Cross-Systems Mapping

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Cross-Systems Mapping
Transforming Services for Persons with Mental
Illnesses and/or Substance Abuse Disorders in
Contact with the Criminal Justice System
Reinvestment Act Meeting July 24, 2008
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Planning and Best Practices

• Mark Engelhardt, M.S., ACSW
• Associate Director , CJMHSA TA Center, Florida
  Mental Health Institute, University of South
  Florida
• Faculty System Development Consultation
• Michele Saunders, LCSW
• Executive Director, Florida Partners in Crisis,
  Inc.
• Chair, Florida CIT Coalition

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Integrated Strategic Planning

• How does the CJMHSA Reinvestment Planning and
  Implementation Plans fit into other County and
  State Planning in the Circuit? (Public Safety,
  Co-Occurring Disorders, Housing, Federal
  Diversion Grants, etc.)
• Expectation that a Realistic Plan and Memorandum
  of Understanding be Developed
• Implementation Grants Update Strategic Plans
  Based on the Grant Award and Best
  Practices/Decisions
• Who needs to be invited to the Table?
• Action Plans, Finance, Services, Sustainability,
  etc.

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Strategic Planning References

• SAMH Corporation Request for Applications
• Appendix A Format
• Appendix B Best Practices
• Council of State Governments Justice Mental
  Health Collaboration Program (JMHCP) Planning
  and Implementation Guide
• SAMHSA Jail Diversion Grants Strategic
  Planning
• Floridas Supreme Court Mental Health Report
  Appendix G H Memorandums of Understanding

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Related Web Resources

• FMHI Technical Assistance Center
  www.floridatac.org
• Substance Abuse and Mental Health Corporation
  (for RFA) www.samhcorp.org
• Policy Research Associates, Inc. www.prainc.com
• Florida Partners in Crisis www.flpic.org
• The Justice Center http//justicecenter.csg.org

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The Problem

• Many of the same people are served in multiple
  systems
• Mental health
• Substance abuse
• Criminal justice
• Other social services
• Expensive - high service users, people who cycle
  and recycle through the system

SOLUTION Cross-Systems Coordination
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Workshop Tasks

• Nurture cross-system collaboration
• Effective Collaboration has a Purpose!
• Map the local system
• Build an Action Plan
• Follow up!

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Local Collaboration Examples

• Mobile Crisis Unit/ Crisis Intervention Teams or
  Training
• Mental Health Courts
• Federal Jail Diversion Grants
• CJMHSA Planning Council 1st time many of the
  stakeholders have formally met and worked
  together.

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ACTION Cross-Systems Mapping Taking Action for
Change
Focus

Goals
Tasks
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Focus

• Men and women with
• Serious mental illness, and often
• Co-occurring substance use disorders
• Involved in the criminal justice system

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Goals

• Promote and support recovery
• Provide safety and quality of life for all
  community residents
• Keep people out of jail and in treatment
• Provide constitutionally adequate treatment in
  jail
• Link to comprehensive, appropriate, and
  integrated community-based services

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Objective Cross-Systems Coordination
Collaboration
GOAL FOR SERVICES
ccessible omprehensive rauma-informed ntegrated
ptions etworked
A C T I O N
Criminal Justice
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Challenges to Collaboration

• Understanding Funding silos
• Limited History of True Collaboration or
  Community Problem-solving
• Limited resources create acompetitive and/or
  protective environment
• System cultures
• Local Relationship Building
• Target populations common definition

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Benefits of Effective Collaboration
Community Collaboration Services Integration

• ? Service Retention
• ? Stability in the Community
• ? Public Safety
• ? Savings

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Keys to Success

• Task Force (Shared Leadership)
• Subcommittees - Facilitation
• Consumer Family Involvement
• Communication Information Sharing
• Boundary Spanners
• Champions Top Down/Bottom Up
• Create Momentum or Traction!

