1. Release Advance Planning
Stearns County Release Advance Planning program

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

3. 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.

4. 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

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

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

8. 2003 RAP-5 Inmates

9. 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

10. 2004 RAP-26 Inmates

11. 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

12. 2005 RAP-20 Inmates

13. 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

14. 2006 RAP-30 inmates

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

16. 2007 RAP Summary-36 inmates

17. 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

18. Total RAP-July 2003 to 2007

19. 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

20. RAP Summary

21. 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

22. RAP Services

23. 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

24. 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)

25. 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

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

28. 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.

30. 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

31. 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

33. 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

34. 2 Success Stories of Inmates

35. 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

36. 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

37. Contact information
Renee Frauendienst
Sherry O’Brien