@defendshelby co Law Offices of the Shelby County Public Defender Established 1917 Stephen Bush - Chief Public Defender Josh Spickler - Assistant Public Defender
1. @defendshelbyco Law Offices of the Shelby County Public
Defender Established 1917 Stephen Bush - Chief Public Defender Josh
Spickler - Assistant Public Defender 2. @defendshelbyco 1915 3.
@defendshelbyco 4. @defendshelbyco 5. @defendshelbyco 6.
@defendshelbyco 7. @defendshelbyco Dyer County 8. @defendshelbyco
9. @defendshelbyco Memphis 10. @defendshelbyco 11. @defendshelbyco
12. @defendshelbyco 1917 13. @defendshelbyco Law Offices of the
Shelby County Public Defender 35,000 cases in FY2016 80+ Lawyers
vs. 14. @defendshelbyco The Revolving Door 15. @defendshelbyco 16.
@defendshelbyco Add link to clip of aretha 17. @defendshelbyco 18.
@defendshelbyco ELIGIBILITY Serious mental illness Stable on
medication Willing to embrace treatment Seeking to serve persons
whose contact with the justice system is related to untreated
mental illness 19. @defendshelbyco Target high end populations
Serious Mental Illness Axis I Schizophrenia spectrum Bipolar
Disorder Major Depressive Disorder Co-occurring substance use 74%
Felonies, misdemeanors, kitchen sink Taps free leverage Safeguards
individual rights & coercion Minimizes stigma & promotes
real recovery 20. @defendshelbyco WHATS DIFFERENT? Jericho Project
All Courts No preset limitations Driven by the dynamics of
adversarial system Bottom up Mental Health Courts One division
Usually non-violent, low-grade offenders Judge-led team approach
Top down 21. @defendshelbyco JERICHO IN A BOX 1. Best Practice
Transition Planning 2. Community Linkage Plans 3. Conditional
Release Strategies 4. Layered Supervisionupervision 5. Integrated
Treatment 6. Bridge Case Management 7. Mainstream Public Health
Services 22. @defendshelbyco APIC model for transition planning
Mental Health Services Substance Abuse Services Medications Health
Care/Benefits Housing Food/Clothing Income Support/Benefits
Transportation Assess Plan Identify Coordinate 23. @defendshelbyco
24. @defendshelbyco CONDITIONAL RELEASE STRATEGIES Many forms of
conditional release Supervised pretrial release Probation: county,
state, private Avoiding revocation on probation Supervision is
layered over Community Linkage Plan Independent eyes and ears
Disruptions in treatment communicated 25. @defendshelbyco RECOVERY
SUPPORT SPECIALISTS Boundary Spanners per Steadman Client
engagement while in custody Transition planning Transitional case
management Progress reports to court Minimum of 120 days 85%
linkage success expected Re-engagement following relapse 26.
@defendshelbyco SYSTEMS BARRIERS Fragmentation - MH, SA, housing,
social services & health care Inadequate community services
Waiting lists for treatment & services Navigating SSI, SSDI,
Medicaid Lack of adequate housing Stigma, discrimination, NIMBY 27.
@defendshelbyco RELATIONSHIPS Relationships Relationships
Relationships 28. @defendshelbyco EVALUATION Improved quality of
life Reduction in severity of symptoms Fewer jail days Fewer
arrests Judges approve over 95% of CLPs 29. @defendshelbyco
OUTCOMES At 6 months 76% no further arrests 25% bump up against the
system 25%, usually new offenses, result in reincarceration More
than half have no further arrests Overall, 99 fewer jail days per
divertee/year 30. @defendshelbyco IMPACT Jail days dropped from
8540 in the year preceding linkage to 2395 in the year following
6145 fewer days @$91= $559,195 $12,427 per detainee 80/year = $1
Million N=45 31. @defendshelbyco SUCCESSES Referrals from
prosecutors Referrals from judges High tolerance of relapse Better,
faster dispositions 32. @defendshelbyco KEY ROLES Pretrial Services
Candidate locator Screening at arrest Referral stream Mental health
expertise Supervision Accountability Informed flexibility Public
Defender Candidate locator IMS hitlists Referral stream Court
delivery system Natural advocates Coercion safeguard 33.
@defendshelbyco KEY ROLES Behavioral Health Social work
Transitional case management Outpatient treatment Treatment
relationships Linkage to mainstream services Reengagement following
relapse Judges & Prosecutors Accountability Incentives Public
Safety Trusts Prosecutors Trusts Judges Respect for the adversarial
process 34. @defendshelbyco A Top Ten List Of (Mostly Free)
Creative Things You Can Do to Sustain Cross Systems Collaboration
35. @defendshelbyco 1. Build Brand 2. Exploit Technical Assistance
3. Tell a story! Make a movie! 4. Get advocates on your side 5.
Look smart - get published, use media, build credibility TOP TEN
LIST 36. @defendshelbyco TOP TEN LIST 6. Use your data effectively
7. Cultivate patrons 8. Find your local relevance 9. Be key to
something bigger 10. Throw a big party 37. @defendshelbyco 38.
@defendshelbyco RESOURCES The Bazelon Center for Mental Health Law
www.bazelon.org The National GAINS Center
www.gainscenter.samhsa.gov Council of State Governments Mental
Health Consensus Project Report www.csg.org
www.consensusproject.org SAMHSA www.samhsa.gov National Registry of
Evidence-based Px & Programs www.nrepp.samhsa.gov 39.
@defendshelbyco [email protected] @DefendShelbyCo
facebook.com/DefendShelbyCo www.DefendShelbyCo.org Law Offices of
the Shelby County Public Defender Established 1917
