Juneau Affiliate National Council on Alcoholism and Drug Dependence

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Juneau AffiliateNational Council on
Alcoholism and Drug Dependence
ABOUT NCADD/JUNEAU

• When Marty Mann founded NCADD in 1944, few
  Americans understood that alcoholism is a disease
  and that only heart disease and cancer kill more
  people every year. Because Marty was the first
  woman to stay sober in Alcoholics Anonymous, she
  wanted to share the joy of her recovery. She
  wanted to use the knowledge that she had gained
  to break down the barriers of ignorance and
  stigma that discouraged many people from seeking
  help. Marty Mann dedicated her life to teaching
  the public that alcoholism is a disease, not a
  moral weakness, and that alcoholics are capable
  of recovery.

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NCADD Personnel Program Funding

• Twelve employees and three VISTA positions
• Budget of 1.3 million
• Funding sources include
• -14 Federal, State City grants and
  contracts
• - Robert Wood Johnson Foundation Grant
• - Contract for employee assistance
  programs

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In 2002, NCADD expanded into disease prevention,
health promotion and safety.
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Major Programs
JASAP (Juneau Alcohol Safety Action Program)

• Has assessment and monitoring of alcohol and
  tobacco-related misdemeanor offenders.
• This program assesses 325 adults and 225 teens a
  year.
• The staff monitors court treatment compliance
  monthly.

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Major Programs Continued
THERAPEUTIC COURT

• Administers court and monitors misdemeanor and
  felony DUI clients.
• Staff process and case manage 16 clients in
  coordination with Rainforest Recovery (treatment)
  and Gastineau Human Services (house arrest).

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Major Programs Continued
TOBACCO EDUCATION

• Teens Against Tobacco Use (TATU)
• Juneau Clean Air
• Policy Advocacy
• Tobacco Information School

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Major Programs Continued
YOUTH/SCHOOL-BASED PROGRAMS

• Teens in Action
• Alaska Teen Institute Retreats
• Johnson Youth Center-Good Intentions, Bad Choices
  Class
• Driver Training
• Project Alert
• Student Assistance
• Smoking Cessation
• Reconnecting Youth

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Major Programs Continued
SAFETY

• Statewide teacher training on Protecting You,
  Protecting Me curriculum.
• Court Monitoring-to ensure fair sentencing and
  court awareness.
• Driver Training-teaches new drivers to be safe
  through hands on simulation.
• Pretreatment Education-for DUI and minor
  consuming offenders.
• Victim Impact Panel-presentations for DUI
  offenders.

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Major Programs Continued
INTERVENTION

• Hotline
• Family Intervention
• Aging Intervention Outreach

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Major Programs Continued
INFORMATION

• Video/Brochure Information Library
• Media campaigns
• Health Fairs

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Juneau Youth Services
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Unmet Needs

• Capacity for additional case management services
  for severely mentally ill individuals
• Capacity for additional clinical services for
  severely mentally ill individuals
• Increased capacity for housing with 24-hour
  supervision of persons with severe mental illness.

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JYS Who We Are/Who We Serve

• Mission Statement
• JYS strives to be the most effective integrated
  behavioral health care provider for youth in
  Juneau
• Organizational Values
• Contributing to the community
• Responding to family needs
• Respect for cultural diversity
• Caring for the environment
• Who We Serve
• Children and youth with serious emotional,
  behavioral and mental disorders

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Agency Funders

• State Grants
• Office of Childrens Services
• Division of Behavioral Health
• Division of Juvenile Justice
• City Grants
• Federal Grants
• Runway and Homeless Youth Act
• Medicaid/Denali KidCare

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JYS Programs and Services

• Emergency Services
• Clinical Services
• Long-term Residential Services
• Community-Based Services

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JYS Emergency Services

• Cornerstone Emergency Shelter
• 12 bed co-ed shelter for youth ages 10 to 18
• Mobile Crisis Unit
• Operating 6 nights a week
• Stepping Stone Classroom
• For up to 12 high school/middle school youth

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JYS Clinical Services

• Assessment Center
• Behavioral health assessments
• Risk assessments
• Psychiatric assessments
• Transitional case management
• Chemical Dependency Treatment
• Medication Management

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JYS Long-Term Residential Services

