DREXEL UNIVERSITY & UNIVERSITY OF PITTSBURGH · 2014-08-06 · DREXEL UNIVERSITY & UNIVERSITY OF PITTSBURGH McKean County Report of the Cross-Systems Mapping Workshop May 14th & 15th,

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

McKean County Report of the Cross-Systems Mapping Workshop

May 14th & 15th, 2013

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

McKean County, PA Mental Health and Justice Center of Excellence Report, May 2013

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Facilitator

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

Other Support

Amanda Cross, PhD, Research Specialist - PA Center of Excellence Katy Winckworth-Prejsnar, Project Coordinator - PA Center of Excellence

Center of Excellence Staff

Amanda Cross, PhD David DeMatteo, JD, PhD

Sarah Filone, MA Patricia Griffin, PhD Kirk Heilbrun, PhD

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

McKean County, Pennsylvania Cross Systems Mapping McKean County Cross Systems Map .............................................................................................. 8

McKean County Cross Systems Narrative....................................................................................... 9

Intercept I: Law Enforcement / Emergency Services ........................................................ 10

Intercept II: Initial Detention / Initial Court Hearing ........................................................... 15

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

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

Intercept V: Community Corrections / Community Support .............................................. 23

McKean County Action Planning

McKean County Priorities............................................................................................................... 27

McKean County Action Plan .......................................................................................................... 29

Conclusions and Summary

Conclusion ..................................................................................................................................... 33

Closing ........................................................................................................................................... 33


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List of Appendices Appendix A – Participant List ......................................................................................................... 34

Appendix B: - NW9 Master Leasing/Bridge Subsidy Program....................................................... 38


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McKean 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 in McKean County, Pennsylvania, on May 14th & 15th, 2013, conducted at the Courtyard Restaurant and Conference Center, Smethport, PA. McKean County Criminal Justice Advisory Board (CJAB) 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 McKean County achieve its goals.

Background McKean County CJAB 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, the Center of Excellence was requested to provide assistance to McKean County with: Creation of a map indicating points of interface among all relevant McKean 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 McKean County through a Community Collaboration Questionnaire and gathering of documents relevant to the target population. The participants in the workshops included 22 individuals representing multiple stakeholder systems including mental health, substance abuse treatment, human services, corrections, advocates, and the courts. A complete list of participants is available in Appendix A (p. 34) of this document. Patricia A. Griffin, PhD, facilitated the workshop sessions. Amanda Cross, PhD, 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 both print and electronic formats. 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 McKean 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 McKean 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:

McKean County CJAB McKean County Collaborative Board SLEA (Seneca Law Enforcement Agency) Juvenile Probation Aftercare Project

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

decision makers. Opening remarks by President Judge John H. Pavlock set the stage and established a clear message as to the importance of the workshop. Patrick Russell, Therapist, Guidance Center, welcomed participants and introduced the facilitators.

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 McKean County in preparation for the workshop.


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McKean County Cross Systems Map


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McKean 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 McKean 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 Bordering New York State and just 90 miles from the gateway to Canada at the Peace Bridge, McKean County contains a diverse community that is home of "The Zippo Lighter" and boasts of being "The Black Cherry Capital of the World." Its county seat is Smethport, PA. The county was named in honor of former Pennsylvania Governor and Declaration of Independence signer Thomas McKean. As of 2012, the population was 43,127, representing a .7% decrease from 2010 county census numbers.

The County has been building a continuum of criminal justice and mental/behavioral health services that provides 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 mental health system.

McKean 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 feature is available at: http://mckean.pa.networkofcare.org/mh/

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.

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


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Intercept I: Law Enforcement / Emergency Services

McKean County 911 Center The McKean County 911 Center, located at 17175 Route 6 Smethport, PA 16749, is responsible for the administration, operation, and long-range planning of the 911 Emergency System. The center provides and coordinates police, fire, and EMS dispatch for McKean County. Additionally, this center coordinates activities between the 911 Center and the EMA Emergency Operations Center when activated during county emergencies. Telecommunicators operate the communication system around the clock receiving and dispatching emergency calls for public safety agencies located in the county. This center serves as an interface with the Pennsylvania State Police and the Federal Bureau of Investigation and provides an information link between Emergency 911 services and county criminal justice agencies and officers. The 911 Center, directed by Larry Norton, employs a total of 12 individuals.

Law Enforcement McKean County houses eight police jurisdictions and one State Police Barrack. The largest jurisdiction is the Bradford City Police Department with two small holding cells. The smallest jurisdictions include several departments that employ one or two part-time 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.

McKean County is served by State Police Troop C – Punxsutawney that additionally covers the counties of Forest, Elk, Clarion, Jefferson, Clearfield; the townships of West Mahoning, North Mahoning, Canoe, and Banks; and the boroughs of Smicksburg and Glen Campbell in Indiana County; part of Mead Township in Warren County (bounded on the north by the New York State line, on the east by the McKean County line, and on the south by the intrusion of a branch of the Allegheny Reservoir near SR 321); and Interstate 80 through Butler County. State Police Troop C covers approximately 4,760 square miles, a total population of 262,251, and employs 252 enlisted and civilian personnel. McKean County houses the Kane State Police Barracks.

