Armstrong County - University of Pittsburgh...Armstrong County, PA Mental Health and Justice Center of Excellence Report, February 2012 7 Keys to Success Existing Cross-Systems Partnerships

D R E X E L U N I V E R S I T Y &

U N I V E R S I T Y O F P I T T S B U R G H

Armstrong County Report of the Cross-Systems Mapping Workshop

February 1st & 2nd, 2012

Transforming Services for Persons with Mental Illness in Contact with the Criminal Justice System

Armstrong County, PA Mental Health and Justice Center of Excellence Report, February 2012

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Facilitator

Patricia A. Griffin, PhD, Center of Excellence Senior Consultant

Other Support

Sarah Filone, MA, Project Coordinator - PA Center of Excellence Katy Winckworth-Prejsnar, Research Coordinator – PA Center of

Excellence

Center of Excellence Staff

David DeMatteo, JD, PhD Sarah Filone, MA

Patricia Griffin, PhD Kirk Heilbrun, PhD Casey LaDuke, MS

Edward P. Mulvey, PhD Carol Schubert, MPH

Katy Winckworth-Prejsnar, BA


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Table of Contents

Transforming Services for Persons with Mental Illness in Contact With the Criminal Justice System

Introduction ...................................................................................................................................... 5

Background ...................................................................................................................................... 5

About the Workshop ......................................................................................................................... 6

Objectives of the Cross-Systems Mapping Exercise ....................................................................... 6

Keys to Success ............................................................................................................................... 7

Armstrong County, Pennsylvania Cross Systems Mapping

Armstrong County Cross Systems Map ........................................................................................... 8

Armstrong County Cross Systems Narrative ................................................................................... 9

Intercept I: Law Enforcement / Emergency Services ........................................................ 11

Intercept II: Initial Detention / Initial Court Hearing ........................................................... 16

Intercept III: Jails / Courts ................................................................................................. 17

Intercept IV: Re-Entry........................................................................................................ 20

Intercept V: Community Corrections / Community Support .............................................. 22

Armstrong County Action Planning

Armstrong County Priorities ........................................................................................................... 28

Armstrong County Action Plan ....................................................................................................... 29

Conclusions and Summary

Conclusion ..................................................................................................................................... 34

Closing ........................................................................................................................................... 34


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List of Appendices

Appendix A – Participant List ......................................................................................................... 35

Appendix B – Armstrong-Indiana-Clarion Drug & Alcohol Commision Annual Report 10-11 ........ 38


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Armstrong County, Pennsylvania

Transforming Services for Persons with Mental Illness in Contact with the Criminal Justice System

Introduction

The purpose of this report is to provide a summary of the Pennsylvania Mental Health and Justice Center of Excellence Cross-Systems Mapping workshop held on February 1st & 2nd, 2012, conducted at the Belmont Complex located at 415 Butler Road, Kittanning, PA 16201. The Armstrong-Indiana Behavioral and Developmental Health Program hosted the workshop as part of an ongoing process of developing collaborative systems of support for individuals who have mental illness and who come in contact with criminal justice. This report (and accompanying electronic file) includes: A brief review of the origins and background for the workshop; A summary of the information gathered at the workshop; A cross-systems intercept map as developed by the group during the workshop; A description of each intercept along with identified gaps and opportunities; An action planning matrix as developed by the group; and Observations, comments, and recommendations to help Armstrong County achieve its

goals.

Background

The Armstrong-Indiana Behavioral and Developmental Health Program and multiple other stakeholders requested the Center of Excellence Cross-Systems Mapping workshop to promote progress in addressing criminal justice diversion and treatment needs of adults with mental illness in contact with the criminal justice system. As part of the workshop, they were requested to provide assistance to Armstrong County with: Creation of a map indicating points of interface among all relevant Armstrong County

systems; Identification of resources, gaps, and barriers in the existing systems; and Development of priorities to promote progress in addressing the criminal justice diversion

and treatment needs of adults with mental illness in contact with the criminal justice system. Prior to the workshops, the Center of Excellence gathered information about Armstrong County through a Community Collaboration Questionnaire and gathering of documents relevant to the population. The participants in the workshops included 27 individuals representing multiple stakeholder systems, including mental health, substance abuse, human services, corrections, advocates, law enforcement, and the courts. A complete list of participants is available in Appendix A (pg. 33) of this document. Patricia A. Griffin, PhD facilitated the workshop sessions. Sarah Filone, MA, and Katy Winckworth-Prejsnar also provided support.


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About the Workshop

Upon receiving a grant from the Pennsylvania Commission on Crime and Delinquency and the Pennsylvania Department of Public Welfare’s Office of Mental Health and Substance Abuse Services in late 2009, the Pennsylvania Mental Health and Justice Center of Excellence was developed as a collaborative effort by Drexel University and the University of Pittsburgh. The mission of the Center of Excellence is to work with Pennsylvania communities to identify points of interception at which action can be taken to prevent individuals with mental illness from entering and penetrating deeper into the justice system. The Center of Excellence workshops, Cross-System Mapping and Taking Action for Change, are unique services tailored to each Pennsylvania community. These workshops provide an opportunity for participants to visualize how mental health, substance abuse, and other human services intersect with the criminal justice system.

This workshop is unlike other types of consultations or staff development training programs. A key element is the collaborative process. Meaningful cross-system collaboration is required to establish effective and efficient services for people with mental illness and co-occurring substance use disorders involved in the criminal justice system. This makes the composition of the group extremely important. While some workshops involve advertising to the entire provider community, it is essential in the Cross-System Mapping workshops that the organizers gather a group that represents key decision makers and varied levels of staff from the relevant provider systems. Center of Excellence staff work with this group, serving as expert guides to help:

Create a cross-systems map indicating points of interface among all relevant local systems; Identify gaps, opportunities, and barriers in the existing systems; Optimize use of local resources; Identify and prioritize necessary actions for change; and Develop an action plan to facilitate this change. Upon completion of the workshops, the Cross-Systems Map included in the report is provided in an electronic format. It is meant to be a starting point. The electronic files can be revised over time to reflect the accomplishments and changes in the planning process.

Objectives of the Cross-Systems Mapping Exercise

The Cross-Systems Mapping Exercise has three primary objectives: 1. Development of a comprehensive picture of how people with mental illness and co-occurring

substance use disorders move through the Armstrong County criminal justice system along five distinct intercept points: Law Enforcement and Emergency Services, Initial Detention/Initial Court Hearings, Jails and Courts, Re-entry, and Community Corrections/Community Support.

2. Identification of gaps, resources, and opportunities at each intercept for individuals in the

target population. 3. Development of priorities for activities designed to improve system and service level

responses for individuals in the target population.


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Keys to Success

Existing Cross-Systems Partnerships Armstrong County’s history of collaboration between the criminal justice and behavioral health systems is reflected in a number of existing local efforts that were identified prior to the mapping. For example:

Armstrong County Criminal Justice Advisory Board (CJAB); and

The Single County Authority (SCA) has instituted a Certified Recovery Specialist position in the county jail to assist drug and alcohol clients with re-entry and recovery needs.

Representation from Key Decision Makers in the Workshops The workshop included wide cross-system representation and involved many of the key

decision makers. Opening remarks by Jim Kuemmerle, Administrative/Executive Director of Armstrong-Indiana Behavioral and Developmental Health Program, set the stage and established a clear message as to the importance of the workshop. Dave Hartman, Probation Chief and Criminal Justice Advisory Board (CJAB) chair, welcomed participants and introduced the facilitator, Dr. Patricia Griffin.

