Substance Abuse & Mental Health Advisory Council 2/18/11 - Tampa Mark A. Engelhardt, MS, ACSW USF-FMHI: Dept. of Mental Health, Law & Policy

CJMHSA Reinvestment Report

 Brief Background: Legislative Approval 2007  FS 394.659 (1) (a) – (f) Annual Report – Grant Funded Activities; Availability and Accessibility of Jail Diversion/Re-entry Initiatives; Data submitted to DCF; Impact Reports from Counties; Local evaluations, 100% Local Match Funds  Planning (12 ) and Implementation Grants (11) 07-10  2011 = Implementation (9) and Expansion (5) Grants  State-County- CJMHSA – Provider Partnerships 2

CJMHSA Reinvestment Plans

 CJMHSA Planning Councils – Either with the Public Safety Coordinating Councils or Establishment of Special CJMHSA Committees in Each County  At least ½ of the Counties have utilized the Sequential Intercept Mapping Process, resulting in a focused CJMHSA Strategic Plan, Memorandum of Understanding or Agreement (MOU/MOA) and concrete Action Plan with responsible leaders  These plans have positioned counties for consensus on best practices and pursuit of other grants/awards 3

Key Partnerships

 Florida Partners in Crisis – Judges & Advocates  DCF, Florida Association of Counties, FADAA, Florida Council, USF, Former SAMH Corp., NAMI, etc.

 Shared Leadership, Knowledge of Community-based systems, Managing Entities, Sustainability ($)  Strategic Planning – Active involvement in CJMHSA Planning Councils and Promoting Recovery  Reduction of 916 Forensic Admissions/Discharges  SAMH Advisory Council = Advocacy Role with Counties, DCF and Existing Statewide Partners 4

2010 Implementation Progress

County

1.

Alachua 2.

3.

Broward County Hillsborough County

Intercept and practice(s)

1.

2.

3.

Forensic Diversion Team – Existing Mental Health Court Freedom Project – Pre arrest Jail Diversion = One stop Looking Ahead – Re-entry program – In jail screening and Forensic aftercare, CFBHN Managing Entity – Local Coordination 5

2010 Implementation Progress

County

4.

Lee County 5.

6.

Leon County Miami-Dade County

Intercept and practice(s)

4.

5.

6.

Triage Center/Low Demand – Assessment to Supportive Housing and Treatment Mental Health Court – Pre trial release MH probation, competency restoration and CIT training Criminal MH Project – Felony/Misdemeanor Diversion, CIT, Peer inclusion, SOAR success 6

2010 Implementation Progress

County

7.

Nassau County 8.

9.

Orange County Pinellas County

Intercept and practice(s)

7.

8.

9.

Expansion of Mental Health Court – In-jail screening, referrals and evaluations Central Receiving Center (CRC) – Transitional Housing = ANCHOR Program Focused Outreach Program with Public Defenders Office Diversion (Reducing the In-jail Wait List) 7

2010 Implementation Progress

County

10.

Polk County 11.

St. Lucie County 12.

Other: Sequential Intercept Mapping without grants

Intercept and practice(s)

10.

11.

12.

Misdemeanor Mental Health Court, Crisis Response Team, Forensic Intensive Case Management Expansion of Mental Health Court, Case Management, Excellent Data Base and tracking Hillsborough, Collier, Lee, Pinellas - Veterans 8

Emerging Local Data/ Highlights

 Alachua – 200 persons – None went to DCF state Mental Health Hospitals  Broward- 85% = No arrest after 90 day “graduation”  Hillsborough = DOC recidivism = 7%  Lee – Of 515 served in low demand 7 went to jail  Leon – Over 300 law enforcement specialists trained in CIT  Miami-Dade – 93% Success in SOAR – National Recognition!

 Nassau – Over 3,400 screened in the jail  Orange – 91% no arrests after 30 days in CRC 9

Best Practices in Development

 Forensic Intensive Case Management Teams  Inclusion of Peer Specialists on various teams  Co-occurring Courts; Veterans Courts  Discharge Planning & Supportive Housing  Expansion of CIT & Crisis Response Capability  In-jail screening and comprehensive assessments  Benefits planning and SOAR  Trauma Informed Training  Sustainability Plans – Cash and In-kind 10

Value Added Impact:

 Sequential Intercept Mapping and Action Planning has been a tool to keep CJMHSA Planning Councils on track and successful – Winning Federal Grants  Grants have been a catalyst to Partnerships  Emerging Data and Local Evaluations  Providers responsiveness to National Best Practices  Public Education about SAMH, Healthcare & Justice  Cross-Systems Training Opportunities  Annual Reinvestment Grant Conference www.flpic.org

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“Class of 2011-13 Awards”

 EXPANSION  Alachua – Blended Team  Lee County – Detox Beds  Miami-Dade - Benefits  Orange – Link to Housing/Employment  Pinellas – Detox Program  IMPLEMENTATION  Charlotte  Collier  Monroe  Duval  Flagler  Lake  Osceola  Palm Beach 12

USF-FMHI TA Center Resources

 www.floridatac.org

Clearinghouse & links to other National Best Practices, Grant Resources, Document Library, Website Linkages (BJA, GAINS) – “one-stop”,  Judicial Circuit and County Data Base – IDS, Medicaid, Baker Act, FDLE and Juvenile Justice (2011)  Training & Technical Assistance – Initial County Grant applications and on-site implementation TA  County/Federal Grant Evaluations – Design/Analysis  John Petrila, JD - Director – [email protected]

 Mark Engelhardt [email protected]

813- 974-0769 13