[Mental Health Treatment and Services*] [Chemical Dependency Program (CDP)]

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1 [Mental Health Treatment and Services*] Crisis intervention, stabilization, counseling, and medication management. *(TST funded through Thurston County Public Health and Social Services) 1. Early identification/connection to treatment. (MH, CD, Co-Occurring, VET, PTSD, TBI) 2. Reduce suicide rates in/out custody. 3. Reduce symptoms-induce stabilization. 4. Reduce the need for isolation housing. 5. Reduce recidivism & increase successful reintegration. Population Served: Incarcerated adults charged with a crime who have been assessed as having a mental illness or co-occurring disorder(s). [Chemical Dependency Program (CDP)] State Certified Outpatient Treatment program conducted in (3) three phases with each phase decreasing in intensity. CDP utilizes Moral Reconation Therapy 1. Reduce recidivism and increase public safety 2. Reduce Jail Bed Utilization & Costs/Providing Societal Cost Savings 3. Reduce negative impacts of Mental Health & Substance Abuse on children, families, community and those with CD and MH disorders. (ACES) Population Served: Incarcerated adults who are court ordered to CDP who have been assessed as chemically dependent or having a co-occurring disorder(s) and who are amendable to treatment.

2 [Diversion, Reentry and Transitions Programs] Diversion and Reentry: Case Management and Diversion Services for the main jail population. Transitions: Intensive Case Management Services/Medication Management for individuals on Correctional Options Programs who are on the CDP Program/or diagnosed as mentally ill. 1. Reducing recidivism. 2. Addressing needs client to aid in a successful transition to the community by providing connection to local, state and federal resources. Population Served: Incarcerated adults who have been assessed as chemically dependent, mentally ill or co-occurring. Services are provide in both the main jail and in Correctional Options. [Preparation for Employment Services] Pre-employment skills workshops, connection to employment and job placement. 1. Reintegration and sustainability through employment. 2. Reduce the cycle of incarceration. Population Served: This program support individuals on the Chemical Dependency and transitions program.

3 Thurston Thrives: [Strategy Map Connection] Clinical Care: Increase capacity of and access to evidence-based treatment and behavioral health services. Integration of care, Educate and influence people to make better health choices, live longer, healthier lives. Housing: Provide connection to rent assistance and supportive services. Economy: Access to employment resources, supportive employment. Public Safety and Justice: Public Safety: Reduce involvement with criminal justice system through CD & MH treatment interventions, supportive services, housing and employment. Reduce incarceration. Public Safety: Provides the right balance between community safety, rehabilitation, accountability and cost effectiveness [TST Funded Program Results 2014] Pretrial Diversion=40 Re-Entry Planning=232 Weekend Crisis Care=343 CDP Program Admissions=111 (35 remain in treatment/ 14 Graduated) Gained Employment=73.63% Remain employed after 60 days=54.45% MH Treatment at discharge=47% (Transitions) Medication Management 63% Societal Cost Savings: WSIPP-Benefit-Cost model estimated societal cost savings for CDP were approximately 1.1 million in 2013 and about 5.1 million since (Recidivism has not been calculated for 2014) 3% recidivism rate for the 6-month time period in 2013 **Recidivism is calculated utilizing JIS conviction history

4 [Key Partners] Alternatives Professional Counseling Inc. Salvation Army Thurston County Therapeutic Courts WestWood Baptist Church Behavioral Health Resources Community Youth Services Healthcare Delivery Services First Christian Church Office of Assign Counsel Safeplace Thurston County Prosecutor s Office DSHS/HEN Program PacMountain Social Security NW Resources Dept. of Vocational Rehab Sidewalk Union Gospel Mission Catholic Community Services (Drexel House) NAMI Thurston/Mason (National Alliance on Mental Illness) St. Peter s Chemical Dependency Employment Security Department VFW County/State Dept. of Veteran s Affairs (WDVA) Current Problem or Opportunity Inability to provide ongoing intensive case management services upon release. Those requiring more intensive services are more likely to reoffend and less likely to succeed upon release from custody due to lack of community case management supports. (Average Length of Stay= 21 Days) Lack of housing funds and supportive housing. Fragmentation of Services (Community based Care) Wait times/transfer to WSH (can take 60+ days) Formation of a dedicated partnership with NAMI will be an incredible resource for individuals and their families. We look forward to witnessing the development of this partnership in 2015 and how it might help with the delivery of services in the jail.

5 Future Focus: Proposed Change and Expected Results Proposed Change(s): 1. Increase knowledge and connection to available services in the community through partnership with DOC Community Partnership Transitions Services. Expected Result: 1. Identification of housing supports, reduce wait times for DSHS funding, assistance with employment, food, medical, and legal resources.