Slides - National Association of Counties

Moderator
• Behavioral Health Director (ret.),
Salt Lake County, Utah
• Former Board President, National
Association of County Behavioral
Health & Developmental Disability
Directors
• NACo Senior Fellow
Housekeeping
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• This session is being recorded. To view the
recording please visit
www.naco.org/educational-recordings.
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Agenda
• Introduction to Stepping Up
• Town Hall Discussion
• Mecklenburg County Jail Diversion
Continuum
• Roundtable Discussions
Steering Committee
Counties are Stepping Up!
*Reflects resolutions received by NACo as of July 7, 2015
Counties are Stepping Up!
Mobile (AL)
Montgomery (AL)
Coconino (AZ)
Greenlee (AZ)
Maricopa (AZ)
Yuma (AZ)
Alameda (CA)
Del Norte (CA)
Mendocino (CA)
Orange (CA)
Alamosa (CO)
Arapahoe (CO)
Larimer (CO)
Charlotte (FL)
Hernando (FL)
Leon (FL)
Miami-Dade (FL)
Palm Beach (FL)
Martin (FL)
DeKalb (GA)
Fulton (GA)
Jasper (IA)
Lee (IA)
Linn (IA)
Marshall (IA)
Polk (IA)
Pottawattamie (IA)
Story (IA)
Cook (IL)
Lake (IL)
Johnson (IN)
Johnson (KS)
Prince George's (MD)
Huron (MI)
Aitkin (MN)
Dakota (MN)
Hennepin (MN)
Olmsted (MN)
Ramsey (MN)
Winona (MN)
Boone (MO)
Pettis (MO)
Durham (NC)
Forsyth (NC)
Guilford (NC)
Wake (NC)
Douglas (NE)
Sarpy (NE)
Hillsborough (NH)
Merrimack (NH)*
Bernalillo (NM)
Sandoval (NM)
Santa Fe (NM)
Athens (OH)
Franklin (OH)
Lake (OH)
*Reflects resolutions received by NACo as of July 7, 2015
Portage (OH)
Shelby (OH)
Grant (OK)
Columbia (OR)
Dauphin (PA)
Fulton (PA)
Westmoreland (PA)
Fairfield (SC)
Orangeburg (SC)
Codington (SD)
Brazos (TX)
Dallas (TX)
Tarrant (TX)
Wise (TX)
Salt Lake (UT)
Fairfax (VA)
Island (WA)
Skagit (WA)
Dunn (WI)
www.StepUpTogether.org/Toolkit
Webinars
Research
Planning
Exercises
SelfAssessment
Tools
County
Examples
Today’s Speakers
• Laura Usher, NAMI
• Connie Mele, Mecklenburg County
• Dr. Nneka Jones Tapia, Cook County, Ill.
Department of Corrections
• Cherryl Ramirez, Association of Oregon
Community Mental Health Programs
• Sheriff Donny Youngblood, Kern County, Calif.
Laura Usher
CIT Manager
National Alliance on
Mental Illness (NAMI)
Connie Mele
Assistant County Health
Director
Mecklenburg County, N.C.
Dr. Nneka Jones Tapia
Executive Director
Cook County, Ill.
Department of Corrections
Cherryl Ramirez
Executive Director
Association of Oregon
Community Mental Health
Programs
Sheriff Donny Youngblood
Kern County, Calif.
Sheriff’s Department
Speakers
• Laura Usher, NAMI
• Connie Mele, Mecklenburg County
• Dr. Nneka Jones Tapia, Cook County, Ill.
Department of Corrections
• Cherryl Ramirez, Association of Oregon
Community Mental Health Programs
• Sheriff Donny Youngblood, Kern County, Calif.
National Association of Counties
Annual Conference 2015
Stepping Up Summit
Mecklenburg’s Jail Diversion Continuum
July 12, 2015
Mecklenburg’s Jail Diversion Continuum
Facilitator: Sarah Greene, LCSW
Program Administrator of Trauma & Justice Partnerships
Presenters: Janeanne Gonzales, Program Administrator STEP Program
Melissa Zhiss, LPA, Jail Liaison Clinician
Sharlise Spindle, LCSW, Public Defender’s Office Clinician
Geaneen Moore, LPC, Mobile Crisis Director
Marcus Boyd, LPC, LCAS, Meck FUSE Director
Lisa Murray, LPC, LCAS, Mecklenburg County CIT Coordinator
Captain Jim Wilson, Charlotte-Mecklenburg Police Department
Captain Dan Johnson, Mecklenburg County Sheriff’s Office
Judy Reiner, National Alliance on Mental Illness-Charlotte
M e c k l e n b u r g C o u n t y N C . g o v
18
Mecklenburg’s Jail Diversion Continuum
1. Jail Diversion Clinician
2. Mental Health Treatment Court
3. Clinical Social Worker at the Public
Defender’s Office
4. Mobile Crisis
5. Meck FUSE housing program
6. Crisis Intervention Team (CIT)
M e c k l e n b u r g C o u n t y N C . g o v
19
Mecklenburg’s Jail Diversion Continuum
A Jail Diversion Collaborative became
The Recovery Solutions Committee
•Addressing the problem of people with
behavioral health (BH) disorders in jail since 2001
•Comprehensive representation:
•DA, Public Defender, private attorneys
•Judges, 26th Judicial District
•Sheriff’s Office, Police Department
•County BH services, private providers
•National Alliance on Mental Illness (NAMI)-Charlotte
(peer and family representation)
•Treatment courts, pre-trial
M e c k l e n b u r g C o u n t y N C . g o v
20
Mecklenburg’s Jail Diversion Continuum
Jail Diversion Clinician: Melissa Zhiss, LPA
• NC Division of MH/DD/SA initiative funded local position from
2001-2004 (Request for Applications process); later funded by
county
• Initially a case management position, modified due to the
identified need for a licensed clinician
• Focus on identification of individuals with Severe and
Persistent Mental Illness (SPMI) in jail
• Duties include screening, assessments, advocacy, and
coordination with other jail diversion providers
M e c k l e n b u r g C o u n t y N C . g o v
21
Mecklenburg’s Jail Diversion Continuum
Mecklenburg County STEP program:
Janeanne Gonzales
•Accepted first referral in April 2004
•First official court session held on February 25,
2005
•Program Statistics February 2005 - June 2014
•450 clients served (Caseload capacity = 30)
•48% successful completion
•74% remain arrest free 2 years post graduation
M e c k l e n b u r g C o u n t y N C . g o v
22
Mecklenburg’s Jail Diversion Continuum
Clinical Social Worker at Public Defender’s Office-Sharlise Spindle LCSW
•LCSW in Public Defender’s Office was implemented in 2008 out
of collaborative efforts of the Recovery Solutions committee
•Goal is to provide education, identify and coordinate efforts to
serve those in need that are represented by the Public Defender’s
Office priority to those with Mental Health, Substance Use,
Intellectual and/or Developmental Disabilities.
