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D R E X E L U N I V E R S I T Y &

U N I V E R S I T Y O F P I T T S B U R G H

Monroe County Report of the Cross-Systems Mapping Workshop

July 13th and 14th, 2011

Transforming Services for Persons with Mental Illness in Contact with the Criminal Justice System

Monroe County, PA Mental Health and Justice Center of Excellence Report, July 2011

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Facilitator

Patricia A. Griffin, PhD, Senior Consultant

Other Support

Sarah Filone, MA, Project Coordinator Katy Winckworth-Prejsnar, Research Coordinator

Center of Excellence Staff

David DeMatteo, JD, PhD Sarah Filone, MA

Patricia Griffin, PhD Kirk Heilbrun, PhD Casey LaDuke, MS

Edward P. Mulvey, PhD Carol Schubert, MPH

Katy Winckworth-Prejsnar, BA


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Table of Contents

Transforming Services for Persons with Mental Illness in Contact With the Criminal Justice System

Introduction ...................................................................................................................................... 5

Background ...................................................................................................................................... 5

About the Workshop ......................................................................................................................... 6

Objectives of the Cross-Systems Mapping Exercise ....................................................................... 6

Keys to Success ............................................................................................................................... 7

Monroe County, Pennsylvania Cross Systems Mapping Monroe County Cross Systems Map ............................................................................................... 8

Monroe County Cross Systems Narrative........................................................................................ 9

Intercept I: Law Enforcement / Emergency Services ........................................................ 11

Intercept II: Initial Detention / Initial Court Hearing ........................................................... 15

Intercept III: Jails / Courts ................................................................................................. 17

Intercept IV: Re-Entry........................................................................................................ 20

Intercept V: Community Corrections / Community Support .............................................. 22

Monroe County Action Planning

Monroe County Priorities................................................................................................................ 27

Monroe County Action Plan ........................................................................................................... 28

Conclusions and Summary

Conclusion ..................................................................................................................................... 32

Closing ........................................................................................................................................... 32


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List of Appendices Appendix A – Participant List ......................................................................................................... 33

Appendix B – Stroud Area Police Annual Report ......................................................................... 37

Appendix C – Monroe County Victims' Services ......................................................................... ...40

Appendix D – Single Day Point in Time Homeless Count for PA-509, January 26th 2011 ......... ...42

Appendix E – List of Mental Health Services and Supports in Monroe County ............................ 47


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Monroe County, Pennsylvania

Transforming Services for Persons with Mental Illness in Contact with the Criminal Justice System

Introduction The purpose of this report is to provide a summary of the Pennsylvania Mental Health and Justice Center of Excellence Cross-Systems Mapping workshop held in Monroe County, Pennsylvania, on July 13th and 14th, 2011, conducted at the Stroudsmoor Country Inn. Carbon/Monroe/Pike (CMP) MH/MR and other stakeholders hosted the workshop as part of an ongoing process of developing collaborative systems of support for individuals who have mental illness and who come in contact with criminal justice. This report (and accompanying electronic files) includes: A brief review of the origins and background for the workshop; A summary of the information gathered at the workshop; A cross-systems intercept map as developed by the group during the workshop; A description of each intercept along with identified gaps and opportunities; An action planning matrix as developed by the group; and Observations, comments, and recommendations to help Monroe County achieve its goals.

Background Jennifer Williams, CMP MH/MR Director of Consumer Supports, and multiple other stakeholders requested the Center of Excellence Cross-Systems Mapping workshop to promote progress in addressing criminal justice diversion and treatment needs of adults with mental illness in contact with the criminal justice system. As part of the workshop, the Center of Excellence was requested to provide assistance to Monroe County with: Creation of a map indicating points of interface among all relevant Monroe County systems; Identification of resources, gaps, and barriers in the existing systems; and Development of priorities to promote progress in addressing the criminal justice diversion

and treatment needs of adults with mental illness in contact with the criminal justice system. Prior to the workshops, the Center of Excellence gathered information about Monroe County through a Community Collaboration Questionnaire and gathering of documents relevant to the target population. The participants in the workshops included 39 individuals representing multiple stakeholder systems, including mental health, substance abuse treatment, human services, corrections, Commissioners, law enforcement, probation and parole, and the courts. A complete list of participants is available in Appendix A (pg. 33) of this document. Patricia A. Griffin, PhD, facilitated the workshop sessions. Sarah Filone, MA, and Katy Winckworth-Prejsnar also provided support.


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About the Workshop Upon receiving a grant from the Pennsylvania Commission on Crime and Delinquency and the Pennsylvania Department of Public Welfare’s Office of Mental Health and Substance Abuse Services in late 2009, the Pennsylvania Mental Health and Justice Center of Excellence was developed as a collaborative effort by Drexel University and the University of Pittsburgh. The mission of the Center of Excellence is to work with Pennsylvania communities to identify points of interception at which action can be taken to prevent individuals with mental illness from entering and penetrating deeper into the justice system. The Center of Excellence workshops, Cross-System Mapping and Taking Action for Change, are unique services tailored to each Pennsylvania community. These workshops provide an opportunity for participants to visualize how mental health, substance abuse, and other human services intersect with the criminal justice system. This workshop is unlike other types of consultations or staff development training programs. A key element is the collaborative process. Meaningful cross-system collaboration is required to establish effective and efficient services for people with mental illness and co-occurring substance use disorders involved in the criminal justice system. This makes the composition of the group extremely important. While some workshops involve advertising to the entire provider community, it is essential in the Cross-System Mapping workshops that the organizers gather a group that represents key decision makers and varied levels of staff from the relevant provider systems. Center of Excellence staff works with this group, serving as expert guides to help: Create a cross-systems map indicating points of interface among all relevant local systems; Identify gaps, opportunities, and barriers in the existing systems; Optimize use of local resources; Identify and prioritize necessary actions for change; and Develop an action plan to facilitate this change. Upon completion of the workshops, the Cross-Systems Map included in the report is provided in an electronic format. It is meant to be a starting point. The electronic files can be revised over time to reflect the accomplishments and changes in the planning process.

Objectives of the Cross-Systems Mapping Exercise The Cross-Systems Mapping Exercise has three primary objectives: 1. Development of a comprehensive picture of how people with mental illness and co-occurring

substance use disorders move through the Monroe County criminal justice system along five distinct intercept points: Law Enforcement and Emergency Services, Initial Detention/Initial Court Hearings, Jails and Courts, Re-entry, and Community Corrections/Community Support.

2. Identification of gaps, resources, and opportunities at each intercept for individuals in the

target population. 3. Development of priorities for activities designed to improve system and service level

responses for individuals in the target population.


