Developing Collaborative Comprehensive Case Plans: A Web ...
Transcript of Developing Collaborative Comprehensive Case Plans: A Web ...
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October 10, 2017
Developing Collaborative Comprehensive Case Plans:
A Web-based Tool
BroughttoyoubytheNationalReentryResourceCenterandtheBureauofJusticeAssistance,U.S.DepartmentofJustice
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Introductions01
Collaborative Comprehensive Case Plans Web Page
02
Bridgeway Recovery Services, Inc., Salem, Oregon: Interagency Collaboration
03
OVERVIEW
04Franklin County Sheriff’s Office, Greenfield, Massachusetts: Staff Training
Overview of SCA COD Grant Track and Primary Challenges
05
06 Questions and Answers
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SpeakersAndreBethea,PolicyAdvisorforCorrectionsBUREAU OF JUSTICE ASSISTANCE, U.S. DEPARTMENT OF JUSTICE
SarahWurzburg,DeputyProgramDirectorTHE COUNCIL OF STATE GOVERNMENTS JUSTICE CENTER
TinaBialas,ClinicalSupervisor,CorrectionsProgram,andDirector,BehavioralHealthBRIDGEWAY RECOVERY SERVICES, INC., SALEM, OREGON
LevinSchwartz,AssistantDeputySuperintendent,ClinicalandReentryServicesFRANKLIN COUNTY SHERIFF’S OFFICE, GREENFIELD, MASSACHUSETTS
CouncilofStateGovernmentsJusticeCenter|3
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Bureau of Justice Assistance
CouncilofStateGovernmentsJusticeCenter|4
Mission: toprovideleadershipandservicesingrantadministrationandcriminaljusticepolicydevelopmenttosupportlocal,state,andtribaljusticestrategiestoachievesafercommunities.
TheSecondChanceActhassupportedover$300millioninreentryinvestmentsacross
thecountry https://www.bja.gov/
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Nationalnonprofit,nonpartisanmembershipassociationofstategovernmentofficials
Representsallthreebranchesofstategovernment
Providespracticaladviceinformedbythebestavailableevidence
CouncilofStateGovernmentsJusticeCenter|5
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National Reentry Resource Center
• AuthorizedbythepassageoftheSecondChanceActinApril2008• LaunchedbytheCouncilofStateGovernmentsinOctober2009• AdministeredinpartnershipwiththeBureauofJusticeAssistance,U.S.DepartmentofJustice
• TheNRRChasprovidedtechnicalassistancetoover600juvenileandadultreentrygranteessinceinception
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Introductions01
Collaborative Comprehensive Case Plans Web Page
02
Bridgeway Recovery Services, Inc., Salem, Oregon: Interagency Collaboration
03
04Franklin County Sheriff’s Office, Greenfield, Massachusetts: Staff Training
Overview of SCA COD Grant Track and Primary Challenges
05
06 Questions and Answers
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68CountyGrantees22StateGrantees5JuvenileGrantees3 TribalGrantees
SCA COD Grant Program96 AWARDS ACROSS THE NATION
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Primary Challenges in the Field
• Targeting Criminogenic Risk
• Addressing criminogenic risk factors in the correctional facility and the community
• Incorporating Assessment Information into Case Plans
• Utilizing the assessment information for BOTH behavioral health criminogenic risk in case plans
• Defining lead case planner at an agency and outlining case conferencing procedures
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Collaborative Comprehensive Case Plans (CC Case Plans)
• Collaborative: all agencies involved in a participant’s reentry and recovery processes work together and with the participant and their support system throughout the case planning process.
• Comprehensive: information from behavioral health assessments, criminogenic risk assessments, trauma screens and other important information is combined in the case plan in a balanced manner.
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FY17 SCA COD Solicitation CC Case Plans Requirement
• Case planning that incorporates criminogenic risk and behavioral health needs is a continuing challenge for the field
• Under the FY17 SCA COD solicitation, applicants must “Develop reentry case plans that incorporate the results for risk and needs assessment, substance use disorders, and mental disorders to develop supervision and program components.”
• The CSG Justice Center web page is designed to support grantees in developing and implementing CC Case Plans
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Introductions01
Collaborative Comprehensive Case Plans Web Page
02
Bridgeway Recovery Services, Inc., Salem, Oregon: Interagency Collaboration
03
04Franklin County Sheriff’s Office, Greenfield, Massachusetts: Staff Training
Overview of SCA COD Grant Track and Primary Challenges
05
06 Questions and Answers
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Web-Based Tool to Support Case Planning
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Behavioral Health/Criminal Justice Framework: Basis for the Development of Case Plans
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10 Key Priorities for CC Case Plans1. Interagency Collaboration and Information-Sharing
2. Staff Training
3. Screening and Assessment
4. Case Conference Procedures
5. Participant Engagement
6. Prioritized Needs and Goals
7. Responsivity
8. Legal Information
9. Participant Strengths
10. Gender Considerations
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1. Interagency Collaboration and Information-Sharing
• Casemanagementteamsshouldincluderepresentativesfromcriminaljustice,behavioralhealth,andsocialserviceagenciesinthecaseplanningprocesstoensurethatparticipants’criminogenicriskandneedsandbehavioralhealthneedsareaddressedinabalancedmanner
• Information-sharingshouldoccurfrequentlytoensurethatassessmentresultsandotherimportantinformationisaccurateandup-to-date
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2. Staff Training
• Staffonthecasemanagementteamshouldreceivetrainingintherisk-need-responsivity(RNR)modelandbehavioralhealthrecoveryprinciples
• Identifyopportunitiesforcross-trainingonthesetopics
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3. Screening and Assessment
• Agenciesshouldusecriminogenicrisk,substanceusedisorder,andmentalillnessscreensandassessments
• Assessmentresultsaidindevelopmentofcaseplans
• Identifyopportunitiesforobtainingassessmentdatathroughinformation-sharing
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4. Case Conference Procedures
• Agenciesshouldmeetregularlywithparticipantsandwithcasemanagementteamstoreviewcaseplansanddiscusschangesinparticipants’needsorgoals
• Determinefrequencyandpurposeofthecaseconferences
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5. Participant Engagement
• Agenciesshouldactivelyinvolvetheparticipantandtheparticipant’ssupportsysteminthecaseplanningprocess
• Programsincreasinglyusepeerrecoveryspecialistsorpeermentorstoenhanceengagement
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6. Prioritized Needs and Goals
• Participantshavemultipleneedsandgoalstobebalanced.Itiscriticaltoprioritizeneedsthatdecreasetheriskofrecidivism,improvehealth,andensurepublicsafety
• Assessmentinformationcanhelpagenciesdeterminewhichneedstoprioritize
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7. Responsivity
• Responsivityrequiresaperson’sabilitiesandlearningstylestobeconsideredwhendesigningservices.Assessmentinformationcanidentifykeyresponsivityconsiderations
• Generalresponsivity:usinginterventionstoaddresscriminogenicriskfactorssuchascriminalthinking
• Specificresponsivity:modifyinginterventionstoaccountforaperson’slearningstyle,motivation,orcultural,ethnic,orgendercharacteristics
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8. Legal Information
• Leadcaseplannersshoulddocumentparticipants’legalinformationthatcanimpactsupervisionplans,conditionsofrelease,courtparticipationrequirements,oraccesstohousingandemploymentprograms
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9. Participant Strengths
• Leadcaseplannersshouldidentifythestrengthsorprotectivefactorsofparticipantsanddocumentthesestrengthsincaseplans
• Knowingparticipants’strengthscanhelpdeterminewhichevidence-basedinterventionscanbuildonthosestrengthstopromoterecoveryandsuccessfulreentry
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10. Gender Considerations
• Leadcaseplannersortheirpartneragenciesshoulduseagender-responsiveapproachintheirprogramming,includingscreeningandassessment,casemanagement,andspecificinterventionstailoredtotheneedsofwomen
• Caseplansshouldincludespecificconsiderationsthatcannegativelyimpactwomen’ssuccessinreentryordiversionprogramming,suchaschildcustodyissues,concernsabouttheirfinancialsituation,orpasttrauma
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Introductions01
Collaborative Comprehensive Case Plans Web Page
02
Bridgeway Recovery Services, Inc., Salem, Oregon: Interagency Collaboration
03
04Franklin County Sheriff’s Office, Greenfield, Massachusetts: Staff Training
Overview of SCA COD Grant Track and Primary Challenges
05
06 Questions and Answers
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The Golden Thread in a Collaborative, Corrections-Specific, Co-Occurring
Treatment Planning WorkflowTina Bialas, Director of Behavioral Health Services
Clinical Supervisor, Corrections ProgramsBridgeway Recovery Services, Inc
Salem, Oregon
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Bridgeway Recovery Serviceswith the Marion County Reentry Initiative (MCRI)NOTABLEFEATURES
• TheMarionCountySheriff’sOfficeinSalem,OregonwasaSecondChanceActReentryProgramforAdultswithCo-occurringSubstanceUseandMentalDisordersgranteeinFiscalYear2013
• Jurisdictiongeography:(Urban,336,316residents)
• Sizeofcorrectionalfacilitiesandpopulationsincarcerated:415menandwomenatMarionCountyJailand2,194menatOregonStatePenitentiary
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Bridgeway Recovery Services, IncSalem, Oregon• BRS Corrections Team serves about 250 corrections-involved clients each month
