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NACo Jan 2010 Justice and Public Safety Conference


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NACo Jan 2010 Justice and Public Safety Conference

  1. 1. Integration, Restoration and Transformation: A Systems Overview Presentation for the National Association of Counties Conference; “Restore the Partnership for Community Corrections, Reentry, Reinvestment and Public Safety” January 21, 2010 Leon Evans President and Chief Executive Officer The Center for Health Care Services Mental Health and Substance Abuse Authority Bexar County San Antonio, Texas [email_address] Kathryn Jones Director, Substance Abuse Services Aaron Diaz Director, Crisis and Jail Diversion Services Gilbert Gonzales Director, Communications and Diversion Initiatives The Center for Health Care Services 210 731-1300
  2. 3. Collaboration Integration Restoration Transformation
  3. 4. The Problem
  4. 5. Intercept Points <ul><li>Chapter IV: Incarceration and Reentry </li></ul><ul><ul><li>Introduction: Incarceration and Reentry </li></ul></ul><ul><ul><li>Policy Statement 17: Receiving and Intake of Sentenced Inmates </li></ul></ul><ul><ul><li>Policy Statement 18: Development of Treatment Plans, Assignment to Programs, and Classification / Housing Decisions </li></ul></ul><ul><ul><li>Policy Statement 19: Subsequent Referral for Screening and Mental Health Evaluation </li></ul></ul><ul><ul><li>Policy Statement 20: Release Decision </li></ul></ul><ul><ul><li>Policy Statement 21: Development of Transition Plan </li></ul></ul><ul><ul><li>Policy Statement 22: Modification of Conditions of Supervised Release </li></ul></ul><ul><ul><li>Policy Statement 23: Maintaining Contact Between Individual and Mental Health System </li></ul></ul><ul><li>Chapter V: Improving Collaboration </li></ul><ul><ul><li>Introduction: Improving Collaboration </li></ul></ul><ul><ul><li>Policy Statement 24: Obtaining and Sharing Resources </li></ul></ul><ul><ul><li>Policy Statement 25: Sharing Information </li></ul></ul><ul><ul><li>Policy Statement 26: Institutionalizing the Partnership </li></ul></ul><ul><li>Chapter VI: Training Practioners and Policymakers and Educating the Community </li></ul><ul><ul><li>Introduction: Training Practitioners and Policymakers and Educating the Community </li></ul></ul><ul><ul><li>Policy Statement 27: Determining Training Goals and Objectives </li></ul></ul><ul><ul><li>Policy Statement 28: Training for Law Enforcement Personnel </li></ul></ul><ul><ul><li>Policy Statement 29: Training for Courts Personnel </li></ul></ul><ul><ul><li>Policy Statement 30: Training for Corrections Personnel </li></ul></ul><ul><ul><li>Policy Statement 31: Training for Mental Health Professionals </li></ul></ul><ul><ul><li>Policy Statement 32: Educating the Community and Building Community Awareness </li></ul></ul><ul><ul><li>Policy Statement 33: Identifying Trainers </li></ul></ul><ul><ul><li>Policy Statement 34: Evaluating Trainers </li></ul></ul><ul><li>Chapter VII: Elements of an Effective Mental Health System </li></ul><ul><ul><li>Introduction: Elements of an Effective Mental Health System </li></ul></ul><ul><ul><li>Policy Statement 35: Evidence-Based Practices </li></ul></ul><ul><ul><li>Policy Statement 36: Integration of Services </li></ul></ul><ul><ul><li>Policy Statement 37: Co-Occuring Disorders </li></ul></ul><ul><ul><li>Policy Statement 38: Housing for People with Mental Illness </li></ul></ul><ul><ul><li>Policy Statement 39: Consumer and Family Member Involvement </li></ul></ul><ul><ul><li>Policy