• Miller House
• 15-bed, co-ed program for youth ages 12 to 18
  with behavioral disorders
• Wallington House
• 6-bed program for boys ages 12 to 18 who commit
  sexual offenses
• Lighthouse
• 6-bed program for girls ages 12 to 18 with
  serious emotional and mental disorders
• Montana Creek
• 15-bed, co-ed program for youth with co-occurring
  mental health and substance use disorders

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JYS Community-Based Services

• BASE School Day Treatment Program
• Individualized Services Program
• Family Support Program
• Family Outpatient Services
• Scheduled Respite Services
• Early Childcare Support Services
• Transitional Living Services
• Community Work Service

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Agency Statistics
Number of Clients Served
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Agency Statistics
Ages of Clients
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Agency Statistics
Ethnicity of JYS Clients
Gender of JYS Clients
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Agency Statistics
Primary Diagnosis of JYS Clients
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New Programming Efforts

• Early Childcare Support Services (2005)
• Partnership with Tlingit and Haida
• Montana Creek Residential Program (2006)
• Partnership with SEARHC
• Transitional Living Apartments (2007)

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Unmet Needs

• Therapeutic Group Homes/Therapeutic Foster Care
  for young children
• Increased FASD services
• Increased discharge planning and aftercare
  services
• Staff recruitment and retention

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SEARHC

• Southeast Alaska Regional Health Consortium

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SEARHC Mission Statement

• To provide the highest quality health services in
  partnership with Native people

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Agency Funders

• The Indian Health Service
• Medicaid and Medicare
• Insurance
• Grants

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Behavioral Health Profile

• Service Types and Descriptions
• General Medical Health Care
• Behavioral Health Services
• Case Management

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Behavioral Health Statistics

• Total number of SEARHC Beneficiaries 23,250
• Total number of SEARHC Beneficiaries in Juneau
  area 8159
• Total Behavioral Health visits 2728

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New Programming Efforts

• Developing Community Family Services Worker
  program (CFSW).
• Discovery Day Camp for children of high stress
  families.
• Talking Circles in the community (JYS, AWARE, and
  SEARHC).

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Unmet Needs

• Substance Abuse Services.
• Decrease Waiting List.
• Increase Services for OCS clients.

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Polaris House Clubhouse

• A Place to Belong

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The Mission

• Clubhouses are dedicated to the recovery of men
  and women with mental illness by providing
  opportunities for our members to live, work and
  learn, while contributing their talents through a
  community of mutual support.

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Guaranteed Rights of Clubhouse Membership

• All Clubhouses Guarantee Their Members
• The right to a place to come
• The right to meaningful relationships
• The right to meaningful work
• The right to a place to return

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Funding

• The Clubhouse is funded primarily by the Alaska
  Mental Health Trust Authority
• Polaris House is working toward operating a
  fully functioning employment program
• as a Supported Employment and Prevocational
  Services vendor for DVR

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What Makes This a Model?

• International Standards for Clubhouse Programs
• The International Standards for Clubhouse
  Programs, consensually agreed upon by the
  worldwide clubhouse community, define the
  Clubhouse Model of rehabilitation.
• The principles expressed in these Standards are
  at the heart of the clubhouse communitys success
  in helping people with mental illness to stay out
  of hospitals while achieving social, financial
  and vocational goals.
• The Standards also serve as a bill of rights
  for members and a code of ethics for staff, board
  and administrators.
• The Standards provide the basis for assessing
  clubhouse quality, through the International
  Center for Clubhouse Development (ICCD)
  certification process.

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Some facts about clubhouses

• 400 clubhouses in 30 different countries
• 25 new clubhouses opening each year
• 240 clubhouses belong to the International Center
  for Clubhouse Development (ICCD)
• 150 ICCD Certified Clubhouses

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Agency Statistics
Polaris House has an active membership of 52
individuals with mental illness and/or
co-occurring disorders, and and average daily
attendance of 15-20. In 2004, 54 of the members
were homeless prior to becoming a member. 50 of
the homeless membership had been homeless for
more than 3 years. As of January 2007, 87 of the
original homeless members have been housed and
80 have remained in housing for one year or
longer. The number of homeless members now
represents less than 20 of the membership. As
Polaris House begins to build support around
employment opportunities, job coaching, job
sharing, supported and transitional employment,
we fully expect to see similar successes in the
number of members employed. Polaris House serves
more than 400 meals per month, is open on all
holidays, and provides recreational and social
opportunities outside of the work ordered day.
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Gender Distribution
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Age Distribution of Members
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Diagnoses of Members
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Programs in DevelopmentEmployment
Work is the Heart of the Clubhouse

• Why?
• How does it work?
• What does the Clubhouse Model offer and how is it
  different?

