Lackawanna County - Pennsylvania Mental Health and Justice
Transcription
Lackawanna County - Pennsylvania Mental Health and Justice
DREXEL UNIVERSITY & UNIVERSITY OF PITTSBURGH Lackawanna County Report of the Cross-Systems Mapping Workshop May 2014 Transforming Services for Persons with Mental Illness in Contact with the Criminal Justice System Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Facilitator Patricia A. Griffin, PhD, Center of Excellence Senior Consultant Other Support Katy Winckworth-Prejsnar, Research Coordinator Casey LaDuke, MS, Research Associate Center of Excellence Staff David DeMatteo, JD, PhD Sarah Filone, MA Christy Giallella, MS Patricia Griffin, PhD Kirk Heilbrun, PhD Casey LaDuke, MS Edward P. Mulvey, PhD Sarah Phillips, BA Carol Schubert, MPH Katy Winckworth-Prejsnar, BA 2 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Table of Contents Transforming Services for Persons with Mental Illness in Contact With the Criminal Justice System Introduction ...................................................................................................................................... 5 Background ...................................................................................................................................... 5 About the Workshop......................................................................................................................... 6 Objectives of the Cross-Systems Mapping Exercise ....................................................................... 6 Keys to Success ............................................................................................................................... 7 Lackawanna County, Pennsylvania Cross Systems Mapping Lackawanna County Cross Systems Map ....................................................................................... 8 Lackawanna County Cross Systems Narrative ............................................................................... 9 Intercept I: Law Enforcement / Emergency Services ........................................................ 11 Intercept II: Initial Detention / Initial Court Hearing ........................................................... 17 Intercept III: Jails / Courts ................................................................................................. 19 Intercept IV: Re-Entry........................................................................................................ 23 Intercept V: Community Corrections / Community Support .............................................. 26 Lackawanna County Action Planning Lackawanna County Priorities ....................................................................................................... 33 Lackawanna County Action Plan ................................................................................................... 34 Conclusions and Summary Conclusion ..................................................................................................................................... 42 Closing ........................................................................................................................................... 42 3 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 List of Appendices Appendix A – Participant List ......................................................................................................... 43 Appendix B – Lackawanna Cross Systems Mapping: Follow-Up Resources ................................ 50 Appendix C – Lackawanna-Susquehanna BH/ID/EI Program Strategic Planning Template ........ 55 Appendix D – Lackawanna County Reentry Task Force Five Year Strategic Plan 2012-2016..... 58 4 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Lackawanna County, Pennsylvania Transforming Services for Persons with Mental Illness in Contact with the Criminal Justice System Introduction The purpose of this report is to provide a summary of the Pennsylvania Mental Health and Justice Center of Excellence Cross-Systems Mapping workshop held in Lackawanna County, Pennsylvania, on May 21-22, 2014, at the University of Scranton. Lackawanna-Susquehanna Behavioral Health Intellectual Disabilities Early Intervention (BH/ID/EI) program hosted the workshop as part of an ongoing process of developing collaborative systems of support for individuals who have mental illness and who come in contact with criminal justice. This report (and accompanying electronic file) includes: A brief review of the origins and background for the workshop; A summary of the information gathered at the workshop; A cross-systems intercept map as developed by the group during the workshop; A description of each intercept along with identified gaps and opportunities; An action planning matrix as developed by the group; and Observations, comments, and recommendations to help Lackawanna County achieve its goals. Background The Lackawanna County Criminal Justice Advisory Board (CJAB) and multiple other stakeholders requested the Center of Excellence Cross-Systems Mapping workshop to promote progress in addressing criminal justice diversion and treatment needs of adults with mental illness in contact with the criminal justice system. As part of the workshop, the Center of Excellence was requested to provide assistance to Lackawanna County with: Creation of a map indicating points of interface among all relevant Lackawanna County systems; Identification of resources, gaps, and barriers in the existing systems; and Development of priorities to promote progress in addressing the criminal justice diversion and treatment needs of adults with mental illness in contact with the criminal justice system. Prior to the workshops, the Center of Excellence gathered information about Lackawanna County through a Community Collaboration Questionnaire and gathering of documents relevant to the target population. The participants in the workshops included 38 individuals representing multiple stakeholder systems including mental health, substance abuse treatment, human services, corrections, advocates, family members, consumers, law enforcement, and the courts. A complete list of participants is available in Appendix A (pg. 43) of this document. Patricia A. Griffin, PhD, facilitated the workshop sessions. Casey LaDuke, MS, and Katy Winckworth-Prejsnar also provided support. 5 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 About the Workshop Upon receiving a grant from the Pennsylvania Commission on Crime and Delinquency and the Pennsylvania Department of Public Welfare’s Office of Mental Health and Substance Abuse Services in late 2009, the Pennsylvania Mental Health and Justice Center of Excellence was developed as a collaborative effort by Drexel University and the University of Pittsburgh. The mission of the Center of Excellence is to work with Pennsylvania communities to identify points of interception at which action can be taken to prevent individuals with mental illness from entering and penetrating deeper into the justice system. The Center of Excellence workshops, Cross-System Mapping and Taking Action for Change, are unique services tailored to each Pennsylvania community. These workshops provide an opportunity for participants to visualize how mental health, substance abuse, and other human services intersect with the criminal justice system. This workshop is unlike other types of consultations or staff development training programs. A key element is the collaborative process. Meaningful cross-system collaboration is required to establish effective and efficient services for people with mental illness and co-occurring substance use disorders involved in the criminal justice system. This makes the composition of the group extremely important. While some workshops involve advertising to the entire provider community, it is essential in the Cross-System Mapping workshops that the organizers gather a group that represents key decision makers and varied levels of staff from the relevant provider systems. Center of Excellence staff work with this group, serving as expert guides to help: Create a cross-systems map indicating points of interface among all relevant local systems; Identify gaps, opportunities, and barriers in the existing systems; Optimize use of local resources; Identify and prioritize necessary actions for change; and Develop an action plan to facilitate this change. Upon completion of the workshops, the Cross-Systems Map included in the report is provided in both print and electronic formats. It is meant to be a starting point. The electronic files can be revised over time to reflect the accomplishments and changes in the planning process. Objectives of the Cross-Systems Mapping Exercise The Cross-Systems Mapping Exercise has three primary objectives: 1. Development of a comprehensive picture of how people with mental illness and co-occurring substance use disorders move through the Lackawanna County criminal justice system along five distinct intercept points: Law Enforcement and Emergency Services, Initial Detention/Initial Court Hearings, Jails and Courts, Re-entry, and Community Corrections/Community Support. 2. Identification of gaps, resources, and opportunities at each intercept for individuals in the target population. 3. Development of priorities for activities designed to improve system and service level responses for individuals in the target population. 6 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Keys to Success Existing Cross-Systems Partnerships Lackawanna County’s history of collaboration between the criminal justice and behavioral health systems is reflected in a number of existing local efforts that were identified prior to the mapping. These include (among others): Lackawanna County Criminal Justice Advisory Board; Lackawanna County Re-Entry Task Force; Several problem solving courts in the Court of Common Pleas, including the Adult and Juvenile Drug Courts, Mental Health Court, Co-Occurring Court, Re-Entry Court, DUI Court, Veterans Court, and Family Court; and Scranton Area Crisis Intervention (CIT) Team. Consumer/Family Involvement in the Workshops Consumers were represented by Carl Mosier, Peer Specialist/Community Services Specialist with the Advocacy Alliance and CSP Co-Chair and Kerry Bentler, Certified Peer Specialist, CIT Trained, and MH Advocate. Consumers added valuable information to the discussion, especially during the discussion of available community resources and action planning around improving continuity of care in Lackawanna County. Families were represented by HelenMae Newcomer, Scranton Counseling Center and NAMI Scranton Area Chapter, and Marie Onukiavage, NAMI PA Scranton Area Chapter. Family representatives contributed insight and guidance during the discussion of available community resources and action planning around improving behavioral health, diversion, and re-entry services in Lackawanna County. Representation from Key Decision Makers in the Workshops The workshops included wide cross-system representation and involved many of the key decision makers. Opening remarks by the Honorable Vito P. Geroulo from the Lackawanna County Court of Common Pleas set the stage and established a clear message as to the importance of the workshop. Jeremy Yale, Acting Administrator of the LackawannaSusquehanna BH/ID/EI Program, welcomed participants and introduced the facilitators. Data Collection In addition to the information gained during the workshop, the information in this report was developed from conversations with and questionnaires completed by key stakeholders in Lackawanna County in preparation for the workshop. 7 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Lackawanna County Cross Systems Map 8 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Lackawanna County Cross Systems Narrative The Cross-Systems Mapping exercise is based on the Sequential Intercept Model developed by Mark Munetz, M.D. and Patty Griffin, Ph.D.,1 in conjunction with the National GAINS Center. In this workshop, participants were guided to identify gaps in services, resources, and opportunities at each of the five distinct intercept points. This narrative reflects information gathered during the Cross-Systems Mapping Workshop. It provides a description of local activities at each intercept point, as well as gaps and opportunities identified at each point. This narrative may be used as a reference in reviewing the Lackawanna County Cross-Systems Map. The cross-systems local task force may choose to revise or expand information gathered in the activity. The gaps and opportunities identified in this report are the result of “brain storming” during the workshop and include a broad range of input from workshop participants. These points reflect a variety of stakeholder opinions and are, therefore, subjective rather than a majority consensus. General Description of Services and Cross-System Collaboration Lackawanna County was established in 1878 and is the most recently established county in the Commonwealth of Pennsylvania. Lackawanna County—named after the river that flows through it— covers 456 square miles and is home to more than 200,000 residents living in urban, suburban, and rural areas. As of the 2012 census, the majority of Lackawanna County residents were Caucasian (92%), mainly from Italian, Irish, Polish, and German descent. Approximately 2.5% were Black or African-American, and approximately 5% were Hispanic or Latino (or any race). Approximately 20% of Lackawanna County residents are under the age 18 years, and another 20% are over the age of 65 years. Scranton is the largest city in Lackawanna County, and also serves as its county seat. The County has been building a continuum of criminal justice and behavioral health services that provides a basic foundation for continued growth and reorganization on all levels. There are a number of established links, both formal and informal, between the courts, probation, police departments, corrections and the mental health system that include, but are not limited, to: Scranton Area Crisis Intervention Team; Mobile and walk-in crisis services; Lackawanna County Re-Entry Task Force; Several problem solving courts in the Court of Common Pleas, including the Adult and Juvenile Drug Courts, Mental Health Court, Co-Occurring Court, Re-Entry Court, DUI Court, Veterans Court, and Family Court; Behavioral health programming and in-reach programming at the Lackawanna County Prison; Specialized behavioral health probation caseloads; and Various clinical services by local providers for justice-involved individuals. The Lackawanna Criminal Justice Advisory Board (CJAB) is a group of top-level county officials that address criminal justice issues from a systemic and policy level perspective. The Lackawanna County CJAB studies best practices in the administration and delivery of criminal justice, recommends ways in which public agencies can improve the effectiveness and efficiency of the criminal justice system within a county, and provides an ongoing forum for 1 Munetz, M. & Griffin, P. (2006). A systemic approach to the de-criminalization of people with serious mental illness: The Sequential Intercept Model. Psychiatric Services, 57, 544-549. 9 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 communication and joint problem solving among county officials on a wide range of criminal justice issues. The Lackawanna County CJAB is the designated point of contact with the Commonwealth and the federal government for criminal justice matters. The Lackawanna County CJAB is chaired by the Honorable Vito P. Geroulo from the Lackawanna County Court of Common Pleas. Lackawanna County provides an extensive and detailed network of care website for individuals, families and agencies concerned with behavioral health. It provides information about behavioral health services, laws, and related news, as well as communication tools and other feature is available at: http://lackawanna.pa.networkofcare.org/mh/index.aspx. 10 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Intercept I: Law Enforcement / Emergency Services Lackawanna County 911 The Lackawanna County Emergency Communications Center (ECC) is the designated provider for dispatching emergency medical services in Lackawanna County. Lackawanna County ECC is located in the Lackawanna County Center For Public Safety at 30 Valley View Drive in Jessup. Lackawanna County ECC is involved in crisis intervention and diversion programming. The Director of Outreach of Lackawanna County ECC is on the Board of Directors for the Scranton Area Crisis Intervention Team (CIT) program. Lackawanna County ECC dispatchers have been trained in mental health topics by Scranton Counseling Center (SCC). Law Enforcement Law enforcement in Lackawanna County is provided by over 40 police jurisdictions, ranging from the largest jurisdiction, Scranton Police Department, to several rural districts staffed by a single part-time law enforcement officer. Training for law enforcement officers is provided by the Police Academy at Lackawanna College. Police officers have also been trained as part of the Scranton Area CIT program. Additional law enforcement coverage is provided in Lackawanna County by the Pennsylvania State Police (Troop R). Troop R also covers Susquehanna, Wayne, and Pike counties and is located at 85 Keystone Industrial Park in Dunmore, PA. State police officers have also been trained as part of the Scranton Area Scranton Area CIT program. Scranton Area Crisis Intervention Team (CIT) Training The Scranton Area Crisis Intervention Team (CIT) program began in 2009 and represents a collaborative initiative across criminal justice and mental health systems. The formation of the CIT was recommended by a task force appointed by Scranton Mayor Chris Doherty after a 2009 incident in which a consumer was killed. Scranton Area CIT involves a specialized 40-hour training for law enforcement officers on behavioral health to enhance officers’ ability to assess, de-escalate, and resolve situations involving individuals experiencing psychiatric crises. Officers who complete the Scranton Area CIT are trained in alternatives to incarceration for individuals experiencing behavioral health issues, including diversion from standard prosecution where appropriate. Specifically, protocol is for Scranton Area CIT officers to bring such individuals to an area emergency room (see below) for crisis evaluation by hospital staff. Community stakeholders for Scranton Area CIT include Lackawanna County 911, the Chief of Police of the Scranton Police Department, the District Attorney’s Office of Lackawanna County, the Lackawanna/Susquehanna Counties MH/MR Program, Keystone Community Resources, 11 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Keystone College, community representatives, SCC, Shiloh Baptist Church, Certified Peer Specialist/Mental Health Advocates, the Advocacy Alliance, the National Alliance on Mental Illness (NAMI PA), Lackawanna County Human Services, and Geisinger–Community Medical Center. Scranton Area CIT includes coordination from the criminal justice, behavioral health, and family advocacy agencies, including supporting a Law Enforcement CIT Coordinator, MH CIT Coordinator, and NAMI (Advocacy Community) CIT coordinator. As of May 2014, there have been six trainings and 91 individuals have complete training through the Scranton Area CIT program. Approximately two-thirds of those trained are law enforcement officers, and the remainder of trained individuals includes (among others) Sheriff’s, State Police officers, probation and parole officers, hospital security officers, university security officers, mental health providers, ambulance crews, 911 dispatchers from Lackawanna County. For the first Quarter of 2014, Lackawanna County Dispatch reports 138 Emotionally Disturbed Persons (EDP) coded calls and 3 Crisis Intervention Team (CIT) coded calls. Hospitals Several hospitals in Lackawanna County provide emergency services for individuals experiencing acute medical and psychiatric crises. Geisinger–Community Medical Center provides a complete continuum of educational, diagnostic, therapeutic, and rehabilitative services and programs for Lackawanna County, including crisis services coordinated in the hospital and the community counseling agency. Geisinger–Community Medical Center is located at 1800 Mulberry Street in Scranton, PA. Moses Taylor Hospital is a 217-bed, acute care hospital located at 700 Quincy Avenue in Scranton, PA. Regional Hospital of Scranton is a 198-bed acute care hospital located at 746 Jefferson Avenue in Scranton. Additional emergency services are provided through Marian Community Hospital in Carbondale, PA, and Mid-Valley Hospital in Peckville, however both of these facilities are soon to close their emergency and acute medical services. Detoxification services Lackawanna County does not currently provide acute detoxification services. The Habit OPCO Dunmore Treatment Center (operated by CRC Health Group) provides medically supervised methadone maintenance treatment to individuals who are attempting to overcome an addiction to or dependence upon heroin or other opioids. To be eligible for this type of treatment at the Habit OPCO Dunmore Treatment Center, prospective patients much be at least 18 years old and must have been addicted to or dependent upon opiates for a minimum of 1 year prior to seeking treatment. The Habit OPCO Dunmore Treatment Center is located at 118 Monahan Avenue in Dunmore. Even though the Wilkes-Barre General closed their medical detox facility, representatives from the facility report that they will still take emergency medical detox individuals on a case-to-case basis. Moreover, by November 2014 Wilkes-Barre General is planning to significantly expand their D&A and detox capacity. Community Intervention Center The Community Intervention Center (CIC) provides combined drug and alcohol, mental health, and homelessness services in Lackawanna County (see Intercept V, pg. 29, for more information). CIC professional staff are trained