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“SIM-plementation”: Applying the Sequential Intercept Model to Local Planning and Action
November 15, 2017 12:00 – 1:00 PM EST
Don’t forget to join the audio broadcast!Phone number: 1-855-749-4750
Access Code: 668 506 091
Disclaimer
The views, opinions, and content expressed in this presentation do not necessarily reflect the views, opinions, or policies of the Center for Mental Health Services (CMHS), the Substance Abuse
and Mental Health Services Administration (SAMHSA), or the U.S. Department of Health and Human Services (HHS).
Slide 4
Reminders
• Questions
– Please submit your questions to the presenters in the Q&A pod. The presenters will address as many questions as time permits at the end of the presentation.
• Recording
– This webinar is being recorded.
Slide 5
Agenda
Time Presentation Speaker
12:00 – 12:05 PM Opening Remarks David MorrissetteSAMHSA/CMHS
12:05 – 12:20 PM Applying Sequential Intercept Mapping to Pettis County, Missouri
Kevin BondPETTIS COUNTY SHERIFF’S OFFICE
12:20 – 12:35 PM LBMEND(Mental Evaluation Needs-Based Diversion)
Kelly ColopyLONG BEACH DEPT. OF HEALTH & HUMAN SERVICES
12:35 – 12:50 PM Santa Fe Sequential Intercept Mapping Tom StarkeSANTA FE BEHAVIORAL HEALTH ALLIANCE
12:50 – 1:00 PM Questions Open Floor for Discussion
Slide 6
Opening Remarks
David Morrissette, Ph.D., LCSW
Capt., U.S. Public Health Service
SAMHSA/CMHS
Slide 7
Introducing Today’s Presenters: MO
Sheriff Kevin C. Bond, Pettis County Sheriff’s Office, Missouri
• In his 13th year as the Sheriff of Pettis County and has over 31 years of law enforcement experience; has 23 years of experience in teaching criminal justice courses to college students, police recruits, and peace officers.
• Chairs the Missouri Sheriffs’ Methamphetamine Relief Team (MOSMART) Board, which administers and oversees a variety of law enforcement grants statewide.
• Serves as president of his regional child advocacy center, Child Safe of Central Missouri, and is a past president of the Missouri Sheriffs’ Association.
• Convened the Pettis County Mental Health Coalition to coordinate efforts to address the issue of mental illness in their local community.
• Holds a bachelor degree in Criminal Justice at Central Missouri State University.
Slide 8
Introducing Today’s Presenters: CA
Kelly Colopy, Director, Long Beach Department of Health & Human Services
• Directs the Health and Human Services Department for the City of Long Beach, CA, which has 300+ employees in 30 programs working with the community on improving the health of people in Long Beach.
• Spent the past 24 years in organizations that supported public health and social services at both the State, County and local levels:
– Managed the public mental health network in Salt Lake County, Utah, as Network Director for Optum Salt Lake County’s 225 provider network.
– Served as the Associate Director for Salt Lake County’s Human Services Department, providing leadership in the areas of public and behavioral health, aging services, youth at risk, community development, criminal justice services/jail re-entry, and library services.
– Served as Research Director for the State of Utah Division of Substance Abuse; Research Consultant for State of Utah Department of Human Services.
– Evaluated Federal education programs that served youth in low-income communities.
• Holds a master’s degree in Public Policy from Duke University, and a bachelor’s degree in Political Science from Smith College.
Slide 9
Introducing Today’s Presenters: NM
Tom Starke, Chair, Santa Fe Behavioral Health Alliance
• Retired physicist from Los Alamos.
• Started the Santa Fe Behavioral Health Alliance in 2014, with the encouragement of a district court judge, coordinating interactions between behavioral health support and treatment providers, and criminal justice agencies. Its purpose is to divert people with behavioral illnesses from the criminal justice system into treatment.
• Brought a SAMHSA GAINS Center-led a Sequential Intercept Model (SIM) Mapping Workshop to the Santa Fe community in 2015.
• Volunteers with several behavioral health nonprofits in Santa Fe.
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SIM-plementation: Applying Sequential Intercept Mapping to Pettis County, Missouri
Sheriff Kevin C. Bond
Pettis County Sheriff’s Office
Pettis County Overview
• Pettis County, Missouri– Population 42,201– 686 Square Miles
• Cities– County Seat – Sedalia
• Missouri State Fairgrounds• Northern Gateway to Lake of the Ozarks
– LaMonte, Green Ridge, Smithton, Hughesville, & Houstonia
• Pettis County Jail– Capacity - 210 Beds– Total 2016 Admissions – 3,473– Average Daily Population – 173– Pre-Trial – 57%– Female – 23%
Slide 12
B2 Stealth Bomber, Whiteman AFB
Community Context
Slide 13
How We Got Started
• 2012 – Div 5 Probate Judge called meetings to establish procedures involving 96-hr involuntary committals
• May 2015 – Sheriff Kevin Bond reactivated Pettis County Mental Health Coalition
• June 1, 2015 – Stepping Up Proclamation signed by Pettis County Commission
Slide 14
Collecting & Using Data
• Identified the highest users of CJ & mental health services
– Locally – 14% of those arrested meet criteria• 16% of long-term inmates have some type of MH disorder
• 95% recidivism rate for these individuals!
