Data and Information Sharing in Early Diversion an Advancing Early Diversion Summer Series webinar Presenters:
Chris Schneweis Holly Matthews, Esq. July 17, 2019 1:00-2:30pm ET
Hosted by SAMHSA’s GAINS Center
Welcome and Housekeeping
Melissa Neal, DrPH Senior Research Associate Criminal Justice Division Policy Research Associates, Inc.
2
Disclaimer The views, opinions, and content expressed in this presentation do not necessarily reflect the views, opinions, or policies of the Substance Abuse and Mental Health Services Administration (SAMHSA) or the U.S. Department of Health and Human Services (HHS).
3
Introducing Today’s Presenters: Chris Schneweis • Served in the capacity of the Senior Management Analyst for Johnson County, Kansas since 2010. • Appointed the County’s HIPAA/Healthcare Privacy Officer in 2013. • Certified Healthcare Compliance Officer through Seton Hall Law School, and is a graduate from the University of Kansas. • Has 22 years of public service between Douglas County, Kansas and Johnson County, Kansas. 4
Introducing Today’s Presenters: Holly Matthews, Esq. • •
• •
• • 5
•
Executive Director of the Criminal Justice Coordinating Council (CJCC). Oversees a staff of 45 and a budget of $3.8 million. Under her leadership, CJCC has adopted a focus on reentry and has received more than $1.2 million in federal funding to assist adult and juvenile ex-offenders returning from jail or prison to Lucas County. Presented on “A Local Community’s Efforts to Reduce Jail Incarceration and Criminal Justice Racial Disparities” at the University of Michigan’s College of Law’s Innocent Until Proven Poor symposium. Has contributed to many reports, most recently: Disproportionate Minority Contact (DMC) in the Lucas County Juvenile Justice System: Assessment Report (2008); Shattered Lives: A Report pf Domestic Violence Fatalities in Lucas County Ohio: 2003-2006 (2007); The Analysis of Teen Pregnancy Issues in Lucas County (2007). Active in many local criminal justice reform committees. Earned her J.D. from the University of Toledo, and her B.A. from The College of Wooster. Admitted to the Ohio Bar.
Supporting the Local Continuum of Crisis Care
• Data and information sharing: – Provides support to create and/or fund the right crisis care services. – Enables effective service delivery across the continuum of crisis care. – Reduces use of crisis care for frequent users of the behavioral health and justice systems. 6
How Do We Even Begin? • A starting point: The Sequential Intercept Model
7
Forthcoming Publication
• Data Collection Across the Sequential Intercept Model: Essential Measures – How to use the data – Information sharing guidance – Issues and challenges, sample questions, and recommended variables and measures…
Across the SIM! (available soon on the SAMHSA store) 8
A Deeper Dive • Within the crisis care continuum, data and information sharing may look different based on the situations and agencies involved.
9
Main Take-away
Data and information sharing: A critical part of creating an effective local continuum of crisis care.
10
Early Diversion Data and Information Sharing in Johnson County, KS Chris Schneweis Senior Management Analyst HIPAA/Healthcare Compliance Officer Johnson County, Kansas
July 17, 2019
Where is Johnson County, KS?
Kansas City metro population
2.3 million
Johnson County population
604,115 12
13
About Johnson County, KS
20
Cities
14
17
Municipal & County Law Enforcement Agencies
1,100 Beds
890
Average Daily Population
My Resource Connection
15
Structure for Sharing Client Data
• • • •
Identifying Covered Entities. Utilizing Business Associate Agreements. Training, training, training. Maintaining Confidentiality and Information Exchange. • Utilizing outside counsel. 16
A red flag indicates this individual is a “mutual� client with another program.
17
Expand a client record to obtain more detail about the client and the service timeline showing all services they are receiving.
Click on the Services Timeline to get a chronological record of all services this 20 individual is receiving or have received.
