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THE NATIONAL S U M M I T April 17–19, 2016 Washington, DC

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T H E N AT I O N A L

S U M M I T April 17–19, 2016Washington, DC

The American Psychiatric Association Foundation, the National Association of Counties, and The Council of State Governments Justice Center wish to thank all of the staff who

made this event possible.

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Summit Teams

River Region, Alabama State of Alaska Maricopa County, Arizona Sebastian County, Arkansas Los Angeles County, California Orange County, California Santa Clara County, California Yolo County, California Kiowa County, Colorado Connecticut Department of Corrections Alachua County, Florida Miami-Dade County, Florida Southwest Georgia Regional Team City and County of Honolulu, Hawaii Champaign County, Illinois Cook County, Illinois Black Hawk County, Iowa Johnson County, Kansas Calcasieu Parish, Louisiana Penobscot County, Maine Prince George’s County, Maryland Worcester County, Massachusetts Allegan County, Michigan Wayne County, Michigan Ramsey County, Minnesota Pettis County, Missouri

Missoula County, Montana Douglas County, Nebraska Clark County, Nevada Merrimack County, New Hampshire Otero County, New Mexico New York City, New York Alamance County, North Carolina Pitt County, North Carolina Franklin County, Ohio Tulsa County, Oklahoma Association of Oregon Counties Hood River County, Oregon Allegheny County, Pennsylvania Berks County, Pennsylvania Franklin County, Pennsylvania Codington County, South Dakota Shelby County, Tennessee Bexar County, Texas Dallas County, Texas Tarrant County, Texas Fairfax County, Virginia King County, Washington Pacific County, Washington Dane County, Wisconsin Eau Claire County, Wisconsin

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Sunday, April 17 – At a Glance 3:30 p.m. Registration Opens 6:30–8:30 p.m. Evening Reception (Grand Ballroom) Monday, April 18 – At a Glance 7:30 a.m. Registration Continues 8:30 Plenary | Welcoming Remarks (Grand Ballroom) 9:00 Keynote | A Vision for Reducing the Number of People with Mental Illnesses in Jail (Grand

Ballroom) 10:00 Plenary | Reducing the Number of People with Mental Illnesses in Jail: Six Questions

County Leaders Need to Ask (Grand Ballroom) 12:15 p.m. Lunch (Provided)

Keynote | Building National Momentum for Reform (Grand Ballroom) 1:30 Small Meeting | How Can Psychiatrists Integrate Recidivism Reduction into Treatment

Planning and Recovery Goals? (South Carolina) Breakout Sessions | Developing a Plan to Achieve Systems-Level Impact A. Is Our Leadership Committed? (Virginia) B. Do We Conduct Timely Screening and Assessments? (Pennsylvania) C. Do We Have Baseline Data? (Rhode Island) D. Have We Conducted a Comprehensive Process Analysis and Inventory of Services? (Georgia) E. Have We Prioritized Policy, Practice, and Funding Improvements? (Massachusetts) F. Do We Track Progress? (Maryland)

2:30 Break (Coffee Provided) 3:00 Small Meeting | Opportunities for Judges and Psychiatrists to Promote Systems-Level

Change (South Carolina) Breakout Sessions | Making the Most of Your Role to Reduce the Prevalence of People with Mental Illnesses in Jails A. County Elected Officials (Virginia) B. Jail Administrators in Large Urban Counties (Pennsylvania) C. Jail Administrators in Mid-Size and Rural Counties (Rhode Island) D. Behavioral Health / Health Administrators in Large Urban Counties (Georgia) E. Behavioral Health / Health Administrators in Mid-Size and Rural Counties (Massachusetts) F. Court Personnel (Prosecutors, Defense Attorneys, Court Staff, Probation Staff) (Maryland) G. National Summit Team Leads—Coordinating and Moving the Plan Forward (North Carolina)

4:00 End of Day for Non-Team Members 4:15 Team Meetings

A. State of Alaska; River Region; Sebastian County; Maricopa County; Kiowa County (South Carolina) B. Santa Clara County; Yolo County; Orange County; Los Angeles County; Alachua County; Miami-Dade County (Virginia) C. Southwest Georgia Regional Team; City and County of Honolulu; Black Hawk County; Cook County; Champaign County (Pennsylvania) D. Johnson County; Calcasieu Parish; Worcester County; Prince George’s County; Penobscot County (Rhode Island)

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E. Wayne County; Allegan County; Ramsey County; Pettis County; Missoula County; Pitt County (Georgia) F. Alamance County; Douglas County; Merrimack County; Otero County; Clark County; Eau Claire County (Massachusetts) G. New York City; Connecticut Department of Corrections; Franklin County (OH); Tulsa County; Association of Oregon Counties; Hood River County (Maryland) H.Allegheny County; Berks County; Franklin County (PA); Codington County; Shelby County; Dane County (North Carolina) I.Tarrant County; Bexar County; Dallas County; Fairfax County; Pacific County; King County (New Hampshire)

5:15 Break

5:30– 8:30 p.m.

