TRANSITIONING FROM JAIL TO COMMUNITY MDC releases approximately 60 - - PowerPoint PPT Presentation

BERNALIL

ILLO COUNTY

TRANSIT

ITION PLA LANNING & RE-ENTRY RESOURCE

CENTER

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February 2018

THE PROBLEM

• People transitioning from jail to community
• Chaotic and vulnerable time for most individuals
• Impacts continuity of care
• Housing/Jobs/Relationships are strained or lost
• Contributes to recidivism (30 – 65%)
• Decompensation, destabilization and overdoses risks
• Over-reliance on emergent systems
• People leaving jail with Behavioral Health disorders

& co-occurring disorders

• Increased risk
• Higher rates of recidivism and reliance on emergent

systems

2 Bernalillo County  September 2017

TRANSITIONING FROM JAIL TO COMMUNITY

• MDC releases approximately 60 individuals/day; 420/week;

1800/month; and 21,000+/year*

• More than 40% of MDC population receives some type of care

from the Psychiatric Services Unit (PSU); (24+ per day, 168/wk, 8500+/year)

• 18% of males and 27% of females in MDC have a SMI diagnosis.

68% of inmates have a drug/alcohol dependency (BJA)

• Rapid Releases: Approx 56% of releases are individuals with

LOS <72 hours*

• Timing of Releases: Approx 64% of releases are during the

hours of 4pm – 8am*

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*based on analysis of a sample of MDC releases from July 2017 Bernalillo County  February 2018

TWO COMPONENTS

1) Transition Planning @ MDC

• Screen at booking
• Assess moderate & high risk, engage to develop individualized

transition plans

• Communication/Coordination of supports and services
• Accelerated interventions and communication/coordination for

Rapid-Releases

2) Re-Entry Resource Center (downtown)

• Safe harbor, recharge, prepare
• Assess, enroll, connect
• Community Health Worker and Navigator engagement
• Coordinate with and invite in community providers and organizations

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Bernalillo County  February 2018

CRIMINOGENIC RISK AND BEHAVIORAL HEALTH NEEDS FRAMEWORK

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8 Transition Planners UNMH – Forensic Case Management 12 Social Service Coordinators (SSCs) MDC 2 Discharge Planners CCS 8 Community Health Workers UNM Health Sciences- CHWI

Role/activities Role/activities Role/activities Role/activities

Transition METRO DETENTION CENTER RRC Screen, Assess, Plan

COMMUNITY SUPPORT

Various Community Service Providers/Partners

Role/activities

Link

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RRC DESIGN RENDERINGS – MAIN RECEPTION

Bernalillo County  February 2018

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ENTRANCE/REFRESHMENT AREA

Bernalillo County  February 2018

RRC LOUNGE

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RRC OFFICES

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• Health/BH assessment
• Assignment to

community-based case manager

• Housing priorities
• Safe Harbor
• Phone
• Charging Station
• Waiting Lounge
• Coffee/Snacks
• Resource/Services
• Hygiene items
• Seasonal clothing
• Bus token
• Rx delivery
• Questions/Assistance

from floor staff 11 For All Releasing Moderate Need High Need

SERVICES AT RE-ENTRY RELEASE CENTER

• Meet with case

manger / care coordinator

• Verify Medicaid status
• Rx retrieval assistance
• Transition plan review

and initial contacts

• Peer support
• Transportation

arrangements

Bernalillo County  September 2017

APPLYING BEST PRACTICES

• APIC (Osher & Steadman, & Barr)
• Transition from Jail to Community – TJC (NIC)

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Assess Plan Identify Coordinate

Booking Release Post Release

Highest Need

Moderate Need

Mild Need

Level of Service and Coordination.

Bernalillo County  February 2018

USEFUL MODELS

• Cook County, Il – Treatment Alternatives for

Safe Communities (TASC)

• Discharge Lounge
• Supportive Release Center
• Portland, Or – Reentry Transition Center
• Includes peer mentoring and

employment/job skills

• Alleghany Cnty, PA – Coordinated Re-entry
• Pre/Post release Transition Case

Management

13 Bernalillo County  February 2018

Anticipated Outcomes

• Increased engagement in community services
• Reduction in use of emergent services/hospitalization
• Improved health
• Reduction in recidivism
• Improved system coordination and realized efficiencies

14 Bernalillo County  September 2017

A Joint Effort of Bernalillo County Behavioral Health Services Department Metropolitan Detention Center And The University of New Mexico

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