Developing Collaborative Comprehensive Case Plans: A Web ...

October 10, 2017

Developing Collaborative Comprehensive Case Plans:

A Web-based Tool

BroughttoyoubytheNationalReentryResourceCenterandtheBureauofJusticeAssistance,U.S.DepartmentofJustice

Introductions01

Collaborative Comprehensive Case Plans Web Page

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Bridgeway Recovery Services, Inc., Salem, Oregon: Interagency Collaboration

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OVERVIEW

04Franklin County Sheriff’s Office, Greenfield, Massachusetts: Staff Training

Overview of SCA COD Grant Track and Primary Challenges

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06 Questions and Answers

SpeakersAndreBethea,PolicyAdvisorforCorrectionsBUREAU OF JUSTICE ASSISTANCE, U.S. DEPARTMENT OF JUSTICE

SarahWurzburg,DeputyProgramDirectorTHE COUNCIL OF STATE GOVERNMENTS JUSTICE CENTER

TinaBialas,ClinicalSupervisor,CorrectionsProgram,andDirector,BehavioralHealthBRIDGEWAY RECOVERY SERVICES, INC., SALEM, OREGON

LevinSchwartz,AssistantDeputySuperintendent,ClinicalandReentryServicesFRANKLIN COUNTY SHERIFF’S OFFICE, GREENFIELD, MASSACHUSETTS

CouncilofStateGovernmentsJusticeCenter|3

Bureau of Justice Assistance


Mission: toprovideleadershipandservicesingrantadministrationandcriminaljusticepolicydevelopmenttosupportlocal,state,andtribaljusticestrategiestoachievesafercommunities.

TheSecondChanceActhassupportedover$300millioninreentryinvestmentsacross

thecountry https://www.bja.gov/

Nationalnonprofit,nonpartisanmembershipassociationofstategovernmentofficials

Representsallthreebranchesofstategovernment

Providespracticaladviceinformedbythebestavailableevidence



National Reentry Resource Center

• AuthorizedbythepassageoftheSecondChanceActinApril2008• LaunchedbytheCouncilofStateGovernmentsinOctober2009• AdministeredinpartnershipwiththeBureauofJusticeAssistance,U.S.DepartmentofJustice

• TheNRRChasprovidedtechnicalassistancetoover600juvenileandadultreentrygranteessinceinception

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68CountyGrantees22StateGrantees5JuvenileGrantees3 TribalGrantees

SCA COD Grant Program96 AWARDS ACROSS THE NATION


Primary Challenges in the Field

• Targeting Criminogenic Risk

• Addressing criminogenic risk factors in the correctional facility and the community

• Incorporating Assessment Information into Case Plans

• Utilizing the assessment information for BOTH behavioral health criminogenic risk in case plans

• Defining lead case planner at an agency and outlining case conferencing procedures


Collaborative Comprehensive Case Plans (CC Case Plans)

• Collaborative: all agencies involved in a participant’s reentry and recovery processes work together and with the participant and their support system throughout the case planning process.

• Comprehensive: information from behavioral health assessments, criminogenic risk assessments, trauma screens and other important information is combined in the case plan in a balanced manner.


FY17 SCA COD Solicitation CC Case Plans Requirement

• Case planning that incorporates criminogenic risk and behavioral health needs is a continuing challenge for the field

• Under the FY17 SCA COD solicitation, applicants must “Develop reentry case plans that incorporate the results for risk and needs assessment, substance use disorders, and mental disorders to develop supervision and program components.”

