FY 2014 JUSTICE AND MENTAL HEALTH COLLABORATION PROGRAM (JMHCP) GRANTEE TRAINING SUMMIT SEPTEMBER 17-‐18 2015 Law Enforcement Grantees The Chicago Crisis Intervention Collaboration Project will pilot a program in 10 Chicago Police Districts. The strategy is to increase public safety through cross-‐ system collaborations and enhanced system linkage to behavioral health management and social services. Through intake and process evaluation, and increased law enforcement crisis intervention trainings, individuals who are experiencing a crisis with mental illness or co-‐occurring mental health and substance abuse disorders will be diverted from the criminal justice system. The goal of the Clermont County Mental Health and Recovery Board’s project is to divert arrest and incarceration of individuals with a behavioral health disorder, and to increase access to mental health services in partnership with Clermont County Police Departments. Our collaboration involves a mobile crisis team (MCT) which consists of Crisis Intervention Team (CIT) trained law enforcement and mental health professionals. The collaboration will focus on the following: 1) hiring two MCT positions to increase MCT’s ability to quickly respond on-‐scene for mental health assessments, continue to receive referrals from law enforcement for treatment connection, and provide case management services until the individual is connected with ongoing services; 2) expanding ability to respond to mental health calls from the community, when appropriate, without utilizing law enforcement resources; 3) providing mental health assessments in the Clermont County jail; 4) providing advocacy in court; 5) providing reentry connection for individuals with a behavioral health disorder returning from incarceration, including temporary housing and supportive services; 6) increasing the number of CIT officers trained and utilizing the program; and 7) increasing MCT involvement with youth. The Joplin Police Department, City Jail of Joplin, and Joplin Municipal Court personnel have teamed up with behavioral health provider Ozark Center to ensure adequate mental health services and supports will be provided to people with mental illness who are frequently incarcerated in the jail. Law enforcement personnel have received Mental Health First Aid training and other mental health trainings. New dispatch/police response procedures have been established, and the Brief Mental Health Jail Screen is being used upon entry to the jail to screen inmates for possible mental illness. The Joplin Municipal Mental Health Court has been established and 10 participants have been admitted into the program since May 2015. This has resulted in people with mental illness who were incarcerated
FY 2014 JUSTICE AND MENTAL HEALTH COLLABORATION PROGRAM (JMHCP) GRANTEE TRAINING SUMMIT
spending fewer days in jail and being directed to mental health services including case management/community supports, medical/medication appointments, individual therapy, substance abuse treatment, and other community based services. The Osceola County Central Receiving Center/Triage Center is the outcome of a multi-‐agency collaboration which unites county government, local law enforcement agencies, and the predominant providers of services for the chronic homeless population to provide a voluntary pre-‐arrest diversion program for individuals exhibiting symptoms of a behavioral health disorder, and who are at risk of arrest for low-‐level minor offenses or for future involvement with the criminal justice system. The Rutherford County Law Enforcement and Mental Health Collaborative project will create a Crisis Intervention Team and pre-‐booking emergency room and jail diversion program. The project focuses on adults with mental health and/or co-‐occurring substance use disorders. The goals include providing CIT training for at least 55 percent of all road patrol officers in the county and creating a “living room model” peer support walk-‐in center for those who need support services but do not require the level of care needed at the emergency room. Two things you need to know about San Marcos, Texas. First it has been the fastest growing city in the United States for the last two years in a row. Second, a recent Texas drought was broken by heavy and continuous rains throughout the state. The city suffered devastating flooding and 600 to 700 homes were substantially damaged. Thus, what originally started as a program to hire one mental health officer one year and a second officer the second year quickly changed to hiring two mental health officers in the first year. Several years ago, the Hays County/San Marcos Mobile Crisis Operating Team (MCOT) was formed by the City of San Marcos Police Department, Hays County Sheriff’s Office, and the Scheib Treatment Center. MCOT members include Crisis Care Managers, registered nurses, and psychiatrists with on-‐call services; San Marcos PD Mental Health Officers; and Hays County Sheriff’s Office Mental Health Officers. In 2012, one SMPD Mental Health Officer responded to 478 calls for services. Those calls included 168 mental health investigations and 68 calls for transports to mental health facilities throughout the state. The Somerville Integrated Jail Diversion and Treatment Project current Jail Diversion program requires a broader range of participants from the court system, supportive services, the mentally ill and their family members; expanded
