for services at local Community MH Center.
Consumer in crisis presents at a local community hospital emergency room. Family and/or friends can go to the Cook County States Attorney’s Office to get a Writ of Detention.
Local Emergency Room
A common entry point for the public MH system.
Result in the patient receiving: Medical Clearance Psychiatric Evaluation Benefits Clearance Pre-screening by community MH provider )Relationship building )Offer less restrictive, community based alternative )Begin discharge planning
Emergency Room [Continued]
1.
2.
3.
If hospitalization needed -- three choices: Private community hospital admission using insurance/other coverage; Private community hospital admission using CHIPS funding from DMH; or Transfer to State Operated Hospital.
Emergency Room [Continued]
Sometimes hospital crisis workers, or community agency crisis workers co-located at the emergency room, will help construct a plan by which the individual can leave the ER without hospitalization.
When this happens, the individual may be immediately linked or rapidly linked to community based services.
Principals of Recovery
Hope Self-Direction Individual and Person Centered Empowerment Holistic Non-Linear Strength – based Peer support Respect Responsibility Excerpts from the Goal of Services in a Transformed Mental Health System Prepared by: Nanette Larson, Director of Consumer Recovery Support Services
DMH Community-Based Services:
Designed for People who have a Serious Mental Illness (SMI) or a Serious Emotional Disorder
Schizophrenia Schizophreniform Disorder Schizo-affective disorder Brief Psychotic Disorder Psychotic Disorder NOS Bipolar Disorders Major Depression Obsessive-Compulsive Disorders Anorexia Nervosa Bulimia Nervosa
DMH Funded Services
Assertive Community Treatment (ACT) Case Management Community Support (Team, Group, Individual) Crisis Intervention Psychosocial Rehabilitation Counseling/Therapy Psychiatric evaluation, medication administration & monitoring Supported Residential Supervised Residential Permanent Supportive Housing (New)
Valued Approaches to People Recovering from a Serious Mental Illness
Wellness Recovery Action Planning (WRAP) Peer Support Services Mental Health and Justice Initiatives Diversion activities Individual Placement and Support Rapid engagement in job search, job development and retention, Ongoing supports
How to locate a mental health center?
By computer: www.illinois.gov/government/agency.cfm
Scroll to: Department of Human Services, then down to Office Locator Type in: Mental Health; Look up by County. For Cook County type in Zip Code. The nearest MH Center will be listed .
Via phone call: 1 (800) 853-6154 (voice) 1 (800) 447-6404 (TTY)
DMH Regional Offices
Regional Directors represent the Division of Mental Health Monitor state contracts with community mental health agencies Help Coordinate Services with other Divisions.
Work towards integrating services.
Region 1 North – (773) 794-4139 Region 1 Central – (708) 338-7200 Region 1 South – (708) 614-4002 Region 2 (collar counties) – (847) 742-1040 #2002 Region 2 (northwest)- (815) 987-7910 Regions 3 and 4 (central) – (217) 786-6866 Region 5 (metro east southern) – (618) 474-3348 Region 5 (southern) – (618) 833-8266
An FYI
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Illinois Mental Health Collaborative for Access and Choice (The Collaborative)
Serves as a third party administrator for the Division of Mental Health Processes claims and maintains the DMH data base Supports DMH monitoring of services Supports DMH Recovery Services, including “Warm Line” Provides centralized clearing house for complaints: (866) 359-7953 (voice) (866) 880-4459 (TTY)
Questions
BREAK
Mental Health and Justice System Transformation: Special Projects
Anderson Freeman, Ph.D., Deputy Director for Forensic Services
Three Cs of Transformation
Capacity Building Continuum of Care Collaboration …….For the Justice Involved Individual with SMI and Co-Occurring Disorders
DMH Community Treatment Data (2006) 2,244 consumers of 129,564 consumers were UST or NGRI 2,872 consumers of 129,564 were referred by corrections or under court supervision (parole or probation) IDOC & Jail Data Based on IDOC data approximately 3000 or 10% of all inmates paroled in a given year have serious mental health issues that necessitate care in the community.
Cook County Jail which has a daily census ranging from 9,000 to 11,000 treats 10% of the jail population for serious mental illness.
There 22,000+ jail beds in Illinois. Researchers estimate that 10% -16% of detainees have serious mental illness.
JailAdm.
JailAdmU Positve X PositiveUX
#exclus.
