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Introduction to Jail Diversion
 

Introduction to Jail Diversion

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Introduction to Jail Diversion

Introduction to Jail Diversion

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    Introduction to Jail Diversion Introduction to Jail Diversion Presentation Transcript

    • Jail Diversion
      Together We Stand, Educating Our Vision for the Future!
      Coastal Bend Rural Health Partnership
      October 8-9, 2010
      Texas A&M University – Kingsville, Texas
      Gilbert R.Gonzales
      Director, Communications and Diversion Initiatives
      The Center for Health Care Services
      www.chcsbc.org
      http://www.diversioninitiatives.net
    • OVERVIEW
      • Define Jail Diversion
      • The Problem
      • Bexar County Safety Net
      • How the Program Works
      • The Benefits to you
    • Jail Diversion Mission Statement
      To divert persons with mental
      illness from inappropriate
      Incarceration
      What is Jail Diversion?
      “Jail diversion" attempts to divert individuals with serious mental illness (and co-occurring substance use orders) that come into contact with the justice system and provide linkages to community-based treatment and support services.
    • CRAZYby Pete Earley
      “Wherever I go, I take myself with me, and that always spoils it.”
      Susan Sheeham
    • History of Mental Illness in America
      Lobotomies were introduced in 1945 by sticking an ice pick into the frontal lobes of the brain. The invention received a Nobel Prize.
    • History of Mental Illness in America
      Early 1800’s - A Reverend found an inmate in Boston Jail in a closet for 9 years. He had not broken any laws.
      Historical treatment options included:
      Electroshock (ECT)
      Insulin injections
      Metrazol (induced seizures)
      Hydrotherapy
      (wet sheets and continuous baths)
      Fever therapy (injecting patients with disease in order to cause a fever)
    • “If you ask most people today where the mentally ill are in our society, they will tell you they’re in state mental hospitals. They’re wrong…they are in our jails and prisons.”Judge Steven Leifman Eleventh Judicial Circuit Miami, Florida
    • The Problem
      The American Jail Association estimates that over 650,000 bookings each year involve persons with mental illness.
      The national average in jail for this population is 16% and 64% arrested for public acts of bizarreness or non-violent minor charges.
      Inmates with mental illness serve an average of 15 months longer for the same crime, compared to other prisoners.
    • “ If you’ve seen ONE jail diversion program,
      you’ve seen ONE jail diversion program “
    • The Problem
      Criminalization of Mentally Ill
      Inappropriate Cost to Society
      20% + in jail
      Increase use of emergency rooms
      Homelessness
      Public Safety Net
      Consumers at risk
      Law Enforcement at risk
      Public at risk
    • If No Programs Are In Place
      Continued Increase/Overcrowding in Jail Population
      Continued Increase/Overcrowding in Prison Population
      Increased and Inappropriate
      Use of Emergency Rooms
    • Collaboration: It’s an unnatural act between…
      …two or more unconsenting adults.
    • A mouse, a cat and a dog.
      http://www.youtube.com/watch?v=D85yrIgA4Nk
    • Strategies for Success
      Don’t let them go to jail in the first place
      Diversion in all appropriate settings
      Set up:
      Primary Diversion/Intervention
      Pre booking services
      Cross match of jail population
      In jail screening/services
      Secondary Diversion/Intervention
      Post booking services
      Intensive outpatient treatment for probation/parole (Genesis)
      Residential MH services (MIOF)
      Continuity of Care
      Intensive ongoing case management
      Timely updates to Judges
      MH/Judicial joint staffing
    • How We Started
      Community Partnership
      The Jail Diversion Planning
      & Advisory Committee
      City of San Antonio
      Bexar County
      University Hospital District
      Private Hospitals
      San Antonio State Hospital
      Law Enforcement
      Criminal/Civil Courts
      Advocacy – NAMI
      Consumers
      Mental Health Partners
      The Jail Diversion Over-sight
      Committee
      Community Medical Directors
      Roundtable
      Private Sponsorship
      Aztrazeneca