Reception and Dinner: American Psychiatric Excellence (APEX) Awards (Grand Ballroom) Reception begins at 5:30 p.m.; dinner begins at 6:30 p.m.

Tuesday, April 19 – At a Glance 8:00 a.m. Plenary | Incorporating Perspectives from Family and People with Lived Experience (Grand

Ballroom) 8:45 Plenary | Strategies for Financing Your Plan (Grand Ballroom) 9:45 Plenary | What’s Next for Stepping Up? (Grand Ballroom) 10:15 Break 10:30 Breakout Sessions

A. Stepping Up in Rural Communities: Challenges and Opportunities (South Carolina) B. Comprehensive Treatment Strategies Associated with Recidivism Reduction (Virginia) C. How Can Effective Partnerships between Local Law Enforcement and Behavioral Health Services Reduce the Number of People with Mental Illnesses Booked into Jail? (Pennsylvania) D. Engaging People Affected by Mental Illness in the Stepping Up Initiative (Rhode Island) E. Meeting the Needs of People with Co-Occurring Substance Use Disorders and Mental Illnesses (Georgia) F. How to Leverage State Block Grants, Medicaid, and Federal Disability Benefits (Massachusetts) G. Scaling Pretrial, Diversion, and Information-Sharing Strategies to Keep People with Mental Illnesses Out of Jails (Maryland) H. Housing Approaches as a Key Component of Your County Plan (North Carolina) I. Using Sequential Intercept Mapping (New Hampshire)

11:30 Break 11:45 Team Meetings (Grand Ballroom) 12:30 p.m. Lunch (Provided)

Keynote | Federal Investment and Support, Action Steps, and Closing Remarks (Grand Ballroom)

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Sunday, April 17 3:30 p.m. Registration Opens 6:30–8:30 p.m. Evening Reception (Grand Ballroom) Monday, April 18 7:30 a.m. Registration Continues 8:30 a.m. Plenary | Welcoming Remarks (Grand Ballroom)

Representatives of the organizations leading the Stepping Up Initiative—the American Psychiatric Association Foundation, the National Association of Counties, and The Council of State Governments Justice Center—will welcome participants and review the goals of the summit. Speakers: • Renée Binder, MD, President, American Psychiatric Association, Professor and Director,

Psychiatry and Law Program, and Associate Dean for Academic Affairs, School of Medicine, University of California-San Francisco

• Hon. Sallie Clark, Commissioner, El Paso County, Colorado, and President, National Association of Counties

• Michael Lawlor, Under Secretary, Criminal Justice Policy and Planning, Office of Policy and Management, State of Connecticut, and Chair, The Council of State Governments Justice Center Board of Directors

• Saul Levin, MD, MPA, Chair, American Psychiatric Association Foundation and Chief Executive Officer / Medical Director, American Psychiatric Association

9:00 a.m. Keynote | A Vision for Reducing the Number of People with Mental Illnesses in Jail (Grand Ballroom)

Presenters will explain the origins of the prevalence of people with mental illnesses in jail, lessons learned from efforts to address this problem over the last 15 years, and what it will take to have a true systems-level impact.

Presider: Altha Stewart, MD, Associate Professor, Department of Psychiatry, and Director, Center for Health in Justice-Involved Youth, University of Tennessee Health Science Center Speakers: • Hon. Steven Leifman, Associate Administrative Judge, Criminal Division, Eleventh Judicial

Circuit of Florida, Miami-Dade County, Florida • Fred Osher, MD, Director of Health Systems and Services Policy, The Council of State

Governments Justice Center 10:00 a.m. Plenary | Reducing the Number of People with Mental Illnesses in Jail: Six Questions

County Leaders Need to Ask (Grand Ballroom) Bringing efforts to reduce the number of people with mental illnesses in jail to scale is a major

challenge for counties across the country—it requires an ongoing, data-driven planning effort that results in systems-level changes in policy and practice. During this plenary, speakers from The Council of State Governments Justice Center will describe the six questions county leaders need to answer to ensure they’re able to have systems-level impact on the number of people with mental illnesses in jail. County officials will describe their answers to these six questions and then provide opportunities for county teams to discuss how their experiences relate to the counties profiled. Teams should leave the session with a sense of the strengths and gaps in their existing efforts.