•2nd Social Work position created in 2013; positions are funded by
both County and State
M e c k l e n b u r g C o u n t y N C . g o v
23
Mecklenburg’s Jail Diversion Continuum
Mobile Crisis Services
Geaneen Moore, Director
•Program started in 2006 as a pilot for North Carolina, serves all
of Mecklenburg County
•Designed to respond to mental health, substance abuse,
intellectual disabilities, and situational crises in the community
•Referrals come from police, and all of the other PD's in the
county including MCSO, CMS, providers, physicians, call centers,
DSS, community programs, family members/friends, and
consumers
•There is no cost to the consumer directly, Medicaid can be
utilized as well as state funds funneled through Cardinal
Innovations.
M e c k l e n b u r g C o u n t y N C . g o v
24
Mecklenburg’s Jail Diversion Continuum
Meck FUSE housing program
Marcus Boyd, LPC, LCAS Director
•Collaborative pilot effort between Mecklenburg County and The
Charlotte Center for Urban Ministry to help end chronic
homelessness in Mecklenburg.
•Utilizes the Housing First model, a proven national model, which
is designed to help people obtain housing as quickly as possible
without time limits.
•Technical assistance provided by Corporation for Supportive
Housing (CSH)
•Started housing people August 2013
M e c k l e n b u r g C o u n t y N C . g o v
25
Mecklenburg’s Jail Diversion Continuum
Meck FUSE housing program
Marcus Boyd, LPC, LCAS Director
•Provide wraparound case management to promote
housing stability and individual well-being on an asneeded basis
•Features a core group of committed partners who
guide the program, resolve problems and foster
success.
•Program capacity is 45.
M e c k l e n b u r g C o u n t y N C . g o v
26
Mecklenburg’s Jail Diversion Continuum
Crisis Intervention Teams (CIT)
Lisa Murray, LPC, LCAS, CIT Coordinator for Mecklenburg
County
Captain Jim Wilson, Charlotte-Mecklenburg Police Department
Captain Dan Johnson, Mecklenburg County Sheriff’s Office
Judy Reiner, National Alliance on Mental Illness (NAMI)Charlotte
•Forty hour class to improve police responses to
individuals experiencing a mental health crisis,
endorsed widely across the country
•Goals are to reduce harm and divert from jail to
treatment
M e c k l e n b u r g C o u n t y N C . g o v
27
Mecklenburg’s Jail Diversion Continuum
Crisis Intervention Teams (CIT):
•Created in 2008 by a collaborative jail diversion
group that included mental health, NAMI, and two
law enforcement agencies for Mecklenburg
•Initial trainers attended class in Wake County
•Funded by state law enforcement training funds
routed through community college system
M e c k l e n b u r g C o u n t y N C . g o v
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Mecklenburg’s Jail Diversion Continuum
Unique to Charlotte-Mecklenburg CIT
program:
•Recovery oriented and peer inclusive
•Trauma and veteran focused
•Encompasses detention officers and
sheriff’s deputies
M e c k l e n b u r g C o u n t y N C . g o v
29
National Association of Counties
Annual Conference 2015
Stepping Up Summit
Mecklenburg’s Jail Diversion Continuum
July 12, 2015
QUESTIONS?
Handouts and business cards available
Table Discussions
1) Making Change in Large,
Urban Counties
2) CIT: Engaging Advocates an
Consumers
3) So You’re from a Small
County
4) Engaging State-Level
Partners
5) Developing and Utilizing a
CJCC
6) Innovations in County
Corrections
7) Engaging Your Behavioral
Health Director
8) MeckCo: Creating a Jail
Diversion Continuum
9) Working with Courts and
Judges
10) Mental Health
Professionals as Jail Staff
11) Funding Mental Health
Initiatives
12) Engaging Your Sheriff
13) Developing a Mental Health
Court
14) Law Enforcement Responses
to Mental Health Crises
15) Data! Data! Data!
16) Health Coverage
Enrollment in Jails
NACo Staff Contact
Nastassia Walsh
Program Manager, NACo
E: nwalsh@naco.org
P: 202.942.4289
www.StepUpTogether.org