Crisis Services McKean County Department of Human Services Call 814.887.3350 Located at 17155 Rte. 6, Smethport, PA 16749

COM

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Intercept 1 Law enforcement

911

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Mental Health Crisis Services

Mobile: On-location support is available for emergency situations. This service is accessed through the Mental Health Crisis Hotline.

Telephone (800) 459-6568: Clients can call and speak to a trained Masters-level therapist at anytime. This service provides support and direction. Crisis intervention services are available 24 hours per day, seven days per week for persons in McKean County experiencing emotional, behavioral, thought disturbance and/or social functioning difficulties.

Walk-In: Clients may come directly to the Crisis Center to meet face-to-face with a Crisis counselor to obtain support, referrals, or information during business hours. No appointment necessary.

Warm Line (814) 598-5444: The Warm Line is available to residents of McKean County who needs to talk about any mental health related non-crisis issue and is staffed by a Peer Support Specialist. The Warm Line number is currently available 4pm to 9pm, Monday through Friday and 4pm to 10pm Saturday and Sunday.

Crisis Lines

YWCA Victim’s Resource Center Hotline: (888) 822-6325 Alternate phone number: (814) 368 6325

McKean County Mental Health Crisis Hotline: (800) 459-6568 McKean County Victims' Resource Center Crisis Hotline: (814) 368-6324

Detoxification and Substance Abuse Services In McKean County, Drug & Alcohol (D&A) services are provided through Alcohol and Drug Abuse Services, Inc. (ADAS). ADAS is the Single County Authority (SCA) for Cameron, Elk and McKean counties, providing a continuum of non-hospital alcohol and drug prevention, intervention, and treatment services. ADAS provides Residential short-term treatment (30 days or less) and outpatient treatment throughout the county. ADAS offices are located in the cities of Bradford (814-362-6517), Kane (814-837-7691), and Port Allegany (814-642-9541). Hospitals McKean County houses two Emergency Rooms (ERs) located at the Bradford Regional Medical Center (BRMC) and Kane Community Hospital (KCH). Behavioral Health Services (BHS) at BRMC provides comprehensive inpatient and outpatient psychiatric services to individuals with a wide range of mental health and addiction needs. BRMC has 12 dedicated psychiatric beds, where individuals can be placed through the ER or Crisis Services. The Alcohol Detoxification Unit is a two-bed inpatient unit that allows for a medically managed approach to alcohol withdrawal. Other treatment programs offered at BRMC include:

Acute Day Partial Hospitalization Program Dual-Diagnosis Unit Electroconvulsive Therapy (ECT) General Psychiatric Unit Intensive Outpatient Program (IOP)

KCH is a 31-bed acute care hospital with intensive care unit (ICU) licensed by the Commonwealth of Pennsylvania. The Emergency Room at Kane Community Hospital is a specialized unit designed to provide quality emergency care 24 hours a day, every day of the


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year. The KCH ER sees over 5,000 patients a year. Approximately two thirds are adults, and one third are children.

If an individual needs a medically managed approach to drug withdrawal, Warren General Hospital provides the closest drug detoxification program. Victims Services YWCA Victims' Resource Center provides comprehensive services to victims of domestic violence and sexual assault including: individual options/empowerment counseling, legal and medical advocacy and accompaniment, domestic violence shelter (30-day limit), support groups, children’s programming, prevention education programs for schools, community groups, and professional social service providers. The Pennsylvania Commission on Crime and Delinquency’s Victim Resources website provides the following victim services resources for McKean 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 Phone Hotline

MADD - Northeastern Affiliate Office

We help victims of impaired driving crashes

610-372-6233 www.madd.org/pa

1-800-988-5705

McKean County Victim/Witness Services

We help victims of all crimes

814-887-3312

YWCA Victims' Resource Center

We help victims of sexual assault and domestic violence

814-368-4235 1-888-822-6325

814-368-6325

McKean County Juvenile Court Victim Services

We help victims of juvenile offenders

814-887-3365

In addition, McKean 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

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

http://www.madd.org/pa

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/


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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

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 should be considered wide-ranging rather than reflecting a more focused majority consensus.

Identified Gaps Higher poverty rate than the state average, higher unemployment rate than the

national average for McKean County 911 does not participate in CJAB on a consistent basis No central authority for police jurisdictions in the county Bradford City has the only 24/7 police force in the county, other law enforcement

agencies are part time - Challenging to provide trainings to part-time officers/agencies

State Police Kane Barracks – Cover everywhere when necessary Close working relationship between mobile crisis and most law enforcement

officers but not all officers make use of behavioral health services (mobile crisis services)

No crisis response for D&A incidents - inpatient unit in Port Allegheny can only make referrals to other outlets for assistance 24/7

Typically, intoxicated persons are detoxed in jail if they cannot be released to a family member

- Persons with known mental or physical health problems may detox in Bradford hospital, but this doesn’t happen often

No juvenile detox options in the county No drug detoxification services for non-opiate drugs in the county

Identified Opportunities

Law Enforcement (LE) involved in the CJAB Mobile crisis unit available in Bradford City (also walk-in services)

- Run by a constable who has good working relationship with officers - Officers call mobile crisis when needed

Mental health (MH) crisis line, 24-7, staffed by MA-level therapist - Will access mobile crisis, arrange community services, police, hospitals,

