Today s Objectives. Organizational Structure For Criminal Justice. CJ Funding. CJ Service Continuum. CJ Services Continuum 6/25/2013

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Today s Objectives Joani Moore, MS Chris Nicastro, LPCC-S Debbie Nixon-Hughes, LISW-S Increase knowledge of the organizational structure for ODMHAS Increase knowledge of reentry continuum Increase

1 Today s Objectives Joani Moore, MS Chris Nicastro, LPCC-S Debbie Nixon-Hughes, LISW-S Increase knowledge of the organizational structure for ODMHAS Increase knowledge of reentry continuum Increase knowledge of how to access services Thursday, May 9, 2013 Organizational Structure For Criminal Justice Director - Tracy Plouck Assistant Director of Community Angie Bergefurd Deputy Director of Community Debbie Nixon- Hughes Chief of Criminal Justice Services Chris Nicastro CJ Funding MH Block Grant - $ SAPT Block Grant - $ General Revenue Funding - $ CJ Services Continuum Technical Assistance BHJJ Co-Lead Attorney General Taskforce Diversion and Reentry Co-Lead to Mental Health Courts A member of DRC Reentry Coalition Criminal Justice CCOE CJ Service Continuum Community Linkage (Adults and Youth) Expedited Social Security and Medicaid Forensic Monitoring Forensic Evaluation Treatment Alternatives to Street Crime (TASC) Access to Recovery (ATR) Circle for Recovery Ohio (CFRO) 1

CJ Service Continuum Reentry Grants Working with Buckeye Sheriff Association Community Linkage & Ex-Offender Mini Grants What is Community Linkage?

The two departments have come together to assist in re-entry services for the SMD population exiting state prisons.

Community Linkage Objectives Provide continuity of mental health for offenders entering or leaving an ODRC prison or ODYS facility.

Reduce recidivism of offenders with mental illness who are involved in the criminal justice system. Build and strengthen information sharing and alliances across systems.

2 CJ Service Continuum Reentry Grants Working with Buckeye Sheriff Association Community Linkage & Ex-Offender Mini Grants What is Community Linkage? Ohio Department of Mental Health and Ohio Department of Rehabilitation and Correction have a unique relationship. The two departments have come together to assist in re-entry services for the SMD population exiting state prisons. Community Linkage Social Workers assist this population in being linked with services in their respective counties. Community Linkage Objectives Provide continuity of mental health for offenders entering or leaving an ODRC prison or ODYS facility. Reduce de-compensation rates of released offenders to increase chances at recovery and successful reintegration. Reduce recidivism of offenders with mental illness who are involved in the criminal justice system. Build and strengthen information sharing and alliances across systems. Facilitate problem solving between the corrections and mental health systems and offenders related to accessing community mental health services. Enhance public safety by arranging post-release mental health services, recovery supports and benefits. Eligibility Criteria for ODRC Designated Serious and Persistently Mentally Ill (SPMI) Diagnosis Schizophrenia/Schizoaffective Bipolar Disorders Major Depressive Disorder Functionality History of Treatment Ohio Department of Youth Services Community Linkage has been expanded to serve the ODYS population. Eligibility criteria for ODYS is: Youth on the mental health caseload. At the request of the Interdisciplinary Team, linkage may be requested for youth not on the mental health caseload or unit. 2

notified: CMHC, ADAMH, ODRC/APA, HWH When appropriate, there is then assistance with benefit applications, housing and transportation assistance, and linkage to other supports Linkage Packet

History Medical History Substance Abuse Substance Abuse Treatment Conditions of Release Discharge Newer Focus Areas Providing individualized services to highest risk and highest need individuals