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Keys to Success Existing Cross-Systems Partnerships Monroe County’s history of collaboration between the criminal justice and behavioral health systems is reflected in a number of existing local efforts that were identified prior to the mapping. For example:

Carbon Monroe Pike (CMP) MH/MR is in the planning stages of Crisis Intervention Team (CIT) and individual case management;

Monroe County is starting to develop the Recovery Oriented System of Care (ROSC) Model; Bi-monthly Children & Youth (C&Y)/ Juvenile Probation Officers (JPO) meetings: Quarterly Community Care Behavioral Health (CCBH) Member Advisory Committee

meetings: Monroe County Criminal Justice Advisory Board includes staff from Mental Health, Drug &

Alcohol, and Children and Youth; Carbon – Monroe – Pike Assertive Community Treatment Team (ACT) Joint Stakeholders

Advisory Committee; and Crisis Intervention Service Meetings (Mental Health, Police, Shelter, and CCBH).

Representation from Key Decision Makers in the Workshops The workshops included wide cross-system representation and involved many of the key

decision makers including a county commissioner, the Public Defender, local law enforcement, and warden of the jail.

Opening remarks by Jennifer Williams, CMP MH/MR Director of Consumer Supports, set the stage and established a clear message as to the importance of the workshop. Lieutenant Brian Kimmins, Stroud Area Regional Police Department, welcomed participants and introduced the facilitator.

Data Collection In addition to the information gained during the workshop, the information in this report was

developed from conversations with and questionnaires completed by key stakeholders in Monroe County in preparation for the workshop. The Monroe County Jail and Stroud Area Regional Police Department provided extensive data that is also reflected in this report.


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Monroe County Cross - Systems Map


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Monroe County Cross Systems Narrative The Cross-Systems Mapping exercise is based on the Sequential Intercept Model developed by Mark Munetz, M.D. and Patty Griffin, Ph.D.,1 in conjunction with the National GAINS Center. In this workshop, participants were guided to identify gaps in services, resources, and opportunities at each of the five distinct intercept points of the criminal justice system. This narrative reflects information gathered during the Cross-Systems Mapping Workshop. It provides a description of local activities at each intercept point, as well as gaps and opportunities identified at each point. This narrative may be used as a reference in reviewing the Monroe County Cross-Systems Map. The cross-systems local task force may choose to revise or expand information gathered in the activity. The gaps and opportunities identified in this report are the result of “brain storming” during the workshop and include a broad range of input from workshop participants. These points reflect a variety of stakeholder opinions and are, therefore, subjective rather than a majority consensus. General Description of Services and Cross-System Collaboration Monroe County is located in the northeastern corner of Pennsylvania in the Pocono Mountains. It was created on April 1, 1836, from parts of Northampton and Pike Counties, and is named for President James Monroe. The county is comprised of 16-second class townships and four incorporated boroughs, with a combined population of approximately 169,500 residents. According to the 2010 U.S. Census Bureau, the county has a total area of 617 square miles (1,599 km²), of which 608 square miles (1,576 km²) is land and nine square miles (23 km²) (1.44%) is water. In addition to its rich cultural heritage, Monroe County is home to the Pennsylvania portion of the Delaware Water Gap National Recreation Area, Sullivan Trail, Pocono Raceway (home of two major NASCAR events held annually), Camelbeach Water Park and Ski Area, Mt. Airy Casino, Shawnee Mountain Ski Area, The Crossings Factory Stores, three state parks (Big Pocono State Park, Gouldsboro State Park and Tobyhanna State Park), and Tobyhanna Army Depot (a major element of the Communications-Electronics Command and the largest Communications-Electronics repair, overhaul, and fabrication facility in the Department of Defense).

The County has been building a continuum of criminal justice and mental/behavioral health services that provide a basic foundation for continued growth and reorganization on all levels. There are a number of established links, both formal and informal, between the courts, probation, police departments, corrections and the mental health system that include, but are not limited to:

Bi-monthly C&Y/JPO meetings; Carbon – Monroe – Pike Assertive Community Treatment Team (ACT) Joint Stakeholders

Advisory Committee; Crisis Intervention Service Meetings (Mental Health, Police, Shelter, CCBH); and Criminal Justice Advisory Board Meetings (CJAB).

1 Munetz, M. & Griffin, P. (2006). A systemic approach to the de-criminalization of people with serious mental illness: The Sequential Intercept Model. Psychiatric Services, 57, 544-549.


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Monroe County provides an extensive and detailed network of care website for individuals, families and agencies concerned with behavioral health. It provides information about behavioral health services, laws, and related news, as well as communication tools and other features. This network of care is available at:

http://monroe.pa.networkofcare.org/mh/home/index.cfm

http://monroe.pa.networkofcare.org/mh/home/index.cfm


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Intercept I: Law Enforcement / Emergency Services 911 The Monroe County Control Center provides 9-1-1 public safety emergency dispatch services for all of Monroe County, and for Lehman Township in Pike County. This centralized call center is located in the Monroe County Public Safety Complex and is privately owned by two municipalities (Stroudsburg and East Stroudsburg).

Crisis Lines Carbon/Monroe/Pike Crisis Services provides a 24/7 hotline (570-421-2901 or toll free at 1-800-338-6467) that can be accessed directly or through MH/MR. This hotline receives between 900 and 1000 calls each month, 70% of which are from Monroe County. The Carbon/Monroe/Pike Drug and Alcohol Commission offers a 24/7 referral center number at 1-866-824-3578, through which callers are able to access a recording that lists available area resources. In addition, Monroe County residents have access to a peer -run warm line through the Advocacy Alliance. This line operates 365 days a year between the hours of 6:00pm and 10:00pm. It can be reached at 866-654-8114. Law Enforcement Monroe County is home to 10 police jurisdictions: Barrett Twp. Police; Delaware Water Gap Police; E. Stroudsburg University Police; Pocono Mountain Regional PD; Pocono Township Police; Stroud Area Regional Police; PA State Police - Blooming Grove; PA State Police - Fern Ridge; PA State Police – Lehighton; and one PA State Police barracks (Swiftwater). The Stroud Area Regional Police Department (SARPD) has hosted police trainings provided by Crisis Intervention and Drug and Alcohol. Additionally, Monroe County is planning to begin Crisis Intervention Team (CIT) training. Funding has been found to support the CIT initiative. The SARPD receives an estimated 2-3 mental health related calls each day, and employs a Special Response Team (SRT). In 2010, the team responded to two local incidents, both of which were resolved peacefully. The first incident involved a High Risk Search Warrant involving a known suspect that was dealing drugs out of a single family dwelling, possessed a firearm, and had a violent criminal history. The incident was brought to a safe conclusion with the suspect in custody. The second incident involved a barricaded suicidal individual believed to be armed with several different firearms. The property involved was a row house with neighboring homes and business that were occupied. The subject made an attempt against his own life, but the entry team was able to take control of the scene and enable medics to render aid. See Appendix B (pg. 37) for the 2010 Stroud Area Police Annual Report. Additionally, the SARPD has a Crisis Negotiations Team (CNT). The unit has its own mobile crisis negotiation/command center: a converted ambulance that has had the rear box area modified to contain a drop down table that allows for several negotiation positions, a wall mounted grease board for keeping track of important information, and the call out box which

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911

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contains all of the necessary office supplies. Additional equipment includes a throw phone, the portable phone and control panel, a deployable hailer system, and a megaphone. Pocono Mountain Regional Police Department also operates a Special Response Team.