to assess and respond to individuals experiencing psychiatric crisis, many of whom are transported to CIC by law enforcement 12 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 officers. CIC has developed several protocols to respond to individuals experiencing psychiatric crises, including a continuum of services ranging from basic service provision (e.g., meals and showers) to de-escalation to involuntary civil commitment (“302”) depending on the need of the current situation. CIC is open 8:00am through 7:00pm, 7 days per week, and is located at 445 North 6th Avenue in Scranton, PA. For more information, see http://communityinterventioncenter.org/. Scranton Counseling Center Scranton Counseling Center (SCC) provides a variety of drug and alcohol, mental health, and developmental and intellectual disability services in Lackawanna County (see Intercept V, pg. 28, for more information). SCC provides Emergency/Crisis Intervention services for individuals experience psychiatric crisis by mental health professionals trained in crisis intervention. Emergency services are available on-site from 8:30am to 4:30pm, Monday through Friday, at 326 Adams Avenue in Scranton. SCC staff are also located at Geisinger–Community Medical Center after hours and on weekends and holidays for emergency response. For more information, see http://www.scrantonscc.org/. NHS of Northeastern PA NHS Human Services provides a variety of drug and alcohol, mental health, and developmental and intellectual disability services in Lackawanna County (see Intercept V, pg. 28, for more information). These include Mobile Crisis Intervention Services, in which trained professional staff provide phone and face-to-face intervention to evaluate supports and services needed to help the individual access care. Care is coordinated with other providers, family members, and any others designated by the individual. Crisis resources are also available at the walk-in center located in Carbondale. For more information, see http://www.nhsonline.org/. Crisis hotlines Lackawanna County services provide a variety of hotlines and warm lines for individuals experiencing or at risk for experiencing psychiatric crises: Scranton Counseling Center (570-348-6100) NHS Human Services (570-282-1732) Advocacy Alliance Mental Health WARM LINE (866-654-8114; 6:00pm – 10:00pm, 7 days per week) F.I.R.S.T. telephone directory (570-961-1234; 24 hours per day, 7 days per week) Victims Services The Pennsylvania Commission on Crime and Delinquency’s Victim Resources website provides the following victim services resources for Lackawanna County. Further information can be found at: http://www.portal.state.pa.us/portal/server.pt/community/find_help_in_your_county/14752 13 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Victim Service Program Type of Program Street Address City Lackawanna County Victim/Witness Unit We help victims of all crimes Scranton MADD–Northeastern Affiliate Office Women's Resource Center, Inc We help victims of impaired driving crashes We help victims of sexual assault and domestic violence Lackawanna County Courthouse (200 North Washington Avenue) 1216 Carbon Street P.O. Box 975 Scranton Reading In addition, Lackawanna County residents have access to the following resources: PA Coalition Against Domestic Violence 6400 Flank Drive, Ste. 1300 Harrisburg, PA 17112 PA Coalition Against Rape 125 North Enola Drive Enola, PA 17025 PCCD Victims Compensation Program 3101 N. Front Street Harrisburg, PA 17108 MADD, PA State Office 2323 Patton Road Harrisburg, PA 17112 daytime: 800-932-4632 website: www.pcadv.org daytime: 717-728-9740 24 hour hot line: 888-772-PCAR website: www.pcar.org daytime: 717-783-5153 800-233-2339 website: www.pccd.state.pa.us daytime: 717-657-3911 24 hour hotline: 866-439-6233 (Pittsburgh) 800-848-6233 (Harrisburg) website: www.maddpa.org 14 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 The gaps and opportunities identified in this report are the result of “brain storming” during the workshop and include a broad range of input from workshop participants. These points reflect a variety of stakeholder opinions and are, therefore, subjective rather than a majority consensus. Identified Gaps CIT training is currently on hold Make sure to include law enforcement (LE) and 911 in the future conversations for cross collaboration Some LE jurisdictions have difficulty finding free time for LE officers to attend the 40 hour CIT training and back paying for the training Several small local jurisdictions staffed by part time officers – can be challenging to provide training CIT Board of Directors wear several different hats and they are all stretched for time and resources Hard to get CIT data from the smaller jurisdictions Sometimes challenging to get veterans to come and speak as CIT trainers Last few CIT Board of Directors meetings have had very low attendance More involvement of the local police chiefs in CIT Mobile crisis is being underutilized Lack of detox services in the area – limited funding Wilkes-Barre ER that focused on detox services just closed this month (May 2014) – only medical-based detox in the area (90% of the cases were not eligible for reimbursement) High rise in heroin in the area Multiple crisis services in the county and even more crisis linkages for individuals with Intellectual Disabilities (ID) and autism - creates multiple crisis silos that can be difficult for law enforcement to navigate Some liability issues with expanding peer support specialist’s role in CIT calls/incidents Identified Opportunities 911 staff receives behavioral health training 6 CIT trainings to date with over 100 individuals trained in CIT from a range of organizations (LE, ambulance, hospital staff, etc.) 911 outreach coordinator is a member of the CIT Board of Directors CIT trainings have had success in the involvement of peer specialists CIT has support from the media Wilkes-Barre General will still take emergency medical detox individuals on a case to case basis Wilkes-Barre General will significantly expand their D&A / detox capacity by November 2014 Wilkes-Barre General looking into a crisis response center (CRC) that can address both D&A and MH 15 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 CIT targeted part time officers that worked for multiple jurisdictions Started having conversations about incorporating CIT components into the initial training with the local college/Police Academy/Act 120 that provides police training Conducted a train the trainer with Luzerne County who began to incorporate the training in their county Really positive feedback from the LE officers that participated in the CIT training Included state police in CIT training and received positive feedback from them Getting the officers who have been CIT trained more involved in the future Look at future funding opportunities for a dedicated CIT coordinator – offset data to show cost savings? Scranton PD has the ability to send a CIT officer when they receive a CIT call/incident Expanding Mental Health First Aid (MHFA) training locally – Marie Onukiavage and Ray Hayes are instructors – Several agencies expressed an interest in the training The national MHFA website shows there are two additional trainers in the area from Advocacy Alliance (Cindy Mrakovich cmm@theadvocacyalliance.org and Michele Dempsey) Able to expand linkages to peer support services during a CIT call especially if they are not taken to the hospital New resources dedicated towards expanding crisis services County has been creative in using reinvestment dollars for on-call systems / crisis lines 16 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Intercept II: Initial Detention / Initial Court Hearing Arrest and Initial Detention Once arrested, individuals in Lackawanna County are transported to the Central Processing Center (“Central Booking”). The Central Processing Center is located in the Lackawanna County Courthouse at 200 N. Washington Avenue in Scranton and is operated 24/7 by staff from the District Attorney’s Office and Sheriff’s Office. During normal operating hours (prior to 8:00pm) individuals are arraigned in the Central Processing Center (see below) and released on bail, released on their own recognizance (ROR), or transported to detention at the Lackawanna County Prison. After normal operating hours, individuals are transported to the Central Processing Center for processing and then to the Lackawanna County Prison for initial detention. These individuals are then arraigned the following morning in the Lackawanna County Prison facility in-person or via videoconferencing (see below). Approximately 10,000 -15,000 individuals are processed for criminal charges each year in Lackawanna County, including approximately 5000 individuals processed through the Lackawanna County Jail. During this processing phase, individuals undergo a brief screening that includes items related to mental health and drug and alcohol use. Preliminary Arraignment Preliminary arraignment is completed in Lackawanna County by ten Magisterial District Judges (MDJs) and one centralized district court. Defendants charged with summary offenses (traffic and non-traffic), misdemeanor offenses, and felony offenses are arraigned by the MDJ in the relevant District Court, bail is set, defendants are advised of their rights, and a preliminary hearing is scheduled in a timely manner. At the preliminary hearing, these court cases are either waived to the Court of Common Pleas by the defendant; or, after the hearing, they will be dismissed or bound over to court if a prima facia case is found. Additionally, district judges issue arrest warrants, conduct preliminary arraignments, set and accept bail, and issue search warrants. The Central Court, located on the ground floor of the Lackawanna County Courthouse (200 N. Washington Avenue, Scranton) was established to efficiently dispose of preliminary hearings in misdemeanor and felony cases filed in any of the ten magisterial districts in the county. The administrative office establishes an annual schedule that places one MDJ on duty every day from 9:00am one day until 9:00am the next. This “on-call” duty rotates between the 10 judges with the on-call judge hearing emergency relief petitions under the Protection From Abuse Act (PFA) and presiding over preliminary arraignments of all criminal matters for the entire county for that 24-hour period. In addition to 24-hour duty at the home court, the Central Court operates each Monday through Friday at the courthouse with the on-call district judge presiding over 17 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 misdemeanor and felony preliminary hearings and DUI court cases. Central Court provides the advantages of convenience to public defenders and district attorneys, a system of expedited case processing, increases security and reduces costs of transportation for prisoners, and provides more standardization of case management and handling of requests for continuances. There are currently no pretrial services provided in Lackawanna County. The Intercept 2 Program is specifically for first time offenders and is provided as a step-down from the traditional Mental Health Court. According to Mental Health Court administrators, referrals for the Intercept 2 Program primarily come from the Mental Health Court itself (rather than preliminary arraignment). Participants receive services from specialized mental health probation officers, and their records are expunged following completion of the program. For more information, including the jurisdictions and contact information for the MDJs, see http://www.lackawannacounty.org/index.php/magisterial-district-judges. Accelerated Rehabilitative Disposition The Accelerated Rehabilitative Disposition (ARD) Program is designed for first-time offenders and those who have a significant period of productive community involvement. A waiver of the preliminary hearing must be made at the first appearance at the Central Court. All defendants are given a 3-month review date at the time of admission into the ARD program. All participants are required to complete a period of community service assigned or approved through the Lackawanna County Community Justice Outreach Program. Identified Gaps Individuals with citations and high bond amounts go directly to jail No pretrial services in county Individuals with a serious mental illness (SMI) do not usually have the ability to make bail and are forced to go to jail – fines and fees accrue over time Limited systemic approaches to diverting defendants with behavioral health problems - Intercept 2 Program not currently receiving referrals from MDJs Lack of housing after they are released on bail or ROR Decision making during Preliminary Arraignment is typically based on information from the police officers rather than formal procedures Identified Opportunities “Mental Health Court Intercept 2” Program – referrals coming from the problem solving courts - opportunity to expand referrals from MDJs 18 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Intercept III: Jails / Courts Lackawanna County Prison The Lackawanna County Prison (LCP) was originally built in the mid-1880’s for a population of 110 prisoners. A major renovation and expansion was completed in 1999 allowing for a maximum population of approximately 1,200 prisoners. Lackawanna County Prison houses male and female pre-trial detainees and sentenced inmates up to 1 day and less than 5 years. The Lackawanna County Prison is located at 1371 North Washington Avenue in Scranton. As of May 2014, the LCP census was 950 inmates, including 750 county inmates and 250 state and federal inmates. The majority of the county inmates are awaiting trial (approx. 300), are county sentenced inmates (approx. 130) or are incarcerated related to fines and court costs (approx. 100). LCP processes approximately 5000 admissions per year. Of these individuals, approximately 10% are “frequent flyers” and less than 100 are direct probation/parole violators. According to a recent self-study, 40% of yearly admissions self-report mental health issues, with 93-96% of those individuals self-reporting receiving services in the community. Further, 80-90% of yearly admissions self-report drug and alcohol issues, with 70-80% of those individuals self-reporting receiving services in the community. The average length of stay at LCP is 20-30 days. According to the same self-study, the recidivism rate of individuals leaving LCP is approximately 54% over a 3-year period. Individuals entering LCP undergo an initial screen that includes items related to mental health and substance use issues. An LCP nurse administers a similar screen upon medical processing, and follows up within 72 hours regarding these items. If an individual is on psychiatric medications or reports needs related to mental health, their name is put on a list reviewed daily by SCC for continuity of care. A more thorough evaluation—including a riskneeds evaluation utilizing the Level of Service Inventory–Revised (LSI-R)—is completed within 2 weeks of admission. Various behavioral health services are provided within LCP and through community in-reach programming. In-house programming is afforded to the inmate population based upon their classification and includes (among others) drug and alcohol counseling, Alcoholic Anonymous meetings, Anger Management, Parenting Classes, and Computer training. According to LCP administrators, LCP conducts approximately 370 detoxifications per month. Services provided by SCC include a full-time staff member at LCP to conduct preliminary MH assessments; a psychiatrist (2 nights per week, 6-8 hours total) who works with the SCC Director of Forensic Services (stationed in LCP) to enhance continuity of care; mental health case management; legal assistance; and post-release re-entry planning. According to SCC administrators, their staff sees approximately 30 new cases per year with mental health issues. They estimate that approximately 10 out of the 950 inmates currently 19 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 incarcerated at LCP have a serious and persistent mental illness. Additional formal and informal in-reach services are provided by the Department of Human Services Office of Drug and Alcohol Programs (drug and alcohol programming), the Employment Opportunity & Treatment Center (vocational training and drug and alcohol programming), and the Advocacy Alliance (peer in-reach). Court of Common Pleas The 45th Judicial District Court of Common Pleas has general jurisdiction over civil and criminal matters in Lackawanna County. The Lackawanna County Courthouse is located at 200 N. Washington Avenue in Scranton, Pennsylvania. The Honorable Thomas J. Munley serves as President Judge and handles all administrative duties for the court, assigns the judges to various divisions of the court and exercises general supervision and administrative authority over the 10 district courts. The Court of Common Pleas is also composed of one Senior Judge and eight additional judges. For more information, including the contact information for the Court of Common Pleas judges, see http://www.lackawannacounty.org/index.php/departmentsagencies/courts-andjudiciary/court-of-common-pleas. The judges hear a wide spectrum of cases, including several specialized dockets coordinate through several specialty courts. The Adult Drug Court formally started in 2004 and is “designed to rehabilitate non-violent offenders through a judicially supervised program focusing on treatment, accountability, and responsibility.” The program consists of offenders meeting with the Court Treatment Team for a minimum of 12-18 months. The Court Treatment Team includes the judge, along with representatives from Office of the District Attorney, Office of the Public Defender, Adult Probation Department, and treatment providers. The Adult Drug Court supports a coordinator to conduct structured interviews of incoming participants. Three probation officers are assigned to the Adult Drug Court. To enter the Adult Drug Court, individuals must apply through their attorney with the District Attorney’s Office. Admittance is generally based on the nature of the individual’s charges. Once accepted into the Adult Drug Court, individuals are scheduled for an initial interview and assessment, which is then used by the judge and treatment team to render a final participation decision. Offenders participating in this program are required to have frequent contact with the Treatment Team and frequent drug screening. The offender pleads guilty but sentencing is deferred pending successful completion of the program. Upon graduation the charges are dismissed. As of May 2014, the Adult Drug Court supported a docket of 130 participants. The Presiding Judge is Judge Michael Barrasse. The Mental Health Court started in December 2006 and includes a treatment team composed of representatives from the Office of the District Attorney, Office of the Public Defender, the Probation Department, and appropriate treatment providers. The Treatment Team works together to ensure the needs of the offender are met, which increases the likelihood of successful intervention. Referrals for the Mental Health Court come from a variety of sources— including the Public Defender’s Office, private attorneys, and SCC —and are presented to the District Attorney’s Office, who then gives a recommendation to the Mental Health Court. Offenders are then placed into the Mental Health Court after pleading or being adjudicated guilty. Bail cases are also eligible for participation. The time frame for participation is open ended, and participants’ records are not expunged following graduation from the Mental Health Court. The Mental Health Court supports a coordinator to conduct structured interviews of incoming participants. Two probation officers experienced in working with mental health clients are assigned to the Mental Health Court, and also provide supervision to offenders with mental 20 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 health issues that are not in the Mental Health Court Program. As of May 2014, the Mental Health Court supported a docket of 30-35 participants. The Presiding Judge is Judge Vito Geroulo. Alternately, offenders can be diverted to the Mental Health Court by the MDJs at preliminary arraignment, referred to as an “Intercept 2 case” (see Intercept II, pg. 18). The Reentry Court started in December 2007 and targets high-risk offenders with drug and alcohol issues reentering Lackawanna County from state prisons who are eligible for parole (or re-parole). The offender participates in a Transition Support Group that is operated by the Employment Opportunity & Training Center (EOTC). The EOTC also works with the offender on employment issues. If the offender is not employed, he may be required to participate in the Day Reporting Program (see Intercept V, pg. 26) and perform community service. The program generally lasts 4 months. One probation officer is assigned to the program and coordinates treatment referrals. The probation officer and the offender meet with the sentencing judge to review progress once a month. The Presiding Judge is Judge Michael Barrasse. The Co-Occurring Court started in 2009 as a subcategory of the Adult Drug Court that provides services specifically for offenders with co-occurring mental health and substance use disorders. Many Co-Occurring Court participants begin in the Adult Drug Court and are transitioned to the Co-Occurring Court once their substance use issues stabilize and mental health issues become more apparent. Participants in the Co-Occurring Court receive case management through three dedicated case managers, and receive services through NHS of Northeastern PA or the SCC (see Intercept V, pg. 28). As of May 2014, the Co-Occurring Court supported a docket of 25-30 participants. The Presiding Judge is Judge Michael Barrasse. The Veterans Court started in 2009 to address the special needs of veterans who are placed under criminal justice supervision. At the outset of the Veterans Court, the majority of participants has primarily substance abuse issues, with a more recent trend of mixed substance abuse and mental health issues (particularly PTSD). As of May 2014, the Veterans Court supported a docket of 30 participants (the majority of whom are VA eligible). The Presiding Judge is Judge Michael Barrasse. The Driving Under the Influence (DUI) Court started in 2005 and provides intensive supervision of repeat DUI offenders (three or more) with comprehensive substance abuse treatment at its core. Referrals are received from the Office of the District Attorney, Drug and Alcohol Treatment Services (DATS), and the Adult Probation Department. Participation lasts approximately 24 months. All offenders with a mandatory 5-year sentence are placed in the program. Two probation officers are assigned to DUI Court. As of May 2014, the DUI Court supported a docket of 86 participants. The Presiding Judge is Judge Michael Barrasse. The County Intermediate Punishment (CIP) Program targets the Level 3 and Level 4 Sentencing Guideline offenders that have drug and alcohol issues. CIP program participants are placed in the Adult Drug Court. Offenders receive intensive supervision, random urinalysis and, in certain cases, placement on Secure Continuous Remote Alcohol Monitoring (SCRAM). Two probation officers are assigned to the CIP program. The Court of Common Pleas also supports specialized dockets through the Family Court (Presiding Judge is Judge Michael Barrasse) and Juvenile Drug Court (Presiding Judge is Judge Trish Corbett). A Domestic Violence Court is also in the preliminary planning phase. 