Release and Reintegration Services Minnesota Department of Corrections Jolene Rebertus, MA, LPC...
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Transcript of Release and Reintegration Services Minnesota Department of Corrections Jolene Rebertus, MA, LPC...
Release andReintegration
Services
Minnesota Department of Corrections
Jolene Rebertus, MA, LPC Phoua Vang, MA Jim Myhre, LADC
Release and Reintegration Specialists
Release Planning in Behavioral Health
Approach Prevention through planning and action
MN DOC Release Planners SPMI SO CD Medical TBI
SPMI Release Planning
Function as a mental health practitioner Assess and review client management needs Create individualized discharge plan aimed at
successful integration into the community
Introduction
Significant increase in awareness of number of mentally ill offenders in prison population
Results in homelessness, unemployment, hospitalizations, subjection to abuse and exploitation, alcohol and drug dependence
Introduction
2002, MN State Legislature passed law requiring mental health release planning for all SPMI offenders Community mental health services preplanned
prior to release
Importance of Mental Health Release Planning Services Enhance community safety Reduce recidivism Meet state legislatively mandated laws Provide advanced notification to community
social service agencies
Importance of Mental Health Release Planning Services To ensure offender access to state, county,
and federal health care Transition mental health services from prison
to community Medically based treatment that supports
court’s objectives and conditions for release Best possible aftercare for SPMI offenders
Definition of Serious and Persistent Mental Illness (SPMI) A person has diagnosis of:
Schizophrenia Bipolar Disorder Major Depressive Disorder Borderline Personality Disorder Schizoaffective Disorder
How to identify? Past records
Pre-sentence investigations Clinical records Case notes Police reports
Offender interview Have you ever been hospitalized? Have you seen a counselor or therapist? Do you have a mental health diagnosis?
Medications?
Mental Health Release Plan
Begin working with offender 120 days prior to release
Voluntary Service Limits of Confidentiality Assessment of need completed Obtain emergency contact, recreational
activities, etc.
Mental Health Release Plan
County Mental Health Case Management Rule 79 Assessment
Each county has their own rule 79 assessment Certifies a person with a serious and persistent mental illness
County involvement important in order to assist with connecting offender to community mental health resources Day tx. MI/CD groups Vocational programming Housing Funds
Mental Health Release Plan
ARMHS-Adult Rehabilitative Mental Health Services Medical Assistance required Intensive Community services that focus on
offender’s mental health stability in community
Mental Health Release Plan
MN Department of Economic Assistance GAMC (expired 02/28/11) MN Care MA Expansion (March 2011) SMRT Food Stamps Personal Needs Money
Mental Health Release Plan
Financial Benefits-Social Security Multi-stage process
Referral phone call to SSA representative at 120 days SSI phone interview with offender in prison Completion of important paperwork Possible psychiatric evaluation SSI provide a means of support to pay for housing, food,
and increase the offender’s health insurance coverage
Mental Health Release Plan
Housing Placement SPMI release planner involved in order to find
appropriate housing Rule 25 assessment for MI/CD programming Collaboration with various providers
Community agencies Case manager Housing manager Economic Assistance
DOC case manager Field agent
Mental Health Release Plan
Community appointments Outpatient Psychiatry-medication monitoring Outpatient Psychology-primary therapist Community Treatment Program
Sex offender MI/CD DBT Day treatment
Mental Health Release Plan
Prevention Plan Reviewed and processed with the offender
To improve his/her cognitive thinking skills Build self-confidence in managing their mental health in
the community
Sex Offender Release Plan
Philosophy Release planning starts at program admission Re-entry services is provided in an inside-out
manner Community resources are brought into the institution Interagency collaboration establish pre-release
Sex Offender Release Plan
Release Planners in SOTP: Educate and motivate offenders in assessment
phase Assess and review continuum of care needs Act as a resource Ensure safe continuum of care plan
SOTP Transitions
4 - 6 months prior to release 1.5 hours, 4 days per week for 12 weeks
SOTP Transitions
Guest speakers & Topics Community notification & registration Supervision Civil comm. procedures Housing resources and program expectations Vocational Parenting, visitation & family reunification Outpatient treatment Support groups Credit counseling & child support
SOTP Transitions
Support Person Education Sessions Members of offenders support network
Family, friends, sponsors, mentors, pastors Held in institution visiting area during non-visiting
days Large group discussion (all offenders and guests) Small group discussion (therapist, offender & his
guests)
Sex Offender Release Planning Release Planning Session
Supervising Agent SOTP therapy staff DOC Case Manager Community support people
Discuss tx. progress and concerns Review and modify release plan Goals and rec. for release Rules & regulations of release
Sex Offender Release Plan
Offender Participates in putting the plan together
Directed by housing placement Identify resources:
Assistance needs (medical, financial, etc.) Continuing treatment resources Support groups Leisure, education, community involvment
Sex Offender Release Plan
OBSTACLES Limited resources for residency Delays in civil commitment determination Lack of healthy support resources Limited funds Lack of transportation
Chemical Dependency Release Plan Basic Approach
Actively work toward creating a community release plan by identifying supportive services, and utilizing all available resources offered by the Department of Corrections
Prioritizing CD Services
HIGH, MEDIUM, or LOW CD assessment DWI offense LSI Score MNSOST-r Score Assault, harm, weapon Mental health TBI Developmental Disability
Chemical Dependency Release plan Release Planning Clientele
Offenders participating in CD programs Offenders releasing directly into the community 6 months prior to release
Other Planning Strategies
Early Release Programs ICWC Work Release Minimum Security
Offenders in the General Population Courtesy Rule 25’s
Chemical Dependency Release Plan Multi-disciplined Approach
Offender involvement Assess and review client management needs
Case managers Supervising agents LSI domains CD Comprehensive Assessment Staff review and consult County input – Rule 25
Create individualized discharge plan aimed at successful reintegration into the community
Chemical Dependency Release Plan Addressing Other Needs
Sober housing Medical Mental health Employment Family and community support system Personal needs Leisure and recreation
Chemical Dependency Release Plan Integration of Community Services
County Human Services Social Services Re-Entry Service Agencies
CORP – Duluth Wilder Foundation – St. Paul HIRE – Minneapolis Workforce Centers Easter Seals – Twin Cities, Rochester, Wilmar Central MN Re-Entry Project – St. Cloud & Central MN
Summary and Key Points
Frequent communication with various parties Within Department of Corrections Community agencies Field agents