Brief Jail Mental Health Screen (BJMHS)
21
22
Prior to BJMHS
Jail
23
Mental Health
Prior to BJMHS Two key problems:
73% Only captures
the most vulnerable population. 24
Of our pretrial detained individuals
are released in 48 hours or less.
Our Review of Data Found‌
28% The county’s current
prevalence rate.
25
Nearly one third of our detained individuals
had a subsequent booking within the last 9 months.
Leverage BJMHS with Other Data We have the ability to:
Compare the
length of stay for detained individuals with mental illness symptoms. 26
Look at
peak booking/release times for detained individuals with mental illness.
Break down data
from each police department. 27
Compare
booking types.
Review
charge descriptions.
Using the BJMHS to Connect People to Services Creates new opportunities:
We’re able
to identify residents who likely struggle.
28
We have the
opportunity to engage atrisk persons.
We can
improve the coordination of care.
Booking Processes Our Justice Information Management System (JIMS) sends email to Johnson County Mental Health staff daily.
Screen results entered in JIMS
by the Sheriff’s Office.
29
Mental health staff
look up each person in Electronic Record.
Upon Release Our goals:
• Outreach to person within 24 hours. • Outreach attempts by phone. JIMS send an
email to the outreach workgroup. 30
• First outreach within 24 hours of release. • Face-to-face, when deemed necessary.
Collecting Outcome Data • Mental Health Center status • Number of persons contacted within 72 hours • Number of persons linked to a specific service • Number refusing service • Number recycling through jail
31
Early Results 18% Current clients. 52% Have had contact with Mental Health Center.
1096 total referrals.
30% Unknown to Mental Health Center.
32
Early Results
Percent of persons contacted within 72 hours.
33
approximately
43%
Early Results Disposition info:
30%
Successfully connected to or referred to services.
34
Challenges / Rewards • Implementation without more resources • Work with staff to make cold outreach calls • Adjustments to ensure accurate and thorough data collection • Collaboration allowing Johnson County to engage vulnerable residents and be good stewards of taxpayer dollars
35
Developed a predictive analytics model to identify people who are most likely to have a police encounter resulting in a jail booking in the next 12 months. 36
We leveraged data from • Emergency Medical Services (EMS) • Mental Health • Booking
37
104 individuals were booked. 19 years of total jail time. 2 years since last mental health contact. Stayed in jail twice as long. 38
39
Pre-Arrest Diversion: Data and Information Sharing Holly Matthews, Esq. Executive Director Toledo/Lucas County Criminal Justice Coordinating Council
July 17, 2019
What is the Criminal Justice Coordinating Council (CJCC)? • A Regional Council of Government established under Chapter 167 of the Ohio Revised Code and a Metropolitan County Criminal Justice Services Agency established under ORC Section 181.54 (subsequently amended to 5502.64). • Mission Statement
To promote and foster cooperation and coordination between separate governmental units and agencies, and to improve the criminal justice system through planning, analysis, technical assistance, training, information management, and such other services as requested by the governmental units served.
41
NORIS • • • • • • • • • • • 42
Founded in 1974. 2019 budget = $3,367,471 (CJCC budget = $4,243,029). Provides records automation and information sharing among jurisdictions. Staffing - 38 employees providing network/hardware support and application development/enhancement. 100,000,000 automated criminal justice records. Eight million entries, queries, and updates annually. 100,000+ active warrants. 7,000,000+ criminal histories. 12 million transactions per month. 2,800 users. 134 member agencies (Lucas County and Northwest Ohio).
Data Integration • Northwest Ohio Regional Information Systems (NORIS) is a highly integrated criminal justice information system. • The system links law enforcement, courts, probation, corrections, and related criminal justice applications through a Regional Identifier (RID). • RID is a person-based ID allowing information sharing among agencies and applications supporting the automation of many routine processes. • Integrating information allows the user to track an offender’s progress throughout the entire criminal justice system. 43
Data Integration
44
Sequential Intercept Map (SIM)
45
Sequential Intercept Map (SIM)
46
Computer Records System (CRS) • NORIS has developed the Computer Records System (CRS) Law enforcement can record and manage incident reports, citations, accidents, and vehicle tows.
