CRIMINAL JUSTICE CLINICAL SPECIALIST (CJCS) PROGRAM

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1 CRIMINAL JUSTICE CLINICAL SPECIALIST (CJCS) PROGRAM P R E S E N T A T I O N T O T H E C O L O R A D O C O M M I S S I O N O N C R I M I N A L A N D J U V E N I L E J U S T I C E J A G R U T I S H A H, M A, L P C, C A C I I I P R O G R A M M A N A G E R C O L O R A D O D E P A R T M E N T O F H U M A N S E R V I C E S - D I V I S I O N O F B E H A V I O R A L H E A L T H This project was supported by federal award number 2009-SU-B awarded by US Department of Justice issued by the Colorado Division of Criminal Justice. CCJJ 4 / 8 / 11 Page 1 of 14

2 The Need Upon release from jail or prison, individuals with behavioral health disorders face numerous community challenges. CCJJ 4 / 8 / 11 Page 2 of 14

3 Without immediate access to evidence based behavioral health treatment, released offenders with behavioral health disorders are destine to decompensate. Develop a well-integrated criminal justice and behavioral health system. Ensure that offenders with behavioral health disorders have coordinated access to community treatment services. Strategically place CJCSs in our behavioral health system to coordinate with criminal justice authorities (e.g., county jails, probation, parole, community corrections, and state prisons) and case manage criminal justice referrals. CCJJ 4 / 8 / 11 Page 3 of 14

4 Program Goals Reduce recidivism. Enhance successful community re-entry. Point of contact for criminal justice agencies. Coordinated access to community treatment services. Increased collaboration and continuity of care between criminal justice and community agencies. Create jobs. CCJJ 4 / 8 / 11 Page 4 of 14

5 CJCS Program Status Report 1. DBH selected 10 community behavioral health providers via a competitive bid process. The ten providers are: Arapahoe Douglas Mental Health Network Jefferson Center for Mental Health Centennial Mental Health Center Larimer Center for Mental Health Colorado Coalition for the Homeless North Range Behavioral Health Network Colorado West Regional Mental Health San Luis Valley Mental Health Center Community Reach Center West Central Mental Health Center CCJJ 4 / 8 / 11 Page 5 of 14

6 Role of the CJCSs 2. CJCSs were hired at all ten sites between April and August Agency point of contact for criminal justice agency referrals. Coordination with referring criminal justice agencies. Provide direct case management. Align offender supervision/release requirements with community treatment agency services. Provide, where indicated, clinical assessment and treatment services for offenders. On going communication/reporting and collaboration with referring criminal justice agency to ensure offender compliance with services. Participate in program evaluation activities. CCJJ 4 / 8 / 11 Page 6 of 14

7 CCJJ 4 / 8 / 11 Page 1 of 14 Program Status continued 3. DBH contracted with Center for Research Strategies for the program evaluation in October Launched an online Client Data Tracking database for the CJCSs to utilize in January CCJJ 4 / 8 / 11 Page 7 of 14

8 Number of Clients Served SLV, 64 WCMH, 37 ADMHC, 82 Cent, 54 NRBH, 68 LCMH, 67 CCH, 87 CWRMHC, 39 JCMH, 177 CRC, 72 Total Clients Served Between April 1, 2010 and March 31, 2011 = 737 CCJJ 4 / 8 / 11 Page 8 of 14

9 Program Successes Numerous client placements in jail diversion programs, alternative sentences, residential treatment programs. Some centers have doubled their numbers of serving clients involved in the criminal justice system. Assisting clients with the costs of medication and/or treatment co-pays when no other funding was available. Assistance with securing permanent housing. Programs not receiving JAG funds are interested in program and participate in monthly meeting. Programs have developed new partnerships with DOC, Parole, Probation, county jails and local treatment providers. Collaboration between SB-97 and CJCS program. CCJJ 4 / 8 / 11 Page 9 of 14

10 Program Challenges Inability to stay in contact with homeless clients has caused delays or limited the ability of the CJCS case manager to engage clients in services. Varying resources depending on the program region. Turnover of CJCSs. Lack of funding for behavioral health treatment for non-medicaid clients. In rural areas programs have difficulty obtaining medical care. Large number of client referrals causing workload capacity issues for one person to manage all the clients. CCJJ 4 / 8 / 11 Page 10 of 14

11 Program Evaluation Plan Program Implementation Evaluations. Completed Oct 2010 Client/Stakeholder Satisfaction. June- Aug 2011 Outcome Analysis. January March Outcome analysis shall include recidivism data, clinical outcomes, cost savings, comparison group analyses. The final report will be published at the end of March CCJJ 4 / 8 / 11 Page 11 of 14

12 Sustainability Plans Second Chance Act grant. Bureau of Justice Assistance grant 1284 dollars Making changes within agencies to focus more heavily on working with this population based on the partnerships developed via the CJCS program. CCJJ 4 / 8 / 11 Page 12 of 14

13 Questions or Comments? CCJJ 4 / 8 / 11 Page 13 of 14

14 Contact Information Jagruti Shah, MA, LPC, CACIII Manager- Criminal Justice Clinical Specialist Program Division of Behavioral Health 3824 W. Princeton Circle Denver, CO Anthony P. Young, Psy.D. Manager, Offender Mental Health Programs & CJCS Project Director Division of Behavioral Health 3824 West Princeton Circle Denver, CO Marc S. Condojani, LCSW, CAC III Director of Community Treatment and Recovery Programs Division of Behavioral Health 3824 W. Princeton Circle Denver, CO CCJJ 4 / 8 / 11 Page 14 of 14