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Program Phases in Mental Health Courts A Mental Health Court Learning Site Webinar Eric Olson, District 7 Mental Health Court Coordinator, Bonneville, ID Norma Jaeger, Former Director of Problem-solving Courts and Community Sentences AlternaFves, Idaho Supreme Court’s Wednesday, September 14, 2016

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Page 1: Program Phases in Mental Health Courts

ProgramPhasesinMentalHealthCourts

AMentalHealthCourtLearningSiteWebinarEricOlson,District7MentalHealthCourtCoordinator,Bonneville,IDNormaJaeger,FormerDirectorofProblem-solvingCourtsandCommunitySentencesAlternaFves,IdahoSupremeCourt’sWednesday,September14,2016

Page 2: Program Phases in Mental Health Courts

CSGJusFceCen

ter

CouncilofStateGovernmentsJus<ceCenter

•  NaFonalnon-profit,non-parFsanmembershipassociaFonofstategovernmentofficials

•  Engagesmembersofallthreebranchesofstategovernment•  JusFceCenterprovidespracFcal,nonparFsanadviceinformedbythe

bestavailableevidence

2Visitusat:csgjus<cecenter.org

Page 3: Program Phases in Mental Health Courts

BehavioralHealthattheCSGJusFceCenter

Criminal Justice / Mental HealthConsensus Project

police chiefs | consumers | pretrial serviceadministrators | probation officials | state legislators |

substance abuse providers | state corrections directors |judges | district attorneys | families | parole board

members | county executives | public defenders | crimevictims | state corrections directors | prosecutors | mental health

advocates | court administrators | mental health providers | researchers| jail administrators | sheriffs | correctional mental health providers |

state mental health directors | victim advocates | parole officials

Criminal Justice/Mental Health Learning Sites Program

Page 4: Program Phases in Mental Health Courts

learning.csgjus<cecenter.org

DevelopingaMentalHealthCourtisafreemul<mediacurriculumforindividualsandteamsseekingtostart,maintain,orjustlearnaboutmentalhealthcourtsorothercriminaljusFce/mentalhealthcollaboraFons.

DevelopingaMentalHealthCourt:AnInterdisciplinaryCurriculum

CSGJusFceCen

ter

Page 5: Program Phases in Mental Health Courts

hBps://csgjus<cecenter.org/mental-health/learning-sites/

CriminalJusFce/MentalHealthLearningSites

Page 6: Program Phases in Mental Health Courts

CriminalJusFce/MentalHealthLearningSites

Page 7: Program Phases in Mental Health Courts

hBps://csgjus<cecenter.org/courts/posts/state-standards-building-beBer-mental-health-courts/

StateStandards:BuildingBeYerMentalHealthCourts

Page 8: Program Phases in Mental Health Courts

WelcomeandIntroducFons

•  NormaJaeger,formerDirectorofProblem-SolvingCourtsandCommunitySentencesAlterna>ves,IdahoSupremeCourt

•  EricOlson,District7MentalHealthCourtCoordinator,Bonneville,Idaho

•  SarahWurzburg,GranteeTechnicalAssistanceManager,CSGJus>ceCenter

Page 9: Program Phases in Mental Health Courts

Theore<calFounda<ons

ApplicaFon

QuesFons&Answers

PhasesandFocus

DevelopingPhasesinaMentalHealthCourt

Page 10: Program Phases in Mental Health Courts

ProceduralJusFce/Fairness

RecoveryOrientaFon

TraumaResponsiveApproaches

TheoreFcalFoundaFons

Risk-Need-Responsivity

Page 11: Program Phases in Mental Health Courts

TheThree-LeggedStoolofPosiFveOutcomes

11

Page 12: Program Phases in Mental Health Courts

RecoveryPrinciples

•  Self-Direc<on•  Individualized•  PersonCentered•  Empowerment•  Holis<c•  Non-linear•  Strengths-based•  PeerSupport•  Respect•  Responsibility•  Hope

