Involuntary Outpatient Commitment(IOC)/AOTS Assisted Outpatient Treatment Services and how it help with all CM aspects NJAMHAA Case Management Conference 9/10/ :15 PM Presenter: Manuela Garcia, LCSW Mental Health Association of Essex County, Inc., Director of Assisted Outpatient Treatment Services (AOTS) / Involuntary Outpatient Commitment

Overall topic  Education and collaboration between mental health providers are crucial elements in promoting prevention. Interventions at the earliest point of entry to service being via screening, inpatient, Long Term hospitalization, arrests, incarceration and or homeless have been helpful in diverting mentally ill individuals. There are several resources in the community that work; however everyone needs to do it collaboratively in order for positive outcome.

Goals & Objectives for training  To achieve a better knowledge and understanding of IOC and Mental health collaborative efforts  Identify limited mental services that can be helpful in keeping the mentally ill out the hospitals, jail, and from being homeless.  Discover different programs available to family members and consumers  Counties with IOC  The importance of working together and how IOC can help your consumer gain compliance

What is IOC?  History of IOC (USA)  Research studies (NY)  Gregory’s Law 2009  IOC in NJ

Mental Health Prospective  Closing of hospitals  Jail vs Hospitalization  Insurance  Medical Services (Clients die younger)  Substance Abuse tx vs M.H tx? What came first  Shelter Vs Boarding Home (Limited resources)  Limited programs availability

Police Perspective  What can I due to get this person what they need in the next 10 minutes or less?  How can I contact the provider or know who is working with them?

Screening  NJ Screening Centers In all 21 counties this is the entry point for our adult consumers into the m.h. system. Trained psychiatric personnel working in local screening centers who treat people in crisis and determine if they need to be committed involuntarily to a hospital for psychiatric treatment ENTRY POINT to M.H  Police/EMT/Family calls

Options once screened  Holding Bed  Voluntary Admission  Involuntary Admission (STCF,LTC, State hospitals)  9 counties have county hosipitals  Essex, Hudson, Union

STCF  Short Term Care Facilities

County Hospital  LIST OF COUNTY HOSPITALS  Bergen Regional Medical Center  230 East Ridgewood Avenue  Paramus, NJ   Buttonwood Hospital  P.O. Box 6000  Mount Holly, NJ   Camden County Health Services Center  20 Woodbury-Turnersville Road  Blackwood, NJ   Essex County Hospital Center  125 Fairview Avenue  Cedar Grove, NJ   Meadowview Psychiatric Hospital  595 County Avenue  Secaucus, NJ   Runnels Union County Psychiatric Hospital  40 Watchung Way  Berkeley Heights, NJ 

State Hospitals  State Psychiatric Hospitals  Ancora Psychiatric Hospital  202 Spring Garden Road  Ancora, NJ  Contact Number:  Anne Klein Forensic Center  P.O. Box 7717  Sullivan Way  West Trenton, NJ  Contact Number:  Greystone Park Psychiatric Hospital  Main Building  Greystone Park, NJ  Contact Number:  Hagedorn Psychiatric Hospital  200 Sanatorium Road  Glen Gardner, NJ  Contact Number:  Trenton Psychiatric Hospital  Sullivan Way  P.O. Box 7500  Trenton, NJ  Contact Number:

Community Services  CIT  Probation Vs Parole  Justice Involved Services  IOC/AOTS  KROL  ICMS  PACT  Day programs, Partial Hospital Programs, Intensive Outpatient, MICA programs  Housing (shelter, boarding home, RHCF, Supported Housing, group home  Outpatient programs

Substance Abuse Treatment  Detox/ Rehabs things of the past most of our consumers participate in the following programs.  However we use out of the county programs:  Bergen Regional, Turning Point, Straight and Narrow, Summit Oaks, Etc..

Once Admitted to IoC what happens TX PLAN COURT ORDER MONITOR AND TEAM WORK BEGINS

What happens when a consumer is non-compliant?  Meet with them  Discuss with team  Change the program  Might need to be re-hospitalized then what?  What about if they are arrested/incarcerated?  We can’them  MIA status  Homeless, etc..

Graduation/Discharges  Successful Graduation  Unsuccessful Discharge

Success Stories  Montclair Homeless  Airport Homeless  Hospital frequent utilizer of hospitals  Several More

Working together  Coming together is a beginning. Keeping together is progress. Working together is success. ( Henry Ford)

Q & A  Please call if more information is needed: Manuela Garcia or