Strategies for Special Strategies for Special PopulationsPopulations

Ray Roberts, SecretaryRay Roberts, Secretary

Kansas Department of CorrectionsKansas Department of Corrections

FocusFocus

• Severely & Persistently Mentally Ill Severely & Persistently Mentally Ill

(SPMI) offenders(SPMI) offenders

• Long-term administrative segregation Long-term administrative segregation

– behaviorally disordered offenders– behaviorally disordered offenders

SPMI StrategiesSPMI Strategies

• Discharge plannersDischarge planners

• Boundary spanners at community mental Boundary spanners at community mental health centershealth centers

• Strong partnerships with community Strong partnerships with community providers providers

• Pre-release benefits applicationsPre-release benefits applications

• Specialized parole officersSpecialized parole officers

• Enhanced medication at release under health Enhanced medication at release under health care contract (30 days and up to 6 weeks care contract (30 days and up to 6 weeks additional medication)additional medication)

SPMI ResultsSPMI Results(Study by Council of State Governments)(Study by Council of State Governments)

Recidivism rates for offenders with mental Recidivism rates for offenders with mental illness decreased substantially between illness decreased substantially between

FY03/04 & FY06/07FY03/04 & FY06/07FY03/04 rates: 51-74%FY03/04 rates: 51-74%FY06/07 rates: 12-39%FY06/07 rates: 12-39%Total Decrease Total Decrease 35-39%35-39%

NOTENOTE: Range is based on level of mental illness : Range is based on level of mental illness

(severe/persistent (severe/persistent oror serious) & services received serious) & services received only discharge planning, only specialized only discharge planning, only specialized

parole officer, or both, for best results)parole officer, or both, for best results)

Long-Term Admin SegregationLong-Term Admin Segregation

• Multi-discipline teams to work with Multi-discipline teams to work with

behaviorsbehaviors

• In-cell/segregation classes/programsIn-cell/segregation classes/programs

• Targeted cognitive interventionsTargeted cognitive interventions

• ExampleExample

Multi-Discipline TeamsMulti-Discipline Teams

• Used for high risk & special needs offendersUsed for high risk & special needs offenders• For severely mentally ill/dually-diagnosed For severely mentally ill/dually-diagnosed

(substance abuse or developmentally disabled/MR or behaviorally disordered)(substance abuse or developmentally disabled/MR or behaviorally disordered)

• Center piece of team’s work is stable permanent Center piece of team’s work is stable permanent supportive housing & stabilizing behaviorsupportive housing & stabilizing behavior

• Teams include:Teams include: Facility case manager (unit team counselor)Facility case manager (unit team counselor) Specialized staff (discharge planner, housing Specialized staff (discharge planner, housing

specialist, cognitive specialist, job specialist, specialist, cognitive specialist, job specialist, substance abuse, mental health)substance abuse, mental health)

Community case manager (parole officer)Community case manager (parole officer) Mentor/family/support and OffenderMentor/family/support and Offender

Benefits/Cost of MDTBenefits/Cost of MDT

Sample Case: Inmate GeorgeSample Case: Inmate George• Incarcerated for 18 yearsIncarcerated for 18 years• Worked with multi-discipline team pre-and-post-releaseWorked with multi-discipline team pre-and-post-release• Tracked down use/costs of services 2 yrs before prison Tracked down use/costs of services 2 yrs before prison

(1991-1993) (homeless shelter, ER visits, state hospital, (1991-1993) (homeless shelter, ER visits, state hospital, MH/SA treatment, etc.): $152,000 (not today’s costs)MH/SA treatment, etc.): $152,000 (not today’s costs)

• Cost of 18 years of prison ($25,000/yr): $450,000Cost of 18 years of prison ($25,000/yr): $450,000• Cost to taxpayers for 20 yrs., $602,000, or $30,100 per yrCost to taxpayers for 20 yrs., $602,000, or $30,100 per yr• After being out one year, cost to taxpayers:After being out one year, cost to taxpayers:• Housing stipend: Housing stipend: $975$975, MH treatment: , MH treatment: $3940$3940, Food , Food

stamps: stamps: $1200$1200, Social Security Benefits: $2020, Social Security Benefits: $2020

TOTAL: $8,137 vs. $30,100; 73% lessTOTAL: $8,137 vs. $30,100; 73% less