Trauma-ResponsivePrinciples•  Safety•  Trustworthiness•  Transparency•  PeerSupport•  Collabora<onandMutuality•  Empowerment,Voice&Choice•  Culture,HistoryandGender

IssuesProceduralJus6cePrinciples

•  Voice•  Neutrality/Transparency•  Respect(forperson&forrights)•  Trust(caring,helpfulness,

fairness) 12

ThreeLegsoftheStoolCommonaliFes

Page 13: Program Phases in Mental Health Courts

TheoreFcalFoundaFons

ApplicaFon

QuesFons&Answers

PhasesandFocus

DevelopingPhasesinaMentalHealthCourt:Today’sWebinar

Page 14: Program Phases in Mental Health Courts

PhaseI

Understanding/Engagement

Transi>on

OrientaFon

PhasesandFocus

Page 15: Program Phases in Mental Health Courts

PhaseII

Tools/Skills/Support

Transi>on

Treatment

PhasesandFocus

Page 16: Program Phases in Mental Health Courts

PhaseIII

StrengthenConnecFontoCommunityResources/RelaFonships

Transi>on

CommunityTransiFon

PhasesandFocus

Page 17: Program Phases in Mental Health Courts

PhaseIV

MaintainRecoveryPracFces

Gradua>on/Comple>on

Maintenance

PhasesandFocus

Page 18: Program Phases in Mental Health Courts

TheoreFcalFoundaFons

Applica<on

QuesFons&Answers

PhasesandFocus

DevelopingPhasesinaMentalHealthCourt:Today’sWebinar

Page 19: Program Phases in Mental Health Courts

•  ClientProfile*ClientmustmeetF/ACT(Forensic/AsserFveCommunityTreatmentTeamcriteria(Schizophrenia,SchizoaffecFveDisorder,BipolarI/II,MDD)*HaveamediumtohighLSI(LevelofServiceInventory)Score*HaveahistoryoffrequentpsychiatrichospitalizaFonsorincarceraFons *Mosthaveaco-occurringSubstanceusedisorderIssue,notrequired *MosthavehistoryofTrauma

Post-plea;Post-adjudicaFon;BothMisd/Felonycases

TargetPopulaFon

Page 20: Program Phases in Mental Health Courts

DynamicRiskFactor HistoryofanFsocialbehavior AnFsocialpersonalitypaYern AnFsocialcogniFon AnFsocialassociates Familyand/ormaritaldiscord

Poorschooland/orworkperformance

FewleisureorrecreaFonacFviFes Substanceusedisorder

CSGJusFceCenter 20

Central8-DynamicRiskFactors

Source:Andrews(2006)

Page 21: Program Phases in Mental Health Courts

RiskFactor Need

HistoryofanFsocialbehavior BuildalternaFvebehaviors

AnFsocialpersonalitypaYern Problemsolvingskills,angermanagement

AnFsocialcogniFon Developlessriskythinking

AnFsocialahtudes ReduceassociaFonwithcriminalothers

Familyand/ormaritaldiscord Reduceconflict,buildposiFverelaFonships

Poorschooland/orworkperformance Enhanceperformance,rewards

FewleisureorrecreaFonacFviFes Enhanceoutsideinvolvement

Substanceusedisorder Reduceusethroughintegratedtreatment

CouncilofStateGovernmentsJusFceCenter 21

AddressingCriminogenicRiskFactorsasPartofSentencingandSupervision

Individual Risk Factors for Criminal Recidivism

Source: Andrews (2006)

Page 22: Program Phases in Mental Health Courts

CouncilofStateGovernmentsJusFceCenter 22

RecidivismReducFonsasaFuncFonofTargeFngMulFpleCriminogenicvs.Non-CriminogenicNeeds*

(Andrews, Dowden, & Gendreau, 1999; Dowden, 1998) Better outcomes

Poorer outcomes

More criminogenic than non-

criminogenic needs

More non-criminogenic

than criminogenic

needs

Page 23: Program Phases in Mental Health Courts

•  INDIVIDUALIZE!!!!– RNRisfilteredthroughouttheprocessateachphase.

