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Criminal Justice, Substance Criminal Justice, Substance Abuse & Mental HealthAbuse & Mental Health
Reinvestment GrantReinvestment Grant
Ellen Piekalkiewicz, Executive Director
Florida Substance Abuse & mental Health Corporation
John Petrila
Florida Mental Health Institute, University of South Florida
IntroductionIntroduction In its first year, the Reinvestment Grant Program In its first year, the Reinvestment Grant Program
has laid the foundation for shifting the focus of has laid the foundation for shifting the focus of care of offenders with mental health and/or co-care of offenders with mental health and/or co-occurring substance abuse disorders from the occurring substance abuse disorders from the most expensive, deep end of the system to early most expensive, deep end of the system to early intervention and diversion. intervention and diversion.
Strategic plans have been created where none Strategic plans have been created where none existed and assessment and treatment existed and assessment and treatment resources designed to divert people from the resources designed to divert people from the criminal justice system have been expanded. criminal justice system have been expanded.
IntroductionIntroduction
These changes would not have occurred These changes would not have occurred without the stimulus provided by the without the stimulus provided by the Reinvestment Act. Together with the Reinvestment Act. Together with the Supreme Court recommendations, the Act Supreme Court recommendations, the Act provides Florida with the necessary tools provides Florida with the necessary tools for the redesign of our fragmented mental for the redesign of our fragmented mental health system.health system.
Florida Substance Abuse & Mental Florida Substance Abuse & Mental Health CorporationHealth Corporation
The Florida Substance Abuse & Mental Health Corporation is a non-profit corporation created by the Legislature to oversee the state’s publicly funded substance abuse & mental health services. The Governor, President of the Senate and Speaker of the House appoint its 12 directors.
The Corporation is charged with making recommendations to the Governor and the Legislature on policies designed to improve coordination and effectiveness of the state’s publicly funded mental health and substance abuse systems.
The 2007 Legislature expanded the responsibilities of the Corporation by adding the administration of the Criminal Justice, Mental Health and Substance Abuse Reinvestment Act and the associated grants to the Corporation’s charge.
Technical Assistance CenterTechnical Assistance CenterFlorida Mental Health Institute Florida Mental Health Institute
at the University of South at the University of South FloridaFlorida
Assisting Counties in projecting and monitoring Assisting Counties in projecting and monitoring the effect of a grant funded intervention on the the effect of a grant funded intervention on the criminal justice systemcriminal justice system
Clearinghouse for information on best Clearinghouse for information on best practices and other information relevant to practices and other information relevant to criminal Justice, juvenile justice, mental health criminal Justice, juvenile justice, mental health and substance abuse services and supportsand substance abuse services and supports
HighlightsHighlights
Grants are in their eighth month of the first year Grants are in their eighth month of the first year of fundingof funding
The 12 counties with planning grants are The 12 counties with planning grants are developing criminal justice strategic plansdeveloping criminal justice strategic plans
In the 11 counties with implementation grants, In the 11 counties with implementation grants, assessment and treatment services have been assessment and treatment services have been expanded. The specific programs funded include expanded. The specific programs funded include centralized assessment centers, jail and court centralized assessment centers, jail and court based diversion programs, community diversion based diversion programs, community diversion teams and mental health courts teams and mental health courts
HighlightsHighlights
The county efforts financed by the Reinvestment The county efforts financed by the Reinvestment matching grants will help communities matching grants will help communities implement the Supreme Court plan and position implement the Supreme Court plan and position counties to apply for federal Bureau of Justice counties to apply for federal Bureau of Justice grants funded through the Second Chance Act.grants funded through the Second Chance Act.
