Framework Overhaul.

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What Is the Problem?. A large number of the same individuals in numerous frameworks: Mental healthSubstance abuseCriminal justiceOther social administrations Significantly overrepresented in the criminaljustice systemExpensive - high administration clients, individuals who spin and reuse through the systemSOLUTION: Cross-Systems Coordination.
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Framework UPDATE Lessons from the Field: Partnerships, Programs and Practical Alternatives for System Transformation The Commonwealth Consortium Executive Leadership Stakeholder Meeting Richmond, Virginia - October 22, 2009 James S. Reinhard, M.D., D.F.A.P.A Commissioner Department of Behavioral Health and Developmental Services

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What Is the Problem? Large portions of similar individuals in numerous frameworks: Mental wellbeing Substance manhandle Criminal equity Other social administrations Significantly overrepresented in the criminal justice framework Expensive - high administration clients, individuals who burn and reuse through the framework SOLUTION: Cross-Systems Coordination

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Improve Public Safety, Reduce Inappropriate Contact With and Minimize Penetration Into The Criminal Justice System For Persons with Mental Illness Develop and bolster enhanced frameworks interoperability Replicate and bolster viable projects, practices and procedures Enhance workforce mindfulness and preparing Improve access to administrations Mental Health and Criminal Justice Transformation Goals

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National Perspective: Criminal Justice Population Increases Source: U.S. Branch of Justice, Office of Justice Programs, Bureau of Justice Statistics Correctional Surveys (The Annual Probation Survey, National Prisoner Statistics, Survey of Jails, and The Annual Parole Survey) as displayed at 4

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National Perspective: Scope of the Problem Over 14 million captures every year, including more than 9 million grown-ups Over 1 million arrestees have genuine emotional sicknesses 75% of those with genuine maladjustments have co-happening substance utilize scatters by far most will be discharged to the group 5

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Virginia Perspective: More High Numbers Source: Virginia General Assembly Senate Finance Public Safety Subcommittee Report, November, 2008 INDIVIDUALS UNDER CORRECTIONAL SUPERVISION (As of June 2008) State Probation and Parole DOC State Correctional Facilities District Offices (DOC) (33,500 State-Responsible (57,000 Offenders Under Offenders in Prison) Community Supervision) State-Responsible Offenders Housed in Jails (5,360*) * Includes the out-of-consistence build-up of 1,552 Local-Responsible Community Corrections and Pre-Trial Release Local and Regional Jails Programs (19,000 Offenders (20,400 Local-Responsible Under Community Supervision) Offenders in Jail) 6

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Average Daily Population in Jails by Year Department of Criminal Justice Services

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Average Daily Census in Psychiatric Hospitals by Year Department of Behavioral Health & Developmental Services

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Forensic Psychiatric Hospital Bed Utilization by Year Department of Behavioral Health & Developmental Services Page 9

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Cross Systems Mapping: Bringing a Local Approach to Scale Interagency Conference: In May 2008, DBHDS and Department of Criminal Justice Services (DCJS) supported the Governor\'s Conference for Mental Health and Criminal Justice Transformation. Patty Griffin, Ph.D., was a key note speaker amid the gathering and gave data about the Sequential Intercept Model and the Cross Systems Mapping procedure to the criminal equity and psychological well-being partners in participation from over the state.

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Cross Systems Mapping: Description and Goals A facilitated1.5 day group workshop uniting neighborhood CJ/MH partners to Understand and "guide" their nearby CJ/MH interface using the Sequential Intercept Model Identify nearby assets and crevices Enhance nearby connections and enhance ability to make powerful frameworks change Develop area particular needs and an Action Plan for Change

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Cross Systems Mapping: Focus Men and ladies with… Serious emotional sickness, and frequently Co-happening substance utilize disarranges Involved in the criminal equity framework 12

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Cross Systems Mapping: Goals Promote and bolster recuperation Provide security and personal satisfaction for all group occupants Keep individuals out of prison (when fitting) and in treatment Provide intrinsically sufficient treatment in prison Link to exhaustive, suitable, and coordinated group based administrations Reduce infiltration/length of contribution of people with maladjustment in criminal equity framework Reduce quantities of people with dysfunctional behavior coming into contact with criminal equity framework 13

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Cross Systems Mapping: Virginia\'s Statewide Initiative Interagency (& intra-organization) Facilitators: Twenty-two individuals were chosen and afterward prepared by Policy Research Associates (Patty Griffin and Jackie Massaro) in August 2008 to be facilitators for Cross System Mapping in Virginia. The sythesis of the gathering: 5 CSB staff 7 DBHDS state doctor\'s facility legal staff 3 DBHDS focal office staff 5 Community Corrections staff 1 private supplier staff 1 DCJS staff

