Growing CIT in Native American Communities

Presenters Dan Abreu, GAINS Center LeMoine LaPointe, Experiential Education professional Mark Anderson, Barbara Schneider Foundation Rhiana Yazzie, Playwright, director, performer, and producer

The Crisis Intervention Team International (CITI) Conference October , 2013 Hartford, CT Growing CIT in Native American Communities Dan Abreu, MS CRC LMHC SAMHSA’s National GAINS Center

Participating Tribes

General Team Composition Tribal leaders/officials Leaders in behavioral health Leaders in corrections, probation/parole, law enforcement, and judicial systems (including prosecution and defense) Other key stakeholders/decision makers

Creating a Local Systems Map Brings together key stakeholders to tap into local expertise Creates a local map using the Sequential Intercept Model – Visually depicts local system – Identifies: o Existing local services and processes – Gaps in services – Strengths to build upon --- opportunities and resources – Data o Issues considered important to local stakeholders Helps everyone see the “big picture” and how they fit – Helps diverse groups from various systems understand where/how everything fits – Intercepts provide manageable venues and opportunities for systems interventions

COMMUNITY Intercept 1 Law enforcement 911 Law Enforcement Intercept 2 Initial detention / Initial court hearings Initial Detention First Appearance Court Arrest Intercept 3 Jails / Courts Jail Specialty Court Dispositional Court Intercept 4 Reentry Prison / Reentry Jail Re-entry Parole COMMUNITY Intercept 5 Community corrections Probation Violation Sequential Intercept Model

Problems Transport Issues Multiple Jurisdictions No Public Defenders Lack of mobile response Most services off the reservation Poor data systems

No detox on reservation – At least an hour away – Not all individuals eligible for county payments No 72 hour hold facility on reservation – Could be 8 hours before placed – Could go to detention Inconsistent MH screening in jails Inconsistent screening for NA in non tribal jails Problems

911 services are not coordinated to meet the needs in ‘reservation’ proper. There are more than two contact phone numbers to know to access assistance – one for law enforcement, one for ambulance and one for seeking assistance in a crisis. Availability of resources to address or answer the call for help. Issues in Indian Country

Cross deputization CIT Training – Mental Health Unit (Ute and Shoshone) Shared Court Jurisdictions Shared Probation Supervision Best Practices

Mde Maka Ska

Indigenize CIT

Cycle of Crisis traumatic disruption crisis injury illness crisis event attack on language family invasion displacement violence repress spirituality tradition

Cycle of Recovery recovery health wellness care medicine safety support education in healing ways connection to place nature culture family children elders orientation spirit joy of serving/sacrifice wisdom

New Native Theatre

Wrap Up The Barbara Schneider Foundation, 2419 Nicollet Ave, Minneapolis, (612) Questions? Comments? Feedback? – Contact: Mark Anderson – Executive Director, – Barbara Schneider Foundation – – – The Mental Health Crisis Response Institute a program of the