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Vocational Rehabilitation

• If employment causes people with mental illness
  to get sick, what do stigma, homelessness, social
  isolation, and poverty cause?

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Myths About Employment

• Symptoms will increase
• Fact Symptoms reduce and functioning increases
• Will lose benefits
• Fact Benefits can be managed and worker
  increases overall income
• Must work for minimum wage/limited options of
  janitorial and fast food
• Fact People return to original careers of
  choice as well as maintain self-owned businesses

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Unmet Needs
Polaris House must obtain more sustainable
funding. To operate a fully functioning clubhouse
that meets the housing, employment, recreational,
social, and supportive needs of all interested
members, the clubhouse must be adequately
staffed. National data derived from clubhouses
of similar size, have an annual operating budgets
of 350,000-450,000 for cities with the
population the size of Juneau. The services of
Polaris House will continue to be limited
proportionate to its funding support. Polaris
House must continue to create positive
relationships in the business community and
create school, employment, and social
opportunities for members where
possible. Polaris House currently pays a large
portion of operating costs for rental space in
downtown Juneau. Polaris would ultimately
purchase the building currently occupied by the
program, and is actively seeking large capital
for this purpose. Polaris House is one Board of
Directors short of becoming an independent
agency, separate from NAMI Juneau. Board
development is underway. The Board seeks members
with an interest in mental health and substance
recovery, employment, housing, and/or self
sufficiency.
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This artwork belongs to Robert Hooper, Polaris
Clubhouse member. Robert describes this piece as
portraying a significant moment in his own
recovery from mental illness and substance
dependency.
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• Juneau Alliance for Mental Health, Inc.
• Over Twenty Years of Quality Community-
• Based Behavioral Health Care Service

Mission Statement Juneau Alliance for Mental
Health, Inc. is dedicated to the design and
provision of efficient, effective,
person-centered behavioral healthcare solutions
and assisting individuals in maximizing recovery
from mental health and co-occurring disorders.
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Agency Statistics Sources of Funds
Diagnosis Distribution JAMHI clients suffer from
a broad range of disabilities, including
depressive mood disorders and schizophrenia
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JAMHI Profile

• JAMHI provides the following broad range of
  services and supports
• Emergency Services and Crisis Intervention
  (24/7)
• Case Management Services
• Psychiatric and Nursing Services
• General Mental Health Services
• Enhanced Residential Services
• Drop-In Center

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JAMHI Profile

• Emergency Services
• 24 hour Emergency Mental Health Services Provide
  immediate screening and crisis intervention.
• Emergency Services are short-term, intensive
  psychiatric services provided to a person during
  an acute mental health crisis episode.
• Masters or doctorate level Clinicians provide
  services to assess the mental status and risk of
  harm to self or others with referral
  recommendations.
• Emergency response occurs on-site at the Bartlett
  Regional Hospital, JAMHI offices and facilities,
  schools, Juneau Youth Services, Lemon Creek
  Correctional Center, and other local social
  service agencies.

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JAMHI Profile

• Case Management Services
• A team of case managers and clinicians (8 FTE)
  provide community support for severely mentally
  ill clients.
• All case management staff provide on-going
  outreach services and coordination of services
  throughout the community.
• JAMHI provides on-going support to family
  members.
• Case management provides training in life skills
  that encourage independent living.
• General Mental Health Services
• General Mental Health Services include individual
  and group focused/brief therapy and counseling
  through a grant from the City and Borough of
  Juneau.
• JAMHI provides services to approximately 350
  general mental health recipients.

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JAMHI Profile

• Psychiatric and Nursing Services
• Three contracted psychiatrists provide
  psychiatric assessment, medication management,
  and case consultation.
• Psychiatrists are available on an on-call basis
  to the nurse and clinicians for support
  consultations.
• An RN provides nursing services to assess
  clients psychiatric and side effect symptoms and
  to oversee medications provided to clients in
  residential settings
• The nurse provides IM medications to individuals,
  education and support, and can screen for other
  medical and dental needs as required.
• As part of the psychiatric services contract,
  psychiatrists are part of the Emergency Services
  team providing 24/7 on-call services for
  psychiatric level input.

