Upload
jodie-underwood
View
216
Download
2
Embed Size (px)
Citation preview
NC Department of Health and Human Services
LME Directors Meeting 9/14/07LME Directors Meeting 9/14/07NC Division of Mental Health, Developmental Disabilities and NC Division of Mental Health, Developmental Disabilities and
Substance Abuse ServicesSubstance Abuse Services
Substance Abuse Services & the Criminal Justice System
04/21/23
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
Drugs & Crime
• 1 in 32 adults are under correctional supervision
• SA is disproportionately represented in correctional populations– 80% of parolees– 80% of prison inmates – 67% of probationers
• 59% of SA Referrals from CJS
04/21/23
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
Drugs & Crime in NC
• 38,423 people in prison– 30,738 need substance abuse services
Note: 97% will be released
• 117,607 people on probation, parole or post-release– 79,347 need substance abuse services
04/21/23
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
Felonies:Felonies:Type of Punishment ImposedType of Punishment Imposed
47%
37%
28%
43%
26%
20%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
Active Intermediate Community
Old Law**
Structured Sentencing*
* SOURCE: NC SPAC FY05-06 Report
** SOURCE:1993 Pre-Structured Sentencing Data
04/21/23
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
NC Problem Statement
• Limited CJ & Tx resources
• Complex clients: challenging behavioral health needs & serious consequences of failure
• Recidivism & Relapse are common
• Service availability & effectiveness
04/21/23
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
OMM: Balancing Control & Tx
• One Offender One Case Plan One Team
• Common Goal: Safely manage high-risk, high-need offenders in the community
04/21/23
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
DHHS-DOC-AOC MOAMemorandum of Agreement
between the North Carolina Department of Health and Human Services
and the North Carolina Department of Correction
and the Administrative Office of the Courts
i. ii. This Memorandum of Agreement (MOA) and Appendices are entered by and
between the Department of Health and Human Services (DHHS), the Department of Correction (DOC) and the Administrative Office of the Courts (AOC) for the purpose of developing a comprehensive offender management model that ensures public safety while addressing the needs of offenders. The Division of Community Corrections (DCC) and the Division of Mental Health, Developmental Disabilities and Substance Abuse Services (DMHDDSAS) are the primary resources involved in community corrections. AOC manages the N.C. Drug Treatment Court Act Program and provides administrative support to the local courts that operate Adult Drug Treatment Courts (DTC). The Division of Alcoholism and Chemical Dependency Programs (DACDP) and Division of Prisons (DOP) impact community corrections through the release of offenders who have received services while in custody or while in a residential facility (DART-Cherry). The purpose of a comprehensive offender management model is to create a seamless system built on the ideals of integrated service delivery and coordination of resources that provide effective interventions for offenders.
04/21/23
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
What is TASC?
• A model that bridges two separate systems: justice & treatment
• Links treatment & justice goals of reduced drug use & criminal activity
• Uses processes that improve treatment access, engagement & retention
04/21/23
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
TASC:Nationally & in NC
• 1962 Robinson v. California - addiction is an illness, not a crime
• 1970s Federal government develops model to interrupt drug-crime
cycle: Treatment Alternatives to Street Crime
• 1972 first TASC program in Wilmington, Delaware
• 2007 National TASC represents over 200 programs
• 1978 First TASC Programs in NC
• 1993 10 Programs in 20 Counties
• 1994 Structured Sentencing Act
• 1998 23 Programs in 43 Counties
• 2000 SOP; DHHS-DOC MOA
• 2002 TASC services available in all 100 counties
• 2003 TASC Training Institute
• 2005 AOC joined MOA
• 2007 15,000+ Offenders Served
04/21/23
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
TASC Eligibility
• involved in the CJS or DOC releasee who completed a prison substance abuse program; &
• voluntary consent to participate; &
• evidence of a history or potential substance abuse &/or mental health issue, including drug-related charges
04/21/23
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
TASC Core Services
• Screening & Assessment
• Referral & Placement
• Care Planning, Coordination & Management
• Reporting Progress to Justice System
Referral from
CJS
Referral back to CJS or other appropriate
community service provider
TASC monitors &Referral to self-pay services
&/or other appropriatecommunity service provider
Common Case Plan, (coordinated w/ CJS)
CJS Enforcing Special
Conditions& SupervisionRequirements
CJS Interface thru TASC
TASC
ScreeningAssessment
CJS = Probation Officer, CJPP staff, Judge, DA, PD/ Defense Atty, DTC staff, DART staff
TASCOrganizing community-based
services & supports,Urinalysis, Monitoring
progress in all services & supports, Adjusting Common Case Plan,
Reporting to CJS
LME90801, Diagnostic Assessment,
Community Support, SAIOP, SACOT, Detox, SA HH, SA non-med residential,
SA med residential,SA inpatient hospitalization
No TASC service needed; orNo MHDDSAS service needed;
Or services refusedAppropriateService?
