1. Iowa Stepping Up Summit: Conducting Timely Screenings and Assessments Des Moines, Iowa October 24, 2017
Travis Parker, MS, LIMHP, CPC
Senior Project Associate-Policy Research Associates

4. First Appearance Court
Intercept 2
Initial Detention/Initial Court Hearings
Initial
Detention
First Appearance Court
Arrest

5. Importance of Intercept 2 Diversion
Study of pretrial detention in Kentucky (N=155,000)
Detention of low and moderate risk defendants increases their rates of new crimes
When held 2-3 days, low risk defendants are 40% more likely to commit crimes before trial
When held 8-14 days, low risk defendants are 51% more likely to commit crimes 2 years after case disposition.

6. NACo Analysis of Jail Populations
Percent of jails owned by counties
87%
Percent of confined jail population that is pretrial
67%
Percent of jails that use a risk assessment
40%
Percent of jail population assessed “low risk” among jails that use risk assessments
60%

8. Intercept 2 Essential Elements
Identification and screening
Court-based clinician
Recovery-based engagement
Proportional response

9. Identification and Referral
Personnel
Strategies
Police officers
Booking officers
Jail medical staff
Pretrial services
Public defenders
Prosecutors
VJO specialist
Data matching
Mental health risk screen
Potential diversion presented at arraignment
Referral to?

10. Recommended Mental Health Screens
Brief Jail Mental Health Screen (BJMHS)
Designed for correctional officers to administer at booking
Correctional Mental Health Screen (CMHS)
Separate versions for male and female inmates
Mental Health Screening Form III (MHSF-III)
Designed for people being admitted into substance use treatment

11. Recommended Substance Use Screens
Texas Christian University Drug Screen-V
Past 12-month use based on DSM-V criteria; 17 items
Consider combining with the AUDIT for alcohol use
Simple Screening Instrument for Substance Abuse
Past 6-month alcohol and drug use; 16 items
Considering combining with the AUDIT for alcohol use
Alcohol, Smoking, and Substance Involvement Screening Test
Screens for lifetime use, current use, severity of use, and risk of IV use. Available from the World Health Organization and NIDA.

12. Brief Jail Mental Health Screen
Cross-Systems Mapping & Taking Action for Change
Brief Jail Mental Health Screen
10/07
3 minutes at booking by corrections officer
8 yes/no questions
General, not specific mental illness
Referral rate: 11%
Men: 73.5%
Women: 61.6%
N=10,330 men & women; 4 jails
See: Steadman et al. (2005) in Psychiatric Services 56(7)
Steadman et al. (2005)

13. Jail Screening and Data Link
Texas
Cross reference local/state CJ & HHS Data
Matches completed by local Jails w/in 72 hrs
Kentucky
Secondary level MH risk screening for all flagged with MH at booking/screening
14% eligible for diversion
Illinois
Mental Health Jail Data Link Project
Screening has reduced national jail suicide rate (Hayes, Lindsay)

14. Screening for Veterans
Veterans Reentry Search Service (VRSS)
VA built a web-based system that will allow prison, jail, and court staff to quickly and accurately identify Veterans among their inmates or defendant populations.

17. About Johnson County, KS
20 cities
1,100 beds
750 avg. daily population
17 municipal & county law enforcement agencies

18. Thru entire court process Onto probation or other supervision
How JIMS works
A single database follows each person…
Booking to county jail
DA’s office review
Thru entire court process
Onto probation or other supervision

19. Co-responder screen

20. Brief jail mental health screen

21. JC-RION Brings together 17 law enforcement agencies:
The Johnson County Regional Interagency Operating Network — utilizing the NicheRMS product.
Brings together 17 law enforcement agencies:
Olathe Police
Westwood Police
Overland Park Police
Shawnee Police
Leawood Police
Mission Police
Mission Hills Police
Johnson County Sheriff Patrol
Spring Hill Police
Johnson County Park Police
Merriam Police
Prairie Village Police
Fairway Police
Roeland Park Police
Lenexa Police
Gardner Public Safety Department

22. Prior to BJMHS
One-way match
Jail
Mental health

23. 65% Prior to BJMHS Two key problems:
Only captures the most vulnerable population
Of our detainees are released in 48 hours or less

24. Because of our JIMS system
We have the ability to:
Compare the length of stay for detainees with mental illness symptoms
Look at peak booking/release times for detainees with mental illness

25. Because of our JIMS system
We have the ability to:
Break down data from each police dept.
Compare booking types
Review charge descriptions

26. BJMHS items Prevalence of Mental Health Symptoms at booking
— for the previous seven months

27. Implementation of screening tools
Creates new opportunities
We’re able to identify residents who likely struggle
We have opportunity to engage at-risk persons
We can improve the coordination of care

28. Hesitation for BJMHS
More work to the booking process…
What is the mental health center going to do with this information anyways?

29. Booking processes
JIMS sends to Johnson County Mental Health staff daily
Screen results entered in JIMS by the Sheriff’s Office
Mental health staff look up each person in Electronic Record

30. JIMS send an email to the outreach workgroup
Upon release
Our goals:
Outreach to person within 24 hours
Outreach attempts by phone
First outreach within 24 hours of release
Face-to-face efforts, when deemed necessary
JIMS send an to the outreach workgroup

31. Collecting outcome data
Outcome information being collected:
Mental Health Center status
Number of persons contacted within 72 hours
Number of persons linked to a specific service
Number refusing service
Number recycling through jail

32. 372 Early results 15% current clients 52% 32%
Mental health center status for outreach
15% current clients
52%
have had contact with MHC
372
total referrals
32%
Unknown to MHC
Data from the Feb.-May 2017

33. 50% Early results Percent of persons contacted within 72 hours
approximately
Percent of persons contacted within 72 hours
50%
Data from the Feb.-May 2017

34. 34% Early results Disposition info:
Successfully connected to or referred to services
Data from the Feb.-May 2017

35. Proactive approach
Developed a predictive analytics model to identify people who are most likely to have a police encounter / jail booking in the next months.