– MakesureExpectaFonsandResponsesareappropriateforeachphaseandtheirlevelofengagement….Itshouldvary…

-Don’tbecomerigidor“onesizefitsall”becauseyouhavesomephaseguidelines…

KeystoEffecFveness

Page 24: Program Phases in Mental Health Courts

PhaseI

EstablishandRewardHonestyandTrust

Don’t“Fix”everythinginphase1.

BeIntenFonalaboutwhatyouTarget

ApplyingtheMentalHealthCourtPhases:BonnevilleCountyMentalHealthCourtPracFces

Page 25: Program Phases in Mental Health Courts

•  RecoveryFocused–Strengthfocused•  WELCOMING•  EMPATHIC•  HOPEFUL

RecoveryandHope

Page 26: Program Phases in Mental Health Courts

PhaseI:Gehngstarted

•  ReviewMHAssessment•  INCLUDESTRENGTHS•  ReviewRiskAssessmentAreas:LSI-RandimplementCentral8withaPlan:

•  SA:AbusevsDependence•  MI:Rollwithsomethings:earlymisses,etc.

Page 27: Program Phases in Mental Health Courts

•  MEDS•  MONEY

•  HOUSING

ResponsivityIssues

Page 28: Program Phases in Mental Health Courts

PhaseIRequirements

Phase I - 12 weeks (Minimum) - Orientation and Engagement Phase

1. Report to probation officer in person at least once a week or as directed by the probation officer.

2. Engage in Treatment with the Assertive Community Treatment (ACT) team and determine a treatment plan. Remain or become compliant with mental health treatment directives. This will include daily medication monitoring throughout phase I.

3. Attend daily treatment groups as directed by the MH Court: Integrated Tx (Substance Abuse/Dual

Diagnosis), Moral Reconation Therapy, Symptom Management groups as well as Dialectic Behavioral Therapy groups and/or any other treatments that may be essential to your individual recovery. You are expected to attend and participate in your treatment groups. Competencies in these groups must be met in order to complete Phase 1.

4. Submit to random oral, urinalysis or BAC tests as directed by probation officer or treatment

provider.

5. Attend Mental Health Court at least once per week.

6. Pay a $35.00 Mental Health Court fee per month, or an adjusted rate if approved.

7. You must complete Phase I competency checklist requirements to move to the next phase! (See end of the handbook for a copy.)

8. You must meet with the team and review your progress and checklist prior to moving to phase 2.

Page 29: Program Phases in Mental Health Courts

PhaseICompetencyChecklist

1-____-IhaveverifiedthatIamcurrentonmyMentalHealthCourtfeesof$____permonth.(Pleaseclarifywithyourtreatmentproviderandproba<onofficerifyouhaveanyques<onaboutthisamount.Youneedtobepayingitmonthly,asyoubegintheprogram.Thanks.)2-____-IhaveverifiedthatIamcurrentonmyMHCTfees.Ipay$___onmyfineseachmonthand$____onmyres<tu<on.(PleaseclarifythisamountalsowithyourProba<onofficer,youneedtobeonapaymentplanfromthefirstmonthyoubegintheprogram.Thanks.)3-____-IwillmeetwithmyprobaFonofficerweekly,onthedayrequired4-____-IwillbehometomeetwiththeACTteamformymorningmedicaFonandtreatmentmeeFngs.IwilltakemedicaFonsinfrontofACTteammembers.5-____-Iwillbeinmyhomeby8pmeveryevening.Iwillnothaveguestsatmyhome,onlyfolksapproved(bymyPO)tolivewithmewillbeinmyhomeawer8pm.IwillwelcometreatmentteammembersandprobaFonofficersintomyhomewhentheycometovisit.6-____-IwilllearnaboutmyMentalHealthandSubstanceUseDiagnosisandbeabletodescribethesymptomsofmyillness,listallofmymedicaFons,whatsymptomstheytreat,andanysideeffectsImaybeexperiencingand/orpotenFalsideeffects.7-____-IwillaYendalltreatmentgroupsrequiredofme,MRT,DBT,OvercomingAddicFons,WRAPgroupandanyothersthatIortheteamfeelwouldbebeneficialtome.Pleasewritebriefly(onthebackofthissheet)aboutwhatyouhavelearnedineachgrouptothispoint.(WerealizeyoumaynotbeinallgroupsatthisFme).

