“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 Services Jennifer Alderman: Coordinator of Housing Voucher, CRS, Kenyon House Sound Mental Health Seattle, Washington, USA

Sound Mental Health Our Mission is to strengthen our community and improve the lives of our clients by delivering excellent health and human services tailored to meet their needs  Mental Health  Chemical Dependency  Sound Works  Housing  Wellness 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 Program  Reentry Housing Pilot Project  Department of Social and Health Services Referrals  Department of Corrections Liaison

Bridging the Gaps Shifted paradigms  Department of Corrections and Police  Housing Challenged funders  “take your money back” Included the now obvious

Our Brag We challenged the system and implemented what is now considered statewide forensic best practices. We have grown from:  25 ex-offender consumers to 3,500  2.5 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 Consumers We work with those who are:  Incompetent to stand trial  High need, e.g., have 7 or more incarcerations in one year  Under court and/or state jurisdictions  Multi needs, no supervision, homeless, drug addicted, psychotic, and medically compromised  Pre-trial  Diversion  Post-trial

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

Lets Plan the Steal Ensure the programs include:  Team approach  Cross system collaboration  Housing  Peer staff  Employment/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…

Employment Supportive Employment  Forensic Employment Case Manager  Asset development

We Use Them, So Can You Evidenced-Based and Promising Practices  Post 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 Program  Forensic Peer  Forensic 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 Value Co-occurring Disorder Pilot  75% of participants completed program Offender Reentry Community Safety Program (ORCSP)  76% remained in treatment  82% housed upon release  100% attained DSHS benefits  Improvement in quality of life Housing Voucher & Case Management Services:  51% moved into permanent housing

Community Value Prison 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 Value Cost 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 –$20,000  Prison 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