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Speakers: • Michael Daniels, Policy Director to Commissioner Marilyn Brown, Franklin County, Ohio • Tony Fabelo, PhD, Director of Research, The Council of State Governments Justice Center • Elizabeth Glazer, Director of the Mayor's Office of Criminal Justice, New York City, New

York • Hon. Jackie Lacey, District Attorney, Los Angeles County, California • Hon. Susan Pamerleau, Sheriff, Bexar County, Texas, Major County Sheriffs’ Association

Member • Hon. Nicole Rowley, Commissioner, Missoula County, Montana • Ron Stretcher, Director of Criminal Justice, Dallas County, Texas • Robert Trestman, PhD, MD, Professor of Medicine and Psychiatry at the University of

Connecticut Health Center, Executive Director of Correctional Managed Health Care, Interim Director of the Center for Public Health and Health Policy

Moderator: Michael Thompson, Director, The Council of State Governments Justice Center 12:15 p.m. Lunch (Provided)

Keynote | Building National Momentum for Reform (Grand Ballroom) During this keynote session, speakers will explain how Stepping Up relates to other national initiatives focusing on mental health and the justice system. Speakers: • Jerry Abramson, Director of Intergovernmental Affairs, the White House • Hon. Bryan Desloge, Commissioner, Leon County, Florida, and First Vice President,

National Association of Counties 1:30 p.m. Small Meeting | How Can Psychiatrists Integrate Recidivism Reduction into Treatment

Planning and Recovery Goals? (South Carolina) Intended for psychiatrists, this workshop will focus on the unique needs of people with mental

illnesses involved in the criminal justice system, and the importance of integrating psychiatric treatment with services that address substance use and criminogenic risk factors.

Speakers: • Renée Binder, MD, President, American Psychiatric Association, Professor and Director,

Psychiatry and Law Program, and Associate Dean for Academic Affairs, School of Medicine, University of California-San Francisco

• Michael Champion, MD, Forensic Chief, Department of Health, Adult Mental Health Division, State of Hawaii

• Louis Kraus, MD, Woman's Board Professor, Chief of Child and Adolescent Psychiatry, Director of Autism Assessment, Research, Treatment, and Services Center, Rush University Medical Center

• Altha Stewart, MD, Associate Professor, Department of Psychiatry, and Director, Center for Health in Justice-Involved Youth, University of Tennessee Health Science Center

1:30 p.m. Breakout Sessions | Developing a Plan to Achieve Systems-Level Impact

A. Is Our Leadership Committed? (Virginia) County leaders will discuss how elected officials can effectively build stakeholder groups and move initiatives forward to reduce the number of people with mental illnesses in jails in their jurisdictions. Speakers: • Hon. Marilyn Brown, Commissioner, Franklin County, Ohio • Hon. Stephen Goss, Dougherty County Judicial Circuit, Superior Courts of Georgia,

Southwest Georgia Region, Judges’ Criminal Justice/Mental Health Leadership Initiative Psychiatric Leadership Group Member

• Hon. John Miller, Supervisor, Black Hawk County, Iowa

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Moderator: Hon. Joan Garner, Commissioner, Fulton County, Georgia, and Chair, National Association of Counties Healthy Counties Initiative B. Do We Conduct Timely Screening and Assessments? (Pennsylvania) National experts will review keys to effective screening and assessments of people booked into jails, and county officials will discuss their experiences implementing these best practices. Speakers: • Geoffrey Stobart, Chief Deputy, Department of Corrections, Franklin County, Ohio • Robert Trestman, PhD, MD, Professor of Medicine and Psychiatry at the University of

Connecticut Health Center, Executive Director of Correctional Managed Health Care, Interim Director of the Center for Public Health and Health Policy

