2007 NAMI National Conference • San Diego Courts as Catalysts:

1. 2007 NAMI National Conference • San Diego Courts as Catalysts: Innovative Approaches to Jail Diversion & Community Reentry The Honorable Tara Reilly Presiding Judge, San Bernardino Mental Health Court Stephen Bush Shelby County Public Defender’s Office National Alliance on Mental Illness, San Diego

2. National Alliance on Mental Illness, San Diego

3. The Jericho Project: Jail Diversion as Defense Strategy Overcoming barriers to diversion for persons with serious mental illness and serious felony offenses Stephen Bush Supervising Attorney/Special Litigation Shelby County Public Defender’s Office 201 Poplar Avenue, Suite 2-01 Memphis, TN 38103 stephen.bush@shelbycountytn.gov National Alliance on Mental Illness, San Diego

4. Values Statement • Recovery is real and possible. • Relationships are important. • Listen to persons with mental illness. They know what what works for them. • Services should be comprehensive, integrated & evidence-based. • Overcome stigma through education and example. • Access to treatment should not compromise due process. • Avoid artificial limits on eligibility. National Alliance on Mental Illness, San Diego

5. High end target population • Serious Mental Illness – Axis I • Bipolar Disorder • Schizophrenia spectrum • Major Depression … • Co-occurring substance use – 78% • Felonies, misdemeanors, kitchen sink • Taps free leverage • With dignity and minimal stigma National Alliance on Mental Illness, San Diego

6. Eligibility • Serious mental illness • Willing to embrace treatment • Seeking to serve persons whose contact with the justice system is related to untreated mental illness National Alliance on Mental Illness, San Diego

7. Jericho in a Box • Best Practice Transition Planning • Community Linkage Plans • Conditional Release Strategies • Independent, Layered Supervision • Integrated Treatment • Bridge Case Management • Continuing Transition Planning National Alliance on Mental Illness, San Diego

8. APIC for Transition PlanningOsher, Steadman & Barr, 2002 • APIC-model best practice transition planning • Assessclinical and social needs • Plan for treatment and services • Identifycommunity programs • Coordinatetransition plan to avoid gaps in care • Key Domains of Services • Developed by Recovery Support Specialists • “Boundary Spanners” per Steadman • Result is the Community Linkage Plan \\Scfntdata1\vol1\PBDF\MyDocuments\stephen.bush\Art & Templates\Jericho sample CLP.doc National Alliance on Mental Illness, San Diego

9. Recovery Toolkit • Case management resources • Treatment options • Rental assistance • Transportation resources • Bridge medication resources • Temporary identification • Housing – transitional to permanent National Alliance on Mental Illness, San Diego

10. Multiple Referral Streams Confirm Diagnosis & Meds Housing Consumer Input Medications PD Special Litigation Section Pretrial Services Correct Care Solutions Foundations Associates Comprehensive Counseling Jericho Roundtable Benefits Treatment Case Mgt Transportation National Alliance on Mental Illness, San Diego

11. Conditional Release Strategies • Many forms of conditional release • Supervised pretrial release • Probation: county, state, private • Avoiding revocation on probation • Supervision is layered over CLP • Independent eyes and ears • Material noncompliance reported National Alliance on Mental Illness, San Diego

12. Successes • Judges approve over 95% of CLPs • Improved quality of life • Reduced severity of symptoms • Reduced jail days • Reduced arrests National Alliance on Mental Illness, San Diego

13. Successes • Referrals from prosecutors • Referrals from judges • High tolerance of relapse • Better, faster dispositions • The branding of Jericho National Alliance on Mental Illness, San Diego

14. Outcomes • At 6 months 76% no adverse CJ contact • Overall: 50%, 25%, 25% • More than half no further contact • 25% bump up against the system • About 25%, usually new offenses, result in reincarceration National Alliance on Mental Illness, San Diego

15. Looking Forward • Gender-specific, trauma-centered • Targeted resources for homelessness • Consumer Peer Specialists & WRAP • Supportive Employment • Transitional Housing • Gideon – IMS and early intervention National Alliance on Mental Illness, San Diego

16. Why Jericho? • For 3000 years a place of safety • Food, water, and protection • A safe place in the desert • Metaphor of bringing down walls • Bringing down barriers to recovery National Alliance on Mental Illness, San Diego

17. Factors for Success • Interagency collaboration • Active stakeholder involvement • Effective boundary spanner(s) • Strong leader or change agent • Quality transition planning • Incorporate evidence-based practices • Specialized case management services National Alliance on Mental Illness, San Diego

18. National Alliance on Mental Illness, San Diego

19. Resources • The National GAINS Center • www.gainscenter.samhsa.gov • Council of State Govts Mental Health Consensus Project Report • www.csg.org • www.consensusproject.org • SAMHSA • www.samhsa.gov • National Registry of Evidence-based Px & Prgms National Alliance on Mental Illness, San Diego