1. Fulton County Justice and Mental Health Task Force
A Collaboration of Justice, Behavioral Health, and the Community

2. Aligns with Fulton County Strategic Plan
Stepping Up Resolution approved May 4, 2016
A Call To Action

3. 8X SMART JUSTICE 40 – 70% Mentally Ill State Prisons 17%
Adults Entering Jails
State Prisons
SMI
Individuals with untreated mental health and substance abuse disorders are 8 times more likely to be incarcerated, often due to lack of access to appropriate crisis services and ongoing care.
Diagnosed with a behavioral Disorder
Inmates in prisons in the United States
50%
2,500 Inmates Housed Daily
40 – 70%
Mentally Ill

4. 58 CURRENT FUTURE vs 78% $1.6 37K A snapshot of the Fulton County
Current State
Future State 58
78%
$1.6
37K vs
DAYS
Length of Stay
Mentally ill defendants are incarcerated 30 days longer than the general population inmate.
Comprehensive Screening
Validated Tool
100% of defendants will undergo a validated mental health screening for early identification of SMI which expedite service and reduce the length of stay.
Decrease in re-arrests
Pre-Arrest Diversion
Reduce criminal justice involvement for behaviors related to drug use and mental health.
Re-arrests Rate
Propensity to Re-offend
The jail reports that the
re-arrest rate among SMI inmates is approximately 78-80%.
A snapshot of the
Fulton County
Jail population
MILLION
Housing of SMI Inmates
The jail reports a total of 360 inmates per day receiving medication, specifically psychotropic drugs. The annualized cost to the County is estimated at $10M.
Access to Treatment
Diversion Programs
Unified Treatment Diversion Model to include Misdemeanor Mental Health Court and expanded Pretrial services.
CONTACTS
Mental Health
The jail medical provider made contact with more than 2,600 defendants per month.
Disconnect to Care Release Navigation
Integrated & effective discharge process for SMI defendants to include imminent risk designation.

5. Justice and Mental Health Task Force Project Funding
U.S. Department of Justice, Bureau of Justice Assistance, Justice and Mental Health Collaboration Program (JMHCP)
$250,000 Federal Planning Grant (Category I) awarded October 2016
The Superior Court of Fulton County was among 6 national recipients of the JMHCP Category I FY16 grant
Other grant recipients in Georgia: Athens-Clarke County, Macon-Bibb County, Newton & Walton counties

6. Grant Purpose 4 Key Measures
The number of people with SMI booked into jail
The average length of stay for people with SMI in jails
The percentage of connection to care for people with SMI in jail
Rates of recidivism
Reduce the Prevalence of Individuals with Mental Disorders in Jail
4 Key Measures 1. 2. 3. 4.
REDUCE
SHORTEN
INCREASE
LOWER
Remember to talk about performance management alignment
Can be sustainable performance measures of success in the long term.
What does success look like?
4 Key Measures are from the Stepping Up Initiative Framework

7. Timeline 2 Year Planning Grant
Briefing to Fulton County BOC
Project Report Complete
Stepping Up Resolution Passed
Superior Court Applied for BJA Grant
Fulton BOC Approves Contract
Project
Kick-Off
Meeting
Metro Atlanta Justice Mental Health Symposium
Sequential
Intercept
Mapping
Workshop
Task Force & Work Group Meetings Begin
Prioritize Recommendations
Grant Awarded
October 2015
May
2016
October 2016
February
2017
April
2017
June
2017
December
2017
March
2018
- This grant was last before the BOC in February 2016 when the commission officially accepted the federal grant.
- We are moving faster than the other 6 grantees in our cohort – Better resourced, momentum is key
Note: CVIOG work started in May 2017 when our contract was finalized. Task Force time on task is April to December 2017
Fulton County accepts award and finalizes contracts with BJA and UGA
2 Year Planning Grant
– Work to be accomplished in 18 months from award date

8. Task Force Activities

9. UGA Carl Vinson Institute of Government
Project Staff
Project Responsibilities
Lisa Maye
Sid Johnson
Holly Lynde
David Tanner
John Barner
Project Management
Meeting Facilitation
Process Documentation
Data Analysis
Program Evaluation
Technical Assistance

10. Sequential Mapping Exercise
Two (2) day meeting to map the flow of persons with mental illness through the Fulton County criminal justice system
Five (5) workgroups were created to work on the priorities the Task Force identified to help safely reduce the prevalence of individuals with mental illness and co-occurring disorders in jail
Intercept 1
Law Enforcement and Emergency Services
Intercept 2
Initial Detention and Initial Court Hearings
Intercept 3
Jails and Courts
Intercept 4
Reentry
Intercept 5
Community Corrections and Community Supports

