Mental Health Services Overview at Hampden County Sheriff's Office

 
Hampden County Sheriff’s Office
Overview of Mental Health &
Programs
 
Karen Donelson MA, NCC, LMHC
Clinical Supervisor
 
Overview
 
Hampden County sites
Mental Health Services
Suicide Prevention & Intervention
Evaluation and Stabilization Units
Specialized Units at HCSO
Educational and Treatment programs
Stonybrook Stabilization Center (Section 35)
 
 
 
Four Secure Sites of HCSO
 
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Ludlow MA (Section 35)
 
Open Mental Health Cases
 
*Daily count and MH Numbers as of 11/28/23
 
Collaborative Approach
 
Mental Health Staff work collaboratively all HCSO Staff,
including attending Clinical Supervision and Classification
Meetings with Unit Management, Correctional Counselors,
and Correctional Case Workers.
 
When people better understand the dynamics and
interventions that support their clients, it increases the
likelihood for positive outcomes to those we serve.
 
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Mental Health Services
 
Outpatient Services:
Pod based clinicians
Psychiatry/Medication
Management
 
Inpatient Services:
ESU Counselors
Psychiatric Medication
Evaluation/Management
 
Outpatient Mental Health Services
 
Mental Health Clinicians work on an outpatient basis within the facilities
conducting:
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Each facility is assigned clinicians based on caseload size and acuity:
MI – 11 clinicians assigned
WCC – 3 clinicians assigned
WMRWC – 1 floating clinician assigned to Mill/SSTC
SSTC – 3 clinicians assigned, w/1 floater
 
 
MH: Screening for Referrals
 
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Suicide Prevention at HCSO
 
It is the policy of the Hampden County Sheriff’s
Office to effectively monitor all inmates for the
potential for self-harm and suicidal behavior.
 
All staff are trained in warning signs, major risk
factors and mental health referrals; coupled with
their experience and knowledge of inmate
behavior.
 
This combination can  have a positive impact on
reducing these incidents.
 
Suicide Prevention & Intervention
 
Suicide Prevention Committee
8 hour suicide prevention training for incoming academies
1 hour initial suicide prevention training for all new staff
Ongoing annual trainings in suicide prevention for all staff
employed by HCSO
On-going Screening for Suicidality and need for MH
referrals by HCSO Staff
 
 
Safety Precautions
Suicide Prevention/Intervention
 
Safety
Smock/Blanket
 
Restraint Bed/Suicide Resistant
Cell
 
Restrictive Housing –
Admit to ESU
Remain RISK or Partially Clear w/ re-
evaluation every 24 hours until disposition is
reached
Clear Precautions
 
Evaluation & Stabilization Unit (MI)
 
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We have one of the 2 ESU’s in
the state, the other is located in
Middlesex County.
This is a regional program and
patients can be admitted from the
following counties for stabilization
then returned to their county:
Worcester
Hampden
Hampshire
Berkshire
Franklin
 
This is a 15 bed inpatient unit w/ 3
restraint beds available.
There are an additional 16 beds
on the top-tier to utilize for
respites and step-down patients.
 
ESU Level System & Admissions
 
Utilize a Level Based system
while providing treatment:
 
Level I w/ 1:1 observation
Level I
Level II
Level III
Step-down
Respites
 
Reasons for Admission:
Thoughts to harm others or
oneself.
Attempts to harm others or
oneself.
Struggling to manage in
current housing unit.
Increase in symptoms.
Medication evaluations.
Unclear diagnoses.
Bizarre Behavior.
 
Mental Health Unit
 
The MHU is a medium security housing unit designed to
provide enhanced treatment for individuals living with a
mental illness.
 
Mental Health Staff and unit Staff utilize a Trauma
Informed approach.  With this approach, we treat all
individuals with the assumption that they have experienced
some type of trauma without needing to know the details of
their past.
 
Mental Health Unit (MI)
 
HCSO MHU houses inmates with serious
and persistent mental illnes
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difficulty functioning in a general
population unit
. 
This is a 39 bed unit.
These individuals typically receive care
thru DMH, or meet criteria for DMH
Services.
Unit staff include MH Clinician,
Correctional Counselor, and a Correctional
Case Worker.
MH Counselors offer 
psycho-educational
groups.
This unit is run like a general population
unit in terms of privileges.
 
