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“SIM-plementation”: Applying the Sequential Intercept Model to Local Planning and Action

November 15, 2017 12:00 – 1:00 PM EST

Don’t forget to join the audio broadcast!Phone number: 1-855-749-4750

Access Code: 668 506 091

Disclaimer

The views, opinions, and content expressed in this presentation do not necessarily reflect the views, opinions, or policies of the Center for Mental Health Services (CMHS), the Substance Abuse

and Mental Health Services Administration (SAMHSA), or the U.S. Department of Health and Human Services (HHS).

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Reminders

• Questions

– Please submit your questions to the presenters in the Q&A pod. The presenters will address as many questions as time permits at the end of the presentation.

• Recording

– This webinar is being recorded.

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Agenda

Time Presentation Speaker

12:00 – 12:05 PM Opening Remarks David MorrissetteSAMHSA/CMHS

12:05 – 12:20 PM Applying Sequential Intercept Mapping to Pettis County, Missouri

Kevin BondPETTIS COUNTY SHERIFF’S OFFICE

12:20 – 12:35 PM LBMEND(Mental Evaluation Needs-Based Diversion)

Kelly ColopyLONG BEACH DEPT. OF HEALTH & HUMAN SERVICES

12:35 – 12:50 PM Santa Fe Sequential Intercept Mapping Tom StarkeSANTA FE BEHAVIORAL HEALTH ALLIANCE

12:50 – 1:00 PM Questions Open Floor for Discussion

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Opening Remarks

David Morrissette, Ph.D., LCSW

Capt., U.S. Public Health Service

SAMHSA/CMHS

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Introducing Today’s Presenters: MO

Sheriff Kevin C. Bond, Pettis County Sheriff’s Office, Missouri

• In his 13th year as the Sheriff of Pettis County and has over 31 years of law enforcement experience; has 23 years of experience in teaching criminal justice courses to college students, police recruits, and peace officers.

• Chairs the Missouri Sheriffs’ Methamphetamine Relief Team (MOSMART) Board, which administers and oversees a variety of law enforcement grants statewide.

• Serves as president of his regional child advocacy center, Child Safe of Central Missouri, and is a past president of the Missouri Sheriffs’ Association.

• Convened the Pettis County Mental Health Coalition to coordinate efforts to address the issue of mental illness in their local community.

• Holds a bachelor degree in Criminal Justice at Central Missouri State University.

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Introducing Today’s Presenters: CA

Kelly Colopy, Director, Long Beach Department of Health & Human Services

• Directs the Health and Human Services Department for the City of Long Beach, CA, which has 300+ employees in 30 programs working with the community on improving the health of people in Long Beach.

• Spent the past 24 years in organizations that supported public health and social services at both the State, County and local levels:

– Managed the public mental health network in Salt Lake County, Utah, as Network Director for Optum Salt Lake County’s 225 provider network.

– Served as the Associate Director for Salt Lake County’s Human Services Department, providing leadership in the areas of public and behavioral health, aging services, youth at risk, community development, criminal justice services/jail re-entry, and library services.

– Served as Research Director for the State of Utah Division of Substance Abuse; Research Consultant for State of Utah Department of Human Services.

– Evaluated Federal education programs that served youth in low-income communities.

• Holds a master’s degree in Public Policy from Duke University, and a bachelor’s degree in Political Science from Smith College.

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Introducing Today’s Presenters: NM

Tom Starke, Chair, Santa Fe Behavioral Health Alliance

• Retired physicist from Los Alamos.

• Started the Santa Fe Behavioral Health Alliance in 2014, with the encouragement of a district court judge, coordinating interactions between behavioral health support and treatment providers, and criminal justice agencies. Its purpose is to divert people with behavioral illnesses from the criminal justice system into treatment.

• Brought a SAMHSA GAINS Center-led a Sequential Intercept Model (SIM) Mapping Workshop to the Santa Fe community in 2015.

• Volunteers with several behavioral health nonprofits in Santa Fe.

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SIM-plementation: Applying Sequential Intercept Mapping to Pettis County, Missouri

Sheriff Kevin C. Bond

Pettis County Sheriff’s Office

Pettis County Overview

• Pettis County, Missouri– Population 42,201– 686 Square Miles

• Cities– County Seat – Sedalia

• Missouri State Fairgrounds• Northern Gateway to Lake of the Ozarks

– LaMonte, Green Ridge, Smithton, Hughesville, & Houstonia

• Pettis County Jail– Capacity - 210 Beds– Total 2016 Admissions – 3,473– Average Daily Population – 173– Pre-Trial – 57%– Female – 23%

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B2 Stealth Bomber, Whiteman AFB

Community Context

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How We Got Started

• 2012 – Div 5 Probate Judge called meetings to establish procedures involving 96-hr involuntary committals

• May 2015 – Sheriff Kevin Bond reactivated Pettis County Mental Health Coalition

• June 1, 2015 – Stepping Up Proclamation signed by Pettis County Commission

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Collecting & Using Data

• Identified the highest users of CJ & mental health services

– Locally – 14% of those arrested meet criteria• 16% of long-term inmates have some type of MH disorder

• 95% recidivism rate for these individuals!

