Transcript Skagit County Community Services

Skagit County
Community Services
Adult Mental Health
Program Update
March 9, 2011
Crisis Intervention Team Training –
0.1%, Millage, Grant funds
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Community-based collaborative effort between law
enforcement and the mental health community to
help law enforcement officers handle incidents
involving mentally ill people.
Training is free and focuses on providing practical
techniques for de-escalating crises.
Officers learn to integrate their police training with
different approaches to a person they believe to
have a mental disorder.
CIT Topics
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Overview of Mental Illness, Personality Disorders, Medications
Suicide Prevention
Threat Assessment, De-escalation & Calming of Individuals
with Mental Illness
Co-Occurring Disorders & Substance Abuse Treatment
Involuntary Treatment Process
NAMI In Our Own Voices
PTSD/Veterans
Seniors
Youth & Children
Community Treatment Resources
Site Visits
Skagit County Participation
Agency #s
2006
2007
2008
2009
2010
Total
Anacortes
25
1
4
5
2
2
14
56%
Burlington
25
6
0
2
2
3
13
52%
Mount Vernon
45
12
3
5
3
3
26
58%
Sedro Woolley
15
2
2
1
0
1
6
40%
Sheriff
62
4
0
2
9
3
18
29%
Jail
39
0
0
4
1
1
6
15%
Subtotal
211
25
9
19
17
13
83
39%
Juvenile Detention
24
2
2
8%
DOC
8
2
2
25%
Probation
5
3
1
4
80%
911
1
1
0%
Other
1
1
0%
18
93
38%
Total
248
25
9
19
22
Adult Mental Health Court – 0.1%
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Skagit County Mental Health Court is a collaborative,
problem-solving court designed to promote public
safety and reduce recidivism among mentally ill
offenders through an intensive program of
evaluation, treatment and frequent monitoring of
compliance. Its goal is to bring long-term stability,
sobriety and safety to mentally ill offenders while
ensuring the security and well-being of the
community.
Mental Health Court Overview
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Pilot program began in District Court in
November 2004
Moved to Superior Court in 2006
Current model began in January 2007
Felonies and misdemeanors
Treatment Team: MHP, CDP, CM,
Psychiatrist
Outcome Challenges
Mental health courts have existed for only a short
period of time, are often very small (frequently
having only a few dozen participants), and vary
considerably in the services offered and length of
supervision.
Mental health courts are relatively new so studies have
been based on short follow-up periods and do not
indicate the long-term impact of these programs.
Few studies consider community context, which
impacts treatment services offered, public sentiment,
and the indirect outcomes of mental health courts. 1
Numbers & Results
37 participants since court began in 2004
 13 graduates
32%
 12 terminations
32%
 3 deceased
08%
 1 moved
03%
2010
 32 clients served
Recidivism
Research strongly suggests that mental health
court participants have lower rates of new
criminal charges while under court supervision
than individuals with mental illnesses who go
through the traditional criminal court system.
There is some empirical evidence to support the
belief that this trend may continue after
graduation, when individuals are no longer
supervised by the court. 2
New Post-MHC Criminal Charges
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30% of graduates have new post-MHC
criminal charges
42% of those terminated for non-compliance
have new post-MHC criminal charges
Effectiveness of Treatment
There is some research to suggest that mental
health courts are a more effective means of
connecting individuals with treatment services
than the traditional court system or jails.
There is some empirical evidence to support the
belief that, when compared with participants’
mental health status before enrollment, mental
health courts have a positive effect on
participants’ mental health. 3
Estimated Local Savings
770 jail days or
 25 ER visits or
 91 hospital days or
Total:
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$52,360
$12,500
$50,050
$114,910
Local Costs
2010 MHC Treatment Cost :
2010 MHC Legal Cost:
Prosecuting Attorney
Public Defender
Superior Court
Public Nurse
Total 2010 MHC Cost:
$81,800
$26,906
$13,655
$7,441
$1,155
$130,957
2010 Treatment Cost per client: $1,902
2010 Total Cost per client:
$3,045
Contact Information
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Rebecca Clark
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Skagit County Community Services
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419-3363
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www.skagitcounty.net/MHC
Community Wellness Program – 0.1%
Links eligible Skagit County residents who do not have
access to mental health services to counseling
services from private mental
health professionals in
Arial
the community.
Case Manager conducts a brief financial screening,
verifies Skagit County residency, and links clients to
contracted mental health provider.
The case manager will also help the individual apply for
public benefits.
Client Stats
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2010
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363 intakes
1948 therapy sessions
5.3 average sessions per client
$358 per client
2011
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169 current clients
28% are homeless
Contact Information
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Roger Capron
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Skagit County Community Services
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419-3379
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www.skagitcounty.net/CWP
Jail Transition Program – State funds
The Jail Transition Program (JTP) uses a postbooking case management model to facilitate
safe transition from confinement to
community services for inmates who have
mental health disorders.
The objectives of transition services are to
lessen recidivism and to support individuals
in becoming productive members of society.
JTP Eligibility
Case Manager crosschecks jail bookings with
the public mental health system database.
Inmates identified as past or current mental
health clients are screened for program
eligibility.
Inmates not previously enrolled in the public
mental health system but who may need or
want mental health services are also served.
Client Stats
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2010
– 94 clients served
– 40% homeless
– 82% co-occurring
– 95% received public benefits
Contact Information
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Joey Warner
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Skagti County Community Services
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419-7684
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www.skagitcounty.net/JTP
Skagit Treatment Engagement
Program – Federal Block Grant
Skagit Treatment Engagement Program
(STEP) is aimed at difficult to engage
individuals, aged 13 and above, who have a
mental illness, and who are homeless and/or
resistant to engaging in center-based mental
health treatment.
Program Objectives
STEP locates and reaches out to individuals with
mental illness who need intensive efforts to become
engaged in ongoing mental health services. The
length of service time is open-ended but the
objective is to successfully engage an individual
within at least twelve months from intake.
Mental health and chemical dependency treatment
resources, housing, and financial means are among
the priorities.
Client Stats
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2010
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64 clients contacted
36% obtained or maintained housing
52% have co-occurring disorder
56% engaged in mental health services
44% obtained public benefits
Contact Information
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Faviola Lopez
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Skagit County Community Services
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419-3378
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www.skagitcounty.net/CommunityServices
Peer Connections Center – Millage
funds, NSMHA funds, (previously
0.1%)
The Peer Connection Center is a supportive
and welcoming recovery oriented community
where adults living with mental illness can
gain skills and confidence and pursue their
own recovery in collaboration with peers,
advocates, staff, friends and neighbors.
Located at 1115 Riverside Drive, Mount Vernon
Hours: 10 am to 4 pm
Peer Connections Center
2010 Services
 345 new clients
 60-70 clients per days
 12,000 meals
 585 groups
Notes
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3.
Almquist, L., and Dodd, E. 2009. Mental Health Courts: A Guide to
Research-Informed Policy and Practice. Council of State Governments
Justice Center
Ibid.
Ibid.