exemplary models of peer support to incarcerated persons with mental illness wednesday, august 27,...
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EXEMPLARY MODELS OF PEER SUPPORT TO INCARCERATED PERSONS WITH MENTAL ILLNESS
Wednesday, August 27, 2014 3:00–4:30 p.m., EDT
Welcome to the Webinar Please remember to dial-in to the
phone # listed below:
Dial In Information:
Attendee Dial-In (toll-free): 877-668-5013Attendee Conference ID: 848 69 039
Provide Conference ID 848 69 039
AGENDA
3:00 p.m.- 3:05 p.m. Welcome and Overview
3:05 p.m.- 3:10 p.m. Introductions
3:10 p.m.- 3:35 p.m. Iowa Department of Corrections
3:45 p.m.- 4:10 p.m. Pennsylvania Department of Corrections
4:10 p.m.- 4:30 p.m. Questions and Answers
Larke Nahme Huang, Ph.D. Senior Advisor
Administrator’s Office of Policy Planning and Innovation
Substance Abuse and Mental Health Services Administration (SAMHSA)
Association of State Correctional Administrators
ASCA Membership
• Fifty State Administrators of Correction• Director, Federal Bureau of Prisons
• Washington DC, Philadelphia, New York City, Los Angeles County
• U.S. Territories
Association of State Correctional Administrators
11 ASCA Committees Oversee the Work of the Association
• Executive Committee• Program & Training Committee
• Racial Disparity Committee• Substance Abuse and Mental Health Committee• Reentry and Community Corrections Committee
• Policy: Resolutions, Legislation & Legal Issues Committee• PREA Committee
• Research and Best Practices Committee• Information Sharing Committee
• Past Presidents’ Committee• Nominating Committee
Association of State Correctional Administrators
The ASCA Substance Abuse and Mental Health Committee Coordinates this Webinar with SAMHSA
• Committee Chair John Baldwin (Iowa) oversees the work of the Substance Abuse and Mental Health Committee
• A special Sub-Committee was authorized by the ASCA Executive Committee earlier this month to develop guiding principles and explore best practices for dealing with the
mental health population in prisons
Association of State Correctional Administrators
Survey of State Correctional Agencies Regarding Peer Support for Mentally
Diagnosed Offenders
• ASCA surveys
• Survey on Peer Support for Mentally Diagnosed Offenders
Association of State Correctional Administrators
Survey of State Correctional Agencies Regarding Peer Support for Mentally Diagnosed Offenders
• 34 Agencies Responded to the Survey
• Thirteen responding agencies indicated they have a program in one or more of there institutions where
peer mentors or peer specialists work in mental health units
(AZ, IN, IA, KS, LS, MD, MA, MI, MO, NH, OH, SC, WI)
Association of State Correctional Administrators
Survey of State Correctional Agencies Regarding Peer Support for Mentally
Diagnosed Offenders
• 2 – Mentor Co-Occurring Disorder Programs• 3 – Assist with Educational/Classroom Activities
• 3 – Assist with Recovery Plans• 1 – Mentor Anger Management Programs• 2 – Assist in Suicide Prevention Initiatives
• 8 – General Peer Mentor Support
Association of State Correctional Administrators
Survey of State Correctional Agencies Regarding Peer Support for Mentally
Diagnosed Offenders
• Eight responding agencies said they have a program in one or more of their institutions where peer
mentors or peer specialists work to provide reentry services for offenders with mental health diagnoses
(AZ, IN, IA, KS, MA, OK, PA, WI)
Association of State Correctional Administrators
Survey of State Correctional Agencies Regarding Peer Support for Mentally
Diagnosed Offenders
• 1 – Mentor Co-Occurring Disorders Programs• 1 – Assist with Employment Opportunities
• 1 – Assist with Financial Literacy• 1 – Assist with Recovery Plans
• 4 – General Peer Mentor Support• 2 – Offer Classes about Reintegration
Association of State Correctional Administrators
Agency requests for information about establishing peer support programs for mentally diagnosed
offenders:
• Selection of peer supporters• Training of peer supporters
• Information about starting peer support programs• Program protocols, policies and procedures
• Pros and Cons of such programs• Identifying evidence based and best practices
• Use of peer supporters for suicide watch
Facilitators
David Morrissette, Ph.D., LCSW, CAPT, US Public Health Service,
Center for Mental Health Services, SAMHSA
Joseph Fenton Senior Associate,
Association of State Correctional Administrators
IOWA
John Baldwin, M.A. DirectorIowa Department of Corrections
Bo Pourahmadi, M.A. PsychologistIowa Department of Corrections
The State of Iowa Department of Corrections Mentoring Program
Presented by
Bo Pourahmadi, M.A.Iowa Medical and Classification Center
Iowa Department of Corrections
Mentor, defined…
The State of Iowa defines “Mentor” as: “An offender who is trained to work with inmates/patients (can be peer to peer) with their mental health care plans and in managing their serious mental illness (SMI).” Mentoring is supported by NAMI and we apply it to our prison setting.