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JAMHI Profile

• Enhanced Residential Services
• Lemon Creek Residential Facilities
• Salmonberry House licensed assisted living home
  serving up to five individuals with severe mental
  illness. (24/7 staff)
• Crisis Intervention Program 5-bed 24 hour
  supportive program
• serving individuals experiencing a psychiatric
  crisis and providing temporary supportive
  services. (24/7 staff)
• Supported Transitional Apartments - provides
  support and skill development to 10 clients
  living in semi-independent transitional
  apartments.
• Salmon Creek Residential Facilities
• 8 Plex for individuals with Co-occurring
  Disorders. Provides full client support
  for chronically mentally ill adults, with severe
  substance abuse issues.
• 8 Plex for Seniors with mental illness and /or
  co-occurring disorders.
• Salmon Creek Housing, Inc. - a group home serving
  
• up to six individuals with severe mental illness
  who
• require support, structure and monitoring. (24/7
  staff)

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JAMHI Profile

• Independent Housing Services
• JAMI Douglas Housing (Douglas Terrace)
  independent housing for up to 15 residents.
• JAMHI also operates over 30 rental units as
  independent dwellings for consumers.
• Drop-In Center
• The client Drop-In center is located at our Group
  Home on the JAMHI Salmon Creek campus.
• The Drop-In center is open from 1200am 200pm
  ever day.
• The center provides a daily light lunch to its
  participants.
• Current rehabilitation and treatment/support
  groups include
• Community living skills
• Interpersonal communication skills
• Personal living skills
• Nutrition and meal planning

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New Programming Efforts

• Crisis Intervention Program
• The goal of the Crisis Intervention Program is
  to reduce symptoms of acute psychiatric crises
  prevent harm to self and others prevent further
  relapse or deterioration of the Clients
  condition and, stabilize the recipient for up to
  a 72 hour stay.
• Provide observation, supervision, and monitoring
  to ensure safety of the client or others (CSDA)
  for up to 14 hours per day.
• Provide case management to access necessary
  supports including appointments with
  psychiatrist, medical doctor, and/or other health
  providers and coordination with landlords and
  entitlement programs as needed (CM) for up to 2
  hours per day
• Provide daily medication administration and
  oversight by JAMHI nurse (MA) for up to 1 hour
  per day
• If client is not currently receiving other JAMHI
  services, coordinate clinical assessment,
  coordinate psychiatric evaluation, and coordinate
  functional assessment as appropriate for intake
  to access continuing JAMHI clinic or
  rehabilitation services
• If client is currently receiving other JAMHI
  services, provide counseling directly related to
  the current crisis.

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Logo here?

• RAINFOREST RECOVERY CENTER
• AT
• BARTLETT REGIONAL HOSPITAL

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RAINFOREST RECOVERY CENTER MISSION STATEMENT

• Rainforest Recovery Center empowers individuals,
  families and community to improve the quality of
  life by providing an array of counseling,
  treatment and support services.
• Guiding Principles
• 1.Rainforest Recovery Center provides services
  for persons with substance use disorders and
  those with co-occurring disorders, with a No
  Wrong Door philosophy.
• 2.When mental health and substance use disorders
  coexist, both disorders are considered primary
  and integrated treatment is recommended, based on
  high and low severity of the substance use and
  psychiatric disorders.
• 3.The core of treatment success is availability
  of empathic, hopeful treatment relationships that
  provide integrated treatment and care
  coordination.
• 4.Delivery of integrated care includes
  recognition of levels of severity, using the
  four-quadrant national consensus model of
  substance use and mental disorders. Treatment
  recommendations, plans, services, and care
  coordination are focused on appropriately
  addressing individual needs from a bio-psycho-
  social perspective.

• 5.While recognizing that there is no one right
  way to provide behavioral health services to all
  people, treatment planning, care coordination,
  and service delivery integrates known best
  practices in the field to achieve the greatest
  likelihood of treatment effectiveness. Rainforest
  Recovery Center practices continuous quality
  improvement efforts aimed at integrating
  diagnosis-specific best practices into the
  provision of care, through research, training,
  and
• implementation, within the system of care.
• 6.Rainforest Recovery Center subscribes to the
  Disease and Recovery Model of chemical
  dependency and mental illness treatment,
  acknowledging that both disorders are primary
  and that treatment must be matched to diagnosis,
  phase of recovery, and stage of change.
• 7.Treatment outcomes are individualized,
  including harm reduction, movement through stages
  of change, changes in type, frequency, and
  amounts of substance use or psychiatric symptoms,
  and improvement in disease management skills and
  treatment engagement.
• 8.Rainforest Recovery Center believes that every
  individual has the capacity for recovery from
  addictions and co-occurring disorders.

