Law Enforcement Summit 6 24 2009
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New York State Division of Criminal Justice ServicesLaw Enforcement/Mental Health
Crisis Response SummitJune 25-26, 2009
Leon Evans, President/CEOThe Center for Health Care Services
Mental Health Authoritywww.chcsbc.org
levans@chcsbc.org
A Systems Approach to Crisis Care:Outcomes Based, Community Driven
Collaboration: It’s an unnatural act between…
…two or more unconsenting adults.
Law EnforcementDetention/Jail
CIT
Judicial/CourtsMagistrate, County, District
Mental HealthPublic and Private
Providers
Crisis Care CenterJail DiversionPsychiatric and Medical
ClearanceSpecialty Offender Services
CommunityDynamicCrisis Jail Diversion
Information Exchange
Pol
ice,
She
riff
Pro
batio
n, P
arol
e
Civil and CriminalT
reatment
Continuity of C
are
County City-wide
Emergency Services
Data exchange through• Community Collaborative• Crisis Care Center • CIT/DMOT• Jail and Juvenile Detention• Statewide CARE Match
System County City-wideEntry Points
System Level
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 ProcessThe Diversion Process
Treatment in lieu of Incarceration
24/7 CrisisServices
Crisis Care CenterLaw Enforcement Services
• 24 / 7 Operations
• Medical Clearance
• Psychiatric Services
• Administrator on Call
Then (prior to Sept 2005)• Wait times for Medical Clearance/ Screening at UHS ER - 9 hours, 18 min.
• Wait times for Medical Clearance/ Screening and
Psychiatric Evaluation was between 12 and 14 hours.
Now• The wait time for Medical
Clearance/ Screening at the Crisis Care Center is 45 minutes.
• Wait time for Medical Clearance/Screening and Psychiatric Evaluation is 60-65 minutes.
Impact on WAIT TIME for LAW ENFORCEMENT
Jail Diversion Initiatives
Pre-Trial Services
Mental Health BondInvoluntary Outpatient
Commitment
Genesis – Manos Programs
Parole & Probation Referrals
Omega Program
Intensive 90 day residential probation Court Ordered Program
Palo Alto Forensic ACT Team
24/7 Intensive psychiatric services
CHCS Service Units within CHCS Service Units within the Modelthe Model
The Deputy Mobile Outreach Team – Mental health professionals accompany an MH
trained Deputy Sheriff to calls from the community for assistance involving the mentally ill and the mentally retarded.
CHCS Service Units within CHCS Service Units within the Modelthe Model
The Crisis Intervention Teams (CIT) – Officers trained by Law Enforcement
and Mental Health Personnel via a 40 hour curriculum including role play demonstrations. Attends weekly operational
meetings with MH and Community Stakeholders.
Additional Community Initiatives• CIT Training (40 hours)
• Children’s CIT Training for School Based Officers
• Children’s CIT Administrator Training (School Dist)
• CIT Committee Biweekly
• Community Resource Coordination Group
• Central Magistrate Committee Monthly
• Central Jail Population Committee Monthly
CHCS Service Units within the CHCS Service Units within the ModelModel
Magistrate Screening Program – Addresses the assessment and referral needs of the magistrate before booking and incarceration.
Involuntary Outpatient Commitment Program - On site court assigned case manager liaison monitors IOPC and works directly with Judges
Competency Restoration Program – Restores competency and works to reduce extended jail and State Hospital stays
CHCS Service Units within CHCS Service Units within the Modelthe Model
The Pre-Trial Services Program –Obtains release from jail through a mental health bond (which is free to the consumer) and provides referral with transportation from jail to designated treatment facilities. Reviews and assesses CARE Match daily arrest activity with linkage at release and follow-up.
The Mental Health Court – This docket is the combined efforts of the criminal courts, probation and mental health personnel to advise the court on consumer assessment, treatment and continuity of care. Court ordered referral is direct to intensive case management.
CHCS Service Units within CHCS Service Units within the Modelthe Model
The Genesis Special Needs Offenders Program This unit provides intensive case management, psychiatric services and rehabilitation training for offenders on probation and parole in collaboration with local and state probation and parole departments.
Provides treatment for 60 (MI) and 200 bed (Substance Abuse) residential units operated by Bexar County Probation Department
Genesis
Omega Manos
ProbationProbationers within Mentally Impaired Facility
Client Court Ordered
PrisonParole
Genesis - TCOOMMI
Omega – TCOOMMI, CJAD, CHCS
Manos - AstraZenica
POST DIVERSION CLINICAL EXPANSIONPalo Alto
Combined Substance Abuse and MH Services
FundingSource
Forensic ACTSubstance Abuse
Treatment Facility
Probationers within SA Treatment Unit
FundingSource
Bexar County Treatment FacilityTreatment Alternative to Incarceration Program
Substance Abuse Services
Public Safety Triage Facility
Restoration CenterGrand OpeningApril 15th, 2008
• Detox Facility• Community Court• Outpatient Substance Abuse Services
The MAPThe MAP
CHCS Urgent Care Center (2)Emergency Psychiatric Screening
County Jail (6)
Community MedicalClinic (1)
CHCS Detox Center (3)
CHCS Substance Abuse Outpatient Services (5)
600 Bed HomelessResidential Facility (4)
Haven for Hope
The Community Wide InitiativeHaven for Hope and CHCS
collaborationGoal:
To increase the community capacity for mental health, substance abuse and
detoxification services
Veteran’s Services
Multiple Collaboratives/Initiatives for Veterans based in Bexar County
• The San Antonio Veteran's Affairs Commission • The Military Coordinating Council for Behavioral Health• The Bexar County Veterans Service Office • Texas Resources for Iraq-Afghanistan Deployment, United Way• The Bexar County Veterans Service Office • Family Strong Advocacy
Toolkit
The Center for Health Care Services
Leon Evans, President/CEOThe Center for Health Care Services
Mental Health Authoritywww.chcsbc.org
levans@chcsbc.org
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