Transcript Bridging the Gap: Sustainable Forensic Reentry & Recovery

“When you realize that clients are not just
survivors but really resilient and are capable of
incredible improvement in their lives; there is
nothing more rewarding and satisfying than
that.”
-John Paul Sharp
Kathryn Kite: Coordinator of Homeless Services
Jennifer Alderman: Coordinator of Housing Voucher, CRS, Kenyon House
Sound Mental Health
Seattle, Washington, USA
[email protected]
[email protected]
Sound Mental Health
Our Mission is to strengthen our community and improve
the lives of our clients by delivering excellent health
and human services tailored to meet their needs
 Mental Health
 Chemical Dependency
 Sound Works
 Housing
 Wellness
2009 Adult and Youth Census – 15,500
The Catalyst
Mentally ill person murdered a retired Seattle Fire Chief
Resulted in the implementation of:
 Mental Health Courts
 Hospital Triage Center
 A State Reentry Pilot Project
(Forensic Intensive Reintegration Support and Treatment)
SMH staffed these courts, developed the pilot project and
decided that was not enough.
Discovering the Problem
 70% of the mentally ill never receive treatment
 75% with addiction problems go untreated
 83% females and 71% males left school before age 16
 50% were unemployed at the time of crime
 80% meet the definition of homelessness
Designing a Solution
Mentally Ill Offender Community Transition Program
The legislators liked what we accomplished and
developed additional Senate bills using our design.
 Offender reentry Community Safety Program
 Reentry Housing Pilot Project
 Department of Social and Health Services Referrals
 Department of Corrections Liaison
Bridging the Gaps
Shifted paradigms
 Department of Corrections and Police
 Housing
Challenged funders
 “take your money back”
Included the now obvious
Our Brag
We challenged the system and implemented what is now
considered statewide forensic best practices.
We have grown from:
 25 ex-offender consumers to 3,500
 2.5 forensic specialists to 78
Expanded revenue resources from $500,000 to $8 million
Our Forensic Contracts
 U.S. Federal Pre-trial, and Post-trial
 State Prison Programs
 Regional and Municipal Courts and Jail Liaisons
 Work release/alternatives to incarcerations
 Community Corrections Alternative Programs
Our Consumers
We work with those who are:
 Incompetent to stand trial
 High need, e.g., have 7 or more incarcerations in one
year
 Under court and/or state jurisdictions
 Multi needs, no supervision, homeless, drug
addicted, psychotic, and medically compromised
 Pre-trial
 Diversion
 Post-trial
Deborah
“ I told the ladies in the jail I was discovered by the FISH.”
Lets Plan the Steal
Ensure the programs include:
Team approach
Cross system collaboration
Housing
Peer staff
Employment/Vocational
Did You Know the Labels?
The FACT is not the PACT, both are based on the ACT and have
fidelity to the DACT.
The ACT is not START, CO-STARS, FISH or ORSCSP; research
tells me they are FICMs.
Clients are FIRSTs, ORCSPs, Offenders, SOs, CODs; never just
consumers.
Our staff are specialized in MH, CD, MRT, CBT, DBT, IDDT and
SEP; never just forensics.
Team Approach
Trans-Multi Disciplinary Team
Cross Systems
 Inclusion of Criminal Justice system
 Housing Personnel
 DSHS Benefit Specialists
 Payee
Housing
1089 units/beds
Mc Dermott Place
Hudson
They Walked the Walk…
Employment
Supportive Employment
 Forensic Employment Case Manager
 Asset development
We Use Them, So Can You
Evidenced-Based and Promising Practices
 Post Release Multi System Care Plans
 Integrated Dual Disorder Treatment
 Motivational Interviewing
 Moral Reconation Therapy
And If You Need More…
 Forensic Assertive Community Treatment
 Supportive Employment Program
 Forensic Peer
 Forensic Intensive Case Management
 Housing First
Before You Try This At Home…
 Community safety
 Best practice models
 CD philosophy
 Criminal justice
 Forensic supervision
interventions
 Satellite offices
 Crisis intervention
 Community buy-in
 Level of care
Consumer Value
Co-occurring Disorder Pilot
 75% of participants completed program
Offender Reentry Community Safety Program (ORCSP)
 76% remained in treatment
 82% housed upon release
 100% attained DSHS benefits
 Improvement in quality of life
Housing Voucher & Case Management Services:
 51% moved into permanent housing
Community Value
Prison Reentry Outcomes: Nationally, 37% of offenders
return to prison within 5 years.
 Mentally Ill Community Transition Program
▫ 10 year – 28% recidivism
 Offender Reentry Community Safety Program (ORCSP)
▫ 3 year felony – 27% recidivism (comparison group 43%)
 Reentry Housing Pilot Project
▫ One year felony –1% recidivism
Long-Term Value
 Housing Voucher & Case Management Services:
▫ 57% of participants had reduced bookings
 Criminal Justice Liaison Program
▫ The average participant had 2.5 bookings per year. After
one year, the bookings decreased to 1.9 per year.
 Co-occurring Disorder Pilot
▫ In 4 years, bookings dropped from 2.3 to 1.8
▫ 58% never returned to jail
Financial Value
Cost Savings
 Mentally Ill receiving treatment in a WA prison – $90,000
annually
 Mentally ill receiving treatment in King County Jail –
$45,000 (148 day average length of stay)
Annual cost to provide community treatment for high risk
offenders is $15,000 –$20,000
 Prison Saving – $70,000 per individual
 Jail Saving – $25,000 per individual
Why it works:
 King County MHCADS 2000 – Systems Integration Mentally
Ill Offender Community Transition Program
 Pioneer Human Services 2003 – Partner of the Year
 USA National Council for Community Behavioral Health Care
2004, Public Policy Award of Excellence
 King County MHCADS 2008 Exemplary Service – Community
Integration Assistance Program
 Low Income Housing Institute Appreciation for Commitment
to End Homelessness (for Offenders) 2009