1. Growing CIT in Native American Communities

2. Presenters Dan Abreu, GAINS Center DAbreu@prainc.com DAbreu@prainc.com LeMoine LaPointe, Experiential Education professional foureaglesflying@yahoo.com foureaglesflying@yahoo.com Mark Anderson, Barbara Schneider Foundation admin@thebarbaraschneiderfoundation.org admin@thebarbaraschneiderfoundation.org Rhiana Yazzie, Playwright, director, performer, and producer info@newnativetheatre.org info@newnativetheatre.org

3. The Crisis Intervention Team International (CITI) Conference October 14 - 16, 2013 Hartford, CT Growing CIT in Native American Communities Dan Abreu, MS CRC LMHC SAMHSA’s National GAINS Center

5. Participating Tribes

6. 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

7. 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

8. 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

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

12. 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

13. 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

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

15. Mde Maka Ska

16. Indigenize CIT

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

18. 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

19. New Native Theatre

21. Wrap Up The Barbara Schneider Foundation, 2419 Nicollet Ave, Minneapolis, 55404 (612)801-8572 Questions? Comments? Feedback? – Contact: Mark Anderson – Executive Director, – Barbara Schneider Foundation – 612 801 8572 – admin@thebarbaraschneiderfoundation.org admin@thebarbaraschneiderfoundation.org – www.thebarbaraschneiderfoundation.org www.thebarbaraschneiderfoundation.org The Mental Health Crisis Response Institute a program of the