• The CSG Justice Center web page is designed to support grantees in developing and implementing CC Case Plans


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Web-Based Tool to Support Case Planning

Behavioral Health/Criminal Justice Framework: Basis for the Development of Case Plans


10 Key Priorities for CC Case Plans1. Interagency Collaboration and Information-Sharing

2. Staff Training

3. Screening and Assessment

4. Case Conference Procedures

5. Participant Engagement

6. Prioritized Needs and Goals

7. Responsivity

8. Legal Information

9. Participant Strengths

10. Gender Considerations


1. Interagency Collaboration and Information-Sharing

• Casemanagementteamsshouldincluderepresentativesfromcriminaljustice,behavioralhealth,andsocialserviceagenciesinthecaseplanningprocesstoensurethatparticipants’criminogenicriskandneedsandbehavioralhealthneedsareaddressedinabalancedmanner

• Information-sharingshouldoccurfrequentlytoensurethatassessmentresultsandotherimportantinformationisaccurateandup-to-date


2. Staff Training

• Staffonthecasemanagementteamshouldreceivetrainingintherisk-need-responsivity(RNR)modelandbehavioralhealthrecoveryprinciples

• Identifyopportunitiesforcross-trainingonthesetopics


3. Screening and Assessment

• Agenciesshouldusecriminogenicrisk,substanceusedisorder,andmentalillnessscreensandassessments

• Assessmentresultsaidindevelopmentofcaseplans

• Identifyopportunitiesforobtainingassessmentdatathroughinformation-sharing


4. Case Conference Procedures

• Agenciesshouldmeetregularlywithparticipantsandwithcasemanagementteamstoreviewcaseplansanddiscusschangesinparticipants’needsorgoals

• Determinefrequencyandpurposeofthecaseconferences


5. Participant Engagement

• Agenciesshouldactivelyinvolvetheparticipantandtheparticipant’ssupportsysteminthecaseplanningprocess

• Programsincreasinglyusepeerrecoveryspecialistsorpeermentorstoenhanceengagement


6. Prioritized Needs and Goals

• Participantshavemultipleneedsandgoalstobebalanced.Itiscriticaltoprioritizeneedsthatdecreasetheriskofrecidivism,improvehealth,andensurepublicsafety

• Assessmentinformationcanhelpagenciesdeterminewhichneedstoprioritize


7. Responsivity

• Responsivityrequiresaperson’sabilitiesandlearningstylestobeconsideredwhendesigningservices.Assessmentinformationcanidentifykeyresponsivityconsiderations

• Generalresponsivity:usinginterventionstoaddresscriminogenicriskfactorssuchascriminalthinking

• Specificresponsivity:modifyinginterventionstoaccountforaperson’slearningstyle,motivation,orcultural,ethnic,orgendercharacteristics


8. Legal Information

• Leadcaseplannersshoulddocumentparticipants’legalinformationthatcanimpactsupervisionplans,conditionsofrelease,courtparticipationrequirements,oraccesstohousingandemploymentprograms


9. Participant Strengths

• Leadcaseplannersshouldidentifythestrengthsorprotectivefactorsofparticipantsanddocumentthesestrengthsincaseplans

• Knowingparticipants’strengthscanhelpdeterminewhichevidence-basedinterventionscanbuildonthosestrengthstopromoterecoveryandsuccessfulreentry


10. Gender Considerations

• Leadcaseplannersortheirpartneragenciesshoulduseagender-responsiveapproachintheirprogramming,includingscreeningandassessment,casemanagement,andspecificinterventionstailoredtotheneedsofwomen

• Caseplansshouldincludespecificconsiderationsthatcannegativelyimpactwomen’ssuccessinreentryordiversionprogramming,suchaschildcustodyissues,concernsabouttheirfinancialsituation,orpasttrauma


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The Golden Thread in a Collaborative, Corrections-Specific, Co-Occurring

Treatment Planning WorkflowTina Bialas, Director of Behavioral Health Services

Clinical Supervisor, Corrections ProgramsBridgeway Recovery Services, Inc

Salem, Oregon

Bridgeway Recovery Serviceswith the Marion County Reentry Initiative (MCRI)NOTABLEFEATURES

• TheMarionCountySheriff’sOfficeinSalem,OregonwasaSecondChanceActReentryProgramforAdultswithCo-occurringSubstanceUseandMentalDisordersgranteeinFiscalYear2013

• Jurisdictiongeography:(Urban,336,316residents)

