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

2 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

3 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.

4 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

Related Web Resources FMHI Technical Assistance Center: Substance Abuse and Mental Health Corporation (for RFA): Policy Research Associates, Inc.: Florida Partners in Crisis: The Justice Center:

6 The Problem 6 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

7 Workshop Tasks Nurture cross-system collaboration Effective Collaboration has a Purpose! Map the local system Build an Action Plan Follow up! 7

8 Local Collaboration – Examples Mobile Crisis Unit/ Crisis Intervention Teams or Training Mental Health Courts Federal Jail Diversion Grants CJMHSA Planning Council – 1 st time many of the stakeholders have formally met and worked together. 8

9 ACTION: Cross-Systems Mapping & Taking Action for Change 9 Focus Tasks Goals

10 Focus 10 Men and women with… Serious mental illness, and often Co-occurring substance use disorders Involved in the criminal justice system

11 Goals 11 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

12 Objective: Cross-Systems Coordination & Collaboration 12 ccessible omprehensive rauma-informed ntegrated ptions etworked ACTION ACTION GOAL FOR SERVICES: Substance Abuse Mental Health Criminal Justice

13 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

14 Benefits of Effective Collaboration  Service Retention  Stability in the Community  Public Safety  Savings 14 Community Collaboration + Services Integration =

15 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

16 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

17 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 17 Cross-Systems Mapping is an activity which depicts contact/flow with the criminal justice system.

18 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

19 Five Key Points of Interception 1. Law enforcement / Emergency services 2. Booking / Initial court hearings 3. Jails / Courts 4. Re-entry 5. Community corrections / Community support 19

20 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

Initial Contact Intercept 1: Law Enforcement Community Emergency Services Law Enforcement Intercept 2: Detention and Initial Appearance Arrest Booking and Initial Detention Initial Court Appearance Intercept 3: Jails and Courts County Court Circuit Court Judicial Disposition Intercept 4: Re-Entry Prison Intercept 5: Community Supervision Probation Parole Community Pre-Adjudication JailPost-Adjudication Jail

22 Community Corrections & Community Support Law Enforcement/ Emergency Services Community Re-Entry Booking/ Initial Appearance Jails, Courts Access to Appropriate Services Munetz & Griffin, 2006 Sequential Intercept Model: A Circular View

23 Best or Promising Practices: Crisis Intervention Team (CIT) Mobile Crisis Teams Specialized Law Enforcement Training Central Receiving Centers (Baker Act and Marchman Act) COMMUNITY Law Enforcement Initial Contact Emergency Services Intercept 1 – Law Enforcement

24 Best or Promising Practices: Mental Health and Substance Abuse Screening at Booking (Co-occurring capable) Brief Jail Screening Mental Health Pre- Trial Release Booking and Initial Detention Arrest Initial Court Appearance Intercept 2 – Detention and Initial Appearance

25 Best or Promising Practices: Mental Health/Substance Abuse Assessments (Co- occurring capable) Psychiatric Services Trauma Informed Services CIT training for Correctional Officers Mental Health Courts Drug Courts Specialized Court Docket Circuit Court Judicial Disposition County Court Intercept 3 – Jails and Courts

26 Prison Jail Intercept 4 – Re-Entry Best or Promising Practices: Asses, Plan, Identify, Coordinate (APIC) Model Forensic Intensive Case Management (FICM) Florida Assertive Community Treatment (FACT) Forensic Assertive Community Treatment (Forensic ACT) Boundary Spanners SSI/SSDI Outreach, Assess, Recovery (SOAR)

27 Probation Parole Intercept 5 – Community Corrections and Community Supports Best or Promising Practices: Sensitizing Providers to the Effects of Incarceration on Treatment and Risk Management (SECTRM) Specialized Mental Health Probation Specialized training for Probation Forensic Intensive Case Management (FICM) COMMUNITY

28 Probation Parole Intercept 5 – Community Corrections and Community Supports Best or Promising Practices: Trauma Informed Treatment Supportive Housing Options Clubhouses Drop In Centers SAMHSA Tool Kits: ACT Model Supported Employment Integrated Co-Occurring Disorder Treatment Illness Management and Recovery (i.e. WRAP) COMMUNITY

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30 Action Planning: Prioritized Priority Area : ObjectiveAction StepWhoWhen 30

31 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

32 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

33 Planning & Implementation Thank you for participating!