Page 30: Program Phases in Mental Health Courts

PhaseICompetencyChecklist(ConFnued)

8-____-IwilldevelopcopingskillstodealwithtriggersandsubstanceuserisksthatIwillimplementtoaYainandmaintainsobriety.IwillbeabletodescribeanddemonstratetheseskillswhenaskedbytheendofphaseI.9-____-Iwilliden<fy5ofmystrengthsthatIwillsharewithteammembersandothersandusetopromotemyownRecovery!10-____-Iwillworktoestablishstablehousingduringthisphase.11-____-IwillworkwiththeACTteamtosecurefinancialstability.IwilldoabudgetofallmyincomewiththeACTTeamandworktoestablishindependenceinthisarea.12-____-Iwilltakemymedica<onsasprescribedbydoctor.IwillcoordinatewiththeACTteambeforeItakeanyothermedica<onsandIwilllearnskillstodiscussmysymptomsandmedica<onswithmydoctor,nurses,andteammemberstoestablishindependenceandworktowardsRecovery.13-____-AnyothertreatmentorpersonalgoalsneededtoachieveinphaseIwillbeplacedhere!14-____-IwillhaveaTeammee<ngwithTreatment,Proba<on,andanyothersupportsIhavetoreviewmyprogressandiden<fyanyissuesthatneedtobeaddressedmovingforwardintoPhase2oftheprogram.TeamwillalsoreviewwithmemyHighRiskAreasforRecidivismpermyLSIandTreatmentPlanandasagroupwewillmakesurewehavetreatmentinplacetohelpmereducemyriskforrecidivism…

Page 31: Program Phases in Mental Health Courts

•  PHASEUPMEETINGS•  Focusonrecovery–buildtrust•  InviteandencouragesupporterstoaYend•  ReviewLSIandCentral8areas

PhaseI

Page 32: Program Phases in Mental Health Courts

PhaseII

IndividualizedSkillBuilding

TargetTheirSpecificNeeds/Risks

IntensiveTreatment

ApplyingtheMentalHealthCourtPhases:BonnevilleCountyMentalHealthCourtPracFces

Page 33: Program Phases in Mental Health Courts

PhaseIIRequirements

Phase II - 14 weeks (Minimum) - Intenstive Treatment Phase

1. Report to probation officer in person at least three (3) times per month or as directed by the probation officer.

2. Remain compliant with ALL mental health treatment directives. This includes strict compliance with medication recommendations.

3. Attend all treatment groups as required.

4. Submit to random oral, urinalysis or BAC as directed by the probation officer or treatment

provider.

5. Attend Mental Health Court at least three (3) times per month; you may miss the 2nd week of the month if you desire, but must attend all other weeks.

6. Because the goal of the program is to help assist you in long-term Recovery. You need to

develop a Support Person that will be available for you beyond your participation in the MHCT. You need to figure out who this person(s) can be for you and begin strengthening that support system for you.

7. Pay $35.00 Mental Health Court fee per month, or an adjusted rate if approved.

8. You must complete the phase 2 competency checklist requirements to move to the next phase.

(See end of the handbook for a copy.)