Evaluation & Stabilization Unit/ MHU (WCC)
 
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Mixed Classification unit, MHU is
located on the top tier.
We have the only ESU in the
state, for justice-involved Women.
This is a regional program and
patients can be admitted from the
following counties for stabilization
then returned to their county:
Franklin
 
ESU: 11 bed inpatient unit
MHU: 12 bed living unit
 
Evaluation & Stabilization Program
 
This is a program that we utilize at Stonybrook
Stabilization and Treatment Center (SSTC) as there is no
specific unit, currently, set aside at these facilities to have
an ESU.
SSTC does have a MHU and they house ESP clients in
the same area as well as 3 other areas if needed.
The ESP program follows the same leveling system that
we follow on the ESU.
 
Opioid Treatment Program &
Medically Assisted Treatment
 
Methadone was delivered to York Street Jail (Springfield, MA) daily via Providence
Hospital staff to treat opioid addiction; this practice began in the late 1980’s and
continued through the early 90’s
Methadone – for pregnant women, 1993
Buprenorphine – Main Institution, 2007
Vivitrol – HCSD participated in a study, Project New Hope, with Yale University, 2011
Vivitrol MAT Pilot – Western Massachusetts Correctional Alcohol Center, Springfield,
MA, 2013
Opioid Treatment Program (OTP), offering Buprenorphine (Subutex), Methadone, and
Naltrexone (Vivitrol) – September 1, 2019
 
OTP Services at HCSO
 
July 2023 OTP services transitioned from CODAC to
HCSO’s Mental Health Services.
BHN continues to provide OTP Discharge
planning:
Continuation – Seen within 5-7 days of intake
New Induction – After being seen by a MH Clinician client is
referred to Med Provider; Discharge Planner meets within 5
days before the Provider meeting
Pre-Trial & Sentenced on OTP – Seen within 5 days before
court, within 5 days after if return from court (pre-trial)
Bridge
Works with clients in their last six months of incarceration
Bi-weekly check-ins; weekly in the month before release
 
OTP Education
 
All patients enrolled in the OTP are required to attend OTP
Education
Groups are facilitated by the Care Coordinators
Group education occurs twice a week for five weeks
Topics include
Orientation to the Opioid Treatment Program
Treatment Team
Substance Use Disorders & Compulsive Behaviors
Overdose Prevention
Medication for Opioid Use Disorder Options
Substance Use Treatment & Chronic Illness/conditions
Substance Use Disorder Treatment for individuals with Co-Occurring
Disorders
Family and Relationships within Recovery
Pathways of Recovery
Relapse Prevention & Recovery Maintenance Plans
 
OTP Discharge Planning
 
Keeping Track  with OTP Assistant
 
Database developed by HCSO to
monitor:
 
o
Dosing
 
o
Appointments
 
o
Referrals
 
o
Upcoming items due
(forms/assessments)
 
o
Outside appointments upon
release
 
o
Statistics
 
Specialty Unit: Youthful Offenders
 
 
G
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:
To reduce the likelihood of recidivism by addressing the unique
issues associated with Juvenile or Youthful Offenders including
emotional abuse, physical abuse, sexual abuse, emotional
neglect, physical neglect, family violence, household substance
abuse, household mental illness, parental absence, and
household member incarceration.
 
Youthful Offender Unit
MAGIC Program
 
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To promote and encourage youth towards their
next steps in personal development through a
supportive, relational program that helps interrupt
beliefs, attitudes, habits, and behaviors supportive
of a criminal lifestyle in favor of productive and
positive futures.
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“Your thoughts determine your actions.”
 
Educational and Treatment
Programs
 
GED
College Courses offered
Institutional jobs –
Maintenance, welding, carpentry, graphics, prison industries
 At Minimum Security this may include community based work crew
(Springfield Parks, Old Armory Grille, Tree Services program).
 
Psycho-educational Treatment programs/classes:
SAVR: Stress Anger Violence Reduction
Self-regulation, behavior regulation, how to manage emotional reactivity
with goal of improving personal well-being and compassion for others
Yoga/Mindfulness
CBT Skills
Healing Trauma
Anger Management
Substance Use Units
 
Emotional Support Division
 
In addition to Molly, there are 3 other Emotional
Support Animals that are assigned to different
areas of the Department (Training, Medical, and
Security)
Pet Therapy started in October 2020 at the Main
Institution with individuals classified to Mental
Health Unit/Admitted to Inpatient level of care.
Clients are provided with the opportunity to have
individual treatment sessions with Molly when
completing a mental health evaluation.
Animal Assisted Treatment Groups include: WCC
for V.O.I.C.E.S participants.
Roles of Emotional Support Animals include:
Providing a therapeutic  environment for the
inmates at all HCSO  facilities
Giving the staff of HCSO the ability to interact
with Therapy Dogs
Provide community outreach at schools,
 
hospitals, nursing homes, etc.
 
