Robert K. Merwine – Director PCCD’s Office of Criminal Justice System Improvements Honorable John Zottola – Judge of Cou

1. Housing and the Justice Involved • Robert K. Merwine – DirectorPCCD’s Office of Criminal Justice System Improvements • Honorable John Zottola – Judge ofCourt of Common Pleas, Allegheny County • Patty Griffin, PhD. – Senior ConsultantPA Mental Health and Justice Center of Excellence • Terry Moloney Office of Mental Health and Substance Abuse Services • June 14, 2013

2. Pennsylvania Commission on Crime and Delinquency (PCCD) Who Are We and What Do We Do? • State Administering Agency (SAA) for the Commonwealth. • Serves as the justice planning agency for Pennsylvania and administers federal and state justice funds. • PCCD administers approximately $100 million annually to support initiatives in the areas of Victim Services, Juvenile Justice, and Criminal Justice.

3. PCCD Mission The mission of the Pennsylvania Commission on Crime and Delinquency is to enhance the quality of criminal and juvenile justice systems, facilitate the delivery of services to victims of crime and assist communities to develop and implement strategies to reduce crime and victimization.

4. PCCD – Advisory Committees PCCD Mark R Zimmer Chairman Research, Evaluation, Data Collection, and Analysis Advisory Committee (REDCAAC) Criminal Justice Population Projections Committee (CJPPC) Juvenile Justice and Delinquency Prevention Committee (JJDPC) Criminal Justice Advisory Committee (CJAC) Mental Health and Justice Advisory Committee (MHJAC) Victims Services Advisory Committee (VSAC) Senior Citizens Advisory Committee (SCAC) 06/2013

5. PCCD - OCJSI • Bureau of Training Services • Constables • Deputy Sheriffs Technology Office of Criminal Justice System Improvements County Planning Unit Grants Administration Re-entry Unit Law Enforcement Unit

6. Criminal Justice Advisory Boards (CJABs) and Housing • CJABs are groups of top-level county officials which address criminal justice issues from a systemic and policy level perspective. CJABs study best practices in the administration and delivery of criminal justice and recommend ways in which public agencies can improve the effectiveness and efficiency of the criminal justice system within a county. • In 2008, PCCD through its work with CJABs, identified the issue of individuals with mental illness languishing in county prisons.

7. PCCD and the Office of Mental Health and Substance Abuse Services (OMHSAS) • In an effort to address the issue of justice-involved individuals with mental illness, PCCD partnered with Department of Public Welfare (DPW) / OMHSAS. • Through this new found partnership, the following initiatives were funded: • Ten Mental Health Courts; • Mental Health Procedures Act (MHPA) Training; • Statewide Forensic Peer Support Training; • Forensic Peer Support Training at Department of Corrections; and • Five County Housing projects.

8. PCCD and the Office of Mental Health and Substance Abuse Services In 2011, PCCD awarded in excess of $700,000 to support housing initiatives in the following five counties: • Fayette County – Housing and Support Services; • Greene County – Master Leasing project; • Montgomery County – Master Leasing project; • Philadelphia – Master Leasing; and • Union County – Justice Bridge Housing program.

9. PCCD and the Housing Alliance of Pennsylvania Since 2011, PCCD and OMHSAS have worked in conjunction with the Housing Alliance to co-sponsor the Homes Within Reach Conference to raise awareness among the housing community.

10. PCCD and the • Housing Alliance of Pennsylvania • Conference topics included: • Coming Home – A Veteran’s Perspective • Times Up – Planning for Successful Re-entry • The Unspoken Reality - Housing and Supervision of Sex Offenders • Housing and Justice for All • In addition, successful county housing initiatives were highlighted.

11. Mental Health and Justice Advisory Committee(MHJAC) Honorable John Zottola, Judge of the Court of Common Pleas, Allegheny County

12. Mental Health and Justice AdvisoryCommittee (MHJAC) • MHJAC, Chaired by Judge Zottola, Allegheny County Court of Common Pleas, was created in July 2009, to provide guidance and structure and ensure that Pennsylvania's criminal justice/mental health activities are coordinated across the state and that counties receive the guidance and support necessary to implement effective responses.

13. Mental Health and Justice Advisory Committee (MHJAC) • MHJAC membership includes representatives from state agencies, county leadership, the courts, district attorneys, public defenders, consumers and families, and other criminal justice and mental health advocates and practitioners from across the Commonwealth.

14. MHJAC Housing Subcommittee • To address the issue of lack of housing for the target population, a Housing Subcommittee was formed under MHJAC to help guide the Committee’s efforts in identifying and promoting best practices.