• Philip Wang, MD, DrPH, Director, Division of Research, American Psychiatric Association Moderator: Fred Osher, MD, Director of Health Systems and Services Policy, The Council of State Governments Justice Center C. Do We Have Baseline Data? (Rhode Island) County officials will share their efforts to measure how many people with mental illnesses are booked into jail, how long they stay, what percentage of them are connected to treatment upon release, and their recidivism rates. Speaker: Shelley Curran, Court Services Administrator, Maricopa County, Arizona Moderator: Risë Haneberg, Senior Policy Advisor, The Council of State Governments Justice Center

D. Have We Conducted a Comprehensive Process Analysis and Inventory of Services? (Georgia) Presenters will discuss how to conduct a very detailed analysis of the criminal justice involvement of people with mental illnesses, from initial contact with law enforcement to release from jail, and how this information can be used to identify gaps and opportunities for reforms. Speakers: • Andrew Keller, PhD, President and Chief Executive Officer, Meadows Mental Health Policy

Institute • Edward Michalik, PsyD, Mental Health and Developmental Disabilities Administrator, Berks

County, Pennsylvania Moderator: Tony Fabelo, PhD, Director of Research, The Council of State Governments Justice Center

E. Have We Prioritized Policy, Practice, and Funding Improvements? (Massachusetts) This workshop will review how counties use the results of their system analyses and convert them into actionable plans that include steps to address key staffing and funding needs. Speakers: • Mike Lozito, Director of Judicial Services, Office of the County Manager, Bexar County,

Texas • Pamela Rodriguez, Director for Business and Health Care Strategy Development, Treatment

Alternatives for Safe Communities, Inc. Moderator: Patrick Fleming, National Association of Counties Fellow and Retired Director, Behavioral Health Services, Salt Lake County, Utah F. Do We Track Progress? (Maryland) Staff who coordinate the implementation of their county’s effort to reduce the number of people with mental illnesses in jail will describe how they track progress and hold individuals and agencies accountable for getting results. Speaker: Tim DeWeese, LMSW, Director, Johnson County Mental Health Center Moderator: Tiana Glenna, Criminal Justice Manager, Eau Claire County, Wisconsin

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2:30 p.m. Break (Coffee Provided) 3:00 p.m. Small Meeting | Opportunities for Judges and Psychiatrists to Promote Systems-Level

Change (South Carolina) Judges and psychiatrists will discuss priorities and challenges of the Stepping Up Initiative, as well as approaches to making systems-level impact.

Speakers: • Marcia Goin, MD, PhD, Clinical Professor of Psychiatry, Keck School of Medicine,

University of Southern California, and Past President of the American Psychiatric Association, Judges’ Criminal Justice/Mental Health Leadership Initiative Psychiatric Leadership Group Member

• Louis Kraus, MD, Woman's Board Professor, Chief of Child and Adolescent Psychiatry, Director of Autism Assessment, Research, Treatment, and Services Center, Rush University Medical Center

• Hon. Steven Leifman, Associate Administrative Judge, Criminal Division, Eleventh Judicial Circuit of Florida, Miami-Dade County, Florida

• Hon. Kathryn Zenoff, Appellate Judge, Second District, Illinois Courts Moderator: Michael Champion, MD, Forensic Chief, Department of Health, Adult Mental Health Division, State of Hawaii

3:00 p.m. Breakout Sessions | Making the Most of Your Role to Reduce the Prevalence of People with Mental Illnesses in Jails During these breakout workshops, participants will discuss their specific roles in driving change at the county level and learn from their peers. A. County Elected Officials (Virginia) Speakers: • Hon. Claudia Balducci, Councilmember, King County, Washington • Hon. Mary Ann Borgeson, Commissioner, Douglas County, Nebraska • Hon. Sally Heyman, Commissioner, Miami-Dade County, Florida B. Jail Administrators in Large Urban Counties (Pennsylvania) Speakers: • Hon. Stacey Kincaid, Sheriff, Fairfax County, Virginia • Nneka Jones Tapia, PsyD, Executive Director, Department of Corrections, Cook County,

Illinois C. Jail Administrators in Mid-Size and Rural Counties (Rhode Island) Speakers: • Ross Cunningham, Superintendent, Department of Corrections, Merrimack County, New

Hampshire • Patrick Matlock, Chief Deputy, Sheriff's Office, Pacific County, Washington • Thomas Stickrath, Superintendent, Ohio Bureau of Criminal Investigations D. Behavioral Health / Health Administrators in Large Urban Counties (Georgia) Speakers: • Gilbert Gonzales, Mental Health Director, Mental Health Department, Bexar County, Texas • Mary Hale, Deputy Agency Director, Behavioral Health Services, Orange County, California