9. You must meet with the team and review your progress and checklist prior to moving to phase 3.

Page 34: Program Phases in Mental Health Courts

PhaseIICompetencyChecklist

1-____-IhaveverifiedthatIamcurrentonmyMentalHealthCourtfeesof$____permonth.(PleaseclarifywithyourtreatmentproviderandprobaFonofficerifyouhaveanyquesFonaboutthisamount.Youneedtobepayingitmonthly,asyoubegintheprogram.Thanks)2-____-IhaveverifiedthatIamcurrentonmyMHCTfees.Ipay$___onmyfineseachmonthand$____onmyresFtuFon.(PleaseclarifythisamountalsowithyourProbaFonofficer,youneedtobeonapaymentplanfromthefirstmonthyoubegintheprogram.Thanks)3-____-IwillmeetwithmyprobaFonofficerweekly,onthedayrequired4-____-IwillbehometomeetwiththeACTteamformymorningmedicaFonandtreatmentmeeFngs.IwilltakemedicaFonsinfrontofACTteammembers,unFltreatmentandIcanagreetoanotherarrangementthatisacceptabletoeachofusandanincreaseinmyindependenceandRecovery.5-____-Iwillbeinmyhomeby9pmeveryevening.Iwillnothaveguestsatmyhome,onlyfolksapproved(bymyPO)tolivewithmewillbeinmyhomeawer9pm.IwillwelcometreatmentteammembersandprobaFonofficersintomyhomewhentheycometovisit.

Page 35: Program Phases in Mental Health Courts

PhaseIICompetencyChecklist(ConFnued)6-____-IwilllearnaboutmyMentalHealthandSubstanceUseDiagnosisandbeabletodescribethesymptomsofmyillness,listallofmymedica<ons,whatsymptomstheytreat,andanysideeffectsImaybeexperiencingand/orpoten<alsideeffects.7-____-IwilldescribewhatIamlearninginmytreatmentgroups;MRT,DBT,OvercomingAddic<ons,WRAP,oranyothersinatleasthalfapageforeachgroupIamaBending…8-_____-Iwillcontactandbuildarela<onshipwithasupportpersontoassistmeinmyRecovery.9-____-IwilldevelopcopingskillstodealwithtriggersandsubstanceuserisksthatIwillimplementtoremaincleanandsober.IwillimplementandreviewwithtreatmentstaffwhatskillsIhavelearnedinmytreatmenttohelpmewithmyRecovery…10-____-IamusingmystrengthstoassistmeinRecovery,letmetellyouhowIamdoingso……..11-____-IwilldescribemyhousingsituaFon,isitstable,isitlong-term,isitwhatIwant?Isitaffordable?Describe…12-____-Iamworkingtoestablishfinancialsecurityandstability,hereisareviewofmybudget….MysaFsfacFonlevelwithmyincomeandbudgetatthisFmeis….Describe….13-____-DescribetheimportanceofmedicaFonsinyourRecovery…..

Page 36: Program Phases in Mental Health Courts

14-____-Describeimportantrela<onshipsinyourlifeandwhatissuestherearethatapplytoyourrecovery,posi<veornega<ve…..15-____-Describeyourrela<onshipswithyourfamilyandhowtheyimpactyourRecovery….16-____-Anyothertreatmentorpersonalgoalsneededtoachieveinphase2willbeplacedhere!17-____-IwillhaveaTeammeeFngwithTreatment,ProbaFon,andanyothersupportsIhavetoreviewmyprogressandidenFfyanyissuesthatneedtobeaddressedmovingforwardintoPhase3oftheprogram.TeamwillalsoreviewwithmemyHighRiskAreasforRecidivismpermyLSIandTreatmentPlanandasagroupwewillmakesurewehavetreatmentinplacetohelpmereducemyriskforrecidivism…

PhaseIICompetencyChecklist(ConFnued)

Page 37: Program Phases in Mental Health Courts

PhaseIII

ReallyFocusonIndividualSupports/Recovery

WRAP-Isthereanythingtheyneedthatwe’vemissed?

