“When you realize that clients are not just survivors but really resilient and are

capable of incredible improvement in their lives; there is nothing more

rewarding and satisfying than that.” -John Paul Sharp

Kathryn Kite: Coordinator of Homeless ServicesJennifer Alderman: Coordinator of Housing Voucher, CRS, Kenyon

HouseSound Mental Health

Seattle, Washington, USAkathrynk@smh.orgjennifera@smh.org

Sound Mental HealthOur Mission is to strengthen our community

and improve the lives of our clients by delivering excellent health and human services tailored to meet their needsMental HealthChemical DependencySound WorksHousingWellness

2009 Adult and Youth Census – 15,500

The Catalyst Mentally ill person murdered a retired Seattle Fire

Chief

Resulted in the implementation of: Mental Health Courts Hospital Triage Center A State Reentry Pilot Project

(Forensic Intensive Reintegration Support and Treatment)

SMH staffed these courts, developed the pilot project and decided that was not enough.

Discovering the Problem

70% of the mentally ill never receive treatment

75% with addiction problems go untreated

83% females and 71% males left school before age 16

50% were unemployed at the time of crime

80% meet the definition of homelessness

Designing a Solution

Mentally Ill Offender Community Transition Program

The legislators liked what we accomplished and developed additional Senate bills using our design.Offender reentry Community Safety ProgramReentry Housing Pilot ProjectDepartment of Social and Health Services ReferralsDepartment of Corrections Liaison

Bridging the GapsShifted paradigms

Department of Corrections and PoliceHousing

Challenged funders “take your money back”

Included the now obvious

Our BragWe challenged the system and

implemented what is now considered statewide forensic best practices.

We have grown from:25 ex-offender consumers to 3,5002.5 forensic specialists to 78

Expanded revenue resources from $500,000 to $8 million

Our Forensic Contracts

U.S. Federal Pre-trial, and Post-trial

State Prison Programs

Regional and Municipal Courts and Jail Liaisons

Work release/alternatives to incarcerations

Community Corrections Alternative Programs

Our ConsumersWe work with those who are:

Incompetent to stand trialHigh need, e.g., have 7 or more

incarcerations in one year Under court and/or state jurisdictionsMulti needs, no supervision, homeless, drug

addicted, psychotic, and medically compromised

Pre-trial DiversionPost-trial

Deborah

“ I told the ladies in the jail I was discovered by the FISH.”

Lets Plan the StealEnsure the programs include:

Team approachCross system collaboration Housing Peer staffEmployment/Vocational

Did You Know the Labels?The FACT is not the PACT, both are based on the

ACT and have fidelity to the DACT.

The ACT is not START, CO-STARS, FISH or ORSCSP; research tells me they are FICMs.

Clients are FIRSTs, ORCSPs, Offenders, SOs, CODs; never just consumers.

Our staff are specialized in MH, CD, MRT, CBT, DBT, IDDT and SEP; never just forensics.

Team Approach

Trans-Multi Disciplinary Team

Cross Systems

Inclusion of Criminal Justice system

Housing Personnel

DSHS Benefit Specialists

Payee

Housing

Mc Dermott Place Hudson

1089 units/beds

They Walked the Walk…

EmploymentSupportive Employment

Forensic Employment Case Manager

Asset development

We Use Them, So Can You

Evidenced-Based and Promising PracticesPost Release Multi System Care Plans

Integrated Dual Disorder Treatment

Motivational Interviewing

Moral Reconation Therapy

And If You Need More…

Forensic Assertive Community Treatment Supportive Employment ProgramForensic PeerForensic Intensive Case Management Housing First

Before You Try This At Home…

Community safety

CD philosophy

Forensic supervision

Satellite offices

Community buy-in

Best practice models

Criminal justice interventions

Crisis intervention

Level of care

Consumer ValueCo-occurring Disorder Pilot

75% of participants completed program

Offender Reentry Community Safety Program (ORCSP)76% remained in treatment82% housed upon release100% attained DSHS benefits Improvement in quality of life

Housing Voucher & Case Management Services:51% moved into permanent housing

Community ValuePrison Reentry Outcomes: Nationally, 37% of

offenders return to prison within 5 years.

Mentally Ill Community Transition Program▫ 10 year – 28% recidivism

Offender Reentry Community Safety Program (ORCSP)▫ 3 year felony – 27% recidivism (comparison group

43%)

Reentry Housing Pilot Project▫ One year felony –1% recidivism

Long-Term Value Housing Voucher & Case Management

Services:▫ 57% of participants had reduced bookings

Criminal Justice Liaison Program▫ The average participant had 2.5 bookings per

year. After one year, the bookings decreased to 1.9 per year.

Co-occurring Disorder Pilot▫ In 4 years, bookings dropped from 2.3 to 1.8▫ 58% never returned to jail

Financial ValueCost Savings

Mentally Ill receiving treatment in a WA prison – $90,000 annually

Mentally ill receiving treatment in King County Jail – $45,000 (148 day average length of stay)

Annual cost to provide community treatment for high risk offenders is $15,000 –$20,000Prison Saving – $70,000 per individual Jail Saving – $25,000 per individual

Why it works:King County MHCADS 2000 – Systems Integration

Mentally Ill Offender Community Transition Program

Pioneer Human Services 2003 – Partner of the Year

USA National Council for Community Behavioral Health Care 2004, Public Policy Award of Excellence

King County MHCADS 2008 Exemplary Service – Community Integration Assistance Program

Low Income Housing Institute Appreciation for Commitment to End Homelessness (for Offenders) 2009