Data Collection In addition to the information gained during the workshop, the information in this report was

developed from conversations with and questionnaires completed by key stakeholders in Armstrong County in preparation for the workshop.


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Armstrong County Cross Systems Map


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Armstrong County Cross Systems Narrative

The Cross-Systems Mapping exercise is based on the Sequential Intercept Model developed by Mark Munetz, M.D. and Patty Griffin, Ph.D.,1 in conjunction with the National GAINS Center. In this workshop, participants were guided to identify gaps in services, resources, and opportunities at each of the five distinct intercept points. This narrative reflects information gathered during the Cross-Systems Mapping Workshop. It provides a description of local activities at each intercept point, as well as gaps and opportunities identified at each point. This narrative may be used as a reference in reviewing the Armstrong County Cross-Systems Map. The cross-systems local task force may choose to revise or expand information gathered in the activity. The gaps and opportunities identified in this report are the result of “brain storming” during the workshop and include a broad range of input from workshop participants. These points reflect a variety of stakeholder opinions and are, therefore, subjective rather than a majority consensus. General Description of Services and Cross-System Collaboration Armstrong County, named in honor of Colonel John Armstrong, was formed in 1800 from parts of three other counties (Lycoming, Allegheny, and Westmoreland). Kittanning (from the Native American name Kit-Han-Ne) was the original county seat, and continues to be so today. As of the 2010 census, the county had a population of 68,941 residents. The County has been building a continuum of criminal justice and behavioral health services that provide a basic foundation for continued growth and reorganization on all levels. There are a number of established links, both formal and informal, between the courts, probation, police departments, corrections and the behavioral health system that include but are not limited to:

The Armstrong-Indiana Drug & Alcohol Commission, Inc., and Armstrong/Indiana Mental Health/Mental Retardation (MH/MR), and their providers collaborate regarding clients with co-occurring disorders.

Co-occurring meeting between Armstrong/Indiana MH/MR, Armstrong -Indiana-Clarion Drug & Alcohol Commission, mental health treatment providers, case management staff, and jail treatment staff for the past two years.

The Armstrong-Indiana-Clarion Drug & Alcohol Commission, Inc., has worked with

probation, the courts, and service providers to establish an Intensive Supervision and Treatment Program.

The Armstrong-Indiana Mental Health/Mental Retardation Program was established by the County Commissioners of Armstrong and Indiana Counties to comply with the Mental Health and Mental Retardation Act of 1966, stipulating that counties either separately or jointly provide a variety of community based services for the mentally disabled of their county. The Armstrong-Indiana MH/MR Program Administrator's Office develops plans, allocates funds and has general

1 Munetz, M. & Griffin, P. (2006). A systemic approach to the de-criminalization of people with serious

mental illness: The Sequential Intercept Model. Psychiatric Services, 57, 544-549.


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oversight responsibilities for the two county programs. Additionally, the administrator's office provides 24/7 emergency commitment services. Since 1973, the Armstrong-Indiana-Clarion Drug & Alcohol Commission, Inc., has been the designated Single County Authority (SCA) for drug and alcohol services in Armstrong and Indiana counties. The Commission added Clarion County permanently in 2011. As such, the commission receives, administers, and allocates state and federal drug and alcohol funds targeted for this three county area. The commission is also responsible for assessing needs, planning, developing, and coordinating programming to meet these drug and alcohol service needs, and also monitoring and reviewing the outcome of these interventions. The commission targets four core drug and alcohol service areas:

Prevention; Intervention; Treatment; and Case Management.

Direct services are provided through contracts with state licensed agencies. Case management services are provided through the commission's contract with the Bureau of Drug and Alcohol programs. Services are available to all Armstrong, Indiana and Clarion County residents regardless of their ability to pay. Lastly, Armstrong County provides an extensive and detailed network of care website for individuals, families and agencies concerned with behavioral health. It provides information about behavioral health services, laws, and related news, as well as communication tools and other features. This network of care is available at: http://armstrong.pa.networkofcare.org/mh/

http://armstrong.pa.networkofcare.org/mh/


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Intercept I: Law Enforcement / Emergency Services

911

Armstrong County 9-1-1 works in conjunction with the Armstrong County Department of Public Safety and the Sheriff's Office, along with 18 police departments, 34 fire companies, and 13 ambulance services to provide safety and assistance to Armstrong County residents. The center also assists other county agencies with after-hours emergencies.

All 22 of Armstrong County's dispatchers are trained in Emergency Medical Dispatch, as well as training related to the Pennsylvania Emergency Management Agency (PEMA) and the Pennsylvania State Police practices. All dispatchers are certified in CPR/AED and many have certifications in other emergency service training.

Armstrong County's Mobile Command Center enables dispatchers to work from a disaster site. The Mobile Command Center could also be used as a back up 9-1-1 Center in the event that the center could not function due to unforeseen circumstances.

The 9-1-1 re-addressing project makes homes and businesses easier to find for emergency responders and personnel. The enhanced 9-1-1 addressing project has completed 41 of the 45 county municipalities.

Law Enforcement Armstrong County houses 18 police jurisdictions and one State Police Barracks that employs 40 full-time state police officers. The largest jurisdiction is Kittanning Police Department with 6 full-time officers, and the smallest jurisdictions include several departments that are made up of one or two police officers.

State Police

The Pennsylvania State Police was created by an act of the legislation, signed into law by Governor Samuel W. Pennypacker on May 2, 1905. It was the first uniformed police organization of its kind in the United States. The Pennsylvania State Police has jurisdiction in all political subdivisions in the Commonwealth.

Armstrong County is served by State Police Troop D that additionally covers the counties of Butler (except Interstate 80), Beaver, Lawrence, and Mercer; the townships of Frazer, Fawn, Springdale, Harrison, and East Deer, the boroughs of Brackenridge and Tarentum, and SR 28 from Armstrong County line to Pittsburgh City Limits; and Interstate 80 through Venango County. State Police Troop D covers approximately 3,038 square miles, a total population of 718,393, and employs 288 enlisted and civilian personnel.

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Armstrong County local state police barrack is located at 184 Nolte Drive, Kittanning, PA 16201, and can be reached at 724-543-2011.

Crisis Services

Armstrong-Indiana MH/MR began 24-7 mobile crisis services in July 2011. Mobile Crisis services are accessed by calling 1-877-333-2470. The telephone crisis workers triage the call and dispatch mobile crisis as appropriate. Crisis services are intended to meet the individual in their natural environment and attempt to resolve the crisis utilizing natural resources and supports. The goal is to divert unnecessary out of home placement.

Monday through Friday, 8:30 AM to 4:30 PM, Saturdays, Sundays and holidays, crisis workers are available to provide assessment, interventions, referrals, and information. Additionally, there is one full-time 24/7 mobile crisis worker in each county. When requested, mobile crisis workers will go out with police. If hospitalization is needed, the mobile crisis worker will assist by completing either a voluntary or involuntary commitment form. If an involuntary (302) commitment is necessary, the mobile crisis worker will complete the form and notify the mental health delegate to get an authorization for the 302. There is one mental health delegate on-call 24/7 for both Armstrong and Indiana Counties.

