AND FORENSIC ASSESSMENT SERVICES TRIAGE TEAM (FASTT) Bekah Bock, - - PowerPoint PPT Presentation

MOBILE OUTREACH SAFETY TEAM (MOST) AND FORENSIC ASSESSMENT SERVICES TRIAGE TEAM (FASTT)

Bekah Bock, LCSW DPBH Rural Clinics

BACKGROUND…

• 1800’s- Individuals with mental illness in jails
• 1841- Dorothea Dix, journalist advocates for mental health hospitals
• 1960’s US deinstitutionalization of individuals with mental illness-
• Transitioning individuals with severe mental illness from long term psychiatric institutions

to the community

• Insufficient community supports lead to other types of institutionalization such as

incarceration

• In 44 states, more individuals are in single jail than the largest state psychiatric

hospital

• Largest mental health hospital in America- Cook County Jail in Chicago

CONSEQUENCES OF CRIMINALIZING MENTAL ILLNESS

• Individuals with mental illness on average:
• Have longer jail stays
• Have higher costs associated with incarceration
• Experience behavioral issues without treatment
• See symptoms of mental illness worsen without treatment
• Often don’t get connected to treatment upon release- revolving door
• Are more likely to be victimized

STEPPING UP INITIATIVE:

DIVERSION OF INDIVIDUALS WITH MENTAL ILLNESS FROM THE CRIMINAL JUSTICE SYSTEM

STEPPING UP INITIATIVE PROGRESS IN NEVADA

CONNECTING INDIVIDUALS WITH COMMUNITY TREATMENT AND SERVICES

• Building initiatives to connect individuals with treatment to

break cycle of recidivism

• Successful treatment and community support
• Reduces disruptive, assaultive, self injurious behaviors in the

community

• Increases public safety
• Reduces public cost of repeat arrests and incarcerations

SEQUENTIAL INTERCEPT MODEL

“Predictable points of contact offering opportunities for intervention”

MOBILE OUTREACH SAFETY TEAM

• A clinician, law enforcement officer, (and

sometimes paramedic) team with the purpose of providing community intervention and support to individuals who are experiencing behavioral health problems/ crisis

MOBILE OUTREACH SAFETY TEAM OBJECTIVES

• Respond to suicidal/ mentally ill subject calls for service.
• Respond to barricaded mentally ill individuals or other in-progress

mental illness related crisis situations.

• Follow-up on referrals generated by law enforcement, Mental Health

Court, mental health professionals, and emergency service workers.

• Outreach work with the mentally ill homeless population.
• Referral to community resources and connection with community

resource liaison

• Proactive work with known mental health clients to maintain proper

medication program compliance.

MOBILE OUTREACH SAFETY TEAM BENEFITS

• Jail and ER diversion
• Reduces call load for dispatch
• Reduces law enforcement contact time
• Increases public safety
• Community intervention and support for individuals in

chronic crisis

M.O.S.T. REFERRALS

• 1. To make a non-emergency referral for MOST :
• 2. Call dispatch
• 3. Tell dispatch you wish to make a MOST referral

4. Provide the following: 5. Your name, agency and contact information 6. Name of individual / individuals being referred 7. How the individuals can be contacted, i.e. address, phone number, etc. 8. Reason for referral: remember the more detail provided the better the MOST Team will be able to maintain safety and provide adequate service

FASTT: FORENSIC ASSESSMENT SERVICES TRIAGE TEAM

• Treatment intervention and reentry program that is offered in

the county jail.

• Multi-disciplinary team from social services, mental health,

substance use providers

• Assesses the individual’s mental health, substance use, basic

needs, (housing, medical, employment, transportation), and risk of reoffense.

FASTT BACKGROUND

• Carson City 2013-
• Partnership between State DPBH mental health, community

coalitions, and forensic director of Carson City Jail, Dr. McEllistrem

• Replicated in Lyon and Douglas Counties, coming soon to

Churchill

• Spreading statewide

FASTT OBJECTIVE

• To reduce or eliminate reoffending and re-arrests by

coordinating to connect individuals with needed treatment and services in the community

FASTT REFERRALS

• From deputies
• Judges
• Clinician assessing in jail
• Community providers
• Family members