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Men and women with…Men and women with…
Serious mental illness, and oftenSerious mental illness, and oftenCo-occurring substance use Co-occurring substance use
disordersdisordersInvolved in the criminal justice Involved in the criminal justice
systemsystem
Cross-System Service UseCross-System Service Use
638,000 people arrested in Florida in 2006638,000 people arrested in Florida in 2006 192,000 (30%) had used mental health or 192,000 (30%) had used mental health or
substance abuse services or both in previous substance abuse services or both in previous 5 years5 years
More information on service use by arrestees More information on service use by arrestees both statewide and by county can be found at both statewide and by county can be found at the Technical Assistance Center’s website: the Technical Assistance Center’s website: www.floridatac.orgwww.floridatac.org
Purpose of the GrantPurpose of the Grant
Provide funding to counties with which they can Provide funding to counties with which they can plan, implement, or expand initiatives that plan, implement, or expand initiatives that increase public safety, avert increased spending increase public safety, avert increased spending on criminal justice, and improve the accessibility on criminal justice, and improve the accessibility and effectiveness of treatment services for and effectiveness of treatment services for adults and juveniles who have a mental illness, a adults and juveniles who have a mental illness, a substance abuse disorder, or co-occurring substance abuse disorder, or co-occurring mental health and substance abuse disorders mental health and substance abuse disorders and who are in or at risk of entering, the criminal and who are in or at risk of entering, the criminal or juvenile justice systems or juvenile justice systems (FS 394-658 (1)(b)1-8(FS 394-658 (1)(b)1-8
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Many of the same people are served in Many of the same people are served in multiple systems: multiple systems:
Mental healthMental health Substance abuseSubstance abuse Criminal justiceCriminal justice Other social servicesOther social services
Expensive - high service users, people Expensive - high service users, people who cycle and recycle through the systemwho cycle and recycle through the system
SOLUTION: Cross-Systems Coordination
Planning GrantsPlanning Grants
Planning grants are for one yearPlanning grants are for one year They are designed to develop effective They are designed to develop effective
collaboration efforts among county collaboration efforts among county criminal, juvenile justice, treatment, criminal, juvenile justice, treatment, transportation and housing agenciestransportation and housing agencies
The desired result is a strategic plan for The desired result is a strategic plan for treating adults and juveniles in or at risk of treating adults and juveniles in or at risk of entering the justice systemsentering the justice systems
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Five Key Points of InterceptionFive Key Points of Interception
1.1. Law enforcement / Emergency servicesLaw enforcement / Emergency services
2.2. Booking / Initial court hearingsBooking / Initial court hearings
3.3. Jails / CourtsJails / Courts
4.4. Re-entryRe-entry
5.5. Community corrections / Community Community corrections / Community supportsupport
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Sequential Intercept ModelSequential Intercept ModelBasis for Cross-Systems MappingBasis for Cross-Systems Mapping
A tool to …A tool to … Help transform fragmented systemsHelp transform fragmented systems Identify local resources, gaps andIdentify local resources, gaps and Help identify where to begin interventionsHelp identify where to begin interventions
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Cross-Systems Mapping is an activity which depicts contact/flow with the criminal justice system.
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Community Corrections &Community
Support
Law Enforcement/Emergency Services
Community
Re-Entry
Booking/ Initial
Appearance
Jails, Courts
Access to Appropriate
Services
Munetz & Griffin, 2006
Sequential Intercept Model:Sequential Intercept Model:A Circular ViewA Circular View
Citrus CountyCitrus CountyPlanning GrantPlanning Grant
Contracted with a consultant to facilitate the Contracted with a consultant to facilitate the creation of its strategic plancreation of its strategic plan
Focus of the plan will be on transportation, Focus of the plan will be on transportation, development of accurate cost data for inmates development of accurate cost data for inmates receiving treatment of mental health and receiving treatment of mental health and substance abuse disorders and assisting substance abuse disorders and assisting inmates with mental disorders in their re-entry to inmates with mental disorders in their re-entry to the communitythe community
Plans to expand Crisis Intervention Training for Plans to expand Crisis Intervention Training for law enforcement officerslaw enforcement officers
Implementation GrantsImplementation Grants
Implementation grants are for a three year Implementation grants are for a three year periodperiod
Support the development or expansion of Support the development or expansion of diversion and program initiativesdiversion and program initiatives
Alachua CountyAlachua CountyImplementation GrantImplementation Grant
Created a forensic diversion teamCreated a forensic diversion team Individuals in jail are screened for eligibility for the team’s Individuals in jail are screened for eligibility for the team’s
servicesservices Treatment and oversight provided by the forensic team Treatment and oversight provided by the forensic team
are designed to reduce recidivism and improve treatment are designed to reduce recidivism and improve treatment adherenceadherence
At the request of the county the TA Center has At the request of the county the TA Center has developed an electronic data base that enables tracking developed an electronic data base that enables tracking of criminal justice and treatment outcomes for individuals of criminal justice and treatment outcomes for individuals who are screened for possible admission to the forensic who are screened for possible admission to the forensic teamteam
Received training from the TA Center on federal & state Received training from the TA Center on federal & state privacy laws and risk assessment methodsprivacy laws and risk assessment methods
Lee CountyLee CountyImplementation GrantImplementation Grant
Created the Triage Center/Low Demand ShelterCreated the Triage Center/Low Demand Shelter This offers an alternative to jail for individuals This offers an alternative to jail for individuals
who may have a mental illnesswho may have a mental illness The center provides assessment and referral to The center provides assessment and referral to
treatment as appropriatetreatment as appropriate Between April 28, 2008 and September 30, 2008 Between April 28, 2008 and September 30, 2008
the Center received 202 referrals from law the Center received 202 referrals from law enforcement , and 61% of those individuals were enforcement , and 61% of those individuals were successfully linked to housing and/or community successfully linked to housing and/or community services services
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Local Collaboration – ExamplesLocal Collaboration – Examples
Mobile Crisis Unit/ Crisis Intervention Mobile Crisis Unit/ Crisis Intervention Teams or TrainingTeams or Training
Mental Health CourtsMental Health CourtsFederal Jail Diversion GrantsFederal Jail Diversion GrantsCJMHSA Planning Council – 1CJMHSA Planning Council – 1stst time many time many
of the stakeholders have formally met and of the stakeholders have formally met and worked together.worked together.
