DHS Request for Information Responders Conference January 31 st, 2013

Transcription

1 DHS Request for Information Responders Conference January 31 st, 2013 State Operated Services Forensic Services and the Minnesota Sex Offender Program

2 State Operated Services Forensic Services Promoting recovery and hope by creating an environment that is safe, respectful and caring. Carol Olson, Administrator

3 Vision, Mission and Values * Vision * Inclusive communities across Minnesota that are vibrant, sustainable, healthy and support people in effectively addressing their behavioral health needs allowing them to optimize their life goals. * Mission * Partnering with others, we provide and support innovative and responsive specialty services to people with complex behavioral health needs and challenges. * Values * Person Centeredness; * Quality; * Respect; * Innovation; * Responsibility/Accountability; * Team Work; and * Collaboration Minnesota Department of Human Services 3

4 State Operated Forensic Services Seven Specific Programs Minnesota Security Hospital (MSH) Young Adult and Adolescent Program (YAAP) Special Needs Service (SNS) Transition Services Competency Restoration Program (CRP) Forensic Nursing Home Forensic Network

5 State Operated Forensic Services Serves 380 individuals on St. Peter campus Responsible for monitoring 150 MI & D clients on provisional discharge Services provided at SOFS MI&D assessments and commitments Treatment and rehabilitation Emergency transfers from other SOS programs Rule 20 assessments (competency and criminal responsibility) for serious felonies Treatment to competency (who are also dually committed at MI & D) Assessment & crisis intervention for PD clients in collaboration with Forensic Community Support Services

6 Picture of Clinical Needs Social Workers identified patients currently on their caseload whom they clinically assessed as not being able to discharge through the typical route in the SOFS system. 46 individuals were identified. *Identified type of placement needed *Identified other clinical needs to take into consideration for placement

7 Placement Needs Identified *40/46 = Structured Placement *11/46 = AFC Setting *11/46 = Half Way House *9/46 = High Staff to Patient Ratio *3/46 = Board and Care *1/46 = Identified needs were: Assisted Living; Nursing Home; Staff Trained to work with TBI; Work Transition Services.

8 Other Unique Clinical Characteristics *37/46 = Active (Chronic) Mental Health Symptoms *31/46 = Unique Needs; Diagnosis of FAS; panic/social anxiety; medication admin; impulse control; mobility; constant supervision; water intoxication; ECT; DBT; Autism *26/46 = Assistance with ADL s *14/46 = Diagnosis of ID (Intellectual Disabilities) or TBI (Traumatic Brain Injuries *12/46 = Physical Health Issue Considerations *7/46 = Leveled Sex Offenders *24/46 = Greater Minnesota

9 State Operated Services Anoka Metro Regional Treatment Center The Minnesota Department of Human Services, working with many others, helps people meet their basic need so they can live in dignity and achieve their highest potential. Nancy Webster-Smith, Hospital Administrator

10 Anoka Metro Regional Treatment Center *200-bed psychiatric hospital with eight 25- bed units (Staffed for 110 beds) *Serves patients with serious and persistent mental illnesses, co-morbid medical conditions, and high levels of behavioral acuity *Almost all patients are committed to the Commissioner of DHS *Provides integrated mental health and chemical dependency services

11 Patients Who Face Difficulties Transitioning from AMRTC *Require long-term housing with services to help maintain stability in community *Committed with history of sex offenses *Have cognitive impairments *Have other unique needs (e.g., language barriers, undocumented citizenship) *Require employment assistance

12 Nancy Johnston, MSOP Executive Director

13 Minnesota Sex Offender Program Mission Statement To promote public safety by providing comprehensive treatment and reintegration opportunities for civilly committed sexual abusers. Vision Working to end sexual violence!

