Transcript TRIAD Texas Resources for Iraq

Veteran’s
Jail Diversion
and
Trauma
Recovery
3rd Annual Justice-Involved Veteran’s Conference
San Antonio, Texas
The Menger Hotel
February 02-03, 2012
Jail Diversion Trauma
Recovery Pilot
Priority to Veterans
Leon Evans,
President and Chief Executive Office
The Center for Health Care Services
Mental Health Authority
[email protected]
Aaron Diaz,
Director Crisis and Jail Diversion Services
The Center for Health Care Services
[email protected]
Gilbert Gonzales,
Director Communications and Diversion
Initiatives
The Center for Health Care Services
[email protected]
Melanie Lane,
Clinical Director, The Restoration Center
The Center for Health Care Services
[email protected]
The Diversion Process
Point of Contact with
Law Enforcement
CIT/Deputy
Mobile
Outreach Team
24/7 Crisis
Services
Emergency
Transport to
Hospital
*Pre-Arrest Diversion
Arrested
Pre-Trial
Diversion
Genesis
Magistrate
Court
Bexar
County Jail
Probation,
Incarceration,
Parole
Post-Booking Diversion
Referrals to
Community
Providers
Community-based
Wraparound Care
Treatment in lieu of
Incarceration
Residential
Respite
* Federal Grant Award
2003
System Level
Judicial/Courts
Magistrate,
County, District
County
Law Enforcement
Detention/Jail
CIT
City-wide
Crisis Care Center
Jail Diversion
Psychiatric and Medical
Clearance
Specialty Offender Services
Emergency
Dynamic
Crisis Jail Diversion
Information Exchange
Services
Community
Mental Health
Public and Private
Providers
Treatment
Continuity of Care
Police, Sheriff
Probation, Parole
Jail Diversion 2003-2012
System County City-wide
Entry Points
Civil and Criminal
Data exchange through
• Community Collaborative
• Crisis Care Center
• CIT/DMOT
• Jail and Juvenile Detention
• Statewide CARE Match
Pilot Intercept
Prospect’s
Courtyard
Haven for Hope
Homeless
Campus
The Crisis Care
Center
Community
Collaborative
Therapeutic
Justice
Services
The Restoration
Center
Jail Diversion Trauma Recovery - Pilot
Assessors
screen for Vet
Status and
PTSD
Point of
Contact with
Law
Enforcemen
t
Crisis Response
PRE-BOOKING
Trauma
Counselors
assess for
PTSD
Restoration
Center
Crisis Center
Magistration
PRE- & POSTBOOKING
Diversion
CHCS Trauma-Related
Jail Diversion Services
Bexar County Jail
Trauma
Counselors
provide
services
VETERANS SPECIFIC JAIL DIVERSION SERVICES
• The expansion of trauma specific treatment ;
• Monitoring of the delivery of veteran peer support services
related to behavioral health issues;
• Monitoring of the implementation of family member facilitated
family-to-family education groups related to behavioral health
issues;
• Developing of collaborative advisory groups for supports and
services for veterans and their families to initiate,
• Enhance or expand community resource coordination related
to Basic needs with community partners, individuals and
organizations who are serving or have a demonstrated interest
in serving and supporting veterans and their families.
• Linkage to Therapeutic Justice Services
TOOLS BEING USED
Trauma Specific Approach
• Cognitive Behavioral Therapy
• Seeking Safety
• Traumatic Brain Injury Screening
• Professional screening instruments via Licensed Staff
Additional Approaches
•
•
•
•
•
•
Bringing Everyone in the Zone
Operation Resilient Families
Cognitive Processing Therapy
Operation Reunion
Texas Youth Suicide Prevention (TYSP) Screening (Ft.Sam/BAMC
Schools)
Case Management – Liaison
•
Use of Peers: Peer Recovery Support Specialist
8
The Restoration Center
• Sobering Center
• Medical Detox Facility
• Injured Prisioner
• In House Recovery
• Community Substance Use Court
• Intensive Outpatient Substance
Abuse Services
• Continuing additional services
• Provides evident based trauma
specific treatment (Seeking Safety)
Integrated with Prospects Courtyard
• Homeless Mental Health Clinic
• 80 Bed Residential within Courtyard
“Intercept Point” for Jail Diversion
Trauma Recovery Pilot
The Beginning of CIT in
Bexar County & San Antonio
• Center for Health Care Services, start a jail diversion
program in 2002
• CHCS and Bexar County Sheriff start the Deputy
Mobile Outreach Team (DMOT) in 2002
• San Antonio Police Academy starts in-service training
for officers in 2003
• San Antonio Police obtained formal training from
Houston Police Department in May 2003
• In October 2003 SAPD started training our officers with
the original goal of training 10% of the patrol officers
Posttraumatic Stress Disorder
(PTSD):
The Aftermath of Trauma
© 2003 Pfizer Inc. All rights reserved.
PTSD—Summary
– PTSD is the 5th most prevalent major
psychiatric illness
– PTSD patients often exhibit poorer general
health and greater functional impairment
– PTSD is highly comorbid with other
psychiatric disorders
– PTSD is costly to the healthcare system
– Effective treatment is available
Kessler 1999; Davidson 1991; Beckham 1998; Warshaw 1993; Giaconia 1995; Kessler 1995; Greenberg 1999; Sutherland 1999; Marshall 1998.
The Center for
Health Care
Services
Leon Evans, President/CEO
The Center for Health Care Services, Mental Health Authority
210 731-1300
[email protected]