Humboldt County MIOCR Program

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Humboldt CountyMIOCR Program

• More Intensive Options
• and
• Creative Responses

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MIOCRG PROJECT MANAGERS MEETING October 4, 2001

• Program Overview
• Outcome Data

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MIOCR Team
Sheriff
Program Coordinator
Office Assistant
Mental Health
Clinicians (2)
Substance Abuse Counselor
Case Managers (2)
Probation
Probation Officers (1.5)
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Program Goals

• Reduce criminal justice costs
• Promote greater levels of functioning and
  well-being
• Maintain public safety

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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

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Key Values in Wraparound
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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

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Participant Numbers
Targeted 100Pilot Services/Experimental 100St
andard Services/Control
N 34Pilot 32Standard
As of 6/30/01
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MIOCR Court

• Therapeutic court -- twice monthly
• Pilot participants only
• No adjudication of cases

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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

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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

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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

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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

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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)

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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)

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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)

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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

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Felonies and MisdemeanorsStandards at End of
Program(N11)

• Felonies
• one year prior 5
• during program 1
• Misdemeanors
• one year prior 3
• during program 1

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Hospital Days

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

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GAF Scores

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

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