Crisis Services Monroe County crisis services include: crisis residence, mobile crisis team, medical mobile team, and telephone crisis. New Perspectives Crisis Intervention Services, a division of Resources for Human Development (RHD), provides telephone crisis, emergency counseling, and referrals 24 hours per day. Services include:

The mobile crisis service, which provides assessment, crisis intervention counseling, crisis stabilization, referral/ linkage with other services, and emergency hospitalization assessment at consumers' homes or at other community locations. This service is available from 9:00am to 9:00pm, Monday through Saturday, and 302 assessments are available 24/7. Mobile crisis responds to approximately 150-175 calls each month, and an estimated 70% of these are in Monroe County.

The medical mobile crisis intervention service provides a registered nurse and a

mental health professional that, in collaboration with a licensed psychiatrist, assess crises related to consumers' psychiatric medication. It also provides a specialized crisis response for older adults that conduct in-home assessment of older adults’ mental, physical, and social needs, and coordinates linkage to needed services.

The New Perspective Crisis Residence is an eight-bed, short-term residential program

for adults in Carbon, Monroe, and Pike counties. The program provides supervised mental health stabilization services as an alternative to psychiatric hospitalization for individuals who are in psychiatric crisis, or who may need to be removed from a stressful environment while supports are identified to ensure stability. This crisis residence receives approximately 50 admissions each month, with an average individual stay of 4.3 days.

NHS Human Services and Salisbury Behavioral Health’s Assertive Community Treatment (ACT) Teams and MH/MR Case Management Program both provide 24/7 crisis services for existing clients. In addition, all case management providers in Monroe County (4) provide after hour crisis services. The Pocono Medical Center also employs 24/7 emergency room crisis staff. There are typically two crisis workers on any given shift. Additionally, Monroe County has a 17-person disaster mental health team for crisis services during natural or manmade disasters. Hospitals Pocono Medical Center (PMC) is located at 206 East Brown Street in East Stroudsburg, Pennsylvania (570-421-4000). Pocono Medical Center is known as the third busiest emergency


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room on the east coast, with an estimated 90,000+ visits each year. In addition, Pocono Medical Center has an inpatient facility. The ReDCo Group Behavioral Health Services — Pocono Region has an Acute Partial Hospitalization Program that is a non-residential treatment modality offering psychotherapeutic and psychiatric interventions under medical supervision. The service is designed for individuals diagnosed with serious mental illness and those that have dual diagnoses, such as substance abuse with mental illness or mental retardation. The program offers diagnostic assessment, individualized treatment planning, group therapy; collateral, individual, and family therapies; drug and alcohol education; and therapeutic activities. The program is open 5 days per week from 8:30am until 4:00pm. Salisbury Behavioral Health Inc. (SBH) also offers a partial hospital program (PHP) that provides intensive group therapy, individual therapy, psychiatric evaluations, and medication checks to individuals who need more intensive therapy than can be provided through an outpatient clinic. Participants generally participate 2 to 5 days per week for 3 to 6 hours each day. In addition to traditional talking therapies, a partial hospital program may provide other activity-oriented therapies (e.g., music therapy, art therapy, horticulture therapy).

Detoxification and Substance Abuse Services Post-acute inpatient rehabilitation services are offered at Pocono Medical Center (PMC) through Good Shepherd Rehabilitation. PMC is a licensed inpatient unit within the Good Shepherd Rehabilitation Network. Victims’ Services For a full listing of Monroe County Victims’ Services, see Appendix C (pg. 40).


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Identified Gaps

Crisis reported a significant number of calls from Pocono County Place (very large gated communities originally designed for temporary summer homes, but they have become permanent residences)

Pocono Farms and Pocono Farms East are also two developments that have notable amount of crime statistics The security forces at these gated communities don’t have arrest powers

Monroe County is a major corridor between New York City and Allentown New Perspective Crisis Services (a division of RHD that provides crisis services

for MCP MH/MR) covers three counties (Carbon, Monroe, Pike). This is as much as a three hour drive in some cases

Significant transient populations No inpatient drug & alcohol treatment center (the last one was closed 6-7 years

ago) Labor intensive to go through the citation process (bringing arrested individual to

the ER for Detox) for local jurisdictions The ER is geographically very far for some of the jurisdictions “Revolving door group” - 50 to 60 arrests per year are the same group of

individuals that are taking officers away from the streets Medical clearance issues in the ER

Can’t be released until their blood alcohol level is at a certain level (this leads to some cases in which individuals must stay overnight)

90% of intoxicated individuals go to jail as a detox option

Identified Opportunities

Security forces of Pocono’s gated communities might be a good place to start with the Mental Health First Aid Training

911 Department has expressed interest in MH training CCBH/Community Care and Health Choices recently provided funding to further

Crisis Intervention Team initiatives


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Intercept II: Initial Detention / Initial Court Hearing

Arrest and Initial Detention When an individual is arrested in Monroe County, he or she is initially detained at the local police department until the paperwork has been processed.

Preliminary Arraignment Monroe County has 10 Magisterial District Judges (MDJs) who conduct preliminary arraignment. The preliminary arraignment is currently split between video and face-to- face arraignment. Preliminary arraignment is the first instance in which the accused person is brought before the MDJ. The MDJ identifies the criminal charges and explains certain important rights of the accused. Bail is discussed and the amount is determined by the MDJ. Bail can be unsecured (e.g., no money need be posted for release) or monetary. Conditions that must be complied with while the case is pending can also be imposed. Counsel is not generally present at this stage of proceedings. After normal work hours and on weekends there is a countywide MDJ on call for arraignments. The protocol for arraignment varies depending on which MDJ is on call. Some MDJs request a call when an individual is brought in; others prefer to wait until morning to handle overnight cases. Some arraignments are performed via video, while others are conducted in person. Monroe County is also in the planning stages of developing a central booking center, which will help make the preliminary arraignment process more efficient.

