judges prosecutors community corrections probation school systems mental health/substance abuse...
TRANSCRIPT
Jefferson County Adult Treatment Train (JCATT)
Judges Prosecutors Community Corrections Probation School systems Mental Health/Substance Abuse agencies Local Law Enforcement Employment Services Community Support
Development of a Team
Think of all agencies involved in the habilitation of clients as different cars on a train
Community Corrections was selected as the “overseer” of the train
Other train cars willing to participate: schools; jail; transitional housing; in-patient treatment; LifeSpring; Centerstone; River Valley Resources
Theory of the Train
Each car delivers a variety of services to clients
Clients move through the train based upon risk/need under the supervision of CC
Movement through the train does not necessarily have to be linier
The train works together to best deliver the best wrap around services to the client from start to “finish”
Theory of Train
Having a unique collaboration of community supervision, resources and service providers – lines of decision making authority need to be established for the train to run smoothly
The train should have a clear understanding of each car’s services to clients
Each car established should have clear understanding of chain of command; reporting instructions; and expectations of the treatment train as a whole
Decision Making Authority
The supervising agency should give each train car clear reporting requirements for funding request.
Examples: ◦ A monthly reporting form◦ Time sheets of those being paid out of funds◦ Inventory◦ Client reimbursement information◦ Other client assistance funds
Reporting Requirements
How do people get on the train? Each train car should have specific
guidelines as to how they are referred to the train and who is the entry person for each train car.
Examples:◦ Juvenile Referrals◦ Jail Program referrals◦ Pre-conviction referrals◦ Post-conviction referrals
Methods of Referral
JCATT Flow of Services
Co-location of services
The treatment train is a unique collaboration of a number of different agencies
Agencies need to talk and everybody needs to be on the same page
JCATT team staffs twice a month JCATT administrators meet every other
month
JCATT Team Meetings
Juvenile Substance Abuse Prevention Specialists
Housed in each high school Drug/alcohol education/prevention Behavior modification Individual consulting Tobacco education
Prevention Services
Contracted through LifeSpring Mental Health and Substance Abuse
screening is completed on each person Male population “Living in Balance” Female Population “Seeking Safety” If completed, program information given to
community corrections In-patient/transitional housing referrals can
be initiated
Jail Substance Abuse Program
Serves as the point person for managing people through the treatment train
Assessments are completed and a case plan is developed
Referrals are made according to risk/need Progress of referrals is monitored Home visits completed Rewards and sanctions Drug Screens JCATT meetings
Community Corrections
Some are not in need of services and are sent to probation with regular supervision
PRIME for Life – 21 hour education PRIME Solutions – for unmotivated
individuals (pre-treatment)
Education Services
Locally Ruth Haven (females) Jefferson House (males)
Others Salvation Army Healing Place
Transitional Housing
Turning Point (LifeSpring) Wellstone (detox) Salvation Army
In-Patient Treatment
In-patient referrals Intensive Out-Patient Services (IOP) Individual therapy Mental Health treatment Medication referrals
Out-Patient Services LifeSpring and Centerstone
Relapse Prevention How to live staying sober Life Skills
Recovery Coaching/Life Skills Centerstone and LifeSpring
Facilitated by Community Corrections If substance abuse is the only need treated,
it only creates a sober criminal CBI is shown to be most effective with this
population Moral Reconation Therapy Moving On Alternatives to Domestic Aggression Sex Offender Treatment (starting soon)
Cognitive –Behavior Interventions (CBI)
Employment and Education Readiness◦ High School Equivalency Diploma◦ Short-term certification program
Rural Works Program◦ Job readiness◦ Job Search◦ Job retention◦ Job Advancement
Pilot program in Madison Correctional Unit to offer 1 credit Ivy Tech seminar class and Rural Works curriculum
River Valley Resources
AA/NA meetings Celebrate Recovery Churches Mentoring
Community Support
Joe is currently being held in jail for possession of meth charge (was a daily meth user) and has a lengthy criminal history of substance abuse and thefts – has been in jail for about 4 months
He completed the jail program and expressed to the jail counselor his concerns of getting out of jail after his sentencing date
Main concerns – being able to stay clean & his living arrangement
Example of Client
During the JCATT staffing, the jail counselor informed the team of his concerns and stated she had helped him complete the paperwork to apply to Turning Point (usually a 6 week wait)
A PSI interview was conducted and Joe scored high on the IRAS
It was recommended he be placed in jail until a bed at Turning Point was opened and then be transported to it and be placed with CC as a condition of probation with a max of 8 months on GPS; he was placed with CC as COP for 3 yrs
Joe continued
While Joe is at Turning Point, he applies to Jefferson House for transitional housing
He successfully completes Turning Point and lives at Jefferson House for 4 months
During his time at Jefferson House, he enrolls in IOP, meets with his CC CM once a week and goes to AA/NA meetings every day; he also obtains employment at a fast food restaurant and searches for a place to live
Joe continued
Joe successfully completes Jefferson House and IOP and moves out on his own
He is placed on GPS and his progress will determine the length of time (not to go over 8 months)
He continues to meet with his CM on a weekly basis
He is referred to MRT and is to go to 2 AA/NA meeting per week
Joe continued
Joe does well for 4 months and is released from GPS
A month after he is released, he relapses Joe is put back on GPS for at least 30 days
and is to complete Relapse Prevention; continue in MRT and his meetings
Joe is compliant and after about 45 days, his RP therapist states he is doing really well in group – CM agrees and he is removed from GPS
Joe continued
Joe continues to do well and graduates Relapse Prevention
He thinks a better job will help him so he enrolls in Rural Works and completes that program. He then lands a local factory job
During the later part of MRT, he is developing goals and starts to consider his education and career
He talks with Rural Works and states he would like to get a welding certificate and go to school at Ivy Tech for industrial maintenance
Joe continued
Joe continues to go to meetings and starts to meet new people in his certification classes and at work
He has joined a church and has meet a lot of great people through it and in his recovery meetings
After working at the factory for a year and obtaining his welding certification, he gets a promotion and obtains a welding position
Joe continued
At the end of his 3 year supervision, he continues to go to school at Ivy Tech
He has maintained new friends at work and through church and is currently involved in its Celebrate Recovery program
He maintains contact with his sponsor and his AA/NA community
He is living in a nice apartment on his own
Joe continued
Questions