History and Background Formed in 2006 as a joint collaboration of San Mateo County Courts, Probation Department, District Attorney Office, Sheriff’s Office, Correctional Mental Health, NAMI and Behavioral Health and Recovery Services Goals  reduce recidivism and incarceration of the seriously mentally ill  stabilize housing  reduce acute care utilization  engage and maintain participation in personal recovery

Eligibility Criteria San Mateo County Residency San Mateo County Residency age 18 or older age 18 or older have a diagnosis of a serious mental illness (Axis I) with a functional impairment have a diagnosis of a serious mental illness (Axis I) with a functional impairment statutory eligibility for probation statutory eligibility for probation voluntarily agree to participate in Pathways voluntarily agree to participate in Pathways

Treatment Resources and Options Evaluations by Stanford Psychiatric Residents and Pathways Clinicians Evaluations by Stanford Psychiatric Residents and Pathways Clinicians Enhanced Case Management by Pathways BHRS Staff and Probation Staff Enhanced Case Management by Pathways BHRS Staff and Probation Staff Individual, Group and Family Therapy Individual, Group and Family Therapy Ongoing Psychiatric Consultation Ongoing Psychiatric Consultation Residential AOD Services Residential AOD Services Intensive AOD Outpatient Services Intensive AOD Outpatient Services Individual and Family Shelter Slots with Support Services Individual and Family Shelter Slots with Support Services

Program Summary Program Length is usually 3 years (the length of the probation) Program Length is usually 3 years (the length of the probation) Pathways Clients remain in Pathways after graduation as Pathways Alumni. They can then continue in Pathways activities and maintain their sense of community Pathways Clients remain in Pathways after graduation as Pathways Alumni. They can then continue in Pathways activities and maintain their sense of community Probation drug screening when court ordered Probation drug screening when court ordered Incentives (reduction of fines; criminal charges may be dismissed or reduced; financial assistance in reaching goals) Incentives (reduction of fines; criminal charges may be dismissed or reduced; financial assistance in reaching goals) Sanctions (jail time; reinstatement of criminal proceedings) Sanctions (jail time; reinstatement of criminal proceedings) Pathways picnics and group outings Pathways picnics and group outings Pathways Club House Pathways Club House Pathways is staffed 6 days a week Pathways is staffed 6 days a week Graduation ceremony Graduation ceremony

Pathways Data Pathways has screened over 450 clients since its inception Pathways has screened over 450 clients since its inception As of March 2012, 30 clients have graduated and become Pathways Alumni As of March 2012, 30 clients have graduated and become Pathways Alumni Several of the Pathways clients have received the Hope Award Several of the Pathways clients have received the Hope Award Two of the Pathways clients are in the Consumer Hall of Fame Two of the Pathways clients are in the Consumer Hall of Fame For the fiscal year 2010 – 2011 Pathways data reflects the following For the fiscal year 2010 – 2011 Pathways data reflects the following * There were 19 clients were admitted to Pathways * None of the 19 clients picked up new offenses once in the program * There was a 54% decrease in jail bookings for this group of clients when comparing number of times booked for a probation violation one year prior to entering the program with the number of jail bookings for an equal amount of time post enrollment in Pathways * There was a 73% decrease in jail days for this group of Pathways clients during this time period