Innovative LA County Program Takes Mentally Ill Homeless Inmates from Jail to Managed Care

January 28, 2020

Los Angeles County is home to the world’s largest jail system with an average daily inmate population of about 17,000, roughly one-third of whom suffer from serious mental illness.

The county is also grappling with one of the most acute homelessness problems in the United States, with nearly 59,000 people living on the streets or in shelters according to the Los Angeles Homeless Services Authority’s 2019 count.

ODR Housing Agency Spotlight

Bonnie Brae House, an ODR interim housing site (Photo Courtesy of ODR)

Enter the Office of Diversion and Reentry (ODR), an innovative program for homeless inmates with complex clinical needs.

In 2015, the LA County Board of Supervisors voted to create ODR in order to break the numbing cycle of mental illness, incarceration and homelessness. Last year, the program was expanded to courtrooms countywide.

“So far, we’ve secured the release of about 4,000 inmates from the jails into community-based supportive housing with medical and psychological care,” said respected Los Angeles Superior Court judge Peter Espinoza, who left the bench after 25 years to head ODR.

“Our mission is to get as many people out of LA County jails as possible and back into the community where they can be safely housed and cared for,” Espinoza said.

County jails nationally have become de-facto treatment facilities for people with mental illness and substance abuse conditions. ODR offers an effective, humane and comparatively cost-effective solution to address this ongoing crisis with permanent supportive housing and intensive case management.

According to Espinoza, ODR’s supportive housing program is unique in California, and people from all over the state visit to see how it works.

Peter Espinoza

Peter Espinoza, Director, LA County Office of Diversion and Reentry

“Our programs have a 71 percent housing retention rate and a 14 percent recidivism rate for new felony convictions – remarkable numbers for that population,” Espinoza said.

While the number of chronically homeless veterans in LA County decreased by 15 percent from 2018 to 2019, former military service members still often fall prey to the at-risk behaviors ODR targets.

U.S. Army veteran Jim Zenner, who manages the LA County Department of Mental Health’s Countywide Veteran and Military Family Program, likes ODR’s approach.

“We don’t want veterans cycling between homelessness, incarceration and hospitalization,” Zenner said. “ODR’s programs are an effective deterrent for keeping veterans out of institutions and off the streets,” he said.

Zenner also oversees LA County’s newly formed Veteran Peer Access Network (VPAN), a veteran peer-to-peer program tackling the same persistent issues – especially homelessness and suicide – that too often afflict service members transitioning to civilian life.

VPAN will deploy trained Veteran and Military Family Peers throughout LA County in 2020 to connect veterans and their families to critical resources including housing, mental health care, substance abuse treatment, job placement and legal services.

“We look forward to providing access to care for any veterans ODR may pick up,” Zenner said.

Both Espinoza and Zenner see potential synergy between the two programs.

“We’re open to working with partners, such as VPAN, to help achieve our goals,” Espinoza said.