Crisis Lines

HAVIN 24-hour Crisis Line: (800) 841-8881 Provides services to survivors of domestic violence and sexual assault. Alternate number: (724) 548-8888

Indiana County Guidance Center Hotline: (888) 686-1991 Intake workers helps individuals get the services best suited to their needs, explain treatment options and answer any questions.

ARC Manor Crisis Hotline: (800) 323-1333 Specially trained staff are available 24 hours per day, seven days per week to respond to people in crisis or urgent situations. The hotline is staffed by trained therapists, resident managers, and clerical support staff. During fiscal year 2009/10, 1,355 calls were taken by the crisis staff. Ninety-nine percent of the calls were drug and alcohol related.

Farm Resource Center Crisis Line: (800) 851-4719 FRC provides crisis intervention, stress management and information, and referral services to rural individuals and families in 13 western PA counties (including Armstrong County).

Hospitals

Armstrong Center for Medicine and Health (ACMH), located at One Nolte Drive, Kittanning, PA 16201, provides residents in the Armstrong County region with an accessible 24-hour emergency department and advanced trauma care. The emergency department includes seven physicians and a various medical support professionals that are ready to respond to any patients’ needs. A full spectrum of care is provided on site and STAT MedEvac helicopter transportation is available, if necessary. The emergency department treats more than 26,000 patients annually.


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Detox Services

The Armstrong-Indiana-Clarion Drug and Alcohol Commission contracts with one hospital-based detox out-of-county facility and eleven non-hospital based detox out-of-county facilities (see below).

HOSPITAL-BASED DETOX AND REHABILITATION

Stepping Stones – Meadville Medical Center

NON-HOSPITAL DETOX

Conewago-Pottsville Pyramid Transitions at Wilkinsburg

Cove Forge Behavioral Health System Turning Point - Franklin

Gateway Rehab Center Twin Lakes Recovery Center

Gaudenzia Erie-Crossroads White Deer Run - Allenwood

Greenbriar Treatment Center Pyramid HealthCare at Duncansville

Roxbury

Victims Services The Pennsylvania Commission on Crime and Delinquency’s Victim Resources website provides the following victim services resources for Armstrong County. Further information can be found at: http://www.portal.state.pa.us/portal/server.pt/community/find_help_in_your_county/14752

Victim Service

Program Type of Program Street Address City

Armstrong County Victim Services

We help victims of all crimes

500 E. Market Street Kittanning

HAVIN, Inc.

We help victims of sexual assault and domestic violence

P.O. Box 983

Kittanning

MADD - Western Affiliate Office

We help victims of impaired driving crashes

222 W. Cunningham Street Butler

http://www.portal.state.pa.us/portal/server.pt/community/find_help_in_your_county/14752


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In addition, Armstrong County residents have access to the following resources:

PA Coalition Against Domestic Violence 6400 Flank Drive, Ste. 1300 Harrisburg, PA 17112

daytime: 800-932-4632 website: www.pcadv.org

PA Coalition Against Rape 125 North Enola Drive Enola, PA 17025

daytime: 717-728-9740 24 hour hot line: 888-772-PCAR website: www.pcar.org

PCCD Victims Compensation Program 3101 N. Front Street Harrisburg, PA 17108

daytime: 717-783-5153 800-233-2339 website: www.pccd.state.pa.us

MADD, PA State Office 2323 Patton Road Harrisburg, PA 17112

daytime: 717-657-3911 24 hour hotline: 866-439-6233 (Pittsburgh) 800-848-6233 (Harrisburg) website: www.maddpa.org

Identified Gaps

No behavioral health training for local police outside standard police training

No additional training available for state police

Not enough funding available to take officers off duty for additional training

Officers at smaller police departments can be transient (part-time positions; often leave when they have an opportunity for full-time work)

Limited 911 lines – can be difficult to transfer someone to crisis services without tying up the 911 lines

The county used to have a warm line - discontinued due to lack of volunteers

The hospital lacks official security and police often have to sit with individuals in the emergency room for hours (average of six hours)

There is some disagreement re: how long the precertification takes vs. how long it takes to find a hospital bed

Local police officers don’t always know how to deal with mental health situations

Hospital staff have been assaulted by individuals being processed for commitment

Allegheny County has recently closed several facilities for mental health services -- spillover has increased demand on Armstrong County services

No detoxification options currently in Armstrong County – most individuals are taken to jail, HAVIN, or home

Armstrong County residents have to travel 73 miles for detoxification services

Primary barrier to building a detoxification facility is location (zoning issues)

http://www.pbpp.state.pa.us/ova/OVA_Redirector.asp?U=www.pcadv.org

http://www.pbpp.state.pa.us/ova/OVA_Redirector.asp?U=www.pcar.org

http://www.pccd.state.pa.us/

http://www.pbpp.state.pa.us/ova/OVA_Redirector.asp?U=www.maddpa.org


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Identified Opportunities

Interest in Crisis Intervention Team (CIT) training – CJAB is supportive

Mental Health First Aid may be an alternative to longer behavioral health training (8 hours vs. 40 hours)

Cross-systems rapport is excellent – this has helped collaboration tremendously

New crisis services – 911 can either patch someone through or give an individual the crisis hotline number

There is data available re: how long hospital admissions take (precertification vs. bed finding, etc.)

Armstrong is in the process of developing a detoxification program –have funding to develop this, but have faced hurdles finding a location


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Intercept II: Initial Detention / Initial Court Hearing

Arrest and Initial Detention

Upon arrest, individuals are taken to local police jurisdictions or police barracks for initial detention and processing.

Preliminary Arraignment

Preliminary arraignments in Armstrong County are conducted via video by one of four Magisterial District Judges (MDJs) with video capacity inside the jail. Before the preliminary arraignment, the MDJs conduct a phone conversation with the arresting police officer and charges are faxed to the Judge’s office. The preliminary arraignment is conducted approximately one week later.

The 33rd Judicial District of Pennsylvania (Armstrong County) has a compliment of four Magisterial District Courts within its boundaries, overseen by four elected Magisterial District Judges. In Armstrong County the Magisterial District Judges are the Honorable J. Gary DeComo, Honorable James Owen, Honorable James Andring, and Honorable James R. Goldstrohm.

Magisterial District Judges have jurisdiction over summary offenses, matters arising under the Landlord and Tenant Act, civil claims in assumpsit (contract) and trespass not exceeding $8,000 (excluding costs and interest), and for fines and penalties for government agencies. In addition to overseeing preliminary arraignments, Magisterial District Judges fix and accept bail, issue warrants, hold preliminary hearings, and act as a committing judge in all criminal proceedings. Preliminary arraignment is typically done within one week of arrest, unless additional external circumstances arise.

Identified Gaps

Most police departments do not have holding cells for initial detention

Video arraignment can make detection of mental health issues difficult for MDJs

No pretrial services


Video arraignment available – video arraignment room in the jail

Individuals are not left alone during initial detention – this generally decreases suicide risk significantly

MDJs speak to arresting officers prior to preliminary arraignment. Opportunity for MDJ to learn about suspected mental health issues

MDJs have attended Administrative Office of Pennsylvania Courts (AOPC) trainings regarding mental health issues


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Intercept III: Jails / Courts

Jail

The Armstrong County Jail, located at 171 Staley's Court Road, Kittanning, PA, opened in August 2003 and has a capacity of 158 inmates. Warden David Hogue, in addition to the Prison Board and other members, oversee the jail. In 2011 the average daily population was 151 inmates, with 1,031 admissions during the year. At any given time, approximately 7 to 10 inmates carry a diagnosis of serious mental illness (SMI). Roughly 24 to 36 medical dexoticications are necessary each year. When entering the jail, inmates are seen by one of two full-time Family Counseling Services counselors for a comprehensive mental health/substance use interview, followed by a doctor’s examination within 72 hours. If necessary, inmates may be scheduled to see a psychiatrist (who comes in two hours each week) through Family Counseling Services. If an individual needs psychotropic medication he or she will be given a referral through the jail’s priority planning program. Recent data indicates that 18% of Armstrong County Jail inmates are currently receiving psychotropic medication. Additional services in Armstrong County Jail include GED and high school programing, parenting workshops, Alcoholics Anonymous (AA), Narcotics Anonymous (NA), Celebrate Recovery, and a variety of other volunteer services.