21 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Identified Gaps 370 detoxifications a month in the local jail Challenge for jail to identify a mental illness versus substance abuse user Long waiting list for forensic hospitals (9 months for Norristown State Hospital Forensic Unit vs. shorter time for forensic unit at Torrance State Hospital) Approximately 54% return to the jail within a 3 year period Many veterans do not self-identify as a veteran at initial reception into the jail Jails see inmates with multiple generational incarceration Challenge in getting beds for individuals (inmates) in need of involuntary hospitalization at local hospitals Identified Opportunities Forensic evaluations and court hearings for forensic commitments are completed in a timely manner Veteran Justice Outreach (VJO) Coordinator (Wilkes-Barre) is involved in Veteran’s Treatment Court Jail interested in having a staff member from the jail trained as an instructor in MHFA Jail asks about status of children at intake Low SMI numbers – county reports that it is due to different initiatives between behavioral health and criminal justice systems Good cooperation with the state correctional system Numerous problem solving courts Judges have been a major proponent for problem solving courts – trust in the services/agencies – showcases the collaboration within the county Problem solving courts really leveraged the community/county to help sustain the various courts 12 dedicated probation officers for problem solving courts (8 are for the adults) Lackawanna County Department of Human Services has started to work with the problem solving courts to centralize the data and coordinate all these data systems 22 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Intercept IV: Re-Entry Lackawanna County Prison Re-entry LCP releases inmates 24 hours per day, 7 days per week. Public transportation is generally available through the County of Lackawanna Transit System (COLTS) bus network; friends and family also provide the primary means of transportation for inmates leaving LCP. LCP recently developed a new position, Re-Entry Manager, to better coordinate re-entry services. The Re-Entry Manager functions as the liaison between LCP and community agencies, and is responsible for tracking inmates in LCP, developing reentry plans, and ensuring continuity of care for inmates with behavioral health issues upon release. LCP utilizes the COMPASS electronic system to re-establish public benefits for inmates re-entering society. The protocol at LCP is to provide inmates with 3 days of their medications for aftercare, however LCP administrators report they are able to provide more if needed. SCC and NHS of Northeastern PA work with LCP staff to ensure continuity of care for individuals receiving behavioral health services. As of May 2014, SCC staff see re-entering individuals with behavioral health needs within 7-10 days of their release from LCP, and ensure the individual is provided with enough medication to last from release to reconnecting to services. Various additional community service providers support in-reach programming into LCP to assist with re-entry for individuals with behavioral health issues. This includes mental health case workers supported by SCC; drug and alcohol case managers supported by the Adult Drug Court (see Intercept III, pg. 20); drug and alcohol in-reach supported by DATS; vocational and drug and alcohol programming supported by EOTC; and informal peer in-reach supported by the Advocacy Alliance. Lackawanna County Re-Entry Task Force The Lackawanna County Reentry Task Force (LCRTF) is a group of local agencies dedicated to helping those re-entering society from the Lackawanna County Prison System. Members of the LCRTF include a variety of criminal justice, mental health, drug and alcohol, and community service representatives, as well as consumer and family advocates. The LCRTP currently supports four subcommittees on Housing, Employment, Substance Abuse/Mental Health, and Evidence-Based Practices. Regular monthly meetings are held to obtain community-wide stakeholder participation in learning about the state of reentry locally and to set strategic reentry planning priorities for Lackawanna County. In 2012, the LCRTF developed and released the Lackawanna County Reentry Task Force Five Year Strategic Plan 2012-2016 (see Appendix D), which includes a summary of Strategic Action Areas and Logic Model (i.e., specific action plan). The LCRTF held 23 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 two Lackawanna County Reentry Symposia in April 2013 and April 2014 that brought in local and regional experts to discuss reentry research and programming. The LCRTF provides periodic updates of planning process undertaken by the Task Force to the Lackawanna County Criminal Justice Advisory Board (CJAB). Veterans Services Lackawanna County is served by the Wilkes-Barre VA Medical Center, located at 1111 East End Boulevard in Wilkes-Barre, PA (http://www.wilkes-barre.va.gov/; Phone: 570-824-3521 or 877-928-2621). Lackawanna County is also served by the Scranton Vet Center, located at 1002 Pittston Avenue in Scranton, PA (8:00am to 4:30pm, Monday through Friday; Phone: 570344-2676 or 877-927-8387). The Wilkes-Barre VA Medical Center supports a Veterans Justice Outreach (VJO) Specialist to coordinate forensic services for veterans in the criminal justice system. Kim Sapolis-Lacey (kimberly.sapolis@va.gov) serves as the VJO for Lackawanna County, where she is heavily involved in the Court of Common Pleas Veterans Court (see Intercept III, pg. 21). State Prison Re-entry There are several behavioral health services provided to individuals re-entering Lackawanna County from the Pennsylvania Department of Corrections. These include outpatient substance abuse treatment; outpatient sex offender treatment; a Cognitive Behavior Restructuring Program; and an offender housing assistance program, including vouchers and small subsidies to cover utilities. Lackawanna County contains the Scranton Community Corrections Center operated by the Pennsylvania Department of Corrections, located at 240 Adams Avenue in Scranton. Scranton CCC houses State Intermediate Punishment inmates and offenders who have been granted parole by the Pennsylvania Board of Probation and Parole, and provides a transitional process by allowing residents monitored contact with jobs and educational opportunities. Several other private venders in Lackawanna County contract with the Pennsylvania Department of Corrections to provide specialized treatment and supervision services, many in the area of substance abuse programming 24 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Identified Gaps Limited funding for housing once inmates are released Sometimes gaps in time for first appointment when released but the jail and SCC works with the individual to get enough medication until their first appointment - Currently no formal policies to sustain this collaborative effort if there is staff change in the future Some formulary issues when released NHS lost full time psychiatrist – community psychiatrists are hesitant to see new patients Increase in Traumatic Brain Injury (TBI) seen in community – hard to treat Can be released at any time from jail – difficulty setting up aftercare appointments Difficulty getting a form of identification for inmates – needed for MA benefits On reentry piece/taskforce, they are missing representatives from Office of Vocational Rehabilitation (OVR) and CareerLink Getting individuals “work ready” When inmates are released, some owe significant back costs in addition to having limited employment options Relationship between jail and County Assistance Office (CAO) could be stronger Aftercare services (appointment availability) is a gap in the problem solving courts Identified Opportunities SCC Director of Forensic Services (Dennis) is able to get inmates very quick appointments once released Telepsychiatry success in other counties – could be explored in Lackawanna New Reentry Manager position will specifically target the transition process out of jail - Reentry Manager can help with the aftercare services linkage - Reentry Manager will work with the inmates and the electronic COMPASS system for reinstating Medical Assistance benefits Barb (Treatment Courts Coordinator) has a really good relationship with CAO –can get the Warden good contact information Forensic Certified Peer Specialists have gone into the jail on the Mental Health Court’s request – opportunity for more in-reach into the jail PEERSTAR (peer services) is coming to the county to discuss possible services SCC has a good relationship with the Public Defender’s office The county works hard to find housing placement immediately for ID populations Lack of money management skills – Local university students can come in and conduct training 25 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Intercept V: Community Corrections / Community Support Lackawanna County Adult Probation/Parole Office The Lackawanna County Adult Probation/Parole Office (LCAPP) provides supervision for county, state, and federal offenders under community supervision in Lackawanna County. In addition to providing probation and parole supervision, LCAPP officers’ responsibilities include conducting presentence investigations, pretrial bail reports, pretrial urine screenings, SCRAM (Alcohol Monitoring) House Arrest and bail monitoring, and GPS satellite monitoring. LCAPP is located in the Brixx Building at 130 N. Washington Avenue (3rd floor) in Scranton. As of May 2014, LCAPP supports a total of 35 adult and juvenile probation and parole officers, and 8 administrative staff. Twelve probation and parole officers are assigned to specialty court supervision, including 8 for adult specialty courts and 4 for juvenile specialty courts. LCAPP officers are assigned to the Adult and Juvenile Drug Courts, Mental Health Court, Reentry Court, Co-Occurring Court, DUI Court, Veterans Court, CIP Program, and ARD probation supervision. The typical caseload is 100 individuals per probation or parole officer; the average caseload for specialty court officers varies by court, including 140 for DUI Court, 80 for CIP Program, 60 for Adult Drug Court, and 40-50 for MHC. Many probation and parole officers supervise non-specialty court clients in addition to the specialty court responsibilities. When an individual under community supervision in Lackawanna County violates their conditions of community supervision, they are sent directly back to correctional supervision at the Lackawanna County Prison. These individuals generally receive 6-, 9-, or 12-month “hits” on their record, during which they receive programming within the Lackawanna County Prison. Additionally, the Day Reporting program started in 2007 as a sentencing alternative for Community Intermediate Punishment (CIP) participants (see Intercept III, pg. 21) and as a sanction for probation or parole violators. Two probation officers are assigned to the program. For more information, see http://www.lackawannacounty.org/index.php/departmentsagencies/public-safty/adult-probationparole. Pennsylvania Board of Probation & Parole The Pennsylvania Board of Probation & Parole also provides services to Lackawanna County residents under state parole supervision. The Pennsylvania Board of Probation & Parole utilizes Assessment, Sanctioning and Community Resource Agents (ASCRA) to establish and develop community resources through community organizations, faith groups, and support services. ASCRAs facilitate cognitive behavioral groups with medium- and high-risk offenders to 26 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 target anti-social and other criminal thinking errors that contribute to violations of parole and can contribute to additional criminal activity. Referrals to this program in Lackawanna County are managed by the Lackawanna County Adult Probation/Parole Office and funded through the state correctional system. The Pennsylvania Board of Probation & Parole also provides mental health groups, mentoring programs, and reentry job fairs to resident of Lackawanna County under state parole supervision. For more information, see http://www.pbpp.state.pa.us/portal/server.pt/community/home/5298. Lackawanna-Susquehanna Behavioral Health Intellectual Disabilities Early Intervention Program The Lackawanna-Susquehanna Behavioral Health Intellectual Disabilities Early Intervention (BH/ID/EI) Program serves more than 13,000 individuals through various providers of behavioral health and intellectual disabilities services. The program's service area consists of Lackawanna and Susquehanna Counties, which have a combined population of more than 255,000 residents. The program's primary goal is to facilitate the inclusion and full participation of all persons with behavioral health in their local community. It organizes itself to proactively address the planning, development, procurement, management, and evaluation of services, thereby enhancing consumer satisfaction and positive personal outcomes. LackawannaSusquehanna BH/ID/EI assumes a leadership role in collaboration with consumers, families, advocates, providers and local government to ensure full participation of persons in their communities. Each year, Lackawanna-Susquehanna BH/ID/EI spends nearly $67 million in public funds to make sure the behavioral health and intellectual disabilities needs of its service area communities are met. For more information, including a description of all of the services provided through Lackawanna-Susquehanna BH/ID/EI, see http://www.lsmhmr.org/. Department of Human Services Office of Drug and Alcohol Programs The Office of Drug and Alcohol Programs (ODAP) serves as the Single County Authority (SCA) for substance abuse services within Lackawanna and Susquehanna Counties. Its primary mission is to prevent the onset of substance abuse and addiction whenever possible and where it does exist to mitigate its deleterious effects on individuals, families, and the community as a whole. In order to achieve this the SCA is committed to the provision and maintenance of a full range of high quality and cost effective alcohol, tobacco, and other drug prevention, intervention, and treatment services responsive to the particular needs of the citizens of Lackawanna and Susquehanna Counties. ODAP supports a variety of drug and alcohol services in Lackawanna County, including certified recovery specialists to assist with various treatment and community needs. For more information, see http://www.lackawannacounty.org/index.php/departmentsagencies/human-services/drug-andalcohol-programs. Drug and Alcohol Treatment Service Drug and Alcohol Treatment Services (DATS) provides Lackawanna County residents with evaluation/diagnostic services, along with individual, family, group therapy, intensive out-patient program, partial hospitalization and an adolescent intensive out-patient program to those 27 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 suffering from a drug and/or alcohol problem in an outpatient environment. Evaluation, diagnostic services, and individual and group therapy are the traditional services offered, and partial hospitalization, family therapy, intensive outpatient, and specialized adolescent programs are also major components. All major insurances and medical assistance are accepted and an agency sliding fee schedule is in effect for those without insurance coverage. The Scranton DATS office is located at 441 Wyoming Ave., Scranton PA. 18503 and is open Monday - Thursday, 8:30 a.m. to 8:00 p.m., and Friday 8:30 p.m. to 4:00 p.m. Contact information for the Scranton DATS office is (570) 961-1997 or dats_18503@yahoo.com. Offices are also located in Carbondale. Scranton Counseling Center The Scranton Counseling Center (SCC) is a private, nonprofit behavioral healthcare program that provides a complete range of evaluative and treatment services in Lackawanna County. SCC staff includes psychiatrists, licensed psychologists, masters level behavioral specialists, licensed social workers, art therapists, nurses, caseworkers, behavioral analysts as well as other mental health and intellectual disability specialists. SCC is located at 326 Adams Avenue in Scranton. SCC provides a variety of behavioral health programs, including adult acute and long-term behavioral health services, a dual-diagnosis residential program, emergency/crisis intervention, an employee assistance program, intensive/resource coordination case management, a partial hospitalization program, and a psychiatric rehabilitation program. These services are provided directly by SCC or through affiliation with other qualified providers/programs. SCC supports a variety of programming specifically related to justice-involved individuals. SCC supports a Director of Forensic Services, who is located within the Lackawanna County Prison. This position receives a list of individuals entering Lackawanna County Prison who are on psychiatric medication or have received behavioral health services in the community, and does additional research to see what services the individual has received or is eligible to receive in the community upon re-entry. This position is also involved in the Court of Common Pleas Mental Health Court (see Intercept III, pg. 20). Additional related services supported by SCC include Assertive Community Treatment (including a former Forensic Assertive Community Treatment worker), peer support, and specialized case management. For more information, including a description of all of the services provided through SCC, see http://www.scrantonscc.org/. NHS of Northeastern PA NHS of Northeastern PA (NHS) is a comprehensive community-based provider of mental health and intellectual disability services to infants, children, adolescents, adults, geriatric individuals and families within upper Lackawanna, Susquehanna, and Wayne Counties. NHS provides a variety of services, including outpatient services, emergency services, psychiatric/psychological evaluations, evening/weekend programs, family-in-home therapy, intensive case management, partial hospitalization, and peer support services. NHS provides several services specifically for justice-involved individuals in Lackawanna County. These include Mobile Crisis Intervention Services, in which trained staff provide phone and face-to-face intervention to evaluate supports and services needed to help the individual access care. Care is coordinated with other providers, family members, and any 28 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 others designated by the individual. Crisis resources are also available at the NHS walk-in center located in Carbondale, PA. NHS also provides mental health services to participants of the Co-Occurring Court and in the Lackawanna County Prison (see Intercept III, pg. 21). For more information, see http://www.nhsonline.org/. NAMI PA Scranton Area Chapter NAMI is a nonprofit, grassroots, self-help, support and advocacy organization of consumers, families, and friends of people with severe mental illnesses. Local affiliates such as the NAMI PA Scranton Area Chapter and state organizations such as NAMI Pennsylvania identify and work on issues involving individuals with mental illness in local communities. The national office, under the direction of an elected Board of Directors, provides strategic direction to the entire organization, support to NAMI's state and affiliate members, governs the NAMI corporation, and engages in advocacy, education and leadership development nationally. The NAMI PA Scranton Area Chapter is heavily involved diversion and re-entry programming in Lackawanna County. This includes the Scranton Area Crisis Intervention Team (see Intercept I, pg. 11), various specialty courts (see Intercept III, pg. 20), the Lackawanna County Reentry Task Force (see Intercept IV, pg. 23), and various other formal and informal services. The NAMI PA Scranton Chapter is located at 846 Jefferson Avenue in Scranton. For more information, including a listing of psychiatric emergency phone numbers, see http://www.namipascranton.org/. Community Intervention Center The Community Intervention Center (CIC) is an established resource in Lackawanna County that has been operating for 43 years. CIC provides combined drug and alcohol, mental health, and homelessness services in Lackawanna County, including serving