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Lake County Jail Mental Health Services
Wendy Scanlon /  Matt Kocsis  /  Julie Kalina-Hammond
Mental Health Counselors NEIGHBORING 

        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, 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 Lake County Courts.

About the Staff

Wendy Scanlon, MSSA, LSW has been with Neighboring since April 2003.  She earned her Associates degree from Lakeland Community College, her Bachelor's Degree in Criminal Justice from lake Erie College, and her Master's Degree in Social Work from Case Western Reserve University.    She interned in sentencing mitigation, probation, case management and group counseling.

Matt Kocsis, MSW, LSW has been with Neighboring since June 2006. He earned his Master of Social Work Degree from Cleveland State University. Before coming to Neighboring and the Lake County Jail he was employed with Bellefaire JCB providing in home therapy to “at risk youth” and Community Re-Entry providing adult re-entry services to the formally incarcerated.

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.
 

2006 Annual Report – Neighboring Mental Health Services

            The mental health department experienced some significant changes in 2006.  The New Year began with one full time Mental Health Consultant (MHC) and an Advanced Practice Registered Nurse (APRN), and ended with two full time Mental Health Consultants, an Advanced Practice Registered Nurse, and a Community Liaison for the Women In Transition Through Support (WITTS) program.  These were welcomed additions to our criminal justice team.   

            The mental health staff received a total of 1,720 referrals for the year 2006, a difference of only 14 less than in 2005. As has been the case in previous years, a majority of the referrals received were from inmate request forms, followed by referrals from corrections officers, medical staff, email, Jail Treatment Program (JTP), community mental health agencies and probation officers.    Figure 1 shows the distribution of referral sources for the year of 2006 as wellas 2005. 

        While the number of self referrals, referrals from medical staff, and emails rose from 2005, referrals from corrections officers, JTP and community mental health agencies declined.  The “other” category combines referrals from phone calls, family members, etc., and as can be seen in Figure 1, increased from 2005. 

Figure 2 shows that referrals to speak with a MHC declined from 2005, however it continues to count for a majority of the referrals.

Another visible difference was the increase in requests to see the APRN for medications.  Mental health staff also saw a slight increase in referrals for persons thought to be at risk for suicide, as well as requests to attend the women’s peer support group or to meet with the Community Liaison. 

            In 2006, the mental health staff met with a total of 352 different people and spent a total of 308.5 hours working with an individual face to face.  This is an increase of 83 people and 34.1 hours from 2005.  Although there was an increase in the number of people seen and the number of hours spent face to face, there was a significant difference in the amount of time mental health staff spent consulting with other professionals regarding clients.  A total of 369 hours was spent consulting with others as opposed to 574.7 hours in 2005.  This difference is also reflected in the total amount of direct service time, 677.5 hours in 2006 compared to 849.1 hours in 2005. (Note: the numbers calculated are based on services provided from January 1, 2006 to December 31, 2006, however, statistics from January 1, 2006 to June 25, 2006 are based on services provided by one MHC).  Of the 352 people seen, 7 people were referred for emergency admission to a medical/mental health facility (pink slipped). Of the 7, 5 were pink slipped upon release from the jail.

                        Dr. Laura DeHelian APRN, BC, saw a total of 236 different people a total of 413 times, that is 4 individuals more and 14 more visits in comparison to 2005.  The total number of consultations was 26, as compared to 19 in 2005.  A total of 122.1 hours was spent face to face with clients compared to 194.7 hours last year.  There was psychiatric coverage for 46 out of 52 weeks, the same as in the previous year. 

Figure 3 shows the most recent medications prescribed as well as how often they were prescribed, note, however that this does not include medications that were discontinued. 

There were 27 instances, compared to 42 cases in 2005, where people were seen but were not prescribed psychotropic medications.  As has been the case in previous years, Seroquel was one of the most frequently prescribed medications, which was often used for either sleep or stabilization of psychosis.  However, Seroquel was prescribed less in 2006 than in 2005.  Trazodone, an anti-depressant medication that provides a sedating effect, was prescribed more frequently than other anti-depressants, whereas in 2005 it was prescribed roughly as much as other anti-depressants.  The most common medications prescribed were anti-depressants which accounts for 60 percent of the medications prescribed, followed by anti-psychotics at 22 percent, and anticonvulsants/mood stabilizers at 18 percent.

            Figure 4 illustrates the type of diagnoses as well as the frequency that it was given.   

        There were a total of 360 actual diagnoses given, with many individuals receiving more than one diagnosis.  There were a total of 2 individuals who received no diagnosis at all, compared to 21 in 2005.  Mood disorders continue to be the disorder most frequently diagnosed.  The second most common diagnosis was in the category of anxiety disorders, unlike in 2005 when the second most frequent diagnosis was psychotic disorders.  There was also an increase in substance abuse/dependency diagnoses, as well as personality disorders and ADHD/conduct disorders.  There was a decline in adjustment disorders, substance induced mood disorders and impulse control disorders.      A majority of those who received mental health services, 67% to be more precise, were residents of Lake County,  which is the same as in 2005 (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 2005 (See Figure 6). 

        As was the case in 2005 the majority of individuals who received psychiatric services were Caucasian males, followed by Caucasian females (See Figure 7). 

            Overall the data shown indicates the continuing need for mental health services within this growing population. In the coming year, the mental health consultants will continue to focus primarily on providing crisis intervention to the inmates at the Lake County Jail.  It is the mental health staff’s goal to develop and implement discharge planning for the severely mentally ill.  In addition, the team would like to begin an anger management group in order to provide inmates with positive coping skills during their incarceration at the maximum security facility.  The Community Liaison for the WITTS Program will be implementing an aftercare group to provide women with support services upon their discharge from jail.