1. 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

2. 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

3. 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.

4. 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.

5. 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

6. 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.

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

9. 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

14. 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

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

16. “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

17. Patty Griffin, PhD Senior Consultant
CMHS National GAINS Center for People with
Co-Occurring Disorders in the Justice System
8503 Flourtown Ave.
Wyndmoor PA
Fax