Statement 40: Cultural Competency </li></ul></ul><ul><ul><li>Policy Statement 41: Mental Health Workforce </li></ul></ul><ul><ul><li>Policy Statement 42: Accountability </li></ul></ul><ul><ul><li>Policy Statement 43: Advocacy </li></ul></ul><ul><li>Chapter VIII: Measuring and Evaluating Outcomes </li></ul><ul><ul><li>Introduction: Measuring and Evaluating Outcomes </li></ul></ul><ul><ul><li>Policy Statement 44: Identifying Outcome Measures </li></ul></ul><ul><ul><li>Policy Statement 45: Collecting Data </li></ul></ul><ul><ul><li>Policy Statement 46: Disseminating Findings </li></ul></ul><ul><li>Chapter I: Involvement with the Mental Health System </li></ul><ul><ul><li>Introduction: Involvement with the Mental Health System </li></ul></ul><ul><ul><li>Policy Statement 1: Access to Effective Mental Health Services </li></ul></ul><ul><li>Chapter II: Contact with Law Enforcement </li></ul><ul><ul><li>Introduction: Contact with Law Enforcement </li></ul></ul><ul><ul><li>Policy Statement 2: Request for Police Service </li></ul></ul><ul><ul><li>Policy Statement 3: On-Scene Assessment </li></ul></ul><ul><ul><li>Policy Statement 4: On-Scene Response </li></ul></ul><ul><ul><li>Policy Statement 5: Incident Documentation </li></ul></ul><ul><ul><li>Policy Statement 6: Police Response Evaluation </li></ul></ul><ul><ul><li>Conclusion: Contact with Law Enforcement </li></ul></ul><ul><li>Chapter III: Pretrial Issues, Adjudication, and Sentencing </li></ul><ul><ul><li>Introduction: Pretrial Issues, Adjudication and Sentencing </li></ul></ul><ul><ul><li>Policy Statement 7: Appointment of Counsel </li></ul></ul><ul><ul><li>Policy Statement 8: Consultation with Victim </li></ul></ul><ul><ul><li>Policy Statement 9: Prosecutorial Review of Charges </li></ul></ul><ul><ul><li>Policy Statement 10: Modification of Pretrial Diversion Conditions </li></ul></ul><ul><ul><li>Policy Statement 11: Pretrial Release / Detention Hearing </li></ul></ul><ul><ul><li>Policy Statement 12: Modification of Pretrial Release Conditions </li></ul></ul><ul><ul><li>Policy Statement 13: Intake at County / Municipal Detention Facility </li></ul></ul><ul><ul><li>Policy Statement 14: Adjudication </li></ul></ul><ul><ul><li>Policy Statement 15: Sentencing </li></ul></ul><ul><ul><li>Policy Statement 16: Modification of Conditions of Probation / Supervised Release </li></ul></ul><ul><ul><li>Conclusion </li></ul></ul>
  5. 6. Collaboration: It’s an unnatural act between… … two or more unconsenting adults .
  6. 7. Graphic by Seth Godin Sheriff’s Office SAPD CHCS Metro Health University Health System Adult Probation EMS CPS APS SASH NAMI FIRE DA County Judge Area Hospitals University of Texas Criminal Justice Veterans Administration Pre Trial Services GI Forum DSHS Consumers And Families Magistration Facility City of San Antonio Bexar County Commissioner’s Court Law Enforcement Mental Health Partners Medical Directors Roundtable Children's Diversion Collaborative Juvenile Probation Criminal Courts Probate Courts Texas A&M DAPA SAMM Ministries Patrician Movement Connecting Community Leveraging Outcomes
  7. 8. Mental Health Forensic Flow a work in progress…
  8. 9. Point of Contact with Law Enforcement Magistrate Court Bexar County Jail Post-Booking Diversion Community-based Wraparound Care CIT/Deputy Mobile Outreach Team Genesis Probation, Incarceration, Parole Emergency Transport to Hospital Pre-Trial Diversion Referrals to Community Providers *Pre-Arrest Diversion Residential Respite Arrested The Diversion Process Treatment in lieu of Incarceration 24/7 Crisis Services Circa 2002
