CMHIP Forensic Community Based Services Programs : CMHIP Forensic Community Based Services Programs
Slide 2 : Defendant found
“Not Guilty by Reason of Insanity”
Defendant must be committed to Colorado Dept. of Human Services for treatment;
Indeterminate time frame (“one day to life”)
The patient progresses through the Forensic Security Stages as they demonstrate improving mental stability and behavioral control. : The patient progresses through the Forensic Security Stages as they demonstrate improving mental stability and behavioral control. Movement through High Security Forensics Institute to Transitional Forensic Units with increased privileges (supervised & unsupervised) to prove readiness for release.
Role of the Disposition Committee : Role of the Disposition Committee Treatment Team proposes that defendant/patient reside off-grounds
Disposition Committee reviews Team’s proposal, including proposed conditions of release, risk assessments and recent course of hospitalization, mental status exam, NCIC, and additional medical records
Disposition Committee recommendation and report sent to Superintendent
Superintendent sends his recommendation to court.
When NGRI defendant progresses in treatment tocommunity residence … : When NGRI defendant progresses in treatment tocommunity residence … Forensic Community Based Services Provides Follow-up and Case Management Services.
“Community Placement” : “Community Placement” As to legal status:
The Defendant remains a patient of CMHIP but lives off the hospital grounds,
under statute allowing off-grounds privileges with court approval,
usually in boarding home, assisted living facility, with family, etc.
Community PlacementCourt Procedure : Community PlacementCourt Procedure Request for CP, and proposed terms of placement, are sent to court by Superintendent;
DA has 30 days to object;
If no objection, approval is automatic;
If there is an objection, the defendant [sometimes, the hospital] will request a hearing.
Conditions of Community Placement“CP” : Conditions of Community Placement“CP” Examples of conditions are:
Who will monitor defendant?
Where will defendant reside?
Is medication monitored?
Are substance abuse toxicology screens required?
FCBS Can Require CP Patient to Return to Inpatient Care at any time, for any reason, and without Court action.
Conditional Release“CR” : Conditional Release“CR” Court has released Defendant from his legal commitment to CDHS,
Defendant must comply with court-ordered conditions to remain on release status
Generally, psych care and case management is provided by MHC’s, with reports to FCBS.
FCBS Drafts Court Order addressing: : FCBS Drafts Court Order addressing: Residence
Mental Health Services
Required Participation in Program
Medication
Home Visits/Searches
Approved Employment and Activities
Return to In-Patient Care
Free Exchange of Information
CMHIP and Center Contact with Family
Weapons Prohibited
Alcohol Use and Substance Abuse Prohibited
Driver's License
Reporting of Offenses
Travel
Court finalizes and signs Order : Court finalizes and signs Order FCBS Provides an annual report to the Court regarding the Defendant’s compliance with conditions set by the Court.
FCBS notifies the Court in of violations of the Court-Ordered conditions in report, and if serious, as soon as the violations are known to FCBS.
If violations, the Court may issue an arrest warrant and return the Defendant to jail or CDHS custody.
As of April 1 2010, FCBS follows: : As of April 1 2010, FCBS follows: 54 Defendants on Community Placement status;
98 Defendants who are Conditionally Released from Commitment.
Counties of Residence Include:
Adams, Denver, El Paso, Arapahoe, Fremont, Otero, Larimer, Weld, Mesa, Jefferson, Boulder, Pueblo, Garfield, Arapahoe and La Plata
Community Placement for ITP Defendants? : Community Placement for ITP Defendants? Although there are none at this time, Colorado statutes allow defendants who:
(1) have been found Incompetent to Proceed in their criminal cases, and
(2) are inpatients at a CDHS facility (usually, CMHIP/IFP)
to move into the community on CP
status, with court ordered conditions and
with monitoring by FCBS.
FCBS Services Targeted at Risk Factors : FCBS Services Targeted at Risk Factors Utilizing the Recovery Model, promote patient independence and enhance community safety
Individual Contacts: “check-ins”, therapy, crisis intervention
Home Visits and Searches
Group Therapy with focus on reinforcing skills to live in Community and sharing resources and experiences
Medication teaching and assessment (benefits, side effects, interactions)
Partnerships with Employers, School, Significant Others, and Family
Assistance with obtaining benefits and other services (bus pass, food stamps)
Hair analysis for substance abuse
Assistance with developing and following budget
Assistance with developing and updating Wellness Recovery Action Plan (WRAP) for relapse prevention and management plan.
Current Workload : Current Workload Each FCBS Case Manager is assigned 10-13 CP/CR patients (depending on acuity and county of residence)
Each FCBS CR coordinator is assigned to approximately 45-50 CR patients (geographic distribution)
FCBS Personnel : FCBS Personnel Contacts:
Linda Dotson (719-546-4498)
FCBS Director
Paula Yacconi (719-546-4823)
FCBS Assistant Director
Judy Gurule (719-546-4289)
Court Liaison and Disposition Coordinator
Christine Braun (719-546-4726)
CR Coordinator
10 Case Managers, in Pueblo and Denver Offices
FCBS Staff Psychiatrists: Elissa Ball, Gary Martz, Ken Locke
FCBS Staff Psychologists: Nicole Mack and Pam Morgan)