CommunityTransiFon

ApplyingtheMentalHealthCourtPhases:BonnevilleCountyMentalHealthCourtPracFces

Page 38: Program Phases in Mental Health Courts

PhaseIIIRequirements

Phase III - 12 weeks (Minimum) - Transition/Community Engagement Phase

1. Report to probation officer in person at least twice (2) per month or as directed by the probation officer.

2. Remain compliant with ALL mental health treatment directives.

3. Attend integrated treatment groups and other Dual Diagnosis treatment as required. You should be wrapping up certain treatment groups during this phase, including MRT.

4. Submit to random oral, urinalysis or BAC tests as directed by the probation officer or treatment

provider.

5. Attend Mental Health Court at least twice (2) per month. You are allowed to miss the 2nd and 4th weeks of the month if you would like.

6. Pay a $35.00 Mental Health Court fee per month, or an adjusted rate if approved.

7. You must complete the phase 3 competency checklist requirements to move to the phase. (See

end of handbook for a copy.)

8. You must do a pre-exit support interview with the Treatment team to move to the next phase.

Page 39: Program Phases in Mental Health Courts

PhaseIIICompetencyChecklist

1-____-IhaveverifiedthatIamcurrentonmyMentalHealthCourtfeesof$____permonth.(PleaseclarifywithyourtreatmentproviderandprobaFonofficerifyouhaveanyquesFonaboutthisamount.Youneedtobepayingitmonthly,asyoubegintheprogram.Thanks)2-____-IhaveverifiedthatIamcurrentonmyMHCTfees.Ipay$___onmyfineseachmonthand$____onmyresFtuFon.(PleaseclarifythisamountalsowithyourProbaFonofficer,youneedtobeonapaymentplanfromthefirstmonthyoubegintheprogram.Thanks)3-____-IwillmeetwithmyprobaFonofficertwicepermonth,onthedayrequired4-____-IwilltakemymedicaFonsasprescribedandasagreeduponwiththeACTTeam.ThisshouldbeinthemostindependentandRecovery-focusedwaypossible;howdoIproblemsolvemedicaFonissueswhenIhavethem?5-____-Iwillbeinmyhomeby10pmeveryevening.Iwillnothaveguestsatmyhome,onlyfolksapproved(bymyPO)tolivewithmewillbeinmyhomeawer10pm.Mycurfewwillbemidnightontheweekends,weekendsareconsideredtobeFridayandSaturdaynight.IwillwelcometreatmentteammembersandprobaFonofficersintomyhomewhentheycometovisit.6-____-IwilldescribemyMentalHealthandSubstanceUseDiagnosisandbeabletodescribethesymptomsofmyillness,listallofmymedicaFons,whatsymptomstheytreat,andanysideeffectsImaybeexperiencingand/orpotenFalsideeffects.

Page 40: Program Phases in Mental Health Courts

PhaseIIICompetencyChecklist(ConFnued)

7-____-IwilldescribewhatIamlearninginmytreatmentgroups;MRT,DBT,OvercomingAddic<ons,WRAP,oranyothersinatleasthalfapageforeachgroupIamaBending…8-____-IwillcontactmysupportpersonweeklyassistmeinmyRecovery.9-____-IconFnueusingcopingskillstodealwithtriggersandsubstanceuserisksthatIwillimplementtoremaincleanandsober.IwillimplementandreviewwithtreatmentstaffwhatIhavelearnedinmyTreatmentclasses.10-____-IamusingmystrengthstoassistmeinRecovery,letmetellyouhowIamdoingso……..11-____-IwilldescribemyhousingsituaFon,isitstable,isitlong-term,isitwhatIwant?Isitaffordable?Describe…12-____-Iamworkingtoestablishfinancialsecurityandstability,hereisareviewofmybudget….MysaFsfacFonlevelwithmyincomeandbudgetatthisFmeis….Describe….13-____-Describetheimportanceofmedica<onsinyourRecovery…..14-____-DescribeimportantrelaFonshipsinyourlifeandwhatissuestherearethatapplytoyourrecovery,posiFveornegaFve…..15-____-DescribeyourrelaFonshipswithyourfamilyandhowtheyimpactyourRecovery….