Courts

Currently there are no formal specialty dockets in the Court of Common Pleas, including mental health or specialty drug dockets. The Armstrong County Court of Common Pleas is currently served by the following judges: Honorable Kenneth G. Valasek, President Judge Armstrong County Courthouse 500 E. Market Street, Suite 210 Kittanning, PA 16201 Honorable James J. Panchik, Judge Armstrong County Courthouse 500 E. Market Street, Suite 208 Kittanning, PA 16201

Intercept 3 Jails / Courts

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Honorable Joseph A. Nickleach, Senior Judge Armstrong County Courthouse 500 E. Market Street, Suite 210 Kittanning, PA 16201

Honorable J. Gary Decomo Magisterial District Judge (33-3-01) 206 Fifth Avenue Ford City, PA 16226 Office: 724-763-7866 Fax: 724-763-8821

Accelerated Rehabilitative Disposition

The Armstrong County Court of Common Pleas utilizes the statewide Accelerated Rehabilitative Disposition (ARD) program specifically for first-time DUI offenders.

ARD is a pretrial program designed to allow the least-dangerous defendants (typically first-time, non-violent offenders, though some simple assault charges are accepted as well) to circumvent the usually lengthy trial process. The ARD program suspends the formal criminal prosecution before trial if the defendant agrees to certain conditions, such as completing substance abuse treatment. The district attorney chooses who is accepted into the ARD program, and has considerable discretion when formulating polices or deciding which cases will be referred to the ARD program.

Defendants who are accepted into an ARD program are placed under supervision, typically by the Armstrong County Adult Probation & Parole department. The standard period of supervision for ARD is 12 months. Additionally, the defendant must complete a drug and alcohol assesment and community service hours. If the accused successfully completes the ARD program, the underlying criminal charges are dismissed and the defendant’s record is expunged of the arrest record and of the ARD disposition.

Sheriff’s Office

The Sheriff's Office provides security for the courthouse, service of civil documents for the courts and the community, serves warrants, issues licenses for firearms and transports prisoners.


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Identified Gaps

Jail often serves as detoxification facility

Only two hours of psychiatrist time each week

At times it can be difficult to find out what kind of medications an individual is on when he/she enters the jail

No problem solving courts

25-30% of all cases in Armstrong County are DUIs


Armstrong County Jail is a fairly new facility (2003)

Video Capacity since 2004 – Last year the jail purchased new equipment

Detoxification protocol is in place at the jail

Transporting officer completes a triage questionnaire re: general areas of concern (MH, D&A, suicide concerns) prior to jail admission.

- Individual is taken to the hospital if a medical issue arises

Individuals are screened for mental health and drug & alcohol issues at intake

Armstrong County Jail contracts locally with Family Psychological Associates (FPA) to employ two full time jail counselors with diverse backgrounds in probation, mental health, and drug & alcohol

Within 72 hours of admission, inmates see a doctor and counselor

If usual psychiatrist is unavailable, the jail can utilize the jail physician for emergency medication

Armstrong County Jail is in the process of planning for more cognitive based mental health services (possibly Thinking for a Change)

Recently started Project Hope through FPA to bring case management into the jail

New legislation (HB 960 Act 22) allowing Medicare/Medicaid to pay for inpatient hospitalizations has saved the jail a large sum of money in hospital bills


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Intercept IV: Re-Entry

Re-entry Services

Project HOPE (Helping our Peers Excel), run through Family Psychological Associates, began in July 2012 and employs two case managers with an average caseload of 6-7 inmates and roughly one referral per month. Case managers sit down with individuals at the jail to help them fill out medical assistance paperwork, arrange rides to the Department of Public Welfare office, assist with filling out paperwork, contact housing providers to set up appointments, call food pantries, and provide other ancillary services when necessary. The case managers also speak with probation as needed, ensuring their clients are following up with their supervision requirements.

A case manager employed through Armstrong-Indiana-Clarion Drug & Alcohol Commission goes into the jail twice per month for probation-referred individuals, to provide a level of care assessment and referral to treatment as appropriate. Currently, the case manager provides four assessment appointments per month to appropriate clients and coordinates treatment in the community upon jail discharge. A Certified Recovery Specialist (CRS) employed through the Armstrong-Indiana-Clarion Drug and Alcohol Commission goes into the jail on a weekly basis, to provide Recovery Support Services to individuals referred by the jail counselors. The CRS works with individuals to complete medical assistance paperwork, recovery planning, setting up appointments for jail discharge as well as researching housing opportunities, human and community services. Lastly, the CRS works with jail referred individuals post jail discharge to continue their Recovery Support Services.

State Prison Re-Entry

Armstrong-Indiana MH/MR’s Aftercare For Persons Released From State And County Facilities provides aftercare services to residents of Armstrong and Indiana Counties released from state and county facilities.

Intercept 4 Re-entry

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Identified Gaps

Often “lose” people at re-entry (services are not mandatory)

No specific re-entry services for individuals with intellectual disabilities

Three days of medication (from jail) may not always be enough time to get a new prescription

If an individual is NOT working with Project Hope, they will likely not be able to receive uninterrupted medication


New case management programs seem to be helping bridge the gap between jail and community

Armstrong County has done a lot of work to improve benefits reactivation upon release

FPA has a great relationship with the county assistance office – helps with Medical Assistance benefit reactivation

Project Hope program includes case management, outpatient therapy, and housing assistance

Project Hope has had a lot of luck getting individuals medication within the three day period post-release

Recovery Specialist also works with the county assistance office and can assist with human services referrals

The county receives monthly lists of state inmates with max out dates – Project Hope will likely work with a lot of them

Armstrong County Jail has a jail inmates look-up system online

10 -15 religious groups come into the jail, and there are currently more religious volunteers than time slots


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Intercept V: Community Corrections / Community Support

Probation & Parole

The Armstrong County Probation Department, overseen by Chief Probation Officer David Hartman, stresses individualized treatment using supervision, community resources, and programs that hopefully direct the offender toward a successful reintegration into the community. Additionally, the department aids the court in sentencing and treatment programs for the offender. Probation officers have an average caseload of 75-100 clients. The department has one dedicated probation officer for the mental health caseload who works closely with Family Psychological Associates (FPA) and has a background in behavioral health. In addition, there is one officer assigned to the approximately 180 ARD cases.