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Sequential Intercept Map

• Received SAMHSA GAINS Center Training Grant

– March 22-23, 2016

– Used Sequential Intercept Model (SIM)

– Developing a Systems Roadmap

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Pettis County Cross-Systems Map

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Pettis County’s Flow Chart

Pettis County

Mental Health Coalition

Sheriff Kevin Bond

Jail Tracking/

Services

Jail Admin/

Healthcare

West Central MO

CIT Council

Area LE Agencies/

Affiliated Partners

Boundary Spanner

Position

Katy Trail

Community Health

Criminal Diversion

Program

Paul Beard,

Probate Judge

Reorganize Local

NAMI Chapter

Persons with

Lived Experience

Stepping Up

Initiative

(May 2015)

Stepping Up Summit –Washington DC

(April 2016)

SIM Workshop

SAMHSA Gains Center

(March 2016)

Sequential Intercept Map/Priority Initiatives

Community Mental Health Liaison

Anna White

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“Crawl Before You Walk”

• Community Mental Health Liaison

• West Central Missouri CIT Council

• Criminal Diversion Program

• Boundary Spanner Position

• NAMI of Pettis County

• Diversion Center

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LBMEND(Mental Evaluation Needs-Based Diversion)

Kelly Colopy

Long Beach Department of Health & Human Services

Partners (In the Beginning)

• Long Beach Health and Human Services

• Long Beach Police Chief/Police Department

• Long Beach City Prosecutor

• Los Angeles County – Department of Mental Health

• Mental Health America

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Original Design – Focus on Diversion

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GAINS Center Sequential Intercept Model 2015

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Our Partners (Expanded)

• Long Beach Police Chief/Police Department

• Long Beach City Prosecutor

• Los Angeles County – Departments of Mental Health, Public Health, Probation, Office of Diversion, District Attorney’s Office

• Community-Based Organizations- Mental Health, Housing, Re-entry, Substance Use

• Faith-Based Organizations

• Hospitals

• Veterans Administration

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In Place and Continuing (examples)

• Intercept 1– MET Teams (Mental Evaluation Teams)– Mental health training for police– Robust Coordinated Entry System for Persons Experiencing

Homelessness

• Intercept 2 & 3– Social works in Public Defender offices– Co-location of pre-trial at LA County jail– Collaborative Court in Long Beach– LA County Court Liaison

• Intercept 4 & 5– Jail Linkage specialist/Linkage navigator– Designated MH Full Services Provider TX slots

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Hurdles

• City efforts in a strong County environment – small fish in a large pond.

• Mental Health and Substance Use Services planned and funded at the County level

• Prop 47

• Data

• Resourcing

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Long Beach County Progress

• PATH Program – Promising Adults, Tomorrow’s Hope• Police Department Youth Diversion• Data on Mental Health collected at booking• Pilot MH Clinician in Jail (Early 2018)• Mental Health Law Enforcement Assisted Diversion

(LEAD) • Behavioral Health Urgent Crisis Center (Opening

Spring, 2018)• Administrative Regulation supporting Data Sharing

• New Partner: Long Beach Innovation Team– User cases, System design sessions– Funding for Data Mart

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Santa Fe Sequential Intercept Mapping

Tom Starke

Santa Fe Behavioral Health Alliance

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Santa Fe Behavioral Health Alliance

• Non-governmental organization formed with encouragement of district court to reduce the number of individuals with behavioral illness being supervised by the criminal justice system.

• Primary strategy is to divert individuals from justice to community treatment.

• Organizes improvement project teams and hosts quarterly progress reviews. All funding provided by participating agencies.

• Brought SAMHSA’s SIM Mapping workshop to Santa Fe in May, 2015. ~80 individuals from justice and behavioral health agencies participated.

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Santa Fe County

• 1900 sq. mi.

• 45% rural

• 42% non-Hispanic white

• 150,000 population

• 6500 with SMI

• 12,000 misusing drugs

• 10,000 needing addiction treatment

• ~500 incarcerated in county jail (2/3rd on psychotropic meds)

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Alliance Participating Organizations

• District Court

• Magistrate Court

• Municipal Court

• County Corrections

• Sheriff’s Office

• SF Police Department

• State Probation Office

• City EMS

• County EMS

• Regional Em. Com. Center

• County Community Services• SF City Family Services• State DOH/BHI• State Behavioral Svc. Div. • NAMI Santa Fe• CHRISTUS hospital• PMS• The Life Link• Interfaith Shelter• St. E Shelter• Southwest Care Center• Mountain Center

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Santa Fe County Cross-Systems Map

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Santa Fe Progress

• Strengthened people-to-people working relationships among agencies

• Joined Stepping Up Initiative (NACo)• Mobile Crisis Response Team implemented• Crisis Center (funded, being implemented)• Jail Re-entry program implemented• Law Enforcement Assisted Diversion (LEAD)• Trauma-informed response training• Treatment Guardianship implemented• SMART 911

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Opportunities

• Case information sharing• Forensic case management• Bench warrant reduction• Shelter and housing• Coordination of jail release and treatment• Client transportation• Mental health treatment slots• Addiction treatment slots• Expanded peer participation• Forensic Intervention Consortium

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Questions

• Please submit your questions to the presenters in the Q&A pod

• The presenters will address as many questions as time permits.

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Supporting Documents

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Contact The Presenters

• Kevin C. Bond, Sheriff

– Pettis County, Missouri

– sheriff@pettiscomo.com

• Kelly Colopy, Director

– Long Beach Department of Health & Human Services

– Kelly.Colopy@longbeach.gov

• Tom Starke, Chairman

– Santa Fe Behavioral Health Alliance

– tomstarke@comcast.net

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Contact Us

345 Delaware Avenue Delmar, New York 12054

(518) 439-7415 | gains@prainc.com

https://www.samhsa.gov/gains-center

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