Creating a New System Dan Abreu, Policy Research Associates

1. Criminal Justice – Behavioral HealthPartnerships Promoting Integrated HealthcareA Program for Governments, Hospitals, Specialty Care Providers and Advocates Creating a New System Dan Abreu, Policy Research Associates Gilbert Gonzales, Bexar County Mental Health Regina Huerter, Division of Behavioral Health Strategies

2. Sequential Intercept Model • People move through the criminal justice system in predictable ways • Illustrates key points, or intercepts, to ensure: • Prompt access to treatment • Opportunities for diversion • Timely movement through the criminal justice system • Engagement with community resources

3. Development Mark Munetz MD and Patty Griffin PhD (and Hank Steadman PhD) • People move through criminal justice system in predictable ways • Illustrates key points to “intercept,” to ensure: • Prompt access to treatment • Opportunities for diversion • Timely movement through criminal justice system • Linkage to community resources

4. The “Unsequential” Model Arrest Community Supervision Initial Hearings Prison Jail Community Mental Health Courts Substance Use Reentry

5. Sequential Intercept Model

6. A Series of Points • Series of points to potentially intercept individuals • Each point has possibilities for intervention • Interventions to prevent individuals from entering or penetrating deeper into criminal justice system • Community can develop targeted strategies • Strategies evolve over time to increase diversion and linkage to community treatment and support services

7. Introducing Intercept 0

8. Police Authority to Act ParensPatriae Doctrine Parenspatriae is a doctrine that allows the state to step in and serve as a guardian for children, the mentally ill, the incompetent, the elderly, or disabled persons who cannot care for themselves. Police Power The right of states to make laws governing safety, health, welfare, and morals is derived from the Tenth Amendment, which states,

9. Warrior vs. Guardian Sue RahrExecutive DirectorWashington State Criminal Justice Training Commission In 2012 we began asking the question, “Why are we training police officers like soldiers?” Although police officers wear uniforms and carry weapons, the similarity ends there: The missions and rules of engagement are completely different. The soldier’s mission is that of a warrior: to conquer.Therules of engagement are decided before the battle. The police officer’s mission is that of a guardian: to protect. The rules of engagement evolve as the incident unfolds. Soldiers must follow orders. Police officers must make independent decisions. Soldiers come into communities as an outside, occupying force. Guardians are members of the community, protecting from within.

10. Report Findings • Disseminate baseline models of CIT • Involve peer counselors when appropriate • LE should engage multidisciplinary team approaches • POSTS should make CIT available for basic recruit and in-service training • Congress should appropriate funds to support CIT

11. Police-based Crisis Intervention Teams Co responder model: MH professionals employed by police department or police-mobile crisis co-response Los Angeles/CA MEU: SMART, CAMP, Triage Unit SAMHSA Early Diversion Grantees, Knoxville, Boulder, CT Houston PD MH Division (Homeless, Consumer Stab. 10 Co-response Teams Population specific models: Atlanta HOT Teams (Homeless) Seattle LEAD Teams (low level drug offenders) Mobile mental health crisis teams Law Enforcement/Emergency Services