as a day shelter and providing supportive and safe haven housing; crisis intervention services; mental health evaluation; detoxification and inpatient mental health, substance use, and dual-diagnosis treatment referral; and recreational, self-help, and recovery groups. CIC is located at 445 N 6th Avenue in Scranton. According to Tara Finnerty, CIC Executive Director, as of May 2014, CIC supports 18 housing placements. Four of these placements are justice-involved individuals with mental illness, and approximately 12 others are justice involved. For more information, see http://communityinterventioncenter.org/. Employment Opportunity & Training Center The Employment Opportunity & Training Center (EOTC) provides a variety of vocational and related services for Lackawanna County. Workforce development services include a job search group, resume and interview preparation, and career advising and coaching. Through its courtrelated programs, EOTC supports employment services and life skills training (including alcohol and drug programming) for approximately 50-60 non-incarcerated male offenders. EOTC also provides individual case management, job coaching, and a variety of resources in collaboration with Adult Drug Court and Lackawanna County Adult Probation/Parole Office, and operates a Transition Support Group for participants in the Reentry Court (see Intercept III, pg. 29 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 21). In 2011, EOTC started a weekly support group for court-involved women. EOTC also supports a weekly support group for justice-involved women. For more information, see http://www.eotcworks.org/. The Advocacy Alliance The Advocacy Alliance provides advocacy and services for individuals with mental illness in Lackawanna County. Among other services, the Advocacy Alliance supports adult, child, and family mental health advocacy; community developmental disability services; community mental health services, including support groups, peer support, a Community Support Program, and Recovery Center; Court-Appointed Special Advocates (CASA); consumer and family satisfaction teams; consumer financial management services; and the Mental Health WARM LINE. The Advocacy Alliance also supports informal peer in-reach into the Lackawanna County Prison. For more information, see http://theadvocacyalliance.org/. A Better Today, Inc. A Better Today, Inc. (ABT) provides outpatient drug and alcohol services including; evaluations, individual sessions, outpatient, intensive outpatient, and partial hospitalization groups. A Better Today, Inc. has a twenty-five year history of out-patient substance abuse treatment programs dating back to its inception in 1988 with the opening of the Lackawanna County Office in Scranton, Penna. In the past ten years, A Better Today, Inc has become a specialist in forensic treatment and a major facilitator of forensic programs in Northeastern Pennsylvania. ABT accepts all insurances and funding sources both public and private, and we work with clients to arrange fair payments programs for those who do not qualify for other forms of funding. A Better Today’s Scranton office is located at 1339 North Main Avenue, Scranton, PA 18508. Information can be obtained or appointments can be made by calling 570-344-1444. Catholic Social Services Catholic Social Services of the Diocese of Scranton provides a variety of counseling, substance use, and housing services for Lackawanna County. Among other services, Catholic Social Services supports adult and family counseling services, employee assistance, and a monthly legal clinic; a Drug and Alcohol Treatment program, Multiple Offender program, preand post-trial services, and urinalysis services; and housing counseling, supportive housing and shelters, and veteran housing. For more information, see http://cssdioceseofscranton.org/. Goodwill Industries of Northeastern Pennsylvania Goodwill Industries of NEPA provides a variety of employment and housing services for Lackawanna County. Goodwill Industries of NEPA supports competitive community employment and placement services, adult daycare services, and group homes for individuals with intellectual or developmental disabilities. Goodwill Industries of NEPA also supports a Mental Health Court Liaison position to work with the Court of Common Pleas Mental Health Court (see Intercept III, pg. 20). 30 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 For more information, see http://goodwillnepa.org/. Step-by-Step Step-by-Step, Inc., provides a variety of housing services in Lackawanna County. Step-by-Step supports a co-occurring housing facility with six single-occupancy furnished apartments, as well as three double-occupancy furnished apartments specifically for individuals with mental health issues. Both of these facilities are staffed 24 per day, 7 days per week, and currently provide housing for participants in the Court of Common Pleas Mental Health Court and Co-Occurring Court (see Intercept III, pg. 20). For more information, see http://www.stepbystepusa.com/. Clarks Summit State Hospital Clarks Summit State Hospital is an extended acute care psychiatric hospital serving 11 counties in the northeastern part of Pennsylvania, including Lackawanna County. Clarks Summit State Hospital is part of a continuum of care that provides individualized psychiatric treatment for adults with serious and persistent mental illness. Clarks Summit State Hospital accepts involuntary hospitalization transfers (“304s”) from Lackawanna County for intake and psychiatric stabilization. Once stabilized, these individuals are transitioned to less restrictive services as determined by criminal justice oversight. As of May 2014, Lackawanna County Prison reported having individuals undergoing inpatient treatment at Clarks Summit State Hospital. For more information, see http://www.dpw.state.pa.us/foradults/statehospitals/clarkssummitstatehospital/index.htm. 31 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Identified Gaps Zoning issues for housing “Not in my backyard” mentality Three public housing authorities in the county with a lot of Section 8 vouchers but they are not involved in these discussions Goodwill gets referrals from OVR but OVR can be a long process Public transportation is pretty limited Limited employment for criminal justice populations Transportation issues limit employment opportunities CJAB strategic plan is in draft form – Barbara will work with CJAB chair to get discuss incorporating priorities and action plan into the strategic plan Sometimes low family involvement for criminal justice population Identified Opportunities If you work with the Public Housing Authority (PHA) and appeal the initial rejection, they have been willing to work with agencies to get future approval Parole agents have been very collaborative with Habit OPCO Dunmore Treatment Center State probation and parole really pushing for reentry job fairs in every district State parole is making a lot of efforts on the front end of the system Advocacy Alliance, Mental Health Courts, NHS, and SCC have peer support specialists SCC recently hired a forensic peer for the ACT team Recovery Specialist from DATS has been a huge asset to D&A system – able to fill in the gaps Step by Step and Allied Services work with treatment courts to place defendants in housing Goodwill has several contacts of employers in the area that will take criminal involved individuals Commonwealth Medical College is a great resource on the substance abuse side – medical internship with Habit OPCO – resource for SA and MH screening - really open to working with community SA and MH providers Act 105: The county has one Marcellus Shale well and thus eligible for some housing funding from Pennsylvania Health Financing Agency Act 137 funding available Allied Services, Catholic Services, and Step by Step also provides supportive housing BH/ID/EI Program uses a template for strategic planning that could be shared with the group (See Appendix D, pg. 56) 32 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Lackawanna County Priorities Subsequent to the completion of the Cross-Systems Mapping exercise, the assembled stakeholders began to define specific areas of activity that could be mobilized to address the gaps and opportunities identified in the group discussion about the cross-systems map. Listed below are the priority areas identified by the workshop participants and the votes received for each proposed priority. Each participant is given three votes, two regular and one high priority. A high priority votes represents what they consider to be the most imporatnt priority to address. Top Priorities 1. Housing (14 High Priority/19 Total Votes) 2. Expansion of MH and SA screening, assessment, brief interventions (3 HP/ 11 TV) 3. Develop pretrial services with attention to BH populations (3 HP/ 9 TV) a. Early identification b. Propose community alternative 4. Expand detox options (2 HP/ 9 TV) 5. Expand employment options (1 HP/ 9 TV) 6. Sustain and expand CIT (2HP/ 6 TV) 7. Create a database of community resources for criminal justice populations (0HP/ 6 TV) 8. Address silos across MH, SA, and ID services (1HP/ 5 TV) 9. Identify consistent outcomes and methods for tracking (2 HP/ 4 TV) a. To support sustainability 10. Ensure continuity of care for medication and aftercare treatment for MH and D&A (1 HP/ 4 TV) a. Support and sustain reentry task force 11. Collaborate with community hospitals for admission and treatment access (1 HP/ 3 TV) 12. Expand peer support across intercepts (1 HP/ 2 TV) 13. More collaboration with MDJs (0 HP/ 2 TV) 14a (tie). Education regarding MH, co-occurring disorders, and recovery (0 HP/ 1 TV) 14b (tie). Cognitive behavioral restructuring regarding effects of institutionalization (0 HP/ 1 TV) 14c (tie). Expand after-hours crisis services (0 HP/ 1 TV) 14d (tie). Engage and outreach to LE (0 HP/ 1 TV) 15a (tie). Include Public Defender in discussion (0 HP/ 0 TV) 15b (tie). Expand network of clinical services (0 HP/ 0 TV) 33 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Lackawanna County Action Plan Priority: Moving Forward Objective Action Step Who When 1 1. Draft report 1. COE staff 2. Review report 2. Steering Committee, CSM workshop participants 1. By May 30, 2014 2. Once receive report 3. Finalize report 3. COE staff with feedback from CSM workshop participants 1. Distribute CSM report to CJAB 1. Barb Durkin will send out to CJAB members 2. Review and discuss CSM report 2. CJAB 2 3 Draft report of Cross-System Mapping (CSM) workshop Discuss CSM report within CJAB Bring other stakeholders to table 3. Incorporate into Strategic Plan 3. CJAB 1. Involve law enforcement, DA’s office, PD’s office, Sheriff’s office, CAO, OVR, Career Link, EOTC, MDJs, local hospital administration, VJO specialist, Commissioners, area transportation, Mainstream Housing, employers, Wood Foundation, Sheetz 1. Barb Durkin will communicate with CJAB 2. Invited through CJAB 4 Re-Entry Task Force to take lead, under umbrella of CJAB Update and enhance ReEntry Strategy Plan based on CSM report 3. Over Summer 2014 1. Once receives report 2. Summer 2014 meeting 3. Following Summer 2014 meeting 2. Judge Geroulo will invite Monthly meetings 34 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Priority Area 1: Housing (14 High Priority/19 Total Votes) Work Group: Bill McCarthy (Chief Probation Officer, LCAPP), Mike Hanley (UNC), Bridget Haggerty (Catholic Social Services) Objective Action Step Who 1 Involve Bill McCarthy from LCAPP Communicate priority and Len Bogart action plan with Bill McCarthy (LCAPP) 2 Collect inventory of current housing options 3 Establish a dialogue with Public Housing Authority and mainstream resources 4 Investigate and pursue funding opportunities 5 Explore “Set Asides” in housing development 6 Utilize Disability Rights Network as resource on Fair Housing Act 7 Set next meeting When 1. Fair Housing Act 2. Act 105 (PHFA, Marcellus Shale money) 3. Act 137 (Housing Trust Fund) Karen Pasqualicchio (DRN) as contact Friday, 5/21, at 3pm Priority Area 2: Expansion of MH/SA Screening, Assessment, Brief Interventions (3/11) Work Group: Kevin McLaughlin (DATS), Colleen Phillips (MHC), Kerry Browning (DHS and LCRTF Evidence Based Practice workgroup chair), Douglas Alberton (CRC), Carl Mosier (Advocacy Alliance), Sal Santoli (SCC), Dennis Russo (SCC), Kerry Bentler (Mental Health Court); designee from Office of the District Attorney, Sheriff’s Office, and Processing Center Objective 1 Start with Processing Center 2 Look at established Action Step Who 1. Screening, Brief Intervention and Referral to 1. Kevin M. has done training When 35 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 screening measures Treatment (SBIRT) 2. Brief Jail Mental Health Screen (BJMHS) 3 Start incorporating CJ decision makers 4 Combine LCRTF workgroups on MH/DA and Evidence Based Practice 5 Set next meeting 2. COE will provide more resources Include DA’s office, PD’s Office, Sheriff’s Office Meeting in June 2014 Priority Area 3: Develop Pretrial services with attention to behavioral health populations (3/9) Work Group: Len Bogart (LCP), Robert McMillan (LCP), Colleen Orzel (LCP), Barb Durkin (Treatment Court), Stacey Little (NHS), Kevin Gownley (Probation); designee from DHS, Office of the Public Defender, and Officer of District Attorney Objective 1 Focus on early identification of individuals with mental health and drug and alcohol issues entering justice system 2 Develop and propose community alternatives 3 Increase collaboration with MDJs 4 Build from state and national interest 5 Set next meeting Action Step Who When 1. Build on interest from Secretary Wetzel of PA DOC 2. “Healthcare Not Handcuffs” initiative 3. PA Pretrial Association 4. National Criminal Justice Association webinar 5. National pretrial association May 28 at 1pm, LCJ conference room 36 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Priority Area 4: Expand detox options (2/9) Work Group: Jon Wasp (CRC), Rene Esgro (ODAP), Mark Schor (First Hospital), Barb Durkin (Treatment Court) Objective Action Step Who 1. Jon W. (CRC) 1 Define “detox” and expand on current resources 1. Investigate expanding CRC methadone maintenance to detoxification 2. Investigate other medication options for detox in existing settings 3. Explore opportunities expanding current resources 2 Explore funding for continuing prior resources and developing new detox options 1. Barb D. in conversation with 1. Barb D. local MD and manufacturer – will follow up and then set meeting 2. Investigate how to fund services 3. Federal Prison System use of assisted medication upon reentry 4. Muncy Pilot Reentry use of assisted medication upon release 5. Wilkes-Barre Hospital resources 6. Expanding of Choices Program (doubling capacity by Oct/Nov) 3 Explore outpatient detox options 1. CRC system of care 2. Other providers 4 Address people going to hospital ERs Training for drug and alcohol pre-certification 5 Utilize Crisis Response Center for DA and MH 6 Moving forward 1. Follow up with MD and manufacturer and set up meeting 2. Continue discussions with justice system representatives When 1. Barb D. 2. Mark S. 37 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Priority Area 5: Expand Employment Options (1/9) Work Group: Jeff Gummoe (Goodwill), Angela Seibert (EOTC and LCRTF Housing workgroup chair), Colleen Orzel (LCP), Tara Finnerty (CIC), LCRTF Housing workgroup members Objective Action Step Who 1 Develop conversations with Office of Vocational Rehabilitation 1. Discuss length of time to receive evaluation and access to services 2. Place in context of Treatment Courts Judge Geroulo 2 Explore and develop employment options for justice-involved individuals 1. Build on Goodwill’s relationships with employer resources 2. Explore Catholic Social Services and Allied Services opportunities 3. JCP, Path Stone, etc. have list of options 4. Address OVR being sole source of funding for Goodwill; Strategies to expand? 5. Christine Davis (Career Link) works with local employers and has interest in ex-offenders 3 Train justice-involved individuals to be work ready 1. Work ready (Job coach, peer support) 2. Financial literacy training (Consumer Credit Counseling Agency, FLAME program) 3. EOTC and Pathstones as resources 4 Develop money management skills 1. Financial Literacy training 2. Consumer Credit Agencies 3. Counseling before leaving jail 4. Peer support 5 Develop transportation services to support expanded employment options When 38 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 6 Educate employers about opportunities of hiring justice-involved individuals 7 Review court fines and costs (collateral consequences) in context of individuals’ ability to pay 8 Set next meeting 1. Tax credits 2. Bonding 3. Regular drug testing Friday, 5/21, at 2pm Priority Area 6: Expand and sustain CIT (incorporating Priority Area 14d) Objective Action Step Who When 1 1. Bring up CIT at next CJAB meeting Jen McConnell (PCCD) 2. Make CIT part of CJAB CJAB Summer 2014 meeting Discuss at next CJAB meeting 3. Steering Group to talk with Jen McConnell (PCCD) first 2 Reinstate regular planning meetings 3 Bring in officers already trained in CIT 4 Bring police chiefs back on board 5 Explore funding to support efforts 6 Look at number of trained officers for each law enforcement jurisdiction 7 Have another Introduction to CIT presentation for stakeholders and community 1. Update meetings established in by-laws 2. Set up a next meeting 1. Discuss with Judge Geroulo, DA’s Office, Mayor of Scranton 1. Include graduates, Chiefs of Police, media 2. COE will provide resources 1. CIT board 39 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 on autism, PA Chiefs of Police, annual CIT conference, etc. 8 Investigate whether County BH office could support some of the administrative functions 9 Investigate involvement in PCCD supported state study on CIT 2. COE staff Priority Area: Data group (incorporating Priority Areas 7 and 9) Work Group: Bill Browning (DHS), Doug Alberton (CRC), Barb Durkin (Treatment Court), Joanne Lombardo Loughney (BH/ID/EI) Objective Action Step 1 Identify outcomes 2 Measure outcomes 3 Develop databases of resources 1. Community resources 2. Typing outcomes to success 4 Set meeting Bill B.’s office to contact group and set up meeting Who When Priority Area 10: Ensure continuity of care for medication and aftercare treatment for MH and DA in Intercept 4 (incorporating Priority Area 14b) Objective 1 Support and sustain ReEntry Task Force 2 Address effects of institutionalization on individuals in CJ system Action Step Who When 1. Cognitive-behavioral restructuring regarding effects of institutionalization 2. Explore programming inside jail (Stepping Up, daily living skills) 3. “Back on Track” for parole 40 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 violators 4. EOTC programming 5. Explore for community providers 6. Include programming for individuals ages 18-25 years 7. Explore established resources: SPECTRM, GAINS webinar, Interactive Journaling COE will provide information Priority Area 11: Collaboration with community hospitals for admission and treatment access Objective Action Step Who 1 Presentation to MHC judges by state hospital Monica Bradbury (CHHS) and Jeremy Yale (BH/ID/EI) 2 Talk to judges regarding community hospitals Dennis Russo (SCC) 3 Address long wait for commitments to get a forensic bed 4 Establish communication with community hospitals Investigate sources of information and resources with community services When Jeremy Yale (BH/ID/EI) to raise with BH/DA administration; Karen Pasqualicchio (DRN) to raise with Disability Rights Network 41 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Conclusion Participants in the Cross-Systems Mapping workshop showed much enthusiasm in working together to improve the continuum of resources available for people with severe mental illness and often co-occurring substance use disorders involved in the Lackawanna County criminal justice system. Lackawanna County is poised to tackle a number of critical issues that will greatly improve services for this group. The assembled stakeholders spent time gaining a greater understanding of their shared systems, as well as crafting strategies related to improving the collaborative infrastructure for the group and addressing the gaps and opportunities at each intercept. Considerable work has already been undertaken to improve services for people with severe mental illness and often co-occurring substance use disorders involved in the Lackawanna County criminal justice system. Crisis Intervention Team training for law enforcement, a number of specialty court dockets, in-jail treatment programs, and specialty probation and parole supervision are some examples of current Lackawanna County initiatives. The county has made reentry a top priority with the establishment of the Lackawanna County Reentry Task Force (see Appendix D, pg. 58) and second annual Lackawanna County Reentry Symposium. Lackawanna County has also developed some thoughtful data to begin to provide a clearer understanding of the issues being discussed. In addition, introducing Mental Health First Aid, continuing Crisis Intervention Team Training, and expanding housing and treatment options are promising community efforts that generated a good deal of interest during the workshop. Local stakeholders participating in the Cross-Systems Mapping were clearly interested in building on current successes to better serve this population. The expansion of the planning group to tackle the priorities established during the CrossSystems Mapping workshop is an essential next step in a true systems change process. It will be important to create effective working relationships with other groups that did not attend the workshop, including local chiefs of police, the Offices of the District Attorney and Public Defender, the Department of Veterans Affairs, local hospital administrators, local Magisterial District Judges, the Social Security Administration, the County Assistance