3 How does it work? Offenders are interviewed Offenders choose to participate Collateral information is gathered A referral packet is completed Appointment information for post-release is obtained All parties are notified: CMHC, ADAMH, ODRC/APA, HWH When appropriate, there is then assistance with benefit applications, housing and transportation assistance, and linkage to other supports Linkage Packet Information Current behavioral status Behavioral History Social History Violent Behavior Trauma/Victimization History Education/Vocational/ Employment History Criminal History Psychiatric Treatment History Medical History Substance Abuse Substance Abuse Treatment Conditions of Release Discharge Newer Focus Areas Providing individualized services to highest risk and highest need individuals Linkage to other services Assisting with SSI/SSDI benefit applications Assisting with Medicaid benefit applications Discharge Planning Participating in community meetings Expedited SSI Some of the offenders that Community Linkage workers assist have very limited functioning and are unable to secure gainful employment To assist these offenders, ODMH, ODRC and SSA came together to develop a process where they can be approved for benefits prior to release from prison Expedited Medicaid Once the CLSW receives notice that an SSI claim is approved (or if benefits are suspended), the Medicaid process can begin. The SSI award letter is used by ODJFS to verify disability as opposed to the development of medical evidence by the county and state Medicaid programs. This allows for a speedy process that may otherwise have taken much longer. FY 2012 Data Gender 1,161 male; 427 female Total=1,588 Location within DRC at time of release 89% general outpatient unit 7% residential treatment unit 3% segregation 1% special unit History of Trauma- 60% Sex Offender- 14% Refusal (to meet with CLSW)- 9% Top Institutions ORW=14% BeCi=8% NCI=7% CCI=7% NePRC=7% Top Counties Cuyahoga=271/17% Franklin=199/13% Hamilton=135/8% Montgomery=127/8% Summit=78/5% Other=572/36% 3

Ex-Offender Mini Grants Ex-Offender Mini Grants The State of Ohio Department of Mental Health was able to provide mini grants to 15 ADAMH

Data was recorded by performance measurement worksheets to collectively give an estimate of services provided to the offenders pre and post

Counties Served Allen-Auglaize Ashtabula Athens-Hocking- Vinton Butler Cuyahoga Delaware-Morrow Fairfield Franklin Hamilton Lorain Lucas

community mental health agencies. Medicaid and Social Security benefit assistance.

4 Ex-Offender Mini Grants Ex-Offender Mini Grants The State of Ohio Department of Mental Health was able to provide mini grants to 15 ADAMH Boards across the state. These mini grants supported reentry services for mentally ill ex-offenders. Data was recorded by performance measurement worksheets to collectively give an estimate of services provided to the offenders pre and post release. Counties Served Allen-Auglaize Ashtabula Athens-Hocking- Vinton Butler Cuyahoga Delaware-Morrow Fairfield Franklin Hamilton Lorain Lucas Mahoning Miami-Darke-Shelby Richland Trumbull Services Offered In reach services Effective and long standing connection between offenders and community mental health agencies. Medicaid and Social Security benefit assistance. Housing assistance Peer support Transportation assistance In Reach Services In reach services were provided to approximately 186 prison inmates. These services included but are not limited to: Pre-release contact with inmate including: Initial Contact Intake Assessments Needs Assessments Connection to a community mental health agency Connection with peer support opportunities 4

Housing Assistance Housing assistance was able to be provided for 110 exoffenders.

Community Mental Health Effective and long standing relationships between an ex-offender and community mental health was established for roughly 164

Benefits Assistance Medicaid and Social Security benefit assistance was provided for 70 individuals.

Of the 70 individuals who filed for benefits, the majority were able to receive the benefits.

Peer support was held by the counties to link ex-offenders with their peers to foster relationship building and a community where the offenders feel

5 Housing Assistance Housing assistance was able to be provided for 110 exoffenders. Assistance opportunities ranged from: Help to find affordable housing options Emergency Housing opportunities Financial assistance for rental payments Community Mental Health Effective and long standing relationships between an ex-offender and community mental health was established for roughly 164 ex-offenders. Community mental health agencies were able to work with the ex-offenders and connect them with services in the community. Benefits Assistance Medicaid and Social Security benefit assistance was provided for 70 individuals. The application process was made more accessible for the exoffenders with the help of professionals in the process. Of the 70 individuals who filed for benefits, the majority were able to receive the benefits. Other Services Most of all ex-offenders served received peer support assistance and transportation assistance. Peer support was held by the counties to link ex-offenders with their peers to foster relationship building and a community where the offenders feel safe. Transportation assistance in the form of bus passes was available for most offenders who were served. Ohio Department of Alcohol and Drug Addiction Services (ODADAS) ODADAS provides numerous treatment services and recovery supports to offenders re-entering society. (ODADAS) The primary initiatives include: Treatment Alternatives to Street Crime (TASC) Access to Recovery (ATR) Circle for Recovery Ohio (CFRO) 5

