The Arapahoe Diverts Mentally Ill to Treatment (ADMIT) program is a three-level developmental program, utilizing a Forensic Intensive Case Management (FICM) approach. Participation in the ADMIT Level system begins with individuals having a highly structured and high frequency staff contact and therapeutic intervention. Structure and frequency of staff contacts may be reduced over time based on an individual’s progress. Behavioral problems or relapse can result in regression in the levels of intervention including return back to the detention center. Individuals move through the levels based on attaining their treatment goals at each level of the program. Individuals remain in the program for the length of their judicial sentence. Upon completion of the individual’s judicial sentence, they are discharged/graduated from the program and connected with ongoing supportive community services. Graduation from the program includes a graduation ceremony where the individual is recognized for their efforts and behavioral changes.
The ADMIT program serves men and women age 18 or older, who have been sentenced to the Arapahoe County Detention Facility (ACDF). To participate in ADMIT, these individuals need to meet the following criteria:
Participants receive a variety of intensive services through this multidisciplinary, wraparound program, including individual and group therapy; urinalyses (UA’s); psychiatric care, psychotropic medication, and community linkages to vocational, employment, educational, self-help, and medical services. The overall program objective is to provide least restrictive services in the community to meet current community treatment standards. The specific objectives are to reduce the use of jail bed days by offenders with serious or serious persistent mental illness/dual diagnosis and provide them services in a more appropriate community treatment setting as well as reduce recidivism for this population. Service offerings are provided in a context that is client-centered and highly collaborative, emphasizing client active participation as a central key to successful outcomes. The continuum of services offered is:
Integrated Dual Diagnosis Treatment (IDDT) - This integrated treatment is designed specifically to address issues of mental illness and drug or alcohol abuse. It views both substance abuse and mental health diagnoses as primary concerns in requiring equal and integrated intervention. This service will be modified slightly when necessary to account for the individuals’ disordered cognitions and/or communication style when appropriate.
Medication Management and Access - Provides immediate symptom alleviation in a monitored and empowering context. Participants learn about utilizing appropriate medication to reduce symptoms of their illness as well as work with case management to integrate the administration of medication into their lifestyle. The individual will have a voice in treatment and symptom management.
Trauma Services - Trauma is experienced differently by men and women. The sources of the trauma also tend to have gender-based differences. They have a particular emphasis on the experience of women who are more likely to have been the survivors of domestic violence and sexual abuse. ADMIT treatment services include an emphasis on self-care and self-efficacy, addressing destructive cycles of violence and unhealthy family relationships.
Vocational and Recreational Services – Many individuals who have had ongoing issues with mental illness and substance abuse have personal histories that reflect interrupted or broken educational and vocational efforts. These individuals have also come to use mood altering substances and engaging in criminal activities as their sole recreational outlet. ADMIT assessments determine the needs an individual has entering the program regarding educational and/or vocational issues and works to direct them along a path that adds to their coping abilities. Assistance with attaining GEDs or higher education is provided as well as vocational training and job seeking assistance. Individuals are exposed to safe and sober recreational opportunities to widen their experiences in this area and show them how to have fun without substances or high risk behaviors including criminal acts.
Transitional Housing Services – a majority of individuals referred to the ADMIT program were either homeless when they were arrested for their offense or became homeless upon arrest due to losing their pre-existing housing arrangements. In order to allow the individual to both focus on treatment and allow them a location to work from to find permanent housing, the use of AuMHC transitional housing is included in the ADMIT program.
Referral to the ADMIT program can occur at two different levels. At the first level, the Mental Health Services Coordinator (MHSC) of the ACDF facility receives referrals either from the sentencing court or an offender request for consideration for ADMIT. The MHSC screens and if appropriate, refers to the ADMIT program team for review. The ADMIT program team reviews referrals and decides appropriateness for assessment with the deputy sheriff responsible for community safety/security issues and the AuMHC staff responsible for determining clinical fit appropriateness at the ACDF. The ADMIT program team then assesses the offenders in ACDF. The deputy sheriff completes background and criminal history assessments on potentially acceptable clients while the clinical assessment is completed by both the lead therapist and the case manager. The components of the clinical assessment include Standardized Offender Assessment – revised (SOA-R); Beck’s Depression Inventory (BDI); Brief Symptom Inventory (BSI); Clinical Interview; and Needs assessment
The ADMIT program team staffs the completed assessments and decides on accepting or denying clients into ADMIT. The requesting individual and/or referring sources are notified of acceptance/denial into ADMIT. The MHSC then requests from the appropriate court clerk approval by the sentencing judge for an amended mittimus to allow ADMIT participation. Program participation is voluntary. All individuals accepted into ADMIT are sentenced to ACDF and judicial involvement ceases at that point. Program participation is voluntary only.