Integrating Screening and Assessment into Criminal Justice/Mental Health Initiatives

1. Integrating Screening and Assessment into Criminal Justice/Mental Health Initiatives Dr. Erik Roskes Lynette Tastad Dr. Allison Upton Smart Responses in Tough Times: Achieving Better Outcomes for People with Mental Illnesses Involved in the Criminal Justice System July 15-17, 2009

2. IntroductionDr. Erik Roskes, Forensic Psychiatristerikroskesmd@gmail.com

3. Introduction The ScreeningAssessment Process

4. Introduction Screening Assessment Treatment

5. Introduction Why use instruments?

6. Cass County, North Dakota Collaboration Project: Post-Booking Program Description Lynette Tastad, Mental Health Coordinatortastadl@casscountynd.gov 701-271-2914Alternate contact: Sheree Spear, Grant Managerspears@casscountynd.gov701-271-2912

7. Cass County Jail Intervention Coordinating Committee

8. Advisory Board • The Honorable Steven McCullough, East Central Judicial District Court • States Attorney Birch Burdick, Cass County • Dr. Andrew McLean, Medical Director, Southeast Human Service Ctr. & N.D. State Hospital, N. D. Dept. of Human Services • Attorney Douglas Nesheim, Public Defender • Capt. Carlos Perez, Administrator, Cass County Jail • Richard Hoekstra, Deputy Director of Programs, Adult Services Div., N.D. Dept. of Corrections • Keith Gilleshammer, Executive Director, Centre, Inc.

9. Improved Response • In 2005, 171 people were flagged for an assessment. 90 people received a diagnostic assessment. • A trial was conducted by the Cass County Jail and Southeast Human Service Center in May 2008. Of 626 people , 32 were referred for and received an assessment. Of those, 8 met diagnostic criteria for program. 4 people would have been offered program. • From Jan – May 2009, 550 people received an assessment by the new CMHC. 373 individuals have been referred for treatment and services, and 10 were transported for in-patient hospitalization or evaluation.

10. Clinical Mental Health Coordinator • Diagnostic Assessments w/consent • Referrals: Service, Treatments • Explain Program • Discuss Eligibility with SE • Refer to Prosecutor for Alternative Program • Assign Case Mgr as needed, communicate • Monitor progress & attend Review Panel meetings

11. Brief Jail Mental Health Screen Adapted from Steadman HJ, Scott JE, Osher F, Agnese T, Clark Robbins P: Validation of the Brief Jail Mental Health Screen. Psychiatric Services, July 2005, Vol. 56, No. 7. Article available from GAINS Center & Policy Research Associates.

12. Referrals • Mental Health Assessment • Brief Jail Screen • Classification Officers • Family members • Officer Observation

13. Challenges • Resistance to change • Perspectives • Language barriers • Policy Development • Formal cross-training

14. Using information from Screening Inform the Assessment Process Dr. Allison Upton AUpton@cases.org

15. Screening/Assessment Strategies in Community Corrections Settings Dr. Erik Roskes

16. Thank You Please visit www.consensusproject.org for further information & conference presentations This material was developed by presenters for the July 2009 event: “Smart Responses in Tough Times: Achieving Better Outcomes for People with Mental Illnesses Involved in the Criminal Justice System. “Presentations are not externally reviewed for form or content and as such, the statements within reflect the views of the authors and should not be considered the official position of the Bureau of Justice Assistance, Justice Center, the members of the Council of State Governments, or funding agencies supporting the work.