911 MH warm line manned by peers available in the county Active victim advocates in McKean County If the police come across a case that involves an individual with a mental illness,

they sometimes call victim advocates

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


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ADAS provides training to school-based police officers which creates an inroad to further police training by ADAS

24/7 inpatient unit in Port Allegheny (ADAS)– whoever is working has the availability to give phone numbers out in a crisis

Seneca Law Enforcement Agency (SLEA) meet to network among law enforcement and affiliates of law enforcement

- Each month try to present a program (School Safety, Sexual Assault Awareness)

- Opportunities for more mental health and behavioral health presentations McKean County LE Training Series provided by the District Attorney

- District Attorney (DA) goes to individual law enforcement agencies and sometimes groups of agencies

- DA willing to advance behavioral health training for law enforcement


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Intercept II: Initial Detention / Initial Court Hearing

Arrest and Initial Detention When an individual is arrested in McKean County, he/she is taken to the local jail. If an individual is arrested by Bradford City PD, Kane PD, Bradford Township PD, Otto-Eldred Regional PD, Smethport PD, Port Allegany PD or Kane Based State police barracks they are taken to the respective police departments for initial processing. Following initial detention, individuals are held in jail until preliminary arraignment.

If an individual is intoxicated and needs medical attention when arrested he/she is diverted to the nearest hospital. If an individual is intoxicated and does not need medical attention when arrested, he/she is sent to jail (holding cells with cameras, nurse on staff, screening procedures, etc.), occasionally held in holding cells (Bradford, Kane, State Barracks), or a family member/friend is called.

Preliminary Arraignment McKean County has four Magisterial District Judges (MDJs) who conduct roughly 200 preliminary arraignments each year. Preliminary arraignments are conducted quickly, most occurring the same day of arrest. Less than 1% of cases involve the DA. Preliminary arraignment is the first instance in which the accused person is brought before the MDJ. The MDJ identifies the criminal charges and explains certain important rights of the accused. Bail is discussed and the amount is determined by the MDJ. Bail can be unsecured (e.g., no money need be posted for release) or monetary. Conditions that must be complied with while the case is pending can also be imposed. Defense counsel is not generally present at this stage of proceedings.


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Identified Gaps DUIs are a big issue

- Half of all the cases in the county - At least half of the probation cases are DUIs

Court is increasingly sentencing DUI offenders to Restrictive Intermediate Punishment (RIP) and community service (3G program)

Highest concentration of blood alcohol levels when arrested in the state (.20 or higher for the majority of cases)

Highest concentration of alcohol stores (per capita) in the state Drinking is cultural/generational (start drinking at an early age)/ lack of police

coverage No public transportation

Identified Opportunities Preliminary arraignments are conducted quickly - everyone works well together MDJs will reach out to crisis services if needed McKean County Jail provides alcohol and opiate detox (detox from other drugs

must got to Warren County) including monitoring, nurse on staff, detox medication (Librium, Klonipin) if a person is arrested and intoxicated


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Intercept III: Jails / Courts

McKean County Prison The McKean County Prison, located at 17013 Rt. 6 Smethport, PA 16749, is county owned and operated. The facility provides for the maintenance of those being held in custody pending disposition of their charges and those who are sentenced to two years or less.

The average daily population is roughly 60 (51 males/9 females) inmates. The facility processed 665 admissions last year. Currently, the sentence demographics of inmates is broken down by the following:

44% pre-trial 20% sentenced 1% state cases still in the county 25% probation violators (D&A) 10% other/unknown

Intake screening, which includes a mental health and suicide screen, is conducted immediately when entering jail. An estimated 40-50% of inmates entering McKean County Prison has or had an Axis I diagnosis for a Serious Mental Illness (SMI) and 1/3 of the current jail population is on psychotropic medication. Additionally, an estimated 60% of inmates were known to D&A services at one point. Services The jail employs a full-time nurse (RN) and a part-time medical doctor (MD) who comes to the jail once a week. ADAS runs three drug and alcohol groups (Women’s, Block A, and Block B group) every Monday. Additionally, there are weekly AA and NA groups, as well as individual D&A counseling. Lastly, Drug and Alcohol Case Manager Evaluations are conducted through ADAS for the court and probation, as well as voluntary purposes.

If needed, the jail contacts the intake coordinator at the Guidance Center to schedule an appointment with a psychiatrist. Inmates are then transported to the Guidance Center. Currently, there are 2-3 inmates who see a psychiatrist. The Guidance Center also provides blended case management in the jail.

Additional programming includes: Work release, community service, “good time”, life skills programming facilitated by the jail counselor, anger management classes, educational opportunities (G.E.D./IU9), religious services, and YWCA. Courts The Forty-Eighth Judicial District of Pennsylvania Court of Common Pleas covers all of McKean County and has a compliment of two full-time judges hearing roughly 800 cases a year.

Intercept 3 Jails / Courts

Jail

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Judges of the Court of Common Pleas are elected officials for ten-year terms. Once a judge is elected for his or her first term, the judge may seek an additional ten-year term by way of the retention process, as provided for in the Pennsylvania State Constitution. Judges are state employees.

