1. On the Front Lines: Building Skills for Reentry and Diversion March 31, 2010 1

2. Substance Abuse Disorders and MICA: Responding to Justice-Involved Populations with Substance Abuse and Co-occurring Mental Health & Substance Abuse Disorders Presenters: Joseph Chelales Marcus Daugherty Jeffrey Savoy 2 On the Front Lines: Building Skills for Reentry and Diversion

3. Why Are We Here? Studies have demonstrated that police often arrest the mentally ill when treatment alternatives would be preferable but are unavailable. Thus, jails may contain disproportionate numbers of severely mentally ill persons who have co- occurring disorders Abram, Karen M.; Teplin, Linda A. American Psychologist. Oct. 1991 3 On the Front Lines: Building Skills for Reentry and Diversion

4. Overview of Substance Abuse Services Treatment Prevention Recovery---Recovery Centers 4 On the Front Lines: Building Skills for Reentry and Diversion

5. Overview Of Substance Abuse Types of Services  Residential  Outpatient  Detox  Inpatient  Medication—Assisted Treatment 5 On the Front Lines: Building Skills for Reentry and Diversion

6. Substance Abuse Assessment LOCADTR—level of Care Determination Screening Psychosocial Assessment Medical Assessment Vocational Assessment Mental Health Screening Tool 6 On the Front Lines: Building Skills for Reentry and Diversion

7. Substance Abuse/MICA Services Referral of MICA clients into Substance Abuse Services Referral Process Treatment Process Follow-up Process 7 On the Front Lines: Building Skills for Reentry and Diversion

8. Terminology MICA Co-Occurring Dually Diagnosed Individuals who have both Substance Abuse and Mental Health disorders 8 On the Front Lines: Building Skills for Reentry and Diversion

9. Substance Abuse/MICA Services Importance of Matching clients to services Medication Therapy On site Substance Abuse Services/Off site Mental Health Services 9 On the Front Lines: Building Skills for Reentry and Diversion

10. Challenges in Linking MICA Clients to Services Client Mental Health Status and Functioning Limited number of available treatment slots Services under one umbrella Working with MICA clients within Harm Reduction model 10 On the Front Lines: Building Skills for Reentry and Diversion

11. Strategies for Referral of MICA Clients Familiar with Providers accept MICA clients, and what type of MICA clients they work with The extent of the providers work with MICA clients Do they provide or need CM services 11 On the Front Lines: Building Skills for Reentry and Diversion

12. Strategies for Referral of MICA Clients Does the agency provide MH Services Client Medication Needs 12 On the Front Lines: Building Skills for Reentry and Diversion

13. Future Plans/Practical Strategies Integrated treatment for Co-Occurring Disorders Ambulatory Patient Groups Diversified staffing in Substance abuse Services 13 On the Front Lines: Building Skills for Reentry and Diversion