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E. Behavioral Health / Health Administrators in Mid-Size and Rural Counties (Massachusetts) Speakers: • Geri Marcus, Executive Director, Willapa Behavioral Health, Pacific County, Washington • Steve Nevada, Director, Mental Health / Intellectual Disabilities / Early Intervention, Franklin

County, Pennsylvania F. Court Personnel (Prosecutors, Defense Attorneys, Court Staff, Probation Staff) (Maryland) Speakers: • Hon. Michael Boggs, Judge, Georgia Court of Appeals • Mack Jenkins, Chief Probation Officer, County of San Diego, California • Hon. Jackie Lacey, District Attorney, Los Angeles County, California • Carlos Martinez, Public Defender, Miami-Dade County, Florida G. National Summit Team Leads—Coordinating and Moving the Plan Forward (North Carolina) Speakers: • Patrick Fleming, National Association of Counties Fellow and Retired Director, Behavioral

Health Services, Salt Lake County, Utah • Risë Haneberg, Senior Policy Advisor, The Council of State Governments Justice Center

4:00 p.m. End of Day for Non-Team Members 4:15 p.m. Team Meetings Summit teams will meet to debrief and prepare for the following day.

A. State of Alaska; River Region; Sebastian County; Maricopa County; Kiowa County (South Carolina) B. Santa Clara County; Yolo County; Orange County; Los Angeles County; Alachua County; Miami-Dade County (Virginia) C. Southwest Georgia Regional Team; City and County of Honolulu; Black Hawk County; Cook County; Champaign County (Pennsylvania) D. Johnson County; Calcasieu Parish; Worcester County; Prince George’s County; Penobscot County (Rhode Island) E. Wayne County; Allegan County; Ramsey County; Pettis County; Missoula County; Pitt County (Georgia) F. Alamance County; Douglas County; Merrimack County; Otero County; Clark County; Eau Claire County (Massachusetts) G. New York City; Connecticut Department of Corrections; Franklin County (OH); Tulsa County; Association of Oregon Counties; Hood River County (Maryland) H.Allegheny County; Berks County; Franklin County (PA); Codington County; Shelby County; Dane County (North Carolina) I.Tarrant County; Bexar County; Dallas County; Fairfax County; Pacific County; King County (New Hampshire)

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5:15 p.m. Break

5:30–8:30 p.m. Reception and Dinner: American Psychiatric Excellence (APEX) Awards (Grand Ballroom)

Reception begins at 5:30 p.m.; dinner begins at 6:30 p.m. Tuesday, April 19 8:00 a.m. Plenary | Incorporating Perspectives from Family and People with Lived Experience

(Grand Ballroom) People with mental illnesses and family members of people with mental illnesses will discuss their own experiences with the behavioral health and justice systems, and why it is important to incorporate their perspectives into county plans. Speakers: • Pete Earley, Author and Mental Health Advocate • Ray Lay, Member, National Association on Mental Illness Indiana Board of Directors Moderator: Ranna Parekh, MD, MPH, Director of Diversity and Health Equity, American Psychiatric Association

8:45 a.m. Plenary | Strategies for Financing Your Plan (Grand Ballroom)

Having systems-level impact on the number of people with mental illnesses in jail is in no small part contingent upon “new” dollars. Speakers will highlight opportunities to leverage state and federal funds for behavioral health care services, ways in which state justice agencies can support this work, and the role of philanthropy. Speakers: • Andrew Keller, PhD, President and Chief Executive Officer, Meadows Mental Health Policy

Institute • Tracy Plouck, Director, Ohio Department of Mental Health and Addiction Services, State of

Ohio, President, National Association of State Mental Health Program Directors • Maury Thompson, Assistant County Manager, Johnson County, Kansas • John Wetzel, Secretary, Department of Corrections, State of Pennsylvania, Vice Chair, The

Council of State Governments Justice Center Board of Directors Moderator: Michael Thompson, Director, The Council of State Governments Justice Center

9:45 a.m. Plenary | What’s Next for Stepping Up? (Grand Ballroom) This session will provide a vision for what lies ahead for Stepping Up after the summit.

