County Examples & Solutions

Custody to Community (CTC): Mentally Ill and Medically Fragile Offenders

  • Document

    Custody to Community (CTC): Mentally Ill and Medically Fragile Offenders

    San Bernardino County, Calif.

    Since the advent of California Assembly Bill 109 (AB109), the San Bernardino County Probation Department has seen an influx of offenders suffering from mental illness and those deemed medically fragile. The Probation Department established three Day Reporting Centers in major geographical areas designed as one-stop service centers for the reentry population providing best practices in treatment and rehabilitation, including a Mental Health Unit. Probation assembled a team including Behavioral Health, Arrowhead Regional Medical Center, Public Health, Sheriff’s Department, Transitional Assistance, Public Defender, District Attorney and Community Housing. Medical and mental health screenings are fast-tracked to prevent lengthy incarcerations, medication management and therapeutic interventions are in place immediately upon release. Housing and public assistance are prepared to stabilize the offender within the community. The District Attorney and Public Defender work together. Services on the front-end are a cost savings for the county jail and hospital facilities. Of the 404 medically fragile and mentally ill offenders assigned to our Mental Health Units, less than 2% have been returned to custody. This 2% recidivism drops further once routine programming and needed services are accepted by the probationer. To date, none of the medically fragile offenders have been rearrested or readmitted to the hospital due to insufficient care. This is in contrast to the medical fragile and mentally ill supervised on regular caseloads. The combined efforts of this Custody to Community (CTC) Program ensures the smooth reentry of offenders from State and local custody, reduces homelessness and recidivism. It also increases community safety and is a benefit to the client’s rehabilitation efforts and a cost savings to the County. As such, we are encouraged by the initial results. 

    Contact: 
    Ms. Angie Ekema 
    Executive Secretary III

    San Bernardino County, Calif.
    2017-07-10
    County Examples & Solutions
    2017-07-31

About 100 Brilliant Ideas at Work

Counties play an essential role in keeping America’s communities healthy, vibrant and safe. With public and private sector partners, we pursue innovative approaches to advance public health and well-being, protect public safety and foster economic strength and resiliency. Counties anticipate and adapt to challenges by thinking outside the box and demonstrating local leadership that makes a difference in people’s lives.

Under the leadership of NACo Immediate Past President Bryan Desloge, NACo embarked on an initiative to identify and share 100 examples of visionary county leadership that results in improving residents’ quality of life. Through this initiative, NACo worked with county leaders and partners to share best practices that bolster our nation’s ability to thrive county by county.

See All 100 Brilliant Ideas