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Release Planning in Behavioral Health

Release and Reintegration Services Minnesota Department of Corrections Jolene Rebertus, MA, LPC Phoua Vang, MA Jim Myhre, LADC Release and Reintegration Specialists. Release Planning in Behavioral Health. Approach Prevention through planning and action MN DOC Release Planners SPMI SO CD

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Release Planning in Behavioral Health

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  1. Release andReintegration ServicesMinnesota Department of CorrectionsJolene Rebertus, MA, LPC Phoua Vang, MA Jim Myhre, LADCRelease and Reintegration Specialists

  2. Release Planning in Behavioral Health Approach Prevention through planning and action MN DOC Release Planners SPMI SO CD Medical TBI

  3. SPMI Release Planning • Function as a mental health practitioner • Assess and review client management needs • Create individualized discharge plan aimed at successful integration into the community

  4. Introduction • Significant increase in awareness of number of mentally ill offenders in prison population • Results in homelessness, unemployment, hospitalizations, subjection to abuse and exploitation, alcohol and drug dependence

  5. Introduction • 2002, MN State Legislature passed law requiring mental health release planning for all SPMI offenders • Community mental health services preplanned prior to release

  6. Importance of Mental Health Release Planning Services Enhance community safety Reduce recidivism Meet state legislatively mandated laws Provide advanced notification to community social service agencies

  7. Importance of Mental Health Release Planning Services To ensure offender access to state, county, and federal health care Transition mental health services from prison to community Medically based treatment that supports court’s objectives and conditions for release Best possible aftercare for SPMI offenders

  8. Definition of Serious and Persistent Mental Illness (SPMI) A person has diagnosis of: Schizophrenia Bipolar Disorder Major Depressive Disorder Borderline Personality Disorder Schizoaffective Disorder

  9. How to identify? Past records Pre-sentence investigations Clinical records Case notes Police reports Offender interview Have you ever been hospitalized? Have you seen a counselor or therapist? Do you have a mental health diagnosis? Medications?

  10. Mental Health Release Plan Begin working with offender 120 days prior to release Voluntary Service Limits of Confidentiality Assessment of need completed Obtain emergency contact, recreational activities, etc.

  11. Mental Health Release Plan County Mental Health Case Management Rule 79 Assessment Each county has their own rule 79 assessment Certifies a person with a serious and persistent mental illness County involvement important in order to assist with connecting offender to community mental health resources Day tx. MI/CD groups Vocational programming Housing Funds

  12. Mental Health Release Plan ARMHS-Adult Rehabilitative Mental Health Services Medical Assistance required Intensive Community services that focus on offender’s mental health stability in community

  13. Mental Health Release Plan MN Department of Economic Assistance GAMC (expired 02/28/11) MN Care MA Expansion (March 2011) SMRT Food Stamps Personal Needs Money

  14. Mental Health Release Plan Financial Benefits-Social Security Multi-stage process Referral phone call to SSA representative at 120 days SSI phone interview with offender in prison Completion of important paperwork Possible psychiatric evaluation SSI provide a means of support to pay for housing, food, and increase the offender’s health insurance coverage

  15. Mental Health Release Plan Housing Placement SPMI release planner involved in order to find appropriate housing Rule 25 assessment for MI/CD programming Collaboration with various providers Community agencies Case manager Housing manager Economic Assistance DOC case manager Field agent

  16. Mental Health Release Plan Community appointments Outpatient Psychiatry-medication monitoring Outpatient Psychology-primary therapist Community Treatment Program Sex offender MI/CD DBT Day treatment

  17. Mental Health Release Plan Prevention Plan Reviewed and processed with the offender To improve his/her cognitive thinking skills Build self-confidence in managing their mental health in the community

  18. Sex Offender Release Plan • Philosophy • Release planning starts at program admission • Re-entry services is provided in an inside-out manner • Community resources are brought into the institution • Interagency collaboration establish pre-release

  19. Sex Offender Release Plan • Release Planners in SOTP: • Educate and motivate offenders in assessment phase • Assess and review continuum of care needs • Act as a resource • Ensure safe continuum of care plan

  20. SOTP Transitions • 4 - 6 months prior to release • 1.5 hours, 4 days per week for 12 weeks

  21. SOTP Transitions • Guest speakers & Topics • Community notification & registration • Supervision • Civil comm. procedures • Housing resources and program expectations • Vocational • Parenting, visitation & family reunification • Outpatient treatment • Support groups • Credit counseling & child support

  22. SOTP Transitions • Support Person Education Sessions • Members of offenders support network • Family, friends, sponsors, mentors, pastors • Held in institution visiting area during non-visiting days • Large group discussion (all offenders and guests) • Small group discussion (therapist, offender & his guests)

  23. Sex Offender Release Planning • Release Planning Session • Supervising Agent • SOTP therapy staff • DOC Case Manager • Community support people • Discuss tx. progress and concerns • Review and modify release plan • Goals and rec. for release • Rules & regulations of release

  24. Sex Offender Release Plan • Offender Participates in putting the plan together • Directed by housing placement • Identify resources: • Assistance needs (medical, financial, etc.) • Continuing treatment resources • Support groups • Leisure, education, community involvment

  25. Sex Offender Release Plan • OBSTACLES • Limited resources for residency • Delays in civil commitment determination • Lack of healthy support resources • Limited funds • Lack of transportation

  26. Chemical Dependency Release Plan Basic Approach Actively work toward creating a community release plan by identifying supportive services, and utilizing all available resources offered by the Department of Corrections

  27. Prioritizing CD Services • HIGH, MEDIUM, or LOW • CD assessment • DWI offense • LSI Score • MNSOST-r Score • Assault, harm, weapon • Mental health • TBI • Developmental Disability

  28. Chemical Dependency Release plan • Release Planning Clientele • Offenders participating in CD programs • Offenders releasing directly into the community • 6 months prior to release

  29. Other Planning Strategies • Early Release Programs • ICWC • Work Release • Minimum Security • Offenders in the General Population • Courtesy Rule 25’s

  30. Chemical Dependency Release Plan Multi-disciplined Approach Offender involvement Assess and review client management needs Case managers Supervising agents LSI domains CD Comprehensive Assessment Staff review and consult County input – Rule 25 Create individualized discharge plan aimed at successful reintegration into the community

  31. Chemical Dependency Release Plan Addressing Other Needs Sober housing Medical Mental health Employment Family and community support system Personal needs Leisure and recreation

  32. Chemical Dependency Release Plan • Integration of Community Services • County Human Services • Social Services • Re-Entry Service Agencies • CORP – Duluth • Wilder Foundation – St. Paul • HIRE – Minneapolis • Workforce Centers • Easter Seals – Twin Cities, Rochester, Wilmar • Central MN Re-Entry Project – St. Cloud & Central MN

  33. Summary and Key Points Frequent communication with various parties Within Department of Corrections Community agencies Field agents

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