Expectations of a Mentor
• Role model• Teach/lead by example• Share knowledge• Provide active listening• Builds confidence
Statistics of inmate A.B. since being assigned a mentor in January of 2013
Number of days on acute unit with goal of being in the least restrictive status
• From intake (May) of 2012 thru December of 2012==120 days
• From January 2013 thru June of 2013==94 days
• From July 2013 thru December 2013==40 days
• From January 2014 thru present==24 days
The Hiring Process
• On-site General Population (can use Peer to Peer mentors) background check
• Initially done by psychology and/or Treatment Services Director and Administrative Assistant
• It is then decided who needs a mentor based on compatibility
• Support Veterans—screen them and assist with re-entry including VA benefits
Positives of Mentoring for the Mentor
• Build relationships • Utilize/Discover own positive traits• Builds a trusting relationship• Builds effective communication skills
(communicating problems/symptoms)• Learn how to problem solve with assistance
and eventually on their own
Negatives of Mentoring for the Mentor
• Burnout
• Lack or mentee’s improvement/progression
• Subscription to an alternative style of learning
• Building rapport/trust can be difficult. Breaking rapport/trust can be easy
The Iowa Medical and Classification Center’s Component to Success
We had 3 mentors two years ago and now we have 18. Results are consistent with inmate AB:
• Fewer placements on acute unit
• Fewer days on acute unit
• Fewer hospital trips
PENNSYLVANIA
John E. Wetzel, B.A. Secretary, Pennsylvania Department of Corrections
Marirosa Lamas, M.S. Superintendent, Pennsylvania Department of Corrections
Robert J. Marsh, Jr., Psy.D. Psychologist, Pennsylvania Department of Corrections
Overview
• Began in 2003 between the Pa. Dept. of Public Welfare Office of Mental Health and Substance Abuse Services.
• Several years passed with several other regulatory and grant assuring steps in between
• In 2008 OMHSAS partnered with University of Pennsylvania to develop a curriculum and training for CPS to specialize in working with older adults.
• In 2010 PCCD, MHJAC began to address the utilization of CPS in the correctional systems.
Overview—contd.
• Two critical components of the DOC CPS project:1—existing work and activities established by OMHSAS2—a collaborative relationship between PCCD, DOC and OMHSAS.
• The DOC then secured monies specifically for training offenders in six pilot facilities.
• Buy in from the Superintendents was important and achieved.
Areas Where Peers are Utilized• SNU (Special Needs Unit)• SRTU (Secure Residential Treatment Unit)• MHU (Mental Health Unit)• IRC/Orientation (Inmate Reception Committee)• Standardized Groups• Education/Library• Activities• Infirmary/POC (Psychiatric Observation Cell)• Re-Entry
Criteria
• CL 2 or 3• No misconducts for 1 year• No assaultive behavior in the past 2 years• No suicide attempts/gestures in the past year• No self injurious behavior in the past year• Stable adjustment (with or without medication)• Behavior stability in the past 12 months• Diploma/GED• Stability Rating B or C• Within 3 years of minimum
Criteria- cont.
• May not be on AOD Therapeutic Community reserve list
• Recommended by LPM (License Program Manager)
• Administrative review required
Training
• Recovery Innovations, Arizona• DOC Facilitators• 80 Hour University Level Course• Certification• Continuing Education hours
Peer Support Approach
• Be fully present• Listen fully• Use reflective listening• Relate with empathy• Validate strengths• Ask permission and be
mutual• Ask open ended questions
• Honor Person as the Expert• Provide Choices• Use Recovery Language • Use Empowering Language• Use “I” Statements• Roll with Resistance
Certified Peer Specialist
PEERS DO NOT…• Replace Staff• Provide Clinical Services• Supervise Inmates• Give Advice• Assume the Role of
Expert• Model recovery only
when working• Make decisions for others
PEERS DO…• Augment Staff Service • Listen & Support• Promote mutual
relationships/treat as equals
• Live responsibly and in recovery
• Assist others in making their own decisions
Contact Information:
Secretary John E. Wetzel | [email protected]. Robert Marsh | [email protected] Marirosa Lamas, Supt. | [email protected]
Thank you!
For additional information please visit:
SAMSHA’S GAINS Center for Behavioral Health and Justice Transformation
http://gainscenter.samhsa.gov/
Association of State Correctional Administrators
http://www.asca.net/