Office, and other local service providers. Regular meetings should be held by this larger group to facilitate information sharing, planning, networking, development and coordination of resources, and problem solving. Closing Lackawanna County is fortunate to have a wide range of stakeholders across the mental health, substance abuse, and criminal justice systems that have made significant efforts to understand and support the challenging issues discussed in this workshop. The Cross-Systems Mapping workshop gave these stakeholders a chance to develop a coordinated strategy to move forward with the identified priorities. By reconvening and supporting the work of the group in coming months, it will be possible to maintain the momentum created during the Cross-Systems Mapping workshop and build on the creativity and drive of key local stakeholders. The Pennsylvania Mental Health and Justice Center of Excellence hopes to continue its relationship with Lackawanna County and to observe its progress. Please visit the Pennsylvania Mental Health and Justice Center of Excellence website for more information, www.pacenterofexcellence.pitt.edu 42 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Appendix A: Participant List Last Name, First Name Agency / Title Street Address City, State, Zip Phone (570) 344-0183 x2704 E-Mail Alberton, Douglas Habit OPCO - CRC Health Group, Clinic Director -CTC Division 118 Monahan Ave., Dunmore PA 18512 Barden, Maureen Project Fellow, Pennsylvania Health Law Project 123 Chestnut Street Suite 400 (215) 287-4238 Philadelphia PA 19106 maureenbarden@gmail.com Barrassee, Michael Lackawanna County Court of Common Pleas, Judge Treatment Court 200 North Washington Ave., Scranton PA 18503 (570) 963-6452 mbarrasse@att.net Bentler, Kerry Mental Health Treatment Court, Certified Peer Specialist, CIT Trained, and MH Advocate 219 Putnam St., Scranton PA 18508 (570) 677-2001 Kerry1339@gmail.com Bogart, Leonard Lackawanna County Prison, Administrative Officer 1371 North Washington Ave., Scranton PA 18509 (570) 963-6639 x4522 bogartl@lackawannacounty. org 1339 North Main Ave., Scranton PA 18508 (570) 344-1444 cbollick@abettertoday.org Bollick, Candy A Better Today, Clinical Supervisor dalbertson@crchealth.com 43 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Last Name, First Name Street Address City, State, Zip Phone Bradbury, Monica Clarks Summit State Hospital (CSSH), Chief Executive Officer 1451 Hillside Drive, Clarks Summit PA 18411 (570) 587-7250 Browning, Kerry Lackawanna County DHSOffice of Youth and Family Services, Court & Community Services Director 200 Adams Ave., 4th Floor, Scranton PA (570) 963-6781 18503 kimmickk@lackawannacoun ty.org Browning, William Lackawanna County Department of Human Services, Executive Director 200 Adams Ave., 4th Floor, Scranton PA (570) 963-6781 18503 browningw@lackawannacou nty.org Buck, Bill The Advocacy Alliance, Mental Health Advocate 846 Jefferson Ave., Scranton PA 18501 (570) 207-0157 bb@theadvocacyalliance.org Durkin, Barb Lackawanna County Treatment Court, Treatment Court Coordinator (570) 496-1736 x7431 durkinb2@gmail.com Esgro, Rene Agency / Title Lackawanna-Susquehanna Office of Drug and Alcohol Programs, Case Management Supervisor 130 North Washington Ave., 2nd Floor Brixx Building, Scranton PA 18503 507 Linden St., 5th Floor, Scranton PA 18503 (570) 963-6820 44 E-Mail mobradbury@pa.gov esgror@lackawannacounty.o rg Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Last Name, First Name Agency / Title Street Address City, State, Zip Phone E-Mail Community Intervention Center, Executive Director 445 6th Ave., Scranton PA 18503 (570) 207-3822 cic539@yahoo.com Gallagher, Jim NBHCC, CEO 72 Glenmaura National Blvd., 2nd floor, Moosic, PA 18507 (570) 344-4398 jgallagher@nbhcc.org Gummoe, Jeff Goodwill Industries of NEPA, MH Court Liaison (Job Coach) 925 Prospect Ave., Scranton PA 18505 (570) 343-1166 (570) 290-1787 eljefe39@yahoo.com Haggerty, Bridget Catholic Social Services (570) 207-2283 x117 bhaggerty@cssscranton.org Hanley, Mike United Neighborhood Centers (UNC), Executive Director 425 Alder St., Scranton PA 18505 (570) 346-0759 mhanley@uncnepa.org Kolcharno, Maria Marworth, Director of Admissions PO Box 36, Lily Lake Rd., Waverly, PA 18471-7736 (800) 442-7722 (570) 563-1112 x316 mkolcharno@marworth.org 30-32 North Main St., Carbondale PA 18407 (570) 282-1732 x226 Finnerty, Tara Little, Stacey NHS of Northeastern PA, Executive Director 45 slittle@nhsonline.org Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Last Name, First Name Agency / Title Lombardo Loughney, Joanne Lackawanna-Susquehanna BH/ID/EI Program, Quality Management Coordinator McLaughlin, Kevin Drug & Alcohol Treatment Services (DATS), Executive Director McMillan, Robert Lackawanna County Prison, Warden Mosier, Carl The Advocacy Alliance, CSP Co-Chair & Peer Specialist/Community Services Specialist Newcomer, HelenMae Nocilla, Stephen O’Connell, Sandy Scranton Counseling Center & NAMI Board Member, Family Member and School Based Program Catholic Social Services of Lackawanna County, Diocesan Director of Housing & Residential Services Step By Step, MH Court and Co-Occurring Court Liaison/Assistant Service Director Street Address City, State, Zip 507 Linden St., 8th Floor, Scranton PA 18503 1st Floor Single Tax Office, 441 Wyoming Ave., Scranton PA 18503 1371 North Washington Ave., Scranton PA 18509 1904 Price St., Rear, Scranton PA 18504/846 Jefferson Ave., PO Box 1368, Scranton PA 18501 326 Adams Ave., Scranton PA 18503 Phone E-Mail (570) 346-5741 lombardoloughneyj@lsbhide i.org (570) 961-1997 kjmc54dats_18503@yahoo.c om (570) 963-6639 x4524 McMillanR@lackawannaco unty.org (570) 961-0785 (570) 342-7762 cm@theadvocacyalliance.or g (570) 479-3200 helenmae73@gmail.com 516 Fig St., Scranton (570) 207-2283 PA 18505 x123 312 North Blakely St., Dunmore PA 18509/744 Kidder St., Wilkes Barre PA 18702 (570) 341-9114 46 snn334@aol.com soconnell@stepbystepusa.co m Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Last Name, First Name Agency / Title Street Address City, State, Zip Phone E-Mail Onukiavage, Marie NAMI PA Scranton Area Chapter, Executive Director 846 Jefferson Ave., Scranton PA 18510 (570) 342-1047 marieo@namipascranton.org Orzel, Colleen Lackawanna County Prison, Re-entry Manager 1371 North Washington Ave., Scranton PA 18509 (570) 963-6639 orzelc@lackawannacounty.o rg Pasqualicchio, Karen Disability Rights Network of PA (DRN), Community Advocate, Northeast 1414 North Cameron St., Suite C, (800) 692-7443 Harrisburg PA x414 17103 Petherick, Kelly First Hospital, Director of OP Services 562 Wyoming Ave., Kingston PA 18704 (570) 552-3975 Phillips, Colleen Mental Health Treatment Court, MH Court Coordinator 130 North Washington Ave., 2nd Floor, Brixx Building, Scranton PA 18503 (570) 496-1736 phillipsc@lackawannacount y.org Russo, Dennis Scranton Counseling Center, Director of Forensic Services 326 Adams Ave., Scranton PA 18503 (570) 650-8158 dennisrusso@hotmail.com Scranton Counseling Center, Chief Operating Officer 326 Adams Ave., Scranton PA 18503 (570) 348-6100 x3201 Sal.Santoli@scrantonscc.org Santoli, Sal 47 kpasqualicchio@drnpa.org Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Last Name, First Name Agency / Title Street Address City, State, Zip Phone E-Mail Simpson, Kristen Scranton Counseling Center, Service Director-SCC/Board of Directors-Scranton Area CIT 326 Adams Ave., Scranton PA 18503 (570) 348-6100 X3205 Kristen.Simpson@scrantons cc.org Walsh, Maureen Allied Services - Harbor House, Director of MH Services 108 Eliza St., Scranton PA 18508 (570) 346-9558 mwals1@allied-services.org Wasp, Jonathon Habit OPCO - CRC Health Group, Regional Director, CTC Division 118 Monahan Ave., Dunmore PA 18512 (570) 344-0183 (570) 344-5327 jwasp@crchealth.com Wydeen, Tina CCBHO, Regional Director 72 Glenmaura National Blvd., 2nd Floor, Moosic PA 18507 (570) 496-1312 wydeencr@ccbh.com Yale, Jeremy Lackawanna-Susquehanna BH/ID/EI Program, Acting Administrator 507 Linden St., 8th Floor, Scranton PA 18503 (570) 346-5741 yalej@lsbhidei.org Center of Excellence (CoE) and Pennsylvania Commission on Crime and Delinquency (PCCD) Staff 8503 Flourtown Lead Consultant, Center of Ave. Dr. Patricia Griffin 215 836-0570 pgriffin@navpoint.com Excellence Wyndmoor, PA 19038 Casey LaDuke Research Assistance, PA Mental Health and Justice Center of Excellence 3141 Chestnut St Philadelphia, PA 19104 215-553-7174 48 claduke3@gmail.com Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Last Name, First Name Katy WinckworthPrejsnar Jennifer McConnell Agency / Title Project Coordinator, Center of Excellence Criminal Justice Advisory Board Specialist, Pennsylvania Commission on Crime and Delinquency (PCCD) Street Address City, State, Zip 3141 Chestnut St Philadelphia, PA 19104 Phone E-Mail 215-553-7174 Kw494@drexel.edu 570-753-2659 c-jemcconn@pa.gov 49 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Appendix B: Lackawanna Cross Systems Mapping: Follow-Up Resources I. Pennsylvania Health Law Project (PHLP) PHLP is a nationally recognized expert and consultant on access to health care for lowincome consumers, the elderly, and persons with disabilities. For more than two decades, PHLP has engaged in direct advocacy on behalf of individual consumers while working on the kinds of health policy changes that promise the most to the Pennsylvanians in greatest need. PHLP also has a project fellow who is working with county jails and other correctional systems to help them enroll incarcerated people in health care coverage before they leave custody. The goal is to facilitate a seamless transition from medical care during incarceration to medical care in the community. Some individuals qualify now for Medicaid or subsidized insurance purchased through the marketplace; once Medicaid is expanded in Pennsylvania, forecast for January 2015, many more people will qualify. To begin the process of making access to health care coverage an integral part of reentry planning, contact Maureen Barden, mbarden@phlp.org or go to http://www.phlp.org/. II. SAMHSA’s Screening, Brief Intervention and Referral to Treatment (SBIRT) SBIRT is an evidence-based approach to identifying persons who use alcohol and other drugs at risky levels with the goal of reducing and preventing related health consequences, disease, accidents and injuries. Risky substance use is a health issue and often goes undetected. SBIRT is a comprehensive, integrated, public health approach that provides opportunities for early intervention before more severe consequences occur. Evidence-based tools that are demonstrated to be valid and reliable in identifying individuals with problem use or at risk for a Substance Use Disorder (SUD) must be used. Based on implementation of this model nationally, of 459,599 patients screened, 22.7 percent screened positive for a spectrum of use (risky/problematic, abuse/addiction). Of those who screened positive 15.9 percent were recommended for a brief intervention with a smaller percentage recommended for brief treatment (3.2 percent) or referral to specialty treatment (3.7 percent). More information is available at: http://www.integration.samhsa.gov/clinicalpractice/sbirt For additional information on core elements of the SBIRT and services implementation challenges, barriers, cost, and sustainability, please go to: http://store.samhsa.gov/product/SMA134741?WT.ac=EB_20130603_SMA13-4741 III. Brief Jail Mental Health Screen The effective quick, simple, and FREE Brief Jail Mental Health Screen (BJMHS) is a powerful booking tool to screen incoming detainees in jails and detention centers for the need for further mental health assessment. Developed by Policy Research Associates, with funding from the National Institute of Justice, the BJMHS was validated in a study that included 10,330 detainees from four jails, two in New York and two in Maryland. 73% of males and 62% of females were correctly 50 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 identified as having a severe mental illness, making the BJMHS a strong, available solution to identify the further need for mental health evaluation for incoming detainees. Available to download at: http://gainscenter.samhsa.gov/topical_resources/bjmhs.asp IV. SAMHSA’s GAINS Center Webinar: “Reducing Criminal Recidivism for Justice-Involved Persons with Mental Illness: Risk/Needs/Responsivity and Cognitive-Behavioral Interventions" Presented by Dr. Merrill Rotter of Albert Einstein College of Medicine and NYC TASC and Eric Olson of the Bonneville County, Idaho Mental Health Court To complement the "Reducing Criminal Recidivism for Justice-Involved Persons with Mental Illness: Risk/Needs/Responsivity and Cognitive-Behavioral Interventions" brief (http://gainscenter.samhsa.gov/cms-assets/documents/141805-776469.cbt-fact-sheet---merrillrotter.pdf) written by Dr. Merrill Rotter and released on the GAINS Center website in early December 2013, Dr. Rotter of Albert Einstein College of Medicine and NYC TASC and Eric Olson of the Bonneville County, ID Mental Health Court held a webinar on the brief and shared their knowledge on what the research says and how to apply cognitive behavioral therapy (CBT) in real world settings. For the recording and PowerPoint slides, as well as other webinars on evidence-based practices for justice-involved person with mental illness please go to: http://gainscenter.samhsa.gov/topical_resources/ebps.asp V. SAMHSA’s GAINS Center: Sensitizing Providers to the Effects of Correctional Incarceration on Treatment and Risk Management (SPECTRM) Discussed during the webinar above, Sensitizing Providers to the Effects of Correctional Incarceration on Treatment and Risk Management (SPECTRM) targets provider training with a defined modality of rehabilitation to expand the willingness and ability of clinicians to help individuals with mental health issues reach their recovery goals. This brief covers the history of SPECTRM, features of the program, inmate code and how staff interpret these behaviors as resistance in the therapeutic setting, and concluding remarks. More information available at: http://gainscenter.samhsa.gov/pdfs/reentry/Spectrum.pdf VI. The Change Companies: Interactive Journaling Also discussed in the webinar above, Interactive Journaling is a goal-directed, client-centered model that aims to reduce substance abuse and substance-related behaviors, such as criminal recidivism, by guiding adults and youth with substance use disorders through a process of written self-reflection. The model is based on structured and expressive writing techniques, principles of motivational interviewing, cognitive-behavioral interventions, and the integration of the transtheoretical model of behavior change. The approach helps participants modify their behavior as they progress through the stages of change that underlie the transtheoretical model: (1) precontemplation (not intending to begin the change in behavior in the next 6 months), (2) contemplation (intending to begin the change in behavior in the next 6 months), (3) preparation (intending to begin the change in behavior in the next 30 days), (4) action (practicing the behavior for less than 6 months), and (5) maintenance (practicing the behavior for at least 6 months). A variety of journals are available including those who focus on offenders with mental illness, co-occurring disorders, and entering the community from incarceration. One series of journals focuses on veterans. For more information please go to: https://www.changecompanies.net/ij.php and http://www.nrepp.samhsa.gov/ViewIntervention.aspx?id=333 51 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Staff at both the Queens (New York City) and the San Luis Obispo (California) problem solving courts are using Interactive Journaling on both a group and individual basis with participants across mental health, drug, and other specialty courts. They are enthusiastic about the journaling and note they are also able to use the journaling in jail where program space is limited. VII. Healthcare not Handcuffs: Putting the Affordable Care Act to Work for Criminal Justice and Drug Policy Reform Written by Chloe Cockburn, Daliah Heller, and Gabriel Sayegh The Affordable Care Act (ACA) sets the stage for a new health-oriented policy framework to address substance use and mental health disorders. By dramatically expanding and funding healthcare coverage to millions of currently uninsured people, the ACA represents a remarkable opportunity for criminal justice and drug policy reform advocates to advance efforts for policies promoting safe and healthy communities, without excessive reliance on the criminal justice solutions that have become so prevalent under the War on Drugs. Available to download at: https://www.aclu.org/sites/default/files/assets/healthcare_not_handcuffs_12172013.pdf VIII. National Criminal Justice Association (NCJA) Webinar: “The Evidence Behind Pretrial: Enhancing the Use of Data-Driven Decision-Making” High-level discussion with leading experts on what research says about pretrial detention, risk assessment, and the impact of decision-making on public safety, fairness, and cost-effectiveness. In addition, attendees heard from two pretrial service agencies with experience implementing and using risk assessments to make data-driven decisions related to pretrial release and supervision. Pretrial detainees account for more than 60 percent of the inmate population in our nation’s jails. The cost to detain defendants pretrial has been estimated at over $9 billion per year. Recent studies show that there are challenges in the current system regarding who should be detained and who should be released pretrial. Many jurisdictions release a large percentage of high-risk defendants, while detaining many low-risk defendants. Presenters: Anne Milgram, Vice President of Criminal Justice, Laura and John Arnold Foundation Chris Lowenkamp, Lecturer, University of Missouri - Kansas City Tara Boh Klute, Chief Operating Officer, Pretrial Services - Kentucky Administrative Office of the Courts Holly Szablewski, Judicial Review Coordinator - Milwaukee County For the recording and PowerPoint slides please go to: http://www.ncja.org/webinars-events/pretrialwebinars#sthash.M489svEs.dpuf IX. Encountering People with Autism: A First Responders’ Training This short (approximately 20 minute) video provides first responders with practical information for recognizing the presence of autism as well as the behavioral implications and ideas for managing the encounter. The video was produced by M. Bartley and F. Caloiero for the Allegheny County District Attorney’s Association. To watch the video please go to: http://www.pacenterofexcellence.pitt.edu/documents/autism.mp4 52 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 X. SAMHSA’s Grant Initiative on Behavioral Health Treatment Court Collaboratives SAMHSA has twice offered a grant opportunity targeted specifically to jurisdictions with multiple treatment courts/diversion efforts. While the most recent grant opportunity is closed, the thinking underlying this initiative suggests a productive approach to integrating community treatment resources while expanding the reach and efficacy of multiple treatment courts/diversion efforts at a local level. Description of the 2014 RFP, which closed in April. The Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Substance Abuse Treatment (CSAT) and Center for Mental Health Services (CMHS) are accepting applications for fiscal year (FY) 2014 grants to Develop and Expand Behavioral Health Treatment Court Collaboratives (BHTCC). The purpose of this program is to allow local courts more flexibility to collaborate with multiple criminal justice system components and local community treatment and recovery providers to address the behavioral health needs of adults who are involved with the criminal justice system and provide the opportunity to divert them from the criminal justice system. The collaborative will allow eligible individuals to receive treatment and recovery support services as part of a court collaborative. This program will focus on connecting with individuals early in their involvement with the criminal justice system and prioritize the participation of municipal and misdemeanor courts in the collaborative. SAMHSA’s vision of BHTCC in the justice system is one that supports treatment and recovery support for people with behavioral health conditions and that improves public health and public safety. Many communities have specialized court programs that serve one subset or another of behavioral health conditions. There are an estimated 2400 drug courts, 300 mental health courts, and 100 veterans treatment courts operating in the United States that engage individuals with various behavioral health conditions. Some of these courts serve people with co-occurring disorders while others do not. Drug courts have standardized guidelines and in some states, required protocols and sanctions. Mental health courts on the other hand, are unique and sanctions are applied more flexibly. Recognizing that different approaches work best with different populations, a collaborative, coordinated system is necessary to ensure people with behavioral health needs involved in the justice system are identified and best served. SAMHSA recognizes that individuals with behavioral health conditions (e.g., serious mental illnesses (SMI), substance use and co-occurring mental and substance use disorders) who are involved with the criminal justice system face many obstacles obtaining quality behavioral health services in the community. Often, these disorders are first identified and addressed in justice settings where limited resources are available to address them. The interface between justice systems and community behavioral health care is often disjointed, allowing service gaps and fragmented care to disrupt the individual’s transition from incarceration to the community and threatens their recovery. SAMHSA believes that substance use and mental disorders should be seen in a larger behavioral health context, and therefore seeks to promote transformation in service systems that will change how individuals with behavioral health conditions are identified, screened, adjudicated, and referred for treatment. These changes require significant infrastructure and service system change in which all relevant services, essential to succeed in the community are addressed. As in all behavioral health settings, services that include health, housing, employment, treatment and recovery support must be consumer centered, recovery focused, evidence based and quality driven approaches. The BHTCC grant program provides opportunities for courts to build collaborations with other 53 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 existing criminal courts, court diversion programs, and/or alternatives to incarceration programs in order to facilitate the transformation of the State and local behavioral health delivery system. By leveraging a spectrum of community-based services, the courts can facilitate the expansion and enhancement of treatment and recovery support services for adults with behavioral health conditions. The collaborative allows for the coordination of judicial activities and for screening, referral, adjudication, monitoring and treatment of adults with behavioral health conditions. Services to eligible adults with behavioral health conditions will be consumer centered, recovery oriented, evidence-based, quality driven, and trauma informed. In alignment with the goals of SAMHSA’s Trauma and Justice Strategic Initiative, this grant program will help reduce the pervasive, harmful, and costly health impact of violence and trauma by integrating trauma-informed approaches throughout systems. The BHTCC seeks to address behavioral health disparities among racial and ethnic minorities through this program by encouraging the implementation of strategies to decrease the differences in access, service use, and outcomes among these subpopulations in this program. The population of focus for BHTCC grantees are adults identified by the court or community as having a behavioral health condition and who have been charged with a criminal offense and transferred to a local criminal court for trial/adjudication of that offense, diverted from the justice system through judicial screening, and/or sentenced to incarceration in jail or prison and returning to the community under some form of judicial supervision. The BHTCC program provides joint funding from CSAT and CMHS to allow collaborating courts to address the behavioral health needs of individuals in the criminal justice or court continuum, including those who are reentering society after being re-incarcerated and under post-incarceration judicial supervision. By jointly funding grant awards, SAMHSA expects BHTCC grantees to reach a wider population of court-involved adults with behavioral health conditions who need treatment and recovery support services. 