Central New York Psychiatric CenterMidState Informational Meeting

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Central New York Psychiatric Center/Mid-State
Informational Meeting New York State Office of
Mental Health Sharon E. Carpinello, RN, PhD,
Commissioner Barbara Cohn John Tauriello Richard
Miraglia Edward Killeen Deborah Wagoner Donald
Sawyer Jill Daniels
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Civil Commitment Background

• On September 12, 2005, Governor Pataki directed
  the Office of Mental Health (OMH) and the
  Department of Correctional Services (DOCS) to use
  existing commitment laws for the civil commitment
  of sexually violent predators (SVPs) to ensure
  the public safety of New York State citizens

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Goals

• Ensure public safety through civil commitment
• Provide proven, effective treatment interventions

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Definition The Sexually Violent Predator

• is an individual who has been convicted of
  either a sexually violent offense or other
  designated felony with associated sexual
  motivation

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Civil Commitment Mental Hygiene Law

• Three criteria of civil commitment
• Mental illness
• In need of involuntary hospitalization
• Substantial risk of danger to self or others as a
  result of mental illness

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Involuntary Civil Commitment Assessment

• Screen and/or evaluate all inmates with SVP
  qualifying offenses within 12 months of release
  from DOCS custody
• OMH, DOCS and Division of Parole collaborate to
  identify inmates sentenced for qualifying
  offenses

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Involuntary Civil Commitment Assessment

• Step One Inmate Record Review
• Inmates Pre-Sentence Report
• Treatment program records
• Criminal history (rap sheets)
• Disciplinary records
• Parole Summaries
• OMH clinical records

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Involuntary Civil Commitment Assessment

• Step Two
• Measure Risk for Re-Offense (STATIC-99 and
  MnSOST-R)
• Develop Risk Profile
• Step Three
• Recommend commitment or not based on review by 2
  physicians

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Involuntary Civil Commitment Treatment

• Relapse Prevention Model

• Identify triggers for high-risk, offending
  behaviors, enhance empathy for victims and
  encourage personal responsibility and motivation
  for abstinence
• Phases of Treatments include Treatment
  Readiness, Skills Acquisition, Skill Application,
  Release Readiness, and Community Placement

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Security Measures

• OMH has operated secure forensic facilities for
  more than 30 years.
• OMH has established protocols in place. For
  example
• Efforts to locate and return the escapee
• Immediate notification and coordination with
  local law enforcement (NYS State Police)
• Notification to at risk persons
• DOCS Emergency Response Team - Enhance Internal
  and Perimeter Security
• Physical Plant Security

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Selection of Program Sites

• Manhattan PC
• Kirby Forensic
• Central New York
• St. Lawrence PC
• Mid-State CF Annex
• Rochester PC (temporary)

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Staffing for the Sex Offender Treatment Program
Program Number of Positions

• Administrative staff 15
• Clinical staff 115
• Direct Care staff 135
• Safety staff 10
• Support staff 55
• Total 330
• These positions are in addition to the current
  safety staff levels

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Training for Direct Care Staff
Classroom training

• Facility specific orientation
• Security issues/contraband
• Health and safety-fire safety, emergency plan,
  infection control
• Patient rights
• Age and cultural competency
• Overview of forensics/trauma
• Therapeutic approaches to mental illness
• Preventing and managing crisis situations
• Hospital transport
• Unit management including assigned post, yard,
  and mall coverage
• Treatment planning

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Training for Direct Care Staff
Ongoing Training

• The essential elements of job specific training
  are provided using experienced supervisors,
  clinicians, or staff who serve as
  trainers/mentors and provide training and
  coaching specific to the units assigned.
• Facilities use competency checklists to document
  individual progress through this process

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Specific Sex Offender Treatment Program Training
Provided to all staff assigned to the SOTP program

• Overview of sex offenders and sex offender
  treatment
• Sex offender commitment process and legal issues
• Sex offender privileging program
• Sex offender treatment program
• Boundary issues

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• Summary
• These individuals are civilly committed, not
  incarcerated
• Without civil commitment these individuals would
  be released into the community
• Inpatient services are provided in distinct and
  separate program space and/or OMH treatment
  facilities
• OMH has an extensive history of providing secure
  care for persons with criminal histories who are
  committed by the criminal courts
• All mental health treatment will be provided
  within the secure facility

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• Summary
• Discharge to community of origin pursuant to the
  provisions of Mental Hygiene Law
• Discharge services include housing, aftercare
  appointments, vocational services, family support
  services, entitlement, etc.
• Registration with Division of Criminal Justice
  Services (Megans Law)

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www.omh.state.ny.us