Behavioral Health / Criminal Justice Collaboration in Beaver County, PA Re-entry Services

1. Behavioral Health / Criminal Justice Collaboration in Beaver County, PARe-entry Services Council of State Governments Site Visit: May 15, 2013

2. Agenda / Itinerary

4. Beaver County: Overview • Semi-rural county located in the southwestern region of the state about 30 miles northwest of Pittsburgh. • Diverse area with pockets of affluence, as well as very poor districts, urban, and rural areas, and varying economic resources. • The approximate population of Beaver County is 180,000 • 23% of the population is under the age of 18. • 5.0 % of that population lives in poverty. • 11% of the total population lives in poverty • The average annual wage for Beaver County was stated at $25,254, as compared to the average annual wage for the Commonwealth of Pennsylvania of $30,081. • The racial composition of Beaver County is predominantly Caucasian (92.5%), followed by African American (6%), and has not changed significantly in the past 20 years.

5. Beaver County: Overview • Commissioners:Tony Amadio, Chairman; Joe Spanik; Dennis Nichols • Beaver County Behavioral Health:Gerard Mike, Administrator • Services • Mental Health Administration • Mental Retardation Administration • Drug and Alcohol Single County Authority • HealthChoices Medicaid Managed Care Administration • Early Intervention Administration • Human Services Development Fund Administration • State, Federal and Private Foundation Grant Management • Direct Services: Outpatient Assessment Center and Case Management

6. Behavioral Health Criminal Justice Partners • County Departments • SIM Subcommittee • Community partners • NHS ETC BBBS • BCRC ROOTS TRAILS • ACP OVR Aliquippa Impact • AHCI BB BS Benefit Specialist • HPW HACB SPA

7. Beaver County System of Care Criminal Justice is a key part of the Beaver County System of Care

8. System of Care Management Structure Residents of Beaver County Beaver County: Board of Commissioners Beaver County Behavioral Health Leadership Committee (Project Director, Steering Committee Co-Chairs, and Sub-Committee Chairs) Family, Youth and Peer Voice Change Agents Steering Committee (Providers, Change Agents, and Subcommittee Representatives) Employment -Transformation BC-HOMES BC LAUNCH Housing SIM - Criminal Justice Quality Improvement BC SCORES Child Serving Systems Stakeholder Group (Provider Representatives, Change Agent Representatives, Subcommittee Representatives, Consumers, Families, Natural Supports) 8-12

9. Evolution of COD Programs in the Justice System in Beaver County WRAP

10. BCBH: Using Evidenced Based Practices • Motivational Interviewing - 2002 • Comprehensive, Continuous, Integrated System of Care (CCISC) - 2007 • Seeking Safety – 2007 • Supported Employment - 2008 • Supported Housing – 2009 • Forensic Assertive Community Treatment (FACT) - 2009 • Wellness Recovery Action Planning (WRAP) – 2009 • Thinking for a Change - 2010

11. Publications and Presentations: National and State Arenas • Publications • Corrections Today (2005 and 2011) • Behavior Science and the Law (2009) • National GAIN Center (2008) • NASMHD Research Institute Conference (2006) • Forensic Rights Conference (2005, 2008, 2011)

12. Contracting Federal Grants • Contractors are provided with a budgeted contractual limit • Contract fees can be a combination of • Fee For Service • Units of service provided, or • Have begun to “experiment” with outcomes based payment terms on some grants • Cost Reimbursement • Typically only for out of pocket expenses such as start-up and travel • Contractors are provided a list of deliverables as part of the contract

13. Invoicing Federal Grants • Grants are invoiced from providers on a fee-for-service basis • Rates similar to HealthChoices (HC) Rates are utilized • Grants are only invoiced when HC does not cover the services, such as • Ineligible individuals • Service not covered under HC • Contractors are also permitted to bill grants for items not covered under HC, including: • Planning, Meetings, Training, Data Collection • State funds (County Base) are used for non-HC, non-grant services

14. BCBH: Current Grants

15. Training Summary: 10/2011 – 5/2013 • 42 Training Programs • EBP’s • Motivational Interviewing • Seeking Safety • Supported Employment • Behavioral Health • Peer/Consumer • 183.5 Hours of Training • More than 1500 Participants • 5 MHFA Trainings