• Risk Levels on the Level of Service/Case Management Inventory (LS/CMI): Medium-30%; High-55%; Very High-15%
• Co-Occurring (Link Up) program clients includes almost 30% Very High and almost 30% with Sex Offense Histories
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Referral
• Developworkingrelationshipwiththereferringentity(Probation/Parole;DepartmentofCorrections)
• Makesurethattheformsusedcaptureimportanteligibilitycriteriaandguidethereferents
• Empowertreatmentstaffincludingfrontdeskandcounselorstorequireneededinformationaspartoftheintakeandassessmentprocess
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Assessment
• AssurethatAssessmentdocumentandintakescreenscaptureRisk,Need,Responsivityspecificinformation
• Risk:CriminalHistory,mostrecentincarcerations.RisktoRecidivateasreportedbyreferent(LS/CMI)
• Needs:SubstanceAbuse,CriminalAttitudes(TCU-CTS),family/associates,educationandemploymentstatusorsupportsrequired
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Assessment
• Assure that Assessment document and intake screens capture Risk, Need, Responsivity specific information• Responsivity:Gender,StageofChange/Motivation(URICA),
LearningStyle,Race/Cultural,mentalhealth,appropriatefitwithserviceprovider
• StaffTraining:UnderstandingR/N/R;RecidivismRiskLevels;CriminalThinking/Beliefs/Attitudes;IncorporatingcollateralinformationfromCorrectionsstaff
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Treatment Planning
• Staff training on crafting Measurable Objectives specific to Criminogenics and how this relates to improved client outcomes
• Target highest R/N/R domains in the Treatment Plan• At BRS, this typically is Criminal Thinking, lack of pro-social support, need to increase daily
structure, A&D use, unstable mental health status, and lack of employment• Client should always be included in the treatment planning process. Take into account their stage
of stage (SOC) in timing of interventions• Individualize the services and supports on the treatment plan• Utilize gender-specific, evidence based group modalities in treatment planning
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Collaboration – a key component
• Treatment staff need documents such as the LS/CMI from Corrections staff to guide incorporation of criminogenics into the treatment/case plan
• Corrections staff need copies of the treatment plan to inform their own case plans
• Conduct multi-system,in-person, regular staffings for up to date information sharing and brainstorming regarding client needs, challenges and progress
• Cross-train: treatment can inform on impacts of trauma/mental health/addiction on client functioning; corrections can inform on criminogenics/history of client
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Collaboration – continued
• Clientscanpresent/reportdifferentlytoeachpartner- staffings allowforsharingofobservationsofclientthatcaninformhowsupportsandinterventionsareutilized,toincludemodificationstotreatment/caseplans
• Recoverymentorscanprovidein-person,real-timeupdatesonclientstatusinbetweenscheduledstaffings
• Recoverymentorsplayakeyroleinsupportingclientsinreportingdirectlytotheirprobation/paroleofficerwhenstrugglingorinneedofadditionalsupports
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Collaboration - continued
• Utilizemultiplecommunicationmodalities
q emailsandphonecallsfortimelyupdatesqWeeklywritten,briefsummariesqMonthlystatusreportsthatincludeattendance,bioassaysq Regularin-personstaffings
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BRIDGEWAYRECOVERYSERVICES,INC. Weekof:________________________Attn:P.O.NAMESHERELink-UpWeeklyStatusperBRSMentor
Name BRS# SID# Mentor Counselor ClientProgress/Summary
Example of weekly progress summary
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The Golden Thread, revisited
• Integration begins at the systems level-build relationships with community partners and share information
• Screening and assessment of both A&D and MH issues ideally done by one provider
• Treatment planning is collaborative, inclusive of A&D, MH and other Criminogenic Risks/Needs; incorporate information from Corrections. Measurable Objectives should be specific and address target Risk/Need factors
• Utilize peer mentors to link clients to community supports, provide pro-social modeling, and reinforce positive behaviors
• Deliver co-occurring services, attending to gender and risk levels, utilizing EBP’s geared to corrections-involved populations
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Introductions01
Collaborative Comprehensive Case Plans Web Page
02
Bridgeway Recovery Services, Inc., Salem, Oregon: Interagency Collaboration
03
04Franklin County Sheriff’s Office, Greenfield, Massachusetts: Staff Training
Overview of SCA COD Grant Track and Primary Challenges
05
06 Questions and Answers
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Franklin County Sheriff’s Office
NOTABLEFEATURES
• TheFranklinCountysheriff’sOfficeinGreenfield,MassachusettswasaSecondChanceActReentryProgramforAdultswithCo-OccurringSubstanceUseandMentalDisordersgranteeinFiscalYear2013
• Jurisdictiongeography:(Rural,71,372residents)
• Sizeofcorrectionalfacilitiesandpopulationsincarcerated:250men
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Franklin County House of Correction
Greenfield MA
LevinSchwartz,LICSW
AssistantDeputySuperintendent,Clinical&ReentryServices
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Goodprogramsstandonscienceandtheory
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Risk,Need,Responsivity
(RNR)
Systems-BasedReentryServices
CognitiveBehavioralTherapy
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CBTinterventionthroughthelensofRNR
•Treatmentthatteachesskillstochangewaysinwhichonerespondstocognition.
