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Humboldt County MIOCR Program

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Humboldt County MIOCR Program More Intensive Options and Creative Responses Program Overview Outcome Data Program Goals Reduce criminal justice costs Promote greater ... – PowerPoint PPT presentation

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Title: Humboldt County MIOCR Program


1
Humboldt CountyMIOCR Program
  • More Intensive Options
  • and
  • Creative Responses

2

MIOCRG PROJECT MANAGERS MEETING October 4, 2001
  • Program Overview
  • Outcome Data


3
MIOCR Team
Sheriff
Program Coordinator
Office Assistant
Mental Health
Clinicians (2)
Substance Abuse Counselor
Case Managers (2)
Probation
Probation Officers (1.5)
4
Program Goals
  • Reduce criminal justice costs
  • Promote greater levels of functioning and
    well-being
  • Maintain public safety

5
Target Population
  • Primary diagnoses - schizophrenia,
    schizoaffective, bipolar and major depression
  • Sentenced or unsentenced
  • Felon or misdemeanant
  • Any crimes (current or past) acceptable
  • Not likely to go to prison
  • Probation jurisdiction

6
Key Values in Wraparound
7
Program Background
  • MIOCR Team conducts screening and consent
    processes
  • Voluntary participation at time of consent
  • Random assignment after consent and further
    assessments
  • Treatment begins in jail (unless just released)
  • 1 year program duration with aftercare

8
Participant Numbers
Targeted 100Pilot Services/Experimental 100St
andard Services/Control
N 34Pilot 32Standard
As of 6/30/01
9
MIOCR Court
  • Therapeutic court -- twice monthly
  • Pilot participants only
  • No adjudication of cases

10
Referrals and Screening
  • Referred and/or screened for program eligibility
    as of 6/30/01 564
  • 15 of those referred are eligible
  • Most common ineligibility reasons
  • released from custody
  • diagnosis inappropriate
  • prison likely
  • no probation jurisdiction

11
Psychiatric Diagnoses at Program Entry
  • Bipolar 39
  • Major Depression 38
  • Psychotic Disorders 9
  • Schizophrenia 8
  • Schizoaffective 6
  • Dual Diagnosis - substances 59
  • Self Report - substances 91

12
Supplemental Measurements
  • Addiction Severity Index
  • administered at program entry and exit
  • measures a variety of variables
  • Problem Situation Inventory
  • administered at program entry and exit
  • measures clients ability to solve problems
  • MIOCR Client Satisfaction Interview
  • administered at 6 months and exit
  • measures satisfaction with program

13
Measurements (continued)
  • Symptom Check List (SCL 90-R)
  • administered at program entry and exit
  • measures 13 kinds of clinical symptoms
  • Consumer Access, Voice and Ownership Interview
  • administered at program exit
  • measures client participation in case plan

14
Jail Days During ProgramPilot and Standard
(most recent 6-month period)
  • Average jail days for pilot 13 days (N30)
  • Average jail days for standard 1 day (N32)

15
Jail Days Pilot at Program End(N16)
  • One year prior to qualifying arrest 1072 days
  • (avg/per pilot 67 days)
  • Year in program 517 days
  • (avg/per pilot 32 days)

16
Jail Days Standard At Program End(N11)
  • One year prior to qualifying arrest 230 days
  • (avg/per standard 21 days)
  • Year in program 49 days
  • (avg/per standard 5 days)

17
Felonies and Misdemeanors Pilots At End of
Program(N16)
  • Felonies
  • one year prior 11
  • during program 5
  • Misdemeanors
  • one year prior 3
  • during program 5

18
Felonies and MisdemeanorsStandards at End of
Program(N11)
  • Felonies
  • one year prior 5
  • during program 1
  • Misdemeanors
  • one year prior 3
  • during program 1

19
Hospital Days
  • Pilot
  • one year prior 19 days
  • during program 10 days
  • Standard
  • one year prior 27 days
  • during program 17 days

20
GAF Scores
  • 28 entry and exit scores on pilots
  • entry score 40.50
  • exit score 49.75
  • improvement of 22.8

21
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