Team Members
Serves as point of contact for ICTS and community partners. Supervises and coordinates team activities and communicates between referral source (P&P) and community partners. Responsible for management of all documentation and financial aspects of the program. Assigns tasks within the team as appropriate. Attends quarterly oversight meetings. Ensures housing and employment specialists complete required trainings. Meets with local District Administrator on monthly basis to discuss issues or concerns and review ICTS monthly and weekly dashboards. Responsible for clinical and quality monitoring, compliance, and oversight.
What is the role of the ICTS Program Director/Regional Director (Shannon)?
These may include verbal reprimand, written reprimand, homework assignment, curfews, electronic monitoring, increased reporting, increased groups (as clinically indicated), jail time, or warrant.
What are P&P sanctions?
Reduce incarceration or re-incarceration
What is reduce recidivism?
Acceptance & Commitment Therapy (ACT); Cognitive Behavioral Therapy (CBT); Cognitive Processing Therapy (CPT); Dialectical Behavioral Therapy (DBT); Eye Movement Desensitization Reprocessing (EMDR); Motivational Interviewing (MI); Seeking Safety; SMART Recovery are all considered this.
What are evidence-based practices?
Program eligibility is established using the Ohio Risk Assessment System (ORAS) tool, as well as P&P recommendations, along with BH provider's comprehensive evaluation.
What is assessment?
Supervises and coordinates team activities and communicates between referral source (P&P) and team. Responsible for management of documentation and financial aspects of the program. Provides clinical guidance, supervision, and assigns tasks within the team as appropriate. Ensures housing and employment specialists complete required trainings. Provides group counseling, group education, and individual therapy services, as needed.
What is the role of the ICTS Team Lead/Supervisor (Tim)?
Shares lived experiences of recovery from substance use and mental health disorders; promotes dialogues on recovery and resiliency; shares and supports the use of recovery tools and models successful recovery behaviors; teaches and models skills to manage symptoms and problem-solving behaviors; uses stages of change in recovery to promote self-determination; assists in setting goals and follows through on wellness and health activities; helps individuals recognize capacity for resilience; Helps individuals set and achieve recovery goals; assists in connecting individuals with health recovery communities and understanding support group principles; assists in responding to individuals crisis as part of the treatment team.
Who is the Peer Specialist (Jori, Ellyne)?
Contribute to a safer, healthier Missouri
What is public safety?
Employment readiness; finding employment; employment retention and assistance; housing assistance; care coordination (community support); Crisis stabilization in residential or other suitable setting; transportation; childcare assistance; life skills instruction, etc.
What are wraparound services?
The following are given priority for enrollment in the program: Women; Individuals with Opioid Use Disorder (OUD); and Individuals with co-occurring substance use and mental illness.
What are priority populations?
Assists participants with navigating housing barriers in order to obtain and maintain safe and stable housing; practices housing first strategies, develops partnerships with community transitional housing providers; acts as a liaison between housing partners and ICTS treatment team; Develops relationships with community housing agencies, recruits landlords, works to help reduce barriers with housing providers associated with individuals' past felony background or past evictions; connects to permanent housing, benefits, and ongoing supports; assists individuals with developing skills to apply for and maintain safe and suitable independent housing; facilitates classes to support participants in understanding their rights and responsibilities as a renter; etc.
Who is the Housing Specialist (Tonya Coalwell)?
Provides individual substance use, co-occurring mental health, and trauma counseling; crisis intervention; treatment planning; assessments; family therapy; conducts group sessions to address criminogenic, substance use, or other identified needs using cognitive-behavioral approach.
Who is the primary counselor/therapist (e.g., John, Beth, Jan, Shelby)?
What is treatment?
Routine meetings with entire ICTS team to ensure coordinated and effective service provision and information sharing occurring at minimum of twice per month but more frequently, if necessary, to discuss participant engagement and progress in treatment. Updates to treatment plan since last meeting are also provided at this time. Areas addressed include: housing; employment; prosocial engagement; medication compliance; drug collection attendance and results; group/individual therapy attendance; Needs concerning residential treatment; financial concerns; any barriers to treatment; engagement; contingency management; staffing ratios; assessment completion date for all initial referrals; first billable date of service after referral.