  9. 10. Law Enforcement Detention/Jail CIT Judicial/Courts Magistrate, County, District Mental Health Public and Private Providers Crisis Care Center Jail Diversion Psychiatric and Medical Clearance Specialty Offender Services Community Dynamic Crisis Jail Diversion Information Exchange Police, Sheriff Probation, Parole Civil and Criminal Treatment Continuity of Care County City-wide Emergency Services <ul><li>Data exchange through </li></ul><ul><li>Community Collaborative </li></ul><ul><li>Crisis Care Center </li></ul><ul><li>CIT/DMOT </li></ul><ul><li>Jail and Juvenile Detention </li></ul><ul><li>Statewide CARE Match </li></ul>System County City-wide Entry Points System Level Circa 2004
  10. 11. The Crisis Care Center Psychiatric Screening Minor Medical Clearance 24/7 Access for Law Enforcement Circa 2005
  11. 12. <ul><li>Then (prior to Sept 2005) </li></ul><ul><li>Wait times for Medical </li></ul><ul><li>Clearance/ Screening at </li></ul><ul><li>UHS ER - 9 hours, 18 min. </li></ul><ul><li>Wait times for Medical </li></ul><ul><li>Clearance/ Screening and Psychiatric Evaluation was between 12 and 14 hours. </li></ul><ul><li>Now </li></ul><ul><li>The wait time for Medical Clearance/ Screening at the Crisis Care Center is 45 minutes. </li></ul><ul><li>Wait time for Medical Clearance/Screening and Psychiatric Evaluation is 60-65 minutes. </li></ul>Impact on WAIT TIME for LAW ENFORCEMENT
  12. 13. Public Safety Triage Facility Restoration Center Grand Opening April 15 th , 2008 <ul><li>Detox Facility </li></ul><ul><li>Community Court </li></ul><ul><li>Outpatient Substance </li></ul><ul><li>Abuse Services </li></ul>Circa 2008
  13. 14. GI Forum Veterans Residential 1,000
  14. 16. Show me the DATA !!!
  15. 17. Forensic Court Programs 1. Outpatient Competency Restoration 2. Forensic Outpatient Commitments 3. Mental Health Court 4. Drug Court
  16. 18. Haven for Hope <ul><li>To increase the community capacity for mental health, substance abuse and detoxification services </li></ul>The Community Wide Initiative Haven for Hope and CHCS collaboration Goal:
  17. 19. Veteran’s Services <ul><li>Multiple Collaboratives/Initiatives for Veterans based in Bexar County </li></ul><ul><ul><ul><li>The San Antonio Veteran's Affairs Commission </li></ul></ul></ul><ul><ul><ul><li>The Military Coordinating Council for Behavioral Health </li></ul></ul></ul><ul><ul><ul><li>The Bexar County Veterans Service Office </li></ul></ul></ul><ul><ul><ul><li>Texas Resources for Iraq-Afghanistan Deployment, United Way </li></ul></ul></ul><ul><ul><ul><li>The Bexar County Veterans Service Office </li></ul></ul></ul><ul><ul><ul><li>Family Strong Advocacy </li></ul></ul></ul>
  18. 20. Toolkit
  19. 21. Alternatives to Incarceration <ul><li>Crisis Care Center and Restoration Center </li></ul><ul><li>Involuntary Outpatient </li></ul><ul><li>Commitment (IOPC) </li></ul><ul><li>Outpatient Competency Restoration </li></ul><ul><li>Mental Health and Drug Courts </li></ul><ul><li>Veterans Initiatives </li></ul><ul><li>Adult Parole/Probation </li></ul><ul><li>Partnerships </li></ul>
  20. 22. CIT SAVE THE DATE First International CIT Conference (Formerly the National CIT Conference) June 1 - 3, 2010 On site registration May 31, 2010 San Antonio CIT - Deep In The Heart of Texas! For Information and Registration :
  21. 23. Gracias ! For Additional Information on this presentation please contact: Leon Evans, President and Chief Executive Officer The Center for Health Care Services 210 731-1300, Email: [email_address] Thank you for visiting !