Page 41: Program Phases in Mental Health Courts

16-____-Iwilldevelophealthypleasuresduringthisphase,thehealthypleasuresIhavedevelopedare……17-____-Anyothertreatmentorpersonalgoalsneededtoachieveinphase3willbeplacedhere!18-____-IwillhaveaTeammeeFngwithTreatment,ProbaFon,andanyothersupportsIhavetoreviewmyprogressandidenFfyanyissuesthatneedtobeaddressedmovingforwardintoPhase4oftheprogram.TeamwillalsoreviewwithmemyHighRiskAreasforRecidivismpermyLSIandTreatmentPlanandasagroupwewillmakesurewehavetreatmentinplacetohelpmereducemyriskforrecidivism…

PhaseIIICompetencyChecklist(ConFnued)

Page 42: Program Phases in Mental Health Courts

PhaseIVA

Awercareinplace!

Letthem“showtheirstuff”

Maintenance

ApplyingtheMentalHealthCourtPhases:BonnevilleCountyMentalHealthCourtPracFces

Page 43: Program Phases in Mental Health Courts

PhaseIVARequirements

Phase IV- A - Maintenance: (3-6 weeks min)

1. Must have developed and be applying your approved Continued Care/WRAP plan that you are working to maintain long-term stability.

2. Report to probation officer in person once a month.

3. Attend treatment as instructed by the treatment provider.

4. Submit to oral, random urinalysis and/or BAC tests as requested by the probation officer.

5. Attend Mental Health Court once a month on the 1st week of the month.

6. Pay a $35.00 Mental Health Court fee per month and be current with other fees and fines. (Other fees and fines may include, but are not limited to, court fines, treatment fees, and drug testing fees.)

7. Must have some support system in place that is adequate and approved for your specific needs;

i.e.; /DRA/church group, specific hobbies or sporting activities, etc.

8. Complete a Final Exit Interview with the Team to share what you learned in the program, your plan for long-term Recovery, and to give feedback to the Court on what worked well for you as well as things that we could do better.

Page 44: Program Phases in Mental Health Courts

PhaseIVACompetencyChecklist

1-____-IhaveverifiedthatIamcurrentonmyMentalHealthCourtfeesof$____permonth.(PleaseclarifywithyourtreatmentproviderandprobaFonofficerifyouhaveanyquesFonaboutthisamount.Youneedtobepayingitmonthly,asyoubegintheprogram.Thanks)2-____-IhaveverifiedthatIamcurrentonmyMHCTfees.Ipay$___onmyfineseachmonthand$____onmyresFtuFon.(PleaseclarifythisamountalsowithyourProbaFonofficer,youneedtobeonapaymentplanfromthefirstmonthyoubegintheprogram.Thanks)3-____-Ineedtohaveanapprovedplan(bymyPOandTeam)forpayingoffmyfines/resFtuFonbeforeIgraduatefromtheMHcourtprogram.(youneedtohaveanapprovedplantograduate,notnecessarilyhavethemenFrelypaidoff,thoughthatwouldbedesirable)4____-IwillmeetwithmyprobaFonofficeroncepermonth,onthedayrequired5-____-Iwilldoapre-exitinterviewatthebeginningofthisphasethatwillinvolvemyMHCourtteamaswellasfamilyandsupportpersonstofinalizeneedsandconcernsforConFnuedCarefollowingtheMHCTprogram.6-____-Ihavenocurfeworcall-insonphase4,butwilldemonstratetheskillsIhavelearnedintheprevious3phasestohaveastablelifestyleandenvironment.7-____-IwilldevelopaCon<nuedCareplan(baseduponmytreatmentandWRAPplan)thatisverydetailedsoIremainstableandcon<nuetou<lizetheskillsandsupportsI’vedeveloped.MyCon<nuedCareplanisaBached…...

