1. Strategies for Special Populations Ray Roberts, Secretary Kansas Department of Corrections

2. Focus Severely & Persistently Mentally Ill (SPMI) offendersSeverely & Persistently Mentally Ill (SPMI) offenders Long-term administrative segregation – behaviorally disordered offendersLong-term administrative segregation – behaviorally disordered offenders

3. SPMI Strategies Discharge plannersDischarge planners Boundary spanners at community mental health centersBoundary spanners at community mental health centers Strong partnerships with community providersStrong partnerships with community providers Pre-release benefits applicationsPre-release benefits applications Specialized parole officersSpecialized parole officers Enhanced medication at release under health care contract (30 days and up to 6 weeks additional medication)Enhanced medication at release under health care contract (30 days and up to 6 weeks additional medication)

4. SPMI Results (Study by Council of State Governments) Recidivism rates for offenders with mental illness decreased substantially between Recidivism rates for offenders with mental illness decreased substantially between FY03/04 & FY06/07 FY03/04 & FY06/07  FY03/04 rates: 51-74%  FY06/07 rates: 12-39%  Total Decrease 35-39% NOTE : Range is based on level of mental illness (severe/persistent or serious) & services received NOTE : Range is based on level of mental illness (severe/persistent or serious) & services received only discharge planning, only specialized parole officer, or both, for best results) only discharge planning, only specialized parole officer, or both, for best results)

5. Long-Term Admin Segregation Multi-discipline teams to work with behaviorsMulti-discipline teams to work with behaviors In-cell/segregation classes/programsIn-cell/segregation classes/programs Targeted cognitive interventionsTargeted cognitive interventions ExampleExample

6. Multi-Discipline Teams Used for high risk & special needs offendersUsed for high risk & special needs offenders For severely mentally ill/dually-diagnosed (substance abuse or developmentally disabled/MR or behaviorally disordered)For severely mentally ill/dually-diagnosed (substance abuse or developmentally disabled/MR or behaviorally disordered) Center piece of team’s work is stable permanent supportive housing & stabilizing behaviorCenter piece of team’s work is stable permanent supportive housing & stabilizing behavior Teams include:Teams include:  Facility case manager (unit team counselor)  Specialized staff (discharge planner, housing specialist, cognitive specialist, job specialist, substance abuse, mental health)  Community case manager (parole officer)  Mentor/family/support and Offender

7. Benefits/Cost of MDT Sample Case: Inmate George Incarcerated for 18 yearsIncarcerated for 18 years Worked with multi-discipline team pre-and-post-releaseWorked with multi-discipline team pre-and-post-release Tracked down use/costs of services 2 yrs before prison (1991-1993) (homeless shelter, ER visits, state hospital, MH/SA treatment, etc.): $152,000 (not today’s costs)Tracked down use/costs of services 2 yrs before prison (1991-1993) (homeless shelter, ER visits, state hospital, MH/SA treatment, etc.): $152,000 (not today’s costs) Cost of 18 years of prison ($25,000/yr): $450,000Cost of 18 years of prison ($25,000/yr): $450,000 Cost to taxpayers for 20 yrs., $602,000, or $30,100 per yrCost to taxpayers for 20 yrs., $602,000, or $30,100 per yr After being out one year, cost to taxpayers:After being out one year, cost to taxpayers: Housing stipend: $975, MH treatment: $3940, Food stamps: $1200, Social Security Benefits: $2020Housing stipend: $975, MH treatment: $3940, Food stamps: $1200, Social Security Benefits: $2020 TOTAL: $8,137 vs. $30,100; 73% less TOTAL: $8,137 vs. $30,100; 73% less