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NAMI: The Key to Community Collaboration, Partnerships and Sustainable Change. NAMI and Sustainable Change.
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NAMI: The Key to Community Collaboration, Partnerships and Sustainable Change NAMI and Sustainable Change Presented by Teresa Ritsema, Board Member, NAMI Lansing and Co-Chair Tri-County C.I.T., Melissa Misner, Mental Health Therapist, Substance Abuse Service at CMHA-CEI, Secretary and acting Coordinator, Tri-County C.I.T
Introduction • Audience survey: Law Enforcement, NAMI Members, Mental Health Care, Treatment for Substance Use Disorders, Judicial System, Hospital Administration • Teresa Ritsema: Registered and Licensed Occupational Therapist, retired after 42 years. Wife, mother, grandmother. • My world changed in 1997 when my son, after attending a RAVE, was diagnosed with a drug induced psychosis. He then spent 14 days in a psychiatric hospital, and I prayed for a magic pill. • 1998 my son was re-hospitalized and in desperation I attended my first NAMI Michigan conference. • In (2005) police were called, a C.I.T. Officer arrived at his apartment. The officer talked reassuringly, but set boundaries. He engaged our son in a conversation, convincing him to walk out of the apartment into the Police car, without handcuffs, so that they could “get him some help”. That was the beginning of a new adventure. • He became a CMHA-CEI client, more intensive care saved his life. • A Graduate of Michigan Career and Technical Institute, School of Culinary Arts in 2008; now 41 he is employed as a cook at the English Inn, is married and has two young children. My husband and I are involved as NAMI volunteers with advocacy at the Mental Health Courts, and with CIT. • Melissa Misner, my co-presenter will tell you what brought her to CIT.
Riding the Wave • In 2003 Jennifer Granholm became governor of Michigan. She established the Mental Health Commission, and advocates and leadership in behavioral health met with legislators and worked to provide recommendations to improve the failing mental health system. During the talks related to the gaps in service I heard members of NAMI leadership speak about CIT. Report was published Oct. 25, 2004. • In 2007 I became NAMI Lansing President, and attended my first NAMI Conference. I attended a session on C.I.T. led by Maj. Sam Cochrane (Retired). He described the events in 1987 in Memphis, TN that led to the establishment of CIT, and how the Community came together to study the gaps in services, and work on a training curriculum that would provide officers with the knowledge and skills that they would need to navigate a mental health crisis call to keep the family, person in crisis, and themselves safe. I was sold on CIT and wanted to bring it to Lansing. • During meetings with members of NAMI Michigan, I found out that they had advocated for CIT, however they conceded to consulting on 2 day trainings to be held at various locations across Michigan. The leadership agreed to pilot CIT in NAMI Kalamazoo and St. Joseph County in 2008. Other police departments across Michigan supported sending officers to available CIT trainings. Lansing had sent a small group of officers in the late 90’s, early 2000’s, however without system supports in place CIT was not sustainable in the Lansing area.
The Wave Crests • In late 2014 and early 2015 there were two police shootings in the tri-county area which raised the question: could the outcome have been different, did these young men have to die? • Dec. 11, 2014- 27 year old Randall Minier was shot following a traffic stop at 1:35 pm in Lansing, MI. He was a passenger in the back seat. • Feb. 28, 2015 17 year old Dylan Rienhart was shot 7 times for flashing his brights at the oncoming patrol car. • National events also brought questions and public outcry: the shooting of Michael Brown in Furguson, Missouri, the Black Lives Matter movement. There was growing concern regarding the safety of individuals with erratic behavior being confronted by police. I was answering the NAMI Lansing phone at that time, and I spoke with many families who were frightened to call for police assistance. One mother said to me, “Is there a shoot first, ask questions later mind set?” • At a Community Forum I met Stephan Mays, from the Department of Community Health, Diversion Administrator of the Mental Health Diversion Council. We discussed CIT, and he mentioned Oakland County was developing a CIT program. In discussion with the NAMI Metro President I was encouraged that NAMI Lansing should move forward because there might be a new cycle of grant funding available. • Early in 2015 NAMI Lansing was planning for MIAW Events, we contacted Maj. Cochran to speak, hoping it would help us gather momentum for getting the Community involvement needed to develop a CIT program.