Low-Risk/Low-Need
High-Risk / High-Need (A/CSCJO Target Pop)
04/21/23
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
ASCJO & CSCJO Adult & Child Substance Abusing Criminal Justice Offender Target Population (ASCJO & CSCJO) to ensure access to treatment for individuals with a SA diagnosis who present the greatest risk to public safety.
Eligibility includes: Diagnostic criteria for a substance-related disorder; and Services approved by a TASC care manager; and CJS Status as an Intermediate Punishment offender, a
Department of Correction releasee who has completed an in-prison treatment program, or a Community Punishment violator at-risk for revocation
Dur
ham
1
4 A
-B
Ala
man
ce
15
A
Alexander 22
Alleghany 23
Anson 20 A
23Ashe
Avery 24
2Beaufort
6 BBertie
13Bladen
13Brunswick
Buncombe28
Burke 25 A
Cabarrus 19 A
Caldwell 25 A
3B Carteret
Caswell 9 A
Catawba 25 B
Chatham 15 B
Cherokee 30 A
27 BCleveland
13Columbus
3 BCraven
12 A-B-CCumberland
Dare 1
Davidson 22
Davie 22
Duplin 4 A
7 BEdgecombe
Forsyth21 A-B-C- & D
9Franklin
27 AGaston
1Gates
30 AGraham
9
Granville
8 AGreene
Guilford18 A-B-C-D-E
6 AHalifax
Harnett 11
Haywood30 B
Henderson 29
6 BHertford
Hoke 16 A
2Hyde
Iredell 22
Jackson30 B
Johnston 11
4 AJones
Lee 11
8 ALenoir
Lincoln 27 B
McDowell 29
Macon 30 A
Madison 24
2Martin
26 A-B-CMecklenburg
Mitchell 24
19 B
Montgomery Moore 20 A
7 ANash
NewHanover5
Northampton 6 B
4 BOnslow
Orange 15 B
3 B Pamlico
Pender 5
Person 9
3 APitt
Polk29
Randolph 19 B
Richmond 20 A
Robeson 16 B
Rockingham 17 A
Rowan 19 C
Rutherford 29
Sampson 4 A
16 AScotland
Stanly20 B
Stokes 17 B
Surry 17 B
Swain 30 A
Transylvania 29
2Tyrrell
Union 20 B
9Vance
Wake10 A-B-C-D
9Warren
2Washington
24Watauga
8 BWayne
Wilkes 23
Wilson 7 C
Yadkin 23
Yancey 24
Pasquotank
Perquimans
Chowan
Currituck
Camden
Region 1
Region 4
Region 3
Region 2
Clay 30A
Region 1 - Wes Stewart308 New StreetNew Bern, NC 28560252.638.3909
Region 2 – Andy Miller412 West RussellFayetteville, NC 28302910.321.6796
Region 3 – Michael Gray516 N. Trade St.Winston-Salem, NC 27101336.714.7080
Region 4 – Carlene Wood370 N.Louisiana Ave, Ste. E-3Asheville, NC 28806828.210.0535
TASC Training Institute Dale Willetts615 Shipyard Blvd.Wilmington, NC 28412910.202.5500
North Carolina TASC Network
TASC is organized into 4 regions which reflect the state’s 4 judicial
divisions, consistent with the unified court & statewide probation systems.