Molly: Joined the department
in July 2020.
 
Mental Health Aftercare Planning
 
Crisis evaluations are completed by CHD for any individual in
the facility Bailing or Released by the courts prior to being
discharged to the community who are on RISK, ESU Level 1 or
ESU Level 2.
 
Pre-Trail Services: provided with MH Resource packet, to
include Community Clinics who offer walk-in intakes, numbers
or BHN and CHD Crisis.
 
Sentenced: Outpatient appointments scheduled (unless client
selects clinic that only offers walk in services).
CHD: provided with initial appointment within 1 week of release AND
psychiatry appointment within 3 months of release date
BHN: created pathway for HCSO to submit via email to have set
appointment, rather than walk-in.
 
Psychiatric Medications available at release: 30 day prescription
with 2 refills to bridge 3 months until able to establish treatment
in the community.
 
Stonybrook Stabilization Treatment Center
Section 35
 
Section 35 is a Massachusetts law
that allows a qualified person to
request a court order requiring
someone to  be civilly committed
and treated involuntarily for an
alcohol or substance use disorder.
Who is considered a qualified
person?
Police Officer
Physician
Spouse
Blood relative
Guardian
Court Official
The petitioner must go to the
local court and file a written
petition or affidavit for an order of
commitment.  Petitions may be
filed at any District or Juvenile
Court.
 
 
Stonybrook Stabilization Treatment Center
 
Criteria to meet for a Section 35
civil commitment
The person must have an
alcohol or substance use
disorder; and
There is a likelihood of serious
harm to self or others as a result
of their substance use disorder.
If both criteria are met, the
person will be involuntarily
committed. A judge should order
a commitment under Section 35
only when less restrictive
alternatives are unavailable.
The statute states the commitment
may be up to, but not exceed 90
days. The commitment may be less
than the 90 days depending on the
individual’s clinical needs and if
they cease to meet the criteria for
likelihood of serious harm to
themselves.
 
 
https://www.mass.gov/service-
details/section-35-the-process
 
Stonybrook Stabilization Treatment Center
 
Levels of Care at SSTC
Acute Treatment Services
Up to 10 days
Detox phase
Groups/classes
Assessment completed from Mental
Health, Medical, and Counseling Staff to
determine need for services while in
programming
Clinical Stabilization/ Support Services
Once cleared from ATS, up to 90 days
Medically Stable
Discharge planning/referrals
Groups/classes
Counseling
 
All-Inclusive Support Services
 
As an AISS participant, the client will be assigned
a caseworker.
The caseworker will work with he client to help
them meet their goals.
Some of the ways AISS can help the client
includes:
ID and license assistance
Job search assistance
Education
Employment
Health insurance
SNAP (Food stamps)
Housing search assistance
Accessing substance abuse and mental health
treatment
Counseling
Meeting requirements for DCF, probation or
parole
Credit and banking assistance
Sealing criminal record
Free cell phone (must meet eligibility
requirements)
 
Q
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Clinical Supervisor
Hampden County Sheriff's Office
413-858-0255
Karen.donelson@SDH.state.ma.us
 
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Hampden County Sheriff's Office provides a comprehensive range of mental health services and programs for individuals in custody. These services include suicide prevention, evaluation and stabilization units, specialized units, educational and treatment programs, and more. The staff collaborates to support positive outcomes through clinical supervision and meetings with unit management. The clinical team, led by Karen Donelson, works to provide outpatient and inpatient mental health services, including psychiatric evaluation and medication management. Clinicians conduct various assessments, referrals, and treatment planning based on the individual's needs within the different facilities of the Sheriff's Office.