Boots to the Ground • We then began our public information campaign, reaching out to speak at the Chiefs Meetings in each of the three counties. We spoke about our own experiences and the need for C.I.T., and provided information about C.I.T. International. We brought this message to the County Commission Meetings, City Council Meetings, administrators and supervisors at our Community Mental Health Authority-CEI, Hospital Administration for Behavioral Health, Emergency Departments, and Community Agencies dealing with homelessness and substance use disorders. • While meeting with former Capt. Darin Southworth he explained that the Police leadership in our area closely followed the President's 21st Century Task force on Policing and Police Executive Research Forums, 30 Guiding Principle's; both of which recommend CIT as a "Must have" resource/tool. Capt. Southworth explained that he had accepted the challenge from Lansing Chief Yankowski, to bring C.I.T. to Lansing.
The Ambasador for CIT • In October, 2015, Major Sam Cochran came to Lansing for two days of training/discussion; at which several Law Enforcement Agencies were present, along with many public service agencies, such as the local Community Mental Health Authority, members of the judicial system, and local government officials. • Although many of our partners were familiar with CIT from the State of Michigan’s Jail Diversion division or other avenues, NAMI-Lansing stoked the fires. Maj. Cochran set the ground work for Partnerships and Community Ownership: for the Planning, Implementation, & Networking needed.
Regional Law Enforcement buy-in • Police leadership at the Lansing Police Department, under former Capt. Darin Southworth accelerated their progress so that they wouldnot lose ground gained by NAMI's Sam Cochrane visit. • A carefully crafted letter/email was sent to identified stakeholder leadership, including all area Police Chiefs, inviting them to a forum to discuss Behavioral Health, and development of a CIT program was proposed. • Sparrow Health Systems (local hospital), McLaren Emergency Department, Lansing School District security personnel and local Ingham County Sheriff’s Office Jail Deputies were among non-law enforcement entities invited to attend as they serve a first line function and contend with their proportion of people in crisis. The State NAMI office, and Mr. Mays from the State Department of Community Health also attended. • There is great pride in our community to make a difference. Behavioral health and co-occurring substance use disorder issues are undeniably critical and saturating problems in our region and beyond. Everyone must take interest as such. This alone could explain the perceived favorable attendance. However, the new initiative and request for community involvement likely had influence as well.
Regional Law enforcement Buy-In, Cont. • Attendance was strong. A CIT orientation presentation was given, Q&A followed, some light discussion and solicitation of "Buy in" was made. Support was unanimous. • From this initial meeting, TRI-COUNTY CIT held one more meeting and then formed a Steering Committee. • Members of the Steering Committee presented an overview of the Tri-County Crisis Intervention Team Initiative at the quarterly CMHA-CEI Elected and Appointed Officials Luncheon, and we had our first training scheduled for November 2016.
Regional Health Care Buy-in • Sparrow Behavioral Health was in transition. In early meetings with NAMI Lansing, Marge Brehmer, director of Sparrow Behavioral Health, explained that she had previous experience in holding a Community Mapping Activity. Sparrow took responsibility for hosting the first Tri-county Community Mapping. The decision to reach out to the tri-counties of Clinton, Eaton, and Ingham was made because those are the counties covered by our Community Mental Health Authority. • On June 20, 2016 we held our first Community Resource Mapping. Marge Brehmer explained that community resource mapping is a strategy for promoting interagency collaboration by better aligning programs. The major goal of community resource mapping is to ensure that the population served in our communities has access to a broad, comprehensive and integrated system of services essential in achieving desired Behavioral Health outcomes. • Representation from health care agencies and behavioral health care providers were at the table who were hearing about CIT for the first time, although to a large extent the gaps in service rather than CIT was the focus.
Community involvement • The large stakeholder forum was like throwing dynamite into the pond, but it was a good way to see what organizations in your community are interested. Law enforcement leadership from the 3 counties, hospital ED representatives, Community Mental health representatives, agencies for the homeless, SUD providers, Children’s Treatment providers, private therapy providers, the Health Department, and advocacy agencies. • The room was divided into 20 different subgroups, each charged with a task to identify gaps in service, identify communication gaps, and give possible solutions.
