Corrections- Changes Implemented within our Mental Health System - - PowerPoint PPT Presentation
South Carolina Department of Corrections- Changes Implemented within our Mental Health System Presented by Director Bryan Stirling December 7, 2017 Goal and Intent The goal is for SCDC to: diagnose and treat mentally ill inmates to
Presented by Director Bryan Stirling December 7, 2017
The goal is for SCDC to:
plans of care designed to minimize symptoms and reduce adverse effects of mental illness, maximize wellness, and promote recovery.
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(N=3,582).
South Carolina Department of Corrections' Inmates with Behavioral Health Illnesses Based on June 30, 2017 Custody Population
Male Population Female Population Total Population Total Population 18,538 1,451 19,989 Number Percent Number Percent Number Percent Mentally Ill* 2,668 14% 710 49% 3,378 17% Chemically Dependent 6,173 33% 753 52% 6,926 35% Mentally Ill* and Chemically Dependent 1,236 7% 411 28% 1,647 8%
*Includes Developmentally Disabled.
Screening/Evaluation/Treatment
All inmates identified as mentally ill (Mental Health Classification L1, L2, L3, L4, or L5) must be monitored by mental health staff, regardless of whether or not psychotropic medication is prescribed, or whether
his/her prescription medication.
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L4)
L3, L4)
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licensed, credentialed, and qualified mental health professionals that include Psychiatrists, Clinical Supervisors, QMHPs, Mental Health Technicians, Activity Therapist, and
management on a daily basis to all SCDC inmates as needed.
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MENTAL HEALTH STAFF COMPARISON 2014 2017
Title # of Staff Masters Licensed # of Staff Masters Licensed Total Filled Vacant Total Filled Vacant
ADMINISTRATION
TOTALS
5 5 4 3 9 9 4 3 PSYCHIATRY
TOTALS
5.89 16 11.62 4.38 PSYCHOLOGY
TOTALS
0.34 3.74 1.74 2 QUALITY ASSURANCE
TOTALS
1 1 1 6 6 COUNSELORS
TOTALS
78 72 6 3 2 112.5 95 17.5 MENTAL HEALTH TECHS
TOTALS
30 30 ACTIVITY THERAPY
TOTALS
3 2 1 ADMINISTRATIVE SUPPORT
TOTALS
9 9 9 9
DIVISION TOTALS 99.23 87 6 8 11 189.24 164.36 24.88 4 3
psychiatrists, psychologists, and QMHPs;
psychotic disorders, bipolar disorders, depressive disorders, and anxiety disorders, trauma and stress related disorders, neurodevelopmental disorders, neurocognitive disorders, and severe personality disorders that result in significant dysfunction and the inability to function in the general population. Inmates who experience significant functional impairment involving acts of self-harm or other behaviors that have a serious adverse effect on life may also fall into this category.
Caseload.
proposed mental health treatment.
health deteriorates to the point that the inmate is no longer stable, the inmate will be evaluated for involuntary treatment and/or inpatient hospitalization.
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Mental Health Treatment/Records remain confidential.
to any outside agency or person to include family members without written consent of the inmate.
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by 02/16/18;
Manning, Trenton, Tyger River, Wateree by 4/20/18;
RHU weekly.
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Institution Mentally Ill Non-Mentally Ill Total ALLENDALE 19 47 66 BROAD RIVER 39 26 65 EVANS 23 91 114 GILLIAM PSY 2 2 GRAHAM 1 1 GRAHAM R&E 27 7 34 GREENVILLE CO 1 1 JUST CARE INC(COLA CARE C 1 1 KERSHAW 39 40 79 KIRKLAND 1 25 26 KIRKLAND MAX 6 2 8 LEATH 17 7 24 LEE 41 26 67 LIEBER 41 28 69 MANNING 1 22 23 MCCORMICK 9 26 35 PERRY 31 105 136 RICHLAND CO 2 2 RIDGELAND 6 23 29 TRENTON 30 30 TURBEVILLE 6 22 28 TYGER RIVER 31 25 56 WATEREE RIVER 5 5 Total 341 560 901
Inmates in Lockup on November 29, 2017 by Institution and Mentally Ill vs. Non-Mentally Ill Population
Inmates on Lock-Up with a mental health classification who have chronic behavioral problems. These inmates do not have a consistent documented history of being aggressive or assaultive.
Inmates on Lock-Up with a mental health classification who have chronic behavioral problems. These inmates have a consistent documented history of being aggressive or assaultive.
the centralized Crisis Stabilization Unit. Inmate watchers are trained to help provide assistance in monitoring inmates on suicide precaution.
male and female offenders for potential behavioral health substance abuse needs.
Camille Griffin Graham.
Camille Graham Addiction Treatment Unit
Horizon ATU Program
abuse program needs are assigned priority admission status.
Correctional Recovery Academy (CRA)
issues.
counseling services for the treatment of opioid and alcohol use disorders.
antagonist that helps many individuals live a life of healthy recovery.
date.
“warm hands-off” to alcohol and drug community treatment providers.
Mental health, medical, and uniformed personnel receive annual training on suicide prevention strategies, self injurious behavior, mentally ill inmate care, and mentally ill inmate security management. Areas of training also include: ✓
interpreting and responding to symptomatic behaviors, and communication skills for interacting with inmates with mental illness;
✓
recognizing and responding to indications of suicidal thoughts;
✓
conducting proper suicide prevention observation;
✓
responding to mental health crises, including suicide intervention and cell extractions;
✓
recognizing common side effects of psychotropic medications;
✓
professional and humane treatment of inmates with mental illness;
✓
trauma informed care;
✓
de-escalation techniques;
✓
alternatives to discipline and use of force when working with inmates with mental illness and more; and
✓
CPR and First Aid.
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National Institute of Corrections (NIC)
and reduce use of force incidents involving offenders in crisis.
training
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and mental health advocates, both during and after the training. The partnership creates a foundation for addressing underlying issues and practices that leads to deeper criminal justice involvement, including high rates of segregation and release violations for inmates living with mental illness.
Mental Health Provider s Mental Health Advocates
SCDC
(Goal set June 2014) Current Total as of October 30, 2017: 334 Trained, & 274 Active SCDC Employees
monthly who were involved in structured mental health and/or substance use programming. Behavioral Health Counselors work with community providers (e.g. Community Mental Health Centers, DAODAS Alcohol and Drug Treatment Centers, Homeless shelters across the state) for connectivity to appropriate resources.
sex offenders
SC Works System, Development of Soft Skills, How to Articulate Work Opportunity Tax Credit/Federal Bonding, Disability Application Assistance, and Clothing Closet Accessibility as needed.