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The Center for Health Care Services Therapeutic Jurisprudence Collaboration Models in San Antonio, Texas 2010 State TAAP Conference Linda Tavel, MPA,LCDC,CART Melanie Lane, LCSW,LCDC,AADC Gilbert Gonzales MA,LPC,LCDC July 9, 2010
The Problem
Mental Health  Forensic Flow a work in progress… Circa 2010,
Origins of Therapeutic Jurisprudence ,[object Object],[object Object]
What elements comprise a Therapeutic Justice Model? ,[object Object],[object Object],[object Object]
Therapeutic Justice Model: The Integration of  Treatment and Justice  “Therapeutic Justice is defined as a systemic approach  which insures a collaborative partnership between the  Courts, the Criminal Justice System and the Behavioral  Health system while providing that the public safety net  is able to provide for the most efficient and effective  support for persons who are in crisis and or are  experiencing psychiatric and substance abuse disorders.”   Leon Evans, President and CEO,  CHCS Bexar County Mental Health Authority
Law Enforcement Detention/Jail CIT Judicial/Courts Magistrate, County, District Mental Health Public and Private Providers Crisis Care Center Jail Diversion Psychiatric and Medical Clearance Specialty Offender Services Community Dynamic Crisis Jail Diversion Information Exchange Police, Sheriff Probation, Parole Civil and Criminal Treatment Continuity of Care County City-wide Emergency Services ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],System County City-wide Entry Points System Level
Adaptation of Therapeutic Jurisprudence in San Antonio, Texas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Before the end of the 2007 legislative session the Texas Legislature enacted a package of criminal justice policies designed to prevent the predicted growth in the prison population and save $443 million.  To improve success rates of people under supervision, A reinvestment of $241 million planned to expand the capacity of substance abuse and mental health community-based treatment and diversion programs, and enacted parole reforms to enhance the use of parole for low-risk offenders.   Between 2006 and 2008, probation revocations to prison declined by 4% and parole revocations to prison plummeted by 25%.  Madden, J. (2009, April 1)..  “ Hearing on Justice Reinvestment”.  Retrieved from website URL   http:// search.aol.com/aol/search?s_it = topsearchbox.search&q =an+analysis+on+cost+savings+treatment+alternatives+to+incarceration+in+texas+2008   Therapeutic Justice Begins
The Building a Therapeutic Justice Model in Bexar County,Texas Collaborations between Bexar County Community Supervision and Corrections and The Center for Health Care Services The Center for Health Care Services’ Mental Health Treatment and Substance Abuse Treatment Programs began providing services within the County’s Residential Treatment Facilities 2004. Other Community Providers joined the collaboration in providing supportive social services; Region 20, SAISD, Oxford House Inc. , Goodwill Industries, Dullnig Health Clinic, University Health System, Christian Assistance Ministries, San Antonio Alternative Housing, Our Casas Housing Inc., Community AA/NA/CA groups providing institutional meetings, and faith based organizations who provided spirituality meetings.
"Justice Reinvestment" ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Therapeutic Justice Partnerships with Bexar County Community Supervision and Corrections Dept. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Center for Health Care Services ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],April 16, 2008 – March 31, 2009 $1,795,200.  $1,267,200. $528,000. Injured Prisoner Diverted from UHS Emergency Room $2,419,009. $1,983,574. $435,435. Public Inebriates Diverted from Detention Facility Direct Cost Avoidance Bexar County City of San Antonio Cost Category
Therapeutic Justice Model ,[object Object],[object Object],[object Object],[object Object]
[object Object],Arrest Jail The Solution  The Restoration Center
The Restoration Center Opened April 15, 2008 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Community Wide Partnership Between ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
To establish a system of care for homeless, serial inebriates that includes ,[object Object],[object Object],[object Object],[object Object],[object Object]
Substance Abuse System of Care Partial/Day Hospital, “ Intensive” Outpatient ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Community Patients Community Patients Outpatient Treatment Recovered  ! X Relapse Medical Detoxification  CHCS Detoxification
The Restoration Center Programs  include: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],Cost is High Cost Savings can be achieved Public Inebriates are sobered  Up In Jail Can Now Be Sobered up In a location where treatment Is possible. Experienced Peer Recovery  Specialists provide  Motivation to enter treatment  RNs monitor/evaluate 24/7
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Pharmacology-Methadone Maintenance Treatment
Project Cariño ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Centro de Vida-HIV Outreach
CHCS Central Services Sites Crisis Center Restoration Center
Haven for Hope ,[object Object],The Community Wide Initiative Haven for Hope and CHCS collaboration Goal:
The Center for  Health Care Services Leon Evans, President/CEO The Center for Health Care Services Mental Health Authority www.chcsbc.org [email_address]