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RRC Funders

• RAINFOREST RECOVERY CENTER
• Sources of Funding FY 07

Client Net Revenue 16 BRH/CBJ
Support 46 DHSS Support 38
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RRC PROFILE

• Rainforest Recovery Center provides outpatient
  services that include partial hospitalization or
  day treatment, intensive outpatient, continuing
  care, and relapse prevention. Groups are held in
  the evening and during the day, with treatment
  plans individualized for the special needs of
  each client.
• The residential program is a clinically managed,
  high-intensity program, designed to treat
  individuals who are detoxed and medically stable.
  The residential program provides services mainly
  to individuals with high substance misuse and low
  mental health disorders. RRC has 12 residential
  beds. The program is approximately four weeks in
  length, depending on each individual need.
• All RRC clients are evaluated for substance
  misuse disorders as well as nutritional problems,
  trauma, domestic violence, traumatic brain
  injury, fetal alcohol spectrum disorders, and
  mental health disorders. Appropriate treatment
  and/or referrals are made based on these
  evaluations.

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• RRC clients participate in groups that provide
  information about sexually transmitted diseases,
  HIV and HEP C, as well as domestic violence.
  Appropriate treatment and/or referrals are made
  for individuals requiring additional services in
  any of these areas.
• For both outpatient and residential clients, the
  Family Program provides essential information and
  help to families who are suffering with chemical
  dependency issues. RRC strives to involve
  families, the support of which increases the
  likelihood of recovery.
• All RRC programs consist of group work and
  individual and family and/or couples counseling
  as well as an introduction into the AA/NA
  twelve-step and other community support groups.
  All clients are encouraged to find a temporary
  sponsor and attend twelve-step or other support
  groups regularly.

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• All programs at RRC provide services to
  individuals with histories of trauma, fetal
  alcohol spectrum disorders, traumatic brain
  injury and mental health issues. Treatment plans
  are designed to fit individual needs and to
  increase the likelihood of recovery. Counselors
  are sensitive to clients culture, ethnicity,
  personal values and belief systems and recognize
  the impact that these factors have in recovery.
• Rainforest Recovery Center also provides the
  Emergency Services Program (ESP), or more
  commonly referred to as the sleep off program.
  RRC staff does not provide medical care, but this
  program offers a safe environment for individuals
  who are impaired by the use of alcohol or other
  drugs to rest and regain their ability for
  self-care.
• Individuals who are in ESP and begin to
  experience signs or symptoms of withdrawal or
  experience other serious conditions are taken to
  the emergency room for medical evaluation or, in
  some cases, emergency services are called.

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• RRCs detoxification program is accessed through
  the emergency room at Bartlett Regional Hospital.
  Each client is evaluated by a doctor experienced
  in the treatment of withdrawal. When
  appropriate, individuals are admitted into the
  hospital for medically managed and monitored
  detoxification.
• Individuals who are under the influence of
  alcohol and/or other drugs and are expressing
  suicidal ideation, are placed in an enhanced
  detoxification setting where their safety is
  monitored continuously.
• Patients experiencing mental health problems are
  evaluated by a trained mental health clinician
  and a psychiatric evaluation is completed as
  appropriate.
• Every individual admitted into the detox program
  is met by a social worker of the Bartlett
  Regional Hospitals case management department.
  The social worker will evaluate the patients
  needs and then assist them in accessing the
  services they require or request. Individuals
  who have problems with alcohol or other drugs are
  encouraged to apply for chemical dependency
  treatment and the social worker will assist them
  in the admission, transfer, or referral process.

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RRC Statistics

• Between April 1, 2006 and March 29, 2007, RRC
  admitted
• 104 clients into the residential program,
• with an average of 9 clients since September
  2006
• 384 clients into the outpatient program
• In January 2007, 451 clients attending
  outpatient groups, in February 536, and by March
  28, 2007 611 clients attended outpatient groups.
• 100 patients were admitted into the
  detoxification program

• 971 people used the Emergency Services (or
  sleep-off) Program
• In addition, RRC EMTs transported
• 137 people to the emergency department
• 121 people were taken home
• 85 people were taken to Lemon Creek Correctional
  Center on a 12-hour hold for their personal
  safety
• Bartlett Regional Hospitals emergency department
  treated 798 patients with a primary diagnosis of
  substance abuse

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New Programming Efforts

• Bartlett Regional Hospital and Rainforest
  Recovery Center are in the beginning stages of
  service delivery changes, which will include a
  clearly defined Behavioral Health Program, with
  an even closer relationship with the mental
  health unit.
• Reduction in the wait time for clinical
  assessments and treatment recommendations.
• Respond to the needs of individuals at first
  contact. Service on demand.
• Increase the number of people served.