Preliminary Hearing This judicial hearing is scheduled to take place within 10 days of arraignment. At the hearing, the prosecution must show that there is enough evidence to warrant moving forward. If there is not enough evidence (rare because the standard of proof at this hearing is low), the case is dismissed and the person is released. Preliminary hearing is the first opportunity to achieve disposition of a case because all important parties are present (i.e., the accused, the victim and witnesses, the arresting officer, the District Attorney, and defense counsel). Disposition can be interim in more serious cases or final in more minor cases. Bail is addressed again at this stage. It can be set initially (if not previously set) or adjusted. Conditions that must be complied with while the case is pending can also be imposed.


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Identified Gaps Lack of pre-trial services Three to four hours to process individuals in the jail Monroe County is working to develop sustainable funding for the proposed

central booking center There is often not enough time before the preliminary hearing for the public

defender to gather all relevant information about the accused Only informal behavioral health relationship with MDJs Criminal justice has lack of knowledge of the services that are available to the

population.

Identified Opportunities Video Arraignment’s technology has improved More MDJs are moving towards Video Arraignments In the process of developing a central booking center Working to identify and develop a clearing house of information about mental

health services


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Intercept III: Jails / Courts

Monroe County Correctional Facility The Monroe County Correctional Facility is located at 4250 Manor Drive in Stroudsburg, PA. The current census is 409 inmates, 50 of which are female. In 2010, the correctional center processed over 2,600 admissions. The average length of stay for 2010 was 53.4 days. The jail sends out daily census data to a number of providers, MH/MR, and other agencies throughout the county. Upon intake, individuals are screened for mental health and substance use issues by the nursing staff. If a problem is suspected, the individual is referred to the proper staff within the jail. As of June 2011, 156 inmates were identified as “having mental health issues.” Forty-two of these were known to the publicly-funded mental health system, and six had been enrolled in “long-term service.” Twelve individuals were known to publicly-funded substance abuse treatment and three had utilized community based drug and alcohol services. An estimated 42% of the inmate population is currently taking psychotropic medication. As of July 2011, four individuals were on level one suicide watch. For those individuals who were identified as persons with mental health or substance abuse issues, 62 were incarcerated on misdemeanor charges, 55 were incarcerated on felony charges, and 40 were incarcerated on violations of probation. On average, individuals in this target population had 1-4 arrests/bookings per year, and remained in jail for approximately six months for each episode of incarceration. Jail mental health/substance use treatment services

The Monroe County Correctional Facility employs a full-time PrimeCare Medical mental health clinician who sees approximately 100 individuals each month. Inmates are also served by a full-time drug & alcohol counselor who provides treatment, drug and alcohol classes, housing help, one-on-one counseling, and court ordered drug releases. In addition, the jail has a psychiatrist who sees 15 inmates weekly.

CMP MH/MR administrative case managers (ACMs) also go into the jail once per week to assist in identifying and linking individuals to community services and resources.

The Monroe County Correctional Center also offers several groups/classes including: Narcotics Anonymous, Alcoholics Anonymous, relationship skills groups, GED classes, sexual offender groups, and parenting skills classes.

Intercept 3 Jails / Courts

Jail

Spec

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Courts First time DUI offenders may be eligible for the Monroe County Accelerated Rehabilitative Disposition (ARD) Fast Track/Guilty Plea Program. Eligibility for this program is decided by probation. All DUI-fast track/guilty pleas are scheduled for one Monday each month at the Monroe County Courthouse. Monroe County also has an ARD program for non-DUI cases. Once an individual is accepted into the ARD program, his or her file is closed and they are assigned terms of probation. At the end of probation, participants have the option to hire a private attorney to petition the court to formally dismiss the charges and to order the police to discard his or her arrest record. The court may or may not grant the petition. Truancy Intervention Court is held at both the Magistrate and Common Pleas Court level, with the Honorable Judge Mark hearing the majority of cases. The hearings are informal and the judge sits at a table with representatives from Children & Youth, the school, and the juvenile’s parents. Court dates are generally held every quarter and the judge sets the date and time. All four school districts (Stroudsburg East, Stroudsburg, Pocono Mountain, and Pleasant Valley) in Monroe County participate. After conducting a five-year study, the Stroud Area Regional Police Department (SARPD) recognized a need to create the position of court liaison officer to streamline cases, control court costs, and improve information sharing with the District Attorney's Office. A Federal ARRA Grant was applied for and awarded to create a SARPD Court Liaison Officer. The position is the first of its kind in the area, and although there was a basic concept in place, it would not work unless all involved parties would "buy into" the project. SARPD began the process by meeting with all the three Magisterial District Justices in their coverage area, the Monroe County District Attorney’s office, and the Monroe County Public Defender's office. All entities were helpful with input and eager to assist, and the position quickly became active at all levels of the criminal court system. From January 1st to December 31st 2010, the court liaison officer has appeared for a total of 816 hearings. These hearings have been for officers who were off duty, as well as on patrol. The appearances have been for both juvenile and adults, and in front of all three Magisterial District Justices as well as most ‘call of the list’ appearances in the Court of Common Pleas. The total amount of money saved by the three participating municipalities throughout the duration of the 2010 fiscal year has been estimated at $60,832.00 (or 1,428 overtime hours). In instances where the police officer was on duty, the court liaison appeared for a total of 190 cases, with a total of 570 man-hours saved. This translated into officers being able to stay out in the community and respond to calls. Magisterial District Justices have imposed a total of $29,179.50 in fines for all of the cases for which the court liaison has appeared. The participating municipalities are entitled to a percentage of the amount of all collected fines.


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Identified Gaps

Increasing number of people on Level 1 suicide watch No mechanism for paying for court ordered psychological evaluations; this is not

part of the court’s budget Currently the jail is looking for funding from other sources; ethical issues

with jail treatment staff conducting these evaluations


Monroe County Jail Warden will send out the daily census data to anyone that

would like to receive it Jail mental health clinician can gather useful information concerning number of

people on meds that have a severe mental illness diagnosis and have linkage with community agencies

Family members can be advocates and help convey mental health issues to the public defender

Monroe County is very good at providing services for the uninsured Opportunities exist to develop community alternatives and linkage to community

treatment such as “catch is as catch can court” and programs like ARD


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Intercept IV: Re-Entry

Re-Entry Services Individuals leave the Monroe County Correctional Center at designated release times (10:00am, 3:00pm, or 7:00pm), and are provided three days of psychotropic medication.