• Sizeofcorrectionalfacilitiesandpopulationsincarcerated:415menandwomenatMarionCountyJailand2,194menatOregonStatePenitentiary


Bridgeway Recovery Services, IncSalem, Oregon• BRS Corrections Team serves about 250 corrections-involved clients each month

• Risk Levels on the Level of Service/Case Management Inventory (LS/CMI): Medium-30%; High-55%; Very High-15%

• Co-Occurring (Link Up) program clients includes almost 30% Very High and almost 30% with Sex Offense Histories


Referral

• Developworkingrelationshipwiththereferringentity(Probation/Parole;DepartmentofCorrections)

• Makesurethattheformsusedcaptureimportanteligibilitycriteriaandguidethereferents

• Empowertreatmentstaffincludingfrontdeskandcounselorstorequireneededinformationaspartoftheintakeandassessmentprocess


Assessment

• AssurethatAssessmentdocumentandintakescreenscaptureRisk,Need,Responsivityspecificinformation

• Risk:CriminalHistory,mostrecentincarcerations.RisktoRecidivateasreportedbyreferent(LS/CMI)

• Needs:SubstanceAbuse,CriminalAttitudes(TCU-CTS),family/associates,educationandemploymentstatusorsupportsrequired


Assessment

• Assure that Assessment document and intake screens capture Risk, Need, Responsivity specific information• Responsivity:Gender,StageofChange/Motivation(URICA),

LearningStyle,Race/Cultural,mentalhealth,appropriatefitwithserviceprovider

• StaffTraining:UnderstandingR/N/R;RecidivismRiskLevels;CriminalThinking/Beliefs/Attitudes;IncorporatingcollateralinformationfromCorrectionsstaff


Treatment Planning

• Staff training on crafting Measurable Objectives specific to Criminogenics and how this relates to improved client outcomes

• Target highest R/N/R domains in the Treatment Plan• At BRS, this typically is Criminal Thinking, lack of pro-social support, need to increase daily

structure, A&D use, unstable mental health status, and lack of employment• Client should always be included in the treatment planning process. Take into account their stage

of stage (SOC) in timing of interventions• Individualize the services and supports on the treatment plan• Utilize gender-specific, evidence based group modalities in treatment planning


Collaboration – a key component

• Treatment staff need documents such as the LS/CMI from Corrections staff to guide incorporation of criminogenics into the treatment/case plan

• Corrections staff need copies of the treatment plan to inform their own case plans

• Conduct multi-system,in-person, regular staffings for up to date information sharing and brainstorming regarding client needs, challenges and progress

• Cross-train: treatment can inform on impacts of trauma/mental health/addiction on client functioning; corrections can inform on criminogenics/history of client


Collaboration – continued

• Clientscanpresent/reportdifferentlytoeachpartner- staffings allowforsharingofobservationsofclientthatcaninformhowsupportsandinterventionsareutilized,toincludemodificationstotreatment/caseplans

• Recoverymentorscanprovidein-person,real-timeupdatesonclientstatusinbetweenscheduledstaffings

• Recoverymentorsplayakeyroleinsupportingclientsinreportingdirectlytotheirprobation/paroleofficerwhenstrugglingorinneedofadditionalsupports


Collaboration - continued

• Utilizemultiplecommunicationmodalities

q emailsandphonecallsfortimelyupdatesqWeeklywritten,briefsummariesqMonthlystatusreportsthatincludeattendance,bioassaysq Regularin-personstaffings

BRIDGEWAYRECOVERYSERVICES,INC. Weekof:________________________Attn:P.O.NAMESHERELink-UpWeeklyStatusperBRSMentor

Name BRS# SID# Mentor Counselor ClientProgress/Summary

Example of weekly progress summary

The Golden Thread, revisited

• Integration begins at the systems level-build relationships with community partners and share information

• Screening and assessment of both A&D and MH issues ideally done by one provider

• Treatment planning is collaborative, inclusive of A&D, MH and other Criminogenic Risks/Needs; incorporate information from Corrections. Measurable Objectives should be specific and address target Risk/Need factors

