Cross-Systems Mapping

1. 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

2. Planning and Best Practices • Mark Engelhardt, M.S., ACSW • Associate Director , CJMHSA TA Center, Florida Mental Health Institute, University of South Florida • Faculty – System Development & Consultation • Michele Saunders, LCSW • Executive Director, Florida Partners in Crisis, Inc. • Chair, Florida CIT Coalition 2

3. Integrated Strategic Planning • How 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.

4. Strategic Planning References • SAMH Corporation – Request for Applications • Appendix A – Format • Appendix B – Best Practices • Council 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

5. 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

6. Many of the same people are served in multiple systems: Mental health Substance abuse Criminal justice Other social services Expensive - high service users, people who cycle and recycle through the system The Problem SOLUTION: Cross-Systems Coordination 6

7. Workshop Tasks • Nurture cross-system collaboration • Effective Collaboration has a Purpose! • Map the local system • Build an Action Plan • Follow up! 7

8. Local Collaboration – Examples • Mobile Crisis Unit/ Crisis Intervention Teams or Training • Mental Health Courts • Federal Jail Diversion Grants • CJMHSA Planning Council – 1st time many of the stakeholders have formally met and worked together. 8

9. ACTION: Cross-Systems Mapping & Taking Action for Change Focus Goals Tasks 9

10. Men and women with… Serious mental illness, and often Co-occurring substance use disorders Involved in the criminal justice system Focus 10

11. 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 Goals 11

12. Objective: Cross-Systems Coordination & Collaboration GOAL FOR SERVICES: ccessible omprehensive rauma-informed ntegrated ptions etworked A C T I O N Criminal Justice 12

13. Challenges to Collaboration • Understanding Funding: “silos” • Limited History of True Collaboration or Community Problem-solving • Limited resources create acompetitive and/or protective environment • System “cultures” • Local Relationship Building • Target populations – common definition 13

14. Benefits of Effective Collaboration Community Collaboration + Services Integration = •  Service Retention •  Stability in the Community •  Public Safety •  Savings 14

15. Keys to Success • Task Force (Shared Leadership) • Subcommittees - Facilitation • Consumer & Family Involvement • Communication & Information Sharing • Boundary Spanners • Champions: Top Down/Bottom Up • Create Momentum or “Traction”! 15

16. Additional Strategies • Share a vision, mission and direction • Use evidence-based and promising practice models • Use money creatively • Blended or braided funding • Using both existing and new resources • Collect and use data • Discuss Outcomes 16

17. Sequential Intercept ModelBasis for Cross-Systems Mapping • A tool to … • Help transform fragmented systems • Identify local resources, gaps and • Help identify where to begin interventions Cross-Systems Mapping is an activity which depicts contact/flow with the criminal justice system. 17

18. 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 treatment • Opportunities for diversion • Timely movement through criminal justice system • Linkage to community resources 18

19. Five Key Points of Interception • Law enforcement / Emergency services • Booking / Initial court hearings • Jails / Courts • Re-entry • Community corrections / Community support 19

20. Gaps & Best Practices • Discussion of Gaps in Processes and Service Delivery at Each Intercept Point • Identification 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

22. Law Enforcement/Emergency Services Community Corrections & Community Support Access to Appropriate Services Community Re-Entry Booking/ Initial Appearance Jails, Courts Munetz & Griffin, 2006 Sequential Intercept Model:A Circular View 22

23. Intercept 1 – Law Enforcement • Best or Promising Practices: • Crisis Intervention • Team (CIT) • Mobile Crisis Teams • Specialized Law • Enforcement • Training • Central Receiving Centers (Baker Act and Marchman Act) Initial Contact Law Enforcement COMMUNITY Emergency Services 23

24. Intercept 2 – Detention and Initial Appearance • Best or Promising Practices: • Mental Health and Substance Abuse Screening at Booking (Co-occurring capable) • Brief Jail Screening • Mental Health Pre-Trial Release Initial Court Appearance Booking and Initial Detention Arrest 24

25. Intercept 3 – Jails and Courts • 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 County Court Judicial Disposition Circuit Court 25

26. 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) Prison Jail 26

27. 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) Parole COMMUNITY Probation 27

28. 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) Parole COMMUNITY Probation 28 28

30. Action Planning: Prioritized 30

31. Next Steps What will happen with the Action Plan & Systems Map? • Date of next Task Force meeting • Ongoing Subcommittee work • Access to USF-FMHI Technical Assistance Center and National Resources • Implementation, Data , Outcomes 31

32. USF-FMHI Observations So far: • Priorities identified by Counties: Mapping and Telephonic Technical Assistance: • Communication among CJMHSA Planning Council • Data Sharing (HIPAA), Collection and Analysis • Expanding Service Delivery Capacity • Cross-systems Training Opportunities • Exposure to Best Practices • Getting Organized – Commitment to Action Plans

33. Planning & Implementation Thank you for participating! www.floridatac.org Email: floridatac@fmhi.usf.edu 33