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Local Collaboration – ExamplesLocal Collaboration – Examples
Mobile Crisis Unit/ Crisis Intervention Mobile Crisis Unit/ Crisis Intervention Teams or TrainingTeams or Training
Mental Health CourtsMental Health CourtsFederal Jail Diversion GrantsFederal Jail Diversion GrantsCJMHSA Planning Council – 1CJMHSA Planning Council – 1stst time many time many
of the stakeholders have formally met and of the stakeholders have formally met and worked together.worked together.
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SummarySummary
The number of people with serious mental The number of people with serious mental illness and substance abuse disorders who enter illness and substance abuse disorders who enter the criminal justice system is a major issue for the criminal justice system is a major issue for county and state governments.county and state governments.
The Reinvestment Grant Program is an The Reinvestment Grant Program is an innovative response to this issue.innovative response to this issue.
These grants are supporting the necessary These grants are supporting the necessary infrastructure needed to implement the Supreme infrastructure needed to implement the Supreme Court recommendations on mental health.Court recommendations on mental health.
SummarySummary Grants have been available to the 23 counties Grants have been available to the 23 counties
for less than a year - it is clear that the grant for less than a year - it is clear that the grant program already has been responsible for a program already has been responsible for a number of achievements.number of achievements.
First, in all counties with planning grants, a First, in all counties with planning grants, a strategic plan has been completed or is in the strategic plan has been completed or is in the process of being prepared.process of being prepared.
Nine counties have used the Sequential Nine counties have used the Sequential Intercept Mapping as a tool for creation of the Intercept Mapping as a tool for creation of the strategic plan, and three other counties will have strategic plan, and three other counties will have had mapping completed by the end of this had mapping completed by the end of this month.month.
SummarySummary
Second, counties with implementation grants Second, counties with implementation grants have hired staff, had contracts approved where have hired staff, had contracts approved where necessary by their county commissions and are necessary by their county commissions and are enrolling people in community-based grant-enrolling people in community-based grant-funded initiatives.funded initiatives.
Counties have emphasized different programs, Counties have emphasized different programs, with 4 counties focused on mental health courts, with 4 counties focused on mental health courts, 2 counties on forensic diversion teams and 2 counties on forensic diversion teams and other counties using jail or court-based diversion other counties using jail or court-based diversion programs.programs.
SummarySummary
Grant funds are being used to assess and/or Grant funds are being used to assess and/or treat individuals with mental disorders in or at treat individuals with mental disorders in or at risk of entering the criminal justice system.risk of entering the criminal justice system.
The TA Center will work with counties to match The TA Center will work with counties to match individuals enrolled in various grant-funded individuals enrolled in various grant-funded programs against Florida arrest, treatment and programs against Florida arrest, treatment and civil commitment records to assure the programs civil commitment records to assure the programs are successfully diverting people.are successfully diverting people.
SummarySummary
The data bases being developed by a The data bases being developed by a number of counties because of the grant number of counties because of the grant will facilitate these analyses.will facilitate these analyses.
Finally, the legislative requirement that all Finally, the legislative requirement that all stakeholders must be involved in grant-stakeholders must be involved in grant-funded initiatives has resulted in cross-funded initiatives has resulted in cross-system communication that has often system communication that has often been missing.been missing.
Contact informationContact informationEllen Piekalkiewicz, Executive DirectorEllen Piekalkiewicz, Executive DirectorSubstance Abuse and Mental Health Substance Abuse and Mental Health CorporationCorporation850-410-1576850-410-1576ellen@[email protected]