Intensive Supervision and Treatment (IST)

On July 1, 2009, the Armstrong-Indiana-Clarion Drug & Alcohol Commission (AIDAC) was re-awarded a grant from the Pennsylvania Commission on Crime and Delinquency (PCCD) for the Restrictive Intermediate Punishment Program. This program focuses on Level 3 and Level 4 offenders who, due to the presence of a substance abuse problem, are sentenced to the program in lieu of jail. The Commission also provides funding for Level 2 clients that are appropriate for the program. The goals of the program are to assist in the reduction of jail overcrowding and reduce the incidence of relapse while ensuring appropriate treatment and access to support services. On January 1, 2009, as part of the Pennsylvania Commission on Crime and Delinquency (PCCD) grant, Armstrong County implemented the Intensive Supervision and Treatment (IST) Program. This program combines intensive supervision by a probation officer designated solely for this initiative with intensive drug and alcohol treatment and a dedicated Case Manager to provide case management services. The IST team consists of a dedicated probation officer, probation chief, ARC Manor treatment specialist, criminal justice intensive case manager, and a dedicated Case Manager from the Armstrong-Indiana-Clarion Drug and Alcohol Commission. The client is required to meet regularly with the IST team to review progress. Rewards and sanctions are used to acknowledge progress and require accountability of the client. Progress reports are provided to the Judge on a regular basis. The program served 19 clients in its first year, and 11 clients in its second year. Since the Armstrong-Indiana-Clarion Drug & Alcohol Commission was awarded the first PCCD grant (which supports the Indiana Drug Treatment Court, Intensive Supervision and Treatment Program, and a few clients in the traditional RIP program) there have been 222 offenders who were diverted from jail to the Restrictive Intermediate Punishment program. Clients participated

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in inpatient treatment, halfway house placement, partial hospitalization, intensive outpatient counseling, and group and individual counseling. During treatment and after discharge, case management continues to assist clients in achieving their goals. Of the 222 clients that were admitted into the program, 121 successfully completed, 79 were discharged from the program unsuccessful, and 29 clients are still active in the caseload. (Please see Appendix B (pg. 36) for more statistical information)

Armstrong Indiana Mental Health/Mental Retardation

Services provided by Armstrong-Indiana MHMR include:

Family Support Services;

Consultation and Education;

Consumer Driven Drop-in Centers;

Information & Referral;

Recreational Programs;

Rehabilitation & Training;

Resource Coordination;

Respite Services;

Supported Employment;

Transportation; and

Sheltered Workshops and Therapeutic Activity Centers.

Community Services

With services spanning six decades, the Family Counseling Center of Armstrong County has been providing mental health and intellectual disability services to residents of the Armstrong County community for 50 years. The center received its state charter in 1961, incorporated under the name of Mental Health Clinic of Armstrong County, and began offering services from its first location at 301 South Jefferson Street in Kittanning on Tuesday, May 01, 1962. The center currently employs over 160 staff and provides services to over 3000 consumers each year. The Family Counseling Center is governed by a Board of Directors comprised of Armstrong County residents interested in addressing mental health and intellectual disability needs of the county through management of the Center. David Shaeffer, Ph.D. has served as the Executive Director of the agency since 1982. Mary Anne Galonski, M.D. serves as the Medical Director of the agency. Services include:

Developmental Disabilities Unit;

Targeted Case Management;

Strengths Based Treatment Program;

Child and Adolescent Partial Hospitalization Program (CAP);

Base Service Unit;

A psychiatric nursing department;

Outpatient Therapy;

Adult Partial Hospitalization;

Acute Partial Hospitalization Program;

Psychiatric Rehabilitation Program;

Peer Specialists;

Mobile Crisis; and

Family Based Crisis Team.


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The Community Guidance Center provides outpatient mental health and mental retardation diagnostic, treatment and counseling services for adults and children who are residents of Armstrong County and the surrounding counties in the state of Pennsylvania. The Center employs over 110 individuals (3 board-certified psychiatrists and licensed physician extenders and therapists, as well as case manages) and provides comprehensive outpatient services for over 3,000 consumers. The center also provides services to individuals with all types of mental health issues across the lifespan (regardless of economic circumstances) in schools, in consumer’s homes, at the center itself, and in the community. Services include:

Outpatient Services, which include individual therapy, marital and family psychotherapy, play therapy, over 20 specialized therapy groups, intensive outpatient (IOP), and counseling for all ages.

Psychiatric Services, which include psychiatric evaluations and assessments by three board certified psychiatrists and a physician assistant. A walk-in clinic is operated two days per week for medication questions and urgent patient needs.

Partial Hospitalization, which includes the adult partial hospitalization, acute partial hospitalization, and the children and adolescent programs.

The Progress Center, which is an adult program designed to promote recovery for people with psychiatric disabilities and to encourage them to live more independently. It includes educational and vocational training, as well as daily living skills.

Blended Case Management, which is a program for adults and children that link the consumer to services such as housing within the community, medical care, education, and employment (when feasible) and operates an on-call service 24 hours a day, 7 days per week.

Family-Based programs, which provide in-home therapy and support services to children and adolescents with emotional disturbances.

Developmental Disabilities program services, which are designed to meet the needs of the mentally retarded and developmentally disabled individuals. Families are assisted in obtaining early intervention services, vocational/educational programs, home-based services, residential programs, respite care, and advocacy.

AccessAbilities, Inc., provides in-home services for nearly 2,000 children, adults, and seniors with developmental delays or disabilities in Armstrong, Indiana, and Westmoreland counties.

HAVIN Victims Services provides services to survivors of domestic violence and sexual assault, as well as their significant others. Services include:

o 24-Hour Hotline; o Crisis Intervention; o Emergency Shelter; o Individual & Group Counseling; o Medical & Legal Advocacy & Accompaniment; o Information & Referral; o Trauma Informed Care (PA Coalition for domestic violence); and o Training for Police.

Northwestern Human Services (NHS), through its subsidiaries, is a community-based, nonprofit organization with 40 years of experience serving the special needs of children and adults. NHS is a nationally recognized human service organization whose programs offer a full range of integrated services in the areas of Behavioral Health, Intellectual/Developmental


25

Disabilities, Addictive Diseases, Therapeutic Foster Care, Juvenile Justice, Special Education, and Elder Care. Unity Family Services provides Armstrong County with a Supportive Employment Program, Peer Support Program, 13 Certified Peer Specialists, and a Drop-In Center. The Mental Health Association of Armstrong County’s mission is to provide education to individuals about mental illness, eliminate stigma and to advocate for people (children & adults) who are suffering from mental illness. Services include:

o Presentations (education) information referral advocacy resource library systems advocacy;

o Support groups evening; and o Warm-Line Homeless Outreach Program.

Drug and Alcohol Services

Since 1973, the Armstrong-Indiana-Clarion Drug and Alcohol Commission has been the designated Single County Authority (SCA) for Armstrong & Indiana Counties. The Commission added Clarion County permanently in 2011. The Commission receives, administers, and allocates state and federal drug and alcohol funds targeted for the three county area. The Commission is responsible for assessing needs, planning, developing, coordinating programming to meet these drug and alcohol service needs and then monitoring and reviewing the outcome of these interventions. The Commission targets five core drug and alcohol service areas: Prevention, Intervention, Treatment, Case Management and Recovery Support. Direct services are provided through contracts with state licensed agencies. Case Management and Recovery Support Services are provided through the Commission’s contract with the Bureau of Drug and Alcohol Programs. Services are available to all Armstrong, Indiana and Clarion County residents regardless of their ability to pay. ARC Manor is a non-profit agency committed to prevention, education, intervention and treatment of abuse and addiction to alcohol and other drugs. Their mission is to provide affordable, high quality, timely services that enhance the quality of life for individuals, families, and the community. Services include:

Drug and Alcohol Residential Treatment This intensive program consists of group and individual therapy, medical and nutritional services, life skills training, relapse prevention, and twelve step recovery meetings.