54 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Appendix C: Lackawanna-Susquehanna BH/ID/EI Program Strategic Planning Template QM Plan Template Administrative Entity Name: Focus Area: Example: System Performance/Level of Care Goal Outcome Target Objective Performance Measures/Data Source(s)/ Frequency/Responsible Person What is a goal? What is an outcome? What is a target objective? What are performance measures? An outcome is a desired result, and can be person-centered, process or system-oriented. A target objective states the level of performance an organization desires to achieve within a specified period of time. Performance measures (also called performance indicators) are tools that “indicate” performance over time. Example: The organization consistently uses the processes and instrument(s) specified in the Consolidated and P/FDS approved waivers for evaluating and reevaluating the levels of care of applicants and waiver participants. Example: For Consolidated and P/FDS Waiver participants, increase the number of level of care redeterminations completed within the expected timeframe of 365 days to 100% by December 31, 2010. A goal is related to an organization’s purpose, mission, vision, or quality framework. Generally, a goal is written in broad, non-specific general terms. A goal is the “ideal” to be achieved. Example: Organizational performance is continuously measured, evaluated, and improved. Organizations consider baseline data and benchmarks when establishing target objectives. Performance measures need to be operationally defined so data collection can be consistent across the system. Example: % of level of care redeterminations completed within the expected timeframe of 365 days Numerator: # of level of care redeterminations completed within the expected timeframe of 365 days Denominator: # of level of care redeterminations due in the period evaluated (e.g., month, quarter, year) What is a baseline? What is a data source? A baseline is built by tracking an organization’s performance over time, generally at least one year, and provides an objective assessment of current level of performance. A data source is stored data collected according to specific requirements that aim to ensure reliability and validity of the data. Data sources include logs, checklists, a person’s chart, formal databases, and surveys. Examples: HCSIS, HCSIS Data Warehouse, AE Oversight Monitoring Data, PROMISe™, IM4Q Example Administrative Entity Quality Management Strategy_Office of Developmental Programs Academy Summer 2009 1 55 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 QM Plan Template Administrative Entity Name: Goal Outcome Focus Area: Example: System Performance/Level of Care Target Objective Example: By averaging 12 months of performance data, an AE may find that it completes only 86% of level of care redeterminations within the expected timeframe of 365 days. A baseline answers the question, “Where are we now”? Performance Measures/Data Source(s)/ Frequency/Responsible Person What is a sampling approach? A sampling approach refers to the determination of the number of client records, incidents, cases, claims, etc. that will be reviewed within a specified time period. Examples: 100% review, 30 cases, 5% sample What is a benchmark? Who is the responsible person? A benchmark refers to the best or most desirable performance whether internal (e.g., best AE performance), or external (e.g., best performance of a similar organization, best performance expected by a regulatory body). Benchmarks are used to establish a level of performance the organization strives to achieve through quality management activities. A benchmark answers the question, “Where are we going”? The responsible person is the person ultimately responsible for managing or coordinating the activities that will lead to the achievement of the goal and desired outcome, including the periodic monitoring, analysis, and reporting of performance. A responsible person may be a manager, supervisor, committee chairperson, or team leaders. Example: Waiver Coordinator What is meant by frequency? Frequency refers to the cycle that will be used to report progress toward achieving goals and desired outcomes to a quality oversight group. A reporting calendar is often developed and shared within organizations to establish the frequency of reporting for leaders, managers, responsible parties, and staff. Examples: Monthly, quarterly, biannually, annually Example Administrative Entity Quality Management Strategy_Office of Developmental Programs Academy Summer 2009 56 2 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Action Plan Template Administrative Entity Name: Focus Area: System Performance/Level of Care Desired Outcome: The organization consistently uses the processes and instrument(s) specified in the Consolidated and P/FDS approved waivers for evaluating and reevaluating the levels of care of applicants and waiver participants. Target Objective: For Consolidated and P/FDS Waiver participants, increase the number of level of care redeterminations completed within the expected timeframe of 365 days to 100% by December 31, 2010. Performance Measure(s): % of level of care redeterminations completed within the expected timeframe of 365 days Numerator: # of level of care redeterminations completed within the expected timeframe of 365 days Denominator: # of level of care redeterminations due in the period evaluated (e.g., month, quarter, year) Data Source(s): HCSIS Responsible Person: Waiver Coordinator Action Item Responsible Person Target Date Status Completion Date 1. Retrain staff in expectations for record-keeping in participant files. 2. Retrain staff in expectations for data entry into related fields in HCSIS. 3. Collect data monthly to track number of level of care redeterminations completed of those expected to be completed. 4. Report performance quarterly to quality oversight group. 5. 6. Example Administrative Entity Quality Management Strategy_Office of Developmental Programs Academy Summer 2009 57 1 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Appendix D: Lackawanna County Reentry Task Force Five Year Strategic Plan 2012-2016 Lackawanna County Reentry Task Force Five Year Strategic Plan 2012-2016 58 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Table of Contents Background………………………………………………………………………………………3 Perceptions on Recidivism……………………………………………………………………….3 Lackawanna County Reentry Planning Process………………………………………………….5 Lackawanna County Reentry Task Force (LCRTF)……………………………………………..6 Mission…………………………………………………………………………………………...7 Vision…………………………………………………………………………………………….8 Goals……………………………………………………………………………………………..8 Strategies…………………………………………………………………………………………8 Summary of Strategic Action Areas……………………………………………………………...9 Research and Evaluation…………………………………………………………………………11 Funding…………………………………………………………………………………………..11 Action Steps……………………………………………………………………………………...11 Implementation…………………………………………………………………………………..12 Appendix 1……………………………………………………………………………………….13 Expected Process Flow……………………………………………………………………13 Critical Success Factors…………………………………………………………………...13 Appendix 2……………………………………………………………………………………….14 Theory of Change…………………. ………………………………………………….….14 Appendix 3……………………………………………………………………………………….15 Logic Model………………………………………………………………………………15 Appendix 4……………………………………………………………………………………….19 Reentry Resources………………………………………………………………………...19 59 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Background In 2012, the Lackawanna County Prison embarked on a major examination of its inmate population. This examination revealed that in 2007 and 2008, a total of 1,018 offenders serving a county sentence were released from the prison. Within three years, a total of 545 or 54 percent were re-incarcerated at the prison. Of the returnees, 457 or 83.9 percent were males and 88 or 16.1 percent were females. The economic and social costs of this revolving door is staggering to Lackawanna County. It costs approximately $53 per day or $19,345 annually to house an inmate at the prison. This does not account for related administrative costs, the costs to crime victims, or the costs to families and various social agencies. This growing burden on the community demands that Lackawanna County review its current policies and practices in light of escalating costs, limited resources, and emerging evidence-based strategies to reduce the rate of re-incarceration. A sampling of 193 intake reports on offenders committed to the prison in March and April 2012 revealed that 77 percent reported a prior criminal history, 70 percent reported a history of substance abuse, 42 percent reported a history of mental illness, 39 percent reported physical health issues, and 250 minor children were impacted. Receptions in 2011 were 2,800. In 2013, we are projecting 5,000. It is noteworthy that over the past 18 months, the prison’s county inmate population has grown by 23.5 percent. Offenders face numerous barriers and challenges upon release. Yet, the vast majority of returning offenders are left to find and navigate services on their own. The local community’s reentry framework is fragmented, with most entities operating in their traditional silos. Without a continuum of planned services and supports, returning offenders struggle to secure benefits, housing, jobs, counseling, case management, and other crucial resources. Perceptions on Recidivism Many challenges have been identified that may keep ex-offenders from successfully reentering their communities and reconnecting with their families. A brief summary of challenges includes: Education, Training, & Employment o Low educational attainment/lack of high school diploma/GED o Poor job readiness skills & attitudes o Poor employment history o Employers unwilling to hire individuals with a criminal record o Transportation issues o Lack of identification o Lack of suitable clothing Housing related o Inability of returnees to be able to live with family 60 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 o Lack of affordable housing for individuals with limited income o Lack of transitional housing for individuals who are not ready to live alone or have no alternative housing o Limited availability of beds for homeless o Lack of housing for handicapped or pregnant inmates o Proximity of affordable housing to employment settings Substance abuse related o Individuals revert to illicit drug use or alcohol upon release from prison o Many returnees are unable/unwilling to pass drug tests to stay in a program or to remain employed o Substance abuse is a contributing factor in the majority of crimes in Lackawanna County o Limited capacity of existing programs to address drug and alcohol abuse o Due to large caseloads and funding shortages, individuals in need of treatment may be put on a waiting list Family related o Families experience interpersonal problems as they adjust to the return of the family member o Family relationships must be rebuilt/trust issues o Families may be unprepared to understand and comprehend what the returnee needs o Interpersonal problems may lead to domestic violence o Children may be adversely affected in multiple ways from the absence of the family member while in prison and the return of the individual to the family/role confusion o Families may contribute to criminogenic attitudes and behaviors; offenders do not benefit from returning to these families o Crime and incarceration may be perceived as a rite of passage for some families Finance related o Returnees without jobs have limited financial resources to meet food, housing, or family needs, etc. o Returnees have unmet child support or other court-ordered financial obligations, which may can cause them to enter a cycle where they cannot get ahead financially o Single males and non-custodial male parents have limited access to public assistance Mental health related 61 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 o Nearly 42% of incarcerated individuals reported experiencing mental health problems prior to incarceration and were unable to access appropriate/necessary services o Returnees with mental health issues may need additional help dealing with the inevitable frustrations of returning to the community caused by family challenges, a lack of job opportunities, and financial difficulties o Due to large caseloads an funding shortages, individuals in need of treatment may be put on a waiting list o Lack of medication upon discharge from LCP (typically only given 3 day supply) Legal issues o Offenders may have additional outstanding warrants, revoked or suspended driver’s license, outstanding court-ordered obligations, etc. Health care o Many offenders released from prison have health care needs, yet have no or insufficient insurance o Offenders in need of medication are released with a limited supply of medication General support related o Ex-offenders have few relationships with pro-social community members and more ties to other ex-offenders perpetuating criminogenic attitudes o Individuals who have not had positive role models may be unaware of what acceptable behaviors include o Need for community mentors Transportation o Availability of transportation o Availability of transportation to work sites, necessary appointments (times of scheduled transportation) o Affordable transportation Lackawanna County Reentry Planning Process Given the magnitude and wide-ranging needs of the reentry population, it is essential to coordinate and concentrate community efforts. Although there are many services in Lackawanna County that can benefit offenders, there is not a coordinated way to access services, nor an effective way to inform offenders of the service options. In June 2012, Lackawanna County applied for and was subsequently awarded a grant through the Pennsylvania Commission on Crime and Delinquency to help develop a comprehensive and collaborative strategic re-entry plan that addresses criminogenic risks and needs in order to promote public safety and reduce the rate of recidivism. On October 17, 2012, the initial meeting of the Lackawanna County Reentry Task Force (LCRTF) was held. Melanie Snyder, Executive Director of the Lancaster County Reentry 62 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Management Organization and Scott Sheely, Executive Director of the Lancaster County Workforce Investment Board, were retained as consultants to facilitate and oversee the reentry planning process. Regular monthly meetings are held to obtain community-wide stakeholder participation in learning about the state of reentry locally and to set strategic reentry planning priorities for Lackawanna County. As a result, Lackawanna County has become increasingly focused on the challenges of reentry and has begun the process of building more effective and innovative responses to the challenges presented by the release of offenders following a period of confinement. The Lackawanna County Re-entry Task Force provides periodic updates of planning process undertaken by the Task Force to the Lackawanna County Criminal Justice Advisory Board (CJAB). The LCRTF has: Established a collaborative and diverse reentry planning task force consisting of representatives from government, law enforcement, non-profit, and faith-based organizations Articulated a shared mission and vision for offender reentry Developed a familiarity with evidence-based practice methods for reentry Identified existing reentry practices, resources, and gaps in Lackawanna County Established and prioritized goals and objectives to accomplish the mission Defined a target population Began development and implementation of a strategic plan On April 17, 2013, LCRTF presented the Lackawanna County Reentry Symposium at the University of Scranton. The focal point of the conference was difficulties inmates experience transitioning back into society. The keynote speaker, Todd R. Clear, Ph.D., Dean of the School of Criminal Justice at Rutgers University, addressed the importance of having strong programs for inmates re-entering society such as drug and alcohol treatment, educational programs, job readiness, etc. Two former inmates candidly shared their struggles with reentry and answered questions from the community regarding their experiences. In closing, a “reentry expo” allowed local agencies to disseminate information about available programming and resources available to returning offenders. Approximately 125 attendees included local government, police, prison, and probation officials, representatives of faith-based and non-profit organizations, and students. Lackawanna County Reentry Task Force (LCRTF) 63 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 The membership of the LCRTF has evolved over the past 10 months. Members include: Melanie Snyder, Executive Director of Lancaster County Reentry Management Organization Scott Sheely, Executive Director of Lancaster County Workforce Investment Board Robert McMillan, Warden of Lackawanna County Prison Brian Jeffers, Director of Lackawanna County Community Corrections Christina Oprishko, Administrative Officer at Lackawanna County Prison Len Bogart, Administrative Officer at Lackawanna County Prison Thomas Earley, Chief of Lackawanna County Adult Probation Office Gerald Davis, Supervisor at Lackawanna County Adult Probation Office Jane Augustine, Employment Opportunity & Training Center Angela Seibert, Employment Opportunity & Training Center Erica Hubert, Employment Opportunity & Training Center Kevin McLaughlin, Executive Director of Drug & Alcohol Treatment Services Bo Hoban, Deputy Director of The Advocacy Alliance Jim Martin, Deputy Administrator of Lackawanna-Susquehanna Behavioral Health Intellectual Disabilities Early Intervention Program Steve Arnone, Administrator of Lackawanna-Susquehanna Behavioral Health Intellectual Disabilities Early Intervention Program Sr. Susan Hadzima, IHM, Director of Catherine McAuley Center Mary Ann Iezzi, Executive Director of Dress for Success Lackawanna Marie Onukiavage, Executive Director of National Alliance on Mental Illness Jeffrey Zerechak, Administrator of Lackawanna/Susquehanna Office of Drug & Alcohol Programs Tony Kosydar, Deputy Administrator of Lackawanna/Susquehanna Office of Drug & Alcohol Programs Collen Phillips, Lackawanna County Mental Health Court Virginia Turano, Executive Director of Lackawanna County Workforce Investment Board Joe DiStasi, Program Supervisor at PA CareerLink of Lackawanna County Phil Yevics, Voluteer with Catholic Ministry at Lackawanna County Prison Jean Gayle, Director of the Horace Center/Fresh Start Pam Oravec, Executive Director of Catholic Social Services Jeff Gummoe, Employment Specialist at Goodwill Industires Jonathon Wasp, Director of Pennsylvania Operations at Habit OPCO, Inc. Kerry Browning, Supervisor at Lackawanna County Children & Youth James Rutledge, Volunteer at Lackawanna County Prison Anthony Pamelia, Volunteer at Lackawanna County Prison Jennifer Kristyniak, Agent at PA Board of Probation & Parole Dennis Russo, Scranton Counseling Center Martin Fotta, United Neighborhood Centers of NEPA 64 