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  1. Hampden County Sheriffs Office Overview of Mental Health & Programs Karen Donelson MA, NCC, LMHC Clinical Supervisor

  2. Overview Hampden County sites Mental Health Services Suicide Prevention & Intervention Evaluation and Stabilization Units Specialized Units at HCSO Educational and Treatment programs Stonybrook Stabilization Center (Section 35)

  3. Four Secure Sites of HCSO Hampden County Correctional Center (Main Institution) Ludlow MA Western MA Regional Women s Correctional Center Chicopee MA (Serving Worcester West exception Franklin) Western Massachusetts Recovery and Wellness Center Springfield MA (Local, DOC step-down & Federal step- down) Stonybrook Stabilization Treatment Center Ludlow MA (Section 35)

  4. Open Mental Health Cases Facility # in Custody Open w/ MHS Percentage w/ MHS Main Institution WCC WMRWC SSTC TOTALS 682 151 83 107 916 430 113 43 90 586 63.05% 74.83% 51.81% 84.11% 63.97% *Daily count and MH Numbers as of 11/28/23

  5. Collaborative Approach Mental Health Staff work collaboratively all HCSO Staff, including attending Clinical Supervision and Classification Meetings with Unit Management, Correctional Counselors, and Correctional Case Workers. When people better understand the dynamics and interventions that support their clients, it increases the likelihood for positive outcomes to those we serve.

  6. Mental Health Services Clinical Director: Erin Lajeunesse Clinical Manager: Danielle Mimitz Clinical Supervisor: Karen Donelson (MI) / Lauren Murphy (WCC) Program Director: Melissa Hughes (SSTC) Outpatient Services: Pod based clinicians Psychiatry/Medication Management Inpatient Services: ESU Counselors Psychiatric Medication Evaluation/Management

  7. Outpatient Mental Health Services Mental Health Clinicians work on an outpatient basis within the facilities conducting: Emergency/RISK Assessments Admissions to the ESU/ESP Non-emergency Assessments -Screenings to determine if someone needs mental health services Intake/Diagnostic Assessments referrals to psychiatry / MAT prescriber Follow-up Visits Treatment Planning Aftercare Planning Each facility is assigned clinicians based on caseload size and acuity: MI 11 clinicians assigned WCC 3 clinicians assigned WMRWC 1 floating clinician assigned to Mill/SSTC SSTC 3 clinicians assigned, w/1 floater

  8. MH: Screening for Referrals Booking/Intake - screened for recent /past suicide attempts or current Suicidal Ideation (SI). Intake Nurse MH Screen, history of treatment (community based as well as past MH care at HCSO), history of suicide attempts/NSSI, and verify if the inmate has any current Psychotropic Medications. Orientation Units meeting with CCW; Officer or Security Supervisor referral. Re-entry starts at intake

  9. Suicide Prevention at HCSO It is the policy of the Hampden County Sheriff s Office to effectively monitor all inmates for the potential for self-harm and suicidal behavior. All staff are trained in warning signs, major risk factors and mental health referrals; coupled with their experience and knowledge of inmate behavior. This combination can have a positive impact on reducing these incidents.

  10. Suicide Prevention & Intervention Suicide Prevention Committee 8 hour suicide prevention training for incoming academies 1 hour initial suicide prevention training for all new staff Ongoing annual trainings in suicide prevention for all staff employed by HCSO On-going Screening for Suicidality and need for MH referrals by HCSO Staff

  11. Safety Precautions Suicide Prevention/Intervention Restraint Bed/Suicide Resistant Cell Restrictive Housing Admit to ESU Remain RISK or Partially Clear w/ re- evaluation every 24 hours until disposition is reached Clear Precautions Safety Smock/Blanket

  12. Evaluation & Stabilization Unit (MI) The ESU (Evaluation & Stabilization Unit) is a maximum security inpatient treatment unit for individuals requiring short-term intensive psychiatric evaluation and treatment. We have one of the 2 ESU s in the state, the other is located in Middlesex County. This is a regional program and patients can be admitted from the following counties for stabilization then returned to their county: Worcester Hampden Hampshire Berkshire Franklin This is a 15 bed inpatient unit w/ 3 restraint beds available. There are an additional 16 beds on the top-tier to utilize for respites and step-down patients.

