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TRANSCRIPT
Just In Reach 2.0
Presentation by
Doug Bond
Copyright ©2011, Amity Foundation. All Rights Reserved.
Amity Foundation is a non-profit agency with teaching communities
throughout California, Arizona, and New Mexico.
Mission:
• Amity Foundation is dedicated to the inclusion and habilitation of
individuals and families marginalized by addiction, trauma,
criminality, homelessness, incarceration, poverty, racism, sexism
and violence.
• Amity is committed to research, development, implementation and
dissemination of information regarding community building.
Remembrance – Resolution – Reconciliation – Restoration - Renewal
Amity Foundation a
Teaching Community
Copyright ©2011, Amity Foundation. All Rights Reserved.
The Spectrum of TC Settings
in the 21st Century
• Residential Campuses on large
acreage and in rural settings
• Residential Campuses in urban
settings
• Correctional/Institutional
settings
• Non-Residential Intensive
Outpatient settings
• Other?
Copyright ©2011, Amity Foundation. All Rights Reserved.
Homelessness is an institutional circuit
Shelter
Jail
Detox
Emergency Room Street
Hospital
Psych Center
Drug Treatment
Copyright ©2011, Amity Foundation. All Rights Reserved.
Just In Reach 2.0 History
2008- First JIR pilot launches
under LASD with 2 years of funding
2011- California passes (AB109)
Realignment; less targeted JIR
program expands
2012- LA County Board of
Supervisors passes motion to explore PFS with JIR as potential
model
2013- LA County Board of
Supervisors directs the CEO to develop PFS blueprint for the County & use
JIR model
2014- JIR 2.0 launches with
private & public funding, a robust
PFS-focused evaluation, and deeper targeting
Copyright ©2011, Amity Foundation. All Rights Reserved.
Our Service Provider Team
Copyright ©2011, Amity Foundation. All Rights Reserved.
Our Partners
Copyright ©2011, Amity Foundation. All Rights Reserved.
Core components of JIR 2.0
• In-reach 2-4 months prior to release
• Connection to Amity’s Therapeutic Community immediately upon release
• Small caseloads
• Connection to permanent housing units
• Rental assistance
• Array of support services
• Inter-agency collaboration • Robust evaluation
Copyright ©2011, Amity Foundation. All Rights Reserved.
Services Team
• Navigators
• Case Managers
• Housing specialist
• Employment specialist
• Benefits specialist
• Clinician
• Mentor coordinator
Copyright ©2011, Amity Foundation. All Rights Reserved.
Temporary Housing 0-3+ months Post-Release
Just In Reach 2.0: Participant Flow
In-Reach Team
Post-Release Team
Jail 2-4 months prior to discharge
Coordinated
discharge
Permanent
Housing
Referral sources use
JIR 2.0 baseline
criteria to refer.
Initially, JIR 2.0 staff will
enroll 60 clients. Each
quarter thereafter, JIR
2.0 staff will enroll
roughly 40 new clients.
All enrollees meet
baseline criteria AND
score high on SPDAT.
LASD CTU
Probation (TBD)
Jail Mental Health
Jail Medical
S
P
D
A
T
JIR Enrollee • After assessment,
Navigator enter client data into HMIS
• Navigator meets with client regularly to discuss discharge plan and long term housing
• Employment Specialist meets with most or all clients to offer employment support
• Benefits Specialist begins work with those not connected to benefits and highest SPDAT scores.
• Post-Release team meets with client as-needed prior to release
High
score
JIR Funded Rapid
Rehousing—Post
Release is primary
support and likely
working to find longer
term subsidy
Other Permanent
Housing—Post Release
continues to support for
short or long term,
depending on the client
Coordinated Entry
System to Permanent
Supportive Housing–
Post-Release supports
until client is stable
Transition into the Community
• Client transitions to Post-Release support with significant overlap, as needed
• Housing Specialist helps to identify potential units
• LCSW connects clients to mental health services
• Other Chrysalis resources available for employment. Employment Specialist follow-up with clients to ensure clients access what they want.
• Case manager coordinates access to permanent housing, services, and any other assistance the client needs.
• Housing Transition Specialist provides extra support as clients access supportive housing.
Not JIR 2.0 Client • Refer to other VOA &
Amity programs as possible
Low
score
Copyright ©2011, Amity Foundation. All Rights Reserved.
LASD Medical
Male Inmate Intake Data from 2014
• Approximately 8,800 - 10,000 new bookings per
month
• Approximately 5,000 - 6,000 report a medical
and/or mental health condition when processed in
the Inmate Reception Center
Copyright ©2011, Amity Foundation. All Rights Reserved.
JIR 2.0 Evaluation
Goals:
1) Determine if JIR 2.0 is a good candidate for a pay
for success (PFS) funding structure.
2) Provide feedback on process and advise on
emergent challenges.
3) Help jurisdictions outside of LA County implement
their own interventions similar to JIR.
4) Determine the impact of JIR 2.0 on recidivism, use
of emergency housing and treatment contact.
Copyright ©2011, Amity Foundation. All Rights Reserved.
Goals for JIR 2.0
Increase housing stability.
- Of those who enter temporary housing, at least 65% access permanent housing.
- Of those who enter supportive housing, 75% remain housed for at least 6 months.
Reduce recidivism.
- Reconviction rates that are at least 20% lower than a cohort group.
Copyright ©2011, Amity Foundation. All Rights Reserved.
UCLA Evaluation
2 year evaluation
Focus on:
• County cost-savings
• Program components
Using the following data sources:
• Criminal justice (Sheriff & Probation)
• Mental health
• Health services
• HMIS (primary case management tool)
• Social services (GR, etc.)
Copyright ©2011, Amity Foundation. All Rights Reserved.
• JIR 2.0 program data • Demographics, health status, behavioral health diagnoses, dates of program
contact, services provided, housing history, progress towards milestones (e.g.
permanent housing, job retention)
• Administrative data • LASD: demographics, charges, sentence, criminal history
• DMH: behavioral health diagnoses, treatment history
• DHS: medical diagnoses, treatment history, health insurance status
• LAHSA: history of homelessness, contact with emergency housing services
• Interviews • Interviews with JIR 2.0 providers: perceptions of client needs, engagement
strategies, suggestions for program improvement
• Focus groups with JIR 2.0 clients (in the community and in jail): program
satisfaction, service needs and gaps, suggestions for program improvements
Data Sources
Copyright ©2011, Amity Foundation. All Rights Reserved.
Current JIR 2.0 Data
Total Referred - Eligibility 309 -
Not Eligible 122 39%
Eligible / Enrolled 180 58%
Blank / Missing Data 7 2%
Enrolled - Pre- vs. Post-Release 180 -
In Custody 52 29%
Post-Release 59 33%
MIA 76 42%
Blank / Missing Data 0 0%
Copyright ©2011, Amity Foundation. All Rights Reserved.
Current JIR 2.0 Data
Total Post-Release 94 -
MIA 35 37%
Temporary Housing 16 17%
Permanent Housing (currently) 43 46%
Permanent Housing (any time) 56 60%
Copyright ©2011, Amity Foundation. All Rights Reserved.
“Remarkable changes in lifestyle are possible when
individuals live and work in community where every
element has an educational and therapeutic impact on
their process.”
~George De Leon, 2000
Copyright ©2011, Amity Foundation. All Rights Reserved.
Contact Information
Doug Bond
Director of California Services and Operations