Steering Committee • Our Steering Committee did not have a CIT Coordinator. • Our intern took meeting minutes, but there were also several others that would do so if she was absent. • The Steering Committee just naturally took on a collective CIT Coordinator role, depending on need. Example; if contact was needed for a presenter on Bi-polar disorder, the CMH member would take on that task. The same if it was law enforcement specific, or members of the community, advocacy. • For sustainability, we do feel having a CIT Coordinator is important, but with close community partnership interaction and discussion, a good product can be created with everyone cooperating.
Steering Committee, CONT. • The initial Tri-County CIT steering committee included local law enforcement agencies, the local NAMI Affiliate, the local mental health authority, a local court representative, a local homeless shelter, and representatives from hospital emergency departments. • The committee knew from the get go that there was no grant funding and any initiative would occur through in-kind donation of time. • After a couple of meetings that centered on what was required to get the first training up and going; it became clear that there was a core group of steering committee members that were dedicated and willing to commit the time and effort needed. • The Steering Committee was extremely fortunate to have a MSW intern working with the CMH authority, who was interested in CIT. Our own Melissa Misner used the process for both her internship and her research paper for a class. She continued after graduation, being paid per diem by the local CMHA. We would urge any CIT effort to reach out to local universities for interns in either criminal justice or social work to assist in the endeavor.
www.tricountyCIt.com • With a regional effort and not having a CIT coordinator, it was very important to have a method to get information out • Researching and building the Website was the intern’s project • In hindsight, the website has become indispensable to all involved.
Utilized free website builder • Upgraded site to own domain
Data Analytics of Tri-County CIT Officers • Data Tracking • Survey Monkey (free version) • Link on Tri-County CIT website for officers • Password protected • 10 questions • Can access from laptop or mobile device • Direct link can be sent out to see live data to CIT Steering Committee (for reporting, meetings, etc.) As of 8/7/2017, 88 Responses logged Once we reach 100 responses, we will upgrade to a paid version in Survey Monkey
community specific training curriculum • Don’t re-create the wheel – borrow. • TRI-COUNTY CIT borrowed from CIT-Memphis National Curriculum • The Steering Committee made decisions on curriculum based on community need. Examples: o CMHA did not have mobile Crisis Services, so therapists don’t meet consumers at the hospital. The Bridges Crisis Unit based at CMHA-CEI does provide intake and assessment. o The region has an active shelter system and law enforcement interaction with the homeless occurs often. o Does your community have super utilizers of first responder services and how does that impact Law Enforcement?
the labor intensive aspect of a Collaborative effort • What resources are available to assist with the curriculum? Who knows who in the community? • Once the steering committee had a “working” curriculum of topics, members begin to identify who in the community could present and gear the presentation to law enforcement. • The experts need to be able to present to individuals in a non-academic way. Steering Committee members had to insure that presenters geared the presentation towards cops – with an emphasis on: • What does a cop need to know about this subject? • What tools do I give to assist the cop when called to a situation with this subject? • Often the curriculum schedule would change based on availability of a presenter. • We made sure we had a “second” in case our first choice did not work out.
Curriculum development, cont. • Each presenter was given an outline of what’s expected of him/her in the presentation. This includes; length of time to present, requirement of a power point, what topics to cover. • We set a couple of meeting dates for presenters to meet with Steering Committee – at this meeting discuss CIT, expectations, training week and set a date for when draft Power point presentations are due for review. • We learned not to be shy about getting what you want from your presenters. Have your steering committee be in constant contact with your presenters. • Tri-County CIT put together binders (donated) with the handouts in them. Feedback from trainees from the 1st session stated just having them available on the website for printing would be sufficient. • The CIT Steering Committee has begun emailing the presentations to participants since the second session, and this has worked out well. • The Presenters have been willing to engage and participate in the trainings free of charge.