  13. ESU Level System & Admissions Utilize a Level Based system while providing treatment: Reasons for Admission: Thoughts to harm others or oneself. Attempts to harm others or oneself. Struggling to manage in current housing unit. Increase in symptoms. Medication evaluations. Unclear diagnoses. Bizarre Behavior. Level I w/ 1:1 observation Level I Level II Level III Step-down Respites

  14. Mental Health Unit The MHU is a medium security housing unit designed to provide enhanced treatment for individuals living with a mental illness. Mental Health Staff and unit Staff utilize a Trauma Informed approach. With this approach, we treat all individuals with the assumption that they have experienced some type of trauma without needing to know the details of their past.

  15. Mental Health Unit (MI) HCSO MHU houses inmates with serious and persistent mental illness who have difficulty functioning in a general population unit. This is a 39 bed unit. These individuals typically receive care thru DMH, or meet criteria for DMH Services. Unit staff include MH Clinician, Correctional Counselor, and a Correctional Case Worker. MH Counselors offer psycho-educational groups. This unit is run like a general population unit in terms of privileges.

  16. Evaluation & Stabilization Unit/ MHU (WCC) The ESU (Evaluation & Stabilization Unit) is a maximum security inpatient treatment unit for individuals requiring short-term intensive psychiatric evaluation and treatment. Mixed Classification unit, MHU is located on the top tier. We have the only ESU in the state, for justice-involved Women. This is a regional program and patients can be admitted from the following counties for stabilization then returned to their county: Franklin ESU: 11 bed inpatient unit MHU: 12 bed living unit

  17. Evaluation & Stabilization Program This is a program that we utilize at Stonybrook Stabilization and Treatment Center (SSTC) as there is no specific unit, currently, set aside at these facilities to have an ESU. SSTC does have a MHU and they house ESP clients in the same area as well as 3 other areas if needed. The ESP program follows the same leveling system that we follow on the ESU.

  18. Opioid Treatment Program & Medically Assisted Treatment Methadone was delivered to York Street Jail (Springfield, MA) daily via Providence Hospital staff to treat opioid addiction; this practice began in the late 1980 s and continued through the early 90 s Methadone for pregnant women, 1993 Buprenorphine Main Institution, 2007 Vivitrol HCSD participated in a study, Project New Hope, with Yale University, 2011 Vivitrol MAT Pilot Western Massachusetts Correctional Alcohol Center, Springfield, MA, 2013 Opioid Treatment Program (OTP), offering Buprenorphine (Subutex), Methadone, and Naltrexone (Vivitrol) September 1, 2019

  19. OTP Services at HCSO July 2023 OTP services transitioned from CODAC to HCSO s Mental Health Services. BHN continues to provide OTP Discharge planning: Continuation Seen within 5-7 days of intake New Induction After being seen by a MH Clinician client is referred to Med Provider; Discharge Planner meets within 5 days before the Provider meeting Pre-Trial & Sentenced on OTP Seen within 5 days before court, within 5 days after if return from court (pre-trial) Bridge Works with clients in their last six months of incarceration Bi-weekly check-ins; weekly in the month before release

  20. OTP Education All patients enrolled in the OTP are required to attend OTP Education Groups are facilitated by the Care Coordinators Group education occurs twice a week for five weeks Topics include Orientation to the Opioid Treatment Program Treatment Team Substance Use Disorders & Compulsive Behaviors Overdose Prevention Medication for Opioid Use Disorder Options Substance Use Treatment & Chronic Illness/conditions Substance Use Disorder Treatment for individuals with Co-Occurring Disorders Family and Relationships within Recovery Pathways of Recovery Relapse Prevention & Recovery Maintenance Plans

  21. OTP Discharge Planning Frequency of Discharge Planner Sessions Population Within 2 business days of referral Within 5 days prior to Court Date Within 5 days after Court Date Otherwise, every 30 days Pre-Trial Within 5 days from referral Every 30 days Once 60 days to potential release, every 2 weeks Within 5 days prior to release Sentenced Within 5 days from referral Every 2 weeks S35

  22. Keeping Track with OTP Assistant Database developed by HCSO to monitor: o Dosing o Appointments o Referrals o Upcoming items due (forms/assessments) o Outside appointments upon release o Statistics

  23. Specialty Unit: Youthful Offenders Goal: To reduce the likelihood of recidivism by addressing the unique issues associated with Juvenile or Youthful Offenders including emotional abuse, physical abuse, sexual abuse, emotional neglect, physical neglect, family violence, household substance abuse, household mental illness, parental absence, and household member incarceration.