04/21/23
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
TASC Statistics
• 80% Male
• 48% Black 47% White
• 60% less than 31yo– 20% 16-21yo
• 85% Not Married
• 52% No HS Diploma
• 32% Unemployed
04/21/23
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
TASC Statistics• Ave. length of stay:
8½ months
• $1.35 per client per day
• 2000 Recidivism Report to the General Assembly* • 86% had at least 1
previous arrest (mean # 2.6)
• 61% were NOT re-arrested within 2 years of discharge
* NC Sentencing & Policy Advisory Commission
04/21/23
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
How TASC Benefits Treatment
• Increases Client Identification– Improving treatment outreach & access
• Provides Independent Assessment of Need
• Improves Treatment Engagement– orients clients to tx; reduces “no shows”,
increasing tx staff productivity
• Improves Treatment Retention & Compliance– improving tx outcomes
• Provides Support & Continuity during Tx & CJ Transitions
04/21/23
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
How TASC Benefits Treatment
• Maintains clear Roles & Responsibilities– Tx providers focus on client care & Probation
officers focus on supervision
• Balances Control & Treatment – arranges goals & objectives of Tx, CJS & the client
• Improves Communication among Systems about & with Client
• Provides addt’l information for Treatment, Judicial & Correctional Decision-Making
04/21/23
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
www.northcarolinatasc.org
04/21/23
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
2007 Legislative Session: Treatment Court Programs
Funding for services for existing pre- & post-plea MH courts, DWI courts & adult & family DTCs
Funds are expected to be allocated to LMEs w/ Adult DTCs based on the number of Active Participants during CY05-06
In providing DTC services, LMEs shall consult with the local DTC team & select a tx provider that meets all provider qualification requirements & DTC needs.
A single tx provider may be chosen for non-Medicaid-eligible participants only. A single provider may be chosen who can work with all non-Medicaid-eligible DTC participants in a single group.
During the 52-week DTC program, participants shall receive an array of tx & aftercare services that meets the participant's level of need, including step-down services that support continued recovery.
04/21/23
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
Dur
ham
14
A-B
Ala
man
ce
15
A
Alexander 22
Alleghany 23
Anson 20 A
23Ashe
Avery 24
2Beaufort
6 BBertie
13Bladen
13Brunswick
Buncombe28
Burke 25 A
Cabarrus 19 A
Caldwell 25 A
3B Carteret
Caswell 9 A
Catawba 25 B
Chatham 15 B
Cherokee 30 A Clay
30 A
27 BCleveland
13Columbus
3 BCraven
12 A-B-CCumberland
Dare 1
Davidson 22
Davie 22
Duplin 4 A
7 BEdgecombe
Forsyth21 A-B-C- & D
9Franklin
27 AGaston
1Gates
30 AGraham
9
Granville
8 AGreene
Guilford18 A-B-C-D-E
6 AHalifax
Harnett 11
Haywood30 B
Henderson 29
6 BHertford
Hoke 16 A
2Hyde
Iredell 22
Jackson30 B
Johnston 11
4 AJones
Lee 11
8 ALenoir
Lincoln 27 B
McDowell 29
Macon 30 A
Madison 24
2Martin
26 A-B-CMecklenburg
Mitchell 24
19 B
Montgomery Moore 20 A
7 ANash
New
Hanover 5
Northampton 6 B
4 BOnslow
Orange 15 B
3 B Pamlico
Pender 5
Person 9
3 APitt
Polk29
Randolph 19 B
Richmond 20 A
Robeson 16 B
Rockingham 17 A
Rowan 19 C
Rutherford 29
Sampson 4 A 16 A
Scotland
Stanly20 B
Stokes 17 B
Surry 17 B
Swain 30 A
Transylvania 29
2Tyrrell
Union 20 B
9Vance
Wake10 A-B-C-D
9Warren
2Washington
24Watauga
8 BWayne
Wilkes 23
Wilson 7 C
Yadkin 23
Yancey 24
Pasquotank
Perquimans
Chowan
Currituck
Camden
AdultDrug Treatment Courts
04/21/23
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
2007 Legislative Session:LMEs & Jails
SECTION 10.49.(f) Within available resources, LMEs shall work with county public health depts & sheriffs to provide medical assessments & medication for jail inmates who are suicidal, hallucinating, or delusional. LMEs shall also examine ways to provide addt’l treatment to persons who are determined to be psychotic, severely depressed, suicidal, or who have substance abuse disorders. To this end:
(1) DHHS shall work with LMEs, county public health depts & sheriffs to develop a statewide standardized evidence-based screening instrument to be used when offenders are booked. The screening tool shall be implemented by January 1, 2008.
(2) LMEs & county sheriffs shall work together to develop all of the following:a. A designated LME employee
responsible for screening the daily jail booking log for known mental health consumers.
b. Protocols for effective commun-ication between LME & jail staff including collaborative development of medication management protocols between jail & mental health providers.
c. Training to help detention officers recognize signals of mental illness.
04/21/23
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
2007 Legislative Session:Crisis Intervention Teams
Provides funding to be used by:
• LMEs to develop CITs
• DMHDDSAS to develop statewide training capacity
DMHDDSAS will:
• Release an application for LMEs to request funding for CITs
• Provide technical assistance for developing CITs
• Fund an annual statewide CIT conference