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Additional Strategies

• Share a vision, mission and direction
• Use evidence-based and promising practice models
• Use money creatively
• Blended or braided funding
• Using both existing and new resources
• Collect and use data
• Discuss Outcomes

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Sequential Intercept ModelBasis for
Cross-Systems Mapping

• A tool to
• Help transform fragmented systems
• Identify local resources, gaps and
• Help identify where to begin interventions

Cross-Systems Mapping is an activity which
depicts contact/flow with the criminal justice
system.
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Sequential Intercept Model Patty Griffin, PhD
Mark Munetz, MD

• 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

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Five Key Points of Interception

1. Law enforcement / Emergency services
2. Booking / Initial court hearings
3. Jails / Courts
4. Re-entry
5. Community corrections / Community support

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Gaps Best Practices

• Discussion of Gaps in Processes and Service
  Delivery at Each Intercept Point
• Identification of Best Practices that are being
  implemented at the County Level and what is
  desired
• Strengths-based Planning and Identification of
  Best Practices at Each Intercept or where to find
  them. (Examples Florida National)
• County or Locally Driven Map

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Sequential Intercept ModelA Circular View
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Intercept 1 Law Enforcement

• Best or Promising Practices
• Crisis Intervention
• Team (CIT)
• Mobile Crisis Teams
• Specialized Law
• Enforcement
• Training
• Central Receiving Centers (Baker Act and Marchman
  Act)

Initial Contact
Law Enforcement
COMMUNITY
Emergency Services
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Intercept 2 Detention and Initial Appearance

• Best or Promising Practices
• Mental Health and Substance Abuse Screening at
  Booking (Co-occurring capable)
• Brief Jail Screening
• Mental Health Pre-Trial Release

Initial Court Appearance
Booking and Initial Detention
Arrest
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Intercept 3 Jails and Courts

• Best or Promising Practices
• Mental Health/Substance Abuse Assessments
  (Co-occurring capable)
• Psychiatric Services
• Trauma Informed Services
• CIT training for Correctional Officers
• Mental Health Courts
• Drug Courts
• Specialized Court Docket

County Court
Judicial Disposition
Circuit Court
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Intercept 4 Re-Entry

• Best or Promising Practices
• Asses, Plan, Identify, Coordinate (APIC) Model
• Forensic Intensive Case Management (FICM)
• Florida Assertive Community Treatment (FACT)
• Forensic Assertive Community Treatment (Forensic
  ACT)
• Boundary Spanners
• SSI/SSDI Outreach, Assess, Recovery (SOAR)

Prison
Jail
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Intercept 5 Community Corrections and Community
Supports

• Best or Promising Practices
• Sensitizing Providers to the Effects of
  Incarceration on Treatment and Risk Management
  (SECTRM)
• Specialized Mental Health Probation
• Specialized training for Probation
• Forensic Intensive Case Management (FICM)

Parole
COMMUNITY
Probation
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Intercept 5 Community Corrections and Community
Supports

• Best or Promising Practices
• Trauma Informed Treatment
• Supportive Housing Options
• Clubhouses
• Drop In Centers
• SAMHSA Tool Kits
• ACT Model
• Supported Employment
• Integrated Co-Occurring Disorder Treatment
• Illness Management and Recovery (i.e. WRAP)

Parole
COMMUNITY
Probation
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Action Planning Prioritized
Priority Area Priority Area Priority Area Priority Area Priority Area
Objective Objective Action Step Who When

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Next Steps

• What will happen with the Action Plan Systems
  Map?
• Date of next Task Force meeting
• Ongoing Subcommittee work
• Access to USF-FMHI Technical Assistance Center
  and National Resources
• Implementation, Data , Outcomes

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USF-FMHI Observations So far

• Priorities identified by Counties Mapping and
  Telephonic Technical Assistance
• Communication among CJMHSA Planning Council
• Data Sharing (HIPAA), Collection and Analysis
• Expanding Service Delivery Capacity
• Cross-systems Training Opportunities
• Exposure to Best Practices
• Getting Organized Commitment to Action Plans

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Planning Implementation
Thank you for participating!
www.floridatac.org Email floridatac_at_fmhi.usf.edu

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