University of Southern California Dissertations and Theses

A bridge program from jail to community behavioral health treatment

A bridge program from jail to community behavioral health treatment [prototype showcase]

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A bridge program from jail to community behavioral health treatment [prototype showcase]

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Content JAIL TO KAISER
MH/SUD
BRIDGE
Heather Dunn, LCSW

PROBLEM:
LIMITED
TREATMENT
OPTIONS
FOR
INMATES
Utilizing literature and interviews data was collected to
understand the problem in more depth.
Sonoma county jail houses approximately 750 inmates.
Currently in the county of Sonoma in California there is no
treatment programs for the mild to moderate level of behavioral
health need inmates that starts in the jail and has a discharge
and engagement plan into community treatment leading to
continued recidivism into the jail system.
Inmates with mild to moderate level of behavioral health needs
are the individuals impacted by this on-going problem.

Current innovative programs in
the jail system.
Drug court which help support
incarcerated individuals through
case management, frequent and
regular court appearances,
residential or outpatient
treatment, individual and group
counseling, drug testing, and selfhelp meetings (Dependency Drug
Court).
Mental Health court that provides
intensive services to the
population with serious mental
health issues. This program consists
of pre- and post-booking
diversion, community-based
supervision, and re-entry
stabilization (County of Sonoma,
N.D.).

This Photo by Unknown Author is licensed under CC BY
L I M I T S T O T H E C U R R E N T
P R O G R A M S
• Programs are designed
from the moderate to
severe level of need.
• Excludes inmates with
mild to moderate level
which can lead to more
incarcerations before
inmate is eligible for
treatment programs.
• from the moderate to
severe level of need.
• Excludes inmates with
mild to moderate level
which can lead to more
incarcerations before
inmate is eligible for
treatment programs.

PROBLEM
STATEMENT
• Inmates who have mild to
moderate level of
behavioral health needs are
not provided with adequate
behavioral health treatment
in the jail and are not
provided with discharge
planning which includes
linkage to behavioral health
treatment in the community.

DESIGN THINKING PROCESS AND
IMPLEMENTATION PLAN
Empathize
•Literature research
•Interviews
•Program
observations
Define
•Ask questions to
understand the
needs in more
depth
•Understand the
current programs
and resources
already being
implemented.
•Explore any gaps in
the services.
Ideate
•Explore ideal state if
there was endless
possibilities.
•Understand what
the limitations of
both programs are.
•Explore creative
approaches to
move the current
programs towards
the ideal state.
Prototype
•Create and
recreate Prototype
based on what
each program can
do within their
limitations.
•Creative problem
solving to address
multiple barriers.
Test
•Identify small test
group and roll the
protype out to the
group.
•Address barrier and
gaps and refine
and redesign areas
of the program to
address the barriers
and gaps.

Kaiser member is arrested
and booked into Sonoma
county jail.
Mental Health professional
assesses Justice Involved
member and identifies their
MH/SUD need (IBC code).
Mental Health Professional
alerts discharge planner
that inmate needs
discharge planning..
Discharge planner meets
with inmates and identifies
which inmate is a KP justice
involved member.
Discharge planner tracks
release date for Justice
involved Kaiser member
Once a release date has
been scheduled, discharge
planner schedules with KP
triage a teams meeting to
facilitate KP MH screening
with inmate.
Kaiser phone screening is
facilitated the day before
release.
Discharge planner
facilitates the MH screening
in the jail between Kaiser
triage and inmate via
teams, and provides
inmate with written follow
up appointment
information
Kaiser books initial
appointment within in 5
days of release with AIC
who will identify treatment
needs.
Jail side of the bridge

•Kaiser IAC will
meet with
Justice Involved
member,
develop
treatment plan
and identify
needs.
•Schedule follow
up
appointments
with case
manager. Intake
appointment
with Kaiser
•Justice Involved
member no
shows to first or
follow up
appointments.
•Outreach calls
to member to
identify barriers
and reschedule
appointment.
•Referrals to
resources to
address barriers
to treatment.
•Attempt 3
outreach calls
before closing
case
Nonengagement in
treatment
•Identify barriers
to engagement
in services.
•Referrals to
services and
resources
needed.
•Regular checkins with case
manager.
•Monitor
engagement in
services and
resources.
Engagement in
treatment
• Case manager
will continue to
monitor
treatment
engagement
for 6 months.
•Regular checkins with Justice
Involved
member
• Continue to
monitor barriers
and refer to
appropriate
resources.
Treatment at
Kaiser
Kaiser side of the bridge

SUCCESS IN
TREATMENT
• Justice involved Member has
engaged in treatment for 6 months.
• Justice involved Member has
consistently engaged in Kaiser
treatment.
• Barriers have been identified
and member is receiving
services.
• No new rearrests for 6 months.
• Graduation from case management.
• Referred to after care services
in the Adult Mental Health and
Wellness department at Kaiser.