The mental health clinician in the jail notifies MH/MR when a mental health consumer will be leaving the jail. The Mental Health - Mental Retardation Administrative Case Managers then begin in-jail reintegration planning 6 months to 1 year before release when possible.

In addition, the drug and alcohol counselor coordinates with rehabilitation and housing options to link individuals to services upon release.

If there are no other resources available to an individual released from the correctional facility, the MH/MR Medical Mobile Team is utilized. This team is run by New Perspectives and Resources for Human Development and employs a nurse and social worker to meet with consumers and assess what medication and prescription is needed.

Salisbury Behavioral Health (SBH), NHS Human Services, Resources for Human Development (RHD)-CrossRoads, and Carbon Monroe Pike MH/MR all provide blended or targeted case management.

Re-Entry from Pennsylvania Department of Corrections (DOC) Monroe County MH/MR receives a monthly list of residents incarcerated in State Correctional Institutions who are receiving mental health treatment. There were approximately 40 individuals on this list as of July 2011. Residents returning to Monroe County from State Correctional Institutions are given 30 days of aftercare psychotropic medication.

Veterans Services Monroe County is served by the Wilkes-Barre VA Medical Center, located at 1111 East End Blvd, Wilkes-Barre, PA 18711, with business hours Monday through Friday, 8:00 a.m. - 4:30 p.m. (Phone: (570) 824-3521; Toll Free: 1-877-928-2621) The Wilkes-Barre VA (http://www.wilkes-barre.va.gov/ ) has a Veterans Justice Outreach (VJO) Specialist to coordinate forensic services for veterans in the criminal justice system. Monroe County is served by Keather Likins ([email protected]) and Kimberly Sapolis Lacey ([email protected]) from the Wilkes-Barre VA. For more information on the Veterans Justice Outreach Initiative and the Veterans Health Administration (VHA), please

Intercept 4 Reentry

Pris

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http://www.wilkes-barre.va.gov/

mailto:[email protected]



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see Guide 7 – “Information Sheet on Justice-Involved Veterans for Judicial System” located in the Resource Guide Document.

Identified Gaps

In some cases there is a long lag time from release to first psychiatric

appointment (particularly for non-MH/MR clients) Ten days prior to release, the process is started to reinstate benefits, however, it

is still 20 to 30 days until those benefits are reinstated Large number of Monroe County residences in State DOC and on State Parole MH/MR and inmates coming out of State DOC often have to wait for State Parole

to clear them, which slows down services individuals might need In some cases MH/MR is holding beds for clients while waiting for parole

approval Upon release from jail, individuals only have three days worth of medication and

often can’t get refills within that time


Jail’s mental health clinician notifies MH/MR when an inmate is coming into the community

Drug and alcohol counselor does a lot work on reentry and coordinates with probation and rehabilitation

New Perspectives Medical Mobile Team (nurse and social worker) Goes out to meet the consumer and assesses what medication they need;

mobile unit can call in the prescription


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Intercept V: Community Corrections / Community Support

Probation and Parole Monroe County Adult Probation is located at 7th & Monroe Street in Stroudsburg, PA. It is estimated that this department employs a staff of approximately 20 to 49 individuals.

Housing Housing through the Mental Health system in Monroe County includes:

Six Community Residential Rehabilitation Programs that provide group or apartment living with supportive services 24/7 (approximately 50 served at any given time).

Four enhanced personal care homes specific to individuals with a mental illness that provide supportive services 24/7 (approximately 32 people served at any given time).

Seven supportive housing programs for individuals with mental illness that provide varying levels of supportive services ranging from as needed to daily support (approximately 30 served at any given time).

Two rent subsidy programs (properties owned by mental health providers). The mental health system provides rental assistance to the individuals or families who live in these homes. Services are dependent upon need and are provided independently of the living arrangement (approximately 18 are served at any given time, however not all qualify for rent subsidy).

Numerous master leasing opportunities provided through NHS and CrossRoads with supportive staff funded by MH/MR or through independent service providers within the community. Services are dependent upon the level of need (approximately 55 units at any given time across the three counties, but most are in Monroe).

Crossroads Community Services began as a permanent supportive housing program providing services to individuals with serious and persistent mental illness, and who have experienced homelessness. Services include rental subsidy; case management; individual recovery planning; links to community resources; life skills education; coordination of educational and vocational training services; and coordination of medical, dental and mental health services. A permanent supportive housing program serves homeless individuals or families with an adult member who is disabled due to a serious and persistent mental illness. Intensive case management provides recovery-oriented services to people with serious mental illness. Services are provided to persons residing in Carbon, Monroe, and Pike counties. Health Choices also has a flexible housing fund that can provide a stipend for rent, medications, and other necessities.

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Intercept 5 Community corrections

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Violation


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Salisbury Behavioral Health accepts individuals with mental health and criminal justice histories and offers:

A personal care home that provides personal care in a residential setting to individuals diagnosed with mental illness, mental retardation, and/or who are aged. Personal care includes help with activities of daily living, medication management, budgeting, etc. In the past, most personal care homes provided a limited set of services and a limited amount of privacy. People with serious and persistent mental health problems have needs that far exceed the services typically offered in these settings. Our personal care homes offer intensive services in addition to those that are required by the personal care home regulations. Additionally, they provide privacy to each resident within a well maintained, beautifully furnished, comfortable home. These residential homes are licensed by the Commonwealth of Pennsylvania, Department of Public Welfare (DPW), in order to set minimum standards of care. The residential service is closely linked to treatment facilities such as partial hospital programs, outpatient clinics, and a host of other needed services typically coordinated by an intensive case manager.

Community Residential Rehabilitation Services (CRR) is a group home licensed to provide residential services to people with serious and persistent mental illness. Clinical interventions generally are NOT provided in a CRR. Instead, residents receive any clinical services that they need through outpatient clinics, partial hospital programs, and other community based (non-residential) programs.

Supportive Independent Living provides support to residents so they may maintain their independence and health.

Fitzmaurice Community Services, Inc. (FCS) provides a wide variety of housing options that meet the needs of the disabled and the homeless within Carbon-Monroe-Pike Counties. Their housing initiative(s) offer community-based housing with supportive services designed to enable homeless persons with disabilities to live as independently as possible in a permanent setting. FCS housing is financed in part by grants from the Commonwealth of Pennsylvania, Department of Community and Economic Development, Department of the United States Housing and Urban Development, Carbon-Monroe-Pike County MHMR, Monroe County Affordable Housing Act, ESSA Bank and Trust Charitable Foundation, and other community contributions. The Allentown/ Northeast Regional Homeless Advisory Board (RHAB) is leading a 10 year Planning Process to End Homelessness in the 12 counties of Northeastern Pennsylvania, including Monroe County. These communities have been collectively designated by the Department of Housing & Urban Development (HUD) as PA-509. Each year the Allentown/ Northeast Regional Homeless Advisory Board (RHAB) leads the count of unduplicated homeless persons and families, shelter usage statistics, subpopulation information, and McKinney-Vento (HUD) funded permanent supportive housing usage on a single day. This single point in time homeless count occurred across Pennsylvania January 26, 2011 (see Appendix D, pg. 42).