Role players and scenarios • TRI-COUNTY CIT worked with a consultant who was able to bring in role players and scenarios. This saved time (but it was the greatest expense and would not have been possible without donations and Lansing Police Department) • The role players were a mix of community volunteers and the consultant’s role players • It was important to take into consideration the Tri-County region, which includes both urban and rural jurisdictions and different scenarios. • If communities wanted to develop this aspect of the training themselves, it’s doable, just requires time and practice. Scenarios need to loop back to the didactics, as well as, de-escalation techniques used by the officers. • The role players volunteered their time for the first training and have since volunteered for ongoing trainings. Role players have also included officers who participated in the first training. • The Steering committee has revised the initial scenarios to better fit our three county jurisdiction and day-to-day experiences of local law enforcement. In March 2019 Battle Creek & Lansing collaborated on Scenario Training, 5 officers including 2 from the Steering Committee.
Logistics • Location of training – This was a three county effort and included law enforcement from all three counties. We needed a large space for both the curriculum but also break out space for role playing. • Date of training • Training registration (email) – The first training was offered free to officers (40). The 2nd-6thtrainings included a nominal registration fee. • Six total sessions since December of 2016 • Binders/presentation equipment – this was all in-kind donations. Binders were previously used. • Lunch/snacks/beverages – Paid for through a donation from NAMI. Didn’t want officers to leave the building.
Logistics continued • CIT Pin – Most models have officers designing the pin as a part of the curriculum. Due to our regional approach, the Steering Committee designed the pin. This was completed early in the process so that we could use the pin as our Logo and Brand ourselves as Tri-County CIT. • Satisfaction Surveys after each individual didactic • Important feedback • Steering committee hounded attendees • Feedback taken favorably by presenters who adjusted presentation accordingly • Committee ousted some presenters that didn’t meet our objectives • We used a numerical rating, as well as a comment section. • Data gathering tool for outcomes – the outcomes form is located on the website and is accessible from officer’s cell phones.
State of Michigan & Local History Implemented Programs Planning Stage Bay-Arenac Counties: Exploring • Kalamazoo County Program: 2008 • St. Joseph County: 2008 • *Oakland County Program: 2015 • *Berrien County Program: 2015 • *Barry County Program: 2015 • *Marquette County Program: 2015 • Tri-County Program: (Eaton, Clinton, Ingham) 2016 • Kent County Program: 2018 • *Part of a MSU Funded Study (MDHHS) on Jail Diversion Pilot Program • Sites received funding from Michigan Diversion Council in Jan 2015 • Report on Study- https://www.socialwork.msu.edu/sites/default/files/Project-Reports/MDCH-Interim-Process-Report-04-07-2016.pdf
Tri-County CIT Timeline 10 2 3 4 5 6 8 1 October 2015 November 2015 March 2016 7 9 NAMI-Lansing Mental Health Awareness Week: Speaker Major Sam Cochran 1st Steering Committee Meeting LPD Host Stakeholder Meeting 2017 2016 2015 November 30, 2016 Fall 2016 August 2017 April 2017 Summer 2016 January 2017 June 2017 Confirmation of Training dates, Presenters, Registration of Officers 1st Cohort of 40 Officers representing departments from all 3 counties 3rd Cohort Start of 40 Officers • 2nd Cohort Training Dates Set. • Revision of Curriculum Curriculum Developed/Potential Presenters Identified 2nd Cohort Start of 40 Officers CIT Conference Presentation
Updates “Get it Done” – assemble passionate people who are in it for the right reasons • No grants, no public funding: Community support/dedication – brought community together and worked on identifying and filling existing gaps • Following our first CIT Training there was money left over from the fundraising efforts of NAMI Lansing, therefore NAMI volunteered to become the fiduciary for CIT Funds so that covering the expenses for future Trainings could be streamlined. A memorandum of understanding was drawn up and a time frame for development of a 501.c3 was proposed. June of 2017 we established our Tri-County CIT Board;ByLaws approved, filed all of the needed documents, and the Tri-County Crisis Intervention Team was validly incorporated on March 15, 2018 as a nonprofit corporation! • CIT is MCOLES approved for PA 302 monies. MSCTC for Corrections approved as well. • Modest registration fees for 40 hrs. of training are rarely a big deal for agencies • These fees can cover expenses that afford efficient assembly of training materials, refreshments, • 182Trained to date with another training being planned • Significant community buy-in: local organizations did the lifting and were all a part of the curriculum.