• Utilize peer mentors to link clients to community supports, provide pro-social modeling, and reinforce positive behaviors

• Deliver co-occurring services, attending to gender and risk levels, utilizing EBP’s geared to corrections-involved populations


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Franklin County Sheriff’s Office

NOTABLEFEATURES

• TheFranklinCountysheriff’sOfficeinGreenfield,MassachusettswasaSecondChanceActReentryProgramforAdultswithCo-OccurringSubstanceUseandMentalDisordersgranteeinFiscalYear2013

• Jurisdictiongeography:(Rural,71,372residents)

• Sizeofcorrectionalfacilitiesandpopulationsincarcerated:250men


Franklin County House of Correction

Greenfield MA

LevinSchwartz,LICSW

AssistantDeputySuperintendent,Clinical&ReentryServices


Goodprogramsstandonscienceandtheory


Risk,Need,Responsivity

(RNR)

Systems-BasedReentryServices

CognitiveBehavioralTherapy

CBTinterventionthroughthelensofRNR

•Treatmentthatteachesskillstochangewaysinwhichonerespondstocognition.

• Cognitiveappraisalsà emotional&behavioralresponsesà canleadtocriminality.

RNRTARGET

AntisocialCognitions

CognitiveBehavioralTarget

AntisocialCognitions

CognitiveBehavioralTreatment

CBTTreatment

SkillsTeaching

CognitiveModification

ExposureProcedures

ContingencyProcedures

3rd WaveCBTTreatment

Acceptance Mindfulness

CBTTreatment

SkillsTeaching

CognitiveModification

ExposureProcedures

ContingencyProcedures

Dialectics

Acceptance Change

BehaviorinContext

MediumSecurityTreatmentUnit HighlyStructuredEnvironmentwithIntensiveProgramming PodA:Orientation PodC:Pre-Trial PodD:MediumSecurityTreatmentUnit

MinimumSecurityTreatmentUnit ContinuedTreatment MoreVocationalTrainingOpportunities

KimballPre-ReleaseHouse TransitioningTreatmenttotheCommunity FocusonJobPlacement

GPSBracelet IntegrationintotheCommunitywithContinuedSupervision


Classification&Reentry

MediumSecurityPodC:Pre-Trial

PodA:AccountabilityUnitPodD:IntensiveTreatment

Unit MinimumSecurityTreatmentUnit Pre-Release

HouseHighlyStructuredEnvironmentwithIntensiveClinicalProgramming ContinuedTreatment

MoreVocationalTrainingOpportunities

TreatmenttotheCommunityFocusonJobPlacement

TreatmentContinuum

ReentryServicesOutreachCase

Workers

PostReleaseCaseWork

StaffTraining


AcademyTraining

RiskNeedResponsivityTraining


SelfCareStrategies

PhysiologyofAddiction

TraumaInformedCare

QuarterlyTraining

QuarterlyTraining

MotivationalInterviewing

T4C

DBTACT

Mindfulness

DailyPost-ReleaseReentry

Meeting

MediumSecurityUnitMeetings

DBTTeamMeetingClinicalMeeting

Minimum/Pre-ReleaseUnitMeetings

Reinforcingstaffskills

MonthlyDBTCasePresentations

MonthlyTrainingDidactics

WestfieldStateUniversity

Collaboration

Reinforcing&TeachingStaffSkills

Trainingfuturetreatmentproviders


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Contact information

AndreBethea,PolicyAdvisorforCorrectionsTheBureauofJusticeAssistance,[email protected]

SarahWurzburg,DeputyProgramDirectorTheCouncilofStateGovernmentsJusticeCentermstovell@csg.org

TinaBialas,ClinicalSupervisor,CorrectionsProgram,andDirector,BehavioralHealthCorrectionsProgram,andDirector,BehavioralHealthBridgewayRecoveryServices,Inc.Salem,[email protected]

LevinSchwartz,AssistantDeputySuperintendentFranklinCountySheriff’sOfficeGreenfield,[email protected]



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