6 ODADAS TASC s Ohio implemented its first TASC program in 1990 to serve juveniles in Preble County. By 1999, a total of fourteen (14) TASC programs became operational. Some of the programs serve adults only, or juveniles only. Four of the programs serve both adults and juveniles. TASC programs were implemented to serve the court systems and individuals placed on community control. Many of the adult TASC programs now serve individuals released from the state prison system under the supervision of the Adult Parole Authority, or after serving a determinate sentence. ODADAS TASC s There are eleven (11) TASC programs that serve adult offenders in the following fifteen (15) counties: Athens, Butler, Clermont, Cuyahoga, Gallia, Hamilton, Hocking, Jackson, Lucas, Mahoning, Meigs, Sandusky, Stark, Vinton and Warren TASC s core services include: assessment, case management, and outpatient treatment. Ohio Department of Alcohol and Drug Addiction Services (ODADAS) Services and Policy Participation for Offenders Returning Home ODADAS - TASC Re-entry Services Provided All of the adult TASC programs provide services to individuals released from jail and placed on community control. The TASC programs that serve individuals released from the adult prison system are: Athens/Hocking/Vinton, Gallia/Jackson/Meigs, Clermont and Stark Counties. ODADAS - TASC Re-entry Services Provided TASC provides services for: The Cuyahoga County Common Pleas Re-entry Court The Sandusky County Common Pleas Re-entry Court The Stark County Common Pleas Re-entry Court Both Stark County TASC and Mahoning County TASC provide services for the Access to Recovery project. ODADAS - TASC Re-entry Services Provided Through a Release to Recovery (R2R) grant from the Ohio Department of Rehabilitation and Correction, TASC of Northwest Ohio (Lucas County) visits the prisons and engages individuals with severe, persistent mental illness (SPMI). Upon their release, they are provided linkages to mental health providers and other ancillary services - particularly housing by the TASC case managers. TASC of Northwest Ohio also sends its staff to participate in the re-entry fairs at Allen, Grafton and Toledo Correctional Institutions. This agency also participates in the First Wednesday linkage and referral event for reentering offenders. 6

ODADAS - TASC Policy Participation Three of the largest, urban adult TASC programs have participated in their local re-entry coalitions since these coalitions were formed.

7 ODADAS - TASC Policy Participation Three of the largest, urban adult TASC programs have participated in their local re-entry coalitions since these coalitions were formed. These TASC programs advocate for a local system of care for re-entering offenders to make behavioral health services and other service needs accessible in a timely fashion. ODADAS Access to Recovery (ATR) ATR is a two-phase SAMHSA grant-funded project that provides recovery support services for Cuyahoga, Stark, Summit, Lorain and Mahoning Counties. The project began in 2007 and is scheduled to end in ATR emphasizes: Consumer choice Successful outcomes Increased capacity ODADAS Access to Recovery (ATR) Because client choice is a valued component of ATR, the project operates with a voucher system. Clients are able to choose the programs and providers that they believe will help them the most. To date, approximately 13,000 clients have been served by the project. ODADAS Access to Recovery (ATR) Recovery Support Services offered by ATR: Housing Spiritual Support Employment Skills Training Daily Living Skills Relapse Prevention Anger Management Transportation ODADAS Access to Recovery (ATR) Recovery Support Services offered by ATR (continued): GED Support Spiritual Support Substance Abuse Education Recovery Coaching Parenting Peer Mentoring Self Help and Support Groups ODADAS Circle For Recovery Ohio (CFRO) Circle for Recovery Ohio (CFRO) projects offer re-entry services for adult men and women leaving the state correctional system in nine of Ohio s largest counties. The CFRO projects offer treatment and recovery support services which are culturally competent. 7

ODADAS CFRO Providers Akron-Urban Minority Alcoholism Drug Abuse Outreach Cincinnati Urban Minority Alcoholism and Drug Abuse Outreach Dayton Urban Minority Alcohol and Drug Abuse Outreach Franklin

8 ODADAS CFRO Providers Akron-Urban Minority Alcoholism Drug Abuse Outreach Cincinnati Urban Minority Alcoholism and Drug Abuse Outreach Dayton Urban Minority Alcohol and Drug Abuse Outreach Franklin County UMADAOP Lima Urban Minority Alcohol Drug Abuse Outreach, Inc. Lorain Urban Minority Alcoholism and Drug Abuse Outreach Mansfield Urban Minority Alcoholism and Drug Abuse Toledo Urban Minority Alcoholism and Drug Abuse Outreach Warren Urban Minority Alcoholism and Drug Abuse Outreach Questions? 8

Medicaid Expansion: Its Critical Role in Ohio s Response to the Addiction Crisis

Medicaid Expansion: Its Critical Role in Ohio s Response to the Addiction Crisis 1 Medicaid Expansion: Its Critical Role in Ohio s Response to the Addiction Crisis Ohio expanded Medicaid in 2014 to provide