TRAVERSE CITY — Grand Traverse County jail officers are searching for a brand new supplier for psychological well being companies after coming to a stalemate in contract negotiations with Northern Lakes Group Psychological Well being, its present supplier.
The sticking level was whether or not these receiving companies ought to proceed to be housed in a single six-man cell, one thing jail Administrator Chris Barsheff says may have some inmates ready for a number of months to get a spot within the voluntary program. A examine carried out in July discovered this system didn’t attain sufficient inmates, one thing Barsheff stated would enhance if these in this system weren’t confined to 1 cell.
“Over the a number of months of contract talks, it grew to become evident that Northern Lakes Group Psychological Well being was not prepared to observe really helpful greatest practices for our facility and we at the moment are compelled to have a look at different options for psychological well being companies within the jail,” Barsheff stated.
Negotiations have been ongoing since October.
“We had been very shut, however sadly we couldn’t come to an settlement on what we imagine could be wanted to efficiently ship the companies the jail wants and needs,” stated Joanie Blamer, chief inhabitants officer for CMH.
A contract proposed CMH would have inmates stay housed in a single cell, however would provide care that would come with an evaluation of all inmates referred from the reserving course of, which Blamer stated could be about 70 p.c of all inmates. It will additionally embody particular person and group remedy and discharge planning.
CMH additionally sought so as to add one other full-time masters-level behavioral well being specialist to manage companies for a complete value of $261,000 per yr.
Underneath the previous $163,000 contract, which expired in December, a behavioral well being specialist and a peer assist specialist labored full-time within the jail, although they haven’t labored there for the reason that contract expired.
The jail now has companies just for these in psychological well being disaster offered CMH beneath an enabling settlement that has been in place in Grand Traverse County since 2003. The county pays CMH $682,000 per yr beneath that settlement.
Jail and county officers will meet subsequent week to find out its subsequent steps, Barsheff stated. He stated one other service supplier will possible be sought way of a request for proposals.
The county not too long ago labored with the Michigan-based Kona Medical Consulting to seek out options to the best way companies had been supplied beneath the CMH contract. They might be divvied as much as a couple of supplier, Barsheff stated, although he has reservations as a result of coordination of care can undergo when there are extra suppliers within the combine.
Barsheff can be optimistic a couple of partnership with Wayne State College to implement Stepping Up, a nationwide initiative that goals to scale back the variety of folks with psychological diseases in jails. This system was alleged to be in place fall 2020, however was stalled the pandemic, Barsheff stated.
In a latest presentation to the Grand Traverse County Board, Barsheff stated he believes the jail doesn’t want a peer assist specialist, who beneath the CMH contract helped inmates join Medicaid, which is discontinued after they go to jail, make follow-up appointments for well being care and substance abuse therapy and get linked with Veterans Affairs companies.
These companies will be carried out neighborhood companions similar to Catholic Human Companies, which does assessments and counseling for substance use dysfunction, and Keys to Freedom, a nonprofit group that may assist inmates with reintegration, Barsheff stated.
Blamer stated earlier than the jail had a contract with CMH, classroom-style group periods had been held for many years.
“It has not rendered the outcomes that they had been in search of,” Blamer stated. “Having the group cell is the place we predict that we may take advantage of distinction.”
The group cell has the therapeutic part, but in addition permits inmates to place the abilities they’ve realized into observe and be accountable to one another, she stated. Within the two years this system has been in place there has solely been one verbal confrontation between inmates, she stated.
“Clearly the chance to observe these expertise whereas they had been within the cell with one another was working,” Blamer stated.
However Barsheff stated that there typically had been just a few males within the group.
Barsheff instructed commissioners that he has carried out a number of analysis and has reached out to different jails in Monroe and Washtenaw counties, each of which have comparable packages to the one in Grand Traverse, however wouldn’t have a housing unit. These jails pull inmates from numerous areas to a central location to offer curriculum-based programming, which is safer as a result of there’s workers close , he stated.
It additionally permits for inmates who’re in differing classifications based mostly on the severity of their crimes to take part in this system when it’s supplied in an open space, as they can’t be housed with these in numerous classifications, he stated.
The CMH program was modeled after one in Harris County, Texas. However Sheriff Tom Bensley has stated this system is sort of a sq. peg in a spherical gap.
The Harris County Sheriff’s Division is the second largest within the nation — second solely to the Los Angeles Sheriff’s Division — and may home 10,000 inmates. The Grand Traverse jail homes 168.
The July examine, carried out NCCHC Assets, was commissioned the jail a couple of yr in the past at a value of $24,600. Different issues famous had been an absence of documentation with a disconnect between CMH professionals and a psychiatrist offered beneath Wellpath medical companies. It additionally discovered that assessments weren’t being carried out on everybody admitted to the jail and that about half of these assigned to the psychological well being caseload had no contact with CMH.
Blamer has stated a lot of the report was not correct, however agreed that extra inmates might be reached.
CMH wish to concentrate on working with the jail sooner or later and with different neighborhood companions to enhance the state of affairs for folks with psychological sickness who find yourself in jail, Blamer stated.
The company at the moment has a request for proposals out for options to emergency rooms and jails, she stated.
The hope is to sometime develop a disaster middle to deal with folks. The middle would have remark rooms, as persons are typically held for a number of days in emergency rooms, and will have a residential part, she stated.
Different CMH initiatives embody including licensed psychological well being professionals for after-hours emergencies, institution of cell disaster models for households and a Juvenile Justice Diversion Program that helps divert younger folks from the juvenile system and connects them with wanted companies. Thus far, 49 youths have been diverted beneath this system, Blamer stated.