Responsible for the Administration of Justice: 1. District Justices (four Magisterial District Judges in McKean County) - small claims,

landlord/tenant disputes, driving violations, non-traffic violations, criminal offenses bound to Common Pleas Court.

2. Court of Common Pleas: all civil and criminal cases, Law Library 3. Family Court - (types of litigation) - divorce, child support, custody, dependency,

delinquency, Protection From Abuse (PFA) orders 4. Orphans' Court - adoptions, terminations, guardianships, accounts (estate-settling

disputes)

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

ARD is a pre-trial program designed to allow the least-dangerous defendants – first-time, non-violent offenders – 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 the ARD program are placed under supervision, typically by the McKean County Adult Probation & Parole department. The maximum period of supervision for someone on ARD is two years. 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.

Intermediate Punishment (IP) Intermediate Punishment in McKean County is a middle ground between incarceration and traditional Probation. Participants are subjected to strict guidelines and Conditions. Participants in the Intermediate Punishment program are placed on a restrictive portion of their sentence (RIP) and served the balance/remainder of their sentence on Restorative Probation. Restrictive Sanctions typically includes house arrest, GPS monitoring, Scram alcohol monitoring, community service, and regular drug/alcohol testing. Benefits of this program include the ability of the participant to remain employed, attend drug and alcohol counseling, complete community service, and lessen the burden on the jail system/County residents.

McKean County Commissioners Office The three-member board of county commissioners constitutes the chief governing body of the county. Statutory authority of the commissioners is both administrative and policy-making. The County Commissioners are vested with selective policy making authority to provide local services and facilities on a countywide basis. Administrative powers and duties of county commissioners encompass voter registration and elections, assessment of persons and property, human services, emergency management, veterans' affairs, appointment of county personnel and fiscal management. The McKean County Commissioners Office employees


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seven individuals (three Commissioners, a Finance Director, a County Solicitor, a Chief Clerk, and a Purchasing Director/Administrative Assistant Receptionist).

Identified Gaps At its highest, the jail had 50% of the jail census on psychotropic medication Concern that instituting a general treatment court model might not address the

county-specific infrastructure, issues, and resources President Judge and D&A could benefit from more communication If an individual is arrested with medication on them sometimes their medication is

“lost” when they get to jail Jail treatment staff would like to see probation bring in medication when

probation brings someone to jail; Probation willing but have been following guidance from other jail staff

Number of persons with mental illness going to state prison from McKean County has doubled in the past two years

Identified Opportunities Although McKean doesn’t have a veterans court, judge gives veterans special

consideration President Judge and DA recently visited drug courts in other counties Giving more community service as a sanction for DUIs

- Good Growing Gardens Program (3G) A lot of programming in McKean County Jail

- Serving everyone not just sentenced individuals - Numerous D&A programs available - Guidance Center will provide psychiatric evaluations for the jail free of

charge (the inmates do not have Medical Assistance) - YWCA – Help with housing services for women in the jail

Jail has inmates sign blanket release of information forms so that behavioral health services can contact them

If inmate is a vet – county vet’s services are called Jail staff will work with Probation on clarifying policies about inmates bringing in

their own medications Veteran’s Justice Outreach (VJO) coordinator coordinates with the jail and the

County Office of Veterans Affairs to work with veteran inmates as needed (about five or six times last year)

Beacon Light has a trained forensic peer specialist


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Intercept IV: Re-Entry

McKean County Prison Re-entry Services No aftercare medication is provided when leaving jail, however, some prescriptions are written. In certain circumstances the prison will arrange for follow-up prescription pickup from the Guidance Center.

McKean County Re-Entry Project The McKean County Re-Entry Planning Project is a 36-month snapshot of prisoner re-entry of state prison inmates returning to McKean County. Additionally, the project gives a snapshot of what currently happens in McKean County with county jail inmates. Dr. Tony Gaskew, associate professor of criminal justice at University of Pittsburg - Bradford, in conjunction with Teresa Wilcox, Director of the McKean County Juvenile Probation Department, received a $10,000 grant from PCCD for the McKean County Offender Re-entry Planning Project. Some preliminary findings include:

75-80% of McKean County residents in state prison have D&A Related Crimes

Over 60% are illiterate

Less than half of individuals in state prison are participating in services in prison

15-20% rotating a year of drug offenders from state prison

McKean County Re-Entry Planning Project Recommendations:

Increase in-reach into the jail and state prison in order to meet basic needs o Employment o Housing o Education

Develop a system for gathering information and statistics on offenders for future analysis Increase communication between agencies involving offenders Identify and utilize an approved Risk/Needs Assessment in Adult Probation (Juvenile

Probation already utilizes a statewide Risk/Needs Assessment) Change the cultural reality of Alcohol Abuse being a norm in McKean County Re-Entry Staff need to be hired

Re-Entry from Pennsylvania Department of Corrections The Department of Corrections (DOC) and Pennsylvania Board of Probation and Parole (PBPP) begin the reentry process upon an offender's admission to prison. Then prior to a parole interview, the PBPP actively works with offenders to prepare for the parole interview and to develop a reentry plan. If paroled, the field parole agent will assist offenders through problem

Intercept 4 Reentry

Pris

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solving case management to help them be successful and monitor compliance with conditions of parole. This balance in supervision is important to improving parole outcomes.

