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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