Jail Projects to Reduce Incarceration Rates of

the Mentally IllScott A. Sylak

Executive Directorssylak@lcmhrsb.oh.gov

Lucas County - By the Numbers Lucas County Correction Center opened 1977

Rated Capacity 342 plus 24 medical beds Approximately 20,000 bookings annually Routinely held between 380 and 475 pretrial inmates Additional 438 beds at Corrections Center of Northwest

Ohio for sentenced inmates Federal Court Order since 1977 acted as the only

population management tool In 2013 FCO mandatory releases resulted in 6,604

misdemeanant and non-violent felony releases, representing 1/3rd of all releases

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Lucas County - By the Numbers 50% of people booked were released within 24 hours,

of those 30% within 8 hours 60% of all Failure to Appear charges were from

individuals released because of the FCO 8.5% of individuals (1,000) booked represented 23%

of all bookings Of those 1,000 individuals, 70% were known to the

MHRSB system of care, 32% of them receiving service within the last year.

Of those receiving services within the last year, 37% received crisis services, but only 2% went to the state hospital

January 2015 FCO enforced - Lucas County Correction Center capacity capped at 409 inmates

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SEQUENTIAL INTERCEPT MAPPING & – PURPOSE AND GOALS Develop a comprehensive picture Identify Gaps, resources and opportunities Develop Priorities for system improvements and

responses which Promote & support recovery Provide safety and quality of life for all Keep out of jail and in treatment Provide constitutionally adequate treatment in jail Link to comprehensive, appropriate, and integrated

community-based services

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MACARTHUR GRANT SAFETY AND JUSTICE CHALLENGE – PURPOSE & GOAL Map justice system operations (arrest through post

conviction supervision) Identify problem areas, such as information flow,

capacity issues, delays and resource gaps Illuminate current policies and practices that are

increasing local jail populations Develop and prioritize viable jail reduction strategies County Specific goal of 19% or more Address DMC

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INTERCEPT 1 – LAW ENFORCEMENT STRATEGIES

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Crisis Intervention Team Training 4 one week training sessions, 2 one day refresher sessions,

over 500 trained. Mental Health-based specialized response

Emergency Services, 24/7 with over 3,000 “in field” evaluations conducted annually

Hybrid Law Enforcement/Mental Health response Law Enforcement Assisted Mental Health Mobile Crisis

(planning stage) Overdose Investigation and Referral

Lucas County Sheriff’s Department Drug Addiction Response Team (DART), investigates overdoses upon notification from EMS and refers victim to treatment and recovery housing

Psychiatric Urgent Care Center Law enforcement diversion center for low level psychiatric

offenders (planning stage)

INTERCEPT 2 – INITIAL DETENTION AND COURT APPEARANCE STRATEGIES Pre – Arraignment Risk of Recidivism Screen

Public Safety Assessment created by the Arnold Foundation and administered by Lucas County Pretrial Booking Officers, began January 2015

Pre – Arraignment Mental Health & Substance Use Screen GAIN Short Screener to be conducted by Jail Counselors,

projected start December 2015. Pretrial Release AOD and MH Support Services

Assessment, referral to treatment and case management provided by Treatment Accountability for Safer Communities (TASC) of Northwest Ohio upon court order.

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INTERCEPT 3 – JAILS AND COURTS STRATEGIES Specialty Courts

Veteran’s Court in Toledo Municipal Court 2 drug courts planning stages in Lucas County Common Pleas

Court Driver’s License Reinstatement Court in Toledo Municipal Court

In-Jail Services Psychiatry Services 16 hours per week Forensic Linkages Project screens and links current inmates

with behavioral health services prior to release. Project conducted by TASC

Community Mental Health system CPST services available to inmates who are existing clients of MHRSB system

Jail Vivitrol Project conducted by A Renewed Mind Medicaid Benefit Enrollment

Inmates are enrolled in Medicaid prior to release by LCJFS

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INTERCEPT 4 – REENTRY STRATEGIES Facilitated access to psychotropic medications

Inmates who are stable and taking meds can get up to 60 days of psychotropic medications upon release from CCNO or the LCCC

Reentry Services Pre and post release services based upon the Risk, Need and

Responsivity principles provided by TASC at CCNO, LCCC, ODYS, and ODRC facilities

Reentry support service provided by the Reentry Coalition of Northwest Ohio, including Citizen Circles and 1st Wednesdays

Program of Assertive Community Treatment (PACT) Provides intensive mental health treatment services to the NGRI

and ICST populations who are released from hospitalization, project conducted by Unison Behavioral Healthcare Inc.

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INTERCEPT 5 – COMMUNITY CORRECTIONS STRATEGIES Specialized Probation Officers Community Based Correctional Facility Work Release Electronic Monitoring Indigent Driver’s Alcohol Treatment Fund projects including

SCRAM Monitoring Probation Incentive and Improvement Grants (PIIG) Mental Health Forensic Monitor

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Impact throughout Lucas County Jail is currently compliant with FCO, population is

holding at 409 inmates, but needs to get down to 327 to effectively compete for MacArthur funds

Emergency shelters, hospital psychiatric units, crisis care units and state hospital beds are full most days

MH and/or AOD treatment is available within 48 hours of request MAT services require additional wait time Psychotropic medication access for new clients can take

up to 6 weeks Permanent supportive housing, supported

employment, transportation and peer supporter services still needed

Medication Expansion has had the most impact on our ability to implement many of these strategies!

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Questions?