Slide 15
Sequential Intercept Map
• Received SAMHSA GAINS Center Training Grant
– March 22-23, 2016
– Used Sequential Intercept Model (SIM)
– Developing a Systems Roadmap
Slide 16
Pettis County Cross-Systems Map
Slide 17
Pettis County’s Flow Chart
Pettis County
Mental Health Coalition
Sheriff Kevin Bond
Jail Tracking/
Services
Jail Admin/
Healthcare
West Central MO
CIT Council
Area LE Agencies/
Affiliated Partners
Boundary Spanner
Position
Katy Trail
Community Health
Criminal Diversion
Program
Paul Beard,
Probate Judge
Reorganize Local
NAMI Chapter
Persons with
Lived Experience
Stepping Up
Initiative
(May 2015)
Stepping Up Summit –Washington DC
(April 2016)
SIM Workshop
SAMHSA Gains Center
(March 2016)
Sequential Intercept Map/Priority Initiatives
Community Mental Health Liaison
Anna White
Slide 18
“Crawl Before You Walk”
• Community Mental Health Liaison
• West Central Missouri CIT Council
• Criminal Diversion Program
• Boundary Spanner Position
• NAMI of Pettis County
• Diversion Center
Slide 19
LBMEND(Mental Evaluation Needs-Based Diversion)
Kelly Colopy
Long Beach Department of Health & Human Services
Partners (In the Beginning)
• Long Beach Health and Human Services
• Long Beach Police Chief/Police Department
• Long Beach City Prosecutor
• Los Angeles County – Department of Mental Health
• Mental Health America
Slide 21
Original Design – Focus on Diversion
Slide 22
GAINS Center Sequential Intercept Model 2015
Slide 23
Our Partners (Expanded)
• Long Beach Police Chief/Police Department
• Long Beach City Prosecutor
• Los Angeles County – Departments of Mental Health, Public Health, Probation, Office of Diversion, District Attorney’s Office
• Community-Based Organizations- Mental Health, Housing, Re-entry, Substance Use
• Faith-Based Organizations
• Hospitals
• Veterans Administration
Slide 24
In Place and Continuing (examples)
• Intercept 1– MET Teams (Mental Evaluation Teams)– Mental health training for police– Robust Coordinated Entry System for Persons Experiencing
Homelessness
• Intercept 2 & 3– Social works in Public Defender offices– Co-location of pre-trial at LA County jail– Collaborative Court in Long Beach– LA County Court Liaison
• Intercept 4 & 5– Jail Linkage specialist/Linkage navigator– Designated MH Full Services Provider TX slots
Slide 25
Hurdles
• City efforts in a strong County environment – small fish in a large pond.
• Mental Health and Substance Use Services planned and funded at the County level
• Prop 47
• Data
• Resourcing
Slide 26
Long Beach County Progress
• PATH Program – Promising Adults, Tomorrow’s Hope• Police Department Youth Diversion• Data on Mental Health collected at booking• Pilot MH Clinician in Jail (Early 2018)• Mental Health Law Enforcement Assisted Diversion
(LEAD) • Behavioral Health Urgent Crisis Center (Opening
Spring, 2018)• Administrative Regulation supporting Data Sharing
• New Partner: Long Beach Innovation Team– User cases, System design sessions– Funding for Data Mart
Slide 27
Santa Fe Sequential Intercept Mapping
Tom Starke
Santa Fe Behavioral Health Alliance
Slide 28
Santa Fe Behavioral Health Alliance
• Non-governmental organization formed with encouragement of district court to reduce the number of individuals with behavioral illness being supervised by the criminal justice system.
• Primary strategy is to divert individuals from justice to community treatment.
• Organizes improvement project teams and hosts quarterly progress reviews. All funding provided by participating agencies.
• Brought SAMHSA’s SIM Mapping workshop to Santa Fe in May, 2015. ~80 individuals from justice and behavioral health agencies participated.
Slide 29
Santa Fe County
• 1900 sq. mi.
• 45% rural
• 42% non-Hispanic white
• 150,000 population
• 6500 with SMI
• 12,000 misusing drugs
• 10,000 needing addiction treatment
• ~500 incarcerated in county jail (2/3rd on psychotropic meds)
Slide 30
Alliance Participating Organizations
• District Court
• Magistrate Court
• Municipal Court
• County Corrections
• Sheriff’s Office
• SF Police Department
• State Probation Office
• City EMS
• County EMS
• Regional Em. Com. Center
• County Community Services• SF City Family Services• State DOH/BHI• State Behavioral Svc. Div. • NAMI Santa Fe• CHRISTUS hospital• PMS• The Life Link• Interfaith Shelter• St. E Shelter• Southwest Care Center• Mountain Center
Slide 31
Santa Fe County Cross-Systems Map
Slide 32
Santa Fe Progress
• Strengthened people-to-people working relationships among agencies
• Joined Stepping Up Initiative (NACo)• Mobile Crisis Response Team implemented• Crisis Center (funded, being implemented)• Jail Re-entry program implemented• Law Enforcement Assisted Diversion (LEAD)• Trauma-informed response training• Treatment Guardianship implemented• SMART 911
Slide 33
Opportunities
• Case information sharing• Forensic case management• Bench warrant reduction• Shelter and housing• Coordination of jail release and treatment• Client transportation• Mental health treatment slots• Addiction treatment slots• Expanded peer participation• Forensic Intervention Consortium
Slide 34
Questions
• Please submit your questions to the presenters in the Q&A pod
• The presenters will address as many questions as time permits.
Slide 35
Supporting Documents
Slide 36
Contact The Presenters
• Kevin C. Bond, Sheriff
– Pettis County, Missouri
• Kelly Colopy, Director
– Long Beach Department of Health & Human Services
• Tom Starke, Chairman
– Santa Fe Behavioral Health Alliance
Slide 37
Contact Us
345 Delaware Avenue Delmar, New York 12054
(518) 439-7415 | [email protected]
https://www.samhsa.gov/gains-center
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