BOH Agenda 052720 - Laserfiche WebLink

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• Since its October 2019 inception, the Restoration The top five priority gaps identified in Orange County Legal Counsel Program handles approximately 35 in- were: takes per month which has resulted in approximately 40%of individuals proving to be eligible for relief 1. Crisis Diversion Center and Day Center from traffic debt. 2.Increased Access to Case Management • 19 individuals in the Jail have received suboxone 3.Affordable and Accessible Housing since the Medication-Assisted Treatment pilot began. 4.Data Collection Each year, approximately 2 million people, with serious mental illnesses, are admitted to jails across the U.S., 5.Addressing Social Determinants of Health where approximately 15% are men and 30% are women. Almost three-quarters of these adults also have drug Formally Incarcerated Transition (FIT) Program and alcohol use problems. In counties across the nation, The FIT Program is designed to connect formerly jails house more people with mental illnesses than incarcerated people with chronic illness to health care psychiatric hospitals. Once incarcerated, individuals services. Community Health Workers from the FIT pro- with mental illnesses tend to stay longer in jail and upon gram work closely with Piedmont Medical Health Cen- release, are at a higher risk of returning to incarceration ter, OCHD, UNC Family Medicine, and NC Department of than those without a mental illness. Public Safety to connect participants to appropriate and In 2015, the Orange County Board of County Commis- necessary health services, as well as community reen- sioners adopted the Stepping Up Initiative, a national try resources to help them develop a comprehensive initiative whose goal is to achieve a measurable reduc- reentry plan. tion in the number of people in jails who have mental Over 20,000 people are released annually from NC pris- illnesses. The CJRD has two clinical positions dedicat- ons without a link to primary health care services so the ed to providing support to individuals in the Orange FIT Program is in place to assist people who suffer from County Detention Center who have mental health and chronic diseases during their reentry process (while still substance use diagnoses through: incarcerated), after release, and up to two years lat- • Assessment er. FIT participants receive assistance with issues that include, but are not limited to, diabetes, hypertension, • Crisis support and counseling congestive heart failure, COPD or emphysema, kidney • Referrals to treatment failure, liver disease, mental illness, and substance use disorders. • Court advocacy Below is a non-inclusive list of local and state programs • Linkage to other community supports and initiatives to help address environmental and crimi- nal justice. • Follow up and support during the transition back to the community Carrboro Police Department • Psychiatric referral Chapel Hill Police Department Although jail-based mental health and substance use Criminal Justice Resource Department services are helpful to those in need, the Detention Cen- FIT Program of Orange County ter is not designed to serve as a treatment facility. In April of 2019, Orange County stakeholders participated Hillsborough Police Department in a 2-day Sequential Intercept Mapping Workshop to help advance community-based solutions for justice-in- Orange County Sheriff Department volved people with mental health and substance use RENA Community Center disorders. 24 2019 COMMUNITY HEALTH ASSESSMENT