15. Mental Health and Justice Advisory Committee (MHJAC) Senate Bill 128

16. Mental Health and Justice Advisory Committee (MHJAC) European / American Prison Project

17. Mental Health and Justice Advisory Committee (MHJAC) • One major initiative established through MHJAC, was the creation of the Mental Health and Justice Center of Excellence (CoE). • The CoE was established in November 2009, through a competitive grant application process and awarded to Drexel University, to reduce justice involvement for people with mental illness and co-occurring substance use disorders by working with Pennsylvania’s communities to identify points at which an interception can be made to prevent this group from entering deeper into the justice system.

18. Mental Health and Justice Advisory Committee (MHJAC) • The CoE is a collaboration between Drexel University’s Department of Psychology and University of Pittsburgh’s Western Psychiatric Institute and Clinic.

19. Housing Needs for Criminal Justice/Behavioral Health Populations In Pennsylvania Patty Griffin, PhD Pennsylvania MH & Justice Center of Excellence

20. National Picture • High rates of people with serious mental illness being admitted to our jails • Most recent research (Steadman, Osher, et al, 2009): • Estimates 16.9% of all jail admissions have a serious mental illness • 14.5% of males • 31.0% of females • Three to six times the prevalence of serious mental illness in the general population • High rates of co-occurring substance use disorders and other challenges including trauma, medical problems, and homelessness • Long lengths of stay in jail and significant criminal recidivism • Many challenges for behavioral health, criminal justice, social services, and housing systems • Especially in finding ways to collaborate effectively to address this issue

21. Cross-Systems Mapping Workshops

23. Workshop Tasks • Nurture cross-system collaboration • Map the local system • Inventory current resources, gaps, and opportunities • Agree on priorities • Build an Action Plan

24. Day 1: Creating a Local Cross-Systems Map • Brings together key stakeholders to tap into local expertise • Partnership with local Criminal Justice Advisory Board • Creates a local map using the Sequential Intercept Model • Visually depicts local system • Identifies: • Existing local services and processes • Gaps in services • Strengths to build upon --- opportunities and resources • Data • Issues considered important to local stakeholders • Helps everyone see the “big picture” and how they fit • Helps diverse groups from various systems understand where/how everything fits • Intercepts provide manageable venues and opportunities for systems interventions

26. Sequential Intercept Model Five Key Points of Interception • Law enforcement / Emergency services • Booking / Initial court hearings • Jails / Courts • Re-entry • Community corrections / Community support Munetz & Griffin, 2006

28. Blair County Cross Systems Map

30. Blair County - Top 8 Priorities • Development of a Mental Health Court (20 Votes) • Housing (18) • Mental Health First Aid (16) • Access to medication and psychiatric appointments upon re-entry (15) • Sobering Stations (12) • Level of Care Behavioral Health Assessments as early as possible in the criminal justice system (10) • Determine when assessments are needed • Disperse assessments to the correct individuals • Crisis Intervention Team (CIT) Development (9) • Expediting access to Medical Assistance Benefits (8)

31. What We’ve Learned About Pennsylvania Cross Systems Mapping Workshops

32. Common Gaps in Services • Intercept 1 • Law enforcement agencies are interested in mental health training but have limited time for training • Law enforcement officers spend hours waiting with individuals at local hospital • Lack of detoxification and sobering services • Intercept 2 • Lack of pretrial services • Problems with video arraignment equipment • Intercept 3 • Many jail admissions requiring detoxification • Limited treatment staff • Medical Assistance benefits terminated after admission • Intercept 4 • Significant gaps in aftercare medication • Limited continuity of care • Limited re-entry efforts • Few systematic efforts to reinstate or start Medial Assistance and/or Social Security benefits • Intercept 5 • Not enough housing

33. Most Common County Priorities • Develop and/or expand training at Intercept One • Crisis Intervention Team (CIT) • Mental Health First Aid • Formalize detoxification procedure • Reduce strain on hospitals, jails, and law enforcement • Improve continuity of care from local jails to community • Aftercare Meds • Re-activation of benefits • Psychiatric Appointments • Expand housing options • Improve information sharing across systems

34. Common Gaps in Housing • Some individuals stay longer in jail because they do not have housing available (“Our County Jail becomes our housing unit for the mentally ill”) • Very limited accessible housing options for the forensic SMI population • Housing Authority do not except applications from felonies and long waiting period for applicants with misdemeanors • Rely heavily on private landlords that are often unwilling to take this population • Many state inmates max out because they can’t develop a home plan (no housing) • County MH/MR funding cuts have decreased local behavioral health services, especially in the Forensic Housing Program

35. Counties Next Steps/Action Plans for Housing • York County: • Develop a clearer picture of the housing needs for currently incarcerated population (York) • Identify how many currently incarcerated individuals were homeless prior to arrest • Look at the 10-12 folks currently seeking housing each month (from the jail) and examine the breakdown of mental health and substance use needs • Begin to identify housing needs during intake (develop specific code for ‘homeless’) • Look at how many parole plans are denied because of lack of housing • Examine specific housing needs of MH Court participants

