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The jail system
has two full-time Mental health Consultants and a part-time psychiatrist
employed by Neighboring.
These two mental health counselors are responsible for the screening of incoming
prisoners for significant psychological issues and illnesses, whether it be from
depression, suicide risk, schizophrenia About the Staff
Julie Kalina-Hammond, MSSA, LISW, CCDC has been with neighboring since May of 2000, She serves as the team leader and supervisor for Neighboring's Criminal Justice team. She also serves as the treatment manager for the Lake County Mental Health Court under Judge Trebets. She earned her Master's degree in Social Work from Case Western Reserve University.
Maureen O'Hara, B.S., M.A. serves as
the Community Liaison for the WITTS program (Women in Transition Through
Support). Maureen has been with Neighboring since March of 2006.
She earned her Bachelor's and master's degrees in Criminal Justice from the
University of Toledo. She also interned with federal Pretrial and the
Toloedo Correctional institute.
_____________________________________________________________________ 2009 Annual Report – Neighboring Mental Health Services
Consultants and a
part-time psychiatrist employed by
Neighboring. These two mental
health counselors are responsible for the screening of incoming prisoners for
significant psychological issues and illnesses, whether it be from depression,
suicide risk, schizophrenia, bipolar disorders or any other form of
psychological illness or distress. They screen and prioritize those
inmates needing to see the psychiatrist who may evaluate them a determine a
treatment which includes possible medications. The counselors also
supervise the placements of inmates into the designated mental health/special
needs housing unit. Further, they respond to inmates in mental health
crises, as well as monitoring the status of inmates on the mental health
caseload, including those referred by the
The staff within the mental health department has remained the same
throughout the year. There
continues to be two mental health consultants (MHC) present at the jail five
days a week in addition to a psychiatrist that comes to the jail once a week for
four hours. Although the
staffing remains the same, the responsibilities of the MHC’s has changed
slightly to include more community linkage of consumers to mental health
agencies upon release from jail. In
addition, MHC’s have taken on the responsibility of completing court ordered
mental health evaluations that are required before release, a responsibility
that was once the duty of the jail diversion specialist.
Figure 2 compares the
reasons for referral between 2008 and 2009.
In addition to the total number of referrals for the year increasing, the
percentage of people who wanted to speak with a MHC, needed cleared for jail
placement by an MHC, or needed evaluated by an MHC increased as well in
comparison to 2008 (sixty-six percent of total referrals in 2008 compared to
seventy percent in 2009). The
percentage of those requesting to see the psychiatrist regarding medications
remained the same in 2009 at twenty-five percent.
Although the percentage of the total referrals made for suicide risk
remained the same for both years, at five percent, the actual number of
referrals for suicide risk decreased by twenty two in the year 2009.
Two referrals were received requesting anger management, a group that was
discontinued in March of 2008 due to lack of willing participants.
Figure 3 shows the most recent medications prescribed as well as how often they
were prescribed, however this does not include medications that were
discontinued. There were eight
instances, compared to twelve cases in 2008, where people were seen but were not
prescribed psychotropic medications.
The most common medications prescribed were anti-psychotics which was not
the case in 2008 when anti-depressants/anti-anxiety medications were the most
common medications prescribed. In
2009, forty-three percent of medications prescribed were antipsychotics compared
to thirty-five percent in 2008.
This was followed by anti-depressants/anti-anxiety at thirty-four percent
compared to thirty-seven percent in 2008, and anti-convulsants/mood stabilizers
at twenty three percent compared to twenty-five percent in 2008.
It is important to note that many of the anti-psychotic medications may
also be used for the treatment of mood disorders and that an increase in the use
of anti-psychotic medications does not necessarily indicate an increase in
psychotic disorders.
Figure 4 illustrates the type of diagnoses as well as the frequency that
it was given. There were a
total of 298 actual diagnoses given compared to 370 in 2008, with many
individuals receiving more than one diagnosis.
There was one individual who received no diagnosis at all, compared to
three in 2008. Mood disorders
continue to be the disorder most frequently diagnosed.
The second most common diagnosis was in the category of substance
abuse/dependency, which was also the case in 2008 when substance abuse diagnoses
accounted for twenty-eight percent of total diagnoses given.
In 2009 that percentage decreased to twenty two percent.
Personality Disorders continue to be the third most used diagnosis, but
the frequency it was given increased six percent in comparison to 2008.
Psychotic disorders were the fourth in frequency given followed by
anxiety disorders, which was also the case in 2008.
There were no diagnoses of adjustment disorders given in 2009.
The number of learning disabled diagnoses in combination with diagnoses
of developmentally disabled rose from three in 2008 to seven in 2009.
Figure 5 illustrates that sixty-nine percent of those who received mental
health services were residents of Lake County,
compared to sixty-five percent of the sample in 2008 (See Figure 5).
Within Lake County, the majority of individuals receiving mental health
services were residents of Painesville, followed by Mentor, the same as in 2008
(See Figure 6). As was the case in
2008 the majority of individuals who received psychiatric services were
Caucasian males, followed by Caucasian females.
Although the number of Caucasian females seen by the psychiatrists was
less in 2009 compared to 2008, the percentage of Caucasian females rose to
thirty percent compared to twenty-five percent in 2008 when taking into
consideration the entire population seen by the psychiatrist for each year.
In addition, the percentage of African American males seen by the
psychiatrist decreased by three percent in 2009 and the percentage of African
American females also decreased by two percent.
There were no Hispanic males seen in 2009 and there was one Hispanic
female seen (See Figure 7).
2008 Annual Report – Neighboring Mental Health Services 2007 Annual Report – Neighboring Mental Health Services 2006 Annual Report – Neighboring Mental Health Services 2005 Annual Report – Neighboring Mental Health Services
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