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Jessica Carrion, United Neighborhood Centers of NEPA Nicole Gosh, United Neighborhood Centers of NEPA Maryclare Mecca, Women’s Resource Center Erin Murray, Northeast Behavioral Care Consortium Jim Cook, Community Care Behavioral Health Mission The mission of the Lackawanna County Reentry Program is to successfully integrate recently incarcerated citizens back to the community. The program’s comprehensive and customized approach to reintegration includes pre-release assessment, systematic identification of needs, and linkages to services. A strong and diversified network of community and professional partnerships establishes a framework to bolster public safety, break the cycle of recidivism, and enhance lives, families, and society. Vision The vision of the Lackawanna County Reentry Program is that every citizen who returns from incarceration actualizes a responsible, productive, and fulfilling life. Committed, competent, and compassionate professionals, along with vested community stakeholders support returning citizens within the full spectrum of the human condition. What remains are respected and restored lives that exemplify character, benefit communities, and strengthen hope for the future. Goals The primary goal of the Lackawanna County Reentry Program are to reduce recidivism and improve outcomes in Lackawanna County. For purposes of this program, recidivism is defined as the return of any individual who received a county sentence of imprisonment, is released, and is subsequently incarcerated within three years of release. Strategies In achieving its mission and vision, the Lackawanna County Reentry Program will use the following strategies: 1. Ensure/develop collaboration, communication, and coordination among the Lackawanna County Prison, Lackawanna County Adult Probation and Parole Office, and service providers to offer seamless access to all needed services 2. Continue to identify/review gaps in the system on an ongoing basis and work with community and faith-based organizations to fill them (community case management, housing, drug and alcohol, mental health, mentoring, etc.) 3. Utilize grant funding to build the capacity of the community and faith-based organizations 65 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 4. Focus on evidence-based programs and services such as Cognitive Behavioral Therapy (CBT) – those that have been proven to be effective 5. Provide services targeted to the risk level of each participant 6. Address root causes of recidivism and provide root cause solutions 7. Increase public awareness of the value and benefits of an effective reentry system, e.g. holding annual reentry summit, etc. SUMMARY OF STRATEGIC ACTION AREAS Focus Area Strategic Goals Strategic Objectives Pre & Post Release Provide comprehensive, integrated, holistic reentry services for ex-offenders returning to Lackawanna County 1. Develop or identify comprehensive assessment tool to determine offender risk level and needs, and to facilitate intervention recommendations 2. Generate list of inmates eligible for release at least 3. six weeks prior to their projected release 4. Create and implement discharge plan, and make appropriate referrals for services 5. Strengthen prison programming and staff investment, and conduct standard prerelease activities 6. Establish and maintain a comprehensive resource guide or other mechanism for educating inmates and staff on available community programs and services; Efforts will be made to secure agency videos on services provided as well as other web based tools to educate inmates and staff on available services and supports 7. Establish memorandums of understanding with service providers 8. Integrate cognitive behavior therapy throughout programming 9. Actively promote the value and benefits of the reentry program 66 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Focus Area Strategic Goals Strategic Objectives Children & Families Support family stability during the absence of the offender Support family reunification with biological or chosen family (where appropriate) 1. Identify services and supports available for families during family member incarceration 2. Provide supportive family programs such as Family Reentry, Parenting, Visitation and Parenting support group Health Care Increase access to needed medical services 1. Assist with access to medical assistance, Medicaid and/or SSI (if eligible) 2. Coordinate referrals for service, interim medications, and medical records prior to release 3. Initiate COMPASS application within two weeks prior to release from LCP Housing Provide emergency, short term, and long term housing options for offenders 1. Connect program participants with emergency housing options, as needed 2. Develop and maintain list of landlords willing to provide housing options to offenders 3. Develop new housing with supportive services appropriate for single or family situation post-release 4. Develop and coordinate plans for Group Home housing options with an experienced service provider 5. Actively pursue avenues for funding Mental Health and Substance Abuse Address mental health and substance abuse needs of offenders in a timely manner 1. Encourage agencies to develop and implement programs and protocols addressing the specific needs of offenders who need mental health services and/or substance abuse treatment 2. Coordinate required supports: referrals for service, interim medications, and medical record prior to release date 3. Work closely with mental health staff assigned to the prison to ensure availability of medication upon release and/or follow-up appointment scheduled prior to release 4. Actively pursue avenues for funding and expansion of programs 67 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Focus Area Strategic Goals Strategic Objectives Education Provide educational opportunities targeted to the individual’s strengths and needs that will lead to increased employment opportunities 1. Provide three tiers of educational programs: basic literacy and math skills, GED attainment, and post-secondary options all leading to improved employment opportunities 2. Provide comprehensive soft skills and life skills programs, incorporating cognitive behavior therapy for all ex-offenders in the reentry program 3. Actively pursue avenues for funding and expansion of programs Employment Provide comprehensive employment services and options that will increase the probability that offenders will secure and retain long term employment 1. Implement a job readiness program to help participants overcome barriers while building work-related skills that ultimately lead to apprenticeships and/or unsubsidized employment 2. Establish relationship with PA CareerLink, and hold job fairs, mock job interviews, etc. 3. Educate area employers on incentives related to the hiring of offenders, i.e. Federal Bonding Program 4. Connect individuals with special needs (such as individuals with disabilities, veterans) to organizations providing specialized services 5. Actively pursue avenues of funding and expansion of programs available Legal Issues Establish and implement a means to identify and address outstanding legal issues that are barriers to successful reentry 1. Develop a legal needs assessment to identify outstanding legal issues 2. Develop network of resources such as pro bono lawyers and law students qualified and willing to offer guidance 3. Assist in accessing needed legal documents such as driver’s license, birth certificate, social security card, photo id, etc. 68 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Focus Area Strategic Goals Strategic Objectives Mentoring and Long Term Support Develop and implement a multi-layered mentoring program that will support returning offenders 1. Define and develop the mentoring program options and components 2. Define characteristics of positive mentors and recruit individuals with these characteristics 3. Develop and implement a training program for all mentors, incorporating cognitive behavior therapy concepts 4. Match mentors with demographics similar to offenders while incarcerated 5. Support the ongoing mentor/mentee relationship Transportation Connect offenders with affordable transportation options 1. Identify transportation options available for program participants 2. Obtain discount bus passes, obtain public transportation vouchers, offer bicycles Research and Evaluation A strong system of data collection, program evaluation, and research is necessary to ensure effective use of limited resources and services are truly promoting successful reentry. Research that identifies evidence-based and promising practices should guide the selection of program models. Implementation of these models should maintain fidelity to the design. The expected outcomes from programming would be defined and a system of data collection that allows for evaluation and reporting would assist in modifications that improve outcomes. Efforts will be made to identify responsibilities for the collection of data, to include, but not limited to: who will be responsible for data collection, what specific data will be collected, when data will be collected, and who data will be disseminated to. Funding The strategical priorities identified in the planning process to action requires efficient use of existing resources and a more organized and coordinated approach in obtaining new funding. Competition for limited resources both within and beyond the issue of reentry is a reality. A system that has the capability of identifying funding opportunities that support priorities and best practices, addressing concerns related to resource distribution, and making the process transparent to stakeholders will maximize fundraising opportunities. 69 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Action Steps Stakeholders participating in the planning process successfully identified strategic priorities; now an effective and efficient implementation process must be established. The key ingredients to successful implementation are: Maintain focus on the strategic priorities identified Develop detailed implementation plans for each strategic priority, identifying what needs to be done, who needs to be involved, and timing for completion Develop a structured reporting system that communicates progress and barriers to successful implementation It was necessary to conduct a planning process to establish strategic priorities since fiscal resources are limited. To a large degree, there is a logical progression or evolution of what needs to be done to improve the reentry system of services; and the commitment and contributions of a large number of stakeholders will be required to institute desired improvements. It is important to maintain a focus on these priorities in order to maximize the progress that is possible. This is not to say that there will not be emergent issues and opportunities that must be addressed, however there must be thoughtful consideration and justification for diverging from the established strategic priorities. Implementation The ten strategic priorities present a challenging agenda to accomplish. In order to be successful, an organized and efficient approach must be utilized. In each strategic priority, work has begun to address each specific area; additional delineation of tasks and responsibilities is required. In addition, it may be necessary to further focus efforts due to resource limitations and identify the strategic priorities that are most important to accomplish. 70 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Appendix 1 Expected Process Flow The Lackawanna County Reentry Program will: 1. Complete CJ Comprehensive Intake (TCU CJ CI) assessment at time of incarceration to identify criminogenic risk and needs 2. Prepare for reentry (at least six weeks prior to release) by engaging offender in pre-release planning and programming prior to release 3. Identify barriers to release including housing, employment, medication, transportation, and treatment needs, etc. 4. Review reentry plan, make appropriate referrals, and engage family in release planning 5. Maintain supportive relationship after/post release 6. Perform case management after release to ensure individual is completing activities in the plan 7. Manage relationship with community service providers, perform quality control/assessment of services and service providers to ensure they are delivering what has been promised/ contracted and that they are having an impact 8. Develop a comprehensive data collection process that measures program outcome performance Critical Success Factors • • • • Individual signs contract committing to participate in reentry programming. • Define and hold individuals accountable to set/pre-defined standards • Determine guidelines for when it is necessary to remove an individual from programming for non-compliance; preserving resources for those who are ready for change • Hold individual accountable; provide assistance as needed. He/she must take responsibility for self • Help individual define goals and move toward self-sufficiency Focus on pro-social behaviors and attitudes and ensure participation in cognitive behavior therapy (CBT) skill building Assist ex-offender in developing pro-social relationships; determine who ex-offender is engaging at every step of reentry Engage family members to the degree they want to be involved; ensure family involvement will benefit the ex-offender 71 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 • • All individuals who come in contact with the ex-offender as a volunteer or contracted service provider will be familiar with CBT and will share a common approach to supporting the exoffender Hold providers accountable for delivering contracted services 72 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Appendix 2 - Theory of Change – Lackawanna County Reentry Planning Task Force Strategies * Expand Reentry task force, improve inter-agency communication * Develop comprehensive, community-wide reentry plan * Create reentry plans for LCP inmates prior to release with resource info/referrals to community resources * Engage private sector/ volunteers for financial/human resources * Educate inmates, prison and agency staffs * Establish comprehensive pre-release employment readiness program * Provide ID to inmates pre-release Influential Factors BARRIERS: * Cost/fluctuating resources * Policies that limit housing and other services for returning citizens communication between stakeholder groups SUPPORTS: * Buy-in from commissioners and judges * Availability of community resources * Commitment of and rapport between stakeholder groups & agencies Assumptions * Assumes awareness of needs and how to address them * People can take responsibility & change if they want to * Positive personal connections are necessary to support change * Community resources will be available, will cooperate, and will communicate Problem or Issue * Referrals from LCP to D&A / MH treatment * Lack of transitional & affordable housing * Insufficient job training and employment * Insufficient transportation * Children and families, education, health care, legal issues, mentoring * Data collection Community Assets/Needs * Lackawanna County has started forming a collaborative, community-wide Reentry Task Force to address reentry issues * Data exists to demonstrate program need * Many agencies have programs & services to offer but are “best kept secrets”; some agencies limited in who they can serve * Lackawanna County lacks a comprehensive, coordinated, collaborative process for reentry Desired Results * 80% completion of prerelease programming * 30% placement into transitional housing * 50% employment of returning citizens beyond 2 months post release * 75% completion of substance abuse treatment upon release * 75% participation in mental health services beyond 3 months post release * 25% decrease in recidivism 73 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Appendix 3: Logic Model Target Population: County Sentenced Inmates identified as moderate to high risk offenders, being released from Lackawanna County Prison back to Lackawanna County Goal: Provide comprehensive, integrated, holistic reentry services for returning citizens residing in Lackawanna County Objectives Activities Outputs/Process Measures Outcome Measures 1. Develop or identify comprehensive assessment tool to determine offender risk level and needs, and to facilitate intervention recommendations 2. Generate list of inmates eligible for release at least six weeks prior to their projected release 3. Create and implement discharge plan, and make appropriate referrals for services 4. Increase/improve communication with probation & parole and community service providers to ensure smoother transition for offender from pre to post release * Completion of TCU assessment within 2 weeks of admission to determine eligibility for reentry program and determine individual needs of offender * Enrollment of inmates into reentry program * Begin implementation of reentry plans, including access to COMPASS, begin to familiarize offender and family with available community resources * Participation in reentry programming, including educational classes in employment preparation, family reunification, building relationships, budgeting, substance abuse, etc. * Identify community service providers for post release services *Establish formal relationships with community providers * Schedule services for offenders upon release based on identified needs * Number of offenders assessed * Number of offenders identified as medium-high risk * Number of offenders entering the reentry program * Number of offenders that receive programming * Number of post release service providers identified * Number of offenders released receiving post release services, based on reentry plan or other identified needs * 80% complete assessment and pre-release planning * 90% of those identified as moderate to high risk, accept admittance to reentry program * 80% of offenders successfully complete prerelease programming * 100% offenders enrolled, successfully complete COMPASS application (when applicable) * 90% of offenders that participate in the transition component will be prepared to reenter the work force, i.e. completed resume, knowledge of where to obtain employment, knowledge of community resources, etc. * Less than 10% of offenders participating in reentry services will return to jail/prison on violation or new charge 74 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Goal: Support family stability during the absence of the offender; support family reunification with biological or chosen family (where applicable) Objectives 1. Identify services and supports available for families during family member incarceration 2. Provide supportive family programs such as Family Reentry, Parenting, Visitation and Parenting support group Activities *Establish relationships with community service agencies to provide supports available to families *Enroll families interested in programming/support *Participation in weekly family support programs Outputs/Process Measures Outcome Measures *Number of families enrolled in *30% increase in family community supports member support and *Number of families complete reunification participation in family support programs Goal: Increase access to needed medical services Objectives 1. Initiate COMPASS application within two weeks prior to release from LCP 2. Assist with access to medical assistance, Medicaid and/or SSI (if eligible) 3. Coordinate referrals for service, interim medications, and medical records prior to release Activities *Engage/complete application process for COMPASS, learning about and understanding benefits of program *Creation of a detailed plan for release including all necessary follow-up medical appointments Outputs/Process Measures *Number of completed COMPASS applications * Number of referrals/ appointments 75 Outcome Measures *50% increase in COMPASS applications accepted *50% increase in returning citizens following-up with scheduled medical appointments Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Goal: Provide emergency, short term, and long term housing options for offenders Objectives 1. Connect program participants with emergency housing options, as needed 2. Develop and maintain list of landlords willing to provide housing options to offenders Activities *Participation in groups focusing on housing options and resources available in the community Outputs/Process Measures *Number of offenders completing group Outcome Measures *30% increased placement of returning citizens into local community housing options Goal: Address mental health and substance abuse needs of offender in a timely manner Objectives Activities Outputs/Process Measures Outcome Measures 1. Provide education/counseling for those suffering with substance abuse problems 2. Availability of mental health services on a weekly basis 3. Work closely with mental health staff assigned to the prison to ensure availability of medication upon release and/or follow-up appointment scheduled prior to release *Participation in weekly groups focusing on substance abuse issues (when applicable) *Participation in weekly mental health services (when applicable) *Creation of a detailed plan for release including all necessary follow-up medical appointments *Number of offenders completing weekly groups focusing on substance abuse issues *Number of offenders participating in mental health services *Number of reentry plans including all necessary followup medical appointments *80% increase in offender knowledge of substance abuse, addictions and community resources available within the local community *75% participation in weekly mental health services *75% completion of substance abuse treatment/programming upon release *75% participation in mental health services beyond three months post release *50% increase in returning citizens following-up with scheduled appointments 76 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Goal: