Presentation on theme: "Specialty Mental Health Probation: A Cross-Agency Pilot Project"— Presentation transcript:
1 Specialty Mental Health Probation: A Cross-Agency Pilot Project Gary S. Cuddeback, Tonya VanDeinse, Stacey Burgin – UNC-CHAnne Precythe, Karen Buck, David Edwards – DPSSonya Brown, Dale Willetts – DHHSLee Coble, Mary Ringley, Ed Mazcyk – Sampson County ProbationNorth Carolina’s 2015 CIT Conference: Our Time is Now: Building the Bridge TogetherFebruary 10, 2015McKimmon Center – Raleigh, NCThis project is supported by funding from the North Carolina Governor’s Crime Commission and the North Carolina Department of Public Safety. We would like to acknowledge the efforts of our many project partners in Wake and Sampson Counties, including: Judicial District Managers, Chief Probation Officers, and probation officers; TASC; Alliance and Eastpointe MCOs; and local behavioral health providers.
2 Today’s Agenda Scope of mental health/criminal justice interface Brief overview of statewide training initiatives and specialty mental health probationPanel Discussion – perspectives of DPS, DHHS, UNC-CH about collaboration and implementation of training efforts and pilot projectQ & A
3 Criminal Justice and Mental Health Mental health system has shrunk over last 50 yrs.Jails, prisons and community corrections have a larger and ever-increasing role in the care and management of persons with mental illness.Exodus from our prisons and jails mirrors the deinstitutionalization of state hospitals that started over 30 years ago.Probation officers now routinely have offenders with a spectrum of mental health, substance abuse and personality disorders on their caseloads.
4 Daily Number of Persons with Mental Illness in the Criminal Justice System 31% of female jail inmates and 15% of male inmates have mental illness (Steadman et al., 2009)June 2009 ~ 130,140 jail inmates with mental illness ready for release24% of female and 16% of male prisoners have mental illness (Ditton, 1999)June 2009 ~ 267,994 prisoners with mental illness potentially ready for community reentryAbout 27% of 5 million probationers have mental illness (Crilly et al., 2009)~ 1.35 million probationers!Approximately 54,000 in state hospitalsPrisonsJailsProbation/Parole# MI276,994130,1401,350,000
5 Justice-involved Persons living with Mental Illness Justice-involved persons living with severe mental illness ….High rates of substance use, which is associated with violence, treatment noncompliance, homelessness, and frequent criminal justice contacts (Clark et al., 1999; Drake & Mueser, 2001; Horsfall et al., 2009; Steadman, 2000; Theriot & Segal, 2005).Difficulty accessing housing and services and have high recidivism rates (Cloyes et al., 2010; Fisher et al., 2007; Gagliardi et al., 2004; Lovell et al., 2002; Mallik-Kane & Visher, 2008; Skeem & Louden, 2006).
6 Criminal Justice and Mental Health Offenders living with mental illness present unique challenges across the criminal justice system – courts, jails, prisons, and community supervision – and criminal justice agents need ongoing training and support to meet the needs of this large and growing population.Justice-based interventions such as mental health courts, jail and prison-based cognitive behavioral treatments, Crisis Intervention Training, and specialty mental health probation exemplify the changing landscape of corrections at the interface of criminal justice and mental health.
7 GCC GrantHere in North Carolina, with a generous grant from the Governor’s Crime Commission and funding from DPS, principals from DPS, DHHS and UNC-CH have led efforts to …Train and provide more information about mental health to all probation officers and other stakeholders across the state andLaunch two specialty mental health probation pilots in Wake and Sampson Counties.
8 Statewide TrainingTo date, statewide mental health training modules have been disseminated to all probation officers, chiefs, district managers and other DPS stakeholders across the state (n=~2100), as well as to TASC employees and other stakeholders.The six training modules cover the following topics:(1) using and interpreting the risk and needs assessment;(2) severe mental illness;(3) psychiatric medications;(4) PTSD, personality disorders and other disorders;(5) crisis response and local services for persons with mental illness; and(6) self-care for probation officers.
9 Specialty Mental Health Probation Specialty mental health caseloads have been widely disseminated and typically include ..(1) exclusive mental health caseloads;(2) reduced caseloads;(3) ongoing officer training; and(4) a problem-solving supervision orientation (Skeem & Louden, 2006; Skeem et al., 2006).Here, we have added …On-going training in MI + on-going mental health supervision by LCSW + community capacity building
10 SMHPs (cont’d)SMHPs have been fully implemented in Sampson and Wake CountiesProbationers with mental illness are being randomly assigned to specialty mental health probation or regular probation as a part of a rigorous outcomes evaluationCurrently, over 40 offenders are voluntarily participating in the project
11 Implementation of SMHPs Partnership between DPS, DHHS and UNC-CHCommittee meetingsTrainingEducationCommunity capacity buildingStakeholder meetings
12 Today’s Panel Department of Public Safety DHHS UNC-CH Anne Precythe, Karen Buck, David EdwardsChief Probation Officers and Probation Officers Coble, Ringley, Mazyck, Gould, HarrisDHHSSonya Brown, Dale WilletsUNC-CHGary Cuddeback, Stacey Burgin, Tonya VanDeinse
13 Panelist Perspectives Department of Public SafetyNeed for SMHP, role of DPS, experiences with implementation, officers’ experiences with implementation and training, day-to-day experiences – Sampson CountyDHHSNeed for SMHP, role of TASC, experiences with implementationUNC-CHNeed for SMHP, experiences with implementation, community capacity building, stakeholder meetings