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Cross Systems Mapping: Agenda DAY 1 Workshop Overview MH/CJ Challenges What Works! Procedures for Systems Coordination & Collaboration Creating a Systems Map for Richmond Setting Priorities For Change DAY 2 Day 1 Accomplishments Keys to Success in Richmond Action Planning Next Steps Cross Systems Mapping Taking Action For Change 15

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Cross Systems Mapping: Strategies for Success Share a dream and bearing Use prove based and promising practice models Use cash imaginatively Blended financing sources Using both existing and new assets Collect and utilize information 16

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Cross Systems Mapping: Foundation The Sequential Intercept Model is a device to: Help change divided frameworks Identify neighborhood assets, crevices and Help recognize where to start intercessions Cross-Systems Mapping is an action which delineates contact/stream with the criminal equity framework 17

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The Sequential Intercept Model: Framework for Change Law requirement/Emergency administrations Booking/Initial court hearings Jails/Courts Re-passage from prisons/detainment facilities Community amendments/Community bolster

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The Sequential Intercept Model: Framework for Change

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Sequential Intercept Model Patty Griffin, PhD & Mark Munetz, MD People travel through criminal equity framework in unsurprising ways Illustrates key focuses to "capture," to guarantee: Prompt access to treatment Opportunities for preoccupation Timely development through criminal equity framework Linkage to group assets 20

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Cross Systems Mapping: Lessons and Outcomes Localities served in FY09 1. Ruler William 2. Virginia Beach 3. Martinsville/Henry/Patrick 4. Richmond City 5. Newport News 6. Chesapeake 7. Williamsburg/James City County/York/Poquoson Winchester/Clarke/Frederick/Page/Shenandoah/Warren 9. Petersburg/Dinwiddie Localities Served in FY10 Hampton Charlottesville/Albemarle Suffolk Localities Scheduled in FY10 1. Fauquier 2. Lynchburg/Bedford/Campbell Culpepper Henrico Middle Peninsula Roanoke City/Roanoke County/Salem Rappahannock Area Chesterfield (XSM Update)

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Cross Systems Mapping: Lessons and Outcomes 24 of Virginia\'s 134 Cities and Counties vast urban areas huge rural districts multi-jurisdictional urban/rural and country blended groups 2.3M of Virginia\'s 7.4M populace live in wards that have gotten a XSM Over 350 partners have taken an interest in XSM 22 facilitators prepared and driving workshops

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Cross Systems Mapping: Lessons and Outcomes Most regularly distinguished need ranges Increase accessibility of group based administrations (12) Develop exhaustive pre-discharge tx arranges/asset linkages (9) Develop CIT and drop off focuses/increment pre-booking police alternatives (9) Develop post-capture/pre-trial programs with linkage to administrations (7) Support open/private organizations, enhance information gathering and scattering to bolster result estimation and promotion (6) Develop between office broadly educating, correspondence and coordinated effort (5) Improve MH/CJ correspondence conventions and data sharing (5) Increase pre and post-trial group revisions manpower(4) Increase/upgrade imprison based MH administrations (3)

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A Cross Systems Approach to Keep Virginia Moving Forward Collaborating Among State Leadership 24

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Challenges to Collaboration Funding "storehouses" Limited assets make an aggressive as well as defensive environment System "societies" seem to have unique objectives Time requirements diminish chance to create connections and comprehend shared trait of objectives A Cross Systems Approach to Keep Virginia Moving Forward 25

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A Cross Systems Approach to Keep Virginia Moving Forward  Service maintenance  Stability in the group Public Safety Cost Savings Benefits of Effective Collaboration 26

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A Cross Systems Approach to Keep Virginia Moving Forward Developing an Action Plan for Targeted Priorities 27

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Thoughts on Identifying Priorities and Challenges Priority: Improve information and data trade among all CJ/MH accomplices Challenges and Actions to Consider: Multiple non incorporated information bases (LIDS, CMS, VCIN, CCS, NCIC, and so on.) Need to figure out what Virginia may as of now be embraced Research potential effect on shopper security/decision Identify Federal and state authoritative, administrative and strategy imperatives/changes to encourage information mix and data trade Examine endeavors in different states are doing to enhance (TX)

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Thoughts on Identifying Priorities and Challenges Priority: Identify ebb and flow workforce instruction status and extra preparing needs Challenges and Actions to Consider: Create a far reaching workforce advancement plan to address CJ/MH preparing and cross-frameworks training Identify existing instructive and preparing educational program and projects Define need workforce preparing and instruction needs

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