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Judge Caputo
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Famil 'drgn?s 0 DIS
31?1111?: ?1115 1.15mizr1hmmg. j; 173? 
1.: .1 -..-. FOUR
FT

Recommendation for Donald Basford 5L

It is my recommendation that Mr Basford be considered for the Tulsa County 

Program. I believe this program would be a good option for him as it emphasqesg countabillty and

monitoring for individuals suffering from severe mental illness. I met with M3585 
three screenings with him: the TCU Drug Screen II, Mental Health Screening Form aiffl??riecp R?lsk 
Assessment System. Community Supervision Tool (ORAS- CST). All three screening tools have been 1
approved by the Substance Abuse and Mental Health Services Administration and recommended for use

speci?cally for criminal justice populations. 1

Mr. Basford?s results on the TCU Drug Screen 11 indicate a relatively severe drug?related problem and
corresponds approximately to a drug dependence diagnosis. Therefore, it is my belief that he would
benefit from substance abuse treatment. According to the results from the Mental Health Screening Form
111, Mr. Basford answered positively for questions that are re?ective of associated with several
mental health disorders. It is recommended that Mr. Basford be further assessed in regards to potential
mental health issues that may require accountability and monitoring.

The ORAS-CST covers seven domains: criminal history, education/ employment/ finances, family and
social support, neighborhood problems, substance use, peer associations, and criminal attitudes and
behavioral patterns. Mr. Basford?s overall risk score is in the high range which it is recommended by those
that created the screening tool that an individual scoring in this range should be considered for enhanced
supervision or residential placement and programming should be provided for moderate and high
domains. Mr. Basford scored high in the following domains: criminal history and substancezabuse and
subsequently scored in the moderate range in family/ social support, peer associations, and criminal
attitudes and behavioral patterns.

It is my opinion that if Mr. Basford is given a chance to actively participate in this program it could have a
significant impact on his mental health and overall level of functioning. This could prevent or decrease
future involvement with the criminal justice system.

Thank you in advance for your time and consideration and please contact me if you have any questions or
concerns,

Michael S. Lewis, B.A., BHRS, CM
Case Manager
Family Children?s Services, Inc.

Jail Diversion Program
918-596-8857

OFFENDER SCREENING
PROGRAM

Daze of mterview: f/q/I 3

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ajasae Number: CF, I53 3

 

 

 

 

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Based on assessment result, individuai apnears to benefit from;

:ei/ No
Mental Health Services 3

Substance Abuse Servites

Hm? Caurt Date' ?/gl?g

 

 

Risk Assessment indicates:
Low
3 Medium
High
Very High

Diversion Treatment ., L16 

 

 

 

 

 

 

 

 

 

 

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