Developing Sustainability: Success Stories from the Field August 30, 2016
Welcome and IntroducCons • Suzanne Watson, LMSW, Southwest Iowa MHDS Region, CEO, Po:awa:amie County Community Services Director • Sheriff Christopher J. Donelan, Franklin County, Massachuse:s • Ed Hayes, Assistant Superintendent, Franklin County, Massachuse:s • Risë Haneberg, Senior Advisor, Council of State Governments, JusIce Center • Will Engelhardt, MSW, Senior Policy Analyst, County Program, Council of State Governments, JusIce Center • Bonnie Sultan, Grantee Technical Assistance Manager, Council of State Governments, JusIce Center
Finding Sustainability: Today’s Webinar Six Key Questions to Reduce the Number of People with Mental Illnesses in Jails
Pottawattamie County: Six Key Questions in Action Franklin County: Six Key Questions in Action Question & Answer
Building for the Future
Planning
ImplementaCon
Tracking Progress
Sustainability
A NaConal IniCaCve to Reduce the Number of People with Mental Illnesses in Jails
How Do We Know if a County is PosiConed to Reduce the Number of People with Mental Illnesses in Jail? 1. Is your leadership commiUed?
Six Key QuesCons
2. Do you have Cmely screening and assessment? 3. Do you have baseline data? 4. Have you conducted a comprehensive process analysis and service inventory? 5. Have you prioriCzed policy, pracCce, and funding? 6. Do you track progress?
Is Your Leadership CommiUed?
Mandate from county elected oďŹƒcials RepresentaCve planning team
Commitment to vision, mission, and guiding principles
Designated project coordinator and organized planning process
Accountability for results
Do You Have Timely Screening and Assessment? Is there are system-wide deďŹ niCon of: Mental illness Substance use disorders Recidivism Screening and assessment: Validated screening and assessment tools An eďŹƒcient screening and assessment process Electronically collected data
Do You Have Baseline Data?
Four Key Measures Prevalence rate of mental illnesses in jail populaCon Length of Cme people with mental illnesses stay in jail ConnecCons to community-based treatment, services, and supports Recidivism rates
Electronically collected data
Have You Conducted a Comprehensive Process Analysis and Service Inventory?
System-wide process review Inventory of services and programming
IdenCďŹ ed system gaps and challenges Process problems Capacity needs PopulaCon projecCons
Evidence Based PracCces IdenCďŹ ed
Have You PrioriCzed Policy, PracCce, and Funding?
A full spectrum of strategies
Strategies clearly focus on the four key measures
4
Costs and funding idenCďŹ ed
$
County investment
Do You Track Progress?
ReporCng Cmeline of four key measures Process for progress reporCng
Ongoing evaluaCon of program implementaCon
Ongoing evaluaCon of program impact
4
Tracking Progress
Four Key Measures Prevalence rate of mental illnesses in jail populaCon Length of Cme people with mental illnesses stay in jail ConnecCons to community-based treatment, services, and supports Recidivism rates
Finding Sustainability: Today’s Webinar Six Key Questions to Reduce the Number of People with Mental Illnesses in Jails
Pottawattamie County: Six Key Questions in Action Franklin County: Six Key Questions in Action Question & Answer
PoUawaUamie County: In Context •
• • •
• •
PoUawaUamie County – recipient of BJA FY13 (received in Oct.2014) JusCce and Mental Health CollaboraCon Program: Planning and ImplementaCon grant Mental Health Court began in January 2015 PoUawaUamie County – populaCon 93,000+ Southwest Iowa MHDS Region – made up of 8 addiConal counCes surrounding PoUawaUamie making the total region populaCon ~190,000 Largest city in county is Council Bluffs (~62,000) where the 285-bed jail is located Unique in that Council Bluffs is connected to Omaha, NE via walking bridge over the Missouri River (greater Omaha area populaCon =1.3 million)
Involving Your Community & Leadership
• Community Conversa/ons – Find people already dedicated to your project or philosophy – Let the Champions do the “ask” and get buy-in from their leaders.