The administrative case management caseworker from McKean MH/DS receives a quarterly list from the Pennsylvania Dept. of Corrections of McKean County inmates on the DOC mental health caseload. That list is sent to MH/DS to develop aftercare linkage services for county residents coming out of state prison.

For more information on the DOC reentry process please visit: http://www.pbpp.state.pa.us/portal/server.pt/community/community_reentry/5357

Veterans Services The McKean County Department of Veteran's Services strives to assist veterans and their dependents in any way possible in securing the county, state, and federal benefits to which they may be entitled. This office works cooperatively with McKean County government offices, state, federal agencies, and veterans' organizations to administer these benefits and services to the citizens. Additionally, the Director of Veterans Affairs coordinates with the VJO to go into the jail to follow up on incarcerated veterans.

McKean County is served by the Erie VA Medical Center (http://www.erie.va.gov/), which employs a Veterans Justice Outreach (VJO) Specialist, Terry Yeager, MA, CACD, LPC, ([email protected]), to coordinate forensic services for veterans in the criminal justice system. For more information on the federal 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.

http://www.pbpp.state.pa.us/portal/server.pt/community/community_reentry/5357

http://www.erie.va.gov/

mailto:[email protected]


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Identified Gaps Limited aftercare services when leaving the jail (limited follow up on whether

appointments are kept) Inmates coming out of state prison after maxing out are not “on paper” - causes

problems since no one supervises or tracks these former inmates Primary issue of re-entry from state prison: Who is going to manage the

programming and management (who and how it will be paid for?) Lack of community support for sober living No half-way houses – Have to send individuals to different counties Lack of supportive housing – D&A clients do not qualify for public housing Jail inmates who take psychotropic medications while incarcerated don’t

automatically receive meds on release Jail is able to give prescriptions, but doesn’t systematically issue them - Inmates

must pay to fill prescription out of pocket People on addictive medication (e.g. Ativan) cannot be admitted to inpatient

treatment or intensive outpatient because service providers won’t take them - this sometimes leads to people going back to jail/court

Good Growing Garden program does not have much involvement from people with serious mental illness

Identified Opportunities Jail treatment staff successful in getting recently released inmates appointments

with community psychiatrists Good Growing Gardens Program (3G) – From the jail’s perspective, the people

that are participating in the program have seen significant positive influences MH/MR gets a list of future released state prison inmates so that they can plan

services for their release County Office of Veterans Affairs proactively works with veterans involved in the

criminal justice system UPB professor who heads CJAB Reentry Committee has developed a list of

essential elements for successful reentry programs Jail works with YWCA to provide re-entry housing for women Probation works well with Guidance Center and D&A in monitoring meds and

providing services Good Growing Garden ”Employment and Community Service Incentive Program”

through community service on the farm: - Gets ex-offenders into the pattern of waking up and going to work every

day - Occupies time and keeps people away from negative family environment - Offenders can work off fines and costs if they can’t otherwise afford them


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Intercept V: Community Corrections / Community Support

McKean County Probation Department McKean County Probation Department is located at 500 W. Main Street Courthouse Smethport, PA 16749. Gary Seefeldt, Chief Adult Probation Officer, oversees the operation of the probation department, as well as the Director of Domestic Relations Department. McKean County Probation Department employees eight probation officers.

When leaving jail, intensive cases meet with their probation officer that night while all other cases are seen within the week. McKean County Probation Department manages a caseload of roughly 500 individuals with about 80% having a D&A issue.

Various Probation Officers in Adult and Juvenile Probation are trained in Crossroads which is a cognitive behavioral program with a Drug and Alcohol curriculum, among others that can be used with individuals who are in need of change but do not qualify for the level of service that can be provided by ADAS services. This program is not intended for those who need outpatient or inpatient treatment services but a program to use before the need for a higher level of service.

McKean County Juvenile Probation Department The McKean County Juvenile Probation Department carries out court orders to supervise adjudicated juveniles in a community setting under the principles of balanced and restorative justice. There are six officers who cover Intensive, School Based, Placement, and Community, and two Victim of Juvenile Offenders (VOJO) Providers

Services provided by Juvenile Probation Officers to youth and families involved in the juvenile justice system include:

Risk/Needs/Responsivity Assessment (Youth Level of Service) Crossroads (Cognitive Behavior Programming to include Anger Management,

Substance Abuse, Life Skills, etc through the National Curriculum Training Institute) Victim Community Awareness Curriculum Boondoc’s (work employment & community service experience for youth and Parenting

classes for Parents) Motivational Interviewing Aftercare Planning Electronic Monitoring Referrals to services/agencies

Paro

le

COM

MUNITY

Intercept 5 Community corrections

Prob

atio

n

Violation

Violation


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State Parole The Parole Board was established by the Parole Act of 1941, which states “The parole system provides several benefits to the criminal justice system, including the provision of adequate supervision of the offender while protecting the public, the opportunity for the offender to become a useful member of society and the diversion of appropriate offenders from prison.”

The Board has the responsibility to parole, recommit for violations of parole, and to discharge from parole offenders sentenced to two years or more and offenders requested by the court for special probation. State parole utilizes a specialty unit for mental health caseloads.

