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Growing CIT in Native American Communities. Presenters. Dan Abreu , GAINS Center DAbreu@prainc.com LeMoine LaPointe , Experiential Education professional foureaglesflying@yahoo.com Mark Anderson , Barbara Schneider Foundation admin@thebarbaraschneiderfoundation.org
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Presenters • Dan Abreu, GAINS Center DAbreu@prainc.com • LeMoineLaPointe, Experiential Education professional foureaglesflying@yahoo.com • Mark Anderson, Barbara Schneider Foundation admin@thebarbaraschneiderfoundation.org • RhianaYazzie, Playwright, director, performer, and producer info@newnativetheatre.org
Growing CIT in Native American Communities Dan Abreu, MS CRC LMHC SAMHSA’s National GAINS Center The Crisis Intervention Team International (CITI) Conference October 14 - 16, 2013Hartford, CT
General Team Composition • Tribal leaders/officials • Leaders in behavioral health • Leaders in corrections, probation/parole, law enforcement, and judicial systems (including prosecution and defense) • Other key stakeholders/decision makers
Creating a Local Systems Map • Brings together key stakeholders to tap into local expertise • Creates a local map using the Sequential Intercept Model • Visually depicts local system • Identifies: • Existing local services and processes • Gaps in services • Strengths to build upon --- opportunities and resources • Data • Issues considered important to local stakeholders • Helps everyone see the “big picture” and how they fit • Helps diverse groups from various systems understand where/how everything fits • Intercepts provide manageable venues and opportunities for systems interventions
Sequential Intercept Model Intercept 1 Law enforcement Intercept 2 Initial detention / Initial court hearings Intercept 3 Jails / Courts Intercept 4 Reentry Intercept 5 Community corrections Specialty Court Parole Violation Prison/ Reentry 911 Law Enforcement COMMUNITY First Appearance Court COMMUNITY Dispositional Court Initial Detention Arrest Probation Jail Violation Jail Re-entry
Problems • Transport Issues • Multiple Jurisdictions • No Public Defenders • Lack of mobile response • Most services off the reservation • Poor data systems
Problems • No detox on reservation • At least an hour away • Not all individuals eligible for county payments • No 72 hour hold facility on reservation • Could be 8 hours before placed • Could go to detention • Inconsistent MH screening in jails • Inconsistent screening for NA in non tribal jails
Issues in Indian Country • 911 services are not coordinated to meet the needs in ‘reservation’ proper. • There are more than two contact phone numbers to know to access assistance – one for law enforcement, one for ambulance and one for seeking assistance in a crisis. • Availability of resources to address or answer the call for help.
Best Practices • Cross deputization • CIT Training – Mental Health Unit (Ute and Shoshone) • Shared Court Jurisdictions • Shared Probation Supervision
The Mental Health Crisis Response Institute • a program of the Wrap Up The Barbara Schneider Foundation, 2419 Nicollet Ave, Minneapolis, 55404 (612)801-8572 • Questions? • Comments? • Feedback? • Contact: Mark Anderson • Executive Director, • Barbara Schneider Foundation • 612 801 8572 • admin@thebarbaraschneiderfoundation.org • www.thebarbaraschneiderfoundation.org