cross-systems mapping
DESCRIPTION
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. Planning and Best Practices. Mark Engelhardt, M.S., ACSW - PowerPoint PPT PresentationTRANSCRIPT
Cross-Systems MappingTransforming Services for
Persons with Mental Illnesses and/or Substance Abuse
Disorders in Contact with the Criminal Justice System
Reinvestment Act Meeting
July 24, 2008
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Planning and Best Practices
Mark Engelhardt, M.S., ACSWAssociate Director , CJMHSA TA Center, Florida
Mental Health Institute, University of South FloridaFaculty – System Development & Consultation
Michele Saunders, LCSW Executive Director, Florida Partners in Crisis, Inc. Chair, Florida CIT Coalition
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Integrated Strategic PlanningHow 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.
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Strategic Planning ReferencesSAMH Corporation – Request for ApplicationsAppendix A – FormatAppendix B – Best PracticesCouncil 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:
www.floridatac.org
•Substance Abuse and Mental Health Corporation
(for RFA): www.samhcorp.org
•Policy Research Associates, Inc.: www.prainc.com
•Florida Partners in Crisis: www.flpic.org
•The Justice Center: http://justicecenter.csg.org
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Many of the same people are served in multiple systems:
Mental healthSubstance abuseCriminal justiceOther social services
Expensive - high service users, people who cycle and recycle through the system
SOLUTION: Cross-Systems Coordination
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Workshop TasksNurture cross-system collaboration Effective Collaboration has a
Purpose!Map the local systemBuild an Action PlanFollow up!
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Local Collaboration – Examples
Mobile Crisis Unit/ Crisis Intervention Teams or Training
Mental Health CourtsFederal Jail Diversion GrantsCJMHSA Planning Council – 1st time
many of the stakeholders have formally met and worked together.
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ACTION: Cross-Systems Mapping & Taking Action for Change
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Focus
Tasks
Goals
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Men and women with…
Serious mental illness, and oftenCo-occurring substance use
disordersInvolved in the criminal justice
system
1111
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
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Objective: Cross-Systems Coordination & Collaboration
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ccessible omprehensiverauma-informedntegrated ptionsetworked
ACTION
GOAL FOR SERVICES:
Criminal Justice
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Challenges to CollaborationUnderstanding Funding: “silos”Limited History of True Collaboration or
Community Problem-solving Limited resources create a
competitive and/or protective environment
System “cultures”Local Relationship BuildingTarget populations – common definition 13
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Benefits of Effective Collaboration
Service Retention Stability in the Community Public Safety Savings
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Community Collaboration + Services Integration =
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Keys to SuccessTask Force (Shared Leadership)
Subcommittees - FacilitationConsumer & Family InvolvementCommunication & Information SharingBoundary SpannersChampions: Top Down/Bottom UpCreate Momentum or “Traction”!
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Additional StrategiesShare a vision, mission and directionUse evidence-based and promising practice
modelsUse money creatively
Blended or braided funding Using both existing and new resources
Collect and use dataDiscuss Outcomes
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Sequential Intercept ModelBasis for Cross-Systems Mapping
A tool to …Help transform fragmented systemsIdentify local resources, gaps andHelp identify where to begin interventions
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Cross-Systems Mapping is an activity which depicts contact/flow with the criminal justice system.
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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 treatmentOpportunities for diversionTimely movement through criminal justice
systemLinkage to community resources
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Five Key Points of Interception
1. Law enforcement / Emergency services2. Booking / Initial court hearings3. Jails / Courts4. Re-entry5. Community corrections / Community
support
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Gaps & Best PracticesDiscussion of Gaps in Processes and Service
Delivery at Each Intercept PointIdentification 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
Init
ial
Co
nta
ct
Intercept 1: Law Enforcement
Com
munit
y
Em
erg
en
cy
S
erv
ice
s
La
w
En
forc
em
en
t
Intercept 2: Detention and Initial Appearance
Arr
es
t
Bo
ok
ing
an
d
Init
ial
De
ten
tio
n
Init
ial
Co
urt
A
pp
ea
ran
ce
Intercept 3:Jails and Courts
Co
un
ty C
ou
rtC
irc
uit
Co
urt
Ju
dic
ial
Dis
po
sit
ion
Intercept 4:Re-Entry
Pri
so
n
Intercept 5:Community Supervision
Pro
ba
tio
nP
aro
le
Com
munity
Pre-Adjudication Jail Post-Adjudication Jail
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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
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Best or Promising Practices:
•Crisis Intervention Team (CIT)
•Mobile Crisis Teams
•Specialized Law Enforcement Training
•Central Receiving Centers (Baker Act and Marchman Act)
CO
MM
UN
ITY
Law
E
nfo
rcem
ent
Init
ial
Con
tact
Em
erge
ncy
S
ervi
ces
Intercept 1 – Law Enforcement
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Best or Promising Practices:
•Mental Health and Substance Abuse Screening at Booking (Co-occurring capable)
•Brief Jail Screening
•Mental Health Pre-Trial Release
Boo
kin
g an
d In
itia
l Det
enti
on
Arr
est
Init
ial C
ourt
A
ppe
aran
ce
Intercept 2 – Detention and Initial Appearance
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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
Cir
cuit
C
ourt Ju
dici
al D
isp
osit
ion
Cou
nty
Cou
rt
Intercept 3 – Jails and Courts
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riso
nJa
il
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)
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rob
atio
nP
arol
e
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)
CO
MM
UN
ITY
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atio
nP
arol
e
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)
CO
MM
UN
ITY
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Action Planning: Prioritized
Priority Area : Objective Action
StepWho When
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Next StepsWhat will happen with the Action Plan
& Systems Map?
Date of next Task Force meetingOngoing Subcommittee workAccess to USF-FMHI Technical
Assistance Center and National Resources
Implementation, Data , Outcomes31
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USF-FMHI Observations So far:Priorities identified by Counties: Mapping and
Telephonic Technical Assistance:Communication among CJMHSA Planning CouncilData Sharing (HIPAA), Collection and AnalysisExpanding Service Delivery CapacityCross-systems Training OpportunitiesExposure to Best PracticesGetting Organized – Commitment to Action Plans
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Planning & Implementation
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www.floridatac.org
Email: [email protected]
Thank you for participating!