Introduction to Jail Diversion
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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