J AIL P ROJECTS TO R EDUCE I NCARCERATION R ATES OF THE M ENTALLY I LL S COTT A. S YLAK E XECUTIVE D IRECTOR LCMHRSB. OH. GOV

L UCAS C OUNTY - B Y THE N UMBERS Lucas County Correction Center opened 1977 Rated Capacity 342 plus 24 medical beds Approximately 20,000 bookings annually Routinely held between 380 and 475 pretrial inmates Additional 438 beds at Corrections Center of Northwest Ohio for sentenced inmates Federal Court Order since 1977 acted as the only population management tool In 2013 FCO mandatory releases resulted in 6,604 misdemeanant and non-violent felony releases, representing 1/3 rd of all releases 2

L UCAS C OUNTY - B Y THE N UMBERS 50% of people booked were released within 24 hours, of those 30% within 8 hours 60% of all Failure to Appear charges were from individuals released because of the FCO 8.5% of individuals (1,000) booked represented 23% of all bookings Of those 1,000 individuals, 70% were known to the MHRSB system of care, 32% of them receiving service within the last year. Of those receiving services within the last year, 37% received crisis services, but only 2% went to the state hospital January 2015 FCO enforced - Lucas County Correction Center capacity capped at 409 inmates 3

SEQUENTIAL INTERCEPT MAPPING & – PURPOSE AND GOALS Develop a comprehensive picture Identify Gaps, resources and opportunities Develop Priorities for system improvements and responses which Promote & support recovery Provide safety and quality of life for all Keep out of jail and in treatment Provide constitutionally adequate treatment in jail Link to comprehensive, appropriate, and integrated community-based services 4

MACARTHUR GRANT SAFETY AND JUSTICE CHALLENGE – PURPOSE & GOAL Map justice system operations (arrest through post conviction supervision) Identify problem areas, such as information flow, capacity issues, delays and resource gaps Illuminate current policies and practices that are increasing local jail populations Develop and prioritize viable jail reduction strategies County Specific goal of 19% or more Address DMC 5

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INTERCEPT 1 – LAW ENFORCEMENT STRATEGIES 9  Crisis Intervention Team Training  4 one week training sessions, 2 one day refresher sessions, over 500 trained.  Mental Health-based specialized response  Emergency Services, 24/7 with over 3,000 “in field” evaluations conducted annually  Hybrid Law Enforcement/Mental Health response  Law Enforcement Assisted Mental Health Mobile Crisis (planning stage)  Overdose Investigation and Referral  Lucas County Sheriff’s Department Drug Addiction Response Team (DART), investigates overdoses upon notification from EMS and refers victim to treatment and recovery housing  Psychiatric Urgent Care Center  Law enforcement diversion center for low level psychiatric offenders (planning stage)

INTERCEPT 2 – INITIAL DETENTION AND COURT APPEARANCE STRATEGIES  Pre – Arraignment Risk of Recidivism Screen  Public Safety Assessment created by the Arnold Foundation and administered by Lucas County Pretrial Booking Officers, began January 2015  Pre – Arraignment Mental Health & Substance Use Screen  GAIN Short Screener to be conducted by Jail Counselors, projected start December  Pretrial Release AOD and MH Support Services  Assessment, referral to treatment and case management provided by Treatment Accountability for Safer Communities (TASC) of Northwest Ohio upon court order. 10

INTERCEPT 3 – JAILS AND COURTS STRATEGIES  Specialty Courts  Veteran’s Court in Toledo Municipal Court  2 drug courts planning stages in Lucas County Common Pleas Court  Driver’s License Reinstatement Court in Toledo Municipal Court  In-Jail Services  Psychiatry Services 16 hours per week  Forensic Linkages Project screens and links current inmates with behavioral health services prior to release. Project conducted by TASC  Community Mental Health system CPST services available to inmates who are existing clients of MHRSB system  Jail Vivitrol Project conducted by A Renewed Mind  Medicaid Benefit Enrollment  Inmates are enrolled in Medicaid prior to release by LCJFS 11

INTERCEPT 4 – REENTRY STRATEGIES  Facilitated access to psychotropic medications  Inmates who are stable and taking meds can get up to 60 days of psychotropic medications upon release from CCNO or the LCCC  Reentry Services  Pre and post release services based upon the Risk, Need and Responsivity principles provided by TASC at CCNO, LCCC, ODYS, and ODRC facilities  Reentry support service provided by the Reentry Coalition of Northwest Ohio, including Citizen Circles and 1 st Wednesdays  Program of Assertive Community Treatment (PACT)  Provides intensive mental health treatment services to the NGRI and ICST populations who are released from hospitalization, project conducted by Unison Behavioral Healthcare Inc. 12

INTERCEPT 5 – COMMUNITY CORRECTIONS STRATEGIES  Specialized Probation Officers  Community Based Correctional Facility  Work Release  Electronic Monitoring  Indigent Driver’s Alcohol Treatment Fund projects including SCRAM Monitoring  Probation Incentive and Improvement Grants (PIIG)  Mental Health Forensic Monitor 13

I MPACT THROUGHOUT L UCAS C OUNTY Jail is currently compliant with FCO, population is holding at 409 inmates, but needs to get down to 327 to effectively compete for MacArthur funds Emergency shelters, hospital psychiatric units, crisis care units and state hospital beds are full most days MH and/or AOD treatment is available within 48 hours of request MAT services require additional wait time Psychotropic medication access for new clients can take up to 6 weeks Permanent supportive housing, supported employment, transportation and peer supporter services still needed Medication Expansion has had the most impact on our ability to implement many of these strategies! 14

Q UESTIONS ?