#elig. Link Actual Link 30 Day Data-Link July 1, 2007 - May 20, 2008 Will
7620 6450
Peoria
13409 9016 1010 1528 786 934 663 123 730 204 118 47
Jefferson Marion
2518 1913 292 2188 1684 368 202 251 83 119 172 353 79 184 119 77 79 26 43
Proviso
514 387 34 31 15
Cook*
75140 62398 4476 3546 1292 2254 168 25
Top Ten High Impact IDOC Re-Entry Regions in Illinois (2004 data) County/Community Ranked / Parole Rate Macon (Decatur) Cook % of Parole Population 1.9
59.7
Winnebago (Rockford) Peoria Champaign/ Vermillion Jefferson Sangamon (Springfield) Rock Island St. Clair /Madison (East St. Louis) Collar Counties (esp. Aurora) 2.8
1.8
2.3
0.3
1.5
0.8
3.1
9.8
Population 114,706 5,376,741 284,313 183,433 262,969 40,045 114,706 147,912 258,606 261,689 2,954,577 Parole Population 689 19,561 930 571 764 105 460 273 416 534 3,223 2.6
2.4
1.9
1.8
Rate #Parolees per 100,000 6.0
Recidivism Rate (%) 50.1
3.6
3.1
57.4
51.6
3.1
2.9
1.1
60.7
54.4
54.4
54.6
45.4
54.2
n/a
DMH Justice & Mental Health Transformation Goals
A Recovery Oriented System for Individuals with mental illness who are involved in the criminal justice system.
Improved continuum of mental health care for individuals involved with the criminal justice system.
Intercept 1
Law enforcement / Emergency services Dispatch 911
Intercept 2
Initial detention / Initial court hearings
Intercept 3
Jails / Courts
Courts Intercept 4
Reentry
Intercept 5
Community corrections/ Community support Violation Violation
Jail
Jail Re-entry
Transformative Activities
Cook County Jail Diversion Community Re-integration Collaborative (SMHSA Grant 2006-2008) Jail Data Link Expansion 2 (ICJIA) Transformation Transfer Initiative/MHJ Regional and Statewide System Mapping (NASMHPD) Veterans Re-integration Initiative (SAMHSA Grant 2009) Mental Health Court Association Development Integrated Mental Health Court Database (Partnership with Justice Kathryn Zenoff and Council of State Governments) Mental Health and Justice Center of Excellence (BJA Grant Application 3/12) Mental Health Juvenile Justice Program Expansions
Examples of Impact of Transformation Activities
Jail Data Link Program County Expansions Additional CIT officers trained (over 800 trained in Cook County) Expanded Cook County Mental Health Court Statewide Mental Health Court Expansions (over 300 participants) Veterans Re-integration Initiative projects in Cook County and Rock Island Regional Mental Health and Justice stakeholder groups Judiciary Involvement Development of an Integrated MHC Database Development of a Center of Excellence for Mental Health and Justice (BJA grant application)
Description of Jail Data Link
The Jail Data Link program provides a web based computer cross match between the census in county jails and open DHS cases. The program identifies individuals in our targeted mental health population that should have been involved in services with community mental health providers, but have been detained in jail. The program also provides case managers located with community providers that provide linkage to community services from county jails.
Contact Information
Anderson Freeman, Ph.D.
(312) 814-1646
DMH Justice & Mental Health Transformation Goals (continued)
Increased collaboration between system partners and stakeholders to facilitate federal funds to the state, advocacy for helpful legislation, and expansion of existing initiatives and practices.
Improved integration with Illinois county court systems in responding to Forensic and MH/Criminal Justice issues.
JDL Rock Island MHC PRU PRU PRU Madison MHC PRU Winnebago MHC McHenry MHC Lake MHC Cook Proviso MHC Dupage MHC Cook MHC JDL Kane MHC JDL PRU JDL
Illinois Mental Health & Justice Adult Diversion Initiatives MHC = Mental Health Court JDL = Jail Data Link Program (DMH) CIT = Police Crisis Intervention Team PRU = Placement Resoure Unit (IDOC)
Sample Case #1 -- Region 3 & 4
Steven -- Illustrates how people released from DOC informally make their way into DMH funded programs. At the same time, it underscores the risk factors that could be avoided if a coordinated referral and linkage effort was in place between these service sectors.
Sample Case #2 -- Region 5
Alex – Illustrates how collaboration between the Probation Office and the local Community MHC can help to titrate services from each partner to match need of the individual over time.
Sample Case #3 – Region 1
John -- A case that illustrates how some cases take continued hard work by all partners over time. Partners do much to keep each other going under circumstances that would overwhelm a single provider.
Sample Case #4 -- Region 3 & 4
Sally -- A case that illustrates how existing relationships between Probation Office and Community Provider can pave the way for quick response to emergent needs that might otherwise cause a person to loose ground or return to an institution (prison/hospital/or both).
Sample Case #5 -- Region 5
Jeremy -- A case that illustrates how the addition of a court order to existing ACT services helped a homeless person with a history of violence find stable housing, stay off drugs, make friends, and begin to re-connect with family.
Sample Case #6 – Region 3&4
Bobby -- A case that illustrates how “disconnects” from DOC to community public mental health services could create high risk situations for the individual, the community MHC, and the Department of Correction.
Sample Case #7 -- Region 5
John II -- A case that illustrates how the addition of mental health court oversight helped to bring very troublesome symptoms, which were not previously controlled by mental health care alone, under control and lead to positive steps to recovery.