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Cross-Systems Mapping Transforming Services for Persons with Mental Illnesses and/or Substance Abuse Disorders in Contact with the Criminal Justice System Reinvestment Act Meeting July 24, 2008 Planning and Best Practices Mark Engelhardt, M.S., ACSW Associate Director , CJMHSA TA Center, Florida Mental Health Institute, University of South Florida Faculty – System Development & Consultation Michele Saunders, LCSW Executive Director, Florida Partners in Crisis, Inc. Chair, Florida CIT Coalition 2 Integrated Strategic Planning How does the CJMHSA Reinvestment Planning and Implementation Plans fit into other County and State Planning in the Circuit? (Public Safety, Co-Occurring Disorders, Housing, Federal Diversion Grants, etc.) Expectation that a Realistic Plan and Memorandum of Understanding be Developed Implementation Grants – Update Strategic Plans Based on the Grant Award and Best Practices/Decisions Who needs to be invited to the Table? Action Plans, Finance, Services, Sustainability, etc. 3 Strategic Planning References SAMH Corporation – Request for Applications Appendix A – Format Appendix B – Best Practices Council of State Governments – Justice & Mental Health Collaboration Program (JMHCP) – Planning and Implementation “Guide” SAMHSA – Jail Diversion Grants – Strategic Planning Florida’s Supreme Court Mental Health Report – Appendix G & H – Memorandums of Understanding 4 Related Web Resources • FMHI Technical Assistance Center: www.floridatac.org • Substance Abuse and Mental Health Corporation (for RFA): www.samhcorp.org • Policy Research Associates, Inc.: www.prainc.com • Florida Partners in Crisis: www.flpic.org • The Justice Center: http://justicecenter.csg.org The Problem Many of the same people are served in multiple systems: Mental health Substance abuse Criminal justice Other social services Expensive - high service users, people who cycle and recycle through the system SOLUTION: Cross-Systems Coordination 6 Workshop Tasks Nurture cross-system collaboration Effective Collaboration has a Purpose! Map the local system Build an Action Plan Follow up! 7 Local Collaboration – Examples Mobile Crisis Unit/ Crisis Intervention Teams or Training Mental Health Courts Federal Jail Diversion Grants CJMHSA Planning Council – 1st time many of the stakeholders have formally met and worked together. 8 ACTION: Cross-Systems Mapping & Taking Action for Change Focus Goals Tasks 9 Focus Men and women with… Serious mental illness, and often Co-occurring substance use disorders Involved in the criminal justice system 10 Goals Promote and support recovery Provide safety and quality of life for all community residents Keep people out of jail and in treatment Provide constitutionally adequate treatment in jail Link to comprehensive, appropriate, and integrated community-based services 11 Objective: Cross-Systems Coordination & Collaboration GOAL FOR SERVICES: Mental Health Substance Abuse Criminal Justice A ccessible C omprehensive T rauma-informed I ntegrated O ptions N etworked 12 Challenges to Collaboration Understanding Funding: “silos” Limited History of True Collaboration or Community Problem-solving Limited resources create a competitive and/or protective environment System “cultures” Local Relationship Building Target populations – common definition 13 Benefits of Effective Collaboration Community Collaboration + Services Integration = Service Retention Stability in the Community Public Safety Savings 14 Keys to Success Task Force (Shared Leadership) Subcommittees - Facilitation Consumer & Family Involvement Communication & Information Sharing Boundary Spanners Champions: Top Down/Bottom Up Create Momentum or “Traction”! 15 Additional Strategies Share a vision, mission and direction Use evidence-based and promising practice models Use money creatively Blended or braided funding Using both existing and new resources Collect and use data Discuss Outcomes 16 Sequential Intercept Model Basis for Cross-Systems Mapping A tool to … Help transform fragmented systems Identify local resources, gaps and Help identify where to begin interventions Cross-Systems Mapping is an activity which depicts contact/flow with the criminal justice system. 