36. Counties Next Steps/Action Plans for Housing 9 counties --- Cameron, Clarion, Clearfield, Elk, Forest, Jefferson, McKean, Potter, Warren • Master Leasing/Bridge Subsidy Program • Designed to house individuals ineligible for other federal housing (including those ineligible due to previous criminal activity) • Bridge subsidies to keep individuals housed while working with case managers to develop plan for permanent housing • Contact: Penny Campbell (pennycampbell@clarionhousing.com)

37. Counties’ Next Steps/Action Plans for Housing • Westmoreland County: • A Local Housing Options Team (LHOT) meets on a regular basis to coordinate housing services. • The LHOT brings together stakeholders in the community to identify gaps and barriers to housing for targeted and complex populations and works towards using existing resources in the community and developing new ones to meet the housing needs of the county.

38. Ways CoE Can help – Technical Assistance • Specialized searches of resources • Educational sessions for multiple locales • Hands-on assistance to individual locales • Data collection, data management and program evaluation • Data analysis assistance • Consultation regarding reporting • Fostering peer-to-peer networks, state-wide, and nationally

39. Ways CoE Can Help – Resource Website http://www.pacenterofexcellence.pitt.edu • Links to relevant and important information • Practical tools • Funding announcements • Data collection/management tools • County-specific information • Links to census and crime data • Program information • Reports from the mapping workshops • Forum for cross-county communication

41. Final Report Drexel University & University of Pittsburgh Blair County Report of the Cross-Systems Mapping Workshop June 8th and 9th , 2011 Transforming Services for Persons with Mental Illness in Contact with the Criminal Justice System • Cross-systems picture • Available for wide distribution • Provided in PDF and Word formats • County-Specific Narrative for each intercept • Gaps and Opportunities • Action Plan • Resource for local Criminal Justice Advisory Board’s planning • Support for future funding applications • Reference/resource materials included

42. For more information: Pennsylvania Mental Health and Justice Center of Excellence www.pacenterofexcellence.pitt.edu Patty Griffin, PhD, Senior Consultant pgriffin@navpoint.com

43. Office of Mental Health and Substance Abuse Services (OMHSAS) Terry Moloney Office of Mental Health and Substance Abuse Services

44. Office of Mental Health and Substance Abuse Services (OMHSAS) • OMHSAS provides community alternatives to Pennsylvanians with SMI, including those at risk of homelessness and involvement with the Criminal Justice System.

45. Housing and the Office of Mental Health and Substance Abuse Services (OMHSAS) • PA continues to make strides in addressing the unnecessary institionalization of individuals with serious mental illness (SMI) in state psychiatric hospitals. • The census in PA’s state psychiatric hospitals has declined dramatically from 35,100 in 1966 to about 1,600 in 2012. • We recognize that many individuals with SMI can live successfully in the community if they have appropriate supports and services.

46. Housing and OMHSAS • OMHSAS provides community alternatives to Pennsylvanians with mental illness, including those at risk of homelessness and those involved in the criminal justice system. • During the past 5 years, OMHSAS has implemented a Permanent Supportive Housing (PSH) Initiative that utilizes local, state, and federal resources to expand affordable, supportive housing and residential programs for adults. • 53 counties have made reinvestment resources available as part of the OMHSAS Permanent Supportive Housing initiative.

47. OMHSAS Housing Reinvestment Strategies • Between 2006-2012—Counties have reinvested approximately $102 million in OMHSAS approved housing strategies – including $33 million in capital funds, and $32 million in Bridge and Master Leasing Subsidies. • Counties vary significantly in the percentages of those serviced who come from the targeted populations, i.e. people in institutions or community residential programs, homeless youth aging out of child serving systems, and the forensic population. • Since April 2012, fully or partial reinvestment-funded housing programs have served approximately 3,000 households.

48. OMHSAS • Reinvestment Strategy - Bridge Subsidy • Bridge—Short term tenant based rental subsidy intended from the start to be a “bridge” to more permanent housing. • Counties have committed funds for 686 bridge rental subsidies. Of that number 223 have been funded and are being placed in service in 2012.

49. OMHSAS Reinvestment Strategy - Master Leasing • Master Leasing—Leasing units from private owners and subleasing—and subsidizing these units to consumers. • Master leasing is often used for consumers with criminal histories or poor tenancy histories. • 11 counties have arranged for 331 people to get rental units through master leasing programs.

50. OMHSAS Reinvestment Strategy - Capital • The use of Reinvestment funds as capital financing to create targeted permanent supportive housing units. • Ten county programs and the 23 Behavioral Health county contract option program have committed funds to capital projects.