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Creating a Behavioral Health Safety “Net” Enhancing Collaboration

Creating a Behavioral Health Safety “Net” Enhancing Collaboration. Facilitation by Connie Milligan Bluegrass MH-MR Board, Inc . Ray Sabbatine Sabbatine & Associates. What does your data say?. How big is the problem? Where are people falling through the cracks?

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Creating a Behavioral Health Safety “Net” Enhancing Collaboration

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  1. Creating a Behavioral Health Safety “Net”Enhancing Collaboration • Facilitation by • Connie Milligan • Bluegrass MH-MR Board, Inc. • Ray Sabbatine • Sabbatine & Associates

  2. What does your data say? • How big is the problem? • Where are people falling through the cracks? • Recommend the GAINS Center workshops “Developing Community Partnerships” and “Cross Systems Mapping”

  3. Is Mental Health TX adequately funded? • How well are people with SMI integrated into treatment? • ACT and active case management • Mobile crisis teams • Supervised apartments • Hospital beds - especially forensic

  4. Collaboration options • We have to move out of our Silos of care… • Mental health cross trained with police, and jail personnel • Mental health working with police • Mental health in the jails • Mental health in the courts • Links with pretrial, probation and parole • Data crosswalk between jail and mental health

  5. Constitutional Custody Duty • To provide a reasonable degree of protection to those we incarcerate from; • Assault • Suicide • Preventable illness (SMI)

  6. We cannot “Prevent” what we cannot “Predict”“Who is at Risk?”

  7. “Prevention” requires “knowledge” of a risk and the “identification” of those “at Risk”

  8. Risk can be“observed” but is unlikely to be “understood”SMI

  9. Law enforcement and corrections officers are trained to respond to a “perceived risk” with the appropriate “use of force”

  10. The “use of force” continuum begins with a “verbal command” to gain complianceSMI

  11. When compliance is not gained, “force” is escalated;Verbal DirectiveOCTaser > Restraint

  12. “Excited Delirium”or a state of “extreme agitation” may be caused byPsychosisIllicit Drug UseSMISound familiar?SMI

  13. SMI+Excited Delirium+Taser>Restraint= “Serious Injury or Death”

  14. BH Safety “Net” • SMI Education of Justice Agencies • Police • Detention • Prosecution • Judiciary • Corrections/ Probation/Parole

  15. CJ Education Levels • Administrations • Training Components • Professional Organizations • NSA, IACP, FOP • ACA, AJA • Local/State/ Federal Judiciary/ Prosecutors

  16. Training Curriculum • What is SMI • What behaviors are indicative of SMI • What alternative “uses of force” may be employed to gain successful compliance • If a an ECD (Taser) is used what emergency response is necessary

  17. Identification of Risk • Observed/ Educational Efforts • Screened/ Uniform screening instruments • Reported/ Voluntary Database • Historical record/ Institutional Alert files

  18. Identification of Risk • How can we assure that criminal justice agencies have sufficient notice that a persons suffers from “a serious mental illness”?

  19. Voluntary NotificationSystem (VNS) • Create a NAMI managed web based/encrypted/password protected data base that identifies persons suffering from SMI. Contact information would be available to assist justice agencies in the management of SMI arrestees and notification of guardians of custody status

  20. NAMI VNS • Although NAMI would host the site, consumers would be totally responsible for voluntary entry, update and deletion of information

  21. SAMPLE DATA ENTRYName:Ray SabbatineAddress: 110 Royal CourtGeorgetown, KY 40324Contact Phone: 859-806-0935 • SMI: Mania • Community MH Agency: BGRMH • Contact: BGRMH Crisis Line • 1-800-638-0876 • Action: Advise of custody status • Caution: No Coffee & Dark Chocolate • Medication non-compliant • Will bite when hungry

  22. Contact InformationQuestions ? • Connie Milligan cpmilligan@bluegrass.org • Ray Sabbatine Sabbatine@mac.com

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