Cross-Systems Mapping
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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. Planning and Best Practices. Mark Engelhardt, M.S., ACSW

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Cross-Systems Mapping

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Cross systems mapping

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


Planning and best practices

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

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Integrated strategic planning

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.


Strategic planning references

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


Related web resources

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


The problem

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

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Workshop tasks

Workshop Tasks

  • Nurture cross-system collaboration

  • Effective Collaboration has a Purpose!

  • Map the local system

  • Build an Action Plan

  • Follow up!

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Local collaboration examples

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.

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Action cross systems mapping taking action for change

ACTION: Cross-Systems Mapping & Taking Action for Change

Focus

Goals

Tasks

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Focus

Men and women with…

Serious mental illness, and often

Co-occurring substance use disorders

Involved in the criminal justice system

Focus

10


Goals

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

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Objective cross systems coordination collaboration

Objective: Cross-Systems Coordination & Collaboration

GOAL FOR SERVICES:

ccessible

omprehensive

rauma-informed

ntegrated

ptions

etworked

A

C

T

I

O

N

Criminal Justice

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Challenges to collaboration

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

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Benefits of effective collaboration

Benefits of Effective Collaboration

Community Collaboration + Services Integration =

  •  Service Retention

  •  Stability in the Community

  •  Public Safety

  •  Savings

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Keys to success

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”!

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Additional strategies

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

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Sequential intercept model basis for cross systems mapping

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.

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Sequential intercept model patty griffin phd mark munetz md

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

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Five key points of interception

Five Key Points of Interception

  • Law enforcement / Emergency services

  • Booking / Initial court hearings

  • Jails / Courts

  • Re-entry

  • Community corrections / Community support

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Gaps best practices

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


Sequential intercept model a circular view

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

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Intercept 1 law enforcement

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

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Intercept 2 detention and initial appearance

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

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Intercept 3 jails and courts

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

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Intercept 4 re entry

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

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Intercept 5 community corrections and community supports

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

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Intercept 5 community corrections and community supports1

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

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Action planning prioritized

Action Planning: Prioritized

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Next steps

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

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Usf fmhi observations so far

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


Planning implementation

Planning & Implementation

Thank you for participating!

www.floridatac.org

Email: [email protected]

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