Community Resources (for a full listing of community services, see Appendix E, pg. 47)


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Resources for Human Development (RHD) provides a sexual offender treatment program that includes residential, outpatient, and risk assessment services. Though not located in Monroe County and not covered by Medical Assistance or county funding, the sexual offender treatment program is available to people who live in Monroe County.

Catholic Social Services provide residential treatment programs for at-risk children, family preservation services, foster care, adoption, immigration services, counseling, senior citizen centers, programming for the elderly, transitional housing, homeless services, and care for medically fragile men and women. They also provide residential and community-based education programs to court-adjudicated youth, and sponsor residential and community-based care for persons who are developmentally delayed. Salisbury Behavioral Health Inc. (SBH) offers:

The Clubhouse (CH), which is a gathering place for adults with serious and persistent behavioral health problems that provides a variety of activities organized around a “work-ordered day.” Each member of the clubhouse works in one or more clubhouse work units. Additionally, clubhouse members may work for pay at “temporary employment placements” organized by the clubhouse. In addition to work activities, the clubhouse offers socialization opportunities all year long with particular emphasis on holiday celebrations and meals

The Work Program (WP) provides a variety of work activities within environments that accommodate the needs of people with serious and persistent behavioral health problems. Workers in the work program receive competitive wages that never fall below, and most frequently exceed the minimum wage rate.

ReDCo Group Behavioral Health Services provides:

The Psychiatric Rehabilitation Program, known locally as the New Vision, which is committed to assisting individuals with mental illness in connecting with the community. Through participation in this recovery-based model, individuals will develop a sense of accomplishment, competency, and belonging through new and expanded roles in social, employment, and educational opportunities. This program is appropriate for persons 18 years of age and older who present with a history of serious mental illness and functional impairment that has an impact on social, educational, and vocational opportunities. Consumer choice is emphasized, as well as active participation in goal setting. Strategies to acquire skills and develop an individual support network are the cornerstones to this rehabilitative program.

Outpatient services in the Monroe County area, primary through group, family, and individual counseling. For the chronically mentally ill, medication management and supportive counseling are also provided. In all cases, intervention goals will be individualized through treatment planning with the client.

Peer specialists that teach and support skill development, promote knowledge of available services and choices, and provide linkage to resources within the community to facilitate a sense of wellness and self-worth.


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The Family and Child Together (F.A.C.T.) Program, which provides family based mental health treatment to children with emotional disturbances and their families. The goal is to assist families in maintaining the child or adolescent in the home. Parents are viewed as essential collaborators in the process of identifying, clarifying, and practicing new behaviors, attitudes, and beliefs that will allow families to remain intact. The family is seen as the means of positive change and thus the goal is to promote competency in the family unit. Professional team members work to assist the families in finding individualized, alternative methods to meet their own family's needs, other than placement of the child. The model for the Family Based Services (FBS) program focuses on a non-traditional, hands-on approach working with the strengths and resources of the family. FBS is characterized by intensive services driven by the need level of the family. Family based treatment interventions begin with the family's reality, striving to join positively during times of crisis. A holistic family systems approach begins with listening to the family's own definition of itself and of its problems. It continues with the provision of services in the family's home and community respecting socio-economic, geographic, and cultural differences. It is expected that most services are provided in the family's home. The interdependence of the child, the family, and their environment are incorporated in a systemic view of treatment. With the family systems approach, the child or adolescent becomes the entry into the family unit rather than focus remaining entirely in the identified child.

The Salvation Army and food pantry are also valuable community resources.


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Identified Gaps Housing

More housing available for individuals coming out of State DOC compared to Monroe County Jail

Lack of housing for sex offenders coming out jail Point in Time Study- Homelessness in Monroe/Pike/Carbon County has

increased by 86% over four years (See Appendix D, pg. 42) There is a lack of affordable housing in Monroe County. Rent is generally

much higher than surrounding areas


Flexible Housing Funds-funds available to help individuals maintain housing.

These funds are provided by Health Choices Reinvestment and run by CrossRoads Community Services.

Can be used for rent or mortgage, security, furnishings, really anything that is necessary to help them maintain or secure housing

Resources for Human Development provide resources and support services for sex offenders (including individuals in Meghan’s Law List)

Family Support Service Funds through MH/MR Help with first month’s rent and maintaining housing Gift Cards for oil and propane, gasoline, and Wal-Mart (Food & Clothes)


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Monroe County Priorities Subsequent to the completion of the Cross-Systems Mapping exercise, the assembled stakeholders began to define specific areas of activity that could be mobilized to address the gaps and opportunities identified in the group discussion about the cross-systems map. Listed below are the priority areas identified by the workshop participants.

Top Four Priorities

1. Develop strategies to divert at intercept 1 o MH First Aid o CIT o Combination of MH First Aid and CIT o Better interface between law enforcement and crisis

Repeat callers Death Notifications

2. Develop strategies to divert at intercept 2

o MH First Aid Training across intercepts o Target MDJs o “Catch is as Catch Can Court”

3. Expanded housing opportunities

4. Improve re-entry from the jail to facilitate aftercare

o Timely notifications

Additional Priorities

Follow through on central booking center

More formalized communication between the systems (e.g. a point person at the Public Defender’s Office)

Expand availability of Drug and Alcohol Services

Identification of frequent users across intercepts

Improve access to benefits o Increased coordination with County Assistance Office o Better education of PSH Staff o Including clients’ management of their benefits

Better education for public defender staff re community resources and ways to access these resources.

Expansion of treatment targeted for this population (e.g. Forensic Assertive Community Treatment (FACT) Team, forensic case management, etc.)

Permanent home for budget supporting court ordered evaluations

More funding to support these efforts


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Monroe County Action Plan

Priority: Moving Forward

Objective Action Step Who When

CJAB o Tomorrow’s meeting – get on agenda in 2 months

Develop a subcommittee of the CJAB for planning purposes

o Flesh out this work D&A, housing, Jim, Jen, Wes, Donna

Getting other partners at the table (DA, President Judge, Adult Probation)

o Maybe a dinner meeting?