Presider: Paul T. Burke, Executive Director, American Psychiatric Association Foundation Speakers: • Denise O'Donnell, Director, Bureau of Justice Assistance, U.S. Department of Justice • Michael Thompson, Director, The Council of State Governments Justice Center

10:15 a.m. Break 10:30 a.m. Breakout Sessions A. Stepping Up in Rural Communities: Challenges and Opportunities (South Carolina)

Despite their small populations, rural counties face some of the same challenges as urban counties in their behavioral health and justice systems. But in certain ways, rural counties struggle even more. In this workshop, speakers will discuss challenges that rural counties face when trying to reduce incarceration of people with mental illnesses, and provide rural county leaders with innovative strategies for developing the capacity to address these challenges.

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Presider: Hon. Susan Flores, Commissioner, Otero County, New Mexico Speakers: • Patrick Fleming, National Association of Counties Fellow and Retired Director, Behavioral

Health Services, Salt Lake County, Utah• Sarah Petersen, Welfare Director, Codington County, South Dakota

B. Comprehensive Treatment Strategies Associated with Recidivism Reduction (Virginia)Clinicians and administrators of health care systems will explain adjustments that health careproviders have made to meet the needs of people involved in the justice system. Topics willinclude building workforce and treatment capacity and accountability, utilizing evidence-basedpractices that promote recovery and reduce recidivism, and reducing appointment wait times.Presider: Hon. Kevin Barnhardt, Commissioner, Berks County, PennsylvaniaSpeakers:• Michael Champion, MD, Forensic Chief, Department of Health, Adult Mental Health

Division, State of Hawaii• Stephanie Le Melle, MD, Co-Director of Public Psychiatry Education at New York State

Psychiatric Institute, Columbia University, Judges’ Criminal Justice/Mental HealthLeadership Initiative Psychiatric Leadership Group Member

• Lynda Zeller, Deputy Director, Behavioral Health and Developmental DisabilitiesDepartment of Health and Human Services, State of Michigan, Vice President, NationalAssociation of State Mental Health Program Directors, Treasurer, National Research InstituteBoard

Moderator: Fred Osher, MD, Director of Health Systems and Services Policy, The Council of State Governments Justice Center

C. How Can Effective Partnerships between Local Law Enforcement and BehavioralHealth Services Reduce the Number of People with Mental Illnesses Booked into Jail?(Pennsylvania)This workshop will provide an overview of specialized police response (SPR) programs thatprovide a new set of response options for law enforcement, tailored to people with behavioralhealth needs. It will explore the collaboration between law enforcement and behavioral healthprofessions, alongside other community members, to create and sustain protocols that improveresponses to people with mental illnesses, while reducing the number of people with mentalillnesses who are booked into jails.Presider: Hon. Tony Guillory, Police Juror, Calcasieu Parish, LouisianaSpeakers:• Leon Evans, Chief Executive Officer, The Center for Health Care Services, Bexar County,

Texas• Kristen Roman, Captain, Madison Police Department, Madison, Wisconsin

D. Engaging People Affected by Mental Illness in the Stepping Up Initiative (Rhode Island)People living with mental illnesses and their family members should play a key role in counties’collaborative efforts to reduce the number of people with mental illnesses in jails. This sessionwill cover different ways in which this broad advocacy community can be a strong ally in localStepping Up efforts by building goodwill with the broader community; engaging media; advisingon strategies that work for advancing mental health recovery; assisting with training criminaljustice professionals; and providing peer support to individuals and families in crisis.

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Speakers: • Hon. Theresa Daniel, PhD, Commissioner, Dallas County, Texas• Jennifer Mehnert, Executive Director, National Alliance on Mental Illness Maine, Penobscot

County, Maine• Kenneth Norton, Executive Director, National Alliance on Mental Illness New Hampshire,

Merrimack County, New HampshireModerator: Mary Giliberti, Executive Director, National Alliance on Mental Illness

E. Meeting the Needs of People with Co-Occurring Substance Use Disorders and MentalIllnesses (Georgia)Experts will discuss systems-level coordination and reform efforts to address co-occurringsubstance use disorders and mental illnesses. The panel will include leaders in the substance usedisorder field and a health systems administrator, who will identify key areas for partnership inreducing the number of people with co-occurring disorders in jails.Presider: Hon. Alisha Bell, Commissioner, Wayne County, MichiganSpeakers:• Mitchell Katz, MD, Director, Los Angeles County Health Agency, Los Angeles County,