17 Sequential Intercept Model Patty Griffin, PhD & Mark Munetz, MD People move through criminal justice system in predictable ways Illustrates key points to “intercept,” to ensure: Prompt access to treatment Opportunities for diversion Timely movement through criminal justice system Linkage to community resources 18 Five Key Points of Interception 1. 2. 3. 4. 5. Law enforcement / Emergency services Booking / Initial court hearings Jails / Courts Re-entry Community corrections / Community support 19 Gaps & Best Practices Discussion of Gaps in Processes and Service Delivery at Each Intercept Point Identification of Best Practices that are being implemented at the County Level and what is desired Strengths-based Planning and Identification of Best Practices at Each Intercept or where to find them. (Examples – Florida & National) County or Locally Driven Map 20 Intercept 4: Re-Entry Community Supervision Probation County Court Pre-Adjudication Jail Intercept 5: Parole Jails and Courts Initial Court Appearance Booking and Initial Detention Arrest Law Enforcement Emergency Services Intercept 3: Circuit Court Initial Contact Detention and Initial Appearance Prison Intercept 2: Post-Adjudication Jail Community Community Law Enforcement Judicial Disposition Intercept 1: Sequential Intercept Model: A Circular View Law Enforcement/ Emergency Services Community Corrections & Community Support Community Re-Entry Access to Appropriate Services Booking/ Initial Appearance Jails, Courts Munetz & Griffin, 2006 22 Intercept 1 – Law Enforcement •Specialized Law Enforcement Training •Central Receiving Centers (Baker Act and Marchman Act) Initial Contact Law Enforcement •Mobile Crisis Teams Emergency Services •Crisis Intervention Team (CIT) COMMUNITY Best or Promising Practices: 23 Intercept 2 – Detention and Initial Appearance •Mental Health PreTrial Release Initial Court Appearance •Brief Jail Screening Booking and Initial Detention •Mental Health and Substance Abuse Screening at Booking (Co-occurring capable) Arrest Best or Promising Practices: 24 •Mental Health/Substance Abuse Assessments (Cooccurring capable) •Psychiatric Services •CIT training for Correctional Officers •Mental Health Courts Circuit Court •Trauma Informed Services Judicial Disposition Best or Promising Practices: County Court Intercept 3 – Jails and Courts •Drug Courts •Specialized Court Docket 25 Intercept 4 – Re-Entry •Asses, Plan, Identify, Coordinate (APIC) Model Prison Best or Promising Practices: •Forensic Intensive Case Management (FICM) •Forensic Assertive Community Treatment (Forensic ACT) Jail •Florida Assertive Community Treatment (FACT) •Boundary Spanners •SSI/SSDI Outreach, Assess, Recovery (SOAR) 26 Intercept 5 – Community Corrections and Community Supports •Specialized training for Probation •Forensic Intensive Case Management (FICM) Probation •Specialized Mental Health Probation COMMUNITY •Sensitizing Providers to the Effects of Incarceration on Treatment and Risk Management (SECTRM) Parole Best or Promising Practices: 27 Intercept 5 – Community Corrections and Community Supports •Supportive Housing Options •Clubhouses •Drop In Centers • Supported Employment • Integrated Co-Occurring Disorder Treatment • Illness Management and Recovery (i.e. WRAP) Probation •SAMHSA Tool Kits: • ACT Model COMMUNITY •Trauma Informed Treatment Parole Best or Promising Practices: 28 29 Action Planning: Prioritized Priority Area : Objective Action Step Who When 30 Next Steps What will happen with the Action Plan & Systems Map? Date of next Task Force meeting Ongoing Subcommittee work Access to USF-FMHI Technical Assistance Center and National Resources Implementation, Data , Outcomes 31 USF-FMHI Observations So far: Priorities identified by Counties: Mapping and Telephonic Technical Assistance: Communication among CJMHSA Planning Council Data Sharing (HIPAA), Collection and Analysis Expanding Service Delivery Capacity Cross-systems Training Opportunities Exposure to Best Practices Getting Organized – Commitment to Action Plans 32 Planning & Implementation Thank you for participating! www.floridatac.org Email: [email protected] 33