Priority Area 1: Develop strategies to divert at intercept 1 o MH First Aid o CIT o Combination of MH First Aid and CIT o Better interface between law enforcement and crisis

Repeat callers Death Notifications

Work Group: Jim, State Police, Mt. Poconos Police, Beth, Patty, John, Lynn, and PJ


1.1 Mental Health First Aid – all police officers, 911 staff, Security officers, EMTs, hospital technicians, intake staff, Probation

Identify local trainers Train the trainer Hire a coordinator Identify point people for

police departments – create contact flow chart/decision tree

Crisis Program Crisis Program Coordinator

10/2011 10/2011 Ongoing

1.2 CIT – 25% of Police Officers, 100% of 911 Staff

10 Volunteer Trainers o Law enforcement o MH Professionals o Consumers o Will serve as

advisory committee Recruit, Sell Outcomes

Coordinator 1/2012


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Priority Area 2: Develop strategies to divert at intercept 2 (MH First Aid Training across intercepts, Target MDJs, “Catch is as Catch Can Court”)

Work Group: Ken, Wes, Sheila, Stephanie, Lynn, Tina, and Angel


2.1 Training Research funding Set up for training Include Hearing

Distressing Voices exercise?

Mechanism for training on resources

Compare local to Australian ‘package’ training

Service training for PD, MDJs, and Law Enforcement

Training Committee Sub-committee of CJAB

MH/D&A Community

Friday Monthly Meetings

2.2 Intervene between arrest and arraignment

Begin getting jail list Dispatch ACM/D&A to

meet with consumer ACM/D&A contact

officer and PD and send information

PD and Officer to present to “Court”:

ACM (MH)

D&A Counselor

ASAP

Priority Area 3: Expanded housing

Work Group: Rayann, Cindi, Arlene, Jeff, and Zaadya


3.1 Increase awareness of needs with people and agencies who can help meet these needs

Jail list distributed to MH/MR Housing Coordinator

Housing Coordinator

(HC) to coordinate with MH/MR ACMs

Warden to Director of Consumer Support Services

ACM & Housing Co

As soon as possible (thinking weekly)

Ongoing

As it


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Include HC in the CIT development

HC and CIT Stakeholders

develops

3.2 Consider the rest of individuals involved with the Criminal Justice in future reinvestment efforts

Obtain data related to individuals and needs

Consider viability of including a temporary unit within Master Leasing or proposed RFI project

Explore other funding sources for sustainability

November 14th Housing Alliance Conference

Work with the Housing Authority

Collaboration with HealthChoices, MCCF and HC

HealthChoices proposed vendors RFI

MH/MR Housing Coordinator (LHOT), HealthChoices community

ASAP and Ongoing Within 60 days Ongoing

Priority Area 4: Improve re-entry to facilitate aftercare o Timely notifications

Work Group: Chris, Donna, James, Rick, Wendy, Jen, Beth, Robert, Virginia, Jen, and Kevin


4.1 Improve timely access to medication

Include outpatient service providers reps in meetings with MH/MR and jail

Jail is going to contact Prime Care about extending medications. In addition, contacting other jails to see how they are able to give 30 days of medication

Determine when notice is sent to SSA through jail’s Volunteer Coordinator

Jail to send daily roster to ReDCO, NHS, and Catholic Social Services. (outpatient providers)

MH/MR, Jail Staff, Outpatient Service Providers


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4.2 Improve timely application for Medicare benefits

Meet with rep from CAO to discuss application process

Advocate for a behavioral health specialist at CAO (Trained in MH First Aid and invite them to CJAB)

Discuss intercept seminar at next CJAB meeting include this as an agenda item going forward review grant opportunities through PCCD

July 15th, 2011 and then move forward at the next scheduled CJAB


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Conclusion Participants in the Cross-Systems Mapping workshop showed much enthusiasm in working together to improve the continuum of resources available for people with severe mental illness and often co-occurring substance use disorders involved in the Monroe County criminal justice system. Monroe County is poised to tackle a number of critical issues that will greatly improve services for this group. The assembled stakeholders spent time gaining a greater understanding of their shared systems, as well as crafting strategies related to improving the collaborative infrastructure for the group and addressing the gaps and opportunities at each intercept.

Considerable work has already been undertaken to improve services for people with severe mental illness and often co-occurring substance use disorders involved in the Monroe County criminal justice system. Law enforcement training, specialized case management, in-jail treatment programs, and crisis services are some examples of current Monroe County initiatives. Monroe County has also developed some thoughtful data to begin to provide a clearer understanding of the issues being discussed. In addition, Mental Health First Aid and Crisis Intervention Team training are promising community efforts that generated a good deal of interest during the workshop. Local stakeholders participating in the Cross-Systems Mapping were clearly interested in building on current successes to better serve this population.

The expansion of the planning group to tackle the priorities established during the Cross-Systems Mapping workshop is an essential next step in a true systems change process. It will be important to create effective working relationships with other groups that did not attend the workshop, including other police jurisdictions, the Department of Veterans Affairs, local Magisterial District Judges, Adult Probation, Social Security Administration, County Administration Office, and other local peers. Regular meetings should be held by this larger group to facilitate information sharing, planning, networking, development and coordination of resources, and problem solving.

Closing Monroe County is fortunate to have the support of the Criminal Justice Advisory Board and County Commissioners in these efforts. A wide range of stakeholders across the mental health, substance abuse, social services, and criminal justice systems made significant efforts to understand and support the challenging issues discussed in this workshop. The Cross-Systems Mapping workshop gave these stakeholders a chance to develop a coordinated strategy to move forward with the identified priorities.

By reconvening and supporting the work of the group in coming months, it will be possible to maintain the momentum created during the Cross-Systems Mapping workshop and build on the creativity and drive of key local stakeholders. The Pennsylvania Mental Health and Justice Center of Excellence hopes to continue its relationship with Monroe County and to observe its progress. Please visit the Pennsylvania Mental Health and Justice Center of Excellence website for more information, www.pacenterofexcellence.pitt.edu.

http://www.pacenterofexcellence.pitt.edu/


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Appendix A – Participant List Donna Asure MCCF Warden 992-3232 [email protected]

Stephanie Barnett-Jamison Salisbury Program Director 422-6721 [email protected]

Beth Booterbaugh VP, Behavioral Health FCS 213-4319 [email protected]

Tina Clymer MHMR Deputy Administrator 570-420-1900 ext. 3438 [email protected]

Richard A. Cuth, Jr. Director of Treatment, MCCF [email protected]

Lynn Daniels D&A 421-1960 [email protected]

James Doherty Captain, Monroe Co. Correctional Facility 992-3232 [email protected]

Robert Ems Clinic Director, NHS [email protected]

