jail diversion trauma recovery pilot - veteran specific
TRANSCRIPT
Jail Diversion Trauma Recovery Pilot
Priority to VeteransLeon Evans,
President and Chief Executive OfficeThe Center for Health Care Services
Mental Health [email protected]
3rd Annual Justice-Involved Veteran’s ConferenceSan Antonio, TexasThe Menger Hotel
February 02-03, 2012
Aaron Diaz, Director Crisis and Jail Diversion Services
The Center for Health Care [email protected]
Gilbert Gonzales, Director Communications and Diversion
InitiativesThe Center for Health Care Services
Melanie Lane, Clinical Director, The Restoration Center
The Center for Health Care [email protected]
Veteran’sJail Diversion andTraumaRecovery
Point of Contact with Law Enforcement
Magistrate Court
Bexar County Jail
Post-Booking Diversion
Community-based Wraparound Care
CIT/Deputy Mobile Outreach
Team
Genesis Probation, Incarceration,
Parole
Emergency Transport to
Hospital
Pre-Trial Diversion
Referrals to Community Providers
*Pre-Arrest Diversion
Residential Respite
Arrested
The Diversion ProcessThe Diversion Process
Treatment in lieu of Incarceration
24/7 CrisisServices
* Federal Grant Award
2003
Law EnforcementDetention/Jail
CIT
Judicial/CourtsMagistrate,
County, District
Mental HealthPublic and Private
Providers
Crisis Care CenterJail Diversion
Psychiatric and MedicalClearance
Specialty Offender Services
CommunityDynamicCrisis Jail Diversion
Information Exchange
Polic
e,
Sheri
ffPro
bati
on,
Paro
le
Civil and CriminalTre
atm
ent
Contin
uity
of C
are
County City-wide
Emergency Services
Data exchange through• Community Collaborative• Crisis Care Center • CIT/DMOT• Jail and Juvenile Detention• Statewide CARE Match
Jail Diversion 2003-2012System County City-wide
Entry Points
System Level
The Crisis Care Center
The Restoration Center
Haven for Hope Homeless Campus
Community Collaborative
Therapeutic Justice
Services
Pilot Intercept
Prospect’sCourtyard
Jail Diversion Trauma Recovery - Pilot
Crisis Response PRE-BOOKING
Magistration PRE- & POST-
BOOKINGDiversion
CHCS Trauma-Related Jail Diversion ServicesBexar County Jail
Point of Contact with
Law Enforcemen
t
Crisis Center
Restoration Center
Assessors screen for Vet Status and PTSD
Trauma Counselors assess for
PTSD
Trauma Counselors
provide services
• The expansion of trauma specific treatment ;
• Monitoring of the delivery of veteran peer support services related to behavioral health issues;
• Monitoring of the implementation of family member facilitated family-to-family education groups related to behavioral health issues;
• Developing of collaborative advisory groups for supports and services for veterans and their families to initiate,
• Enhance or expand community resource coordination related to Basic needs with community partners, individuals and organizations who are serving or have a demonstrated interest in serving and supporting veterans and their families.
• Linkage to Therapeutic Justice Services
VETERANS SPECIFIC JAIL DIVERSION SERVICES
TOOLS BEING USED
• Bringing Everyone in the Zone• Operation Resilient Families• Cognitive Processing Therapy• Operation Reunion• Texas Youth Suicide Prevention (TYSP) Screening (Ft.Sam/BAMC
Schools)• Case Management – Liaison
• Use of Peers: Peer Recovery Support Specialist
Trauma Specific Approach
• Cognitive Behavioral Therapy• Seeking Safety• Traumatic Brain Injury Screening• Professional screening instruments via Licensed Staff
Additional Approaches
8
The Restoration Center
• Sobering Center• Medical Detox Facility• Injured Prisioner• In House Recovery • Community Substance Use Court• Intensive Outpatient Substance Abuse Services• Continuing additional services
“Intercept Point” for Jail DiversionTrauma Recovery Pilot
Integrated with Prospects Courtyard• Homeless Mental Health Clinic• 80 Bed Residential within Courtyard
• Provides evident based trauma specific treatment (Seeking Safety)
The Beginning of CIT inBexar County & San Antonio
• Center for Health Care Services, start a jail diversion program in 2002
• CHCS and Bexar County Sheriff start the Deputy Mobile Outreach Team (DMOT) in 2002
• San Antonio Police Academy starts in-service training for officers in 2003
• San Antonio Police obtained formal training from Houston Police Department in May 2003
• In October 2003 SAPD started training our officers with the original goal of training 10% of the patrol officers
Posttraumatic Stress Disorder (PTSD):
The Aftermath of Trauma
© 2003 Pfizer Inc. All rights reserved.
PTSD—Summary– PTSD is the 5th most prevalent major
psychiatric illness
– PTSD patients often exhibit poorer general health and greater functional impairment
– PTSD is highly comorbid with other psychiatric disorders
– PTSD is costly to the healthcare system
– Effective treatment is available
Kessler 1999; Davidson 1991; Beckham 1998; Warshaw 1993; Giaconia 1995; Kessler 1995; Greenberg 1999; Sutherland 1999; Marshall 1998.
The Center for Health Care
Services
Leon Evans, President/CEOThe Center for Health Care Services, Mental Health Authority