DRC Mental Health Services. Correctional Institution Inspection Committee

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Marjory Mosley
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DRC Mental Health Services May 29, 2014 Mental Health Treatment Institutional mental health programs include at a minimum: Screening for mental health problems; Outpatient services for the detection,

groups and individual therapy; Development of an overall treatment/ management plan.

1 DRC Mental Health Services May 29, 2014 Mental Health Treatment Institutional mental health programs include at a minimum: Screening for mental health problems; Outpatient services for the detection, diagnosis, and treatment of mental illness; Crisis intervention and the management of psychiatric episodes; Elective therapy services and preventive treatment inclusive of mental health treatment groups and individual therapy; Development of an overall treatment/ management plan. In addition to the above minimum programs, inmates may be placed in one of the following: Intensive Treatment Program an intermediate level of mental health services for inmates requiring higher intensity and frequency of services. ITPs may be residential or outpatient. Residential Treatment Unit (RTU) a secure, residential treatment environment that has a structured clinical program for inmates experiencing an acute episode of compromised mental health, inclusive of suicidal or self-injurious behavior. RTUs provide four levels of treatment. Inmates progress through the levels and receive treatment, programming, and activities based upon the inmate s clinical condition and needs. Mental Health Screening All inmates entering DRC reception centers or transferring to other institutions are screened for medical, mental health, and substance abuse issues upon intake. A detailed mental health screening is completed on inmates within 14 days of arrival at any institution by a mental health professional, unless the inmate is already on the caseload. Inmates may be referred to mental health services for further evaluation as a result of the screening, or at any time by institutional staff or at the inmate s request. All inmates are classified as C-1 (Seriously Mentally Ill), C-2 (on the caseload, but not seriously mentally ill), or N (not on the caseload). Key Statistics As of, 9,825 inmates were on the mental health caseload, or 19.4 percent of the total DRC population. Although the total mental health caseload has increased, the rate of inmates on the caseload has remained mostly stable over the past ten years. The Ohio Reformatory for Women housed the highest total number of inmates on the mental health caseload, with 1,054. The three female institutions all had the highest percentage of mental health caseload inmates in comparison to their total population.

Total Mental Health Caseload CY 2004 2013 C1 C2 12,000 10,000 8,000 6,000 3,922 4,086 5,345 5,129 4,827 3,795 6,248 5,579 2,202 5,427 4,000 2,000 4,133 3,631 4,026 4,170 4,075 5,953 4,700 4,454 6,739

240 Mental Health Caseload Rate (per 1,000 inmates) CY 2004 2013 220 200 180 160 140 120 Although the total mental health caseload has increased, the rate of inmates on the caseload has remained

2 Total Mental Health Caseload CY C1 C2 12,000 10,000 8,000 6,000 3,922 4,086 5,345 5,129 4,827 3,795 6,248 5,579 2,202 5,427 4,000 2,000 4,133 3,631 4,026 4,170 4,075 5,953 4,700 4,454 6,739 4, *Data provided by the Ohio Department of Rehabilitation and Correction. Data reflects caseload at the end of each calendar year. 240 Mental Health Caseload Rate (per 1,000 inmates) CY Although the total mental health caseload has increased, the rate of inmates on the caseload has remained mostly stable over the past ten years * Rate was calculated by dividing the total number of inmates on the mental health caseload at the end of each calendar year by the total DRC population as reported on DRC Monthly Factsheets for December of each year.

Total Mental Health Caseload 1,000 C1 C2 900 800 The Ohio Reformatory for Women housed the highest total number of

700 600 500 400 300 200 100 0 1/2 3 4/5 Reception Female/ Medical *Data provided by the Ohio Department of

3 Total Mental Health Caseload 1,000 C1 C The Ohio Reformatory for Women housed the highest total number of inmates on the mental health caseload, with 1, /2 3 4/5 Reception Female/ Medical *Data provided by the Ohio Department of Rehabilitation and Correction. experiencing a mental health crisis. WCI is slated to re-open its RTU in July. AOCI, CRC, SOCF, and ORW all contain a Residential Treatment Unit for inmates

Mental Health Caseload by Percentage of Total Population 60% 50% 40% The three female institutions all had the highest percentage of mental health caseload inmates in comparison to their total

4 Mental Health Caseload by Percentage of Total Population 60% 50% 40% The three female institutions all had the highest percentage of mental health caseload inmates in comparison to their total population. 30% 20% 10% 0% 1/2 3 4/5 Reception Female/ Medical *Data provided by the Ohio Department of Rehabilitation and Correction. experiencing a mental health crisis. WCI is slated to re-open its RTU in July. AOCI, CRC, SOCF, and ORW all contain a Residential Treatment Unit for inmates

5 DRC Mental Health Caseload Institution C1 C2 Total Caseload Percent of Total Pop. AOCI % BECI % CCI % CRC % DCI % FMC % GCC % LAECI % LECI % LOCI % LORCI % MACI % MANCI % MCI % NCCC % NCI % NERC % ORW , % OSP % PCI % RCI % RICI % SCC % SOCF % TCI % TOCI % WCI % Total 4,398 5,427 9, % * Data provided by the Ohio Department of Rehabilitation and Correction.

DRC Security Threat Groups. Correctional Institution Inspection Committee

DRC Security Threat Groups. Correctional Institution Inspection Committee DRC Security Threat Groups Security Threat Groups Security threat groups (STGs) are broadly defined as any inmate group that presents a risk to the security of the institution or personnel, is detrimental