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Use of the Sequential Intercept Model Improving Criminal Justice Response for Persons with Mental Illness Oversight Council Presentation 04/05/2018 Sequential Intercept Model 2 People move through criminal justice system in predictable


  1. Use of the Sequential Intercept Model Improving Criminal Justice Response for Persons with Mental Illness Oversight Council Presentation 04/05/2018

  2. Sequential Intercept Model 2

  3. • People move through criminal justice system in predictable ways • Illustrates key points to “intercept,” to ensure: • Prompt access to treatment • Opportunities for diversion • Timely movement through criminal justice system • Linkage to community resources Mark Munetz MD and Patty Griffin PhD (and Hank Steadman PhD)

  4. Purpose • Create a strategic plan specific to your community • Assess available resources • Determine gaps in services • Prioritize

  5. Catalysts t to a action Increasing Challenges • Overcrowded jails • 25% inmate growth by 2020 • New jail would be needed • 61% of inmates are nonviolent • Insufficient space for courts • Voters rejected larger court and jail space in 2014 & 2017 • More mental health crises • People cycling thru systems

  6. Stepping Up Video

  7. GOALS I Reduce the number of people booked into jail with behavioral health disorders II Reduce the length of time people with mental illnesses stay in jail III Increase connections to community-based services and support IV Reduce the number of people returning to jail

  8. Convene or draw on a diverse team

  9. Who Should Be Part of Stakeholder Group Courts People with Behavioral Mental Health Illness Stakeholder group Human Faith Based Services Public Law Defender Enforcement

  10. Codington County Welfare Offi fice Th The Le Lead Offic fice on St Steppin ing Up In Init itia iativ ive Staff: 1.5 Social Worker Collaboration within County County Commissioners State’s Attorney Sheriff Detention Center

  11. Collaborators – the Im Implementers Links are Established • Community Resources • Behavioral Health • Salvation Army • Human Service Agency • Beacon Center • Lutheran Social Services • Voc-Rehab • Judge • Watertown City Police • Probation Officer • Parole Officer • Prairie Lakes Hospital

  12. Collaborators - the Advisors Advisory Links which have been Established • State of South Dakota entities • National Alliance for Mental Illness, South Dakota Chapter • Council on Mental Health • Council on Substance Abuse • Dept of Social Services – Division of Behavioral Health • State Senator from local District

  13. Stepping Up In Init itiative Work rking Group • Purpose: Plan & Implement program • Meet monthly • County Commission passed the basic NACO SUI Resolution

  14. Applying the Sequential In Intercept Model Reduce the number of f people wit ith mental il illn lness in in ja jail il

  15. Violation Violation PR Cash 24/7 NoViolation PR Cash 24/7 NoViolation Screen by Correctional Eval Screened by Release Officer Bond MHWorker 911 Aquittel Bond Preliminary Trial Initial Hearing Sentence Committal Appearance Arrest Jail Arraignment Magistrate Formal Grand Judge Sentence Probation Charges Jury COMMUNITY No Violation Violation Committal Men S tal afe LE Hol Ro Out Initiated d o Patient Release m Servic es? CIT Screened Out Solid Line - Existing Dotted Line - Proposed

  16. WHAT DO WE HAVE?

  17. Intercept 1 Intercept 2 Intercept 3 Intercept 4 Intercept 5 Law Enforcement Initial Detention/Court Courts Re-entry Community Corrections Emergency Services Hearing Jail Community Support City Police Bookings Courts Human Service Agency • • County Sheriff Codington County Drug Mental Health • • • CIT Trained Detention Center Veteran Substance Abuse • • Juvenile Alternative C.A.R.E Human Service Agency Correctional Officers Housing Supports • • • Crisis Line CIT Trained Homeless Hotel • • SAFE Room ESG • • Serenity Hills (Detox) Section 8 • USDA Rural Housing • Salvation Army Court Dept. Social Services • (Emergency Housing) Hearing Medicaid/ Medication • SNAP • Energy Assistance ER- Prairie Lakes Independent Living Choices Beacon Center (DV Shelter) Access Ministries Food Pantries/ Meals

  18. WHAT DO WE NEED?

  19. Intercept 2 Initial detention/Initial court hearings First Appearance Court Initial Detention Arrest

  20. Mental Health Work rker • Mental Health Professional • Purpose • Screen and assess • Part-time based on jail population • Stabilize inmates • 25% of 55 inmates is 13 inmates • Plan rehabilitation & return to • 13 x 1.54 hours/week = 20 hrs/wk community • Also does crisis intervention • Recommendations to Judge • Gathering data • Funded by County Welfare Office • Began in September 2015 • Money saved by maximizing use of longer-term assistance, funded by other entities

  21. Intercept 0 Intercept 0 ER/Crisis/Respite

  22. OUTREACH SERVICES

  23. BEHAVIORAL HEALTH DEFLECTION PILOT PROGRAM TARGET POPULATION:  MENTAL HEALTH CONTACTS THAT DON’T LEAD TO ARREST  MENTAL HEALTH CONTACTS “CLEARED ON SCENE”  NOT CONNECTED TO SERVICES DEFLECTION PILOT: • AFTER MENTAL HEALTH CONTACT, LAW ENFORCEMENT REFERS TO DEFLECTION PROGRAM • DEFLECTION PROGRAM WORKS TO INVOLVE PARTICIPANTS WITH SERVICES • DATA COLLECTION

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