The Pennsylvania Board of Probation and Parole is divided the state into three regions: Western, Central and Eastern. Within each of these three regions are 10 District Offices, 15 Sub-Offices and 26 Institutional Parole Offices. McKean County is in the Erie District within the Western region and is served by the Erie District Office.

Housing Authority The McKean County Housing Authority serves all communities within the county with the exception of the City of Bradford. The housing authority offers a variety of programs that ensure low, very-low, and extremely-low income households have a safe, decent, and affordable place to live. The housing authority programs include public housing, Section 8 Housing Choice Voucher Program and Central Towers.

Public Housing was established to provide safe, decent and affordable housing for eligible low-income families, the elderly, and persons with disabilities. Public housing comes in all sizes and types, from scattered single-family houses to high-rise apartments for elderly families.

The Section 8 Housing Choice Voucher Program is the federal government's major program for assisting very low-income families, the elderly, and the disabled to afford decent, safe, and sanitary housing in the private market. Since housing assistance is provided on behalf of the family or individual, participants are able to find their own housing, including single-family homes, townhouses and apartments. The participant is free to choose any housing that meets the requirements of the program and is not limited to units located in subsidized housing projects.

Central Towers is a Section 8 New Construction site located in Kane that was established to provide safe, decent and affordable housing for eligible low-income families, the elderly, and persons with disabilities. Rent is based on income and includes all utilities and basic cable. On-site amenities include two elevators, a large community room, coin-operated laundry room, a pavilion, a beauty salon, and a computer lab.

A new NW9 Master Leasing/Bridge Subsidy program will provide recurring housing coupons for people with a history of criminal justice involvement who have difficulty accessing housing resources. This nine county initiative intended to serve those who have difficulty accessing housing (see Appendix B for more information)

The Housing Authority cannot accept applications if it is sex offense, a D&A charge in the last five years, or a violent crime, and most likely if there are multiple DUI charges


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Oxford House McKean County has a new Oxford House (Recovery House run by house members) with seven beds. The Oxford House model will accept male residents with criminal justice involvement if current residents vote for inclusion and the individual is able to pay for his portion of the house expenses. Supportive Employment Futures Rehabilitation Center Inc. ((814) 368-4101 [email protected]) provides resources for persons in need of vocational and social services to maximize their ability to become participating members of the community. Approximately 150 persons a day receive services at Futures, most of whom have developmental disabilities. The Center also offers programs to those with mental health, emotional, and physical disabilities. Service area includes all of McKean County. Futures’ facilities are accessible to those with physical disabilities. The Center’s two buildings are located along Area Transportation Authority (ATA) Bradford City bus routes. Mental Health Services The Guidance Center offers a wide variety of community based services including; mental health, mental retardation, education and prevention services. As a nonprofit agency established in 1984, The Guidance Center employs a staff of approximately 200. The center provides: Outpatient Counseling, Family Based Services, Mental Health Case Management, Crisis Intervention, Mental Retardation Case Management, and Personal Support Services. Additionally, the Guidance Center is contacted when a psychiatric appointment is needed for an inmate. Currently two to three individuals are transported to The Guidance Center to receive psychiatric services.



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Identified Gaps 80% of probation cases are D&A related The Housing Authority cannot accept applications if it is a sex offense, a D&A

charge in the last five years, or a violent crime, and most likely if there are multiple DUI charges

Riddle House is transitional housing for CJ population or homeless families – unsafe environment, above a bar

Very little transitional housing other than this Riddle House There are no appropriate group homes for people with complex issues who

cannot function independently in the community – leads to a revolving door between prisons and hospitals

Identified Opportunities Medication monitoring programs for individuals on probation Probations helps individuals follow-up with Office of Vocational Rehabilitation and

Career Link once they are released Good working relationship between Probation, ADAS, and the Guidance Center Guidance Center and Beacon Light (Trista Wilcox) both have forensic peer

support specialists Futures Rehab Crossroads training for the probation department DuBois Housing has options for McKean County Residents (although there are

tight restrictions) If the Housing Authority knows that someone has MH issues, they work with the

case managers/MH system to help that individual succeed in their housing placement

The new NW9 Master Leasing/Bridge Subsidy program will provide recurring housing coupons for people with a history of criminal justice involvement who have difficulty accessing housing resources

Recently opened an Oxford House - Recovery House run by the members of the house - Accepts male residents with criminal history

McKean County Collaborative Board - Currently Chaired by Duane Wolfe (DHS Administrator) - Comprised of many different professionals from many different disciplines

in McKean and surrounding counties - Meets monthly focusing on various topics


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McKean 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 participants and the votes received for each proposed priority.

Priority Red - Most

Important Priority

Other

Multi-disciplinary team (MDT) for MH cases 8 1

Establish a point person/boundary spanner responsible for crossing systems and services 4 2

Explore what can be done at the front door to the criminal justice system – crisis intervention training --- help police deal with people with

mental illness safely, verbally – help police know what services to call and where to go next

2 10

Pursue PCCD Restricted Intermediate Punishment funding for D&A services; Funding opportunity may open again in 2014 1 2

Plan how to move forward with information from this workshop – Determine accountability – Develop measurable outcomes

1 7

Develop options to have D&A/MH evaluators present at court for sentencing to allow for discussion – Consider via Skype or other options

1 5

Address continuity of care for people released from jail on psychotropic medications – Assist to reinstate Medical Assistance benefits

1 3

Early intervention and prevention to avoid CJ involvement in the first place - Explore Substance Abuse Education Demand Reduction funding – funding stream from PCCD which could fund these types of projects

0 2

Expand community service options for mental health population 0 1


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Listed below is a list of revised/ condensed priority areas identified by the workshop participants as a group on Day Two.