Benefits: • We are saving lives. • Diverting in the field – pre-booking (Intercept 0). Policy Research Associates expanded the Sequential Intercept Model to prevent criminal justice involvement. • Making better officers via awareness and communication: Eaton County Sheriff Department quoted one of his officers: ”Let’s go out and CIT this call.”
Sequential Intercept Mapping: Round Two • Through a grant written by Ericanne Spence, CMHA-CEI Director of Substance Abuse Services Administration & Corrections Mental Health, we were fortunate to host Professional Facilitators from SAMHSA’s GAINS Center.
Overview of SIM Process The Sequential Intercept Model, developed by Mark R. Munetz, M.D. and Patricia A. Griffin,Ph.D., has been used as a focal point for states and communities to assess available resources, determine gaps in services, and plan for community change. These activities are best accomplished by a team of stakeholders that cross over multiple systems, including mental health, substance abuse, law enforcement, pretrial services, courts, jails, community corrections, housing, health, social services, peers, family members, and many others. A Sequential Intercept Mapping is a workshop to develop a map that illustrates how people with behavioral health needs come in contact with and flow through the criminal justice system. Through the workshop, facilitators and participants identify opportunities for linkage to services and for prevention of further penetration into the criminal justice system.
Pre-Prosecution Diversion District Attorney’s (DA) Office Wellness provider Urgent Care (11+1) management by MSU; care free medical for output medical 911 Dispatch 443 commitments (56 for drug offenses) Collaboration Parole Field Officer (40-60 offenders) D47-mh; sex offender; female offender; boot camp Ingham(11);Clinton(4); Eaton(9) Includes both probation and parole Courts Ingham: 30th mhc: felony only; 55th mhc: 58 people in program; misdemeanor and felony, 2 judges, 14-18 months ALOS; 3.5 cmh, NAMI, program manager, peer support; probation, psychiatrist; 55th DV docket; veterans treatment court; 54b city of E. Lansing: 4 years, recovery court; 54b Adult Drug Court; Sobriety court: (54a, 54b, 55); swift and sure: Ingham, 30th District Clinton: mhc: .5 cmh, probation, 12 people; couple years; sobriety court: 10 people, cmh outpatient services; swift and sure: 24 people Eaton: 56th district: DV misdemeanor; sobriety court: alcohol/SUD, certification; Circuit Court; Veteran treatment court; felony/misdemeanor, 7 people; felony drunk driving: 50 people; ACDC drug court: 40-50 people, high risk/ high need, COMPAS EMS/ Fire Initial Detention Clinton Jail; Eaton Jail; Ingham Jail East Lansing 2 holding cells, 72 hour hold Lansing 6 holding cells, 72 hour hold 60 booking questions Law Enforcement CIT: 120 officers across CEI; Tri-County MOU for CIT (primary Lansing East Lansing, MSU and smaller communities) 30 PD’s: Eaton County’s population:130,000, 7 municipalities, 8-19 officers 10 average, 60 sheriff patrol officer; Clinton's population: 75,000, similar numbers, St. John/Dewitt; Ingham- 10 PD’s, Lansing Prison:Prison reentry D47s: care coordination (PCS consultant); housing; treatment appointments; 30-day medication; CMH- care coordinator contact; ID/ social security card; agent in prison will meet with inmate ahead of time; MRT at wellness Release to bond or CMH Violations Arrest Hospital for medical clearance & psych evaluation Max-outs COMMUNITY COMMUNITY Outreach Crisis Response Team Mon-Fri 9:00 AM-5:00 PM NARCAN training by: Clinton county, Eaton city, and Ingham city Health Departments County CMH staff 1 for each jail Crisis Lines CMH Access Line (MH/SUD); Listening Ear Crisis line; 211- Crisis Intervention- Social Services; FAN (hotline for