Provide educational opportunities targeted to the individual’s strengths and needs that will lead to increased employment Objectives Activities Outputs/Process Measures Outcome Measures 1. Provide three tiers of educational programs: basic literacy and math skills, GED attainment, and post-secondary options all leading to improved employment opportunities 2. Provide comprehensive soft skills and life skills programs, incorporating cognitive behavior therapy for all exoffenders in the reentry program *Participation in GED educational classes or other educational classes offered *Participation in soft skills programming with the overall goal of learning necessary skills to increase employment opportunities upon release *Participation in life skills programming directed at improving transitional outcomes *Number of offenders completing GED programming or other educational classes *Number of offenders completing soft skill programming *Number of offenders completing life skills programming *50% of offenders prepared to test, pass the GED exam *75% of offenders will complete soft skills programming and be prepared to enter the workforce *75% of offenders will complete life skills programming Goal: Provide comprehensive employment services and options that will secure and retain long term employment Objectives 1. Implement a job readiness program to help participants overcome barriers while building work-related skills that ultimately lead to apprenticeships and/or unsubsidized employment 2. Establish relationship with PA CareerLink, and hold job fairs, mock job interviews, etc Activities *Weekly participation in job readiness, learning to overcome obstacles and barriers preventing employment *Participation in job fairs and mock interviews Outputs/Process Measures *Number of offenders completing job readiness programming *Number of offenders completing mock interviews *Number of offenders participating in job fairs 77 Outcome Measures *50% of returning citizens will maintain employment beyond two months post release *80% increase in offender knowledge related to employment and the workplace Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Goal: Establish and implement a means to identify and address outstanding legal issues that are barriers to successful reentry Objectives Activities Outputs/Process Measures Outcome Measures 1. Develop a legal needs assessment to identify outstanding legal issues 2. Develop network of resources such as pro bono lawyers and law students qualified and willing to offer guidance Assist in accessing needed legal documents such as driver’s license, birth certificate, social security card, photo id, etc. *Completion of legal assessment of needs *Participation in monthly meeting hosted by professionals to discuss available low cost legal options/support; overview of community supports available *Completion of necessary legal documents needed for identification upon release *Number of completed legal assessments *Number of offenders completing monthly legal meetings *Number of inmates completing applications for identification *30% increase in legal assistance provided to returning citizens upon release *50% increase in returning citizens knowledge of legal services available in the local community *50% increase in legal documents obtained prior to release Goal: Develop and implement a multi-layered mentoring program that will support returning offenders Objectives 1. Define and develop the mentoring program options and components 2. Match mentors with demographics similar to offenders while incarcerated 3. Support the ongoing mentor/mentee relationship Activities Outputs/Process Measures *Participation in mentoring services with the overall goal of increasing attitudes and behaviors prior to return to the community *Number of offenders participating in mentoring program *Number of offenders matched with mentor 78 Outcome Measures *50% returning citizens maintain relationship/support with mentors beyond two months post release Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Goal: Connect offenders with affordable transportation options Objectives Activities 1. Identify transportation options available for program participants 2. Obtain discount bus passes, obtain transportation vouchers, offer bicycles *Participation in monthly group focusing on education and information related to public transportation in the local community; includes knowledge of where to obtain and how to read bus schedules, obtain reduced bus passes/vouchers, etc. Outputs/Process Measures *Number of offenders completing group Outcome Measures *80% increase in knowledge of public transportation *30% obtain vouchers/passes for reduced bus fares 79 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Appendix 4 Resources Available for Reentry AA-Alcoholics Anonymous 48 South Main Street Pittston, PA 18640 570.654.0488 Services: 12 Step Meetings for Recovering Alcoholics and those seeking Recovery (Call for meetings in local area) AA Alcohol Abuse & Addictions Hotline 1.800.640.7545 Services: Referral and Support for Individuals Suffering with Addiction Al-Anon/Al-A Teen Pittston, PA 18640 570.603.0541 Services: Support Meetings for Family and/or Friends of Alcoholics A Better Today 1339 North Main Avenue Scranton, PA 18508 570.344.1444 Services: Outpatient Drug & Alcohol Counseling Advocacy Alliance- A Mental Health Association 846 Jefferson Avenue Scranton, PA 18501 1.877.315.6855 570.342.7762 Services: Offers a safe, supportive environment for persons in the community with mental illness or emotional problems. Services include Community Health Services, Child and Family Mental Health Advocacy, Recovery Center and Progress House, WARM LINE, Consumer/Family Satisfaction Teams, Community MR Services, Consumer Financial Services for Individuals with MH/MR issues Bread Basket of NEPA Covenant Presbyterian Church 550 Madison Avenue Scranton, PA 18510 570.343.2324 Services: Food Pantries 80 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Catherine McCauley Center 430 Pittston Avenue (Administration Office) Scranton, PA 18510 570.342.1342 Services: Women only Emergency, Transitional, and Permanent Housing Catholic Social Services 516 Fig Street Scranton, PA 18505 570.207.2283 Services: Counseling-Marriage/Relationship, Child-Parent, Individual, Pregnancy, Budgeting. Anger Management Groups, Financial Assistance, Hispanic Outreach, Housing for Homeless/ Mentally Ill, Housing Counseling Program, and Adoption Clear Brook, Inc. 1003 Wyoming Avenue Forty Fort, PA 18704 570.823.1171 1.800.582.6241 Services: Inpatient Drug & Alcohol Services, Relapse Prevention Program (14 days), Medically Supervised Detox, Weekend Inpatient Program COLTS (Lackawanna Transit System) 800 North South Road Scranton, PA 18504 570.346.2061 570.876.1256 Services: Public Transportation, Discount Bus Passes, Handicap Accessible Community Intervention Center 445 North 6th Avenue Scranton, PA 18503 570.342.4298 Services: Drug & Alcohol Information, Assessment & Referral, Mental Health Assessment, Social Rehabilitation Programs, Employment Placement and Crisis Intervention, Day Shelter for Homeless, Daily Snacks Consumer Credit Counseling Services of NEPA 401 Laurel Street Pittston, PA 18640 570.602.2227 1.800.922.9537 Services: Affordable Housing Program (For 1st time Homebuyers), Budget Counseling, Credit Report Review, Debt Management Program, Emergency Mortgage Assistance (Must be referred by lender through Act 91 Notice), HUD Counseling 81 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 DATS-Drug & Alcohol Treatment Services 441 Wyoming Avenue Scranton, PA 18503 570.961.1997 Services: Intensive Outpatient Drug & Alcohol Services, Evaluation/Diagnostic Services, Individual, Family, Group Therapy Dress for Success Lackawanna 431 North 7th Avenue, Suite B Scranton, PA 18503 570.941.0339 Services: Women Only; By Appointment Only. Helps Provide Low-Income Women with Clothing Appropriate for Employment and Job Interviewing Educational Opportunity Centers 431 North 7th Avenue Scranton, PA 18503 570.496.0296 Services: Educational Information & Assistance, Career Interest Testing, Educational Counseling, Financial Aid, Information/Assistance, Referral to Education/Vocational Programs EOTC-Employment Opportunity & Training Center 431 North 7th Avenue Scranton, PA 18503 570.348.6484 (Workforce Development) 570.348.6493 (Family Center) Services: Women in Transitions Groups (For Formerly Incarcerated Women), Career Guidance, Job Search Support, Job Search Group-Every Tues. 10 am-noon, Fatherhood Program, LCP Team, Life Skills Support, Parents as Teachers, Parenting Classes, Individual Parent Consultation, Supervised Visitations, Home Visitations for Parents with Young Children, Youth Mentoring, Toddler Play Group, Early Head Start Programs, Incredible Years. FIRST-Free Information & Referral System Telephone 570.961.1234 Services: Information & Referral Services to Community Resources that will Best Fit your Needs (7 days a week/24 hours a day) Friends of the Poor 2300 Adams Avenue Scranton, PA 18509 570.348.4429 (has voicemail) 570.348.4428 Services: Food, Clothing, and Furniture for Emergency Needs, Fragile Family Program for Low-Income Families with Children 82 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Goodwill Industries of NEPA, Inc. 925 Prospect Avenue Scranton, PA 18505 570.343.1166 Services: Community Employment & Placement Services (For Mentally & Physically Challenged), Residential Home Placement (For those Unable to Live on their Own) Hanna’s Hope Pregnancy Shelter PO Box 132 Luzerne, PA 18709 570.763.9593 Services: Provides a clean, safe environment for expectant mothers in homeless or crisis situations; prepares for birthing process, helps facilitate medical and other necessary appointments, and mentors new mothers in the care of their newborn; individualized programming; receive help in life skills Jewish Family Services of Lackawanna County 615 Jefferson Avenue, Suite 204 Scranton, PA 18510 570.344.1186 Services: Counseling-Individual, Couples, and Family, Dental Clinic Job Corps 28 Academy Street, Suite 4 Wilkes-Barre, Pa 18701 570.824.6630 1.800.354.9758 Services: Training program for people ages 16-24, Free GED Prep, Vocational Training, Dormitory Housing, Meals Paid, Medical & Dental Care Lackawanna College 501 Vine Street Scranton, PA 18509 Scranton: 570.961.7882 Hazelton: 570.459.1573 Lake Region: 570.226.4625 Services: GED Testing Lackawanna County AIDS Council 637 Clifton Beach Road Clifton Twp, PA 18424 570.842.2448 Services: Advocacy, services, education, support, and resources involving HIV/AIDS 83 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Lackawanna County Assistance Office Scranton State Office Building 100 Lackawanna Avenue Scranton, PA 18503 570.963.4525 Fax: 570.963.4843 Services: Temporary Assistance for Needy Families, General Assistance, Food Stamps, Medical Assistance, Low-Income Energy Assistance Program, Disability Advocacy Program, Employment & Training Program for Low-Income Individuals, Behavioral and Mental Health Assistance, Alcohol & Drug Addiction Assistance Lackawanna County Child Care Information Services-Title XX 345 Wyoming Avenue Scranton, PA 18503 570.963.6644 Services: Assist families who need help paying their child care costs, provide information about available child care providers. Eligibility for this program and assessed co-payment are based on family’s residence, family size and income, and work/education status Lackawanna County Children and Youth Services 200 Adams Avenue Scranton, PA 18503 570.963.6781 Services: Provides Services to Families who are Experiencing Crisis. Provide Information, Referral, Protective Services, Prenatal Care, Adoption and Foster Care, Emergency Placement, Child Care Information Services Lackawanna County Clerk of Judicial Records-Civil & Criminal Division Brooks Building 436 Spruce Street Scranton, PA 18503 570.963.6723 Services: Access Legal Information Related to Court of Common Pleas-Includes Litigation and Inquiries under Civil Action, Judgment, Liens, and Similar Transactions Lackawanna County Commission on Drug & Alcohol Abuse 135 Jefferson Avenue, Second Floor Scranton, PA 18503 570.963.6820 Services: Planning, Intervention, and Treatment Services for Residents of Lackawanna County 84 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Lackawanna County Habitat for Humanity 550 Madison Avenue Scranton, PA 18510 570.342.7911 Services: Home ownership for low-income families through community volunteer efforts. Support services available for owners. Lackawanna County Medical Assistance Transportation 800 North South Road Scranton, PA 18504 570.963.6482 Services: Provides reimbursable service of transportation to any medical assistance user to a physician’s office, hospital, clinic, pharmacy, or provider of treatment (Does not include ambulance transportation to sheltered workshops or day care programs) Lackawanna County Veterans Affairs 224 Adams Avenue Scranton, PA 18503 570.963.6778 Services: Helps to Obtain Benefits for Veterans and their Families Lackawanna Housing Authority 2019 West Pine Street Dunmore, PA 18512 570.342.7629 Services: Public Housing, Section 8 Housing, Rental Assistance (Approved Participants-Must Apply) Lackawanna County Pro Bono, Inc. Bank Towers, 5th Floor 321 Spruce Street Scranton, PA 18503 570.961.2714 Services: Intended for Low-Income Individuals with Pressing Legal Problems. Handles: Unemployment Compensation, Protection from Abuse, Debtor/Credit Problems, Landlord/Tenant, Separation Advice, Child & Spousal Support, Custody & Visitation, Termination of SSI Benefits, and other Serious Civil Legal Problems. Does not handle Criminal Matters Marworth Lily Lake Road, PO Box 36 Waverly, PA 18471 570.563.1112 1.800.442.7722 85 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Services: Chemical Dependency Treatment Program, Intensive Outpatient Program, Outpatient Program, Partial Hospital Program, Rehabilitation Programs, and Crisis Marywood University 2300 Adams Avenue Scranton, PA 18509 570.348.6273 570.348.6231 Services: GED Prep and Testing Maternal Family & Health Services, Inc. 431 North 7th Avenue Scranton, PA 18503 570.961.5550 Services: Women’s Reproductive Health & Nutrition Care, WIC Nutrition Program, Family Planning Program, Nurse-Family Partnerships, Healthy Women Cancer Screening Program, Healthy Beginnings Plus NAMI-PA Scranton Area Chapter 846 Jefferson Avenue Scranton, PA 18510 570.342.1047 Services: Advocacy & Education Programs for Individuals & Families Affected by Mental Illness Support Groups (Call 570.346.2346) Neighborhood Housing of Scranton 709 East Market Street Scranton, PA 18509 570.558.2490 Services: Financial, Educational, & Technical Assistance to 1st Time Homebuyers in Lackawanna County, Mortgage Funding Available, Foreclosure Prevention Counseling, Home Ownership Workshops NHS Human Services (Formerly Tri-County Human Services Center) 185 Fallbrook Street Carbondale, PA 18407 570.282.1732 Services: Comprehensive Provider of Mental Health Services, Outpatient Services, Emergency Services, Psychiatric/Psychological Services, Family Therapy, Intensive Case Management, Partial Hospitalization, MR Day Programs, Early Intervention, Autism School OVR-Office of Vocational Rehabilitation 300 Gaird Street Wilkes-Barre, PA 18702 570.826.2011 1.800.634.2060 86 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 **Local Office Located in PA Career Link** Services: Diagnostic, Vocational, Evaluation, Physical, Restoration, Training, Counseling & Guidance, Job Placement. MUST Have Appointment for Services. PA CareerLink Lackawanna County 135 Franklin Avenue Scranton, PA 18503 570.963.3110 570.963.4671 OR 570.963.4384 Services: Job Referral, Counseling, Job Guidance, Business Services, Veteran, Youth, and Senior Employment Services, Training Programs, Training Providers, OVR Counseling PennDot Photo Exam Center 81 Keystone Industrial Park Dunmore, PA 18512 1.800.932.4600 Services: Obtain Driver’s License/Photo ID Planned Parenthood 316 Penn Avenue Scranton, PA 18503 570.344.2626 1.800.230.PLAN Services: Medical services such as gynecological exams, pap tests, breast exams, pregnancy tests, STD clinic, contraceptive supplies, HIV testing, counseling & referral services for prenatal care Scranton-Lackawanna Human Development Agency SLHDA 200 Adams Avenue Scranton, PA 18503 570.963.6836 Services: Job Training, Assistance and Employment, Financial Aid for Crisis Safety Net 550 Madison Avenue Scranton, PA 18510 570.347.4730 Services: Supplemental Food, Rent, Prescriptions, Infant Formula, Eyeglasses, Furniture, Transportation, & Other Emergency Assistance **Closed Wednesday 12-4pm** Salvation Army Adult Rehabilitation Center 610 South Washington Avenue Scranton, PA 18505 570.346.0007 87 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Services: Residential Facility for MEN, Individual & Group Counseling, Spiritual Meetings, Work Therapy, and Various 12-Step Programming Salvation Army Corps Community Center 500 South Washington Avenue Scranton, PA 18505 570.344.9878 570.969.6399 Services: Food, Financial Aid for Gas & Electric, Oil, Coal, and Wood, Worship Service SCOLA Volunteers for Literacy 2013 Boulevard Avenue, Suite 1 Scranton, PA 18509 570.346.6203 Services: Free Tutoring for Adults Wanting to Learn to Read & Write or Improve their Reading & Writing Skills, ESL Services, Math & Life Skills Tutoring Scranton Counseling Center 326 Adams Avenue Scranton, PA 18503 570.348.6100 Services: Adult & Child/Adolescent Diagnostic & Treatment Services with Mental Health Issues, Family/Marital, Work Issues, Psychological Testing, Psychiatric Evaluation, Long Term Services, Comprehensive Mental Health Programs, Critical Incident Stress Management, Emergency/Crisis Intervention, Employee Assistance Program, Family Home-Based, Partial Hospitalization Program, Early Intervention Scranton Division of Vital Records Room 112 Scranton State Office Building 100 Lackawanna Avenue Scranton, PA 18503 570.963.4595 Services: Birth Certificate Replacement. Open Mon-Fri 8:00-4:30pm Scranton Housing Authority 400 Adams Avenue Scranton, PA 18510 570.348.4400 Services: Public Housing & Section 8 Programs. Must apply for Eligibility Scranton Primary Health Care Center 959 Wyoming Avenue PO Box 31 Scranton, PA 18501 570.344.9684 570.969.9662 88 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 Services: Medical Services, Dental Services. Accepts Access Card (Medicaid). Will help those who cannot afford Medical Services (case-by-case basis). Sliding Fee Scale also Available Social Security Administration 409 Lackawanna Avenue, 1st Floor Scranton, PA 18503 570.342.8062 or 1.800.772.1213 Services: Information & Claim Processing for all Programs Administered by Social Security: Retirement Benefits, Survivor Benefits, Supplemental Security Income Benefits, Medicare, Black Lung Payments, Disability Payments, Social Security Account Numbers St Francis of Assisi Kitchen 500 Penn Avenue Scranton, PA 18509 570.342.5557 (choose option 4) Services: Free Hot Meals Daily between 11:00am-12:00 noon. Evening Meals-Tuesday, Wednesday, & Thursday 5:00pm-6:00pm. Free Clothing Monday 11:00am-12:00 noon St Joseph’s Center Maternity & Family Services 2010 Adams Avenue Scranton, PA 18509 570.342.8379 1.800.786.6346 Services: Housing for Pregnant Women, Mother-Infant Program (For Single, Homeless Women with Babies), Adoption Program, Early Intervention Program, Baby Pantry-Free Baby Clothes (up to size 6), Diapers, Baby Formula/Food, Baby Furnishings *Baby Pantry is located at: 320 South Blakely Street Dunmore, PA 18512 Phone: 570.558.5050 Additional Services: Adult Developmental Training Program; Community Living Arrangements Program (for individuals with medical needs and severe/profound disabilities); Family Aid Program; ICF/MR Program; Respite Care; Supported Independent Living (Persons with MR who have chosen to live on their own) Susan G. Komen Breast Cancer Foundation, NEPA Affiliate 300 Mulberry Street Scranton, PA 18503 570.969.6072 1.877.626.6648 (Mammogram Hotline) Services: Free education and screening to uninsured women who meet eligibility requirements The Leahy Community Health & Family Center 240 Kressler Court Entrance Basement of McGurrin Hall Scranton, PA 18510 89 Lackawanna County, PA Mental Health and Justice Center of Excellence Report, May 2014 570.941.6112 570.941.6165 Services: Free clinic offering health care service to uninsured residents of Lackawanna County United Neighborhood Centers Administration Office 425 Alder Street Scranton, PA 18505 570.346.0759 570.343.8835 Services: Angel’s Attic (Free Clothing & Household Items), Daily Bread Program (Donated Bread & Baked Goods-Distributed at Community Service Center on Olive Street), Child CareBefore/After School Programs for Toddlers to School Age, Condemnation Program-Emergency Short Term Housing for Scranton Residents, Emergency Food Assistance Program, Emergency Services, Fair Housing Education & Outreach Program, One-Stop for Housing Services, Transitional Housing & Support (Homeless Families), Violence Intervention Center-Referral Based Program Anger Management, HIV/AIDS Prevention/Education UPS Store (For Fingerprinting Services) 201 South Blakely Street Dunmore, PA 18512 Must Register BEFORE You Arrive: 1.888.439.2486 Services: Fingerprints Monday-Friday 9:30am-5:00pm. Walk-In (Just call number above to register before arrival) Voluntary Action Center of Northeastern Pennsylvania 538 Spruce Street Scranton, PA 18503 570.347.5616 Services: Recruitment and Referral of individuals for volunteer opportunities; FIRST (Free Information & Referral System Telephone-570.961.1234-24 hour Helpline which provides information to callers and referral services that will best accommodate the needs of the caller Women’s Resource Center PO Box 975 Scranton, PA 18501 570.346.4671 570.346.4460 Services: Women Services-Domestic Violence Crisis Intervention Center, Prevention & Education Programs, Rape Crisis Counseling, Battered Women’s Shelter 90