Drug and Alcohol Outpatient Treatment Outpatient services consist of partial hospital programs five mornings a week, intensive outpatient programs three times a week and traditional one time per week counseling programs.

Dual Diagnosis Programs Individuals with drug/alcohol problems and mental health concerns receive treatment at the same time and at the same facility. Services include psychiatric evaluations and medication management plus addiction treatment.

Enhanced Services for Heroin/Opiate Addiction


26

Traditional drug/alcohol treatment is enhanced with the use of buprenorphine, a medication to help with heroin/opiate addiction. Services are supplemented with intensive case management.

24 Hour Hotline Specially trained staff members are available 24 hours a day, seven days a week to respond to people in crisis or urgent situations. Services are confidential and free of charge.

Housing

Armstrong Indiana MH/MR provide the following housing services throughout the county:

Supportive Housing;

Community Living Arrangements;

Community Residential Rehabilitation; and

Family Living. The Oxford Houses are a group of self-run, self-supported recovery houses that provide an opportunity for every recovering individual to learn a clean and sober way of life. Oxford House, Inc., is the 501(c)(3) non-profit umbrella organization of the national network of individual Oxford Houses. Armstrong County has two Oxford House facilities (one male and one female).

Veterans Services

Armstrong County is served by the VA Butler Healthcare, located at 325 New Castle Road Butler, PA 16001, with business hours Monday through Friday, 8:00am - 4:30pm (Phone: 1-800-362-8262).

The VA Butler Healthcare (http://www.butler.va.gov/) supports a Veterans Justice Outreach (VJO) Specialist to coordinate forensic services for veterans in the criminal justice system. Armstrong County is served by Brad Schaffer ([email protected]) from Butler Healthcare. For more information on the Veterans Justice Outreach Initiative and the Veterans Health Administration (VHA), please see Guide 7 – “Information Sheet on Justice-Involved Veterans for Judicial System” located in the Resource Guide Document. The Armstrong County VA Outpatient Clinic is located in Ford City and is contracted through Armstrong County Memorial Hospital. The clinic provides primary care, physical exams, weight management, smoking cessation counseling, routine laboratory, and outpatient behavioral health services (including individual therapy and medication management).

http://www.butler.va.gov/

mailto:[email protected]


27

Identified Gaps

Housing availability and stability are major issues

Female offenders tend to recidivate often

Project Hope case management is voluntary, and it can be very difficult to maintain contact with individuals

Many individuals with past criminal justice involvement assume that they will be unable to get a job in the community

It can be difficult for individuals with criminal justice involvement to find employment

HAVIN believes that some of their clients are misdiagnosed (40% diagnosed with bipolar disorder -- possibly not taking trauma into account)


HAVIN has trauma informed care training

Intensive Supervision and Treatment Court through probation – this has been an excellent collaboration between D&A and probation

Armstrong County has an individual who can provide forensic training to certified peer specialists

HAVIN provides a variety of victims’ services for victims of sexual assault and domestic violence

HAVIN has a PCCD grant to focus on serving victims with disabilities and have conducted law enforcement training

Employment specialist available from Unity Family Services

Drop in center recently re-opened in downtown Kittanning

Limited transportation


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Armstrong County Priorities

Subsequent to the completion of the Cross-Systems Mapping exercise, the assembled stakeholders began to define specific areas of activity that could be mobilized to address the gaps and opportunities identified in the group discussion about the cross-systems map. Listed below are the priority areas identified by the workshop.

Top Priorities

1. Expand re-entry planning to reduce recidivism a. Aftercare meds access b. Unpredictable discharges c. Substance abuse treatment in jail d. Consider trauma informed care and trauma specific treatment e. Housing and Employment

2. Expand collaboration & linkages between agencies

a. Cross-training – include trauma informed care training b. Address waiting time in ER c. CJAB involvement

3. Mental Health First Aid (MHFA)

4. Alternatives to incarceration

a. Expand pretrial program b. Expand referrals to new diversionary programs

5. Data Collection Across Intercepts


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Armstrong County Action Plan

Priority: Moving Forward

Objective Action Step Who When

Report Draft to David and Jim

1. Send Map and Action Plan

2. Full draft report

CoE

CoE

Next week By February 20th

Priority Area 1: Expand re-entry planning to reduce recidivism

a. Aftercare meds access b. Unpredictable discharges c. Substance abuse treatment in jail d. Consider trauma informed care and trauma specific treatment e. Housing and Employment

Work Group: David, Chris, Steve, Andrea, Cassie, Kevin, Debbie


1.1 Improve transition from jail to community

Info packet with mental health resources in Armstrong County- Provide something to engage inmates to “improve themselves”

Chris & Cassie ASAP

Probation Officers Contacts

Counselors and Probation Officers

ASAP

Medical Assistance Packets

County Assistance Office

ASAP

Contact Amy Kroll (Allegheny County) who has been instrumental in re-entry services for Allegheny County– Second Chance Act Grant

Greene County – who took Armstrong’s HOPE module and modified it – Contact them to see what changes they made

Examine work of Butler County’s jail re-entry team (under auspices


30

of Family Psychological Associates) Team has a

forensic mental health doctor and a case manager (see contact information to the right)

Originally grant funded (Staunton Farms Foundation) but now funded by county MH/MR

Contact Information: Renee Anderson PhD, LPC Forensic Mental Health Doctor- Butler County Jail Family Psych Associates [email protected]

Work with the Project Hope Task Force

Consider combining with CJAB Re-entry Subcommittee. Incorporate individuals from the mapping workshop into the CJAB’s Re-entry Subcommittee

Priority Area 2: Expand collaboration & linkages between agencies

a. Cross-training – include trauma informed care training b. Address waiting time in ER c. CJAB involvement

Work Group: Amy, Sharon, Bruce, and Joe


2.1 Determine “ownership” and responsibility of cross training at what point in time

Education (explain the role of each service)

Non Violent Crisis Intervention

Mental Health First Aid (MHFA)

Verbal vs. non-verbal

Law enforcement Crisis/911 ACMH - ER

Joint hospital meeting IRMC/ACMH March 15th

2.2 Law enforcement – MH services vs. Incarceration. Smoother transition into services

Promote telephone crisis and MH Project Hope

Needs Assessment

Security Presence in ACMH - ED

Law Enforcement 911 Jail

Present at CJAB

2.3 Expand outreach of new Crisis Services

Reach out to law enforcement to showcase their work

Update after hours



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recording

2.4 Expand collaboration with CJAB

Subcommittee formed by CJAB

Governance chart of CJAB

CJAB and the larger community

Next CJAB meeting --- March 20 at noon (Typically the 3rd Tuesday of the month)

Priority Area 3: Mental Health First Aid (MHFA) Work Group: Scott, Nick, Christian, Sgt, Jo Ellen, Martha


3.1 Identify and prepare/train first responders to provide appropriate intervention

Identify training audience

Identify training resources (# and curriculum)