California• Faye Taxman, PhD, University Professor, Criminology, Law, and Society Department and

Director of the Center for Advancing Correctional Excellence, George Mason UniversityModerator: Robert Morrison, Executive Director, National Association of State Alcohol and Drug Abuse Directors

F. How to Leverage State Block Grants, Medicaid, and Federal Disability Benefits(Massachusetts)Many counties struggle to identify funding for initiatives to reduce the number of people withmental illnesses in their jails and provide appropriate community-based services. In thisworkshop, speakers will discuss strategies for accessing state and federal funding to support theseinitiatives and give recommendations for working with state policymakers and health caresystems to increase access to treatment and services for people with mental illnesses who areinvolved in the justice system.Presider: Hon. Jim McDonough, Commissioner, Ramsey County, MinnesotaSpeakers:• Maureen McDonnell, Director for Business and Health Care Strategy Development,

Treatment Alternatives for Safe Communities, Inc.• Dazara Ware, Senior Project Associate, Substance Abuse and Mental Health Services

Administration SOAR Technical Assistance Center, Policy Research Associates, Inc.• Pamela Rodriguez, Director for Business and Health Care Strategy Development, Treatment

Alternatives for Safe Communities, Inc.Moderator: Alex Blandford, Deputy Program Director of Behavioral Health, The Council of State Governments Justice Center

G. Scaling Pretrial, Diversion, and Information-Sharing Strategies to Keep People withMental Illnesses Out of Jails (Maryland)In an effort to inform diversion and pretrial decision making, counties across the country aredesigning and implementing new approaches to identifying people with mental illnesses at arrestand booking. In this workshop, speakers will discuss strategies for collecting relevant mentalhealth and risk information, sharing this information effectively across systems, and using it toinform decisions about diversion, pretrial release, supervision, and connection to services.

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Presider: Cherise Fanno Burdeen, Executive Director, Pretrial Justice Institute Speakers: • Lynn Overmann, Senior Policy Advisor to the U.S. Chief Technology Officer, White HouHouse Office of Science and Technology Policy• Robert Sullivan, Criminal Justice Coordinator, Johnson County, KansasModerator: Hallie Fader-Towe, Senior Policy Advisor, The Council of State Governments Justice Center

H. Housing Approaches as a Key Component of Your County Plan (North Carolina)Presenters will review promising approaches to meeting the housing needs of people with mentalillnesses.Presider: Hon. Mary Ann Borgeson, Commissioner, Douglas County, NebraskaSpeaker: Mark Mitchell, PhD, Mental Health Administrator, Department of Public Safety,Honolulu, HawaiiModerator: Richard Cho, Director, Behavioral Health Division, The Council of StateGovernments Justice Center

I. Using Sequential Intercept Mapping (New Hampshire)This workshop will provide an overview of the Sequential Intercept Mapping process and how itcan assist counties in their planning processes.Speakers:• Henry J. Steadman, PhD, President, Policy Research Associates, Inc.• Patricia Valentine, Executive Deputy Director, Department of Human Services, Allegheny

County, PennsylvaniaModerator: Hon. Robert Thomas, Commissioner, Franklin County, Pennsylvania, and President, County Commissioners Association of Pennsylvania

11:30 a.m. Break

11:45 a.m. Team Meetings (Grand Ballroom) Teams meet to debrief and discuss next steps for their counties.

12:30 p.m. Lunch (Provided) Keynote | Federal Investment and Support, Action Steps, and Closing Remarks (Grand Ballroom) In this closing session, speakers will discuss the MacArthur Foundation's Safety and Justice Challenge, as well as federal support and funding opportunities for reducing the prevalence of people with mental illnesses in jails. Closing remarks will also cover what action steps participants can prioritize to bring what they learned at the summit home to their communities. Speakers: • Renée Binder, MD, President, American Psychiatric Association, Professor and Director,

Psychiatry and Law Program, and Associate Dean for Academic Affairs, School of Medicine,University of California-San Francisco

• Hon. Roy Charles Brooks, Commissioner, Tarrant County, Texas, and Second Vice President,National Association of Counties

• Laurie Garduque, Director, Justice Reform, MacArthur Foundation• Sally Yates, Deputy Attorney General, U.S. Department of Justice

Elizabeth K. Dollard Charitable Trust

The American Psychiatric Association Foundation would like to thank our National Stepping Up

Summit sponsors