  24. Youthful Offender Unit MAGIC Program Mission To promote and encourage youth towards their next steps in personal development through a supportive, relational program that helps interrupt beliefs, attitudes, habits, and behaviors supportive of a criminal lifestyle in favor of productive and positive futures. Meaningful Accomplishments Gain Increased Character Your thoughts determine your actions.

  25. Educational and Treatment Programs GED College Courses offered Institutional jobs Maintenance, welding, carpentry, graphics, prison industries At Minimum Security this may include community based work crew (Springfield Parks, Old Armory Grille, Tree Services program). Psycho-educational Treatment programs/classes: SAVR: Stress Anger Violence Reduction Self-regulation, behavior regulation, how to manage emotional reactivity with goal of improving personal well-being and compassion for others Yoga/Mindfulness CBT Skills Healing Trauma Anger Management Substance Use Units

  26. Emotional Support Division In addition to Molly, there are 3 other Emotional Support Animals that are assigned to different areas of the Department (Training, Medical, and Security) Pet Therapy started in October 2020 at the Main Institution with individuals classified to Mental Health Unit/Admitted to Inpatient level of care. Clients are provided with the opportunity to have individual treatment sessions with Molly when completing a mental health evaluation. Animal Assisted Treatment Groups include: WCC for V.O.I.C.E.S participants. Roles of Emotional Support Animals include: Providing a therapeutic environment for the inmates at all HCSO facilities Giving the staff of HCSO the ability to interact with Therapy Dogs Provide community outreach at schools, hospitals, nursing homes, etc. Molly: Joined the department in July 2020.

  27. Mental Health Aftercare Planning Crisis evaluations are completed by CHD for any individual in the facility Bailing or Released by the courts prior to being discharged to the community who are on RISK, ESU Level 1 or ESU Level 2. Pre-Trail Services: provided with MH Resource packet, to include Community Clinics who offer walk-in intakes, numbers or BHN and CHD Crisis. Sentenced: Outpatient appointments scheduled (unless client selects clinic that only offers walk in services). CHD: provided with initial appointment within 1 week of release AND psychiatry appointment within 3 months of release date BHN: created pathway for HCSO to submit via email to have set appointment, rather than walk-in. Psychiatric Medications available at release: 30 day prescription with 2 refills to bridge 3 months until able to establish treatment in the community.

  28. Stonybrook Stabilization Treatment Center Section 35 Section 35 is a Massachusetts law that allows a qualified person to request a court order requiring someone to be civilly committed and treated involuntarily for an alcohol or substance use disorder. Who is considered a qualified person? Police Officer Physician Spouse Blood relative Guardian Court Official The petitioner must go to the local court and file a written petition or affidavit for an order of commitment. Petitions may be filed at any District or Juvenile Court.

  29. Stonybrook Stabilization Treatment Center Criteria to meet for a Section 35 civil commitment The person must have an alcohol or substance use disorder; and There is a likelihood of serious harm to self or others as a result of their substance use disorder. If both criteria are met, the person will be involuntarily committed. A judge should order a commitment under Section 35 only when less restrictive alternatives are unavailable. The statute states the commitment may be up to, but not exceed 90 days. The commitment may be less than the 90 days depending on the individual s clinical needs and if they cease to meet the criteria for likelihood of serious harm to themselves. https://www.mass.gov/service- details/section-35-the-process

  30. Stonybrook Stabilization Treatment Center Levels of Care at SSTC Acute Treatment Services Up to 10 days Detox phase Groups/classes Assessment completed from Mental Health, Medical, and Counseling Staff to determine need for services while in programming Clinical Stabilization/ Support Services Once cleared from ATS, up to 90 days Medically Stable Discharge planning/referrals Groups/classes Counseling

  31. All-Inclusive Support Services As an AISS participant, the client will be assigned a caseworker. The caseworker will work with he client to help them meet their goals. Some of the ways AISS can help the client includes: ID and license assistance Job search assistance Education Employment Health insurance SNAP (Food stamps) Housing search assistance Accessing substance abuse and mental health treatment Counseling Meeting requirements for DCF, probation or parole Credit and banking assistance Sealing criminal record Free cell phone (must meet eligibility requirements)

  32. Questions? Contact Information Karen Donelson MA, NCC, LMHC Clinical Supervisor Hampden County Sheriff's Office 413-858-0255 Karen.donelson@SDH.state.ma.us

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