OMH Forensic Housing and Care Coordination Prison Reentry Guiding Principles

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OMH Forensic Housing and Care Coordination
Prison Reentry Guiding Principles

• To engage the community-based mental health
  system and peers in providing pre- and
  post-release services to inmates with mental
  health needs
• To promote access to benefits as an important
  step toward ensuring continuity of care and
  promoting full community reintegration and
  recovery
• To promote systems integration and cross-systems
  coordination and collaboration

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OMH Forensic Housing and Care Coordination
Target Population

• Individuals with Serious Mental Illness (SMI)
  being released from New York State prisons to
  local communities statewide.
• 2,900 inmate-patients with mental illness
  released to the community from Central New York
  Psychiatric Center (CNYPC) in 2009
• 1,000 with Serious Mental Illness

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OMH Forensic Housing and Care Coordination
Overview of Prison Reentry for SMI

• Comprehensive Discharge Planning (CNYPC)
• CNYPC Pre-Release Services
• In-reach Services
• community provider and peer-run
• Dedicated Supported Housing
• Transition to Community-based Services
• CNYPC Pre-Release Services county SPOE NYC
  Reentry Coordination System parole
• Case Management/ACT (ICM / ACT)
• Forensic Case Management Programs (NYC)
• Dedicated Parole Mental Health Caseloads

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OMH Forensic Housing and Care Coordination
CNYPC Persons Served

• Approximately 60,000 inmates in 73 DOCS
  facilities (NYS DCJS, 2008)
• About 7,800 on OMH caseload (13)
• DOCS releases about 27,000 people per year
• 2,900 inmate-patients with mental illness
  released to the community from CNYPC in 2009
• 1,000 with Serious Mental Illness

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OMH Forensic Housing and Care Coordination
CNYPC Persons Served

• 1,000 inmate-patients with SMI released annually
• 51 upstate 49 downstate
• 80 male 20 female
• 75 on psychiatric medication
• Many with co-occurring substance use disorders
  and trauma histories

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OMH Forensic Housing and Care Coordination
CNYPC Corrections-based Services

• Community Mental Health Model
• CNYPC operates mental health services in 29
  correctional facilities/mental health units
  statewide
• Inpatient hospital located in Marcy, NY
• Crisis services, residential services, clinic
  services, medication management
• Special programming

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CNYPC
Upstate
Satellite and Mental Health Units
Clinton
Great Meadow
Albion
Midstate
Auburn
Marcy
Wende
Attica
Five Points
Collins
Willard
Coxsackie
Groveland
Shawangunk
Elmira
Southport
Ulster
Green Haven
Eastern
Downstate
Woodbourne
Fishkill
Sullivan
Satellite Units 15
Mental Health Units 14
Taconic
Bedford Hills
Sing Sing
Bayview
Arthurkill
Updated 03/25/10
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OMH Forensic Housing and Care Coordination CNYPC
Pre-Release Services

• Pre-Release Coordinators
• 25 dedicated staff, serving 29 facilities/mental
  health unit
• Develop comprehensive discharge plans for
  inmate-patients with a mental health level 1 or 2
  (SMI)
• Benefits and Referrals for SMI
• SSI/SSDI
• Medicaid
• Medication Grant Program (MGP)
• Mental Health Housing
• Clinic Appointment
• Case Management

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OMH Forensic Housing and Care Coordination CNYPC
Pre-Release Services

• Primary Therapists
• Develop plans for inmate-patients with a mental
  health level of 3 or 4
• Plans may include Medicaid, MGP and clinic
  appointment

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OMH Forensic Housing and Care Coordination CNYPC
Reentry Programming

• Community Orientation Reentry Program (CORP)
• Sing Sing Correctional Facility 31 participants
• 90 Day Prior to Release / In-reach Program
• Community Providers Staff including Peers
  (Project Renewal, HALI, Howie T Harp)
• Hands Across Long Island
• Drop In Center
• Entitlement Specialist (CUCS)
• 9/05-8/10 87 SSI/D eligibility
  determination

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OMH Forensic Housing and Care Coordination CNYPC
Reentry Programming

• Safe Transition Empowerment Project (STEP)
• Bedford Hills Correctional Facility 36
  participants
• 90 Day In-Reach
• Entitlement Specialist
• 3-6 month intensive case management and
  psychiatry in community post-release provided by
  Project Renewal, Inc.
• Forensic Peer Specialist provided by Howie T Harp
  Peer Advocacy Training Center
• In-reach
• Community support

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OMH Forensic Housing and Care Coordination OMH
Reentry Programming

• Parole Support Treatment Program
• Jointly funded by NYS OMH NYS DOP
• Offers
• 50 units of scattered site transitional supported
  housing
• A team approach to support services that
  includes
• Part-time Psychiatrist Nurse
• Intensive Supportive Case Managers
• Residential Counselors
• Peer Specialists
• -and-
• 10 units of scattered site permanent housing for
  graduates of PSTP

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OMH Forensic Housing and Care Coordination
Parole Support Treatment Program

• Serves parolees being released to NYC with a
  minimum of 12 months on parole, regardless of
  criminal background
• 56 have a history of Violation of Parole
• 82 have been convicted of violent crimes
• Works in close collaboration with NYS Division of
  Parole
• Connects participants to the full range of
  community based health, mental health, substance
  abuse, and employment services
• Assists participants in developing crucial ADL
  skills, including structuring their leisure time
• Assists participants in securing long term
  community based housing