Patty Fascio CCBH [email protected] 243-4700x4706

Jim Fouts Director of NP Crisis Residence [email protected] 570-992-7590

Abby Giaquinto Supported Independent Living Supervisor 620-4313 [email protected]

Arlene Gomez RHD [email protected]

Jeff Hartzell Health Choices [email protected] 570-420-1900 ext.3711

Wendy Johnson Health Service Administration MCCF 992-2879 [email protected]
















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Lynn Wright-Frisk OMHSAS [email protected]

Zaadya Martinez Director of Case Management [email protected]

Cynthia Mazza Salisbury Director 422-6670 [email protected]

Theresa Merli Commissioner, Monroe County 517-3102 [email protected]

Kenneth M. Nevil Corporal, Stroud Area Reg. PD [email protected]

Wieslaw Niemoczynski Chief Public Defender 517-3042 [email protected]

Brian Kimmins Lieutenant of SARPD 421-6800 [email protected]

Susan Perry Executive Dir., Outpatient Services The ReDCo Group 420-8070 x3018 [email protected]

Beth Pickering CCBH 243-4700x4712 [email protected]

Jen Pitoniak Mental Health Clinician 992-3232 x3642 [email protected]

Leo Nita Fernridge State Police Trooper 893-3818 [email protected]

Angel Rogalinski Therapist - ReDCo 420-8070 [email protected]

Rayann Rohrer Corporate Assistant Director, RHD 484-893-6100 [email protected]

PJ Saurman Program Manager C&Y 420-3590 x3217 [email protected]














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Sergeant Joseph Christaloi Swiftwater State Police Clerk 403-2946

Kevin Shields Consumer 977-9971 [email protected]

Doug Smith Cpl., Pocono Twp Police 629-7200 [email protected]

Chris Sorrentino D&A 421-1960 [email protected]

Christine Cuda Deputy Chief, Juvenile Probation 517-3095 [email protected]

Virginia Sutter ACT Team Leader 424-8119 x220 [email protected]

Sheila Theodorou MHMR Administrator [email protected]

Kent Werkheiser Asst. Chief, Pocono Twp Police 629-7200 [email protected]

Jennifer Williams Director of Consumer Supports [email protected]

Captain William Parrish Stroud Area Regional Police 570-421-6800 ext. 1002 [email protected]

John Zirkel PMC Behavioral Health [email protected]












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Patty Griffin, Ph.D. Senior Consultant Pennsylvania Mental Health and Justice Center of Excellence 8503 Flourtown Avenue Wyndmoor, PA 19038 [email protected] Phone: 215-836-0570

Sarah Filone, MA Project Coordinator Pennsylvania Mental Health and Justice Center of Excellence Department of Psychology Drexel University MS 626, 245 N. 15th Street Philadelphia, PA 19102-1192 [email protected] Phone: 215- 762-8275 Fax: 215-762-8825

Katy Winckworth-Prejsnar Research Associate Pennsylvania Mental Health and Justice Center of Excellence Department of Psychology Drexel University MS 626, 245 N. 15th Street Philadelphia, PA 19102-1192 [email protected] Phone: 215- 762-4257 Fax: 215-762-8825





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Appendix B – Stroud Area Police Annual Report 2010


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Appendix C – Monroe County Victims’ Services

Monroe County Victim Services Monroe County

District Attorney's Office

Monroe County Courthouse, 1st Floor

7th and Monroe Streets

Stroudsburg, PA 18360

Daytime: 570-420-3481 570-420-3470

Victim Witness Program, Specialized services for

victims of juvenile offenders

Women's Resources of Monroe County,

Inc. P.O. Box 645

Delaware Water Gap, PA 18327

Daytime: 570-424-2093 Hotline: 570-421-4200

1-866-421-4200 TTY: 570-424-3453

Website:www.wrmonroe.org

Sexual Assault/ Domestic Violence

Program

MADD -

North/Central Affiliate Office

1216 Carbon Street Reading, PA 19601

Daytime: 610-372-6233 Hotline:1-800-988-5705

Website: www.maddpa.org

Mothers Against Drunk Driving

Children's Advocacy

Center of North Eastern PA

1710 Mulberry Street Scranton, PA 18510

Daytime: 570-969-7313 Website: www.cacnepa.org

Specialized Assessment of Child Abuse or Neglect

and Prevention Education.

http://www.wrmonroew.org/

http://www.maddpa.org/

http://www.cacnepa.org/


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PA Coalition Against Domestic Violence 6400 Flank Drive, Ste. 1300 Harrisburg, PA 17112

daytime: 800-932-4632 website: www.pcadv.org

PA Coalition Against Rape 125 North Enola Drive Enola, PA 17025

daytime: 717-728-9740 24 hour hot line: 888-772-PCAR website: www.pcar.org

PCCD Victims Compensation Program 3101 N. Front Street Harrisburg, PA 17108

daytime: 717-783-5153 800-233-2339 website: www.pccd.state.pa.us

MADD, PA State Office 2323 Patton Road Harrisburg, PA 17112

daytime: 717-657-3911 24 hour hotline: 866-439-6233 (Pittsburgh) 800-848-6233 (Harrisburg) website: www.maddpa.org

http://www.pbpp.state.pa.us/ova/OVA_Redirector.asp?U=www.pcadv.org

http://www.pbpp.state.pa.us/ova/OVA_Redirector.asp?U=www.pcar.org

http://www.pccd.state.pa.us/

http://www.pbpp.state.pa.us/ova/OVA_Redirector.asp?U=www.maddpa.org


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Appendix D – Single Day Point in Time Homeless Count for PA-509, January 26, 2011


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46


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Appendix E – List of Mental Health Services and Supports in Monroe County Outpatient Services The ReDCo Group NHS Human Services Catholic Social Services Many independent practitioners Blended/Targeted Case Management CMP MH/MR NHS Human Services Salisbury Behavioral Health CrossRoads Community Services Assertive Community Treatment NHS Human Services Salisbury Behavioral Health Partial Hospitalization The ReDCo Group Psychiatric Rehabilitation Recovery Center-Salisbury Behavioral Health Social Rehabilitation Drop In Center-Fitzmaurice Community Services The Warm Line-The Advocacy Alliance Crisis Services Resources for Human Development-New Perspectives Telephone Crisis 24/7 Mobile Crisis Medical Mobile Services Crisis Residence Certified Peer Specialist Salisbury Behavioral Health- Free Standing and within ACT NHS Human Services-within OP and ACT ReDCO-within OP Inpatient Pocono Medical Center Administrative Case Management/Supports Coordination CMP MH/MR

monroe county - pacenterofexcellence.pitt.edu€¦ · through a community collaboration...

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