Behavioral Health Integration of Services for Justice Involved Clients Veronica Kelley, LCSW Assistant Director San Bernardino County Department of Behavioral Health

Page 2 Behavioral Health  2011 Public Safety Realignment  AB117  By law, changes and integration for many systems changed with an anticipated 6,700 PRCS individuals estimated to return to San Bernardino County.  At time of passage of AB109, Probation supervised 19,000 adults. AB109/ Post Release Community Supervision ( PRCS)

Page 3 Behavioral Health  Headed by Probation - Chief Michelle Scray, the Community Corrections Partnership met often to develop the process for service delivery with a focus on reducing recidivism.  Due to success with Juvenile Day Reporting Centers (DRC) this model was to address AB109 population. Collaboration

Page 4 Behavioral Health  3 DRC’s opened- one stop shop for all services provided- meet Probation Officer (PO), and find resources for rehab.  72 hours from release to report- 89% reporting rate.  Probationer receives an orientation and assessment form the PO - higher risk folks referred to specialized units - Gang, DV, SO. Day Reporting Centers

Page 5 Behavioral Health  The PO completes the DRRSC Provider Screening/Referral Form then hands the probationer off to the DBH staff as appropriate- Social Worker (SW) and an Alcohol and Drug Counselor (ADC) at each site  Each DRC has been certified for Medi-Cal and one of the three has been Drug Medi-Cal (DMC) certified (with a second site in the near future), so that services can occur on site. Day Reporting Centers, continued

Page 6 Behavioral Health  Additionally the PO assesses the probationers needs in other life areas as noted on the form and makes appropriate referrals.  Bus Passes are funded thru AB109 for probationers to assist in transport.  Emergency resources such as food and clothing are also available. Day Reporting Centers, continued

Page 7 Behavioral Health  In addition to Behavioral Health,  Department of Public Health,  Workforce Development,  Child Support,  Transitional Assistance Department (Social Services). Day Reporting Center Partners

Page 8 Behavioral Health  CHOICE- Choosing Healthy Options to Instill Change and Empowerment.  Our staff work with our Adult Forensics Services (AFS) and Substance Use Disorder (SUD) system of care.  While Mental Health (MH) and SUD services are provided at the CHOICE programs, specialized services are provided in the community and at our Forensics clinic in Colton. DBH Programming

Page 9 Behavioral Health  AFS provides psychiatric care and intensive outpatient services for MH  SUD system of care services are also provided throughout the County via county operated outpatient clinics and contracted services. DBH Programming, continued

Page 10 Behavioral Health Flow of DRC Orientation with PPO Referred to Program including DBH- immediate Intake/assessment and referral to onsite programming or community based programming

Page 11 Behavioral Health Programming on Site DBH Process Group Life Skills Anger Management MRT Rehab/ADL; Changing your life for the Better Seeking Safety Early Recovery Relapse Prevention Social Support Recovery groups 1:1 Therapy Urine screens for Tx DPH Health Workshops HIV/Hepatitis C testing and Counseling Health Class: STD, HIV reproductive health TAD Eligibility Worker for CalFresh, CalWORKS, General relief and Medi-Cal Assist in completion of applications EBT Calfresh- 1,690 CalWorks -316 GR-8 Medi-Cal 639

Page 12 Behavioral Health Additional Programming WDD On site WD specialist: 1:1 employment counseling Orientation and Skills assessment Networking Resume writing Job search review Job placement services Career counseling, vocational training referrals 6/12-2/14 1,789 CHOICE individuals seen 187 classes facilitated 949 total workshop attendees 150 people employed Housing Sheltered Services Placement Co-Occurring Placement Board and Care Transitional Housing

Page 13 Behavioral Health Snapshot of DBH Services Provided for July 2015

Page 14 Behavioral Health Groups Provided on Site July 2015 Mental HealthSubstance Use Process Group- 4 groups/ 17 attendees Early Recovery- 5 groups/ 34 attendees Life Skills- 4 groups/ 17 attendees Relapse Prevention-5 groups/ 41 attendees MRT-4 groups/ 25 attendees Social Support- 4 groups/ 27 attendees Changing Your Life-4 groups/ 29 attendees Recovery group- 5 groups/ 76 attendees Seeking safety- 11 groups/ 70 attendees

Page 15 Behavioral Health  Different systems with different rules and different languages.  Complex cases involving complex service delivery.  In someone else's house.  Different roles- surveillance vs. treatment. Challenges

Page 16 Behavioral Health  Amazing partnerships.  All serving the SAME people.  All want the same thing- many ways to get there.  Process. Partnerships

Page 17 Behavioral Health Please contact: Veronica Kelley, LCSW Assistant Director Department of Behavioral Health Phone: (909) Questions