EVALUATION PLAN
Adult Outcomes Questionnaire
• Smart phrase for screen
• Smart phrase for intake
• Smart phrase for on going treatment
Data analysis
Develop a tool to measure recidivism rates

Jail
Utilizing current resources that
are funded by the County of
Sonoma to start the program.
Possible increase in discharge
planners in the jail
Peer Specialist to help Kaiser
• Utilizing current resources in the Kaiser
system.
• Possible increase in case managers
utilizing Cal-AIMS funding
• Peer Specialist to help inmates get to
their appointment in the future (could
be funded through the jail)
• Increase in community partnerships
funded by the Cal-AIMs initiative.
Kaiser
Utilizing current resources in the
Kaiser system.
Possible increase in case
managers utilizing Cal-AIMS
funding
Peer Specialist to help inmates
get to their appointment in the
future (could be funded through
the jail)
Increase in community
partnerships funded by the CalAIMs initiative.
This Photo by Unknown Author is licensed under CC BY-SA

SCALING PLAN
Local
• Test program with small test
population
•Implement the program to the
Kaiser population
•Monitor data and success rates
•Present program to other health
plans and Sonoma county
•Develop coalition to help
implement bridge with all
inmates and health plans.
Regional
• Present program to Kaiser
regional leadership
•Work with regional leadership to
develop a plan to train other
Kaiser sites in the program
•Consult with other sites on the
implementation of the bridge
program in each county.
National
• Present program to national
Kaiser leadership
•Work with national Kaiser
leadership to develop a plan to
train all Kaiser sites in the
program
•Consult with other sites
nationally on the
implementation of the bridge
program in each state.

IMPLICATIONS
•Lessons learned
• User’s voice is the center
• preconceived idea of the problem
• flexible and creative with the
solution
• Understand the organizations
process and culture

Program is only for Kaiser members.
SUD treatment through Kaiser is limited
for the Kaiser Medi-cal members
Partnership Medi-cal inmates are not
provided with bridge services and
inmates are release from the jail with no
support in the community.
Ethics and
Social Justice
Considerations

Abstract (if available)

Abstract Conventional light imaging in living tissues is limited to depths under 100um by the significant tissue scattering. Consequently, few commercial imaging devices can image tissue lesions beneath the surface, or measure their invasion depth, critical in dermatology. We present 3D-Multisite Diffused Optical Imaging (3D-mDOI) a novel approach that combines photon migration techniques from diffuse optical tomography, with automated controls and image analysis techniques for estimating lesion's depth via its optical coefficients. 3D-mDOl is a non-invasive, low-cost, fast and contact-free instrument capable of estimating subcutaneous tissue structures volumes through multisite-acquisition of reemitted light diffusion on the sample surface. It offers rapid estimation of Breslow depth, essential for staging melanoma.
Building upon 3D-mDOI, we designed an improved machine learning solution called multiplexed Diffused Optical Imaging Network (mDOI-Net) to estimate the depth of tissue lesions. mDOI-Net has an interpretable structure and provides depth information on tissue lesion depth in diverse circumstances. Its training is performed with customized synthetic dermatology datasets that we generate from publicly available datasets, ensuring data diversity and adaptability. The network reconstructs the 3D optical properties of the tissue from 2D diffuse images by introducing physical modeling of steady state diffuse optical imaging to the network. Our solution is posed to be more flexible, interpretable and predictable than current end-to-end, black-box neural network benchmarks.

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Asset Metadata

Creator Dunn, Heather (author)

Core Title A bridge program from jail to community behavioral health treatment [prototype showcase]

School Suzanne Dworak-Peck School of Social Work

Degree Doctor of Social Work

Degree Program Social Work

Degree Conferral Date 2024-08

Publication Date 08/15/2024

Defense Date 07/31/2024

Publisher Los Angeles, California (original), University of Southern California (original), University of Southern California. Libraries (digital)

Tag 3D reconstruction,diffuse optical imaging,low-cost,non-contact,structured illumination

Format theses (aat)

Language English

Contributor Electronically uploaded by the author (provenance)

Advisor Smith-Maddox, Renee (committee chair), Nielsen-Jones, Shelly (committee member), Rank, Michael (committee member)

Creator Email heatherdunnlcsw@gmail.com,lmurata@usc.edu

Unique identifier UC1139991YW

Identifier etd-DunnHeathe-13400-prototype-showcase.pdf (filename)

Legacy Identifier etd-DunnHeathe-13400-prototype-showcase

Document Type Capstone project

Format theses (aat)

Rights Dunn, Heather

Internet Media Type application/pdf

Type texts

Source 20240819-usctheses-batch-1199 (batch), University of Southern California (contributing entity), University of Southern California Dissertations and Theses (collection)

Access Conditions The author retains rights to his/her dissertation, thesis or other graduate work according to U.S. copyright law. Electronic access is being provided by the USC Libraries in agreement with the author, as the original true and official version of the work, but does not grant the reader permission to use the work if the desired use is covered by copyright. It is the author, as rights holder, who must provide use permission if such use is covered by copyright.

Repository Name University of Southern California Digital Library

Repository Location USC Digital Library, University of Southern California, University Park Campus MC 2810, 3434 South Grand Avenue, 2nd Floor, Los Angeles, California 90089-2810, USA

Repository Email cisadmin@lib.usc.edu