Alameda County Behavioral Health Care Services and Alameda County Probation Department

Decreasing Incarceration for People with Mental Illness and Creating a Community Mental Health

Continuum for the Criminally Justice Involved

Health Committee July 24, 2017

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Rebecca Gebhart, Interim Director, HCSAWendy Still, Chief Probation Officer, ACPD

Yvonne Jones, Director, Adult Forensic Behavioral Health, BHCSCarol F. Burton, LMSW, BHCS Consultant and CEO – Jeweld Legacy Group

Two New Initiatives to Address the Need

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Stepping Up

Sequential Intercept Mapping (SIM)

Stepping Up Initiative

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In May 2015, The National Association of Counties (NACo) and other partners launched a nationwide initiative, Stepping Up: A National Initiative to Reduce the Number of People with Mental Illnesses in Jails

Stepping Up asks communities to develop an action plan to reduce the number of people with mental illness in jail

On June 2, 2015, the Board of Supervisors adopted a resolution in support of the NACoStepping Up Initiative

What will Stepping Up Do for Alameda County?

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Draw on a diverse team of leaders committed

reducing the number of people with mental

illnesses in jails

Gather baseline data to better identify adults

entering jails with mental illness and their recidivism

risk

Examine treatment and service capacity

Develop a plan based on data and implement

research-based approaches that advance the plan

Track progress and report on successes

Stepping Up Summit January 18-19, 2017

All California counties were invited to a two-day summit in Sacramento on January 18-19, 2017

Teams of county elected officials and criminal justice and behavioral health leaders attended from across the state

Alameda County was Represented by Probation, HCSA/BHCS, Sheriff, DA, PD

Focus was how to improve the way counties respond to people with mental illness who come into contact with the justice system

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The Six Questions Counties Need to Ask

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Is our leadership committed?

Do we conduct timely screening and assessments?

Do we have baseline data?

Have we conducted comprehensive process analysis and inventory of services?

Have we prioritized policy, practice and funding improvements?

Do we track progress?

What’s happening now and next steps

Collaboration between Probation and HCSA/BHCS to prevent client entry into the criminal justice system

Developing robust services for individuals returning to the community from jail or prison

Obtain funding for re-entry efforts (Prop 47)

Increased mental health staff with AFBH in booking at Santa Rita Jail

New work group with HCSA/BHCS and stakeholders to work collaboratively to reduce the number of mentally ill who are incarcerated

Data Sharing MOU with BHCS and ACSO to enhance re-entry services

Data Sharing Agreement between BHCS And ACPD under development

Sequential Intercept Mapping: Sept 2017

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Facilitated by Policy Research Associates (PRA), a national leader in behavioral health services research and its application to social change since 1987. The Sequential Intercept Model was developed through SAMHSA’s GAINS Center at Policy Research Associates (PRA).

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Sequential Intercept Mapping (SIM) –what exactly is it?

It’s an interactive tool for developing criminal justice-mental health partnerships used by communities to assess their resources, gaps and opportunities at each of five “intercept points.”

What can you gain from SIM?

Aims to identify potential opportunities for diversion, or alternative justice and behavioral health interventions for persons with mental illness and co-occurring disorders, within each of the five intercepts.

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Facilitated by Policy Research Associates

Designed to tap into local expertise

Brings together key stakeholders to develop a “map” that illustrates how people with mental and substance use disorders come in contact with and flow through

the local criminal justice system

Identifies opportunities and resources for diverting people to treatment and indicates gaps in services

Intercept Zero

The Intercept Zero concept adds one more step to the 5-step sequence of SIM.

“Intercept Zero” seeks to proactively identify and assess resources, gaps, and opportunities within individuals’ communities prior to their coming into contact with law enforcement, in areas such as:

HomeWorkSchool Faith-based organizationsHealth centers

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Intercept Zero

Community:• Home• Work• School• Faith-Based• Health Centers

Sequential Intercept

Mapping (SIM)Workshop

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Workshop consists of 3 components:Sequential Intercept Mapping (SIM)

Taking Action for Change

Summit of decision-makers with the objective to develop an actionable plan

Discusses best practices with the group during the process of mapping

Helps participants identify resources, identify priorities for change, and develop short and long term goals through an action planning matrix

Policy Research Associates (PRA) offers nationwide workshops, including one in Oakland on September 14-17, 2017

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CORE PLANNING GROUP AGENCY

Esa Ehmen-Krause Alameda County Probation Dept.

Lisa Heintz Alameda County Probation Dept.

Judge Gregory Syren Superior Court, Alameda County

Brian Bloom Office of Alameda County Public Defender

Carol F. Burton, LMSW CEO, Jeweld Legacy Group, BHCSConsultant

Glynis Anderson, PMP Project Manager, Jeweld Legacy Group

John Knowles East Bay Community Recovery Program

John Perrodin Oakland Police Department

Who’s Involved?

Core Planning Group

working along the continuum

of Stepping Up and SIM

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CORE PLANNING GROUP AGENCY

Masanao Morimoto Alameda County District Attorney

Mary Hogden Alameda County BHCS Mental Health Peers

Noha Aboelata, MD Roots Community Health Center; Community-Rooted Provider Consolidation

Tara Russell Alameda County Sheriff’s Office

Tash Nguyen Ella Baker Center for Human Rights

Tom Trabin Alameda County BHCS, County Alcohol and Drug Program

Yvonne Jones Alameda County BHCS, Adult Forensic Behavioral Health

Marty Neideffer Alameda County Sheriff’s Office

Who’s Involved?

Core Planning Group

working along the continuum

of Stepping Up and SIM

Who’s Involved?

• Probation• Superior Court• Sheriff’s Office• Oakland and other Police Departments• District Attorney’s Office• Public Defender’s Office• Health Care Services Agency• Behavioral Health Care Services

• Forensic Behavioral Health• Alcohol and Drug Programs• Mental Health Peers, Consumer, Family Members• BHCS Consultants from Jeweld Legacy Group• CBO and community representatives

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Next Steps for SIM

Planning

Determine who will participate

Data collection

Prep work with Policy Research Associates (PRA)

2-day SIM workshop September 14-17, 2017

Commitment to ½ day summit by decision makers

Develop plan based on Sequential Intercept Mapping

Implementation

Ongoing workgroups and evaluation

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Questions?

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