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Unmet Needs

• RRC has outgrown its facility, which results in
  limitations to the expansion of programs. RRC
  simply has no more room for groups or additional
  staff.
• Funding continues to be a huge problem in
  chemical dependency treatment. The number of
  people requiring services grows rapidly while the
  funding to provide those services continuously
  shrinks.
• The tremendous amount of paperwork that is
  required to provide services restricts the actual
  delivery of services. Treatment needs
  simplification.
• Time in the day for clinical supervision and a
  lot more local, affordable, quality training.

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Gastineau Human Services
http//www.ghscorp.org

• A Chance for Change

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Our Mission Statement

• To serve individuals, their families, and the
  community by providing structured residential
  treatment and employment program opportunities
  with an emphasis on those persons who are
  criminal offenders and/or substance abusers.
• Gastineau Human Services Corporation (GHS) is a
  private non-profit agency dedicated to providing
  the socially stigmatized of Juneau and Southeast
  Alaska opportunities to gain the skills
  necessary to enable them to better themselves and
  the community.
• GHS strives to accomplish its mission through
• Initiating, fostering, and operating programs
  designed to alleviate, treat and prevent
  alcoholism and substance abuse.
• Operating programs designed to provide
  rehabilitation for offenders, and persons with
  Addictions and Mental Health concerns.
• Collaborating with other providers to enhance
  community services and to create new ways of
  addressing unmet needs
• GHS Behavioral Health Services is committed to
  continuous improvement of quality care by leading
  the effort to provide efficient and effective
  delivery of behavioral health services through a
  balance of community needs, consumer needs, and
  available resources.

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Agency Funders

• Department of Health and Social Services
• Department of Corrections
• Alaska Mental Health Trust Authority
• The United Way
• City and Borough of Juneau
• Alaska Housing Finance Corporation
• Individual and Corporate Grants
• Consumer Fees and Other Entities

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• Adult Outpatient Substance Use Disorder Treatment
• Early Intervention
• Outpatient Services
• Intensive-Outpatient Services
• Dual-Diagnosis Capable Programs

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• Transitional Supportive Housing
• Case Management
• Life Skills
• Safe/Sober Environment
• Dual-Diagnosis Capable
• Inclusive Outpatient SA Services

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• Glacier Manor Community Residential Center
• Case Management
• Life Skills
• Anger Management
• Victim Impact
• Re-Entry Program
• Pathfinder House
• Therapeutic Court Case Management
• Offender and Supplemental Supervision Field
  Programs
• Adult Community Work Service

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Other Services

• Adult Music Program
• Cultural Arts Program

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Agency Statistics

• Over 500 Consumers Served in Fiscal Year 2006

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New Programming Efforts

• Enhanced Supportive Transitional Housing Program
  to include provision of mental health services
  and extended case management/rehabilitative
  services
• Outpatient Program
• PTSD and Addictions Option in Outpatient
  treatment utilizing the Seeking Safety Model
• Additional MRT Counselors Certified
• All BH staff completed Traditional Counselor
  Program to enhance cultural sensitivity
• Additional cognitive restructuring groups
• Enhanced Relapse Prevention
• Initiation of music program open to GHS and other
  provider adult clients to learn drumming and
  guitar skills with qualified instructors

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Unmet Needs

• Long term residential adult substance use
  disorder treatment program (6 to 18 months)
• 24 hour behavioral health staff for transitional
  housing services
• Preventative Mental Health Services and
  additional Mental Health Services for populations
  currently underserved due to inadequate funding
• Re-entry Program that includes continued funding
  of enhanced comprehensive case management and BH
  ( substance use, mental health and co-occurring
  disorder) services for incarcerated persons both
  during incarceration and after their return to
  the community
• Changes to laws that bar felons from having their
  rights as citizens restored after they have
  completed their sentence. The denial of felons
  rights and enactment of barriers to life domains
  has been identified by the Natl. Governors
  Association as the 1 threat to public safety in
  our communities