Revised Top Priorities

1. Explore development of a Treatment Court

a. Establish a point person/boundary spanner responsible for crossing systems and services

2. Explore what can be done at the front door to the criminal justice system a. Crisis intervention training -help police deal with people with mental illness safely,

verbally b. Help police know what services to call and where to go next

3. Continuity of care from the jail for SMI population

4. Early intervention and prevention to avoid CJ involvement in the first place. Explore Substance Abuse Education Demand Reduction funding – funding stream from PCCD which could fund these types of projects

5. Pursue PCCD Restricted Intermediate Punishment funding for D&A services; Funding opportunity may open again in 2014

6. Expand community service options for mental health population

7. Expand housing options


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McKean County Action Plan Priority: Moving Forward

Action Step Who When Revised map and a draft of the action plan for

CJAB strategic plan CoE Next Week

First draft of the full report CoE will send to Teresa

In 2 weeks

County will review the report Next CJAB Meeting (July 10th)

Finalize the report (Word and PDF) CoE Determine accountability for parts of the plan Determine measurable outcomes for goals Priority Area 1: Explore development of a Treatment Court Objective Action Step Who When 1.1 Develop structure of

court Determine target populations (MH, D&A, Developmental Disabilities, Veterans – Not for ARD cases but may change)

Sentencing options – perhaps level 1, 2, or 3 – legal leverage

Determine when and how often court will take place

Develop graduation requirements, sentences, and incentives

Referrals can come from many sources

Expand community service options for mental health population

1.2 Develop multi-disciplinary team

Develop confidentiality agreement

1.3 Develop a treatment court coordinator

Person will be the point person/liaison

1.4 Develop a CJAB subcommittee (Ad Hoc

Appoint individuals Bobby will provide some

Judge & Ray will co-chair

Judge will send out a notice of


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with a time limit) info/resources Probation will appoint

MH- Pat D&A – Angie

Reentry – Tony

meeting

Priority Area 2: Explore what can be done at the front door to the criminal justice system

Crisis intervention training -help police deal with people with mental illness safely, verbally

Help police know what services to call and where to go next Objective Action Step Who When 2.1 District Attorney will

talk with law enforcement during McLean Law Enforcement Training Series

Send county detective to be an instructor

District Attorney

2.2 Determine possible audiences

Talk with EMS Matt

2.3 Explore regional collaboration opportunities for Mental Health First Aid and Crisis Intervention Team training as possibilities

Bobby can link with other CJABs (Venango PSAs - $5,000 - $10,000)

2.4 Explore new county MH/MR funds, OMHSAS’ Mental Health Matters, for public education to fund this effect

Brian will talk to Melissa and Duane

University of Pitt resource for training and facilities

Link to D&A

Priority Area 3: Continuity of Care from the Jail for SMI population Objective Action Step Who When 3.1 Address aftercare

medication – Both medication in hand at release and providing prescriptions in a consistent, systematic way

Talk to the Warden & Deputy Warden RE policy

Mike

3.2 Address getting Medical Assistance

Will explore possible improvements

Mike


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benefits restated upon jail release

Examine process ADAS uses – using Health Sustaining Medication Form

Explore use of COMPASS

Talk to County Assistance Office

MD at the Jail can sign employability form

ADAS w/ Mike MHE

3.3 Encourage law enforcement & probation to bring medication when bringing into the jail

Probation is willing Get rest of the jail staff on board

Mike

Priority Area 4: Early intervention and prevention to avoid CJ involvement in the first place. Objective Action Step Who When 4.1 Explore Substance

Abuse Education Demand Reduction funding – funding stream from PCCD which could fund these types of projects

Priority Area 5: Pursue PCCD Restricted Intermediate Punishment funding for D&A services; Funding opportunity may open again in 2014 (County has to apply) Objective Action Step Who When 5.1 Schedule a meeting

with the judge, probation, and D&A

Judge Gary Evan Dittman

Within next 30 days

5.2 Look at approaches used by other counties

5.3 County must apply 85% is for

treatment

Priority Area 6: Expand community service options for mental health population Objective Action Step Who When 6.1 Consider incorporating

this into Priority 1: Treatment Court


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Priority Area 7: Expand Housing Options Objectives & Action Steps Who When 7.1 Master Leasing/Bridge Subsidy Program

9 counties Designed to house individuals ineligible for

other federal housing (including those ineligible due to previous criminal activity)

Bridge subsidies to keep individuals housed while working with case managers to develop plan for permanent housing

Similar to Section 8 but a continuing coupon MH/MR or D&A must initiate application Currently no waiting list Contact: Penny Campbell, Clarion County

Tammy, Melissa Kirk, Evan Dittman

7.2 Explore Catt County resources Mickey 7.3 YWCA housing employment services Mickey 7.4 Explore DuBois Housing Authority resources

Note there are a number of restrictions with these resources


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Conclusion Participants in the Cross-Systems Mapping workshop showed enthusiasm in working together to improve the continuum of resources available for people with severe mental illness and often co-occurring substance use disorders involved in the McKean County criminal justice system. McKean County is poised to tackle a number of critical issues that will greatly 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.