What are (weekly) staffings?
Completed to track individual progress in treatment, allows for timely value-based payments to the behavioral health provider for participant progress, and provides information of interest to external stakeholders in terms of: basic demographic information; services the individual may need; progress in treatment; substance use; stability factors; violations/dispositions; written progress plan. There should be at least two completed in a 30-day period for each participant.
What is the Progress Assessment Report (PAR)?
Assists individuals in obtaining and maintaining employment, develops partnerships with employers, reduces barriers with employers associated with individuals' past felony background; educates about employment opportunities; assists with developing skills to obtain and maintain employment - including conflict management, communication skills, and time management; assists with interview skills, submitting applications, developing resumes as needed; spends at least 65% of their time in the community meeting with employers and/or individuals they are serving.
Who is the Employment Specialist (Lisa Lewis)?
Develops integrated treatment plans with individiuals; monitors participation in and response to treatment in order to match and adjust the type and intensity of servcies to individuals' needs; links multiple services, healthcare providers, and community resources to meet individual needs; ensures the flow and exchange of information among the individual and their supports/providers; works collaboratively to resolve differing perspectives and priorities; implements disease management strategies; provides or arranges access to services that focus on benefits of financial counseling, transportation, home care, social services, peer support, and medication for substance use disorders.
Who is the Care Coordinator (Community Support Specialist - e.g., Matthew, Rachel)?
A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential.
What is recovery?
This person shares information regarding legal issues, comliance on supervision, including any violations/citations and appointment adherence, updated contact information, substance use testing results, ORAS information including Driver and case plan information, if the individual is reporting as needed and any other relevant concerns or observations.
Who is the Probation Officer (PO)?
Randomized, unpredictable testing at least twice weekly (minimum of 8-9 times per month per individual), directly observed/witnessed using chain of custody protocols. Individuals are provided call-in instructions and are expected to call in daily, including weekends and holidays, to an automated system which will notify them if they are required to test that day. Individuals are expected to show up as required to complete testing.
What is (TOMO) substance use testing or Urinalyses (UAs)?
Involves active partnerships with community resources to ensure access and transition to services and supports; assists individuals with accessing healthcare (medical, dental, insurance, appointments, etc.); assists with obtaining documents needed for services, applications for public assistance, and other resources (e.g., birth certificates, SSN cards, other forms of ID); Assists with life skill development for recovery (e.g., budgets, meal planning, personal hygiene, social skills, time management, utilization of public resources, etc.).
Who is the Care Coordinator (Community Support Specialist - Matthew and Rachel)?
Educate individuals on community resources to promote self-sustainability and assist with accessing community resources (e.g, food banks, bus schedules, church donations, etc.) with the goal of teaching individuals to become self-sufficient and enable them to seek community resources after ICTS discharge.
Who is the ICTS care team (e.g., PO and BH providers)?
Factors in an individual's life that relate directly to recidivism (going back to prison) such as low self-control, anti-social beliefs and values, delinquent peers, substance use, and dysfunctional relationships.
What are Criminogenic Needs & Risk Factors?
This is based on the individual's treatment plan and will generally consist of the following: attendance in appointments with all treatment team members (counselor, care coordinator, employment specialist, etc.); attendance in groups; compliance with substance use testing; working on objectives in treatment plan. If there is a reduction in this, then the team should assess the individual's situation to determine if there are resource barriers, such as: no phone minutes; lack of transportation or child care; physical health concerns; homelessness or unstable housing conditions.
What is engagement?
The Food and Drug Administration (FDA) has approved several different medications to treat alcohol use disorders (AUD) and opioid use disorders (OUD). These medications relieve withdrawal symptoms and psychological cravings that cause chemical imbalances in the body. MAT should be considered for all individuals, when recommended by a physician. Individuals with OUD who meet eligibility criteria should be seen by physician within 48 hours and medications for OUD initiated. Individuals with AUD must be screened/referred for use of AUD medications (MAUD).
What is Medication Assisted Treatment (MAT) Services?