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FY 2014 JUSTICE AND MENTAL HEALTH COLLABORATION PROGRAM (JMHCP) GRANTEE TRAINING SUMMIT
use of community services to help the target population achieve more favorable and long-‐term outcomes; and mechanisms for mandated participation post-‐ arrest/adjudication as a condition of probation and/or court compliance. The project features 10 monthly Planning Task Force meetings, supplemented with workgroup meetings, to address HIPAA, program resources, target populations, screening, service provision, data collection and sharing, consumer perspective, and the launching of the new system. An independent contractor has been hired to coordinate the information, decision-‐making, and data-‐sharing for the project
Mental Health Court Grantees The Behavioral Health Court (BHC) Program of the 22nd Judicial District Court of Louisiana first held court in November 2011. BHC serves 30 to 40 seriously mentally ill adults on probation. Over 85 percent of the participants have a co-‐ occurring addictive disorder. The program collaborates with community resources to link clients to needed resources and services on a continuum of care. The court is used as a therapeutic agent, holding participants accountable and helping them achieve long-‐term stability as law-‐abiding citizens. The Charlotte County Florida Adult Mental Health Court was established in 2005. It is a voluntary, out-‐patient offender-‐focused rehabilitation program serving 25 to 27 male and female participants who have a primary mental health diagnosis and may also have a co-‐occurring substance abuse disorder. Under the current expansion grant Charlotte County Mental Health Court is expanding services to women by providing trauma-‐informed care including ongoing assessment for trauma symptoms, implementing Seeking Safety, and providing parenting interventions to participants. The Chesterfield, Virginia funding has been used to hire a Court Clinician and Peer Consultant who is assigned to the courthouse to conduct pre-‐trial consultations and screenings/assessments for hospitalization in order to offer alternatives to incarceration to individuals with behavioral health issues. Hardin County Mental Health Court is a treatment program that is serving 35 to 40 adult participants, in conjunction with the drug court (approximately 150 adult participants) and veteran’s court (approximately 12 to 15 participants). Mental Health Court utilizes an integrated approach involving court supervision, case management, and mental health services to reduce the rate of recidivism among mentally ill offenders by increasing their productive engagement within the community.
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FY 2014 JUSTICE AND MENTAL HEALTH COLLABORATION PROGRAM (JMHCP) GRANTEE TRAINING SUMMIT
The Hattiesburg Behavioral Health Court serves people appearing in the Hattiesburg Municipal Court who have behavioral or mental health disorders that impact daily functioning. Only offenders arrested for non-‐violent misdemeanor offenses are eligible for program participation. Individuals accepted into the program agree to participate in treatment and meet with program staff on a regular basis to discuss their progress. Program participation lasts for approximately one year and participants’ charges are dismissed upon successful completion of all requirements. Hillsborough County, New Hampshire’s Sentenced Supervision Program has been developed for sentenced offenders with mental illness or co-‐occurring disorders. Offenders participate in a screening process including a criminogenic risk assessment. Through collaboration with the courts, mental health centers, and substance abuse programs the offenders are supervised in the community while receiving support from family and friends. All stakeholders benefit because offenders return with a higher degree of stability, thus reestablishing themselves as productive members of the community Jefferson County Mental Health Court assists individuals with serious and persistent mental illness (SPMI) who have committed non-‐violent, misdemeanor offenses. The current program targets women with co-‐occurring substance use to increase access to services. The new track targets consumers with SPMI, who are chronically involved in the courts system, and