Work has already been undertaken to improve services for people with severe mental illness and often co-occurring substance use disorders involved in the McKean County criminal justice system. The county has developed a wide variety of collaborative initiatives between the criminal justice and drug/alcohol systems, including a strong working relationship with probation. Specialized case management, in-jail treatment programs, and crisis services are some examples of current McKean County initiatives. McKean County has also developed some thoughtful data to begin to provide a clearer understanding of the issues being discussed, especially as it relates to reentry from incarceration. Exploring the development of a Treatment Court, expanding housing options including the new NW9 Master Leasing/Bridge Subsidey program to serve those who have difficulty accessing housing, and exploring enhanced continuity of care from the jail are promising community efforts that generated a good deal of interest during the workshop. 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 local police jurisdictions, 911, local hospital staff, Magisterial District Judges, Social Security Administration, County Assistance Office, and 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 McKean County is fortunate to have a wide range of stakeholders across the mental health, substance abuse, criminal justice, and community systems, including the President Judge and District Attorney, that have made significant efforts to understand and support the challenging issues discussed in this workshop. The Cross-Systems Mapping workshop gave 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 and working closely with the Criminal Justice Advisory Board, 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 McKean 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

Last Name, First Name Agency / Title Street Address

City, State, Zip Phone E-Mail

Bay, Mikele Director, Children's Advocacy Center

CAC, 17155 Rt 6, Smethport 814-887-3493 [email protected]

Chesnut, Nancy Program Director YWCA, 24 W. Corydon St.,Bradford 814-368-4235 [email protected]

Clark, Jessica Maple Manor, Inpatient Director

118 Chestnut Street, Port Allegany, PA 16743 814-642-9522 [email protected]

Cowburn, Stephanie MST Supervisor BLBHS, 800 E. Main Street, Bradford 814-558-7334 [email protected]

DeMott, Joseph Commissioner & Pharmacist

McKean Co. Courthouse, 500 W. Main St., Smethport 814-887-5571 [email protected]

Eckstrom, Angie

Care

Management Supervisor

ADAS Inc., 2 Main St. Suite

600, Bradford 814-362-6517 [email protected]







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Gallup, Kimberly Management Aide

McKean Co. Housing Authority, PO Box 3366, Smethport

814-887-5563 [email protected]

Gaskew, Tony Associate Professor

UPB, 800 Campus Dr., Bradford 814-362-7636 [email protected]

Greenman, Jennifer Outpatient Supervisor

ADAS Inc., 120 Chestnut St., Port Allegany 814-642-9541 [email protected]

Hartzell, Tonia Victim Advocate

YWCA, 24 Corydon Street, Bradford, PA 814-368-4235 [email protected]

Kirk, Melissa Adult Mental Health Director

McKean Co. DHS, 17155 Route 6, Smethport 814-887-3463 [email protected]

Learn, Ray District Attorney McKean Co. Courthouse, 500 W. Main St., Smethport 814-887-3312 [email protected]

McCullough, Johnna SAP MH The Guidance Center, 110 Campus Drive, Bradford 814-362-6535 [email protected]

Olearchick, Mike

Jail Counselor McKean Co. Courthouse, 500 W. Main St., Smethport

887-2333 ext 4213

[email protected]











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Pavlock, John President Judge McKean Co. Courthouse, 500 W. Main St., Smethport 814-887-3323 [email protected]

Russell, Patrick Therapist The Guidance Center, 110 Campus Drive, Bradford 814-362-6535 [email protected]

Seefeldt, Gary Chief Adult Probation Officer


Swackhamer, Mickey Victim Advocate YWCA, 24 W. Corydon St.,Bradford 814-368-4235 [email protected]

Tanner, Jodi Asst. Chief Adult Prob. Officer


Wilcox, Teresa Director Juvenile Probation


Windsor, Matt Director of Veterans Affairs


Wolfe, Duane DHS Administrator

McKean Co. DHS, 17155 Route 6, Smethport 814-887-3350 [email protected]










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Last Name, First Name Title Email Address Address

Juip, Bobby

Criminal Justice Advisory Board Specialist, Pennsylvania

Commission on Crime and Delinquency (PCCD)

[email protected]

Griffin, Patty Lead Consultant, PA Mental Health and Justice Center of Excellence [email protected] 8503 Flourtown Ave.

Wyndmoor PA 19038

Cross, Amanda

Senior Research Associate, PA Mental Health and Justice Center of

Excellence [email protected] 3811 O'Hara Street

Pittsburgh PA 15213

Winckworth-Prejsnar, Katy

Project Coordinator, PA Mental Health and Justice Center of

Excellence [email protected] 1505 Race St.,

Philadelphia PA 19102






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Appendix B: Master Leasing/Bridge Subsidy Program

Documents

DREXEL UNIVERSITY & UNIVERSITY OF PITTSBURGH · 2014-08-06 · DREXEL UNIVERSITY & UNIVERSITY OF PITTSBURGH McKean County Report of the Cross-Systems Mapping Workshop May 14th & 15th,