Coordinate training

Provide training

District training

Provide follow up

Blair and Beaver County MHFA contacts

National Council Contacts

MHFA websites o www.mentalhealthfirstaid.org o http://www.mhfa.com.au/cms/

Information on the MHFA Philadelphia initiative

Dept. heads Beaver/Cambria, PCCD – JEB/SJA DA/HAVIN DA/HAVIN CoE CoE CoE

90 – 120 days 90 days 6 months 6-9 months Ongoing

3.2 Identify Involved agencies

Police

EMS

CYS

AAA

Social Services

HAVIN

ACJ

ACMH

BDHP

FPA

ARC Manor

Probation

AIDAC

911

Multi-County? (Clarion, Jefferson, Indiana)

Explore funding alternatives

District Attorney’s Office

Hospital Foundation

http://www.mentalhealthfirstaid.org/

http://www.mhfa.com.au/cms/


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Priority Area 4: Alternatives to incarceration

a. Expand pretrial program b. Expand referrals to new diversionary programs

Work Group: Nicole, Regina, Dave, and Cindy


4.1 Reduce unnecessary incarceration

Educate first responders and county agencies re: services available & existing diversionary programs

Cross-training collaborative of behavioral health providers

Fall/Winter 2012

4.2 Identify individuals at intercept two for appropriate diversion

Expand pretrial services, search for funding for a pretrial officer and treatment for identified participants

Courts, DA, Jail, Probation, BH providers, commissioners

FY 13-14

4.3 Establish need/funding for a central triage unit (Forensic Crisis/Stabilization Unit)

Explore existing programs

Explore licensing options

Explore funding opportunities

CJAB FY 14-15

4.4 Trauma Informed System Training Possibilities

Policy Research Associates and National GAINS Center offer a workshop

SAMHSA’s National Center for Trauma-Informed Care is another resource

See www.samhsa.gov/nctic

Able to provide training and technical assistance, including to criminal justice/behavioral health settings

Sanctuary Model --- Dr. Sandy Bloom at Drexel’s School of Public Health

www.sanctuaryweb.com

http://www.samhsa.gov/nctic

http://www.sanctuaryweb.com/


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Priority Area 5: Data Collection Across Intercepts Work Group: Dave (Jail), Jim, Chuck, and John


5.1 Inventory data sources

Examine what other counties are doing with Bobby Juip’s assistance:

Pike County

County Commissioners Association Data Quality Project (Armstrong Probation has a test environment)

Justice Information Exchange Module

Allegheny County’s work between criminal justice and behavioral health

Bobby Juip (Criminal Justice Advisory Board Specialist) and Armstrong County

Examine data sources that already exist within the county

District Attorney’s Office – CPCMS Kevin Shepard (Jail) Upgrading DSIS this year David Hartman (Probation Chief) CCA working on replacement for DSI for probation agencies

5.2

Collect, Clean, Exchange Data

Collect Data that already exists

Jail Probation Hospital D&A MH/MR CYS

Next CJAB meeting (Dave Hartman)

Check to see if the JIEM module is active in Armstrong County?

Get in touch with the county commissioners association

Identify data needs CJAB and IT Department


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Conclusion

During the Cross-Systems Mapping workshop, participants worked together to improve the continuum of resources available for people with severe mental illness and often co-occurring substance use disorders involved in the Armstrong County criminal justice system. Armstrong County is poised to tackle a number of critical issues that will improve services for this group. The assembled stakeholders spent time gaining a greater understanding of their shared systems, as well as crafting strategies related to improving the collaborative infrastructure for the group and addressing the gaps and opportunities at each intercept.

Considerable work has already been undertaken to improve services for people with severe mental illness and often co-occurring substance use disorders involved in the Armstrong County criminal justice system. Expanding re-entry services across intercepts, fostering linkages between county agencies, and data collection are some examples of promising Armstrong County initiatives. Local stakeholders participating in the Cross-Systems Mapping were clearly interested in building on current successes to better serve this population.

The expansion of the planning group to tackle the priorities established during the Cross-Systems Mapping workshop is an essential next step in a true systems change process. It will be important to create effective working relationships with other groups that did not attend the workshop, including other police jurisdictions, the Department of Veterans Affairs, local Magisterial District Judges, family members, Social Security Administration, County Administration Office, and additional local peers. Regular meetings should be held by this larger group to facilitate information sharing, planning, networking, development and coordination of resources, and problem solving.

Closing

Armstrong County is fortunate to have a wide range of stakeholders across the mental health, substance abuse and criminal justice systems that have made thoughtful efforts to understand and support the challenging issues discussed in this workshop. The committed involvement of a Probation Chief, Armstrong County Jail Warden, the District Attorney, the Director of Human Services, and others provides significant support for these efforts. This collaboration across systems is especially important during these challenging fiscal times. The Cross-Systems Mapping workshop gave these stakeholders a chance to develop a coordinated strategy to move forward with the identified priorities.

By reconvening and supporting the work of the group in coming months, it will be possible to maintain the momentum created during the Cross-Systems Mapping workshop and build on the creativity and drive of key local stakeholders. The Pennsylvania Mental Health and Justice Center of Excellence hopes to continue its relationship with Armstrong County and to observe its progress. Please visit the Pennsylvania Mental Health and Justice Center of Excellence website for more information, www.pacenterofexcellence.pitt.edu.

http://www.pacenterofexcellence.pitt.edu/


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Appendix A: Participant List

Scott Andreasi District Attorney 724-548-3240

Kristen Atwood Armstrong Children and Youth Services 724-548-3466

Jo Ellen Bowman Executive Director Helping all Victims in Need (HAVIN) [email protected]

Pat Bellas NHS-CLL 724-543-7023 [email protected]

Joe Bujdos MH Director Armstrong-Indiana Behavioral and Developmental Health Program [email protected]

Amy Cline MH Caseworker 3 Armstrong-Indiana Behavioral and Developmental Health Program [email protected]

Martha Davidson District Court Administrator Judge’s Office [email protected]

Chuck Gould Chief Financial Officer Unity Family Services [email protected]

Deb Gressler CLL

Dave Hartman Probation Chief [email protected]

Regina Himes Probation [email protected]

Dave Hogue Warden Armstrong County Jail [email protected]

Beck Johns CLL 724-548-5197

Tammy Calderone Acting Administrator/Executive Director Armstrong-Indiana Behavioral and Developmental Health Program [email protected]












36

Sharon Layton The Open Door 724-465-2605, ext. 18 [email protected]

Cindy McCrea Executive Director ARC Manor [email protected]

Mindy Riggle Family Psychological Associates [email protected]

Nicole Salvo Case Management Supervisor Armstrong-Indiana Drug and Alcohol Commission [email protected]

Dr. David Shaeffer Executive Director Family Counseling Center [email protected]

Kevin Shepard Armstrong County Jail 724-545-9222

Bruce Shettel Family Counseling Center 724-543-2941

Nick Triveri MH Caseworker 3 Armstrong-Indiana Behavioral and Developmental Health Program [email protected]

John Webster Family Psychological Associates

Andrea Wolfe Family Psychological Associates

Steve Yount Family Psychological Associates 724-543-1888

Chris Zilla Armstrong Jail [email protected]









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Patty Griffin, Ph.D. Senior Consultant Pennsylvania Mental Health and Justice

Center of Excellence 8503 Flourtown Avenue Wyndmoor, PA 19038 [email protected] Phone: 215-836-0570

Sarah Filone, MA Project Coordinator Pennsylvania Mental Health and Justice Center of Excellence Department of Psychology Drexel University MS 626, 245 N. 15th Street Philadelphia, PA 19102-1192 [email protected] Phone: 215- 762-4257 Fax: 215-762-8825

