Andrews Center is able to provide services for offenders with medical and mental impairments through the TCOOMMI program.
The primary objectives of this program are to reduce initial imprisonment, reduce recidivism and to divert offenders with mental illness and severe medical impairments to appropriate treatments instead of incarceration.
Andrews Center’s work with TCOOMMI is providing services to offenders who are on parole or probation with mental health impairments and are at high risk of returning to an institutional setting. In partnership with TCOOMMI, Andrews Center staff works with the offender and their parole/probation officer to ensure compliance with all legal requirements. For offenders enrolled in the TDCJ-TCOOMMI case management initiative for twelve or more consecutive months, the recidivism rate is 11.9%. This rate compares favorably to the rate for prison-released offenders, which is 21.0%.
There are three types of services that can be provided:
Continuity of Care (COC): Service coordination is provided to offenders for up to 90 days and may include arranging for psychiatric and medical treatment, counseling, and assistance with benefits eligibility applications. The COC worker also provides for joint treatment planning with criminal justice agencies, social services, health and human service agencies and other appropriate disciplines.
Transitional Case Management (TCM): A case manager provides a minimum of 1.5 hours per month of face-to-face time providing skills training or advocating on the offender’s behalf, all in an attempt to assist in successful reintegration to the community. The offender can remain in the TCOOMMI TCM program for up to 1 year or until they have completed their parole/probation condition – whichever comes first. Intensive Case Management (ICM): A case manager provides a minimum of 3.5 hours per month of face-to-face time providing psychosocial rehab training or advocating on the offender’s behalf, all in an attempt to assist in successful reintegration to the community. The offender can remain in the TCOOMMI ICM program for up to 2 years or until they have completed their parole/probation condition – whichever comes first. Connections to psychiatric care, as well as medical and counseling services may also be provided.
Under both the COC, TCM, and ICM programs the offenders’ psychiatric medications and care costs are covered, after insurance, to ensure the offender remains on medication. This contributes to greater stability and hopefully a successful reintegration to the community.
The Outpatient Competency Restoration (OCR) unit provides services to individuals with mental illness who have criminal charges pending and are believed to be incompetent to stand trial. The goal of OCR services is to divert misdemeanor and felony cases from the state forensic hospital waiting lists to provide outpatient restoration services. Courts in Smith, Henderson, Van Zandt, Wood, and Rains Counties order treatment under the Texas Criminal Code of Procedure Chapter 46B. Defendants are released from jail to the OCR department with an approved treatment plan with the presiding court. Restoration services are provided at the Andrews Center OCR office or within the client’s home setting for up to 120 days. Once competency is restored, the defendant is returned to court to resolve the legal matter.
Outpatient Competency Restoration Services and Supports includes:
The Assisted Outpatient Treatment (AOT) program is an outpatient commitment program, which is a cooperative effort between the civil court system, the local mental health authority (Andrews Center), and inpatient psychiatric treatment centers. The court-ordered program is designed for individuals who chronically experience inpatient psychiatric care and may have a history of incarceration due to mental illness. Although this is court-ordered outpatient treatment, the participation and cooperation of the individual, being served is necessary for successful outcomes.
This program provides psychiatric and intensive comprehensive case management services, as well as regular status conferences with the judge to individuals ordered for treatment by the Smith County Court. Therapy services are also available for individuals in the program who have an identified need for counseling. In order to be eligible for this program, an individual must have a qualifying priority diagnosis and be deemed appropriate by his/her recovery team and the court.
Assisted Outpatient Treatment services and supports include: Psychosocial rehabilitation, therapy, treatment for Co-Occurring Psychiatric Disorders (COPSD), supported housing, supported employment, crisis stabilization, pharmacological management, transportation, and judicial status conferences.