families against narcotics 24/7/365) Praxis for felonies Ingham pretrial services: circuit court 3 pretrial service agents do screening reports COMPAS MDOC: office of community corrections MDOC: office of substance abuse services provider Crisis Services CMH 24/7/365; Pre-screening unit; 6 beds; 23 hour hold up to as needed; Bridges Crisis Unit: 16 beds Transitional Housing Jail Ingham County: 400 ADP; 444 at capacity; CMH CATS: SUD outpatient, 2 FTE MH therapist, 8 hour psychiatrist from contract (MSU forensic rotation); MRT; life skills; 30-40% on mental health case list and medications; 100 active people receiving SUDs services at any give time; zero awaiting state hospital transfer Clinton County: 200 APD;236 at capacity; 15-20% SMI; Clinton counseling center: 2 therapist for SUDS (onsite and community based), 1 mental health therapist; zero awaiting state hospital transfer Eaton County: 240 ADP; 374 at capacity; 40% SMI; 50% SUD; CMH: 1 FTE, 2 SUD groups, suicide assessment; 1 awaiting supported state hospital Jail Reentry Ingham: prescription released with reminder of meds; substance use disorder in-reach; CATS: 1 FTE CM therapist for reentry; bam releases Clinton: Michigan health plan released with reminder of medications Eaton: 30 day supply in most instances; Michigan health plan enrollment; 9 AM releases Crisis Care Continuum Access Center (Sparrow System) (including peers); The Recovery Center (TRC) for SUD- detox; ED case management Tri County Emergency Medical Authority (EMS) 3 ambulance services Probation Felony-DOC; misdemeanors- probation (run by DOC): 80 people; Eaton city district probation: ASAM DSM assessment; 55th district in Ingham has 1 probation officer doing SP assessments; Mental health specialty court team and peer support; MATCP and MA of probation (District Court) receive specialty training; CEI house of commons- MDOC funded Veterans' peers and mentors 54B peers mentor Initial Court hearing Arraignment, Felony, DV 5 courts set bond schedule Prosecutor review Violations Hospitals Sparrow; McLaren: geriatric, prescreening; St. Lawrence (Sparrow)- 54 psych beds total; Hayes Green Beach (Sparrow); Clinton Memorial (Sparrow) Peer network CMH NAM phone line; NAMI trainings Citations Community Resources VOA clinic and homeless shelter: 80 beds- 30-40 homeless- 7 primary care sites(Ingham); Cherry Health (Eaton); City Rescue Mission- Homeless adventure house; Maplewood for women and children; Siren; Haven House; Loaves and fishes DV; Henry Ford Allegiance
Primary Objectives of SIM The Sequential Intercept Mapping workshop has three primary objectives: • Development of a comprehensive picture of how people with mental illness and co-occurring disorders flow through the criminal justice system along six distinct intercept points: (0) Mobile Crisis Outreach Teams/Co-Response, (1) Law Enforcement and Emergency Services, (2) Initial Detention and Initial Court Hearings, (3) Jails and Courts, (4) Reentry, and (5) Community Corrections/Community Support. • Identification of gaps, resources, and opportunities at each intercept for individuals in the target population. • Development of priorities for activities designed to improve system and service level responses for individuals in the target population.
SIM for Clinton, Eaton, Ingham • On August 29-30, 2017, Dr. Debra Pinals and Brian Case of SAMHSA’s GAINS Center facilitated a Sequential Intercept Model Mapping Workshop in Lansing, MI. • Approximately 39 representatives from Clinton, Eaton and Ingham Counties participated in the 1½-day event. • SIM participants looked at resources and gaps at each interval. • SIM participants then prioritized areas for change. • The top three were selected via vote and participants broke into small groups to develop Strategic Action Plans.