who have histories of homelessness and substance abuse. The new track will use the Assertive Community Treatment (ACT) model. Within the two tracks, approximately 50 participants will be provided services each year. Lane County’s Treatment Court Project will fill gaps in the existing Lane County, Oregon Drug Court (LCDC) and Veterans Treatment Court (VTC). To better serve participants with mental health issues separate from or in addition to addiction-‐ related disorders, the project shall provide an intensive integrated system of care for male and female veterans involved in the criminal justice system and improve provision of supported housing, employment, and education for participants. The New York State Unified Court System (UCS) applied for a Category 3 Expansion Grant to expand the collaboration of Queens Treatment Court (QTC) and Queens Mental Health Court (QMHC) with Education and Assistance Corporation’s Treatment Alternative for Safer Communities (EAC-‐TASC). The
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FY 2014 JUSTICE AND MENTAL HEALTH COLLABORATION PROGRAM (JMHCP) GRANTEE TRAINING SUMMIT
proposed expansion will target felony offenders arrested in Queens County who have mental health and co-‐occurring diagnoses and are participating in QTC or QMHC. The project will 1) improve outcomes for 100 felony offenders who have mental health and co-‐occurring diagnoses who are homeless through the addition of a Housing/Entitlement Specialist to the clinical team, and 2) improve overall program retention and successful completion for 100 felony offenders with mental health and co-‐occurring diagnoses by increasing the numbers of staff who are trained in evidence-‐based Sensitizing Providers to the Effects of Incarceration on Treatment and Risk Management (SPECTRM) and SAMHSA GAINS: How Being Trauma-‐Informed Improves Criminal Justice System Response. The Mission of QTC and QMHC is to provide participants with the tools necessary for long-‐term sobriety and mental stability, using court-‐supervised treatment and case management services as an alternative to incarceration. The Outagamie County Mental Health Court (MHC) is a post-‐adjudication problem-‐solving court serving individuals with severe and persistent mental illness. The mission of the MHC is to increase community safety and restore productive and law-‐abiding citizens to the community by breaking the cycle of criminal behavior through effective, long-‐term mental health treatment and intensive court supervision. MHC serves adults who have severe and persistent mental illness. The mission of court is to increase community safety and restore productive and law abiding citizens to the community by breaking the cycle of criminal behavior through effective long-‐term mental health treatment and intensive court supervision. Participants are provided wraparound mental health services, housing assistance, employment assistance, and assistance connecting with additional community resources. The Port Jervis Forensics Connections Program (PJFCP) is a federally funded initiative that was jointly applied for by the Orange County Department of Mental Health, District Attorney, and Department of Probation. Based on the Sequential Intercept Model, the program is a diversion effort aimed at linking those with mental health and/or co-‐occurring behavioral health needs to the appropriate services/interventions instead of incarceration. Reducing recidivism, increasing public safety, and linking those in need to treatment are the primary goals of the initiative. Putnam County is currently in the planning stages of creating a Mental Health Court with specialized tracks: Veterans Treatment, Traumatic Brain Injury, and Female Focus. The program will include evidence-‐based treatment from community collaborators and assist participants in enrolling in health insurance and entitlement programs, locating reliable housing and transportation, and
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FY 2014 JUSTICE AND MENTAL HEALTH COLLABORATION PROGRAM (JMHCP) GRANTEE TRAINING SUMMIT
engaging educational and employment opportunities, with the overall goal of achieving and maintaining participant stability within the community and criminal recidivism reduction. Southwest Iowa Mental Health Court began in January 2015 to serve the community’s mentally ill offenders who have committed a misdemeanor or nonviolent felony. Participants must enter a guilty plea and will receive a deferred sentence. All participants struggle with substance abuse, primarily methamphetamines. The team is comprised of a judge, a prosecutor, case managers, a therapist, probation officers, a public defender, jail staff, and law enforcement and Integrated Health Home staff. Our team meets weekly to discuss the participants’ progress in the four-‐phase system.
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