• CRS is fully integrated with other NORIS Applications
Facilitates multijurisdictional information sharing. Integrations include: RegionWise, e·Forms, Field Reporting, Jail, Warrant, Protection Order, and Court.
• Data entered into CRS become instantaneously accessible Actionable across all member jurisdictions and applications.
47
Crisis Intervention Team (CIT) • CIT training helps officers identify individuals who have mental illness, an addiction, or a developmental disability that are in crisis in an effort to divert identified individuals from the criminal justice system into the appropriate health-care system. • Partnering agencies include: Mental Health and Recovery Services Board (MHRSB), law enforcement agencies, the criminal justice system, and the National Alliance of Mental Illness of Greater Toledo (NAMI). 48
Crisis Intervention Team (CIT) - Trainings
• Four crisis-intervention training sessions and one dispatcher training are held each year. 149 Police Officers trained in 2018. 32 of Toledo Police Department officers trained in 2018. 14 of Toledo Police Department officers trained year to date in 2019.
49
CIT Enhancement
50
CIT Enhancement
51
Toledo Police Department (TPD) Co-Responder Model • The Toledo Police Department (TPD) is partnering with Rescue Mental Health and Addiction Services (Rescue) to launch a CoResponder Diversion Team.
Two CIT officers and an Early Diversion Coordinator will respond to CIT calls and follow up with clients whom they have had contact with in the past. Rescue is also in the process of creating a triage room to be used by this team exclusively. It is anticipated that this team will utilize an enhanced version of the CIT screens to capture the data for this program.
52
Drug Abuse Response Team (D.A.R.T) Sheriff Tharp met with local fire chiefs. The Chiefs agreed to share information about overdoses with law enforcement to allow deputies to follow-up with overdose victims at the hospital.
53
The 12- member D.A.R.T. team provides help to victims and officers follow-up with the individual within 72 hours of the initial engagement. Clients may remain active with D.A.R.T. for up to two years.
D.A.R.T. officers drive victims to court and other appointments in donated cars from local auto dealers. The D.A.R.T. unit hosts numerous fundraising events to buy needed items and equipment.
During the first 18 months of the program (July 2014 – December 2015), the team assisted 964 victims and 1,900 family members. Since 2014, over 3,350 individuals have been engaged and 79% have been linked to treatment.
D.A.R.T Mission Statement
To stop the profound number of deaths of our friends and loved ones caused by opiate overdoses while helping victims to overcome their addictions. We aim to educate and support the family and friends of these victims. 54
Lucas County Opioid Deaths by Year 350 288
300 250 200 150
124
112
80
100 50
153
127
8
15
2010
2011
31
0
2012
2013
2014 Number of Deaths
55
2015
2016
2017
2018
D.A.R.T. Assessment and Linkage
56
Data Sharing • NORIS has developed a D.A.R.T. module to capture information. • Data captured includes:
57
case disposition prior charges living arrangements veteran status hospitalizations current and/or past treatment for behavioral health conditions, substance abuse, and prior interventions
D.A.R.T. Module
58
D.A.R.T. Module
59
D.A.R.T. Module
60
D.A.R.T. Module
61
D.A.R.T. Module
62
Thank You! Substance Abuse and Mental Health Services Administration SAMHSA’s mission is to reduce the impact of substance abuse and mental illness on America’s communities. www.samhsa.gov 1-877-SAMHSA-7 (1-877-726-4727) ● 1-800-487-4889 (TDD) Chris Schneweis Johnson County, KS Government Chris.Schneweis@jocogov.org
63
Holly Matthews, Esq. Toledo/Lucas County Criminal Justice Coordinating Council Holly.Matthews@noris.org
GAINS Center for Behavioral Health and Justice Transformation The GAINS Center focuses on expanding access to services for people with mental and/or substance use disorders who come into contact with the justice system. https://www.samhsa.gov/gains-center 1-800-311-4246