CRIMINAL JUSTICE AND MENTAL HEALTH CLIENTS Successful - - PowerPoint PPT Presentation

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CRIMINAL JUSTICE AND MENTAL HEALTH CLIENTS Successful - - PowerPoint PPT Presentation

CRIMINAL JUSTICE AND MENTAL HEALTH CLIENTS Successful collaboration in a rural community PROSECUTOR LOCAL MENTAL and COUNTY HEALTH GOVERNMENT PROVIDER COMMUNITY LAW LOCAL SAFETY ENFORCEMENT HOSPITAL/ER MENTAL HEALTH NEEDS


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SLIDE 1

CRIMINAL JUSTICE AND MENTAL HEALTH CLIENTS

Successful collaboration in a rural community

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SLIDE 2

Co Collabo borative initiatives to ensure community safety and justice.

COMMUNITY SAFETY

MENTAL HEALTH NEEDS ADDRESSED

LAW ENFORCEMENT PROSECUTOR and COUNTY GOVERNMENT LOCAL MENTAL HEALTH PROVIDER LOCAL HOSPITAL/ER

CRIMINAL JUSTICE intersects MENTAL HEALTHCARE

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SLIDE 3

Llano County (Rural)

  • Tension

point with death

  • f

an inmate at the county jail.

– Sheriff’s Department – Prosecutor and County Government – Local Mental Health Provider – Local emergency room

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SLIDE 4

Llano County Solution

  • Medic

icaid id 1115 Waiv iver Project

– County Judge and 1 Commissioner – County Attorney – Local hospital – Sheriff’s Department – Local Mental Health Provider – Other Agencies/Departments (CPS, APS, ISD, probation, etc….)

  • Committed

ambulance assets to perform “wellness checks”

  • n

high risk citizens with underlying mental health concerns.

  • Published

the “Llano County Community Resource Guide”

  • Established

the “Llano County Mental Health Coalition”

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SLIDE 5

MENTAL HEALTH COALITION

  • Met

qu quarterly for ~ 2 years

– Com

  • mbi

bined Com

  • mmunity

Resou

  • urce

ce Coor

  • ordination
  • n

Grou

  • up

(CRCG) with Me Mental Hea Health C Coalit itio ion a and m meet eet 2 2-4 4 X year.

– CR CRCG CG addresses youth as we well as adult needs.

  • Hi

Hill Co Country MHDD HDD grants

– Me Mental Health Deputy for

  • r

Llano Cou

  • unty

– Te Tele-psych ch service ces for

  • r

Llano Cou

  • unty

Jail – Con

  • ntract

cts 3 private hos

  • spitals

for

  • r

emergency cy admission

  • ns

when the Crisis St Stabi bilization Un Unit is not availabl ble.

  • Co

County created new relationshi hips to network with MHDD HDD and acce access their regional al resource ces to as assist with juvenile/C /CPS youth (i (i.e .e. . San Marcos cent nter) r)

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SLIDE 6

MANAGING EXPECTATIONS

  • Understand

and respect partners’ statutory and contractual

  • bligations

and limitations:

– Law Enforcement

– Training requirements – Jail Standards – Law Enforcement Emergency Detention Orders – Transporting individuals with mental health concerns – _______________________

– Prosecutor/Judge

– Mental Health Commitments – Bond Considerations – Prosecutorial discretion

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SLIDE 7

MANAGING EXPECTATIONS

– Mental Health & Developmental Disabilities

– Contractual Requirements (What they can and can’t do) – CSU limitations

  • n

admissions – Inability to provide transportation (Health and Safety Code)

– Local Hospital/ER

– EMTALA – Limited “security”

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SLIDE 8

TIPS FOR SUCCESSFUL COLLABORATION

PARTNERSHIP

– Start where you’re at – Build trust and address stigma – Cross refer—allow

  • thers

to be expert – Reassess with change and growth

FINANCIAL MOTIVATION

– Shared resources-cost effective – Funder encourage partnerships – Partners share search for funders

SHARED MISSION

  • Share

understandings

  • Feeling
  • f

connection and belonging

  • Proactive—schools,

churches, resources centers, county and city

  • fficials,

law enforcement, LMHA

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SLIDE 9

THE BOTTOM LINE

  • A

person in psychiatric crisis did not “as ask” to be in the crisis!

  • A

mental illness is a physical illness

  • A

person with acute mental illness is a person in need

  • A

person with mental illness is not “yours”

  • r

“mine”, but someone who deserves a coordinated and caring response!

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SLIDE 10

PROCESS

  • ID

IDENT NTIF IFY “IND INDIV IVID IDUA UAL IN IN CRISIS” ISIS” at Jail il In Intake ke

  • NO

NOTI TIFY MENT NTAL HEALTH TH DEPUTY UTY

  • CA

CALL LL “M “MHDD HDD CR CRISIS HO HOTLI LINE”

– Loca

  • cal

MH MHDD will rece ceive not

  • tifica

cation

  • n

– On On-ca call prov

  • vider

will meet “cl client/defendant” in jail

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SLIDE 11

COMMON FRUSTRATIONS

  • Law

Enforcement alerts MHDD … … “We have your perso son…” …”

  • Of

Officer ers may have been been misled ed in rec ecen ent tr trainings gs th that it is acce accept ptab able to “drop” p” individual als

  • ff

at ps psych ch hospi pital als.

  • Te

Tele-psy psych ch scr screens ar are underutilized

  • Co

County partners need to collabo borate to address “i “individual” ne needs pri rior to cri risis.

  • Sh

Shift focus to “Can an Do” vs “Can an’t Do”