• Community Awareness – Non-profit started to work on co-occurring disorders collaboraCon – “The Network” – AlternaCves to IncarceraCon – Small workgroups and one big goal
Dedicated Staff
• Employee security and posiCon security • Staff investment and passion for the work • Apply don’t appoint
The Grant is not the Focus
• Look for opportuniCes to diversify funding from the beginning – Grant funded: Case Managers, Therapist – Matching funds: Program administrator (FPOC), Judge, County AUorney – Not in grant: ProbaCon officer, Case Management Supervisor, Public Defender
Talk About Other Funding
• Discuss sustainability sooner than later • Talk with your leaders: – Focus on program, not funding – Focus on opportuniCes and success, not barriers
Sustainability
• Seek funding that fits the work • Begin with community awareness – have conversaCons! • Help move community leaders toward a new investment with facts and ideas for change. • Think broadly (not necessarily big) • 3 Cs: Common Sense + CollaboraCon + CollecCve Impact = Systems Change
Finding Sustainability: Today’s Webinar Six Key Questions to Reduce the Number of People with Mental Illnesses in Jails
Pottawattamie County: Six Key Questions in Action Franklin County: Six Key Questions in Action Question & Answer
Franklin County: In Context
• PopulaCon -73,000 • Franklin County is the only Federally Designated Rural County in MassachuseUs • Jail ADP of 250 inmates • PopulaCon is comprised of Sentenced, PreSentenced, ICE • County Sheriff & District AUorney are elected; Appointed Judges • 2 District Courts and 1 Superior Court • Economically depressed area with extensive opiate use
Philosophical Mission for Jails A New Paradigm Reduce recidivism by preparing inmates to make a successful transiIon back to the community
• Treatment vs. Containment or Punishment paradigms • Provide successful transiCon to community • Provide good in-jail treatment programs • Link offenders to services • CollaboraCon and cooperaCon with community-based providers
CollaboraCve Structure of TJC in Franklin County
Sheriff’s Executive Council (Executive Level Oversight Group – Meets 2 times a year)
Community Providers (Meets Monthly) FCRN & NQCC
TJC Core Team (Meets Monthly)
Data Workgroup
Programming Workgroup
Community Engagement Workgroup
Trauma-Informed Care
• Recogni(on that some behaviors that began as a2empts to adapt to highly stressful situa(ons are no longer helpful • Emphasis on grounding skills and self- monitoring skills • Emphasis on developing collabora(ve rela(onships
• 94% of inmates with a diagnosed mental health disorder • Jails are filled with triggers. • Trauma-informed principles have been demonstrated to minimize triggers, reduce criCcal incidents, and de-escalate situaCons.
Key IntervenCons – LS/RNR & Clinical Assessments – CogniCve Behavioral Change Therapies; DBT, Acceptance & Commitment Therapy, Thinking for a Change, Seeking Safety – Clinical IntervenCon System for Discipline/ Accountability (Chain Analysis, Thinking Reports, etc.) – EducaCon Programming – Employment Readiness/VocaConal Training – Pro-Social RecreaCon – ParenCng – Sex Offender Treatment
ClassificaCon Flow • Pod A: OrientaCon • Pod D: Medium Security Treatment Unit
– Highly Structured Environment with Intensive Programming
• Minimum Security Treatment Unit
– ConCnued Treatment – More VocaConal Training OpportuniCes
• Kimball Pre-Release House
– TransiConing Treatment to the Community – Focus on Job Placement
• GPS Bracelet
– IntegraCon into the Community with ConCnued Supervision
Housing • Strong collaboraCon with Franklin County Chamber of Commerce and regional employers • Housing Placements at Recovery Homes through the State • Partnership with the Greenfield Housing Authority on the Winslow Building
Employment • Work with Chamber of Commerce • Partnership with Career One Stop Centers • Job Readiness classes in Medium Security • Focus on VocaConal Training in Minimum Security • Job Placement in Kimball Pre-Release House
Sustainability Planning: How to communicate to funders and stakeholders • A strong data collecCon process • PR Events and public communicaCon • Funding this program on a short term and long term basis • Working toward a more balanced approach to correcCons • This model can become part of the general pracCce of correcConal systems both locally and statewide
Key Determinants of Success
• Leadership and Champions of Change – – – –
Establish your vision Stay the course Involve Key Community Leaders Criminal JusCce System Stakeholders
• Technical & Financial Assistance – – – –
TJC consulCng team 2nd Chance Grant ImplementaCon of Evidenced based pracCces Program quality & fidelity to the model
• Face Cme with collaborators – CollaboraCve culture in Franklin County – Lots of meeCngs!
Shiwing the Culture in Franklin County: Building a Shared Vision for Public Safety • Grants collaboraCons build bridges (2nd Chance Grants, TJC, etc.) • A change in culture affects treatment staff and security staff • Training collaboraCons with community providers and partners in criminal jusCce system are vital • Regular communicaCon and relaConships with providers and partners in the criminal jusCce system – Public Safety Enhancement – Greenfield Housing Authority
Finding Sustainability: Today’s Webinar Six Key Questions to Reduce the Number of People with Mental Illnesses in Jails
Pottawattamie County: Six Key Questions in Action Franklin County: Six Key Questions in Action Question & Answer
Contact InformaCon • • • • •
Suzanne Watson: suzanne.watson@poUcounty-ia.gov Sheriff Christopher J. Donelan: Chris.Donelan@fcs.state.ma.us Ed Hayes: Ed.Hayes@fcs.state.ma.us/ Will Engelhardt: wengelhardt@csg.org
Rise Haneberg: rhaneberg@csg.org • Bonnie Sultan: bsultan@csg.org
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The presentation was developed by members of the Council of State Governments (CSG) Justice Center staff. The statements made reflect the views of the authors, and should not be considered the official position of the CSG Justice Center, the members of The Council of State Governments, or the funding agencies supporting our work.