Page 45: Program Phases in Mental Health Courts

PhaseIVACompetencyChecklist

8-____-Iwillcon<nuetocontactmysupportpersonweeklyassistmeinmyRecovery.9-____-Mylongtermhousingsitua<onis…..10-____-Mylong-termfinancialstabilityis……11-____-Myfamilysupportsare…..12-___-Mysupportpersonsare…..13-___-IwillhaveanexitinterviewwiththeJudgeandMHCourtteam.Duringthismee<ngtheteamwillreviewmyCon<nuedCareplan,LSIrisklevelsandhowitappliestorecidivism,feedbacktoimprovetheprogram,etc…

Page 46: Program Phases in Mental Health Courts

PhaseIVB

Theycandoit!

“NoGuYerBalls”

ConFnuedCare

DevelopingPhasesinaMentalHealthCourt:Today’sWebinar

Page 47: Program Phases in Mental Health Courts

PhaseIVBRequirements

Phase IV- B- Continued Care Phase (3-6 weeks minimum)

1. You must continue to apply your Continued Care plan as you have developed it and whatever treatment and supports that entails.

2. You do not need to attend Court; however, you do need to meet with your Probation Officer as required by them.

3. You are subject to Random UA’s as determined by PO and staffed with team.

4. Goal of this phase is for you to work your Continued Care Plan and follow through with your

Recovery efforts.

5. You need to pay ½ of your previously determined MHCT fee monthly until graduation.

Page 48: Program Phases in Mental Health Courts

PhaseIVBCompetencyChecklist

1-YoumustconFnuetoapplyyourConFnuedCareplanasyouhavedevelopeditandwhatevertreatmentandsupportsthatentails.

2-YoudonotneedtoaYendCourt;however,youdoneedtomeetwithyourProbaFonOfficerasrequiredbythem.3-YouaresubjecttoRandomUA’sasdeterminedbyPOandstaffedwithteam.

4-GoalofthisphaseisforyoutoworkyourConFnuedCarePlanandfollowthroughwithyourRecoveryefforts.5-If,awer12weeks,youhavedemonstratedyouhavebeenabletoworkyourConFnuedCarePlan,complywithprobaFonrequirements,anddemonstrateyouhavetheskillstoremaininthecommunity,parFcipaFngtheappropriatelevelofMHtreatment,andusingtheskillstoyoufromre-offending,itwillbeourpleasuretocongratulateyouandGraduateyoufromtheMHCourtprogram.

Page 49: Program Phases in Mental Health Courts

GraduaFonRequirements

Upon successful completion of the Mental Health Court program you will graduate from the

program. In order to graduate from Mental Health Court you must accomplish the following:

1. Successful completion of all court ordered treatment.

2. Demonstrate that you have the skills to manage your mental health symptoms in an effective and appropriate way. You must also have a plan for ongoing treatment that you are following and that will meet your long-term mental health and substance abuse treatment needs.

3. You must be demonstrating skills to remain clean and sober from drugs and alcohol and to deal

with any relapses in an appropriate way, should you need to do so.

4. Have learned the skills and gained the stability to ensure your risk for recidivism in the community is much lower than upon entrance into the program.

5. Maintain support persons contact as directed.

6. Completion of all specialized probation terms.

7. Payment of fines, restitution and treatment fees (unless another arrangement has been made).

8. A follow up LSI-R.

9. Utilizing your Continued Care/WRAP plan as a model for your long-term recovery.

Page 50: Program Phases in Mental Health Courts

TheoreFcalFoundaFons

ApplicaFon

Ques<ons&Answers

PhasesandFocus

DevelopingPhasesinaMentalHealthCourt:Today’sWebinar

Page 51: Program Phases in Mental Health Courts

•  NormaJaeger,[email protected]•  EricOlson,[email protected]•  SarahWurzburg,[email protected]

ContactInformaFon

Page 52: Program Phases in Mental Health Courts

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The presentation was developed by members of the Council of State Governments (CSG) Justice Center staff. The statements made reflect the views of the authors, and should not be considered the official position of the CSG Justice Center, the members

of The Council of State Governments, or the funding agencies supporting our work.

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