Release Advance Planning Stearns County Release Advance Planning program

Renee S. Frauendienst, Public Health Division Director Sherry O’Brien, Family and Correctional Health Supervisor

Public Health Division Since 1987 Currently provide 3.0 FTE nursing time at the health unit 2.5 support time Mon-Fri: 8:00 a.m.- 9:30 p.m.

Stearns County and RAP 2002 Goals for the Correctional Health Unit One of 5 goals: Increase coordination-Human Services Programs prior to inmates release reduce recidivism crisis prevention 2003 implemented concept of RAP team

RAP Collaborative programming between Public Health lead Human Services Sheriff Office-Jail Administration Public Health lead Concept discharge planning

Purpose of Release Advance Plan Multi-discipline team-similar to hospital discharge planning Address post-incarceration needs Goal of impacting recidivism

2003 RAP-5 Inmates

RAP Summary-July 2003-Dec 2003 1st year of the team 5/7 inmates Incarcerations 2 years before/after RAP Impact: 20% decrease in the # of incarcerations

2004 RAP-26 Inmates

RAP Summary-2004 2nd year of the team Incarcerations 26/29 inmates 87 less incarcerations 2 years prior to RAP and 2 years after RAP Impact: 65% decline in # of incarcerations

2005 RAP-20 Inmates

RAP Summary-2005 3rd year of the team Incarcerations 20/23 inmates 81 less Incarcerations 2 years prior to RAP and 2 years after RAP Impact: 72% decrease in # of incarcerations

2006 RAP-30 inmates

RAP Summary-2006 4th year of the team 30 inmates RAP 148 less incarcerations over 2 years Impact: 78% decrease in number incarcerations

2007 RAP Summary-36 inmates

RAP Summary-2007 5th year of the team 36 inmates RAP 252 less incarcerations over 2 years*** Impact: 87% decrease in number incarcerations ***2 months remaining

Total RAP-July 2003 to 2007

Total RAP-July 2003 to 2007 Tracking 117 (2003-2007) 570 less incarcerations after RAP 76% decrease in total number of incarcerations after RAP Average number of incarcerations pre-RAP-6.38 Average number of incarcerations post RAP-1.51

2008-09 RAP Summary

TRENDS Significant reductions in number of incarcerations in Stearns Jail after RAP 15-20 (or more) prior incarcerations None after RAP Lengthening of returns to jail

RAP Services

Health Services in County Correctional Settings-the Public Health Role Complex issues that continue to evolve over time Care for the mentally ill Homelessness Unemployment Chemical dependency Complex medical issues Unemployment issues

RAP Team Members Team Members Jail Administration PH Supervisor Correctional Health PHN’s MH/CD SW SW from Service Entry SW Homeless Probation Agent-Community Corrections Financial Program Specialist Others as identified (eg: Central MN Re-entry Project)

Eligibility Criteria Inmates identified by jail administration or public health nurses or by inmate Diagnosis of serious and persistent mental illness Significant social or health concerns/needs Identified CD/drug dependency issues Homeless upon release Willing to participate in RAP Stearns County resident/releasing to Stearns residence

RAP Process Initial meeting with inmate Short questionnaire Jail Administration or PHN in jail Short questionnaire Determines eligibility Preliminary direction

RAP Process If inmate interested in participation Consents-releases obtained Schedule on RAP agenda Staff notified of RAP participants Bring pertinent information to RAP PHN meets with Inmate to do more in-depth assessment.

RAP Activity Inmate participation Introductions/Sign-in Begin reviewing needs and problem-solving priority needs Facilitator notes activities to be completed Summary provided to all team members

RAP Follow-up PHN or other staff person responsible Summarizing for inmate Completing the Action Plan Working with Public Health Nurses and Jail Administration in preparation for Release Designated contact for inmate

Preliminary Information Beginning to track services provided For 167 inmates 37% had CD issues 24% had MI issues 13 % had both CD and MI issues 41% had Medical Issues 66% had Financial issues 49% had Employment issues 31% Housing issues 63% had at least three issues to address

2 Success Stories of Inmates

Ongoing Discussions Timing of RAP Sentenced vs. pre-sentence Follow-up upon release Tracking success over time Funding for needed services Incorporating data from previous incarcerations to help with RAP

Next Steps Cost analysis of program Savings related to jail days Savings related to staff time response to “crisis” Savings related to productive citizen Costs related to staff time

Contact information Renee Frauendienst renee.frauendienst@co.stearns.mn.us 320-656-6284 Sherry O’Brien sherry.o’brien@co.stearns.mn.us 320-656-6281