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Peer Support Specialists Working in the Sequential Interecept Model (SIM)
- 1. PEERS AT THEINTERSECTIONS AND INTERCEPTS OF OUR CRIMINAL-LEGAL AND BEHAVIORAL HEALTH SYSTEMS Jerry Hall Civic Mapping June 2023 California Association of Mental Health Peer-Run Organizations (CAMHPRO) LEAD Peer Statewide Conference
- 2. Introduction You are myother me. If I do harm to you, I do harm to myself. If I love and respect you, I love and respect myself. ~Luis Valdez I work in San Diego, California, traditional lands of the indigenous Kumeyaay/Kumiai-Tipai tribes; and work in a nation with Black and African-Americans who, since 1769 and 1619 respectively, suffered greatly under US authority, neither having been sufficiently honored or compensated for their historic losses. I work to live up to our promise of being 'one nation, indivisible, with liberty and justice for all.' 2 https://native-land.ca /
- 3. Overview Language Matters Sequential InterceptModel (SIM) Criminal Legal & Behavioral Health Systems Governance Systems Peer Opportunities: Employment & Advocacy Resources & Next Steps 3
- 4. 4 Language & Perception PersonCentered Language - ‘people’ not ‘inmates’ Racial Implications - inextricably linked Criminal-legal vs. criminal justice ‘Died by suicide’ vs. ‘committed suicide’ Employment and Entrepreneurship SIM as a model map – not a methodology
- 5. Sequential Intercept Model(SIM) Map 5 © 2 0 19 Pol icy Re s earch A s s ociates, I nc.
- 6. Intercept 0 &1 Hotlines & Warmlines Crisis & Emergency Response Medical & Provider Network Community Services San Francisco San Diego Riverside 6
- 7. 9-8-8 & 9-1-1 Co- Response 2-1-1 & Crisis Lines Shelter& Housing Crisis Response & Behavioral Health System Hospitals & CSU Psychiatric & AOD Services & Care Mobile Crisis Response AA, NA, CA Detox, Treatment, Recovery Sheriff & Police Intercept 0-1 7
- 8. Sequential Intercept Model(SIM) Map 8 © 2 0 19 Pol icy Re s earch A s s ociates, I nc.
- 9. Intercept 2 &3 Booking & Assessments Prosecution & Defense Diversion & Regular Courts Jail, Prisons, & Services 9
- 10. Criminal-Legal Judicial, Diversion & Incarceration System Prison District Attorney PublicDefender Probation Parole Prosecutes Recommends Bail Offers Pleas Diversion Offers Sentence Recommendation Defends Person Negotiates Plea & Diversion Sentence Recommendation Jail Services Supervises Upon Release Sets Conditions Enforces Conditions Supervises Prison-Released Sets Conditions Enforces Conditions Jail Diversion Courts Arraignment Sets Bail & Terms Diversion Oversight Hears Cases Sentences Courts & Judge Intercept 2-3 10
- 11. Collaborative Diversion Courts Adult and Juvenile MentalHealth Drug Veterans Reentry Community/Homeless Adult Courts Juvenile Courts Domestic Violence DUI Tribal Healing to Wellness Family Dependency Drug Federal District Drug Domestic Violence Drug Mental Health Peer/Youth Girls CSEC (Sexual Exploitation) 11
- 12. Sequential Intercept Model(SIM) Map 12 © 2 0 19 Pol icy Re s earch A s s ociates, I nc.
- 13. Intercept 4 &5 Reentry Preparation Probation & Parole Community Supports & Services Medical, Medication, & Treatment Community Integration 13
- 14. Reentry Prep, Probation, and Parole WellnessRecovery Action Plan (WRAP) Connection to Services Probation & Parole Supervision Housing & Employment Community Supports & Services Community Integration Intercept 4-5 14
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- 16. Pre- & Post-Intercepts •Historical and cultural traumas • Intergenerational trauma • Social Determinants of Health (SDoH) • Adverse Childhood Experiences (ACEs) • Juvenile legal system involvement • Family & Friends Network • Community Engagement • Housing & Employment • Education, Training, & Skills • Faith-based involvement Before the crisis Off paper and beyond 16
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- 18. Peer Engagement Opportunities County CL &BH Ecosystem Behavioral Health Advisory Board Reentry Roundtable Community Advocacy Organizations County Association of Government (AOG) MHSA 3-Year Plan County Budget Procurement Portal Provider Network DA Public Defender Probation Courts Community Corrections Partnership (CCP) Sheriff ’s and Local Police Departments Crisis Hotline & Response Systems Community Supports Services Legal Aid Hospitals Clubhouses Boards & Commissions Liaisons Social Groups EMS 9-1-1 2-1-1 9-8-8 Volunteer Match Reentry Services 18
- 19. Community Program Planning (CPP) Processes It’s the law.Just do it. 19 ‘Review and approve the procedures used to ensure citizen and professional involvement at all stages of the planning process...’ Welfare and Institutions Code (WIC) (5604.2.(a)(4)) MHSA 3-Year Plan Evaluate Plan Budget Train Engage The CPP Year-long Process Up to 5% of MHSA Revenue CPP Requires Mental Health Advisory Board Approval 30-Day Public Review and Hearing
- 20. Technology & theLaw Tech & Web Orientation, Laws • Social Media • Mobile Technologies • Surveillance Connectedness and opportunities. 20
- 21. Data and Accountability 21 •Critical element, must continually inform • Data training • Evaluation, planning, and budgeting processes • Objectives and goals • Key Performance Indicators (KPIs) • Portals, Dashboards, & Reports
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- 23. Key Organizations andResources 23
- 24. Advocacy, Media, &Data Informed peers are effective peers. 24
- 25. Peer Alliance, Training& Recovery 25
- 26. California SIM &Peer Resources Se q uential Inte rcept Mod el (SI M) • The Sequential Inte rc ept Mod el ( SIM) • Peers A c ross the SIM and Map ( PRA) • Utilizing the Se quential Inte rc ept Mod el to Guide Loc al Re form D iversion Mod els & Sy stem Strate gies • Re ducing Harm Through Collaborative Solutions – Promising and Prove n City Mod els ( NLC) • Care First, Jails Last – He alth and Rac ial Justice Strategies f or Safer Communities ( LA -ATI) • Re sponding to Ind ividuals in Be havioral He alth Crisis via Co- Responder Mod els ( PRA ) • A d vancing A n A lte rnative to Police: Community -Based Se r vices f or Blac k Pe ople with Me ntal Illne ss 26 1. Talk The rapy: Be tterHelp 2. D e pression: Talkspace 3. Mindfulness: He adspace 4. Stre ss Re lief: Sanv ello 5. Ad d iction: I A m Sober 6. C BT: Mood Kit 7. Be tter Sle e p: Calm 8. Positiv e Thinking: Hap pify 9. Kid s: Bre athe, Think, Do with Se same 10. Anxiety: Worry Watc h 10 Best Mental Health Apps by verywell mind
- 27. California SIM &Peer Resources D iversion Mod els & Sy stem Strate gies (cont.) • Behavioral Health Diversi o n Inter ve nt i o n s (CSG) • Five Steps to Ef fective Integrat i o n of Peer Recove r y Supp o r t Ser vice s in the Criminal Justice System • Advanc in g the Work of Peer Supp o r t Speciali s t s in Behavioral Health-Cri mi nal Justic e Prog ram mi n g (CSG) C urrent Practices • Pre valence of Loc al Criminal Justice Prac tices - Data • Data Collec tion A c ross the Sequential Inte rc ept Mod el ( SIM): Esse ntial Me asures Me ntal He alth • The Criminal /Legal Exp eriences of Ind ividuals with Me ntal Illne ss along the Se quential Inte rc ept Mod el: A n Eight- Site Stud y Trauma • What is Ge netic Trauma? • How Awareness of Ep igenetics and Ge nerational Trauma Can Inf orm The rapy • A d verse Childhood Exp e riences ( A CES) • Trauma-Informed A p proac hes A c ross the Se quential Inte rc ept Mod el ( CSG) 27 Tools • Pe e r Sup port Toolkit ( DBHIDS) • Me ntal He alth Crisis Plan Mob ile A p p • Digital Pe e r Sup port | A p p Database • We A re More | Pe e r Sup port Group A p p Re entry Plans • Collaborative Comp rehensive Case Plan ( CCCP) • We llness Re covery A c tion Plan ( WRAP) Know-How Guides • Whe n Y ou Turn 1 8 | Le gal Survival Guide • What is Digital Privac y – p rotec t your d ata • Surveillance Te c hnologies First Re sponder Pe e r Sup port • Pe e r Connec t
- 28. 28 C our ts •Pe e rs in the Courts ( NCSC) • Le ading Change: The Court’ s Collective Re sponse to Ind ividuals who Fre quently Cyc le Through Systems ( NCSC) J ails • City & County Le adership to Re duce the Use of Jails: Engaging Pe e rs in Jail Use Re duction Strate gies ( NLC) • Pe e r Re c overy Support Se rvices in Corre ctional Se ttings ( BJA) Pe e r Ne tw orks • Promise Re source Ne twork ( PRN) Workforce • Filling the Gap s in the Be havioral He alth Workforce ( BPC) J uvenile • De tour to Op p or tunity: A guide on young ad ult d iversion f rom the c riminal justic e system ( USDOL) • California Juve nile Justice Proc e ss Map Le g islative • Mod el Exp anding A c c ess to Peer Rec over y Sup por t Ser vices A c t ( LA PPA) Re search • California Pe er Providers in Transitions of Care ( UCSF) California SIM & Peer Resources
- 29. CA Health Systemsand Advisory Boards C ounty, MHSA Ad v isory Board, and Be havioral He alth Sy ste m Acronyms A lameda MHB | BHS A lp ine MHB | BHS A mad or BHA B | BHS City of Be rkeley MHC | BHS Butte BHB | BHS Calaveras MHA B | BHS Colusa BHB | BHS Contra Costa MHC | BHS De l Norte BHB | BHS El Dorad o MHB | BHS Fresno BHB | BHS Gle nn MHB | BHS Humb oldt MHB | BHS Imp e rial MHB | BHS Inyo BHA B | BHS Ke rn BHB | BHS Kings BHA B | BHS Lak e MHC | DMH Lassen BHA B | BHS Los A nge les MHC | BHS Mad era BHB | BHS Marin MHB | BHS Marip osa BHB | BHS Me ndocino BHB | BHS Me rc ed OPC | BHS Mod oc UNK | BHS Mono BHA B | BHS Monterey BHC | BHS Nap a MHSUAB | BHS Nevada MHSUAB | BHS Orange MHB | BHS Plac er MHA DAB | BHS Plumas BHC | BHS Riverside BHC | BHS Sac ramento MHB | BHS San Be nito BHA B | BHS San Be rnardino BHC | BHS San Die go BHA B | BHS San Franc isco MHB | BHS San Joaquin BHB | BHS San Luis Ob ispo BHB | BHS San Mate o MHSARC | BHS Santa Barb ara BWC | BHS Santa Clara BHB | BHS Santa Cruz MHA B | BHS Shasta MHA DAB | BHS Sie rra BHA B | BHS Siskiyou BHB | BHS Solano MHA B | BHS Sonoma MHB | BHS Stanislaus BHB | BHS Sutte r-Yuba BHA B | BHS Te hama BHA B | BHS Tri- City MHC | BHS Trinity | BHS Tulare MHB | BHS Tuolumne BHA B | BHS Ve ntura BHA B | BHS Y olo LMHB | BHS BHAB Be havioral He alth A d visory Board BHAC Be havioral He alth A d visory Committee BHB Be havioral He alth Board BHS Behav ioral Health Serv ices BWC Behav ioral Wellness Commis sion D MH De partment of Me ntal He alth LMHB Loc al Me ntal He alth Board MHSARC Me ntal He alth & Sub stance A b use Re c overy Commission MHAB Me ntal He alth A d visory Board MHSUAB Me ntal He alth and Sub stance Use A d visory Board MHB Me ntal He alth Board MHC Me ntal He alth Commission MHADAB Me ntal He alth, A lc ohol and Drug A d visory Board O PC Ongoing Planning Counc il b y BHA Brehab.com 29
- 30. Next Steps: Whatcan I do now? 30 Community Corrections Partnership Plans MHSA Annual Plans – Behavioral Health Systems Community Engagement & Advocacy 1. Identify Boards and Commissions and Serve a) Meeting times and dates. b) Give appropriate public comments. c) Volunteer for appointment & service. 2. Get and Review MHSA Annual Plan from your BHS a) Where are peers engaged? b) Where are gaps? c) Advocate to Advisory Board to fill gaps. d) Participate in Community Program Planning (CPP) process. 3. Research Resources and Tools of Interest a) Create local Google Alerts “san diego” “peer” 4. Find opportunities to advocate to local Board of Supervisors for additional Peer Supports funding and opportunities. 5. Network, network, network.
- 31. DISCUSSION Does helping understandthe greater criminal-legal and behavioral-health ecosystem give you ideas of where peers could plug in? What types of Diversion courts are used in your county? Do you know how to contribute to your local planning processes? Do you have relationships with any of the government or provider planning stakeholders that you can champion peer supports with?
- 32. Attributions Ekaterina Bolovtsova LinkedIn SalesNavigator Jovydas Pinkevicius Sarah Sch Joel Muniz Firmbee.com Benjamin Sow Georgio Trovato Joseph Frank Алексей Сабулевский San Diego News 8 (MCRT) Ruan Richard Roundrigues Denys Nevozhai Khamkéo Vilasing OPPO Find X5 Pro Kaysha Kenny Eliason Nick Sarvari Christina @ wocintechchat Mailchimp on Unsplash Erica Wittlieb Riverside.ca.gov (9-1-1 Center) Images by Sequential Intercept Model SIM Model © 2019 Policy Research Associates, Inc. Thanks for use of your creative works! 32 Remaining Content Civic Mapping CC 4.0
- 33. THANK YOU Download thishyperlinked deck in PDF at: CivicMapping.com /camhpro2023 Jerry Hall Jerry@CivicMapping.com CivicMapping.com 33 V1.1