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Taap Conference Therapeutic Jurisprudence Models In San Antonio Texas Final

  • 1. The Center for Health Care Services Therapeutic Jurisprudence Collaboration Models in San Antonio, Texas 2010 State TAAP Conference Linda Tavel, MPA,LCDC,CART Melanie Lane, LCSW,LCDC,AADC Gilbert Gonzales MA,LPC,LCDC July 9, 2010
  • 3. Mental Health Forensic Flow a work in progress… Circa 2010,
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  • 6. Therapeutic Justice Model: The Integration of Treatment and Justice “Therapeutic Justice is defined as a systemic approach which insures a collaborative partnership between the Courts, the Criminal Justice System and the Behavioral Health system while providing that the public safety net is able to provide for the most efficient and effective support for persons who are in crisis and or are experiencing psychiatric and substance abuse disorders.” Leon Evans, President and CEO, CHCS Bexar County Mental Health Authority
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  • 9. Before the end of the 2007 legislative session the Texas Legislature enacted a package of criminal justice policies designed to prevent the predicted growth in the prison population and save $443 million. To improve success rates of people under supervision, A reinvestment of $241 million planned to expand the capacity of substance abuse and mental health community-based treatment and diversion programs, and enacted parole reforms to enhance the use of parole for low-risk offenders. Between 2006 and 2008, probation revocations to prison declined by 4% and parole revocations to prison plummeted by 25%. Madden, J. (2009, April 1).. “ Hearing on Justice Reinvestment”. Retrieved from website URL http:// search.aol.com/aol/search?s_it = topsearchbox.search&q =an+analysis+on+cost+savings+treatment+alternatives+to+incarceration+in+texas+2008 Therapeutic Justice Begins
  • 10. The Building a Therapeutic Justice Model in Bexar County,Texas Collaborations between Bexar County Community Supervision and Corrections and The Center for Health Care Services The Center for Health Care Services’ Mental Health Treatment and Substance Abuse Treatment Programs began providing services within the County’s Residential Treatment Facilities 2004. Other Community Providers joined the collaboration in providing supportive social services; Region 20, SAISD, Oxford House Inc. , Goodwill Industries, Dullnig Health Clinic, University Health System, Christian Assistance Ministries, San Antonio Alternative Housing, Our Casas Housing Inc., Community AA/NA/CA groups providing institutional meetings, and faith based organizations who provided spirituality meetings.
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  • 26. CHCS Central Services Sites Crisis Center Restoration Center
  • 27.
  • 28. The Center for Health Care Services Leon Evans, President/CEO The Center for Health Care Services Mental Health Authority www.chcsbc.org [email_address]

Hinweis der Redaktion

  1. Sept. 1, 2004 The Center for Health Care Services began providing Intensive Residential & Supportive Residential Substance Abuse Treatment Services within Bexar County Community Supervision and Corrections Department’ Residential Unit (adult coed facility) Sept. 1, 2005 Second year- expansion of services to include Probation Outpatient Substance Abuse Treatment Services Sept. 1, 2006 Third year- expansion of Substance Abuse Residential Services, a second 100 bed facility opened, expanding Adult female admissions (50 designated female beds) February 4, 2008 Commencement of Substance Abuse Treatment Services
  2. Sept. 1, 2004 The Center for Health Care Services began providing Intensive Residential & Supportive Residential Substance Abuse Treatment Services within Bexar County Community Supervision and Corrections Department’ Residential Unit (adult coed facility) Sept. 1, 2005 Second year- expansion of services to include Probation Outpatient Substance Abuse Treatment Services Sept. 1, 2006 Third year- expansion of Substance Abuse Residential Services, a second 100 bed facility opened, expanding Adult female admissions (50 designated female beds) February 4, 2008 Commencement of Substance Abuse Treatment Services