Giving People a Second Chance

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Giving People a Second Chance Opportunities for Discharge Planning and Reentry from Prison and Jail National Alliance to End Homelessness Conference 2015 Women s Forensic Jail Reentry Program Funding provided by: Department of Justice Second Chance Act Grant Administered by: Cuyahoga County Alcohol, Drug Abuse and Mental Health Services Board Presented by: Eric Morse, MSSA, LISW-S 2

FrontLine Service Mission Statement Reaching out to adults and children in Northeast Ohio to end homelessness, prevent suicide, resolve behavioral health crises and overcome trauma.

Introduction to FrontLine Service FrontLine operates the most comprehensive single-agency continuum of care services for homeless people in Ohio, serving more than 25,000 adults and children each year. FrontLine is the sole provider of 24-hour mobile crisis intervention in Cuyahoga. Homeless Continuum Overcoming Trauma Resolving Crisis Homeless Outreach Homeless Prevention and Diversion Emergency Housing Transitional Housing Permanent Supportive Housing Supportive Services Cuyahoga County Defending Childhood Initiative Children Who Witness Violence (CWWV) Violent Loss Response Team (VLRT) DCFS Child and Family Focused Services The Mobile Crisis Team 24/7 Mobile Crisis Hotline Crisis Intervention Services Crisis Stabilization Unit Crisis Chat 4

Outline Program Description Participant Profile Outcomes Lessons Learned 5

Problem Description Women with Dual Disorders involved in the criminal justice system: Stay longer in jail Have Recidivism rates as high as 30% Have high rate of homelessness Significant trauma histories Because they only account for less than 20% of the population, do not receive the specialized services they need (one size does not fit all) 6

TARGET POPULATION Program Description Serve 30 women via Cuyahoga County jail a year. Women with co-occurring severe mental health and substance abuse or dependence and deemed homeless upon release PROGRAM OUTCOMES GOAL: Reduce the rate of recidivism of moderate to high risk female offenders with co-occurring disorders by 50%. 7

SERVICES: Program Description Integrated Dual Disordered Treatment Gender Specific Services Case management Supportive Employment Specialist Peer Support Trauma Informed Care Seeking Safety Groups pre-release Client Assistance: Security Deposit, Transportation, Furniture 8

Participant Profile Total Program Participants: 66 Participants 40 Active Participants 23 Successfully Discharged 3 Unsuccessful discharges Criminal History and Charges of Program Participants: 95% Prior Criminal History 25% Violent Crimes (assault, domestic violence) 50% Crime against Property (theft, robbery, burglary) 10% Identity Theft (Forgery of ID cards) 25% Drug Charges (trafficking, drug possession) 15% Probation Violation 5% Soliciting/Promoting Solicitation 9

Participant Profile Diagnostic Impression of Program Participants: 60% Post Traumatic Stress Disorder (PTSD) 30% Major Depressive Disorder 30% Psychotic Disorder 15% Bipolar Disorder 10% Personality Disorder *95% of Program Participants report Trauma History* 10

Participant Profile Substance Abuse Disorders of Program Participants: 50% Cocaine Dependence 45% Alcohol Dependence 15% Cannabis Dependence 25% Opiate Dependence 25% Cannabis Abuse 10% Phencyclidine Dependence 5% Amphetamine Dependence 11

Housing Outcomes Homeless History Prior to Program Entry Though all reported that they would be homeless when released 35% had a recent HMIS entry prior to arrest 10% met definition for Chronic Homelessness 20% have HMIS Entry after release date 15% Remain in County Jail 12

Housing Outcomes Current Housing Outcomes for those released: - 51% living with family/friends - 14% living independently - 7% in Permanent Supported Housing - 12% in AOD Treatment - 5% living in Group Home - 12% living in the Shelter 13

Recidivism Outcomes Baseline 1 year Recidivism Rate for target population: 33% Goal: 15% Current Program Recidivism Rate: 6% 14

Lessons Learned The Culture of Homeless Service Providers and the Criminal Justice System are very Different (Need to learn each other s language) Gender Specific Services have a significant impact Apply the Housing First philosophy to re-entry to include Diversion, progressive engagement and PSH. Relationships are key to any partnership Advertising the program took more effort than expected Pre-release services are very important 15

Contact Info Eric Morse, LISW-S Chief Operating Officer FrontLine Service Cleveland, Ohio Eric.morse@frontlineservice.org 216-274-3312 16