• Cognitiveappraisalsà emotional&behavioralresponsesà canleadtocriminality.
RNRTARGET
AntisocialCognitions
CognitiveBehavioralTarget
AntisocialCognitions
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CognitiveBehavioralTreatment
CBTTreatment
SkillsTeaching
CognitiveModification
ExposureProcedures
ContingencyProcedures
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3rd WaveCBTTreatment
Acceptance Mindfulness
CBTTreatment
SkillsTeaching
CognitiveModification
ExposureProcedures
ContingencyProcedures
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Dialectics
Acceptance Change
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BehaviorinContext
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MediumSecurityTreatmentUnit HighlyStructuredEnvironmentwithIntensiveProgramming PodA:Orientation PodC:Pre-Trial PodD:MediumSecurityTreatmentUnit
MinimumSecurityTreatmentUnit ContinuedTreatment MoreVocationalTrainingOpportunities
KimballPre-ReleaseHouse TransitioningTreatmenttotheCommunity FocusonJobPlacement
GPSBracelet IntegrationintotheCommunitywithContinuedSupervision
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Classification&Reentry
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MediumSecurityPodC:Pre-Trial
PodA:AccountabilityUnitPodD:IntensiveTreatment
Unit MinimumSecurityTreatmentUnit Pre-Release
HouseHighlyStructuredEnvironmentwithIntensiveClinicalProgramming ContinuedTreatment
MoreVocationalTrainingOpportunities
TreatmenttotheCommunityFocusonJobPlacement
TreatmentContinuum
ReentryServicesOutreachCase
Workers
PostReleaseCaseWork
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StaffTraining
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AcademyTraining
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RiskNeedResponsivityTraining
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SelfCareStrategies
PhysiologyofAddiction
TraumaInformedCare
QuarterlyTraining
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QuarterlyTraining
MotivationalInterviewing
T4C
DBTACT
Mindfulness
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DailyPost-ReleaseReentry
Meeting
MediumSecurityUnitMeetings
DBTTeamMeetingClinicalMeeting
Minimum/Pre-ReleaseUnitMeetings
Reinforcingstaffskills
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MonthlyDBTCasePresentations
MonthlyTrainingDidactics
WestfieldStateUniversity
Collaboration
Reinforcing&TeachingStaffSkills
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Trainingfuturetreatmentproviders
CouncilofStateGovernmentsJusticeCenter|63
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Introductions01
Collaborative Comprehensive Case Plans Web Page
02
Bridgeway Recovery Services, Inc., Salem, Oregon: Interagency Collaboration
03
04Franklin County Sheriff’s Office, Greenfield, Massachusetts: Staff Training
Overview of SCA COD Grant Track and Primary Challenges
05
06 Questions and Answers
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Contact information
AndreBethea,PolicyAdvisorforCorrectionsTheBureauofJusticeAssistance,[email protected]
SarahWurzburg,DeputyProgramDirectorTheCouncilofStateGovernmentsJusticeCentermstovell@csg.org
TinaBialas,ClinicalSupervisor,CorrectionsProgram,andDirector,BehavioralHealthCorrectionsProgram,andDirector,BehavioralHealthBridgewayRecoveryServices,Inc.Salem,[email protected]
LevinSchwartz,AssistantDeputySuperintendentFranklinCountySheriff’sOfficeGreenfield,[email protected]
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CouncilofStateGovernmentsJusticeCenter|66
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Formoreinformation,[email protected]