Katy Wickworth-Prejsnar Research Associate Pennsylvania Mental Health and Justice Center of Excellence Department of Psychology Drexel University MS 626, 245 N. 15th Street Philadelphia, PA 19102-1192 [email protected] Phone: 215-762-4257

Ms. Bobby L. Juip Criminal Justice Advisory Board Specialist Western Region of Pennsylvania Office of Criminal Justice System Improvements Pennsylvania Commission on Crime and Delinquency 3101 North Front Street Harrisburg, PA 17110 Phone: (412) 605-2315 E-mail: [email protected]




tel:%28412%29%20605-2315



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Appendix B: Armstrong-Indiana-Clarion Drug & Alcohol Commission Annual Report Fiscal Year 2010-2011

CLIENT DEMOGRAPHICS

The Armstrong-Indiana Drug and Alcohol Commission (AIDAC) served a total of 1,001

unduplicated Armstrong-Indiana County clients and 97 unduplicated Clarion County clients in

the fiscal year 2010/11. The breakdown by age, race and sex, is as follows:

Armstrong-Indiana County Clarion County

Black: Male Female Male Female

Under 15 0 0 0 0

15-17 0 1 0 0

18-24 2 0 0 0

25-34 2 0 0 0

35-44 1 0 1 0

45-54 2 0 0 0

Over 54 1 0 0 0

TOTALS 8 1 1 0

Hispanic:

Under 15 0 0 0 0

15-17 0 0 0 0

18-24 0 0 0 0

25-34 0 0 0 0

35-44 0 0 0 0

45-54 0 0 0 0

Over 54 0 0 0 0

TOTALS 0 0 0 0

White:

Under 15 2 1 0 1

15-17 26 7 5 1

18-24 227 95 24 9

25-34 238 96 21 7

35-44 122 43 10 4

45-54 69 26 8 1

Over 54 29 7 4 1

TOTALS 713 275 72 24

Other:

Under 15 0 0 0 0

15-17 0 0 0 0

18-24 1 0 0 0

25-34 1 1 0 0

35-44 1 0 0 0

45-54 0 0 0 0

Over 54 0 0 0 0

TOTALS 3 1 0 0

GRAND TOTALS 724 277 73 24


39

The primary drug of choice for the clients served by AIDAC are as follows for fiscal year

2010/11:


Alcohol 466 54

Barbiturates 3 0

Child of Alcoholic 3 0

Co-Dependency 1 0

Cocaine/Crack 36 3

Heroin 237 19

Marijuana 129 13

Methamphetamine 4 0

Opiates 31 1

Other 6 0

Over the Counter Meds 84 7

Prescribed Medication 1 0

Sedatives 0 0

Tobacco 0 0

The referral sources for clients served by AIDAC are as follows for fiscal year 2010-2011:


Attorney 0 0

County Parole 15 1

County Probation 388 35

Community Service Agency 27 8

Court 111 4

CYS 0 0

D&A Provider 81 8

Diversion Program 0 0

Employer 15 6

Family/Friend 15 4

Hospital 37 4

Other 17 1

School 11 0

Self 252 19

State Parole 31 7

State Probation 1 0


40

SCA Treatment Services

Fiscal Year 2010/11

Type of Service # of Clients # of Days/Hrs

Inpatient (Non Hospital)

Adol. Residential 1 6 days

Detox 113 431 days

Dual Diagnosis Residential 11 149 days

Halfway House 15 477 days

Adult Residential 137 1,615 days

Clarion Inpatient (Non Hospital)

Adol. Residential 2 95 days

Detox 17 63 days

Adult Residential 25 261 days

Outpatient

Assessments 568 1,097.25 hrs

Buprenorphine Doctor Visits 70 355 visits

Buprenorphine Medication 72 10,194 pills

Buprenorphine Drug Tests 70 406 tests

IOP (Group, Individual) 376 7,052 hrs

Med Checks 15 33 checks

OP Maintenance - Methadone 4 18 weeks

Outpatient (Group, Individual) 706 5,492.50 hrs

Partial (Group, Individual) 120 2,027.50 hrs

Psych Evaluations 18 18 evals

Rent/Shelter 8 10 months

Clarion Outpatient

Assessments 71 114.25 hrs

IOP (Group, Individual) 30 368 hrs

Outpatient (Group, Individual) 50 201 hrs

PCCD

Assessments 3 6 hrs

Detox 1 3 days



Med Checks 1 1 check

Outpatient (Group, Individual) 3 27.5 hrs

Partial (Group, Individual) 6 58 hrs

Adult Residential (Non Hospital) 4 77 days

Rent/Shelter 1 1 month


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Indiana Drug Court

Assessments 3 5.5 hrs

Detox 1 5 days

Drug Tests 12 100 tests



Outpatient (Group, Individual) 11 160 hrs

Partial (Group, Individual) 2 45 hrs

Rent/Shelter 2 2 months


Intensive Supervision & Treatment

Assessments 1 2 hrs

Dual Diagnosis Residential 1 28 days


Partial (Group, Individual) 4 100.5 hrs

Psych Evaluations 1 1 eval

Rent/Shelter 1 1 month



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SCA Revenue/Income

Fiscal Year 2010/11

(unaudited)

Funding Category Amount

Federal Block Grant - Alcohol 315,480

Federal Block Grant - Drug 352,998

State Base 606,610

Strategic Prevention Framwork State Incentive Grant (SPF-SIG) 108,000

State Compulsive & Problem Gambling Treatment 53,001

State Act 2010-01 45,927

BHSI/IGT Funds 513,601

Act 152 Revenue 261,958

PCCD RIP Grant 264,311

ARRA/Byrne Justice Assistance Grant 70,242

Staunton Farms Grant 18,421

Clarion County Probation Department 10,005

Drug Free Communites Grant (DFC) 108,715

HealthChoices Revenue 180,698

HealthChoices Reinvestment 100,379

Tobacco Grant 130,255

DUI and HSDF Funds 118,779

Miscellaneous Income 8,113

Total 3,267,493


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Expenses by Category

Fiscal Year 2010/11

(unaudited)

Activity Code Activity Description Amount

Administration

51

Administration 422,767

53

Evaluation and Research 1,900

54

Special Projects 6,401

Total Administration

431,068

Prevention

61

Information Dissemination 171,994

62

Education 263,377

63

Alternative Activites 96,467

64

Problem ID and Referral 82,192

65

Community Based Process 28,392

66

Environmental 31,220

67

Other - Prevention Services 110,679

Total Prevention

784,321

Intervention

72

Intervention 125,369

Total Intervention

125,369

Treatment

82A

Inpatient Non-Hospital Detox 108,688

82B

Inpatient Non-Hospital Rehab 446,288

82C

Inpatient Non-Hospital Halfway House 94,033

85

Partial Hospitalization 83,296

86A-1

Outpatient Drug-Free 276,224

86A-2

Outpatient Maintenance - Methadone 1,620

86B

Intensive Outpatient 239,804

87A

Emergency Housing 2,718

87B

Recovery Housing 3,601

Total Treatment

1,256,272

Case Management

88A&B

Case Management 563,936

88C

Recovery Support Services 40,362

Total Case Management

604,298

Total Expenses

3,201,328

Documents

Armstrong County - University of Pittsburgh...Armstrong County, PA Mental Health and Justice Center of Excellence Report, February 2012 7 Keys to Success Existing Cross-Systems Partnerships