16. Key Data Systems: Support System-wide Evaluation / Quality Improvement • Aim is: • To support and sustain a data-driven process • Collect and report on consistent measures across programs or services as opposed to utilizing data collected differently within programs or services • Develop benchmarks, compare results against targets, implement corrective action plans 16

17. Key Data Systems • HealthChoices (BH Medicaid Managed Care) • County Base • Probation/Parole • Jail • Grant-Specific Data • Consumer Satisfaction Data

18. Data Warehouse Electronic Service Plan (eSP) System Provides Framework

19. Reentry: FOCUS and PURPOSE • FOCUS: Increase public safety and reduce recidivism by providing services and supports to Beaver County residents with a substance use disorder (SUD) or a co-occurring substance use and mental health disorder (COD) incarcerated in the Beaver County Jail. • PURPOSE: Provide, both pre- and post-release, COD treatment educational/vocational services, peer support, family mentoring, and assistance with housing.

20. Reentry Flow Chart Community Integration Reception Engagement Transition Re-Entry Re-Entry Liaison administers the GAIN and intake form. Client re-integrates into the community with housing, along with sponsor relationship, and continues to work on vocational/ educational skills, treatment and other supports. Re-Entry Liaison works with client in the jail.. Access to treatment groups in the jail. TRAILS and ROOTS meet with clients in the jail to establish a sponsor relationship. BCRC begins working with client in the jail on vocational/educational services

21. Summary of Reentry Services • Provided by NHS • HealthChoices (MA) supplemental • Jail-based • ChancesR – REACH – LAUNCH • Community-based • ChancesR – LAUNCH – REACH – HC – Base • # of positions • Assessment – Transition Planning – Follow-up

22. Screening and Assessment Jail, Courthouse and Community Co-occurring Disorder (COD) Treatment Jail and Community Re-Entry Liaison Assertive Community Treatment Seeking Safety / Trauma-Informed Care Re-Entry Sponsor Coordinators Assistance for Youth with an Incarcerated Parent Housing / Outreach to the Homeless Vocational / Educational Services Peer Services Available Forensic-Based Services – Throughout Criminal Justice System

23. Sequential Intercept Model (SIM) Planning • Collaboration between the Criminal Justice Advisory Board (CJAB) and Beaver County Behavioral Health (BCBH) • Builds on the key relationships and history of collaboration established with previous projects. • Goal is to enhance the integration of the criminal justice and behavioral health systems for adults and juveniles in Beaver County • Services from ChancesR are integral to the overall integration of systems

24. CJAB SIM Subcommittee • The task force is a subcommittee of the Criminal Justice Advisory Board • Members represent all major behavioral health and criminal justice partners • ChancesR Partners are represented • CJAB Representatives • County Commissioners • Administrative Criminal Court Judge • Magisterial District Judge • District Attorney • Chief Public Defender • Deputy District Court Administrator • County and State Adult and Juvenile Probation • Warden of the County Jail • County Sheriff • Local law enforcement • 911 Center • Behavioral Health Representatives • Behavioral Health Administrator • Behavioral health providers • Crisis providers • Community and Peer Representatives • Victim’s Advocate • Family members • Community partners • Peers

25. Sequential Intercept Model: Overview Sequential Intercept Model Behavioral Health System Criminal Justice System Criminal Justice System Intercept 1 Pre-arrest Diversion Law Enforcement / Emergency Services Intercept 2 Post-arrest Diversion Initial hearings / initial detention Intercept 3 Court/Jail Diversion Special jurisdiction courts Intercept 4 Re-entry from jail Transitional support back to community Intercept 5 Probation / Parole Community support services Diversion of appropriate non-violent juveniles and adults throughout CJ system Community Services and Supports: crisis support, residential and vocational support, SPA, outpatient BH System

26. Intercept 1: Pre-arrest Diversion Law Enforcement / Emergency Services

27. Intercept 2: Post-arrest Diversion Initial Detention / Initial Court Hearings 27

28. Intercept 3: Jail / Court Diversion 28

29. Intercept 4: Jail/Prison and Re-Entry 29

30. Intercept 5: Probation, Parole, Community Support 30

31. Contact Information • Alex Corkos, M.A., L.M.F.T.ChancesR Project DirectorAlex Corkos Counseling & Consulting, LLC4160 Washington Road - Suite 212McMurray, PA 15317 • Phone: 412-567-3930 • alexcorkos@gmail.com