Six Priorities Identified Priority 1: Create Tri-County Restoration Center Priority 2: Peer support expansion to jails and emergency department Priority 3: Enhanced jail reentry services
Priorities - continued Priority 4: First responder and law enforcement training Priority 5: Data driven/performance management focused on prevalence, utilization, and recidivism in individuals involved in criminal justice system and on emergency departments with substance use disorders and/or mental illness Priority 6: Access and coordination of medication assisted therapy (MAT) within the Criminal Justice System
Sustainability: A Five-Legged Stool…a Model for CIT Program Success!!! How a Crisis Intervention Team Program can be More Than Just Training??? • This article by Nick Margiotta, Med, CIT Coordinator, Phoenix, Arizona, Police Department was published in: The Police Chief: The Professional Voice of Law Enforcement, October 2015 Edition • http://www.citinternational.org/bestpracticeguide
Creating sustainability as a priority • The Program and Presenter Evaluation-Comments: Making changes to improve the program based on the needs expressed by the officers. • Use the Community Mapping Process, then S.I.M.’s to develop and advocate for changes in policy and procedures to close gaps. • Use of the Website for Data Collection will potentially help us track the success of our trained officers in helping people obtain treatment, improve safety, and diversion from the criminal justice system. • Improving collaboration across the systems of care: Development of Primary Care Clinics, imbedded with Psychiatric Nurse Practitioners. Development of Mobile Crisis Units for both Youth and Adult Psychiatric Services at CMHA-CEI. Re-design of CMHA-CEI to bring Bridges Crisis Unit, the Recovery Center (detox), Stabilization Unit, and a Pharmacy all under one roof, and in close proximity. • Establishing our Tri-County CIT as a Nonprofit 501.c3. • NAMI Lansing is planning to host a dinner to thank our amazing CIT Presenters who have made CIT possible. Possibly combine with awards for CIT officers. • Various officers have been recognized for their outstanding policing efforts within their own departments across the Tri-county area. Advocacy to increase this for CIT specific awards is needed. • Members of our Steering Committee are invested in development of CIT in other counties, and freely share information and knowledge.
Engagement: A new standard for Mental health care https://www.nami.org/About-NAMI/Publications-Reports/Public-Policy-Reports/Engagement-A-New-Standard-for-Mental-Health-Care/NAMI_Engagement_Web.pdf
First Interaction • “The first moments of interaction between a service provider and a person seeking care for a mental health condition can set the tone and course of treatment. This first interaction can start a journey to recovery and a satisfying life- or can leave a person unsure or even hopeless about their future and unwilling to go back a second time.” • Engagement: A New Standard for Mental Health Care
NAMI’s Initiative on Engagement NAMI asked: How can providers and health systems better serve people with mental health conditions who are not engaged in care? • Engagement with: Individuals with M.I., family members, peer specialists, mental health professionals, researchers and academics, mental health system and program administrators, criminal justice service agencies, and housing/homeless service programs. • ONE THEME EMERGED: A NEED FOR A CULTURAL SHIFT AND A NEED FOR ENGAGMENT AS A NEW STANDARD
WHAT IS ENGAGeMENT? • “Engagement is the strengths-based process through which individual with mental health conditions form a healing connection with people that support their recovery and wellness within the context of family, culture and community.” • Engagement: A New Standard for Mental Health Care
12 principles for advancing a culture of engagement • 1. Make successful engagement a priority at every level of the mental health care system. Train, pay, support & measure it. • 2. Communicate hope. For those who feel hopeless, hold hope for them until they experience it themselves. • 3. Share information and decision making. Support individuals as active participants in their care. • 4. Treat people with respect and dignity. Look beyond the condition and see the whole person (at every encounter). • 5. Use a strengths based approach to assessment and services- engage resources of the individual and families. • 6. Shape services and supports around life goals and interests.
12 principles for advancing a culture of engagement • 7. Take risks and be adaptable to meet individuals where they are. • 8. Provide opportunities to include families and other close supporters as essential in recovery. • 9. Recognize role of community, culture, faith, sexual orientation, and gender identity, age, language and economic status in recovery. • 10. Robust peer and family involvement in system design, clinical care and provider education. • 11. Peer support services as essential element of mental health care. • 12. Promote community collaboration across systems: primary care, emergency services, law enforcement, housing providers and others.
Tri County Area • We are fortunate to have committed pool of individuals, programs, health systems, law enforcement who are committed to these principles. The Tri-County CIT became a viable program through perseverance, fundraising, and through visionary stakeholders who were invested in building a sustainable system that can be replicated. We encourage you all to engage and be the change in your areas. • Thank you!
Presenter Information • Teresa Ritsema, Board Member, NAMI Lansing and Co-Chair Tri-County C.I.T., email: tritsema@namilansing.org. • Melissa Misner, Mental Health Therapist, Substance Abuse Service at CMHA-CEI, Secretary and acting Coordinator, Tri-County C.I.T., email: misner@ceicmh.org