    • The Model
      The Bexar County Jail Diversion Model is a comprehensive, coordinated delivery network which is tasked with identification, diversion from incarceration and treatment of the mentally ill for persons who are placed or who are about to be placed within the criminal justice system. The model is symptom based and is designed to cover 46 specific intervention points within the mental health/criminal justice system.
    • Judicial/Courts
      Magistrate,
      County,
      District
      Civil and Criminal
      System Entry Points
      County
      City-wide
      CIT/Law
      Enforcement
      Detention/Jail
      Mental Health
      Public and Private
      Providers
      Crisis Care Center
      Psychiatric and
      Medical
      Clearance
      Treatment
      Continuity of Care
      Police, Sheriff
      Probation, Parole
      Emergency
      Services
      Community
      Data exchange through
      • Community Collaborative
      • Crisis Care Center
      • CIT/DMOT
      • Jail and Juvenile Detention
      • Statewide CARE Match
      Dynamic
      Information Exchange
    • The Diversion Process
      Point of Contact with Law Enforcement
      CIT/Deputy Mobile Outreach Team
      Emergency Transport to Hospital
      24/7 Crisis
      Services
      *Pre-Arrest Diversion
      Referrals to Community Providers
      Magistrate Court
      Post-Booking Diversion
      Arrested
      Bexar County Jail
      Community-based Wraparound Care
      Pre-Trial Diversion
      Genesis
      Probation, Incarceration, Parole
      Treatment in lieu of Incarceration
      Residential Respite
    • Bexar County
      Public Safety Net
      Crisis Care
      Center
      Jail Diversion
      Initiatives
      The Restoration
      Center
    • Crisis Care Center
      Law Enforcement Services
      • 24 / 7 Operations
      • Medical Clearance
      • Psychiatric Services
      • Administrator on Call
    • C I T
      The Crisis Intervention Teams (CIT) – Officers trained by Law Enforcement and Mental Health Personnel via a 40 hour curriculum including role play demonstrations. Attends weekly operational
      meetings with MH and Community Stakeholders.
    • Jail Diversion Initiatives
      Pre-Trial Services
      Mental Health Bond
      Involuntary Outpatient
      Commitment
      Genesis – Manos Programs
      Parole & Probation Referrals
      MIOF Program
      Intensive 90 day
      residential probation
      Court Ordered Program
      Palo Alto
      Forensic ACT Team
      24/7 Intensive psychiatric services
    • Show me the DATA !!!
    • Impact on WAIT TIME
      for LAW ENFORCEMENT
      Now
      • The wait time for Medical Clearance/ Screening at the Crisis Care Center is 45 minutes.
      • Wait time for Medical Clearance/Screening and Psychiatric Evaluation is 60-65 minutes.
      Then(prior to Sept 2005)
      • Wait times for Medical
      Clearance/ Screening at
      UHS ER - 9 hours, 18 min.
      • Wait times for Medical
      Clearance/ Screening and Psychiatric Evaluation was between 12 and 14 hours.
    • Emergency Room Utilization (Medical Clearance)
      Emergency Room utilization has dropped 40% since the inception of the Crisis Care Center.
      40% of (7619 total seen at CCC) 3048
      Persons diverted from the ER (in 2006 first year) X $1545
      Cost Savings relative to ER Utilization $4,709,160
      Source: Jean R. Setzer, Ph.D., University Health System
    • Combined CCC and Restoration Documented and Immediate Cost Avoidance
    • BENEFITS OF JAIL DIVERSION
      • Decriminalization of persons with mental illness
      • Overrepresentation of people with mental illness
      in the criminal
      justice system is addressed
      • Reduced hospitalization
      • Increased public safety
      • Reduction of inappropriate incarceration of persons with
      mental illness
      • Length of stay in jail is shortened in lieu of increased access
      to treatment
      • Greater efficiency in the use of law enforcement
      • Violence and victimization is reduced
      • Costs incurred by taxpayers when a person with mental
      illness is arrested, incarcerated, and/or hospitalized is
      addressed
    • Thank you !
      www.chcsbc.org
      Leon Evans, Executive Director
      The Center for Health Care Services
      San Antonio, Texas
      For additional information please contact: Gilbert Gonzales
      Email: ggonzales@chcsbc.org
      Blog http://www.diversioninitiatives.net