1. Earl F. Warren, MBA, LADC1 Spectrum Health Systems, Inc. Jackie Chowaniec, MS Massachusetts Department of Correction

2.  Relevance of Mentoring for RSAT  Major Domains for Successful Reentry  Peer Mentoring Model  How Does Mentoring Fit With RSAT?  Evidence-Based, Best Practice

3. RSAT programs are required to give preference to programs that provide aftercare and services with AOD treatment. However:  Only 10% of RSAT funding is used for post- release programming because…  Restriction on how community-based Tx funds are used for pre-release inmates… SO  Use of volunteer mentors is a cost effective pre-release program engagement strategy.

4.  Housing  Employment  Legal  Medical  SA/MH Treatment  Social networks  Transportation  Child care

5. Through the Recovery Support Strategic Initiative, SAMHSA has delineated four major dimensions that support a life in recovery: 1. Health 2. Home 3. Purpose 4. Community:

6.  Bridges in-prison RSAT programs with community-based aftercare services  Takes advantage of a volunteer workforce  Minimal impact on personnel  Simple, efficient, effective

7.  Mentors provide social support, assist with problem solving, encouragement, pro-social associations.  Mentors ARE NOT counselors, case managers, social workers, AA sponsors.

8. Volunteer mentors provide the social support and experience of successfully living in society necessary for the ex-offender to stabilize him or herself in the community.

9. Acute Treatment Model Acute symptoms Discontinuous treatment Crisis management Severe Remission

10. Recovery-oriented response Continuous treatment response Promote Peer Supports, Self Care, Rehabilitation Severe Remission

11. Helping People Move into Recovery Zone Improved client outcomes Severe Remission Recovery Zone

12.  Second Chance Act Prisoner Reentry grant  High risk substance abusers returning to Worcester County  Participated in SA Tx while incarcerated

13.  2 FTE Program Coordinators  44 active volunteer mentors  82 participants released between January 2011 and April 2013

14.  3-6 months prior to release: ◦ Reentry Coordinator matches offender with mentor ◦ 3-6 pre-release meetings between offender and mentor (rapport building, needs assessment)  At release: ◦ Mentor/offender meeting in community  Post-release ◦ Community Coordinator makes referrals, provides support for mentors ◦ Frequency of meetings depends on ex-offenders level of need

15.  63% completed program goals  96% engaged in substance use treatment  98% needing housing were placed  32% received education (GED, OJT, etc.)  95% needing mental health counseling received treatment.

16.  For this project, recidivism defined as re- arrest and/or return to custody.  MADOC one-year recidivism rate is 25%  Peer mentoring project participants released for one or more years is 17%.

17.  Clear risk/need criteria for program eligibility ◦ Prioritize based on risk and need ◦ Program engagement strategies  Use of standardized training curricula that incorporate cognitive-based approaches  Emphasis on Continuity of Care ◦ Engage pre-release ◦ Develop continuing care plan ◦ Bridge “inside-out” service delivery

18.  Innovative use of EBP’s ◦ Family engagement ◦ Co-occurring capacity ◦ MAT access ◦ Cell phones/Skype  Opportunity to strengthen and leverage RSAT funding

19. Thank You Earl Warren Earl.warren@spectrumsys.org Jackie Chowaniec jacqueline.chowaniec@doc.state.ma.us

20. What is Trauma and Why Must We Address it December 18, 2013 2:00 – 3:00 p.m. EST SAMSHA’s Promoting Alternatives to Seclusion and Restraint through Trauma-Informed Practices promotes trauma-informed practices in the delivery of services to people who have experienced violence and trauma and are seeking support for recovery and healing. This presentation will address the prevalence of trauma and suggest techniques to reduce the likelihood of re-traumatization. Participants will learn what trauma is, how it affects individuals – psychologically, developmentally, and neurobiological. Self-regulation strategies will be explored. Presenter: Joan Gillece