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OMH Forensic Housing and Care Coordination OMH
Reentry Programming

• OMH Forensic Case Management Team
• Dedicated team providing transitional (6-9
  months) case management to SMI prison releases to
  NYC
• 6 Intensive Case Managers one operating out of
  Bellevue Shelter dedicated to homeless men
• 2 Supportive Case Managers
• Operates out of South Beach Psychiatric Center

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OMH Forensic Housing and Care Coordination
Dedicated Supported Housing (n186)

• Project Renewals Parole Support and Treatment
  Program (PSTP) 50 transitional units 10
  permanent graduate units
• The Bridges Iyana House 16 units
• Downstate Supported Housing (102 units in NYC)
• 6 The Bridge 6 Postgraduate Center for
  Mental Health
• New 90 Unit RFP Released 4/25/11
• Upstate Supported Housing (8 units 4 Monroe 4
  Orange)
• Catholic Family Center
• Occupations Inc.
• Rehabilitation Support Services

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OMH Forensic Housing and Care Coordination
Forensic Peer Specialist Program

• NEW!! - Funding FPS Program Coordinator from
  NYAPRS to develop a statewide Forensic Peer
  Specialist Program to facilitate linkage of
  forensic peer specialists to residents of OMH
  forensic supported housing units.
• Peers will provide in-reach services as well as
  peer bridger services in the community

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OMH Forensic Housing and Care Coordination
Dedicated Parole MH Caseloads

• Memorandum of Understanding (MOU) between OMH and
  NYS Division of Parole to establish Dedicated
  Parole Mental Health Caseloads
• Facilitate cross-training for both parole
  officers and housing / service providers
• Establish protocols for coordinating placement of
  high risk / high need individuals

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OMH Forensic Housing and Care Coordination
Transition to Community

• Single Point of Entry/Access System (SPOE/SPOA)
• Work with CNYPC Pre-Release Coordinators
• NYC Reentry Coordination System (RCS)
• Director of Community Services/Mental Health
  Commissioner
• Conference of Local Mental Hygiene Directors
• DCJS Reentry Task Forces

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OMH Forensic Housing and Care Coordination
Reentry Coordination System (RCS)

• Centralized referral system for individuals with
  SMI getting released from NYS prisons to NYC.
  Operates like Single Point of Access (SPOA)
• Administered by the Center of Urban Community
  Services (CUCS) for OMH
• 3 Components
• RCS for Housing
• RCS for ACT / Case Management
• RCS for Outpatient Clinic Appointments

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OMH Forensic Housing and Care Coordination
Reentry Coordination System (RCS)

• RCS for Housing (2009)
• Manages access to dedicated OMH forensic housing
  in NYC for individuals who are SMI
• Provides referrals to MH housing for any SMI
  inmate being released to NYC in need of housing
• Manages the video-conference interviews to
  increase access to housing for inmates prior to
  release

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OMH Forensic Housing and Care Coordination
Reentry Coordination System (RCS)

• RCS for CM / ACT / Outpatient Treatment (2010)
• Manages access to MH Forensic and Community Case
  Management and ACT services
• Provides referrals to outpatient treatment at
  downstate Outpatient Clinics if the Pre-Release
  Coordinators (PRCs) were unable to obtain
  appointment prior to release (April 2011)

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OMH Forensic Housing and Care Coordination
Reentry Coordination System (RCS)

• Forensic Mental Health Housing Options
• 178 dedicated forensic housing units in NYC
• Project Renewals Parole Support and Treatment
  Program (PSTP)
• The Bridges Iyana House
• Postgraduate Center for Mental Health The
  Bridges FHI units
• - 90 Forensic Supported Housing Reentry
  Units---RFP just released
• 200 units for individuals with SMI
• Inmate-patients from state prisons are one
  priority population
• Other MH housing 7,100 units not including
  NYNY I/II units

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OMH Forensic Housing and Care Coordination
Reentry Coordination System (RCS)

• Housing Outcomes
• 157 Applications Received (7/1/09 6/30/10)
• 58 Housed
• 79 in supportive housing
• 8 Pending (waitlisted)
• 8 Not Released due to PC Admission
• 26 Refused, Whereabouts Unknown, Re-
  incarcerated

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OMH Forensic Housing and Care Coordination
Reentry Coordination System (RCS)

• CM / ACT Outcomes
• 112 Applications Received (11/1/10 - present)
• 59 Enrolled
• 65 ICM, 1 ACT
• 25 Pending Release Date
• assigned 30 days prior to release
• 10 Closed Not Eligible, INS Custody, Lost
  Parole Date,
• Client Choice to
  Withdraw
• 6 Discharged from CM
• 3 Graduated/Transferred to other community
  services
• 2 Hospitalized
• 2 Whereabouts Unknown

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OMH Forensic Housing and Care Coordination
Reentry Coordination System (RCS)

• Key Features of RCS
• Guaranteed Housing Interview (Videoconference)
  prior to release
• ICM or ACT team assigned prior to release
• Clinic Appointment Guaranteed within 2 weeks of
  release
• Training Technical Assistance to Pre-Release
  Coordinators (PRCs) and Housing Providers
• Case Planning Meetings if rejected by 3 Housing
  Providers

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OMH Forensic Housing and Care Coordination
Contact Information

• Wendy Vogel, OMH
• wendy.vogel_at_omh.ny.gov
• Lori Schatzel, OMH
• lori.schatzel_at_omh.ny.gov
• Suzanne Smith, CUCS
• ssmith_at_cucs.org