11. Project Organization Fulton County Judicial & Executive Branches
Governance Committee
Chair/Grant Recipient
Judge Doris L. Downs
Superior Court of Fulton County
Advisory Committee
Work Group Chairs, Law Enforcement, Judges, other key Behavioral Health leaders from the Task Force to ensure system components are represented
Fulton County Justice and Mental Health Task Force
Work Group 1
Pre-Arrest
Develop pre-arrest diversion strategies
Expand housing options
Improve collaboration between courts
Refine and expand reentry/community options
Improve individual data sharing
Need someone from Commission on the Governance Committee
Work Group 2
Housing
Work Group 3
Court Collaboration
Work Group 4
Re-Entry
Work Group 5
Individual Data Sharing

12. Stakeholder Tours, Meetings, and Interviews
Grady Hospital Behavioral Health
Fulton County Treatment Diversion Court
Fulton County Police Chiefs Meeting
Fulton County Jail
Atlanta City Detention Center
Athens-Clarke County Justice and Mental Health Grant/Advantage Behavioral Health
Atlanta Police Department Training Academy
Fulton County Adult Felony Drug Court
Georgia Department of Community Supervision
Georgia Crisis Action Line
Area West Crisis Collaborative – BHL
Re-entry Service Provider Partnership Meeting – MSM
Fulton County Public Defender’s Office – Social Work Team
Atlanta 911 Communications Center
Georgia Regional Hospital at Atlanta
Behavioral Health Treatment Court
Fulton County Pre-Trial Services – Intake, Court Services, and Supervision
Atlanta City Pre-Trial Services
Atlanta/Fulton County Pre-Arrest Diversion Initiative
Georgia Department of Community Health Health Information Exchange
Grady Out-Patient – 10 Park Place
JMHCP FY16 Collaborative County Training Summit
Center for Health and Rehabilitation (Fulton County DBHDD)
DBHDD – Georgia Voucher Housing Program
NAMI Northside Atlanta/Georgia Crisis Access Line
Fanning Institute of Government
Fulton County Department of Community Development

13. Work Groups and Chairs Work Group Activities
Develop Pre-Arrest Diversion Strategies
Victoria Roberts, Program Director, Competency Restoration Program, Emory University School of Medicine/Fulton County Jail Collaborative
Shedra Jones, Director, Atlanta/Fulton County Pre-Arrest Diversion Initiative
Expand Housing Options
George Chidi, Social Impact Director, Atlanta Downtown Improvement District, Central Atlanta Progress
Improve Collaboration Between Courts
Judge Doris L. Downs, Superior Court/Behavioral Health Treatment Court
Refine and Expand Reentry/Community Options
Violet Ricks, Assistant Chief Strategy Officer, Fulton County Manager’s Office
Marcus Carter, Georgia Department of Community Supervision
Improve Individual Data Sharing
Phenix Ayers-Gaston, Director, Accountability Courts, Superior Court of Fulton County
Work Group Activities
Meet monthly
Improve relationships and partnerships
Refine process flow maps
Identify existing programs and resources
Provide baseline data
Identify early wins and long-term priorities

14. Top Five (5) Recommendations
TRAINING:
Standardized training for law enforcement officers using Crisis Intervention Training, trauma-informed responses, and other evidence-based crisis models.
STRATEGIC DATA MODEL:
Explore, create, and implement a network information sharing database and data sharing agreements to be used by all justice and justice-serving entities.
VALIDATED INTAKE SCREENING:
Standardized process to include a validated jail mental health screen for 100% of bookings in the Fulton County Jail.
COMMUNITY CARE:
Designate inmates with SMI facing homelessness upon release as being an “imminent risk” triggering care navigation prior to release.
TREATMENT DIVERSION:
Expand funding for jail diversion services.

15. CURRENT GAINS/WINS PATH FORWARD Misdemeanor Mental Health Court Model
Expanded Accountability Court Clinical Services
NAPH-Care & In-House Expertise to create the Validated Assessment Tool
Link Project to recommendations of JRI and JCC
Medical and Mental Health Pretrial Unit (April Soundings)
Best Practices Implementation Academy (April 17th 19th)
Provide Trauma Informed Response Training (April 11th – 12th)
Final Taskforce Report (March 2018)
PATH FORWARD
Carl Vinson MOU for Service ($176,000)
Creating Design Teams (Improve Overall County Care Model)
Pre-Diversion Arrest Center
Cost Analysis for Implementation
Develop Strategic Data Model
Creating Discharge/Care Navigation Systems
Application for the Category II Grant (May 2018)

16. A public website was created as a repository for all project documents and meeting information:

17. Contact Information
Superior Court of Fulton County
136 Pryor Street, Suite C-640
Atlanta, GA 30303
Office Number:
Fax Number: