Moderator

• Behavioral Health Director (ret.), Salt Lake County, Utah

• Former Board President, National Association of County Behavioral Health & Developmental Disability Directors

• NACo Senior Fellow

Housekeeping

• Please silence all mobile devices.

• This session is being recorded. To view the recording please visit www.naco.org/educational-recordings.

Workshop Evaluations

Workshop evaluations forms can be found in the NACo conference app and online at

www.naco.org/workshopevals.

Please visit iTunes or Google Play to download the 2015 NACo Annual Conference App!

Agenda

• Introduction to Stepping Up

• Town Hall Discussion

• Mecklenburg County Jail Diversion Continuum

• Roundtable Discussions

Steering Committee

*Reflects resolutions received by NACo as of July 7, 2015

Counties are Stepping Up!

Counties are Stepping Up! Mobile (AL) Montgomery (AL) Coconino (AZ) Greenlee (AZ) Maricopa (AZ) Yuma (AZ) Alameda (CA) Del Norte (CA) Mendocino (CA) Orange (CA) Alamosa (CO) Arapahoe (CO) Larimer (CO) Charlotte (FL) Hernando (FL) Leon (FL) Miami-Dade (FL) Palm Beach (FL) Martin (FL) DeKalb (GA) Fulton (GA) Jasper (IA) Lee (IA) Linn (IA) Marshall (IA) Polk (IA) Pottawattamie (IA) Story (IA)

Cook (IL) Lake (IL) Johnson (IN) Johnson (KS) Prince George's (MD) Huron (MI) Aitkin (MN) Dakota (MN) Hennepin (MN) Olmsted (MN) Ramsey (MN) Winona (MN) Boone (MO) Pettis (MO) Durham (NC) Forsyth (NC) Guilford (NC) Wake (NC) Douglas (NE) Sarpy (NE) Hillsborough (NH) Merrimack (NH)* Bernalillo (NM) Sandoval (NM) Santa Fe (NM) Athens (OH) Franklin (OH) Lake (OH)

Portage (OH) Shelby (OH) Grant (OK) Columbia (OR) Dauphin (PA) Fulton (PA) Westmoreland (PA) Fairfield (SC) Orangeburg (SC) Codington (SD) Brazos (TX) Dallas (TX) Tarrant (TX) Wise (TX) Salt Lake (UT) Fairfax (VA) Island (WA) Skagit (WA) Dunn (WI)

*Reflects resolutions received by NACo as of July 7, 2015

Webinars

Self-Assessment

Tools

County Examples

Planning Exercises

Research

www.StepUpTogether.org/Toolkit

Today’s Speakers

• Laura Usher, NAMI

• Connie Mele, Mecklenburg County

• Dr. Nneka Jones Tapia, Cook County, Ill. Department of Corrections

• Cherryl Ramirez, Association of Oregon Community Mental Health Programs

• Sheriff Donny Youngblood, Kern County, Calif.

Laura Usher

CIT Manager

National Alliance on Mental Illness (NAMI)

Connie Mele

Assistant County Health Director

Mecklenburg County, N.C.

Dr. Nneka Jones Tapia

Executive Director

Cook County, Ill. Department of Corrections

Cherryl Ramirez

Executive Director

Association of Oregon Community Mental Health Programs

Sheriff Donny Youngblood

Kern County, Calif. Sheriff’s Department

Speakers

• Laura Usher, NAMI

• Connie Mele, Mecklenburg County

• Dr. Nneka Jones Tapia, Cook County, Ill. Department of Corrections

• Cherryl Ramirez, Association of Oregon Community Mental Health Programs

• Sheriff Donny Youngblood, Kern County, Calif.

National Association of Counties Annual Conference 2015

Stepping Up Summit Mecklenburg’s Jail Diversion Continuum

July 12, 2015

M e c k l e n b u r g C o u n t y N C . g o v 18

Mecklenburg’s Jail Diversion Continuum

Facilitator: Sarah Greene, LCSW

Program Administrator of Trauma & Justice Partnerships

Presenters: Janeanne Gonzales, Program Administrator STEP Program

Melissa Zhiss, LPA, Jail Liaison Clinician

Sharlise Spindle, LCSW, Public Defender’s Office Clinician

Geaneen Moore, LPC, Mobile Crisis Director

Marcus Boyd, LPC, LCAS, Meck FUSE Director

Lisa Murray, LPC, LCAS, Mecklenburg County CIT Coordinator

Captain Jim Wilson, Charlotte-Mecklenburg Police Department

Captain Dan Johnson, Mecklenburg County Sheriff’s Office

Judy Reiner, National Alliance on Mental Illness-Charlotte

M e c k l e n b u r g C o u n t y N C . g o v 19

Mecklenburg’s Jail Diversion Continuum

1.Jail Diversion Clinician

2.Mental Health Treatment Court

3.Clinical Social Worker at the Public

Defender’s Office

4.Mobile Crisis

5.Meck FUSE housing program

6.Crisis Intervention Team (CIT)

M e c k l e n b u r g C o u n t y N C . g o v 20

Mecklenburg’s Jail Diversion Continuum

A Jail Diversion Collaborative became

The Recovery Solutions Committee

•Addressing the problem of people with

behavioral health (BH) disorders in jail since 2001

•Comprehensive representation: •DA, Public Defender, private attorneys

•Judges, 26th Judicial District

•Sheriff’s Office, Police Department

•County BH services, private providers

•National Alliance on Mental Illness (NAMI)-Charlotte

(peer and family representation)

•Treatment courts, pre-trial

M e c k l e n b u r g C o u n t y N C . g o v 21

Mecklenburg’s Jail Diversion Continuum

Jail Diversion Clinician: Melissa Zhiss, LPA

• NC Division of MH/DD/SA initiative funded local position from

2001-2004 (Request for Applications process); later funded by

county

• Initially a case management position, modified due to the

identified need for a licensed clinician

• Focus on identification of individuals with Severe and

Persistent Mental Illness (SPMI) in jail

• Duties include screening, assessments, advocacy, and

coordination with other jail diversion providers

M e c k l e n b u r g C o u n t y N C . g o v 22

Mecklenburg’s Jail Diversion Continuum

Mecklenburg County STEP program:

Janeanne Gonzales

•Accepted first referral in April 2004

•First official court session held on February 25,

2005

•Program Statistics February 2005 - June 2014 •450 clients served (Caseload capacity = 30)

•48% successful completion

•74% remain arrest free 2 years post graduation

M e c k l e n b u r g C o u n t y N C . g o v 23

Mecklenburg’s Jail Diversion Continuum

Clinical Social Worker at Public Defender’s Office--

Sharlise Spindle LCSW

•LCSW in Public Defender’s Office was implemented in 2008 out

of collaborative efforts of the Recovery Solutions committee

•Goal is to provide education, identify and coordinate efforts to

serve those in need that are represented by the Public Defender’s

Office priority to those with Mental Health, Substance Use,

Intellectual and/or Developmental Disabilities.

•2nd Social Work position created in 2013; positions are funded by

both County and State

M e c k l e n b u r g C o u n t y N C . g o v 24

Mecklenburg’s Jail Diversion Continuum

Mobile Crisis Services

Geaneen Moore, Director

•Program started in 2006 as a pilot for North Carolina, serves all

of Mecklenburg County

•Designed to respond to mental health, substance abuse,

intellectual disabilities, and situational crises in the community

•Referrals come from police, and all of the other PD's in the

county including MCSO, CMS, providers, physicians, call centers,

DSS, community programs, family members/friends, and

consumers

•There is no cost to the consumer directly, Medicaid can be

utilized as well as state funds funneled through Cardinal

Innovations.

M e c k l e n b u r g C o u n t y N C . g o v 25

Mecklenburg’s Jail Diversion Continuum

Meck FUSE housing program

Marcus Boyd, LPC, LCAS Director

•Collaborative pilot effort between Mecklenburg County and The

Charlotte Center for Urban Ministry to help end chronic

homelessness in Mecklenburg.

•Utilizes the Housing First model, a proven national model, which

is designed to help people obtain housing as quickly as possible

without time limits.

•Technical assistance provided by Corporation for Supportive

Housing (CSH)

•Started housing people August 2013

M e c k l e n b u r g C o u n t y N C . g o v 26

Mecklenburg’s Jail Diversion Continuum

Meck FUSE housing program

Marcus Boyd, LPC, LCAS Director

•Provide wraparound case management to promote

housing stability and individual well-being on an as-

needed basis

•Features a core group of committed partners who

guide the program, resolve problems and foster

success.

•Program capacity is 45.

M e c k l e n b u r g C o u n t y N C . g o v 27

Mecklenburg’s Jail Diversion Continuum

Crisis Intervention Teams (CIT) Lisa Murray, LPC, LCAS, CIT Coordinator for Mecklenburg

County

Captain Jim Wilson, Charlotte-Mecklenburg Police Department

Captain Dan Johnson, Mecklenburg County Sheriff’s Office

Judy Reiner, National Alliance on Mental Illness (NAMI)-

Charlotte

•Forty hour class to improve police responses to

individuals experiencing a mental health crisis,

endorsed widely across the country

•Goals are to reduce harm and divert from jail to

treatment

M e c k l e n b u r g C o u n t y N C . g o v 28

Mecklenburg’s Jail Diversion Continuum

Crisis Intervention Teams (CIT):

•Created in 2008 by a collaborative jail diversion

group that included mental health, NAMI, and two

law enforcement agencies for Mecklenburg

•Initial trainers attended class in Wake County

•Funded by state law enforcement training funds

routed through community college system

M e c k l e n b u r g C o u n t y N C . g o v 29

Mecklenburg’s Jail Diversion Continuum

Unique to Charlotte-Mecklenburg CIT

program:

•Recovery oriented and peer inclusive

•Trauma and veteran focused

•Encompasses detention officers and

sheriff’s deputies

National Association of Counties Annual Conference 2015

Stepping Up Summit Mecklenburg’s Jail Diversion Continuum

July 12, 2015

QUESTIONS? Handouts and business cards available

Table Discussions 1) Making Change in Large,

Urban Counties

2) CIT: Engaging Advocates an Consumers

3) So You’re from a Small County

4) Engaging State-Level Partners

5) Developing and Utilizing a CJCC

6) Innovations in County Corrections

7) Engaging Your Behavioral Health Director

8) MeckCo: Creating a Jail Diversion Continuum

9) Working with Courts and Judges

10) Mental Health Professionals as Jail Staff

11) Funding Mental Health Initiatives

12) Engaging Your Sheriff

13) Developing a Mental Health Court

14) Law Enforcement Responses to Mental Health Crises

15) Data! Data! Data!

16) Health Coverage Enrollment in Jails

NACo Staff Contact

Nastassia Walsh

Program Manager, NACo

E: nwalsh@naco.org

P: 202.942.4289

www.StepUpTogether.org