14 MSOP Fast Facts Courts in Courts out One program Two sites Latest census: 678 (180 in SP, 498 in ML) new commitments annually 58% committed from non-metro counties Age range: (average = 46) One female 78% have Diploma or GED < 1% have College Degree

15 MSOP Moose Lake (550 Bed Capacity) Holds/Admissions Non-participants Conventional Programming (Phases I and II) Specialized Units: Mentally ill, Young Adult, Assisted Living, Behavioral + MSOP/DOC site: 50-bed program MSOP - St. Peter (184 Bed Capacity) Alternative Program (Phases I, II, and III) Conventional Program (Phases II and III) Reintegration -- Community Preparation Services (CPS) (Outside Secure Perimeter)

16 MSOP Clinical Services include: Three-phase treatment program Group and individual therapy Vocational Recreational Educational Spiritual Volunteer Services Reintegration

17 MSOP Clientele 403 in Conventional Programming 22 in Young Adult Unit 21 in Assisted Living Unit 22 in Mental Health Unit 13 in Behavioral Therapy Unit 66 in Corrective Thinking Unit 107 in Alternative Programming

18 Alternative Programming Genetic or Acquired: Intellectual disabilities Cognitive impairments Psychiatric disabilities Poor literacy skills Highly institutionalized

19 Reintegration Admissions Moose Lake Primary Treatment Phases I, II Conventional Moose Lake St. Peter * Primary Treatment Phase III St. Peter Only Community Preparation Services St. Peter Only Provisional Discharge Discharge Community Still Civilly Committed Community No longer Civilly Committed PHASE III / REINTEGRATION *Clients in the alternative program complete all 3 treatment phases in St. Peter.

20 Task Force Reviews and Recommendations for Less Restrictive Alternatives and the Civil Commitment Process MSOP Program Evaluation Team Auditing client treatment progression

21 The Task Force was charged with examining and providing recommended legislative proposals on the following topics: A. Sex offender civil commitment options that are less restrictive than placement in a secure treatment facility (by December 3, 2012); B. The civil commitment and referral process for sex offenders; and C. The standards and processes for the reduction in custody for civilly committed sex offenders.

22 The Legislature should: Create facilities and programs that ensure public safety but are Less Restrictive Alternatives to the high security facilities in Moose Lake and St. Peter. Provide for geographic distribution to serve the entire state; may be through regional, multi provider and other collaborative programs. Provide adequate funding for such facilities and programs. Ensure that such facilities and programs are operational within a reasonable period of time.

23 The Legislature should: Consider how to deal with local government ordinances, resolutions, or similar laws, which have the effect of limiting, excluding, or impeding the siting of Less Restrictive Alternative facilities or programs. Provide for increased resources for public education regarding the rehabilitative aspects of such programs and the provisions for public safety.

24 The Commissioner of Human Services shall request proposals from governmental and non governmental entities and organizations for the development of new programs and enhancement of existing programs

25 The Commissioner of Human Services may award planning funds as necessary to further the development of proposals for less restrictive alternatives.

26 Commissioner Jesson chose to issue an expanded RFI to address less restrictive alternative facilities and programs for individuals who are: Civilly Committed under the Sexual Psychopathic Personality and/or Sexually Dangerous Person statute AND for those who are: Civilly Committed under the Mentally Ill and Dangerous statute

27 Why a Request for Information? Assess State s current provider capacity Gauge interest among providers Avoid duplicating programs, fill gaps in continuum Invest in existing programs, expand current capacity Identify resources that are readily accessible Request for Proposals likely to follow.

28 What is Needed? Less Restrictive Alternatives to the high security facilities in Moose Lake and St. Peter. Residential facilities, group homes, supported housing, outpatient facilities, and treatment programs. Security features and monitoring technology, such as on site cameras and GPS tracking. Residential, treatment, supervision and support services. Transitional services such as employment counseling and training in daily living skills.

29 Where? Located throughout the State Geographic distribution of facilities and programs to serve the entire state. May be accomplished through regional centers or multi county collaborations.

30 For Whom? Programs may serve individuals who Were previously civilly committed and are exiting a high security State facility; or Are given a stay of commitment or are civilly committed and ordered to receive treatment in a facility other than the existing highsecurity buildings in Moose Lake and St. Peter.

31 For Whom? Civilly Committed under the Sexual Psychopathic Personality and/or Sexually Dangerous Person statute. May also have a serious mental illness mild or serious cognitive impairment

32 For Whom? Civilly Committed under the Mentally Ill and Dangerous statute May also have a mild or serious cognitive impairment history or sexually offending

33 Responders Government Private businesses Nonprofit organizations Multi provider partnerships Multi jurisdictional Other collaborations

34 Timeline / Next Steps Written Questions to: mari.moen@state.mn.us Th/02/07/2013 DHS Answers Posted at: Th/02/14/2013 Responses Due to: mari.moen@state.mn.us Th/02/28/2013

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