Using Cross-Systems Mapping to Plan for Mental Health Courts: Transforming Services for Persons with Mental Illness in Contact with the Criminal Justice System Using Cross-Systems Mapping to Plan for Mental Health Courts: A Tool to Assist Jurisdictions in Developing Effective Jail Diversion Initiatives MODULE I: OPENING Setting the Stage Time: 30 minutes Purpose The purpose of this module is to connect with participants, to engage participants in a group process, and to establish an open workshop environment. Facilitators welcome participants, introduce the workshop (including its purpose and focus), and clarify logistics. Introduction The module itself does not need an introduction. Trainer Note: With the exception of the opening and closing modules, each module will have an introduction. Learning Objectives Upon completion of this module, participants will be able to: Engage in a positive interactive process with the group Discuss the approach of this curriculum and its major components Trainer Note: Length of This Section These pages contain a great deal of instruction to the trainers, so it may appear longer than it actually is Many will be anxious to move on and get into the content It is important not to take too long with setting the stage It is equally important to set the stage properly Setting the stage properly helps to avoid problems with the group process or specific participants during the course of the program Slides: 1 through 18 Exercises: Introductions Opening Slide This slide serves as the “title page” and welcome Some groups may wish to have opening remarks by workshop planning committee Limit remarks from agency leaders or political figures as this can take away from the time available to accomplish the work Take time before the workshop begins to review how the workshop will begin and what kinds of introductions will be made Welcome the Group Begin by welcoming the group to the ACTION: Systems Mapping & Action Planning workshop Acknowledge the time participants are taking from their jobs, busy schedules and other priorities and thank them for their participation This is a workshop, that will focus entirely on the needs of the locality Facilitator Note: Facilitators should give a minimal introduction of the workshop here A more in-depth introduction can be made after the goal statement A minimal introduction of oneself and PRA should also be provided at this time Patty Griffin, PhD Sponsored by Montgomery County Office of Mental Health

Policy Research Associates, Inc. Since 1987, a national leader in mental health research and its application to social change. Policy Research Associates, Inc. Take the opportunity to introduce PRA Make the following points: Since 1987, PRA has been a national leader in mental health research and it’s application to social change PRA has provided technical assistance and training to over 100 communities Promote best practices to advance mental health services to vulnerable populations Strong value for helping communities to embark on a trajectory of systems change Three divisions: criminal justice, juvenile justice and homeless/housing Direct participants to About PRA in the materials packet Sponsoring Local Agency Jericho Project, operated by the Mental Health Section of the Shelby County Public Defender’s Office Shelby County Criminal Justice Mental Health Liaison Amanda Smart Thank them for inviting PRA to their community www.prainc.com

Sequential Intercept Model Munetz & Griffin 2006 A conceptual framework for communities to use when considering the interface between criminal justice, mental health, and substance abuse systems. An organizing tool.

A Systemic Approach to the Criminalization Problem No single solution to the problem we are calling “criminalization of people with mental illness” or over-representation The problem must be attacked from multiple levels The “Sequential Filters” Model We conceptualized a series of filters. Each filter provides a point to “catch” an individual with mental illness. Over time, the filter rate should increase earlier in the sequence.

Sequential Intercepts Best Clinical Practices: The Ultimate Intercept I. Law Enforcement/Emergency Services II. Post-Arrest: Initial Detention/Initial Hearings III. Post-Initial Hearings: Jail/Prison, Courts, Forensic Evaluations & Forensic Commitments IV. Re-Entry From Jails, State Prisons, & Forensic Hospitalization V. Community Corrections & Community Support Munetz & Griffin: Psychiatric Services 57: 544–549, 2006

Sequential Intercept Model Munetz & Griffin 2006 The model envisions a series of points of interception at which an intervention can be made to prevent individuals from entering or penetrating deeper into the criminal justice system. Using the model, a community can develop targeted strategies that evolve over time to increase diversion and linkage to community services.

Five Key Points of Interception Law enforcement / Emergency services Booking / Initial court hearings Jails / Courts Re-entry Community corrections / Community support

Systems Mapping: Creating a Local Map Examine this process in your locality to identify ways to “intercept” persons with severe mental illness and co-occurring disorders to ensure: Prompt access to treatment Opportunities for diversion Timely movement through criminal justice system Linkage to community resources

Montgomery County Priorities Top Five Housing Central Booking for county with inclusion of mental health diversion More mobile outreach services, including for first episodes Create Pretrial Services with inclusion of mental health diversion Faster access to psychiatric appointments in the jail and the community

Cross-Systems Mapping Train the Trainer State Initiatives Florida New Jersey Virginia

“I also saw how bringing disparate groups together --- even those with conflicting missions --- could often be effective ...... The power of proximity --- spending time side-by-side --- had pulled us all to compromise in our efforts to help ..... People, not programs, change people. The cooperation, respect, and collaboration we experienced gave us hope that we could make a difference … “ - Bruce Perry & Maia Szalavltz, 2007

Patty Griffin, PhD Senior Consultant CMHS National GAINS Center for People with Co-Occurring Disorders in the Justice System 8503 Flourtown Ave. Wyndmoor PA 19038 215 836-0570 Fax 215 836 0571 pgriffin@navpoint.com